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Central auditory nervous system dysfunction in echolalic autistic individuals

A M Wetherby, R L Koegel, M Mendel

    Journal of Speech and Hearing Research
    |September 1, 1981
    PubMed
    Summary
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    Autistic children with echolalia show central auditory nervous system dysfunction in the language hemisphere. This dysfunction appears to improve with language treatment, suggesting a neurogenic basis for autistic language deficits.

    Area of Science:

    • Neuroscience
    • Developmental Psychology
    • Linguistics

    Background:

    • Autism Spectrum Disorder (ASD) is often associated with language impairments.
    • Cortical dysfunction in the language-dominant hemisphere is hypothesized in autistic children.
    • Central auditory processing is crucial for language development and comprehension.

    Observation:

    • Six autistic subjects (ages 8-24) with varying language abilities and echolalia severity underwent auditory function assessment.
    • Tests included Staggered Spondaic Word Test, Competing Environmental Sound Test, and monaural hearing tests.
    • Language and handedness were also assessed.

    Findings:

    • All subjects exhibited normal hearing on monaural speech tests.
    • Dichotic tests indicated central auditory nervous system dysfunction in the language-dominant hemisphere for subjects with echolalia.

    Related Experiment Videos

  • Subjects without echolalia showed normal dichotic test results.
  • One subject demonstrated improved dichotic test performance correlating with language treatment gains.
  • Implications:

    • Findings suggest a link between central auditory processing deficits in the language hemisphere and echolalia in autism.
    • Results support a neurolinguistic framework for understanding the neurogenic etiology of autistic language deficits.
    • Auditory function assessment may offer insights into language development and treatment efficacy in autism.