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Background & Aims: Discourse markers, such as "well" or "like," serve a variety of functions to support conversational reciprocity: filling pauses, aiding word-finding, and modulating turn-taking by holding the conversational floor. Previous research shows that autistic individuals use discourse markers less frequently than non-autistic (NonAu) peers; however, the discourse marker "like" has not been included in that research, despite its ubiquitous use by NonAu individuals, and despite the fact that "like" serves important pragmatic functions that are not encoded by any other discourse marker. Specifically, "like" signals to the listener that the content of upcoming speech is (1) Important/new; (2) Loose/approximate; (3) Reformulative; or (4) Quotative. The current study addresses this gap in the literature by comparing the frequency of discourse marker "like" use between older autistic and non-autistic children as well as exploring patterns of usage between the four "like" functions. Methods: Twenty-one 10-to-17-year-old children on the autism spectrum and 20 NonAu peers--statistically matched on age, sex, IQ and language scores--engaged in a semi-structured interview with a researcher. Uses of discourse-marker "like" were identified from written transcripts of interviews and each use was categorized into one of the four functions. Results: There were no significant differences in "like" frequencies between groups, nor were there differences in relative proportions of functions used by each group. Conclusions: Research consistently indicates that autistic individuals use discourse markers significantly less often than their NonAu counterparts, but the findings from our study suggest that this pattern does not persist to all such markers. This group of older autistic children use "like" as often as their peers and use it to signify similar information about upcoming speech to their listener.

Parenting self-efficacy, described as the beliefs parents hold about their ability to successfully parent their children, has been shown to support parent and child well-being. Parents of children with autism spectrum disorder face disproportionately high levels of demand both as caregivers, and as partners in multiple, complex, intervention programs. This study examines the relationship between parents' experiences with their child's interventions--specifically their sense of involvement in treatment and satisfaction with intervention-related training--and their confidence in parenting a child with autism spectrum disorder, defined as autism-specific parenting self-efficacy. Participants (N = 438, 93% mothers of children with autism spectrum disorder aged 2-17 years) completed our novel autism-specific parenting self-efficacy scale and rated their experience of involvement in their child's interventions and satisfaction with intervention-related training across a range of common autism spectrum disorder-related treatments. Respondents also completed a caregiver burden scale. Findings indicate that parents who report greater involvement in their child's interventions, and note greater satisfaction with intervention-related training, also report greater autism-specific parenting self-efficacy. Parents who report greater financial and social burden report lower autism-specific parenting self-efficacy. We propose that these results are important in creating intervention experiences that foster parental self-efficacy through involvement, productive training experiences, and addressing parental burden.

This study investigates the use of structural and discourse contextual cues in the interpretation of third-person pronouns by children and adolescents with autism and their neurotypical peers. Results show that referent-biasing contextual information influences pronominal interpretation and modulates looking patterns in both groups compared to a context-neutral condition. These results go against the predictions of Weak Central Coherence and the notion that pragmatics in general is impaired in ASD, since the ASD group was able to use details in discourse context to influence the pronominal interpretation process. However, although discourse context influenced looking patterns in both groups, the groups nevertheless diverged in the nature of these patterns, suggesting that behavioral differences may emerge in more complicated discourse tasks.

