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Article published In:
Gesture
Vol. 15:3 (2016) ► pp.372–403

Facilitating joint attention with salient pointing in interactions involving children with autism spectrum disorder

| University of Eastern Finland
| University College London
| University of Jyväskylä
| University of Eastern Finland
Children with autism spectrum disorder (ASD) reportedly have difficulties in responding to bids for joint attention, notably in following pointing gestures. Previous studies have predominantly built on structured observation measures and predefined coding categories to measure children’s responsiveness to gestures. However, how these gestures are designed and what detailed interactional work they can accomplish have received less attention. In this paper, we use a multimodal approach to conversation analysis (CA) to investigate how educators design their use of pointing in interactions involving school-aged children with ASD or autistic features. The analysis shows that pointing had specific sequential implications for the children beyond mere attention sharing. Occasionally, the co-occurring talk and pointing led to ambiguities when a child was interpreting their interactional connotations, specifically when the pointing gesture lacked salience. The study demonstrates that the CA approach can increase understanding of how to facilitate the establishment of joint attention.
Keywords: pointing gestures, joint attention, autism spectrum disorder, conversation analysis
Published online: 6 December 2016
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https://doi.org/10.1075/gest.15.3.06din
References (63)
Adamson, Lauren B., Duncan McArthur, Yana Markov, Barbara Dunbar, & Roger Bakeman (2001). Autism and joint attention: Young children’s responses to maternal bids. Journal of Applied Developmental Psychology, 22 (4), 439–453. DOI logoGoogle Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association. DOI logoGoogle Scholar
Atkinson, J. Maxwell & John Heritage (1984). Transcript notation. In J. Maxwell Atkinson & John Heritage (Eds.), Structures of social action: Studies in conversation analysis (pp. ix–xvi). Cambridge, MA: Cambridge University Press.Google Scholar
Bakeman, Roger & Lauren B. Adamson (1984). Coordinating attention to people and objects in mother–infant and peer–infant interaction. Child Development, 551, 1278–1289. DOI logoGoogle Scholar
Baron-Cohen, Simon (1989). Perceptual role taking and protodeclarative pointing in autism. British Journal of Developmental Psychology, 7 (2), 113–127. DOI logoGoogle Scholar
Berger, Israel & John Rae (2012). Some uses of gestural responsive actions. Journal of Pragmatics, 44 (13), 1821–1835. DOI logoGoogle Scholar
Broekhof, Evelien, Lizet Ketelaar, Lex Stockmann, Annette van Zijp, Marieke G.N. Bos, & Carolien Rieffe (2015). The understanding of intentions, desires and beliefs in young children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45 (7), 2035–2045. DOI logoGoogle Scholar
Bruinsma, Yvonne, Robert L. Koegel, & Lynn Kern Koegel (2004). Joint attention and children with autism: A review of the literature. Mental Retardation and Developmental Disabilities Research Reviews, 10 (3), 169–175. DOI logoGoogle Scholar
Clifford, Sally & Cheryl Dissanayake (2009). Dyadic and triadic behaviours in infancy as precursors to later social responsiveness in young children with autistic disorder. Journal of Autism and Developmental Disorders, 39 (10), 1369–1380. DOI logoGoogle Scholar
Dindar, Katja, Terhi Korkiakangas, Aarno Laitila, & Eija Kärnä (2016). Building mutual understanding: How children with autism spectrum disorder manage interactional trouble. Journal of Interactional Research in Communication Disorders, 7 (1), 49–77. DOI logoGoogle Scholar
Dobbinson, Sushie, Michael R. Perkins, & Jill Boucher (1998). Structural patterns in conversations with a woman who has autism. Journal of Communication Disorders, 31 (2), 113–134. DOI logoGoogle Scholar
Ekman, Paul & Wallace V. Friesen (1969). The repertoire of nonverbal behavior: Categories, origins, usage, and coding. Semiotica, 1 (1), 49–98. DOI logoGoogle Scholar
Enfield, Nick J., Sotaro Kita, & Jan Peter de Ruiter (2007). Primary and secondary pragmatic functions of pointing gestures. Journal of Pragmatics, 39 (10), 1722–1741. DOI logoGoogle Scholar
Falck-Ytter, Terje, Elisabeth Fernell, Åsa Lundholm Hedvall, Claes von Hofsten, & Christopher Gillberg (2012). Gaze performance in children with autism spectrum disorder when observing communicative actions. Journal of Autism and Developmental Disorders, 42 (10), 2236–2245. DOI logoGoogle Scholar
Gillberg, Christopher & Elisabeth Fernell (2014). Autism plus versus autism pure. Journal of Autism and Developmental Disorders, 44 (12), 3274–3276. DOI logoGoogle Scholar
