Abstract
The literature on children with language disorders that are characterized by semantic and pragmatic impairments is reviewed and the conclusion is drawn that some of these conditions may stem from the same fundamental cognitive and interpersonal difficulties that are found in early childhood autism. A summary is presented of recent relevant research and theory in the field of autism and suggestions are offered on how these ideas might be applied to children showing semantic and pragmatic difficulties.
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References
Adams, C., & Bishop, D. V. M. (1989). Conversational characteristics of children with semantic-pragmatic disorder. I: Exchange structure, turn-taking, repairs and cohesion.British Journal of Disorders of Communication, 24, 211–239.
Asperger, H. (1944). Die autistischen psychopathen im kindersalter.Archiv fur Psychiatrie und Nervenkrankheiten, 117, 76–136.
Baron-Cohen, S. (1985).Social cognition and pretend play in autism. Unpublished doctoral dissertation, University of London.
Baron-Cohen, S. (1987). Autism and symbolic play.British Journal of Developmental Psychology, 5, 139–148.
Baron-Cohen, S. (1988). Social and pragmatic deficits in autism: Cognitive or affective?Journal of Autism and Developmental Disorders, 18, 379–402.
Baron-Cohen, S. (1989). Do autistic children have obsessions and compulsions?British Journal of Clinical Psychology, 28, 183–200.
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a ‘theory of mind’?Cognition, 21, 37–46.
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1986). Mechanical, behavioral and intentional understanding of picture stories in autistic children.British Journal of Developmental Psychology, 4, 113–125.
Bartak, L., Rutter, M., & Cox, A. (1975). A comparative study of infantile autism and specific developmental language disorder I: The children.British Journal of Psychiatry, 126, 127–145.
Bishop, D. V. M. (1981). Varieties of childhood language disorder.Northern Ireland Speech and language Forum, 7, 20–37.
Bishop, D. V. M. (1989). Autism, Asperger's Syndrome and semantic-pragmatic disorder: Where are the boundaries?British Journal of Disorders of Communication, 24, 107–121.
Bishop, D. V. M., & Adams, C. (1989). Conversational characteristics of children with semantic-pragmatic disorder. II: What features lead to a judgment of inappropriacy.British Journal of Disorders of Communication, 24, 241–263.
Bishop, D. V. M., & Rosenbloom, L. (1987). Classification of childhood language disorders. In W. Yule & M. Rutter (Eds.),Language development and disorders. Clinics in developmental medicine No. 101/102). London: MacKeith Press.
Blank, M., Gessner, M., & Eposito, A. (1979). Language without communication: A case studyJournal of Child Language, 6, 329–352.
Bowler, D. M., (1989, December).Social impairment in Asperger's syndrome and chronic schizophrenia. Paper presented at the Londong Conference of the British Psychological Society, Institute of Education, London.
Braine, M. (1963). The ontogeny of English phrase structure: The first phrases.Language, 39, 1–14.
Brown, R. (1973).A first language. Cambridge, MA: Harvard University Press.
Cantwell, D. P., Baker, L., Rutter, M., & Mawhood, L. (1989). Infantile autism and developmental receptive dysphasia: A comparative follow-up into middle childhood.Journal of Autism and Developmental Disorders, 19, 19–31.
Conti-Ramsden, G., & Gunn, M. (1986). The development of conversational disability: A case study.British Journal of Disorders of Communication, 21, 339–351.
Culloden, M., Hyde-Wright, S., & Shipman, A. (1986). Non-syntactic features of “Semantic-Pragmatic” disorders. InAdvances in working with language disordered children. Proceedings from Easter Conference, Invalid Children's Aid Nationwide, Nottingham, England.
Curcio, F. (1978). Sensori-motor functioning and communication in mute autistic children.Journal of Autism and Childhood Schizophrenia, 8, 281–292.
Fay, W., & Lchuler, A. (1980).Emerging language in autistic children. London: Edward Arnold.