Background and aims: A substantial minority of autistic individuals score within typical ranges on standard language tests, suggesting that autism does not necessarily affect language acquisition. This idea is reflected in current diagnostic criteria for autism, wherein language impairment is no longer included. However, some work has suggested that probing autistic speakers' language carefully may reveal subtle differences between autistic and nonautistic people's language that cannot be captured by standardized language testing. The current study aims to test this idea, by determining whether a group of autistic and nonautistic individuals who score similarly on a standardized test show differences in the number of unconventional and erroneous language features they produce in a spontaneous language sample. Methods: Thirty-eight older children and adolescents (19 autistic; 19 nonautistic), between the ages of 10 and 18, were recruited. Both participant groups scored within normal ranges on standardized language and IQ tests. Participants engaged in a "double interview" with an experimenter, during which they were first asked questions by the experimenter about themselves, and then they switched roles, so that it was the participant's turn to ask the experimenter questions. Participants' language during the interview was transcribed and analyzed for linguistic irregularities, including both semantic anomalies and morphosyntactic errors. Results: Group membership accounted for significant variance in irregularity frequency; autistic participants produced more linguistic irregularities than nonautistic participants. Scores on a standardized language test did not improve model fit. Secondary analyses involving irregularity type (semantic vs. morphosyntactic) showed that group differences were primarily driven by relatively high numbers of semantic unconventionalities produced by the autistic group. While the autistic group made more morphosyntactic errors than the nonautistic group, differences in these numbers were only marginally significant. Conclusions and implications: These findings suggest that a commonly used standardized language test does not adequately predict the number and perhaps type of language irregularities produced by some older autistic children and adolescents during spontaneous discourse. Results also suggest that differences in language use, especially semantic differences, may characterize autistic language, even the language produced by people who score within normal ranges on standardized language tests. It is debatable whether differences reflect underlying language impairments and/or a linguistic style adopted/preferred by autistic speakers. In this paper, we discuss both possibilities and offer suggestions to future research for teasing these possibilities apart. [ABSTRACT FROM AUTHOR]

Neurotypical adults often form negative first impressions of individuals with autism spectrum disorder and are less interested in engaging with them socially. In contrast, individuals with autism spectrum disorder actively seek out the company of others who share their diagnosis. It is not clear, however, whether individuals with autism spectrum disorder form more positive first impressions of autistic peers when diagnosis is not explicitly shared. We asked adolescents with and without autism spectrum disorder to watch brief video clips of adolescents with and without autism spectrum disorder and answer questions about their impressions of the individuals in the videos. Questions were related to participants' perceptions of the social skills of the individuals in the video, as well as their own willingness to interact with that person. We also measured gaze patterns to the faces, eyes, and mouths of adolescents in the video stimuli. Both participant groups spent less time gazing at videos of autistic adolescents. Regardless of diagnostic group, all participants provided more negative judgments of autistic than neurotypical adolescents in the videos. These data indicate that, without being explicitly informed of a shared diagnosis, adolescents with autism spectrum disorder form negative first impressions of autistic adolescents that are similar to, or lower than, those formed by neurotypical peers.

We form first impressions of many traits based on very short interactions. This study examines whether typical adults judge children with high-functioning autism to be more socially awkward than their typically developing peers based on very brief exposure to still images, audio-visual, video-only, or audio-only information. We used video and audio recordings of children with and without high-functioning autism captured during a story-retelling task. Typically developing adults were presented with 1?s and 3?s clips of these children, as well as still images, and asked to judge whether the person in the clip was socially awkward. Our findings show that participants who are naïve to diagnostic differences between the children in the clips judged children with high-functioning autism to be socially awkward at a significantly higher rate than their typically developing peers. These results remain consistent for exposures as short as 1?s to visual and/or auditory information, as well as for still images. These data suggest that typical adults use subtle nonverbal and non-linguistic cues produced by children with high-functioning autism to form rapid judgments of social awkwardness with the potential for significant repercussions in social interactions.

Purpose: People with high-functioning autism (HFA) have qualitative differences in facial expression and prosody production, which are rarely systematically quantified. The authors' goals were to qualitatively and quantitatively analyze prosody and facial expression productions in children and adolescents with HFA. Method: Participants were 22 male children and adolescents with HFA and 18 typically developing (TD) controls (17 males, 1 female). The authors used a story retelling task to elicit emotionally laden narratives, which were analyzed through the use of acoustic measures and perceptual codes. Naive listeners coded all productions for emotion type, degree of expressiveness, and awkwardness. Results: The group with HFA was not significantly different in accuracy or expressiveness of facial productions, but was significantly more awkward than the TD group. Participants with HFA were significantly more expressive in their vocal productions, with a trend for greater awkwardness. Severity of social communication impairment, as captured by the Autism Diagnostic Observation Schedule (ADOS; Lord, Rutter, DiLavore, & Risi, 1999), was correlated with greater vocal and facial awkwardness. Conclusions: Facial and vocal expressions of participants with HFA were as recognizable as those of their TD peers but were qualitatively different, particularly when listeners coded samples with intact dynamic properties. These preliminary data show qualitative differences in nonverbal communication that may have significant negative impact on the social communication success of children and adolescents with HFA. (Contains 4 tables and 1 figure.) .

