Chapter 5. Prosody and autism
This chapter focuses on prosodic processing in individuals with autism spectrum disorders (ASD). An overview of key studies linking prosodic difficulties with ASD is provided. Methods reviewed include behavioural assessment, acoustic analyses, electrophysiological measures, and brain imaging. It is difficult to draw strong conclusions from previous research as there has been little consistency across studies in terms of the types of prosody that were examined, whether or not both comprehension and production of prosody were investigated, and the nature and size of the samples that were assessed. There is consensus that only some individuals with ASD experience problems with prosody. Importantly, different types of prosodic impairment have been observed across individuals with ASD and it seems likely that these are associated with different causal mechanisms. Some possible mechanisms underpinning prosodic impairment that have been put forward over the years include a cognitive deficit relating to Theory of Mind, motor speech impairment, lack of social motivation to align one’s speech with others, atypical audio-vocal regulation, and deficient pitch encoding. Future research endeavours should include increased effort to pinpoint causal mechanisms and explore targeted remediation of prosodic difficulties in individuals with ASD.
References
Arciuli, J., & Cupples, L
(
2003)
Effects of stress typicality during speeded grammatical classification.
Language and Speech, 46(4), 353–374.


Arciuli, J. & Cupples, L
(
2004)
Effects of stress typicality during spoken word recognition by native and nonnative speakers of English: Evidence from onset gating.
Memory & Cognition, 32, 21–30.


Arciuli, J., Monaghan, P., & Seva, N
(
2010)
Learning to assign lexical stress during reading aloud: Corpus, behavioural and computational investigations.
Journal of Memory and Language, 63, 180–196.


Arciuli, J., & Paul, R
(
2012)
Sensitivity to probabilistic orthographic cues to lexical stress in adolescent speakers with ASD and typical peers.
Quarterly Journal of Experimental Psychology, 65, 1288–1295.


Arciuli, J., & Slowiaczek, L
(
2007)
The where and when of linguistic word-level prosody.
Neuropsychologia, 45, 2638–42.


Ballard, K., Djaja, D., Arciuli, J., James, D., & van Doorn, J
(
2012)
Developmental trajectory for production of prosody: Lexical stress contrastivity in children 3 to 7 years and adults.
Journal of Speech, Language, and Hearing Research, 55, 1822–1835.


Baltaxe, C
(
1984)
Use of contrastive stress in normal, aphasic, and autistic children.
Journal of Speech and Hearing Research, 27, 97–105.


Baltaxe, C., & Guthrie, D
(
1987)
The use of primary sentence stress by normal, aphasic and autistic children.
Journal of Autism and Developmental Disorders, 17, 255–271.


Baltaxe, C., Simmons, J., & Zee, E
(
1984)
Intonation patterns in normal, autistic and aphasic children. In
A. Cohen &
M. van de Broecke (Eds.),
Proceedings of the 10th International Congress of Phonetic Sciences (pp. 713–718). Dordrecht: Foris.

Banai, K., Nicol, T., Zecker, S., & Kraus, N
(
2005)
Brainstem timing: Implications for cortical processing and literacy.
Journal of Neuroscience, 25, 9850–9857.


Baron-Cohen, S
(
1995)
Mindblindness: An Essay on Autism and Theory of Mind. Cambridge, MA: The MIT Press.

Bishop, D.V.M
(
1988)
Development of the Children’s Communication Checklist (CCC): A method for assessing qualitative aspects of communicative impairment in children.
Journal of Child Psychology and Psychiatry, 39, 879–891.


Chevallier, C., Noveck, I., Happe, F., & Wilson, D
(
2011)
What’s in a voice? Prosody as a test case for the Theory of Mind account of autism.
Neuropsychologia, 49, 507–517.


Cooper, N., Cutler, A., & Wales, R
(
2002)
Constraints of lexical stress on lexical access in English: Evidence from native and non-native listeners,
Language and Speech, 45, 207–28.


Crystal, D
(
2009)
Persevering with prosody.
International Journal of Speech-Language Pathology, 11, 257.


DeMeyer, M., Barton, S., DeMeyer, W., Norton, J., Allen, J., & Stelle, R
(
1973)
Prognosis in autism: A follow-up study.
Journal of Autism and Childhood Schizophrenia, 3, 199–246.


Diehl, J., & Paul, R
(
2009)
The assessment and treatment of prosodic disorders and neurological theories of prosody.
International Journal of Speech-Language Pathology, 11, 287–292.


Diehl, J., & Paul, R
(
2012)
Acoustic differences in the imitation of prosodic patterns in children with autism spectrum disorders.
Research in Autism Spectrum Disorders, 6, 123–134.


