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Brief Report: A Scale for Rating Conversational Impairment in Autism Spectrum Disorder

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Abstract

There are few well-standardized measures of conversational breakdown in Autism Spectrum Disorders (ASD). The study’s objective was to develop a scale for measuring pragmatic impairments in conversations of individuals with ASD. We analyzed 46 semi-structured conversations of children and adolescents with high-functioning ASD using a functional linguistic paradigm. Five constructs were developed that assessed difficulties related to the pragmatics of conversation: atypical intonation; semantic drift; terseness; pedantic speech; perseveration. The scale shows good inter-rater reliability and variation in the scales is not simply a reflection of IQ or language competence. This tool represents a way of characterizing language use in ASD and is an initial step towards develo** a tool to evaluate change in degree of social impairments in conversation.

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Acknowledgments

This research was supported by grants from the Ontario Mental Health Foundation and by a Social Sciences and Humanities Research Council grant to J. de Villiers. We want to thank the children and families who participated in this project.

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Corresponding author

Correspondence to Peter Szatmari.

Appendices

Appendix (details can be found on the following website: www.offordcentre.com): Conventions

Child’s utterances appear in bold.

Symbol

Meaning

CHI

Child

EXP

Experimenter

#

Pause

<>

Overlap** Content

[>]

Overlap Follows

[<]

Overlap Precedes

[!]

Stress Placement on preceding lexical item

Examples

Topic Switching

Ex:

EXP: what other what other kinds of trucks do you like?

EXP: oil trucks cement trucks what else?

CHI: um what others what and what others.

CHI: would you would you go on a train?

EXP: would I go on a train?

EXP: oh I’d love to go on a train.

CHI: what kind of train?

CHI: what kind?

EXP: um I think a passenger train.

CHI: that’s a black train.

CHI: what happens if you go on the the midnight express?

Terseness

Ex:

EXP: are you having a good day today?

CHI: # yes.

EXP: good.

EXP: do you like the things we’ve been doing?

CHI: yes.

EXP: good.

EXP: what have you liked the best?

CHI: # playing with the cubes.

EXP: you found that quite easy.

EXP: you were very good at that weren’t you?

CHI: # yes.

Pedantic Speech

Ex:

CHI: question.

CHI: how big is the Statue of Liberty?

CHI: is it bigger than the Eiffel Tower same size as the Eiffel Tower or is the Eiffel Tower bigger than the Statue of Liberty?

Perseveration

Ex:

EXP: <oh> [<] she’s that’s because she’s a three year old <right> [>] ?

CHI: <then> [<].

CHI: I uh went up.

CHI: and I saw the yellowish going south went by on the other side.

CHI: and the yellowish going north on Saint Clair.

CHI: an(d) I saw # no subway at Saint Clair.

CHI: an(d) the yellowish going north left Saint Clair.

CHI: the yellowish goin(g) north went into the tunnel.

Pausing

Ex:

CHI: I watched that show.

CHI: Free Willy.

EXP: did you watch it at home?

EXP: hm?

CHI: ## yeah.

(## indicates a long pause)

Attention to Outside Environment

Ex:

EXP: when I went to get you you were in a different room today.

CHI: okay

CHI: watch this.

CHI: di # star command come it

CHI: do it wi(th) me.

CHI: ## draw [!]

Atypical Stress Selection

Ex:

“and my family usually orders [!] pizza on Fridays [!]”.

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de Villiers, J., Fine, J., Ginsberg, G. et al. Brief Report: A Scale for Rating Conversational Impairment in Autism Spectrum Disorder. J Autism Dev Disord 37, 1375–1380 (2007). https://doi.org/10.1007/s10803-006-0264-1

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  • DOI: https://doi.org/10.1007/s10803-006-0264-1

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