SLPOtherJournal of autism and developmental disorders2021

Structural and Contextual Cues in Third-Person Pronoun Interpretation by Children with Autism Spectrum Disorder and Their Neurotypical Peers.

Marisa Nagano, Emily Zane, Ruth B Grossman

PMID 32785821

WHAT IT FOUND

In simple stories, older children and adolescents with autism spectrum disorder answered pronoun questions like neurotypical peers.

They used context to override the usual subject preference. Eye-tracking showed different timing, but the comprehension answers did not differ.

Key findings

01The behavioral results showed no significant group differences: both groups chose the local subject less often when context pointed to the other referent.

02Eye-tracking showed group differences in timing: the ASD group looked more at the subject picture at the end of the trial and showed a peak in looks to subject about one second after the pronoun in the Biasing Other condition.

03In the Neutral condition, the ASD group was split between looks to the subject referent and the last word of the previous clause, while neurotypical participants preferred the subject referent.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was small: 18 participants with ASD and 18 neurotypical controls. Participants were older children and adolescents with matched IQ and language ability, so the findings may not apply to younger children or children with language impairment. The stories were short, predictable, and followed by a visual multiple-choice question with unlimited time, which is different from fast real conversation. Eye-tracking differences were found, but executive functioning was not measured, so working memory and attention explanations remain tentative. The Repeated Name Penalty effect was not the original target, so that part is tentative. The study tested pronoun interpretation, not a treatment, and the materials were in English. The supplied text does not report participant exclusions or final analyzed numbers after eye-tracking cleaning.

The easy way to misread this

Do not read the eye-tracking differences as proof that children with ASD understand pronouns less well. The behavioral answers showed no group difference, and the task used short, predictable stories with unlimited response time.

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