Brief report: Conveying subjective experience in conversation: production of mental state terms and personal narratives in individuals with high functioning autism.
Even highly verbal clients with autism may narrate personal experiences infrequently—target storytelling, not just mental-state vocabulary.
01Research in Context
What this study did
Bang et al. (2013) compared high-functioning autistic youth to language-matched peers. They recorded everyday conversations and counted personal stories and mental-state words like "think," "feel," and "want."
The team wanted to see if verbal teens with autism share inner life as often as peers do.
What they found
Autistic teens told fewer personal stories. When they did tell one, they used mental-state words less often.
Even with strong vocabulary scores, the gap stayed. Language skill alone did not fix the difference.
How this fits with other research
Tavassoli et al. (2012) found the same pattern in memory stories. Together, the two studies show the deficit holds in both memory talk and live chat.
Wehman et al. (1989) showed autistic teens also score lower on emotion-word comprehension. The new finding extends that gap into real conversation.
Taub et al. (1994) review notes that autistic people rarely self-report mood. The low use of mental-state terms in Janet’s data lines up with that clinical picture.
Why it matters
If a client can label feelings on a card but stays quiet about his own day, do not assume mastery. Build storytelling into goals: start with photo cues, model "I thought... I felt...," and reinforce each personal sentence. More stories now can lead to better friendships later.
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Open session with a photo from the client’s phone and prompt, "Tell me what you thought and felt right then."
02At a glance
03Original abstract
Mental state terms and personal narratives are conversational devices used to communicate subjective experience in conversation. Pre-adolescents with high-functioning autism (HFA, n = 20) were compared with language-matched typically-developing peers (TYP, n = 17) on production of mental state terms (i.e., perception, physiology, desire, emotion, cognition) and personal narratives (sequenced retelling of life events) during short conversations. HFA and TYP participants did not differ in global use of mental state terms, nor did they exhibit reduced production of cognitive terms in particular. Participants with HFA produced significantly fewer personal narratives. They also produced a smaller proportion of their mental state terms during personal narratives. These findings underscore the importance of assessing and developing qualitative aspects of conversation in highly verbal individuals with autism.
Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1716-4