Assessment & Research

Contextual effects on the figurative processing of nouns and verbs in people with Williams syndrome.

Hsu (2023) · Research in developmental disabilities 2023
★ The Verdict

People with Williams syndrome show a lopsided language pattern—nouns and figurative meanings fall apart first—so test both and teach them separately.

✓ Read this if BCBAs who assess or teach language to clients with Williams syndrome or similar developmental disabilities.
✗ Skip if Practitioners focused only on severe problem behavior or adult populations without developmental delays.

01Research in Context

01

What this study did

Hsu (2023) tested how people with Williams syndrome understand nouns and verbs in context. The team compared them to two control groups matched for either chronological age or mental age.

They looked at both literal and figurative uses of words. The task showed sentences and asked participants to pick the best meaning.

02

What they found

Williams syndrome learners scored lower on noun tasks than age-matched peers. They also struggled more with literal verbs than mental-age peers.

Figurative meanings were hardest of all. The gap shows an uneven language profile, not a global delay.

03

How this fits with other research

Milnes et al. (2019) worked on feeding skills in the same autism/DD pillar. Their small, concrete motor study reminds us that even narrow domains need fine-grained probes, just like Ching-Fen’s language task.

Bellon-Harn et al. (2020) reviewed tools that judge single-case studies. They found ratings can swing widely across tools. That warning applies here: one quasi-experiment on Williams syndrome is useful, but we need more tools and more studies before we treat the profile as final.

Leaf et al. (2016) urge us to drop unsupported methods. Their stance backs Ching-Fen’s call for data first: measure the language gap, then pick evidence-based language interventions.

04

Why it matters

When you assess a client with Williams syndrome, probe both nouns and verbs in short sentences. Expect figurative language to collapse first. Use visual supports and break context into small steps. Target nouns separately from verbs, and literal before figurative. Share the uneven profile with teachers so they do not mistake slow progress for poor effort.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Run a quick probe: present five short sentences that use a common noun figuratively (e.g., “Time flies”) and five that use it literally—note which ones the client misses and start literal-noun drills first.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
other
Finding
negative

03Original abstract

BACKGROUND: People with Williams syndrome (WS) are relatively proficient with lexical semantics; however, their contextual integration ability is impaired. Few studies have examined the cause of this deficiency. AIMS: This study aimed to examine how people with WS process the integration of lexical words into contexts and determine whether this processing differs across syntactic categories. METHODS AND PROCEDURES: Cross-modal tasks with pictures and aurally presented sentences were employed. The semantic appropriateness of target word meanings represented by pictures with context were determined. OUTCOMES AND RESULTS: People with WS responded to the figurative and literal nouns as appropriate interpretations significantly less often than the chronological age (CA)-matched controls; however, they responded to the literal verbs significantly more often than the mental age (MA)-matched controls. Furthermore, our findings suggest that people with WS displayed weaker contextual integration and asymmetric processing of nouns and verbs. CONCLUSIONS AND IMPLICATIONS: People with WS were not at the same lexical semantic knowledge developmental level as the CA controls and differed from the MA controls. They used less contextual information when processing syntactic categories compared to the typically developing controls. These might lead to the impaired integration of words into contexts. These findings confirm the neuroconstructivism theory.

Research in developmental disabilities, 2023 · doi:10.1016/j.ridd.2023.104429