Language and Speech in Autism

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Gernsbacher, M. A., Morson, E. M., & Grace, E. J. (2014). Language and Speech in Autism. Annual Review of Linguistics, 2(1), 413-425. https://doi.org/10.1146/annurev-linguist-030514-124824

Publication date: 6 Mar 2014 Added to AutiHub: 14 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
3
Publication authors identified as autistic
1 / 3 (33.3%)

Abstract

Autism is a developmental disability characterized by atypical social interaction, interests or body movements, and communication. Our review examines the empirical status of three communication phenomena believed to be unique to autism: pronoun reversal (using the pronoun you when the pronoun I is intended, and vice versa), echolalia (repeating what someone has said), and a reduced or even reversed production-comprehension lag (a reduction or reversal of the well-established finding that speakers produce less sophisticated language than they can comprehend). Each of these three phenomena has been claimed to be unique to autism; therefore, each has been proposed to be diagnostic of autism, and each has been interpreted in autism-centric ways (psychoanalytic interpretations of pronoun reversal, behaviorist interpretations of echolalia, and clinical lore about the production-comprehension lag). However, as our review demonstrates, none of these three phenomena is in fact unique to autism; none can or should serve as diagnostic of autism, and all call into question unwarranted assumptions about autistic persons and their language development and use.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 19 Sep 2026 01:01.

Cited references
87
With a DOI
64
Without a DOI, from raw bibliography text
19
6 / 87 (6.9%) cited references include at least one author identified as autistic.
References with data to complete
5 / 87 (5.7%)
References with detected author names
86 / 87 (98.9%)
Without detected author names
1
Without a structured title
5
Without a stable identifier
19
References with raw author names still to review
1
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
227
From DOI or external metadata
227
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
3
57 / 227 (25.1%) names are linked to an author already present in AutiHub. 170 / 227 (74.9%) names are not yet linked.
Names linked to a person identified as autistic
6 / 227 (2.6%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 6 / 57 (10.5%). Distinct people identified as autistic: 5 / 190 (2.6%).
  1. Nameera Akhtar , Morton Ann Gernsbacher (2008). On Privileging the Role of Gaze in Infant Social Cognition . Child Development Perspectives, 2(2), 59-65. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  2. Susan Ellis Weismer , Catherine Lord , Amy Esler (2010). Early Language Patterns of Toddlers on the Autism Spectrum Compared to Toddlers with Developmental Delay . Journal of Autism and Developmental Disorders, 40(10), 1259-1273. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  3. JAMES N. SUSSEX (1967). The Empty Fortress: Infantile Autism and the Birth of the Self . Pediatrics, 40(2), 312-313. American Academy of Pediatrics (AAP).
    OpenAlex
  4. Michael G. Aman , Sherie Novotny , Carole Samango-Sprouse , Luc Lecavalier , Elizabeth Leonard , Kenneth D. Gadow et al. (2004). Outcome Measures for Clinical Drug Trials in Autism . CNS Spectrums, 9(1), 36-47. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  5. M. Noterdaeme , S. Sitter , K. Mildenberger , H. Amorosa (2000). Diagnostic assessment of communicative and interactive behaviours in children with autism and receptive language disorder . European Child & Adolescent Psychiatry, 9(4), 295-300. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  6. Bruno Bettelheim (1972). The Empty Fortress: Infantile Autism and the Birth of the Self .
    Type: Book OpenAlex: https://openalex.org/W1561776083
    OpenAlex
  7. APA (American Psychiatric Association) (1980). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  8. Jarymke Maljaars , Ilse Noens , Evert Scholte , Ina van Berckelaer-Onnes (2012). Language in Low-Functioning Children with Autistic Disorder: Differences Between Receptive and Expressive Skills and Concurrent Predictors of Language . Journal of Autism and Developmental Disorders, 42(10), 2181-2191. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  9. Anthony Goodwin , Deborah Fein , Letitia R. Naigles (2012). Comprehension of Wh‐Questions Precedes Their Production in Typical Development and Autism Spectrum Disorders . Autism Research, 5(2), 109-123. Wiley.