Diehl, J., Watson, D., Bennetto, L., McDonough, J., & Gunlogson, C
(
2009)
An acoustic analysis of prosody in high-functioning autism.
Applied Psycholinguistics, 30, 385–404.


Erwin, R., Van Lancker, D., Guthrie, D., Schwafel, J., Tanguay, P., & Buchwald, J.S
(
1991)
P3 responses to prosodic stimuli in adult autistic subjects.
Electroencephalography and Clinical Neurophysiology, 80, 561–571.


Fear, B., Cutler, A., & Butterfield, S
(
1995)
The strong/weak syllable distinction in English.
Journal of the Acoustical Society of America, 97, 1893–1904.


Fine, J., Bartolucci, G., Ginsberg, G., & Szatmari, P
(
1991)
The use of intonation to communicate in pervasive developmental disorders.
Journal of Child Psychology and Psychiatry, 32, 771–782.


Fosnot, S., & Jun, S
(
1999)
Prosodic characteristics in children with stuttering or autism during reading and imitation. In
Proceedings of the 14th International Congress of Phonetic Sciences
(pp. 1925–1928).
Frankel, F., Simmons, J., & Richey, E
(
1987)
Reward value of prosodic features of language for autistic, mentally retarded, and normal children.
Journal of Autism and Developmental Disorders, 17, 103–115.


Goldman, R., & Fristoe, M
(
2000)
Goldman Fristoe-2 Test of Articulation. Circle Pines, MN: American Guidance Service.

Grossman, R., Bemis, R., Plesa Skwerer, D., Tager-Flusberg, H
(
2010)
Lexical and affective prosody in children with high-functioning autism.
Journal of Speech Language and Hearing Research, 53(3), 778–793.


Henton, C
(
1989)
Fact and fiction in the description of female and male pitch.
Language and Communication, 9, 299–311.


Hubbard, K., & Traumer, D
(
2007)
Intonation and emotion in autistic spectrum disorders.
Journal of Psycholinguistic Research, 36, 159–173.


Jarvinen-Pasley, A., Peppé, S., King-Smith, G., & Heaton, P
(
2008)
The relationship between form and function level receptive prosodic abilities in autism.
Journal of Autism and Developmental Disorders, 38, 1328–1340.


Johnson, K., Nicol, T., Zecker, S., & Kraus, N
(
2007)
Auditory brainstem correlates of perceptual timing deficits.
Journal of Cognitive Neuroscience, 19, 376–385.


Jusczyk, P., Cutler, A., & Redanz, N
(
1993)
Infants’ preference for the predominant stress patterns of English words.
Child Development, 64, 657–687.


Jusczyk, P., Houston, D., & Newsome, M
(
1999)
The beginnings of word segmentation in English-learning infants.
Cognitive Psychology, 39, 159–207.


Kanner, L
(
1943)
Autistic disturbances of affective contact.
Nervous Child, 2, 217–250.

Klopfenstein, M
(
2009)
Interaction between prosody and intelligibility.
International Journal of Speech-Language Pathology, 11, 326–31.


Koike, K., & Asp, C
(
1981)
Tennesse Test of rhythm and intonation patterns.
Journal of Speech and Hearing Disorders, 46, 81–87.


Lane, H., Wozniak, J., Matthies, M., Svirsky, M., Perkell, J., O’Connell, M., & Manzella, J
(
1997)
Changes in sound pressure and fundamental frequency contours following changes in hearing status.
Journal of the Acoustical Society of America, 101, 2244–2252.


Laures, J., & Weismer, G
(
1999)
The effects of a flattened fundamental frequency on intelligibility at the sentence level.
Journal of Speech, Language, and Hearing Research, 42, 1148–1156.


Lehiste, I
(
1970)
Suprasegmentals. Cambridge, MA: The MIT Press.

Local, J. & Wootton, T
(
1996)
On being echolalic: an analysis of the interactional and phonetic aspects of an autistic’s language.
York Papers in Linguistics, 17, 119–165.

MacKay, G., & Shaw, A
(
2004)
A comparative study of figurative language in children with autism spectrum disorders.
Child Language Teaching and Therapy, 20, 13–32.


Martin, I., & McDonald, S
(
2004)
An exploration of causes of non-literal language problems in individuals with Asperger syndrome.
Journal of Autism and Developmental Disorders, 34, 311–328.


McCaleb, P., & Prizant, B
(
1985)
Encoding of new versus old information by autistic children.
Journal of Speech and Hearing Disorders, 50, 226–230.


