Narrative Performance of Optimal Outcome Children and Adolescents with a History of an Autism Spectrum Disorder (ASD)

Autism Spectrum Disorders (ASDs) have traditionally been considered a lifelong condition; however, a subset of people makes such significant improvements that they no longer meet diagnostic criteria for an ASD. The current study examines whether these “optimal outcome” (OO) children and adolescents continue to have subtle pragmatic language deficits. The narratives of 15 OO individuals, 15 high-functioning individuals with an ASD (HFA), and 15 typically developing (TD) peers were evaluated. Despite average cognitive functioning, the ASD group produced narratives with fewer central “gist” descriptions, more ambiguous pronominal referents, idiosyncratic language, speech dysfluency (more repetitions and self-corrections), and were less likely to name story characters. The OO participants displayed only very subtle pragmatic and higher-level language deficits (idiosyncratic language and self-correction dysfluency).

[1]  H. Tager-Flusberg,et al.  An investigation of language impairment in autism: Implications for genetic subgroups , 2001, Language and cognitive processes.

[2]  C. Lord,et al.  Autism Diagnostic Observation Schedule , 2016 .

[3]  P. Szatmari,et al.  A follow-up study of high-functioning autistic children , 1989, Journal of autism and developmental disorders.

[4]  Letitia R. Naigles,et al.  An In-Depth Examination of Optimal Outcome Children with a History of Autism Spectrum Disorders. , 2010 .

[5]  Sylvie Goldman,et al.  Brief Report: Narratives of Personal Events in Children with Autism and Developmental Language Disorders: Unshared Memories , 2008, Journal of autism and developmental disorders.

[6]  The Big Picture: Storytelling Ability in Adults with Autism Spectrum Conditions , 2012, Journal of autism and developmental disorders.

[7]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[8]  L. Bennetto,et al.  Beyond Pragmatics: Morphosyntactic Development in Autism , 2007, Journal of autism and developmental disorders.

[9]  Livia Colle,et al.  Narrative Discourse in Adults with High-Functioning Autism or Asperger Syndrome , 2008, Journal of autism and developmental disorders.

[10]  Helen Tager-Flusberg,et al.  Understanding the language and communicative impairments in autism , 2000 .

[11]  L. Bennetto,et al.  The use of two language tests to identify pragmatic language problems in children with autism spectrum disorders. , 2005, Language, speech, and hearing services in schools.

[12]  Lisa R. Edelson.  Cues to pronominal reference resolution in children with and without autism spectrum disorders , 2011 .

[13]  Diana L. Robins,et al.  Predictors of Optimal Outcome in Toddlers Diagnosed with Autism Spectrum Disorders , 2007, Journal of autism and developmental disorders.

[14]  O. I. Lovaas,et al.  Behavioral treatment and normal educational and intellectual functioning in young autistic children. , 1987, Journal of consulting and clinical psychology.

[15]  M. Kinsbourne,et al.  Can Children with Autism Recover? If So, How? , 2008, Neuropsychology Review.

[16]  C. Lord,et al.  Language and Communication in Autism , 2014 .

[17]  S Arndt,et al.  Broader autism phenotype: evidence from a family history study of multiple-incidence autism families. , 1997, The American journal of psychiatry.

[18]  Letitia R. Naigles,et al.  Residual Language Deficits in Optimal Outcome Children with a History of Autism , 2006, Journal of autism and developmental disorders.

[19]  D. Fein,et al.  Brief Report: Pervasive Developmental Disorder Can Evolve into ADHD: Case Illustrations , 2005, Journal of autism and developmental disorders.

[20]  Letitia R. Naigles,et al.  Abstractness and continuity in the syntactic development of young children with autism , 2011, Autism research : official journal of the International Society for Autism Research.

[21]  Jan P. H. van Santen,et al.  Autism and Interactional Aspects of Dialogue , 2010, SIGDIAL Conference.

[22]  M. Ghaziuddin,et al.  Pedantic speaking style differentiates asperger syndrome from high-functioning autism , 1996, Journal of autism and developmental disorders.

[23]  J. Lake,et al.  Listener vs. speaker-oriented aspects of speech: Studying the disfluencies of individuals with autism spectrum disorders , 2011, Psychonomic bulletin & review.

[24]  Peter Newcombe,et al.  Theory of mind and central coherence in adults with high-functioning autism or Asperger syndrome , 2006, Autism : the international journal of research and practice.

[25]  H. Tager-Flusberg,et al.  Autistic children's talk about psychological states: deficits in the early acquisition of a theory of mind. , 1992, Child development.

[26]  I. Cohen,et al.  Case study: deterioration, autism, and recovery in two siblings. , 1995, Journal of the American Academy of Child and Adolescent Psychiatry.

