Autism & Developmental

The Use of Sign Language Pronouns by Native-Signing Children with Autism.

Shield et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Even transparent sign pronouns are avoided by native-signing children with ASD, so don't assume visual clarity guarantees usage—assess individual language level first.

✓ Read this if BCBAs assessing or teaching language to signing or non-speaking children with autism
✗ Skip if BCBAs working only with highly verbal, conversational clients

01Research in Context

01

What this study did

Shield et al. (2015) watched native-signing children with autism use sign language. They looked for simple pointing signs that work like pronouns in ASL.

The team filmed kids telling stories and chatting. They counted how often each child used these pointing signs versus names.

02

What they found

Most kids skipped the pointing signs. They used names over and over, even when the signs would be faster and clearer.

Only children who already knew lots of sign language used the pointing pronouns. Visual clarity was not enough.

03

How this fits with other research

Shield et al. (2016) later tested the same group on wider language and social tasks. The kids still lagged behind deaf peers without autism, showing early sign exposure alone does not erase autism traits.

Mazzaggio et al. (2020) saw the same pronoun avoidance in Italian-speaking children with autism. The problem is not about sound or sign; it crosses languages.

Morgenstern et al. (2019) got opposite results: one child with autism learned pronouns quickly with short, structured teaching trials. The difference is instruction. Without teaching, kids avoid pronouns. With clear lessons, they can learn.

04

Why it matters

Do not assume a child will pick up pronouns just because the signs or words seem obvious. Check the child's language level first, then plan lessons if needed. A quick pronoun probe during intake can save months of guesswork.

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Run a five-minute sample: ask the child to retell a short cartoon and tally pronouns versus names.

02At a glance

Intervention
not applicable
Design
case series
Population
autism spectrum disorder
Finding
negative

03Original abstract

We report the first study on pronoun use by an under-studied research population, children with autism spectrum disorder (ASD) exposed to American Sign Language from birth by their deaf parents. Personal pronouns cause difficulties for hearing children with ASD, who sometimes reverse or avoid them. Unlike speech pronouns, sign pronouns are indexical points to self and other. Despite this transparency, we find evidence from an elicitation task and parental report that signing children with ASD avoid sign pronouns in favor of names. An analysis of spontaneous usage showed that all children demonstrated the ability to point, but only children with better-developed sign language produced pronouns. Differences in language abilities and self-representation may explain these phenomena in sign and speech.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2377-x