Assessment & Research

Brief report: Predicting inner speech use amongst children with autism spectrum disorder (ASD): the roles of verbal ability and cognitive profile.

Williams et al. (2010) · Journal of autism and developmental disorders 2010
★ The Verdict

Focus on the child’s best verbal score, not the verbal-nonverbal gap, to judge who will use inner speech.

✓ Read this if BCBAs who assess language or plan self-management programs for kids with ASD.
✗ Skip if Clinicians working only with non-verbal adults or severe ID populations.

01Research in Context

01

What this study did

The team looked back at old test scores from the kids with autism.

They wanted to know what best predicts who uses inner speech.

They checked verbal IQ, non-verbal IQ, and the gap between them.

02

What they found

Only the child’s raw verbal ability mattered.

The size of the verbal-nonverbal gap added no extra clue.

Kids with higher verbal scores used inner speech more, period.

03

How this fits with other research

Coolican et al. (2008) and Fyfe et al. (2007) first showed the classic pattern: kids with ASD often score higher on non-verbal than verbal tests.

Busch et al. (2010) now say that pattern is a red herring; ignore the gap and look only at the verbal score.

Reichard et al. (2019) and Seiverling et al. (2018) back this up. They tracked language growth and found absolute verbal level, not any profile shape, predicts later skills.

Together, these studies move the field from ‘look at the split’ to ‘look at the verbal score alone.’

04

Why it matters

When you test a child with ASD, skip the IQ-gap story. Just note their strongest verbal score. That single number tells you who is likely to use self-talk to solve problems, plan tasks, or follow rules.

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Pull the child’s most recent verbal IQ or language standard score and use it to decide if you should teach overt or covert self-instructions.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Studies of inner speech use in ASD have produced conflicting results. Lidstone et al., J Autism Dev Disord (2009) hypothesised that Cognitive Profile (i.e., discrepancy between non-verbal and verbal abilities) is a predictor of inner speech use amongst children with ASD. They suggested other, contradictory results might be explained in terms of the different composition of ASD samples (in terms of Cognitive Profile) in each study. To test this, we conducted a new analysis of Williams et al.'s, J Child Psychol Psychiatry 48(1): 51-58 (2008) data on inner speech use in ASD. This revealed verbal ability predicted inner speech use on a short-term memory task over and above Cognitive Profile, but not vice versa. This suggests multiple factors determine whether children with ASD employ verbal mediation.

Journal of autism and developmental disorders, 2010 · doi:10.1007/s10803-010-0936-8