Speech acts and the pragmatic deficits of autism

In a videotaped free-play session with a parent, autistic children were compared with mental-age matched Developmental Language Delay (DLD) children and with normally developing (ND) 2-year-olds in the use of communicative acts by parent and child. Groups were matched for language level. Autistic children had more incidents of no responses, produced less affirming, turn-taking vocalization, and gesture, and were less likely to initiate communication than other children. Parent groups differed only in a greater amount of initiating and use of imperatives by parents of autistic children. Few relations between parent behaviors and child behaviors were found. Nonresponses by all children were concentrated subsequent to parent imperatives and questions, but no group differences were found in the distribution of nonresponses to various parent communicative acts. Results are interpreted to support the hypothesis that autistic children's language can serve a number of useful functions but that their pattern of language functions differs from that of nonautistic language-impaired children and much younger normal children of similar language level.     

Lexicalization of idioms in urban fifth graders: a reaction time study

Idioms are an important aspect of language that comprises a sizeable portion of our vocabulary. However, lexical access research has largely been limited to understanding how literal words are accessed and processed in the mental lexicon. Adult data show that idioms are quickly accessed from the lexicon and are likely processed as long words [J. Verbal Learn. Verbal Behav. 18 (1979) 523]. The purpose of this study was to examine lexicalization of idioms in a group of school-aged children. Using a phrase classification design, this research tested the Lexical Representation Hypothesis [J. Verbal Learn. Verbal Behav. 18 (1979) 523] in 19 urban fifth graders (5 boys, 14 girls; M age=10.16 years). On a computer, the students classified 54 phrases, including 24 idioms (high, moderate, and low familiarity [J. Speech Hear. Res. 36 (1993) 728]), 24 grammatical control word strings and 6 unrelated foils as either idioms or nonidioms. The idioms were identified with 62% accuracy. Unexpectedly, the boys tended to show higher rates of accuracy than the girls. Response latencies were shorter on the idioms compared to the controls and high familiarity idioms were processed faster than moderate and low familiarity idioms. These findings provide developmental data for lexicalization of idioms and the relationship between lexicalization and familiarity. At the cocnlusion of this articel, the reader will be able to: (1). discuss the various theories of idiom access and processing, (2). discuss how lexical access relates to idiom knowledge in school-aged children, and (3). consider the association between lexical access and familiarity relative to idiom comprehension in school-aged children.     

Effects of sampling context on the finite verb production of children with and without delayed language development

Informal language sampling is ubiquitous in the study of developing grammatical abilities in children with and without delayed language, including study of grammatical abilities in the area of finite verb production. Finite verbs are particularly important to assess as they appear to be the grammatical morphemes most vulnerable to error in the language usage of children with specific language impairment (SLI). Although it is known that context and procedure of informal language sampling interact with language usage, this interaction has not been studied with regard to finite verb production for children with or without language delay. Therefore, this study examined the production of obligatory contexts for finite verbs, and the correct use of finite verb forms in these obligatory contexts, across four different language sampling contexts and procedures. Results revealed that finite verb production was sensitive to both group and context differences for preschool-age children with, and without, language impairment. LEARNING OUTCOMES: As a result of this activity, the reader should be able to: (1) describe the importance of assessing finite verb production in young children, (2) conceptualize processing demands as they relate to highly-structured versus less-structured, informal language sampling tasks, and (3) identify critical issues related to informal language sampling context effects on the finite verb production of young children.     

Young children's idiom comprehension: trying to get the picture.

Young children (3.5-6.5 years of age) were tested for their comprehension of 10 common idioms in context and no-context conditions. Results revealed a significant linear trend for children to make more literal responses with increasing age. Children of this age did not find the story contexts helpful in interpreting the idioms. A range of comprehension scores was found among the individual idioms, but semantic transparency (as judged by adults) was not related to comprehension. Child-internal and methodologic variables influencing idiom comprehension are discussed.     

