Narratives of Girls and Boys with Autism Spectrum Disorders: Gender Differences in Narrative Competence and Internal State Language.
Girls with autism talk about thoughts and feelings more than boys with autism during stories, so don’t let richer language fool you into dropping pragmatic goals.
01Research in Context
What this study did
The team asked the kids to tell a story from a wordless picture book. Half had autism; half were typically developing. Girls and boys were evenly split in each group.
They counted how well kids built the plot and how often they used feeling words like "happy," "scared," or "thought."
What they found
Girls with autism used more internal-state words than boys with autism. Both autism groups used fewer feeling words than typical kids.
Story structure scores were the same across all groups.
How this fits with other research
Crawford et al. (2015) saw no gender gap in social play or requests among toddlers with autism. Christina’s 2016 data now show a gap appears later, inside story-telling.
Baixauli et al. (2016) pooled 24 studies and found autistic kids tell weaker stories overall. Christina’s single study fits that big picture, but adds: look for girls to hide social gaps behind richer feeling words.
Llanes et al. (2020) later showed the same weakness holds when kids write personal stories. Together, the three papers say narrative tasks—oral or written—will expose autism-related gaps, with girls slightly ahead on feeling language.
Why it matters
When you run an autism evaluation, add a short story re-tell. Score two things: plot structure and feeling words. A girl who builds the plot fine but still uses few feeling words may need pragmatic goals even if her autism looks "mild." A boy with sparse feeling language is showing the expected profile—target both narrative and emotion vocabulary in intervention.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Pull a wordless picture book, tape a 2-minute story re-tell, and count feeling words—compare girls and boys on your caseload.
02At a glance
03Original abstract
Since gender differences in the symptomatology of autism spectrum disorder (ASD) are not well understood, the current study examines the communicative skills of males and females with ASD. Narrative competence and internal state language (ISL) was investigated using narrations elicited by a wordless picture book. 11 girls and 11 boys with ASD and 11 typically developing girls were individually matched. Although results demonstrate largely comparable narrative skills across groups, the groups differed with respect to the size and use of ISL: Girls with ASD verbalized and motivated internal states more often than boys, and both groups with ASD fell behind typically developing children in production of affective words. Implications for the clinical presentation of males and females with ASD are discussed.
Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-015-2620-5