Fey, M. E., & Leonard, L. B. (1983). Pragmatic skills of children with specific language impairment. In T. Gallagher & C. Prutting (Eds.),Pragmatic assessment and intervention issues in language. San Diego, CA: College Hill.
Frith, U. (1989).Autism: Explaining the enigma. Oxford: Blackwell.
Gallagher, T., & Darnton, B. (1978). Conversational aspects of speech to language-disordered children: revision behaviours.Journal of Speech and Hearing Research, 21, 118–135.
Gillberg, C. (1984). Intantile autism and other childhood psychoses in a Swedish urban region. Epidemiological aspects.Journal of Child Psychology and Psychiatry, 25, 35–43.
Gillberg, C. (1988).Asperger's syndrome: A clinical and epidemiological study. Paper presented at the 16th International Study Group on Cerebral Palsy and Child Neurology, Cambridge, England.
Gould, J. (1986). The Lowe and Costello Symbolic Play Test in socially impaired children.Journal of Autism and Developmental Disorders, 16, 199–213.
Hobson, R. P. (1983). The autistic child's recognition of age-related features of people, animals and things.British Journal of Developmental Psychology, 1, 343–352.
Hobson, R. P. (1986a). The autistic child's appraisal of expressions of emotion.Journal of Child Psychology and Psychiatry, 27, 321–342.
Hobson, R. P. (1986b). The autistic child's appraisal of expressions of emotion: A further study.Journal of Child Psychology and Psychiatry, 27, 671–680.
Hobson, R. P. (1989). Beyond cognition: A theory of autism. In G. Dawson (Ed.),Autism: New perspectives on diagnosis, nature and treatment. New York: Guilford.
Hobson, R. P., Ouston, J., & Lee, A. (1988). What's in a face? The case of autism.British Journal of Psychology, 79, 441–453.
Howlin, P. (1981). The effectiveness of operant language training with autistic children.Journal of Autism and Developmental Disorders, 11, 89–105.
Howlin, P., & Rutter, M. (1987).The treatment of autistic children. Chichester, U.K.: Wiley.
Jones, S., Smedley, M., & Jennings, M. (1986). Case study: A child with high level language disorder, characterised by syntactic, semantic and pragmatic difficulties. InAdvances in working with language disordered children. Proceedings of Easter Conference, Invalid Children's Aid Nationwide, Nottingham, England.
Kanner, L. (1943). Autistic disturbances of affective contact.Nervous Child, 2, 217–250.
Kasari, C., Sigman, M., Mundy, P., & Yirmiya, N. (1990). Affective sharing in the context of joint attention interactions of normal autistic and mentally retarded children.Journal of Autism and Developmental Disorders, 20, 87–100.
Langdell, T. (1981).Face perception: An approach to the study of autism. Unpublished doctoral dissertation, University of London.
Leonard, L. (1987). Is specific language impairment a useful construct? In S. Rosenberg (Ed.),Advances in applied psycholinguistics (Vol. 1, pp. 1–39). Hillsdale, NJ: Erlbaum.
Leslie, A. M. (1987). Pretence and representation: The origins of “theory of mind”.Psychological Review, 94, 412–426.
Leslie, A. M., & Frith, U. (1988). Autistic children's understanding of seeing, knowing and believing.British Journal of Developmental Psychology, 6, 315–324.
Loveland, K. A., & Landry, S. H. (1986). Joint attention and language in autism and developmental language delay.Journal of Autism and Developmental Disorders, 16, 335–349.
McTear, M. F. (1985a). Pragmatic disorders: A case study of conversational disability.British Journal of fisorders of Communication, 20, 129–133.
McTear, M. F. (1985b). Pragmatic disorders: A question of direction.British Journal of Disorders of Communication, 20, 119.
Mogford, K. (1977). The play of handicapped children. In B. Tizard & D. Harvey (Eds.),The biology of play. London: Heinemann.
Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficit of autism: The contribution of non-verbal communication measures.Journal of Child Psychology and Psychiatry, 27, 657–669.