孤独症儿童脑干听觉诱发电位及耳声发射研究

目的探讨孤独症对听觉系统功能的影响,为临床诊治提供理论依据。方法对20例孤独症患儿进行听觉脑干诱发电位（auditory brainstem response,ABR）及畸变产物耳声发射（distortion Product otoacoustic emission,DPOAE）测试,设立同年龄段正常组进行对照研究。结果①孤独症组ABR双耳Ⅴ波潜伏期、右耳Ⅰ～Ⅴ波间期、Ⅲ～Ⅴ波间期延长,与对照组比较有显著性差异（P〈0．05）;②孤独症组DPOAE异常率增高,1kHz及1．5kHz平均幅值及1kHz引出率降低,与对照组比较有显著性差异（P〈0．05）。结论孤独症儿童ABR潜伏期延长,DPOAE测试异常率增高,提示脑干听觉通路传导异常,可能是引起孤独症儿童广泛感觉系统发育障碍,使言语、认知、社会等方面异常发育的原因之一。     

Language training with autistic children using four different modes of presentation

The purpose of this study was to determine (1) whether comprehension, production, and spontaneous use of language are greater following language training by sign-alone, speech-alone, simultaneous communication, or alternating between speech and sign; (2) whether high- and low-verbal imitators benefit from the same mode of treatment; and (3) whether retention of the language skills differs among the four training conditions. Subjects were 60 moderate to severe autistic children randomly assigned to one of four treatment conditions. Subjects were divided into high- and low-verbal imitators based on verbal imitation performances. The results indicated that the high-verbal imitators did equally well in all four treatment conditions, while the low-verbal imitators did poorest in the speech-alone condition. The high-verbal imitators performed better than did the low-verbal imitators in all of the treatment conditions. Words or signs learned were retained for three months after treatment regardless of the treatment condition or level of imitative ability. The results were discussed in terms of the efficacy of using sign language with autistic children.     

Comprehension of idioms in adolescents with language-based learning disabilities compared to their typically developing peers

Adolescents with language-based learning disabilities (LBLD) often interpret idioms literally. When idioms are provided in an enriched context, comprehension is compromised further because of the LBLD student's inability to assign multiple meanings to words, assemble and integrate information, and go beyond a local referent to derive a global, coherent meaning. This study tested the effects of context and familiarity on comprehension of 24 idioms in 22 adolescents with LBLD. The students completed the Idiom Comprehension Test (ICT) [Language, Speech, and Hearing Services in Schools 30 (1999) 141; LSHSS 34 (2003) 69] in one of two conditions: in a story or during a verification task. Within each condition were three familiarity levels: high, moderate, and low. The LBLD adolescents' data were then compared to previously collected data from 21 age-, gender-, and reading ability-matched typically developing (TD) peers. The relations between reading and language literacy and idiom comprehension were also examined in the LBLD adolescents. Results showed that: (a) the LBLD adolescents generally performed poorly relative to their TD counterparts; however, the groups performed comparably on the high and moderate familiarity idioms in the verification condition; (b) the LBLD adolescents performed significantly better in the verification condition than in the story condition; and (c) reading ability was associated with comprehension of the low familiarity idioms in the story condition only. Findings are discussed relative to implications for speech-language pathologists (SLPs) and educators working with adolescents with LBLD. LEARNING OUTCOMES: As a result of this activity, the participant will be able to (1) describe the importance of metalinguistic maturity for comprehension of idioms and other figures of speech; (2) understand the roles of context and familiarity when assessing idiom comprehension in adolescents with LBLD; and (3) critically evaluate assessments of idiom comprehension and determine their appropriateness for use with adolescents with LBLD.     

The correlation between central auditory processing in autistic children and their language processing abilities

AimTo study the auditory profile at different levels of the auditory system in children with ASD and to verify the role of (Central) auditory processing disorder as an essential pathology of the autistic disorder or as an associated co-morbidity, and to establish the correlation between CAP findings and the language delay in these cases.PatientsThe study included 30 children with definite autistic disorder according to DSM-IV-TR criteria and ADI-R among those attending the outpatient neuropsychiatry clinic of Alexandria University Children Hospital at El Shatby. An informed consent was taken from all patients in this part of the study. Confidentiality of the records was maintained.MethodsAll cases were subjected to complete history taking and examination; special assessment to language skills and evoked potentials were done.ResultsThe results concluded that (central) auditory processing disorder is an essential pathology of the autistic disorder. Autistic children possess a dysfunctioning or an immature central auditory nervous system at both the brainstem and cortical levels.     