Data on emotion processing by individuals with ASD suggest both intact abilities and significant deficits. Signal intensity may be a contributing factor to this discrepancy. We presented low- and high-intensity emotional stimuli in a face-voice matching task to 22 adolescents with ASD and 22 typically developing (TD) peers. Participants heard semantically neutral sentences with happy, surprised, angry, and sad prosody presented at two intensity levels (low, high) and matched them to emotional faces. The facial expression choice was either across- or within-valence. Both groups were less accurate for low-intensity emotions, but the ASD participants' accuracy levels dropped off more sharply. ASD participants were significantly less accurate than their TD peers for trials involving low-intensity emotions "and" within-valence face contrasts. (Contains 3 tables and 4 figures.)

We analyzed several studies of non-verbal communication (prosody and facial expressions) completed in our lab and conducted a secondary analysis to compare performance on receptive vs. expressive tasks by adolescents with ASD and their typically developing peers. Results show a significant between-group difference for the aggregate score of expressive tasks, but not for the aggregate score of receptive tasks. There was also a significant within-group difference among individuals with ASD for expressive vs. receptive performance. Our data indicate that adolescents with ASD can achieve receptive accuracy in non-verbal communication, but show significant qualitative deficits in expressive skills across a range of tasks, which may have a significant negative impact on their success as social communicators. (Contains 1 figure and 2 tables.)

Purpose: To investigate the perception and production of lexical stress and processing of affective prosody in adolescents with high-functioning autism (HFA). We hypothesized preserved processing of lexical and affective prosody but atypical lexical prosody production. Method: Sixteen children with HFA and 15 typically developing (TD) peers participated in 3 experiments that examined the following: (a) perception of affective prosody (Experiment 1), (b) lexical stress perception (Experiment 2), and (c) lexical stress production (Experiment 3). In Experiment 1, participants labeled sad, happy, and neutral spoken sentences that were low-pass filtered, to eliminate verbal content. In Experiment 2, participants disambiguated word meanings based on lexical stress ("HOTdog" vs. "hot DOG"). In Experiment 3, participants produced these words in a sentence completion task. Productions were analyzed with acoustic measures. Results: Accuracy levels showed no group differences. Participants with HFA could determine affect from filtered sentences and disambiguate words on the basis of lexical stress. They produced appropriately differentiated lexical stress patterns but demonstrated atypically long productions, indicating reduced ability in natural prosody production. Conclusions: Children with HFA were as capable as their TD peers in receptive tasks of lexical stress and affective prosody. Prosody productions were atypically long, despite accurate differentiation of lexical stress patterns. Future research should use larger samples and spontaneous versus elicited productions.

Background: It has frequently been suggested that individuals with autism spectrum disorder (ASD) have deficits in auditory-visual (AV) sensory integration. Studies of language integration have mostly used non-word syllables presented in congruent and incongruent AV combinations and demonstrated reduced influence of visual speech in individuals with ASD. The aim of our study was to test whether adolescents with high-functioning autism are able to integrate AV information of meaningful, phrase-length language in a task of onset asynchrony detection. Methods: Participants were 25 adolescents with ASD and 25 typically developing (TD) controls. The stimuli were video clips of complete phrases using simple, commonly occurring words. The clips were digitally manipulated to have the video precede the corresponding audio by 0, 4, 6, 8, 10, 12, or 14 video frames, a range of 0-500ms. Participants were shown the video clips in random order and asked to indicate whether each clip was in-synch or not. Results: There were no differences between adolescents with ASD and their TD peers in accuracy of onset asynchrony detection at any slip rate. Conclusion: These data indicate that adolescents with ASD are able to integrate auditory and visual components in a task of onset asynchrony detection using natural, phrase-length language stimuli. We propose that the meaningful nature of the language stimuli in combination with presentation in a non-distracting environment allowed adolescents with autism spectrum disorder to demonstrate preserved accuracy for bi-modal AV integration.

