Speaker-Versus Listener-Oriented Disfluency: A Re-examination of Arguments and Assumptions from Autism Spectrum Disorder.
Paul E Engelhardt, Oliver Alfridijanta, Mhairi E G McMullon and 1 others
PMID 28634708WHAT IT FOUND
Adults with high-functioning autism produced more speech repairs, or restarts and corrections, than controls in a sentence-repetition task.
Repetitions did not differ significantly, and filled pauses were too rare to analyse. This does not show that their speech is less helpful to listeners.
Key findings
01In the controlled sentence-repetition task, adults with high-functioning autism produced more repairs, meaning restarts or corrections after suspending speech, than both control groups.
02The groups did not differ significantly in repetitions, and repetitions correlated most highly with verbal intelligence.
03Only three filled pauses occurred across the dataset, so they could not be analysed; unfilled pauses were not significantly different between the high-functioning autism group and matched controls, and unmatched controls produced fewer unfilled pauses.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study included only 13 adults with high-functioning autism and 13 controls in each comparison group, so it cannot support broad conclusions about autism speech. The participants were adults with existing diagnoses, so the findings say little about children or people with more support needs. The speech task was memorizing and repeating written sentences, not natural conversation, so the results may not transfer to everyday communication. The researchers did not assess language or reading ability, so some recall errors could have come from reading or encoding rather than memory. Only three filled pauses occurred, so the study could not test claims about um and uh as listener-oriented disfluencies. Unfilled pauses were defined as silent pauses of 250 ms or longer, and other studies use different thresholds, so comparisons between studies need caution.
Declared interests
The paper states that the funder was the British Academy. No other funding or conflict-of-interest information is given.
The easy way to misread this
Do not read this as showing that people with high-functioning autism repeat themselves more or that their speech is generally less helpful to listeners. Repetitions were not significantly different, filled pauses were too rare to analyse, and the clearest difference separating the autism group from both control groups was more repairs.