    Type: Article DOI: 10.1002/aur.1220 OpenAlex: https://openalex.org/W1585011258
    Crossref OpenAlex OpenCitations
  10. APA (1987). Diagnostic and Statistical Manual of Mental Disorders. Diagnostic and Statistical Manual of Mental Disorders..
    Type: Other
    Crossref
  11. O. Ivar Lovaas , Laura Schreibman , Robert L. Koegel (1974). A behavior modification approach to the treatment of autistic children . Journal of Autism and Childhood Schizophrenia, 4(2), 111-129. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  12. Irene M. O'Connor , Perry D. Klein (2004). Exploration of Strategies for Facilitating the Reading Comprehension of High-Functioning Students with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 34(2), 115-127. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  13. APA (1994). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  14. Elizabeth Crais , Diane Day Douglas , Cheryl Cox Campbell (2004). The Intersection of the Development of Gestures and Intentionality . Journal of Speech, Language, and Hearing Research, 47(3), 678-694. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  15. Annette L. Manning , Karyn Bobkoff Katz (1989). Language-learning patterns in echolalic children . Child Language Teaching and Therapy, 5(3), 249-261. SAGE Publications.
    Crossref OpenAlex
  16. APA (2000). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  17. Sara T. Kover , Andrea S. McDuffie , Randi J. Hagerman , Leonard Abbeduto (2013). Receptive Vocabulary in Boys with Autism Spectrum Disorder: Cross-Sectional Developmental Trajectories . Journal of Autism and Developmental Disorders, 43(11), 2696-2709. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  18. Laura A. Petitto (1987). On the autonomy of language and gesture: Evidence from the acquisition of personal pronouns in American sign language . Cognition, 27(1), 1-52. Elsevier BV.
    Crossref OpenAlex OpenCitations
  19. APA (2013). Diagnostic and Statistical Manual of Mental Disorders . Diagnostic and Statistical Manual of Mental Disorders.
    Type: Other
    Crossref
  20. Jennifer E. Arnold , Loisa Bennetto , Joshua J. Diehl (2009). Reference production in young speakers with and without autism: Effects of discourse status and processing constraints . Cognition, 110(2), 131-146. Elsevier BV.
    OpenCitations
  21. Jennifer E. Arnold , Loisa Bennetto , Joshua J. Diehl (2009). Reference production in young speakers with and without autism: Effects of discourse status and processing constraints . Cognition, 110(2), 131-146. Elsevier BV.
    Crossref OpenAlex
  22. Catherine Lord , Michael Rutter , Ann Le Couteur (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders . Journal of Autism and Developmental Disorders, 24(5), 659-685. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  23. Christiane A M. Baltaxe , James Q. Simmons (1977). Bedtime Soliloquies and Linguistic Competence in Autism . Journal of Speech and Hearing Disorders, 42(3), 376-393. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  24. Leo Kanner , Alejandro Rodriguez , Barbara Ashenden (1972). How far can autistic children go in matters of social adaptation? Journal of Autism and Childhood Schizophrenia, 2(1), 9-33. Springer Science and Business Media LLC.
    OpenAlex OpenCitations
  25. Ann Le Couteur , Michael Rutter , Catherine Lord , Patricia Rios , Sarah Robertson , Mary Holdgrafer et al. (1989). Autism diagnostic interview: A standardized investigator-based instrument . Journal of Autism and Developmental Disorders, 19(3), 363-387. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Helen Benedict (1979). Early lexical development: comprehension and production . Journal of Child Language, 6(2), 183-200. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  27. Anne Castles , Alison Crichton , Margot Prior , А. Е. Кустов , С. А. Говоров , А. Р. Жуманов (2010). Developmental dissociations between lexical reading and comprehension: Evidence from two cases of hyperlexia . Cortex, 46(10), 1238-1247. Elsevier BV.
    Crossref OpenAlex OpenCitations
  28. Bettelheim B (1967). The Empty Fortress: Infantile Autism and the Birth of the Self . The Empty Fortress: Infantile Autism and the Birth of the Self.
