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Autism Spectrum Disorder

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Handbook of Pragmatic Language Disorders

Abstract

Autism is a complex neurodevelopmental spectrum condition which is characterised by many kinds of pragmatic communication features. The features vary individually, but usually include difficulties in understanding indirect and ambiguous utterances, and deficits in nonverbal communication and discourse skills. Many persons on the autism spectrum also have other neuropsychological weaknesses (e.g. working memory) and comorbid disorders (e.g. ADHD) that may also affect their pragmatic communication skills. To gain a proper picture of the pragmatic communication skills of a child on the autism spectrum, an assessment should take place by combining information from a structural assessment, a parental report or an interview, and observation of the child in a natural context. For the best possible prognosis, intervention should start as early as possible, using evidence-based methods or practices for social communication. Currently, pragmatic communication research is mostly focused on autistic individuals with average or above average intelligence and so more research on the severe end of the spectrum is needed.

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Acknowledgements

Many thanks are due to Oulu Autism Research Group who have explored the nature of the autism spectrum together with me. Especially, I want to thank Leena Mäkinen, Tuula Hurtig, Aija Kotila, Katja Dindar, Anneli Yliherva, Ilaria Gabbatore, Marja-Leena Mattila, Katja Jussila, Veera Pirinen, Irma Moilanen, Hanna Ebeling, and Eeva Leinonen for various interesting discussions within the area of this chapter. I also thank the Academy of Finland and Eudaimonia Institute at the University of Oulu for their financial support.

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Loukusa, S. (2021). Autism Spectrum Disorder. In: Cummings, L. (eds) Handbook of Pragmatic Language Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-74985-9_3

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