Practitioner Development

Understanding the Linguistic Needs of Diverse Individuals with Autism Spectrum Disorder: Some Comments on the Research Literature and Suggestions for Clinicians.

Lim et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Drop the "one-language rule"—evidence shows bilingual support helps, not hurts, kids with autism.

✓ Read this if BCBAs who assess or treat bilingual children with autism in any setting.
✗ Skip if Monolingual caseload BCBAs with no heritage-language families.

01Research in Context

01

What this study did

Lim et al. (2018) wrote a short article for clinicians. They read every paper they could find on bilingual kids with autism. Then they told us what the pile of studies really says.

They did not run a new experiment. They simply looked at past work and spelled out what it means for day-to-day practice.

02

What they found

The old advice "drop one language" has no science behind it. Kids with autism can learn two languages without hurting their English.

Clinicians should test each child in both languages and plan goals that fit that child, not the language they hear at school.

03

How this fits with other research

Cappadocia et al. (2012) and Griffith et al. (2012) got the same result years earlier: bilingual preschoolers with autism kept pace with monolingual peers on every language score.

Lim et al. (2018) went further. They showed that when you give play instructions in the child’s heritage language, play skills jump up and problem behavior drops.

Banerjee et al. (2022) proved you must teach mands in both languages. Single-language FCT failed; bilingual FCT plus repair steps worked.

Kim et al. (2024) looked at the whole US system and found schools and clinics still push English-only even though all these studies say bilingual support is safe and often better.

04

Why it matters

Stop telling families to speak only English. Check both languages in your assessment and write goals that use the words the family really says at home. If you run FCT or play sessions, switch to the heritage language when you see the child light up. You will get more language, less problem behavior, and parents who trust you.

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→ Action — try this Monday

Add a heritage-language probe to your next assessment and note which language the child uses to mand.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The practice of advising bilingual parents of children with autism spectrum disorder (ASD) to speak in a single language, often the majority language of the region, with their child with ASD seems to be common. Such advice, however, is not grounded on empirical evidence but appears to be based more on logical arguments and assumptions. In this commentary, fears surrounding dual language exposure and empirical evidence supporting bilingualism in children with ASD are discussed. Suggestions for future research and three key steps that clinicians can consider taking to better address the needs of diverse learners are provided.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-018-3532-y