Autism & Developmental

Narrative discourse in adults with high-functioning autism or Asperger syndrome.

Colle et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

High-functioning adults with autism leave out small but vital glue words when they tell stories.

✓ Read this if BCBAs working on pragmatic language with verbal adults or teens on the spectrum.
✗ Skip if Clinicians focused only on early childhood or non-speaking learners.

01Research in Context

01

What this study did

Livia and colleagues asked adults with high-functioning autism or Asperger syndrome to tell personal stories. They compared the stories to those told by adults without autism.

The team counted tiny language tools: personal pronouns, time words, and words that point back to earlier ideas. These tools glue a story together.

02

What they found

Adults with autism used fewer of these glue words. Their stories had less 'I,' 'you,' 'before,' and 'this.'

The difference was small but clear. It showed a subtle pragmatic gap even in adults who speak well.

03

How this fits with other research

King et al. (2014) saw the same gap in children. Their fictional stories were shorter and held together with fewer cause-and-effect links. The adult data now show the gap lasts into adulthood.

Dindar et al. (2023) looked at adults again but found a new twist. Autistic storytellers packed in extra details instead of leaving glue words out. The two findings seem opposite, yet both show stories that drift from the typical 'gist.' One drops glue, the other adds weight; either way the bridge to the listener weakens.

Greco et al. (2023) link child story repairs to poor inhibition. Weak self-control may feed both the missing glue words seen here and the detail overload seen by Katja.

04

Why it matters

If an adult client leaves out pronouns or time markers, do not assume intent. The glue words may need direct teaching. Model them, prompt them, and reinforce their use. A simple visual cue like a 'who' or 'when' card can remind the speaker to add the missing piece. Over time, stronger glue can make personal stories clearer to friends, coworkers, and supervisors.

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Place a printed 'I/you' and 'before/after' cue card on the table and prompt their use during personal story practice.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
24
Population
autism spectrum disorder
Finding
negative
Magnitude
small

03Original abstract

We report a study comparing the narrative abilities of 12 adults with high-functioning autism (HFA) or Asperger Syndrome (AS) versus 12 matched controls. The study focuses on the use of referential expressions (temporal expressions and anaphoric pronouns) during a story-telling task. The aim was to assess pragmatics skills in people with HFA/AS in whom linguistic impairments are more subtle than in classic autism. We predicted no significant differences in general narrative abilities between the two groups, but specific pragmatic deficits in people with AS. We predicted they use fewer personal pronouns, temporal expressions and referential expressions, which require theory of mind abilities. Results confirmed both predictions. These findings provide initial evidence of how social impairments can produce mild linguistic impairments.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0357-5