Studies of explicit processing of facial expressions by individuals with autism spectrum disorder (ASD) have found a variety of deficits and preserved abilities compared to their typically developing (TD) peers. However, little attention has been paid to their implicit processing abilities for emotional facial expressions. The question has also been raised whether preferential attention to the mouth region of a speaker's face by ASD individuals has resulted in a relative lipreading expertise. We present data on implicit processing of pseudo-dynamic facial emotions and visual speech in adolescents with autism. We compared 25 ASD and 25 TD participants on their ability to recreate the sequences of four dynamic emotional facial expressions (happy, sad, disgust, and fear) as well as four spoken words (with, bath, thumb, and watch) using six still images taken from a video sequence. Typical adolescents were significantly better at recreating the dynamic properties of emotional expressions than those of facial speech, while the autism group showed the reverse accuracy pattern. For Experiment 2 we obscured the eye region of the stimuli and found no significant difference between the 22 adolescents with ASD and 22 TD controls. Fearful faces achieved the highest accuracy results among the emotions in both groups. (Contains 4 tables and 4 figures.)

American Sign Language uses the face to express vital components of grammar in addition to the more universal expressions of emotion. The study of ASL facial expressions has focused mostly on the perception and categorization of various expression types by signing and nonsigning subjects. Only a few studies of the production of ASL facial expression exist, and those rely mainly on descriptions and comparisons of individual sentences. The purpose of this article is to present a novel and multilevel approach for the coding and quantification of ASL facial expressions. The technique combines ASL coding software with novel postcoding analyses that allow for graphic depictions and group comparisons of the different facial expression types. This system enables us to clearly delineate differences in the production of otherwise similar facial expression types. (Contains 10 figures, 1 note and 5 tables.)

Autism spectrum disorder (ASD) is characterized by deficits in social communication, and even children with ASD with preserved language are often perceived as socially awkward. We ask if linguistic patterns are associated with social perceptions of speakers. Twenty-one adolescents with ASD participated in conversations with an adult; each conversation was then rated for the social dimensions of likability, outgoingness, social skilfulness, responsiveness, and fluency. Conversations were analysed for responses to questions, pauses, and acoustic variables. Wide intonation ranges and more pauses within children's own conversational turn were predictors of more positive social ratings while failure to respond to one's conversational partner, faster syllable rate, and smaller quantity of speech were negative predictors of social perceptions. [ABSTRACT FROM AUTHOR]

Children with Autism Spectrum Disorder (ASD) are known to have difficulty in producing and perceiving emotional facial expressions. Their expressions are often perceived as atypical by adult observers. This paper focuses on data driven ways to analyze and quantify atypicality in facial expressions of children with ASD. Our objective is to uncover those characteristics of facial gestures that induce the sense of perceived atypicality in observers. Using a carefully collected motion capture database, facial expressions of children with and without ASD are compared within six basic emotion categories employing methods from information theory, time-series modeling and statistical analysis. Our experiments show that children with ASD usually have less complex expression producing mechanisms; the differences in facial dynamics between children with and without ASD primarily come from the eye region. Our study also notes that children with ASD exhibit lower symmetry between left and right regions, and lower variation in motion intensity across facial regions.

We focus on the analysis, quantification and visualization of atypicality in affective facial expressions of children with High Functioning Autism (HFA). We examine facial Motion Capture data from typically developing (TD) children and children with HFA, using various statistical methods, including Functional Data Analysis, in order to quantify atypical expression characteristics and uncover patterns of expression evolution in the two populations. Our results show that children with HFA display higher asynchrony of motion between facial regions, more rough facial and head motion, and a larger range of facial region motion. Overall, subjects with HFA consistently display a wider variability in the expressive facial gestures that they employ. Our analysis demonstrates the utility of computational approaches for understanding behavioral data and brings new insights into the autism domain regarding the atypicality that is often associated with facial expressions of subjects with HFA.