    Type: Other
    Crossref
  29. MIGUEL PÉREZ-PEREIRA (1999). Deixis, personal reference, and the use of pronouns by blind children . Journal of Child Language, 26(3), 655-680. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  30. Talita Fortunato-Tavares , Claudia R. F. Andrade , Debora Befi-Lopes , Suelly O. Limongi , Fernanda D. M. Fernandes , Richard G. Schwartz (2015). Syntactic comprehension and working memory in children with specific language impairment, autism or Down syndrome . Clinical Linguistics & Phonetics, 29(7), 499-522. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  31. Lois Bloom , Lorraine Rocissano , Lois Hood (1976). Adult-child discourse: Developmental interaction between information processing and linguistic knowledge . Cognitive Psychology, 8(4), 521-552. Elsevier BV.
    Crossref OpenAlex
  32. KAREN E. EVANS , KATHERINE DEMUTH (2012). Individual differences in pronoun reversal: Evidence from two longitudinal case studies . Journal of Child Language, 39(1), 162-191. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  33. Joan C Borod , Patricia M Fitzpatrick , Nancy Helm-Estabrooks , Harold Goodglass (1989). The relationship between limb apraxia and the spontaneous use of communicative gesture in aphasia . Brain and Cognition, 10(1), 121-131. Elsevier BV.
    Crossref OpenAlex OpenCitations
  34. Jan P. H. van Santen , Richard W. Sproat , Alison Presmanes Hill (2013). Quantifying Repetitive Speech in Autism Spectrum Disorders and Language Impairment . Autism Research, 6(5), 372-383. Wiley.
    Type: Article DOI: 10.1002/aur.1301 OpenAlex: https://openalex.org/W2145679949
    Crossref OpenAlex OpenCitations
  35. Clark EV (1978). Human Growth and Development: Wolfson College Lectures . Human Growth and Development: Wolfson College Lectures, 85.
    Type: Other
    Crossref
  36. Sulammith Wolff , Stella Chess (1964). A BEHAVIOURAL STUDY OF SCHIZOPHRENIC CHILDREN . Acta Psychiatrica Scandinavica, 40(4), 438-466. Wiley.
    Crossref OpenAlex OpenCitations
  37. Anthony Lee , R. Peter Hobson , Shulamuth Chiat (1994). I, you, me, and autism: An experimental study . Journal of Autism and Developmental Disorders, 24(2), 155-176. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  38. Cohen DJ (1997). Handbook of Autism and Pervasive Developmental Disorders . Handbook of Autism and Pervasive Developmental Disorders.
    Type: Other
    Crossref
  39. Aaron Shield , Richard P. Meier , Helen Tager‐Flusberg (2015). The Use of Sign Language Pronouns by Native-Signing Children with Autism . Journal of Autism and Developmental Disorders, 45(7), 2128-2145. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  40. Christine K. Duff , J. J. Flattery (2014). Developing Mirror Self Awareness in Students with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 44(5), 1027-1038. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  41. Creak M (1961). B18 Cereb. Palsy Bull., 3, 501.
    Type: Other
    Crossref
  42. Carolyn B. Mervis , Bonita P. Klein-Tasman (2004). Methodological Issues in Group-Matching Designs: α Levels for Control Variable Comparisons and Measurement Characteristics of Control and Target Variables . Journal of Autism and Developmental Disorders, 34(1), 7-17. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  43. Michelle Dawson *Autistic author. Learn more… , Laurent Mottron , Morton Ann Gernsbacher (2008). Learning in Autism . In Learning and memory: A comprehensive reference (pp. 759-772). Elsevier.
  44. Susan Ellis Weismer , Morton Ann Gernsbacher , Sheri Stronach , Courtney Karasinski , Elizabeth R. Eernisse , Courtney E. Venker et al. (2011). Lexical and Grammatical Skills in Toddlers on the Autism Spectrum Compared to Late Talking Toddlers . Journal of Autism and Developmental Disorders, 41(8), 1065-1075. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  45. Arhonto Terzi , Theodoros Marinis , Angeliki Kotsopoulou , Konstantinos Francis (2014). Grammatical Abilities of Greek-Speaking Children with Autism . Language Acquisition, 21(1), 4-44. Informa UK Limited.