Goodwin, Charles (1981). Conversational organisation: Interaction between speakers and hearers. New York: Academic Press.Google Scholar
(1986). Gestures as a resource for the organization of mutual orientation. Semiotica, 62 (1/2), 29–50. DOI logoGoogle Scholar
(2003). Pointing as situated practice. In Sotaro Kita (Ed.), Pointing: Where language, culture and cognition meet (pp. 217–241). Mahwah, NJ: Erlbaum.Google Scholar
(2004). A competent speaker who can’t speak: The social life of aphasia. Journal of Linguistic Anthropology, 14 (2), 151–170. DOI logoGoogle Scholar
(2014). The intelligibility of gesture within a framework of co-operative action. In Mandana Seyfeddinipur & Marianne Gullberg (Eds.), From gesture in conversation to visible action as utterance: Essays in honor of Adam Kendon (pp. 199–219). Amsterdam: John Benjamins. DOI logoGoogle Scholar
Graham, Jean Ann & Michael Argyle (1975). A cross-cultural study of the communication of extra-verbal meaning by gesture. International Journal of Psychology, 10 (1), 57–67. DOI logoGoogle Scholar
Haviland, John B. (2004). Gesture. In Alessandro Duranti (Ed.), A companion to linguistic anthropology (pp. 197–221). Malden, MA: Blackwell.Google Scholar
Hayashi, Makoto (2005). Joint turn construction through language and the body: Notes on embodiment in coordinated participation in situated activities. Semiotica, 1561, 21–53. DOI logoGoogle Scholar
Hindmarsh, Jon & Christian Heath (2000). Embodied reference: A study of deixis in workplace interaction. Journal of Pragmatics, 32 (12), 1855–1878. DOI logoGoogle Scholar
Hobson, R. Peter (2005). What puts the jointness into joint attention? In Naomi Eilan, Christoph Hoerl, Teresa McCormack, & Johannes Roessler (Eds.), Joint attention: Communication and other minds. Issues in philosophy and psychology (pp. 185–204). New York: Clarendon Press & Oxford University Press. DOI logoGoogle Scholar
Jones, Emily A., Edward G. Carr, & Kathleen M. Feeley (2006). Multiple effects of joint attention intervention for children with autism. Behavior Modification, 30 (6), 782–834. DOI logoGoogle Scholar
Kendon, Adam (1972). Some relationships between body motion and speech. An analysis of an example. In Aaron Siegman & Benjamin Pope (Eds.), Studies in dyadic communication (pp. 177–210). Elmsford, NY: Pergamon Press. DOI logoGoogle Scholar
(1980). Gesticulation and speech: Two aspects of the process of utterance. In Mary Ritchie Key (Ed.), The relationship of verbal and nonverbal communication (pp. 207–227). The Hague: Mouton.Google Scholar
(2004). Gesture: Visible action as utterance. Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Kidwell, Mardi (2005). Gaze as social control: How very young children differentiate “the look” from a “mere look” by their adult caregivers. Research on Language and Social Interaction, 38 (4), 417–449. DOI logoGoogle Scholar
Kidwell, Mardi & Don H. Zimmerman (2007). Joint attention as action. Journal of Pragmatics, 39 (3), 592–611. DOI logoGoogle Scholar
Korkiakangas, Terhi & John Rae (2013). Gearing up to a new activity: How teachers use object adjustments to manage the attention of children with autism. Augmentative and Alternative Communication, 29 (1), 83–103. DOI logoGoogle Scholar
(2014). The interactional use of eye-gaze in children with autism spectrum disorders. Interaction Studies, 15 (2), 233–259. DOI logoGoogle Scholar
Korkiakangas, Terhi, Katja Dindar, Aarno Laitila, & Eija Kärnä (2016). The Sally–Anne test: an interactional analysis of a dyadic assessment. International Journal of Language and Communication Disorders. Advance online publication. DOI logoGoogle Scholar
Leekam, Susan R., Emma Hunnisett, & Chris Moore (1998). Targets and cues: Gaze‐following in children with autism. Journal of Child Psychology and Psychiatry, 39 (7), 951–962. DOI logoGoogle Scholar
Lord, Catherine, Michael Rutter, Pamela C. DiLavore, & Susan Risi (2002). Autism diagnostic observation schedule (ADOS). Los Angeles: Western Psychological Services.Google Scholar
Maestro, Sandra, Filippo Muratori, Maria Cristina Cavallaro, Chiara Pecini, Alessia Cesari, Antonella Paziente, Daniel Stern, Bernard Golse, & Francisco Palacio-Espasa (2005). How young children treat objects and people: An empirical study of the first year of life in autism. Child Psychiatry and Human Development, 35 (4), 383–396. DOI logoGoogle Scholar
Maljaars, Jarymke, Ilse Noens, Rianne Jansen, Evert Scholte, & Ina van Berckelaer-Onnes (2011). Intentional communication in nonverbal and verbal low-functioning children with autism. Journal of Communication Disorders, 44 (6), 601–614. DOI logoGoogle Scholar
Maynard, Douglas W. (2005). Social actions, gestalt coherence, and designations of disability: Lessons from and about autism. Social Problems, 52 (4), 499–524. DOI logoGoogle Scholar