[27]  S Arndt,et al.  Course of behavioral change in autism: a retrospective study of high-IQ adolescents and adults. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  H. Geurts,et al.  Pragmatics in pre-schoolers with language impairments. , 2010, International journal of language & communication disorders.

[29]  Dorothy V M Bishop,et al.  Narrative skills of children with communication impairments. , 2003, International journal of language & communication disorders.

[30]  M. Barnes,et al.  Why IQ is not a covariate in cognitive studies of neurodevelopmental disorders , 2009, Journal of the International Neuropsychological Society.

[31]  J. E. Tree.  Listeners' uses of um and uh in speech comprehension. , 2001 .

[32]  Earl Hunt,et al.  Selection and reception conditions in grammar and concept learning , 1965 .

[33]  M. Zappella.  Autistic regression with and without EEG abnormalities followed by favourable outcome , 2010, Brain and Development.

[34]  F. Ferreira,et al.  Is the fluency of language outputs related to individual differences in intelligence and executive function? , 2013, Acta psychologica.

[35]  Domenic V. Cicchetti,et al.  The Vineland Adaptive Behavior Scales. , 1989 .

[36]  Letitia R. Naigles,et al.  Residual Difficulties with Categorical Induction in Children with a History of Autism , 2013, Journal of Autism and Developmental Disorders.

[37]  M. Losh,et al.  “The Frog Ate the Bug and Made his Mouth Sad”: Narrative Competence in Children with Autism , 2000, Journal of abnormal child psychology.

[38]  D. Segal.  Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) , 2010 .

[39]  Helen Tager-Flusberg,et al.  Attributing mental states to story characters: A comparison of narratives produced by autistic and mentally retarded individuals , 1995, Applied Psycholinguistics.

[40]  J. J. Diehl,et al.  Story Recall and Narrative Coherence of High-Functioning Children with Autism Spectrum Disorders , 2006, Journal of abnormal child psychology.

[41]  S. Sherratt.  Multi‐level discourse analysis: A feasible approach , 2007 .

[42]  F. Volkmar,et al.  Handbook of Autism and Pervasive Developmental Disorders , 1987 .

[43]  Letitia R. Naigles,et al.  Optimal outcome in individuals with a history of autism , 2013, BDJ.

[44]  John O. Willis,et al.  Wechsler Abbreviated Scale of Intelligence , 2014 .

[45]  B. MacWhinney.  The CHILDES project: tools for analyzing talk , 1992 .

[46]  M. Losh,et al.  Narrative Ability in High-Functioning Children with Autism or Asperger's Syndrome , 2003, Journal of autism and developmental disorders.

[47]  Glen O Sallows,et al.  Intensive behavioral treatment for children with autism: four-year outcome and predictors. , 2005, American journal of mental retardation : AJMR.

[48]  付伶俐.  打磨Using Language,倡导新理念 , 2014 .

[49]  D. Fein,et al.  Age of First Words Predicts Cognitive Ability and Adaptive Skills in Children with ASD , 2012, Journal of Autism and Developmental Disorders.

[50]  Siobhan Chapman.  Logic and Conversation , 2005 .

[51]  Jillian M. Schuh.  Pragmatic Language Abilities: Working Memory Influences on Mutual Information , 2011 .

[52]  S. Brennan,et al.  Disfluency Rates in Conversation: Effects of Age, Relationship, Topic, Role, and Gender , 2001, Language and speech.

[53]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[54]  Dare A. Baldwin,et al.  How Inherently Social is Language , 2008 .

[55]  Michelle L. Kelley,et al.  Narrative story telling in autism and Down's syndrome , 1990 .

[56]  T. Spencer,et al.  The effects of literate narrative intervention on children with neurologically based language impairments: an early stage study. , 2010, Journal of speech, language, and hearing research : JSLHR.

[57]  S. Folstein,et al.  Spontaneous narrative-discourse performance of parents of autistic individuals. , 1991, Journal of speech and hearing research.

[58]  Nicola Botting,et al.  Narrative as a tool for the assessment of linguistic and pragmatic impairments , 2002 .

[59]  I. Rapin,et al.  Update on the language disorders of individuals on the autistic spectrum , 2003, Brain and Development.

[60]  M. Stevens,et al.  Subtypes of Language Disorders in School-Age Children With Autism , 2009, Developmental neuropsychology.

[61]  T. Perneger.  What's wrong with Bonferroni adjustments , 1998, BMJ.

[62]  N. Ratner,et al.  Effects of gradual increases in sentence length and complexity on children's dysfluency. , 1987, The Journal of speech and hearing disorders.

[63]  J. Fleiss,et al.  Intraclass correlations: uses in assessing rater reliability. , 1979, Psychological bulletin.