Mundy, P., Sigman, M., & Kasari, (1990). A longitudinal study of joint attention and language development in autistic children.Journal of Autism and Developmental Disorders, 20, 115–128.
Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1990). Are there emotion perception deficits in young autistic children?Journal of Child Psychology and Psychiatry, 31, 343–361.
Piaget, J. (1962).Play, dreams and imitation in childhood. London: Routledge and Kegan Paul.
Pomeroy, J. (1988).Asperger syndrome clinical and neuropsychological evidence. Paper presented at the 16th International Study Group on Cerebral Palsy and Child Neurology, Cambridge, England.
Prutting, C., & Kirchner, D. (1983). Applied pragmatics. In T. Gallagher & C. Prutting (Eds.),Pragmatic assessment and intervention issues in language. San Diego, CA: College Hill.
Rapin, I., & Allen, A. (1983). Developmental language disorders: Nosological considerations. In U. Kirk (Ed.),Neuropsychology of language, reading and spelling. London: Academic Press.
Rapin, I., & Allen, A. (1987).Developmental dysphasia and autism in preschool children: Characteristics and subtypes. Paper presented at the First International Symposium on Specific Speech and Language Disorders (AFASIC), Reading, England.
Rees, N. S. (1978). Pragmatics of language: applications to normal and disordered language development. In R. L. Schiefelbusch (Ed.),Bases of language intervention. Baltimore, MD: University Park Press.
Ricks, D., & Wing, L. (1975). Language, communication and the use of symbols in normal and autistic children.Journal of Autism and Childhood Schizophrenia, 5, 191–221.
Riguet, C., Taylor, N., Benaroya, S., & Klein, L. (1981). Symbolic play in autistic, Down's and normal children of equivalent mental age.Journal of Autism and Developmental Disorders, 11, 439–448.
Rutter, M. (1978). Diagnosis and definition of childhood autism.Journal of Autism and Childhood Schizophrenia, 8, 139–161.
Shatz, M., Bernstein, D., & Shulman, M. (1980). The response of language disordered children to indirect directives in varying contexts.Applied Psycholinguistics, 1, 295–306.
Snyder, L. S. (1976). The early presuppositions and preformatives of normal and language disabled children.Papers and Reports on Child Language Development, 12, 221–229.
Weeks, S., & Hobson, P. (1987). The salience of facial expression for autistic children.Journal of Child Psychology and Psychiatry, 28, 137–152.
Wetherby, A., & Prutting, C. (1984). Profiles of communicative and cognitive-social abilities in autistic children.Journal of Speech and Hearing Research, 27, 364–377.
Wing, L. (1969). The handicaps of autistic children — A comparative study.Journal of Psychology and Psychiatry, 10, 1–40.
Wing, L. (1981). Asperger's syndrome: A clinical account.Psychological Medicine, 11, 115–129.
Wing, L. (1988). The continuum of autistic characteristics. In E. Schopler & G. B. Mesibov (Eds.),Diagnosis and assessment in autism. New York: Plenum Press.
Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification.Journal of Autism and Developmental Disorders, 9, 11–29.
Wolff, S., & Barlow, A. (1979). Schizoid personality in childhood: A comparative study of schizoid, autistic and normal children.Journal of Child Psychology and Psychiatry, 20, 29–46.
Wolff, S., & Chick, J. (1980). Schizoid personality in childhood: A controlled follow-up study.Psychological Medicine, 10, 85–100.
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This paper was written while the authors were both members of the scientific staff of the MRC Social Psychiatry Unit. Sincere thanks to Lorna Wing and Christine Vaughn for their comments on earlier drafts of the paper.
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Brook, S.L., Bowler, D.M. Autism by another name? Semantic and pragmatic impairments in children. J Autism Dev Disord 22, 61–81 (1992). https://doi.org/10.1007/BF01046403
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DOI: https://doi.org/10.1007/BF01046403