McCann, J., & Peppé, S
(
2003)
Prosody in autism spectrum disorders: A critical review.
International Journal of Language and Communication Disorders, 38(4), 325–350.


McCann, J., Peppé, S., Gibbon, F., O’Hare, A., & Rutherford, M
(
2007)
Prosody and its relationship to language in school-aged children with high-functioning autism.
International Journal of Language and Communication Disorders, 42, 682–702.


Mehler, J., Jusczyk, P., Lambertz, G., Halsted, N., Bertoncinic, J., & Amiel-Tilson, C
(
1988)
A precursor of language acquisition in young infants.
Cognition, 29, 143–178.


Morgan, J., & Demuth, K
(
1996)
Signal to Syntax: Bootstrapping from Speech to Grammar in Early Acquisition. Mahwah, NJ: Lawrence Erlbaum Associates.

Morgan, A., & Vogel, P
(
2008)
Intervention for childhood apraxia of speech.
Cochrane Database of Systematic Reviews, 3(1): 48–66.

Paccia, J., & Curcio, F
(
1982)
Language processing and forms of immediate echolalia in autistic children.
Journal of Speech and Hearing Research, 25, 42–47.


Paul, R., Augustyn, A., Klin, A., & Volkmar, F
(
2005)
Perception and production of prosody by speakers with autism spectrum disorders.
Journal of Autism and Developmental Disorders, 35, 201–220.


Paul, R., Augustyn, A., Klin, A., Volkmar, F., & Cohen, D
(
2000)
Grammatical and pragmatic prosody perception in high-functioning autism. Paper presented at the Symposium for Research in Child Language Disorders. Madison, WI.
Paul, R., Bianchi, N., Augustyn, A., Klin, A., & Volkmar, F
(
2008)
Production of syllable stress in speakers with autism spectrum disorders.
Research in Autism Spectrum Disorders, 2, 110–124.


Paul, R., Shriberg, L., McSweeney, J., Cicchetti, D., Klin, A., & Volkmar, F
Relations between prosodic performance and communication and socialization ratings in high functioning speakers with autism spectrum disorders.
Journal of Autism and Developmental Disorders, 35(6), 861–869.

Paul, R., Fuerst, Y., Ramsay, G., Chawarska, K. & Klin, A
(
2011)
Out of the mouths of babes: Vocal production in infant siblings of children with ASD.
Journal of Child Psychology and Psychiatry, 52, 588–598.


Pell, M., Monetta, L., Paulmann, S., & Kotz, S
(
2009)
Recognizing emotions in a foreign language.
Journal of Nonverbal Behaviour, 33, 107–120.


Peppé, S
(
2009)
Why is prosody in speech-language pathology so difficult? International Journal of Speech-Language Pathology, 11, 258–271.


Peppé, S
(
2012)
Assessment of prosodic ability in atypical populations, with special reference to high-functioning autism. In
V. Stojanovik, &
J. Setter (Eds.),
Speech Prosody in Atypical Populations (pp. 25–43). Guildford, UK: J&R Press.

Peppé, S., Cleland, J., Gibbon, F., O’Hare, A., & Martinez Castilla, P
(
2011)
Expressive prosody in children with autism spectrum conditions.
Journal of Neurolinguistics, 24, 41–53.


Peppé, S., & McCann, J
(
2003)
Assessing intonation and prosody in children with atypical language development: The PEPS-C test and the revised version.
Clinical Linguistics and Phonetics, 17, 345–354.


Peppé, S., McCann, J., Gibbon, F., O’Hare, A., & Rutherford, M
(
2007)
Receptive and expressive prosodic ability in children with high-functioning autism.
Journal of Speech, Language, and Hearing Research, 50(4), 1015–1028.


Pexman, P
(
2008)
It’s fascinating research: The cognition of verbal irony.
Current Directions in Psychological Science, 17(4), 286–290.


Pexman, P., Rostad, K., McMorris, C., Climie, E., Stowkowy, J., & Glenwright, M
(
2011)
Processing of ironic language in children with high-functioning autism spectrum disorder.
Journal of Autism and Developmental Disorders, 41, 1097–1112.


Rogers, S
(
2006)
Evidence-based intervention for language development in young children with autism. In
T.C.W. Stone (Ed.),
Social and Communication Development in Autism Spectrum Disorders: Early Identification, Diagnosis, and Intervention. New York, NY: The Guilford Press.

Russo, N., Larson, C., & Kraus, N
(
2008)
Audio-vocal system regulation in children with autism spectrum disorders.
Experimental Brain Research, 188, 111–124.


