Autism & Developmental

Functional echolalia in autism speech: Verbal formulae and repeated prior utterances as communicative and cognitive strategies.

Xie et al. (2023) · Frontiers in Psychology 2023
★ The Verdict

Echolalia is a tool, not trash—preschoolers use it to name, describe, and stay in the chat.

✓ Read this if BCBAs working with echolalic preschoolers in clinic or classroom.
✗ Skip if Teams serving only fluent speakers or adults with long echo chains.

01Research in Context

01

What this study did

Xie et al. (2023) watched eight autistic preschoolers during free play and snack. They wrote down every echoed phrase and asked what the child was doing right after.

The team looked for times the echo helped the child name, describe, or keep a topic alive. They called these 'functional' echoes.

02

What they found

Every child used echolalia on purpose. They echoed to label toys, tell what they wanted, or push the talk forward.

Echoes were not random noise; they worked like stepping-stones until the kids had new words ready.

03

How this fits with other research

Wearden (1983) and Hanley et al. (1997) already showed that letting a child echo the label right before choosing the item speeds up receptive naming. Xie’s team widens the view: the same echo can also start a comment or a request.

Bachman et al. (1988) saw echolalia drop as language grew. Xie agrees, but adds the drop happens because the child now has other tools; the echoes were useful all along.

Delamater et al. (1986) looks like a clash. They stamped out echolalia in an adult and cheered when it left. Xie flips the script: don’t kill it, mine it for communication. The fight is only on paper—J worked with an adult who echoed wrong answers; Xie watched preschoolers who echoed to talk. Age and goal differ, so both can be true.

04

Why it matters

When you hear an echo, don’t rush to ‘extinguish.’ Wait, watch, and respond as if the child just spoke. Echo back with one new word to model expansion. This simple turn-taking respects the child’s bridge and gives the next plank.

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When a child echoes, treat it as a turn: answer, add one new word, and wait.

02At a glance

Intervention
not applicable
Design
case series
Sample size
8
Population
autism spectrum disorder
Finding
positive

03Original abstract

Echolalia, the echoing of prior speech, is a typical characteristic of autism. Long considered meaningless repetition to be avoided, echolalia may in fact be used functionally in autism. This paper explores the functions of echolalia by children with autism. Based on two prior studies, we designed an elicitation task involving images of 12 professions (teacher) and 12 objects (birthday cake) commonly associated with given conventionalized expressions in Mandarin (e.g., “sheng ri kuai le!” ‘Happy birthday!’). Eight Chinese children with autism (mean age: 55.50 ± 8.64) were asked to name and describe these images. All our participants produced a relatively high proportion of echolalia, mostly for naming, description, and topic development, a small percentage being used as conversation maintenance strategy or as cognitive strategy. This indicates that echolalia is often used communicatively in autism speech.

Frontiers in Psychology, 2023 · doi:10.3389/fpsyg.2023.1010615