Hearing assessment in pre-school children with speech delay

OBJECTIVE: The purpose of this study was to detect any underlying hearing loss among the healthy pre-school children with speech delay. METHODS: 76 children, aged from 1 to 5 years, underwent a thorough audiological examination consisting of tympanometry, free field testing, otoacoustic emission recordings and auditory brainstem responses (ABRs). If hearing was normal, then they were evaluated by a child neurologist-psychiatrist. RESULTS: According to our findings, the children were classified into 3 groups; those with normal hearing levels (group I, 52 children, 68.4%), sensorineural hearing loss (group II, 22 children, 28.9%) and conductive hearing loss (group III, 2 children, 2.6%). In group I, speech delay was attributed to pervasive developmental disorder (PDD), which represents high-functioning autistic children (37 cases). Other causes were specific language impairment (SLI)-expressive (3 cases), bilingualism (2 cases), and unknown etiology (10 cases). More than half (59%) of the children diagnosed with PDD evidenced significant language impairment limited to more than two words. Children with SLI-expressive and bilingualism used a maximum of two words. In group II, 13 children suffered from profound hearing loss in both ears, 3 from severe, 3 had profound hearing loss in one ear and severe in the other, 2 from moderate, and 1 had moderate in one ear and severe in the other. No child had mild sensorineural hearing loss. The children with profound hearing loss in at least one ear had total language impairment using no word at all (10 cases), or a maximum of two words (6 cases). When hearing loss was moderate to severe, then the speech vocabulary was confined to several words (more than two words-6 cases). Only two children suffering from conductive hearing loss both presented with complete lack of speech. CONCLUSION: A great number of healthy pre-school children with speech delay were found to have normal hearing. In this case, the otolaryngologist should be aware of the possible underlying clinical entities, especially of psychiatric nature. The children with profound sensorineural hearing loss exhibited more severe speech delay than those with moderate to severe. Regardless of etiology, the early identification and intervention contribute to positive outcome in this critical period of childhood for language development.     

Semantic analyzability in children's understanding of idioms

This study investigated the role of semantic analyzability in children's understanding of idioms. Kindergartners and first, third, and fourth graders listened to idiomatic expressions either alone or at the end of short story contexts. Their task was to explain verbally the intended meanings of these phrases and then to choose their correct idiomatic interpretations. The idioms presented to the children differed in their degree of analyzability. Some idioms were highly analyzable or decomposable, with the meanings of their parts contributing independently to their overall figurative meanings. Other idioms were nondecomposable because it was difficult to see any relation between a phrase's individual components and the idiom's figurative meaning. The results showed that younger children (kindergartners and first graders) understood decomposable idioms better than they did nondecomposable phrases. Older children (third and fourth graders) understood both kinds of idioms equally well in supporting contexts, but were better at interpreting decomposable idioms than they were at understanding nondecomposable idioms without contextual information. These findings demonstrate that young children better understand idiomatic phrases whose individual parts independently contribute to their overall figurative meanings.     

Mental imagery and idiom comprehension: a comparison of school-age children and adults.

Previous research has shown that transparent idioms (e.g., paddle your own canoe) are generally easier for children to interpret than opaque idioms (e.g., paint the town red), results that support the metasemantic hypothesis of figurative understanding (M. A. Nippold, 1998). This is the view that beyond exposure to idioms and attention to the linguistic context, the learner analyzes the expressions internally to infer meaning, a process that is easier to execute when the literal and nonliteral meanings overlap. The present study was designed to investigate mental imagery in relation to the discrepancy in difficulty between transparent and opaque expressions. Twenty familiar idioms, half transparent and half opaque, were presented to 40 school-age children (mean age = 12;3 [years;months]) and 40 adults (mean age = 27;0) who were asked to describe in writing their own mental images for each expression. The participants were also given a written multiple-choice task to measure their comprehension of the idioms. The results indicated that mental imagery for idioms undergoes a developmental process and is associated with comprehension. Although school-age children were able to report relevant mental images for idioms, their images were less sophisticated than those of adults and were more likely to be concrete and to reflect only a partial understanding of the expressions. In contrast, the images reported by adults were more likely to be figurative. The findings suggest that the mental images people report for idioms may serve as a barometer of their depth of understanding of the expressions.     