Russo, N., Skoe, E., Trommer, B., Nicol, T., Zecker, S., Bradlow, A., & Kraus, N
(
2008)
Deficient brainstem encoding of pitch in children with Autism Spectrum Disorders.
Clinical Neurophysiology, 119, 1720–1731.


Rutherford, M., Baron-Cohen, S., & Wheelwright, S
(
2002)
Reading the mind in the voice: A study with normal adults and adults with Asperger syndrome and high functioning autism.
Journal of Autism and Developmental Disorders, 32, 189–194.


Samuelsson, C., Plejert, C., Nettelbladt, U., & Anward, J
(
2011)
The role of interactional prosody in language testing activities in Swedish. In
V. Stojanovik &
J. Setter (Eds.),
Speech Prosody in Atypical Populations (pp. 45–69). Guildford, UK: J&R Press.

Shriberg, L., Kwiatkowski, J., & Rasmussen, C
(
1990)
The Prosody-Voice Screening Profile. Tucson AZ: Communication Skill Builders.

Shriberg, L., Paul, R., Black, L., & Van Santen, J
(
2011)
The hypothesis of apraxia of speech in children with autism spectrum disorder.
Journal of Autism and Developmental Disorders, 41, 405–426.


Shriberg, L., Paul, R., McSweeney, J., Klin, A., Cohen, D., & Volkmar, F
(
2001)
Speech and prosody characteristics of adolescents and adults with high-functioning autism and Asperger syndrome.
Journal of Speech, Language, and Hearing Research, 44, 1097–1115.


Shriberg, L., & Widder, C
(
1990)
Speech and prosody characteristics of adults with mental retardation.
Journal of Speech and Hearing Research, 33, 627–53.


Simmons, J., & Baltaxe, C
(
1975)
Language patterns in adolescent autistics.
Journal of Autism and Childhood Schizophrenia, 5, 333–351.


Slowiaczek, L
(
1990)
Effects of lexical stress in auditory word recognition.
Language and Speech, 33, 47–68.

Schmidt, R.A., & Lee, T.D
(
2005)
Motor Control and Learning: A Behavioural Emphasis (4th ed.). Champaign, IL: Human Kinetics.

Thurber, C., & Tager-Flusberg, H
(
1993)
Pauses in the narratives produced by autistic, mentally-retarded, and normal children as an index of cognitive demand.
Journal of Autism and Developmental Disorders, 23, 309–322.


Wang, A., Lee, S., Sigman, M., Dapretto, M
(
2006)
Neural basis of irony comprehension in children with autism: the role of prosody and context.
Brain, 129, 932–943.


Van Kuijk, D. & Boves, L
(
1999)
Acoustic characteristics of lexical stress in continuous telephone speech.
Speech Communication, 27, 95–111.


Van Rees, L., Ballard, K., McCabe, P., Macdonald-D’Silva, A., & Arciuli, J
(
2012)
Training production of lexical stress in typically developing children with orthographically biased stimuli and principles of motor learning.
American Journal of Speech-Language Pathology, 21, 197–206.


Van Santen, J., Prud’Hommeaux, E., Black, L., & Mitchell, M
(
2010)
Computational prosodic markers for autism.
Autism, 14, 215–236.


Wang, A., Dapretto, M., Hariri, A., Sigman, M., & Brookheimer, S
(
2001)
Processing affective and linguistic prosody in autism: An fMRI study.
Neuroimage, 13, S621-S621.


Wetherby, A., Woods, J., Allen, L., Cleary, J., Dickinson, H., & Lord, C
(
2004)
Early indicators of autism spectrum disorders in the second year of life.
Journal of Autism and Developmental Disorders, 34, 473–493.


Whiteside, S., & Hodgson, C
(
2000)
Some acoustic characteristics in the voices of 6- to 10-year-old children and adults: A comparative sex and developmental perspective.
Logopedics Phoniatrics Vocology, 25, 122–132.


Wilson, D., & Wharton, T
(
2006)
Relevance and prosody.
Journal of Pragmatics, 38, 1559–1579.


Wingfield, A., Lombardi, L., & Sokol, S
(
1984)
Prosodic features and the intelligibility of accelerated speech: Syntactic versus prosodic segmentation.
Journal of Speech and Hearing Research, 27, 128–134.


Cited by
Cited by 1 other publications
Lochrin, Margaret, Joanne Arciuli & Mridula Sharma
2015.
Assessing the Relationship Between Prosody and Reading Outcomes in Children Using the PEPS-C.
Scientific Studies of Reading 19:1
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