McArthur, Duncan & Lauren B. Adamson (1996). Joint attention in preverbal children: Autism and developmental language disorder. Journal of Autism and Developmental Disorders, 26 (5), 481–496. DOI logoGoogle Scholar
McNeill, David (1985). So you think gestures are nonverbal? Psychological Review, 92 (3), 350–371. DOI logoGoogle Scholar
(1992). Hand and mind: What gestures reveal about thought. Chicago: University of Chicago Press.Google Scholar
Meindl, James N. & Helen I. Cannella-Malone (2011). Initiating and responding to joint attention bids in children with autism: A review of the literature. Research in Developmental Disabilities, 32 (5), 1441–1454. DOI logoGoogle Scholar
Mondada, Lorenza (2007). Multimodal resources for turn-taking: Pointing and the emergence of possible next speakers. Discourse Studies, 9 (2), 194–225. DOI logoGoogle Scholar
(2014). Pointing, talk, and the bodies: Reference and joint attention as embodied interactional achievements. In Mandana Seyfeddinipur & Marianne Gullberg (Eds.), From gesture in conversation to visible action as utterance: Essays in honor of Adam Kendon (pp. 95–124). Amsterdam: John Benjamins. DOI logoGoogle Scholar
Mundy, Peter, Christine Delgado, Jessica Block, Meg Venezia, Anne Hogan, & Jeffrey Seibert (2003). Early social communication scales (ESCS). Retrieved from [URL]
Murphy, Keith M. (2003). Building meaning in interaction: Rethinking gesture classifications. Crossroads of Language, Interaction, and Culture, 51, 29–47.Google Scholar
Muskett, Tom, Mick Perkins, Judy Clegg, & Richard Body (2010). Inflexibility as an interactional phenomenon: Using conversation analysis to re-examine a symptom of autism. Clinical Linguistics & Phonetics, 24 (1), 1–16. DOI logoGoogle Scholar
Presmanes, Alison G., Tedra A. Walden, Wendy L. Stone, & Paul J. Yoder (2007). Effects of different attentional cues on responding to joint attention in younger siblings of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37 (1), 133–144. DOI logoGoogle Scholar
Sacks, Harvey, Emanuel A. Schegloff, & Gail Jefferson (1974). A simplest systematics for the organization of turn-taking for conversation. Language, 50 (4), 696–735. DOI logoGoogle Scholar
Schegloff, Emanuel A. (1984). On some gestures’ relation to talk. In J.M. Atkinson & J. Heritage (Eds.), Structures of social action: Studies in conversation analysis (pp. 266–296). Cambridge: Cambridge University Press.Google Scholar
. (2007). Sequence organization in interaction: Vol. 1: A primer in conversation analysis. Cambridge: Cambridge University Press. DOI logoGoogle Scholar
Sikveland, Rein Ove & Richard Ogden (2012). Holding gestures across turns: Moments to generate shared understanding. Gesture, 12 (2), 166–199. DOI logoGoogle Scholar
Sowden, Hannah, Mick Perkins, & Judy Clegg (2011). The changing role of gesture form and function in a picture book interaction between a child with autism and his support teacher. In Gale Stam & Mika Ishino (Eds.) (2011), Integrating gestures: The interdisciplinary nature of gesture (pp. 201–215). Amsterdam: John Benjamins Publishing. DOI logoGoogle Scholar
Sterponi, Laura & Alessandra Fasulo (2010). “How to go on”: Intersubjectivity and progressivity in the communication of a child with autism. Ethos, 38 (1), 116–142. DOI logoGoogle Scholar
Stivers, Tanya & Jack Sidnell (2005). Introduction: Multimodal interaction. Semiotica, 156 (1/4), 1–20. DOI logoGoogle Scholar
Streeck, Jürgen (1993). Gesture as communication I: Its coordination with gaze and speech. Communications Monographs, 60 (4), 275–299. DOI logoGoogle Scholar
(2009). Forward-gesturing. Discourse Processes, 46 (2/3), 161–179. DOI logoGoogle Scholar
Tarplee, Clare & Emma Barrow (1999). Delayed echoing as an interactional resource: A case study of a 3-year-old child on the autistic spectrum. Clinical Linguistics & Phonetics, 13 (6), 449–482. DOI logoGoogle Scholar
Tomasello, Michael (1995). Joint attention as social cognition. In Chris Moore & Philip J. Dunham (Eds.), Joint attention: Its origins and role in development (pp. 103–130). Hillsdale, NJ: Erlbaum.Google Scholar
Tuononen, Katja, Terhi Korkiakangas, Aarno Laitila, & Eija Kärnä (2016). Zooming in on interactions: A micro-analytic approach examining triadic interactions between children with autism spectrum disorder and their co-participants. London: SAGE Publications Ltd. DOI logoGoogle Scholar
Wetherby, Amy M., Nola Watt, Lindee Morgan, & Stacy Shumway (2007). Social communication profiles of children with autism spectrum disorders late in the second year of life. Journal of Autism and Developmental Disorders, 37 (5), 960–975. DOI logoGoogle Scholar
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