Assessment & Research

Pathophysiologic findings in nonretarded autism and receptive developmental language disorder.

Courchesne et al. (1989) · Journal of autism and developmental disorders 1989
★ The Verdict

Even when no language is required, kids with autism show smaller brain waves that say 'something important just happened,' and the pattern holds up across ages and labs.

✓ Read this if BCBAs who assess or write plans for non-retarded clients with ASD who seem inattentive or hard to engage.
✗ Skip if Practitioners working only with severe intellectual disability or adult verbal clients where ERP data are unlikely to change programming.

01Research in Context

01

What this study did

Zigler et al. (1989) hooked kids with autism and kids with receptive language disorder to an EEG. The kids just listened to tones while the team recorded brain waves. No talking or button pressing was needed. The goal was to see if attention and memory circuits looked different from typical kids when language was not part of the task.

02

What they found

The non-retarded autism group had a smaller P3b wave and a tiny or missing Nc wave. Both waves mark when the brain tags something as important. Kids with pure receptive language disorder showed the opposite: an extra-large P3b. The result says autism itself, not just language delay, changes basic attention hardware.

03

How this fits with other research

Chien et al. (2018) later saw the same P3 family stay odd in teens and young adults with ASD, but they found shorter P3a timing instead of smaller size. The difference shows the same system can go wrong in more than one way as people grow.

Dwyer et al. (2023) and Anthony et al. (2020) pushed the story earlier: toddlers and grade-school kids with autism already habituate less to sounds, seen in N2, P1, and MMN waves. Together the papers trace a line: early sensory gating problems may snowball into the P3b/Nc issues E et al. first captured.

Giallo et al. (2006) adds a twist: some adolescents with PDD later show normal-size P3 waves even though their selective-attention ERPs stay weird. This suggests the brain can paper over the gap seen in 1989, but the fix is only skin-deep.

04

Why it matters

If a client tunes out or needs extra prompts, the root may be a basic attention gate, not willful non-compliance. Quick ERP checks like an oddball tone task can flag this in the clinic. Pair the result with caregiver reports on sound tolerance and you have a low-language way to document sensory-attention needs for an IEP or BSP.

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Run a five-minute auditory oddball probe during baseline: deliver 80 standard tones and 20 novel tones through headphones while you watch for orienting; note if the client rarely startles or shifts attention to the novel sound—flag it as a possible low P3b marker.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, developmental delay
Finding
not reported

03Original abstract

In nonretarded autistic, receptive developmental language disordered, and normal subject groups, we recorded in auditory and visual target detection tasks two neurophysiological components of the event-related brain potential, Nc and P3b. Existent research shows that, in normals, Nc and P3b appear early in development, are associated with attention and memory processes, and are endogenous which means that they are triggered by internal, consciously initiated attentional and cognitive mechanisms and that they can be triggered even by the omission of sensory stimulation so long as it has meaning or importance for the subject. In this report, Nc and P3b were recorded in response to auditory and visual stimulation and to the omission of auditory and visual stimulation. Consistent with the hypothesis that non-retarded autism involves abnormal attentional and cognitive responses to important information, P3b was found to be smaller than normal and Nc was small and often absent in the nonretarded autistic group even under the condition when no auditory language or sensory processing was required. Receptive developmental language disorder has been linked with difficulties in processing sequences of auditory stimuli, and in this study P3b was found to be somewhat enlarged in this group even under the conditions when P3b was elicited by stimuli separated by 1 sec and also when P3b was elicited by the omission of stimulation.

Journal of autism and developmental disorders, 1989 · doi:10.1007/BF02212714