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Echolalia from a transdiagnostic perspective.
Tyler C McFayden1, Shelia M Kennison2, J Michael Bowers3
1University of North Carolina-Chapel Hill, Carrboro, NC, USA.
Echolalia, the repetition of speech, occurs across many conditions. Viewing it as a transdiagnostic communication strategy, rather than disorder-specific, improves understanding and treatment for all involved.
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Area of Science:
- Linguistics
- Neuroscience
- Developmental Psychology
Background:
- Echolalia, the repetition of utterances, is observed in typical development, autism spectrum disorder, Tourette's, and aphasias.
- Current understanding of echolalia is limited by a disorder-specific lens, hindering comprehensive knowledge.
- This behavior is often assessed, observed, and treated in isolation across different clinical groups.
Purpose of the Study:
- To synthesize existing literature on echolalia from a transdiagnostic perspective.
- To facilitate direct comparisons of echolalia across and within clinical groups.
- To inform recommendations for assessment, treatment, conceptualization, and future research.
Main Methods:
- A narrative review of empirical and review papers on echolalia.
- Literature was analyzed across disciplines and etiologies.
- Content was condensed into sections on presentations, neural mechanisms, and treatment approaches.
Main Results:
- Echolalia is a developmental, transdiagnostic, and communicative phenomenon.
- There is a lack of consensus on the operationalization and measurement of echolalia across and within disorders.
- Neural etiologies and effective treatments for echolalia remain under-explored.
Conclusions:
- A transdiagnostic approach to echolalia offers a novel framework for understanding.
- Consistent definitions and measurement of echolalia are crucial for accurate prevalence estimates.
- Echolalia should be recognized as a communication strategy, with shaping as a recommended intervention.