    Crossref OpenAlex
  46. (n.d.). Edelson LR, Meyer AT, Tager-Flusberg H. 2011. Cues to pronominal reference resolution in children with and without autism spectrum disorders. Presented at Int. Meet. Autism Res., San Diego
    Type: Other
    Crossref
  47. Jacqueline Roberts (1989). Echolalia and comprehension in autistic children . Journal of Autism and Developmental Disorders, 19(2), 271-281. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  48. Margaret M. Kjelgaard , Helen Tager‐Flusberg (2001). An investigation of language impairment in autism: Implications for genetic subgroups . Language and Cognitive Processes, 16(2-3), 287-308. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  49. Warren H. Fay (1967). Mitigated Echolalia of Children . Journal of Speech and Hearing Research, 10(2), 305-310. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  50. Kristen S. L. Lam , Michael G. Aman (2007). The Repetitive Behavior Scale-Revised: Independent Validation in Individuals with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 37(5), 855-866. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  51. Michele Noterdaeme , Elke Wriedt , Christian Höhne (2010). Asperger’s syndrome and high-functioning autism: language, motor and cognitive profiles . European Child & Adolescent Psychiatry, 19(6), 475-481. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  52. Fenson L (2007). MacArthur–Bates Communicative Development Inventories: User's Guide and Technical Manual . MacArthur–Bates Communicative Development Inventories: User's Guide and Technical Manual.
    Type: Other
    Crossref
  53. Luc Lecavalier , Michael G. Aman , Lawrence Scahill , Christopher J. McDougle , James T. McCracken , Benedetto Vitiello et al. (2006). Validity of the Autism Diagnostic Interview-Revised . American Journal on Mental Retardation, 111(3), 199. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  54. Paul J. Yoder , Steven F. Warren , Rebecca B. McCathren (1998). Determining Spoken Language Prognosis in Children With Developmental Disabilities . American Journal of Speech-Language Pathology, 7(4), 77-87. American Speech Language Hearing Association.
    Crossref OpenAlex
  55. Gernsbacher MA (2006). B28 J. Dev. Process., 1(1), 139.
    Type: Other
    Crossref
  56. Morton Ann Gernsbacher , Jennifer L Stevenson , Suraiya Khandakar , H. Hill Goldsmith (2008). Why Does Joint Attention Look Atypical in Autism? Child Development Perspectives, 2(1), 38-45. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  57. Courtenay Norbury , Dorothy V. M. Bishop , Nick Zelver , M. G. Nimmons (2003). Narrative skills of children with communication impairments . International Journal of Language & Communication Disorders, 38(3), 287-313. Wiley.
    Crossref OpenAlex OpenCitations
  58. Morton Ann Gernsbacher , Heather M. Geye , Susan Ellis Weismer (2005). The role of language and communication impairments within autism . In Trends in Language Acquisition Research (pp. 73-93). John Benjamins Publishing Company.
    Type: Book chapter DOI: 10.1075/tilar.4.06ger OpenAlex: https://openalex.org/W2406648288
    Crossref OpenAlex
  59. Elizabeth Kelley , Jennifer J. Paul , Deborah Fein , Letitia R. Naigles (2006). Residual Language Deficits in Optimal Outcome Children with a History of Autism . Journal of Autism and Developmental Disorders, 36(6), 807-828. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  60. Gernsbacher MA (2015). Neurobiology of Language . Neurobiology of Language, 879.
    Type: Other
    Crossref
  61. Juan-Carlos Gómez (2015). Hand Leading and Hand Taking Gestures in Autism and Typically Developing Children . Journal of Autism and Developmental Disorders, 45(1), 68-74. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  62. Rebecca L.H. Stilp , Morton Ann Gernsbacher , Emily K. Schweigert , Carrie L. Arneson , H. Hill Goldsmith (2010). Genetic Variance for Autism Screening Items in an Unselected Sample of Toddler-Age Twins . Journal of the American Academy of Child & Adolescent Psychiatry, 49(3), 267-276. Elsevier BV.
    OpenAlex OpenCitations
  63. Kristelle Hudry , Kathy Leadbitter , Kathryn Temple , Vicky Slonims , Helen McConachie , Catherine Aldred et al. (2010). Preschoolers with autism show greater impairment in receptive compared with expressive language abilities . International Journal of Language & Communication Disorders, 45(6), 681-690. Wiley.
