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Language acquisition after mutism: a longitudinal case study of autism
J Windsor1, S S Doyle, G M Siegel
1Department of Communication Disorders, University of Minnesota, Minneapolis 55455-0209.
Summary
This study shows individuals with autism and limited speech can develop expressive language. It highlights that spoken and written communication can emerge even after prolonged mutism.
Area of Science:
- Developmental Psychology
- Linguistics
- Neurodevelopmental Disorders
Background:
- Individuals with autism spectrum disorder (ASD) often exhibit restricted speech and language skills.
- A common assumption is that severe early language impairment predicts a poor long-term prognosis for expressive oral language development.
Observation:
- This longitudinal case study tracked a woman with autism from age 10 (mute) to age 26.
- Her participation in an intervention program was documented, alongside assessments of her skills before, after, and during follow-ups.
Findings:
- Speech and language development can progress beyond initial mutism, even with limited verbal imitation and phoneme production.
- While some skills may plateau or decline, significant gains in both spoken and written language were observed.
- Both oral and written modalities proved to be effective forms of communication.
Implications:
- Challenges the notion of a fixed, poor prognosis for expressive language in individuals with autism and severe speech limitations.
- Suggests that targeted interventions can foster significant language development, including spoken language, in this population.
- Underscores the potential for diverse communication pathways, including written language, to emerge and be successful.