Comprehension of transitive and intransitive phrases by autistic, retarded, and normal children.

Autistic children were compared with retarded and normal control groups in a verbal comprehension task. Subjects were asked to select from four pictures the one that illustrated a two-word intransitive or three-word transitive phrase which was described verbally. Distractor pictures differed from the target picture by one, two, or all three features. Autistic children were poorer in performance than the control groups; however, the hierarchy of difficulty of discrimination was common to all three groups, with transitive phrases more difficult than intransitive phrases. Word type did not affect comprehension for the autistic children, although control children evidenced most difficulty with the verb or middle word. Results are interpreted as supporting the hypothesis that a severe and global language disorder is characteristic of autism.     

Judgments of idiom familiarity and transparency: a comparison of children and adolescents.

Idioms (e.g., go by the book, keep a straight face) are figurative expressions that frequently occur in the English language. Given the pervasiveness of these expressions, it is important that young people can understand their meanings. Developmental studies have shown that idioms that are higher in familiarity and transparency (e.g., blow off some steam) are generally easier for children and adolescents to understand than those that are less familiar and more opaque (e.g., pull up one's socks). In those studies, judgments of idiom familiarity and transparency were based on the perceptions of individuals who were older than the study participants. In the present study, 11-year-old children (n = 50) and 16-year-old adolescents (n = 50) were asked to judge the familiarity and transparency of a set of 20 idioms. Their comprehension of the same expressions was also examined. The results indicated that the children were less familiar with the idioms and had greater difficulty comprehending them than did the adolescents. However, the children's transparency judgments did not differ from those of the adolescents. For the children, the easiest idioms were also more familiar and transparent than the most difficult expressions. For the adolescents, the easiest idioms were more transparent than the most difficult ones, but the two types did not differ in familiarity. Suggestions are offered for conducting future studies of the development of idiom understanding in youth.     

Further defining the language impairment of autism: Is there a specific language impairment subtype?

Some children with autism demonstrate poor nonword repetition—a deficit considered to be a psycholinguistic marker of specific language impairment (SLI). The present study examined whether there is an SLI subtype among children with autism. We compared the language abilities of children with SLI (n = 34, M age = 11;10 S.D. = 2;3), and children with autism with (Apoor, n = 18, M age = 10;11 S.D. = 3;1) and without (Aapp, n = 16, M age = 10;8 S.D. = 2;7) structural language difficulties. Participants were administered battery of standardized language and memory tests. Although there were some similarities in the language profile of the SLI and Apoor groups, the two groups differed on the tests of oromotor ability and verbal short-term memory and showed a different pattern of errors on the nonword repetition task. These findings providing evidence against the idea of an SLI subtype in autism. Further analyses suggested that the nonword repetition deficits experienced by some children with autism may arise when there is substantial impairment in multiple autistic domains.

Learning outcomes: Readers will be introduced to (a) the current state of behavioral, cognitive and genetic research that has investigated the relation between SLI and autism, and (b) three hypotheses of why there exists similarity in the language characteristics of children with SLI and autism. Readers will then be taken through a detailed comparison of the language and memory abilities of group of children with each diagnosis. A theoretical model that seeks to explain the relation between these two disorders will be discussed.     

Language development and symbolic play in children with and without familial risk for dyslexia.

The purposes of this study were to investigate (a) whether children in families with a positive history of dyslexia were more likely to show delays in language development than children without family risk and (b) whether a delayed onset of expressive language (late talking) predicted later language development. We analyzed the language development of 200 children longitudinally at 14, 24, 30, and 42 months and assessed their symbolic play at 14 months. Half of the children (N = 106) were from families with a history of dyslexia (the Dyslexia Risk [DR] group), and other children served as age-matched controls. Parental reports and structured tests were used to assess children's receptive and expressive language and symbolic play. No differences emerged between the two groups in receptive language, symbolic play, or on the Bayley MDI. The groups, however, diverged in expressive language measures. The maximum sentence length at 2 years and object naming and inflectional morphology skills at 3.5 years were higher for the control group than for the DR group. Reynell receptive score at 2.5 years provided the greatest unique contribution to the prediction of the children's receptive and expressive language. Children's risk status did not contribute to receptive language, but provided a significant contribution to their expressive language at 3.5 years, even after the variance associated with parental education and children's previous language skills was controlled. Late talkers in the DR group differed from the other members of the DR group in both receptive and expressive language at 3.5 years, although in the control group children with a late-talking history performed at age-level expectations. The findings suggest that children with a familial risk for dyslexia and with a history of late talking are at higher risk for delays in language acquisition than children without the familial risk for dyslexia.     