    Crossref OpenAlex OpenCitations
  64. Naomi B. Schiff-Myers (1983). From Pronoun Reversals to Correct Pronoun Usage . Journal of Speech and Hearing Disorders, 48(4), 394-402. American Speech Language Hearing Association.
    Crossref OpenAlex OpenCitations
  65. Ingram D (1974). Language Perspectives: Acquisition, Retardation, and Intervention . Language Perspectives: Acquisition, Retardation, and Intervention, 313.
    Type: Other
    Crossref
  66. Kanner L (1943). B38 Nerv. Child, 2, 217.
    Type: Other
    Crossref
  67. Kanner L (1973). Childhood Psychoses: Initial Studies and New Insights . Childhood Psychoses: Initial Studies and New Insights, 189.
    Type: Other
    Crossref
  68. Georgina Warner , Joanna Moss , Patrick Smith , Patricia Howlin (2014). Autism Characteristics and Behavioural Disturbances in ∼ 500 Children with Down's Syndrome in E ngland and W ales . Autism Research, 7(4), 433-441. Wiley.
    Type: Article DOI: 10.1002/aur.1371 OpenAlex: https://openalex.org/W2130337866
    Crossref OpenAlex OpenCitations
  69. HENRY H. WORK (1967). The Empty Fortress: Infantile Autism and the Birth of the Self. Archives of Pediatrics & Adolescent Medicine, 114(2), 221. American Medical Association (AMA).
    OpenAlex
  70. Norbert Schmitt (2008). Review article: Instructed second language vocabulary learning . Language Teaching Research, 12(3), 329-363. SAGE Publications.
    Crossref OpenAlex
  71. Janet B W Williams , Michael First (2013). Diagnostic and Statistical Manual of Mental Disorders . Encyclopedia of Social Work. Oxford University PressNew York, NY.
    OpenAlex
  72. L Kanner (1968). Autistic disturbances of affective contact. Acta Paedopsychiatr, 35(4), 100.
    Type: Article OpenAlex: https://openalex.org/W2192638454
    OpenAlex
  73. Léo Kanner (1943). Autistic disturbances of affective contact . Nervous Child, 2(3), 217.
    Type: Article OpenAlex: https://openalex.org/W2255119171
    OpenAlex
  74. Morton Ann Gernsbacher (2006). Toward a Behavior of Reciprocity. J. Dev. Process., 1(1), 139.
    Type: Article OpenAlex: https://openalex.org/W2262614717
    OpenAlex
  75. Prizant BM (1987). Language and Treatment of Autistic and Developmentally Disordered Children . Language and Treatment of Autistic and Developmentally Disordered Children, 65.
    Type: Other
    Crossref
  76. Pilulski JJ (2004). Teaching and Developing Vocabulary: Key to Long-Term Reading Success . Teaching and Developing Vocabulary: Key to Long-Term Reading Success.
    Type: Other
    Crossref
  77. C J ROBERTS (1961). Schizophrenic Syndrome in Childhood . BMJ, 2(5256), 889-890. BMJ.
    OpenAlex
  78. Jacqueline Roberts (2014). Communication in Autism . In Communication in Autism (pp. 55). John Benjamins Publishing Company.
    Type: Book chapter DOI: 10.1075/tilar.11.04rob OpenAlex: https://openalex.org/W2477125478
    Crossref
  79. Helen Tager‐Flusberg , Rhea Paul , Catherine Lord (2005). Language and Communication in Autism . In Handbook of Autism and Pervasive Developmental Disorders (pp. 335-364). Wiley.
    Crossref OpenAlex
  80. Harris Winitz (2020). The Relationship Between Comprehension and Production . In Comprehension Strategies in the Acquiring of a Second Language (pp. 157-179). Springer International Publishing.
    OpenAlex
  81. Morton Ann Gernsbacher (2004). Three Reasons Not to Believe in an Autism Epidemic . PsycEXTRA Dataset. American Psychological Association (APA).
    OpenAlex
  82. Stilp RH (2010). B67 J. Am. Acad. Child Adolesc. Psychiatry, 49, 269.
    Type: Other
    Crossref