Differential profiles of four groups of children referred to an autism diagnostic service in Belgium: Autism-specific hallmarks.

OBJECTIVE:: This article aims at exploring distinctive hallmarks of autistic disorders compared to other groups presenting mimicking and/or overlapping conditions. METHOD:: The exploratory study involved 196 children with autism, intellectual disability, language impairment and psycho-affective disorders previously referred to an autism diagnostic service. The autism discriminative tool (ADT), a behavioural checklist, was used to compile and analyse the children's profiles based on the clinical information gathered during diagnostic assessments. All samples were compared and analysed separately according to the checklist's four domains. RESULTS:: Children with autism showed greater frequency and severity of impairments on the ADT's social and communication categories. These children also differed from other groups in terms of specific rigid behaviours and high frequency of atypical sensory responses. CONCLUSIONS:: Results illustrate the psychopathology of autism spectrum disorder suspected children referred to a specialized autism diagnostic service, doing so by providing us with specific clinical profiles.

Children with Autism Understand Indirect Speech Acts: Evidence from a Semi-Structured Act-Out Task.

Children with Autism Spectrum Disorder are often said to present a global pragmatic impairment. However, there is some observational evidence that context-based comprehension of indirect requests may be preserved in autism. In order to provide experimental confirmation to this hypothesis, indirect speech act comprehension was tested in a group of 15 children with autism between 7 and 12 years and a group of 20 typically developing children between 2:7 and 3:6 years. The aim of the study was to determine whether children with autism can display genuinely contextual understanding of indirect requests. The experiment consisted of a three-pronged semi-structured task involving Mr Potato Head. In the first phase a declarative sentence was uttered by one adult as an instruction to put a garment on a Mr Potato Head toy; in the second the same sentence was uttered as a comment on a picture by another speaker; in the third phase the same sentence was uttered as a comment on a picture by the first speaker. Children with autism complied with the indirect request in the first phase and demonstrated the capacity to inhibit the directive interpretation in phases 2 and 3. TD children had some difficulty in understanding the indirect instruction in phase 1. These results call for a more nuanced view of pragmatic dysfunction in autism.

Preschoolers' motor and verbal self-control strategies during a resistance-to-temptation task.

Although prior research has shown that young children exhibit enhanced self-control when they use verbal strategies provided through adult instructions, little work has examined the role of children's spontaneous verbalizations or motor behavior as strategies for enhancing self-control. The present study examined the usefulness of spontaneous verbal and motor strategies for 39 3- and 4-year-old children's ability to exercise self-control during a resistance-to-temptation task. After a 2-min play period, participants were asked by an experimenter not to touch an attractive train set while he was out of the room. Children were videotaped during the 3-min waiting period and videos were coded for frequency and duration of touches, motor movements, and verbalizations. Results indicated that self-control was improved by using both motor and verbal strategies. Children who were unable to resist touching the forbidden toy used limited motor or verbal strategies. These findings add to the growing literature demonstrating the positive role of verbalizations on cognitive control and draw attention to motor behaviors as additional strategies used by young children to exercise self-control.