Language sample collection and analysis: interview compared to freeplay assessment contexts.

Spontaneous language samples elicited during freeplay and interview contexts were compared for 10 children who were specifically language impaired (SLI). Clinician-child videotaped interactions were analyzed for both structural and conversational behaviors. The results indicated that the interview was a reliable and valid assessment context, eliciting the same profile of behaviors as the freeplay context without altering diagnostic classifications. Most behaviors occurred significantly more often during the interview than during the freeplay context, indicating further that interviews are an efficient language sampling alternative for assessment purposes with elementary school-aged children with language disorders.     

Childhood autism: deficits of communication and symbolic development. I. Distinctions from language disorders

The present paper reviews, outlines, and explores the literature concerned with the speech-language disorder of childhood autism. The problems of communication of the autistic child are compared and contrasted with those of children with a variety of other language disorders (e.g. receptive developmental dysphasia). Based upon the review of normal preverbal communicatory and symbolic development, it is concluded that childhood autism involves a pervasive language disorder encompassing communication in general, as well as certain symbolic-representational abilities necessary for language. An overview of the attempts to teach speech to autistic children in then undertaken with special emphasis on the possible implications of developmental knowledge for these training pursuits. Finally, the role of neurologic substrates in the language and communication disorder of autism is presented.     

Elementary school age children's comprehension of specific idiomatic expressions

This study explored the ability of elementary school age children to comprehend six idiomatic expressions. Eighty linguistically normal children, 20 from each of four different grade levels (kindergarten, second grade, fourth grade, and sixth grade) participated as subjects. All of the children completed a task designed to probe comprehension of specific idioms. A short story was presented, after which the subjects were required to identify events in the story, which were described using idiomatic phrases. When examined as a group, comprehension of the idioms studied improved with increasing age. However, when examined individually, performance was found to be highly variable from idiom to idiom. These results are discussed with regard to clinical implications in the assessment and management of language-disordered children.     

自闭症患儿的听功能及其传出神经功能评估

目的评估自闭症患儿的听功能和传出神经功能。方法对30例自闭症患儿和15例正常儿童分别行听性脑干反应（ABR）和耳声发射（OAE）测试,并以55dBnHL白噪声为对侧抑制声,进行畸变产物耳声发射（DPOAE）和瞬态诱发耳声发射（TEOAE）对侧抑制效应测试,比较两组结果。结果①ABR检查结果：30例（60耳）自闭症患儿中,25例（50耳）的ABR闯值均在20dBnHL以内,1例左耳闽值为30dBnHL,右耳阉值为40dBnHL,1例（2耳）阈值均为50dBnHL,3例（6耳）ABR未引出;正常组15例（30耳）ABR阈值均在20dBnHL以内;与正常组左、右耳I-V波间期（分别为4．30±0．14、4．31±0．14ms）比较．自闭症组（分别为4．07±0．24、4．08±0．22ms）有缩短的趋势（P〈O．05）;②OAE检查结果：正常组均可引出;30例自闭症患儿除3例ABR未引出者和1例双耳ABR阈值为50dBnHL者OAE未引出外,其余26例均引出,且1、2kHzOAE幅值与正常组差异有统计学意义（P〈0．05）;③对侧抑制结果：正常组幅值均降低;自闭症组26例OAE可引出者中,1例ABR阂值不对称者对侧给予55dBnHL白噪声后,OAE幅值不降低反而升高,其余25例OAE幅值均降低;两组OAE对侧抑制幅值差值无统计学差异。结论与同龄正常儿童相比,自闭症患儿更容易出现听功能障碍。