Some persons with autism have persistent problems with communication. The latest Diagnostic & Statistical Manual of Mental Disorders (DSM-5) considers these persons to require substantial support; or, depending on the severity of the communication problem, a Level 3 – requiring very substantial support. This DSM-5 diagnosis allows clinicians to refer patients for diagnosis, support, and necessary services.
< My Thoughts > “…communication.”
Communication must be continually addressed throughout the life the autistic person. Communication is the link, the connection to one’s world.
When the newborn baby cries out its probably to satisfy a ‘sensory’ need – I’m hungry, I’m hot/cold, I’m wet, I’m uncomfortable! These desperate cries are primal sounds made in hopes of getting a comforting response from whomever is within earshot.
If a child’s needs are not easily met, in the only way in which s/he is capable of communicating, then it’s possible that the ‘primal screaming’ infant will reemerge. Know that, s/he is not trying to ‘give’ you a bad time – s/he is ‘having’ a bad time!
Know too, that throughout childhood, kiddos hear and understand ‘receptive’ language much, much more than we think that they do. They know the tone of what you are saying, and eventually, know what your words mean, long before they can make the words to respond. From the very beginning, they also ‘pick up’ on your attitude and feelings. Studies show that sensitive children see how people really feel through the ‘auras’ and ‘energy field’, or changing colors which surround that person.
CDC Staff Writer (2024) cautions that autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain. Some people with ASD may have advanced conversation skills whereas others may be nonverbal. Some people with ASD need a lot of help in their daily lives; others can work and live with little to no support.
Rudy, L. J. (2024) relates that despite the prevalence of autistic people who don't speak, the term "nonverbal autism" has no official status as a diagnosis. In part, that's because there is no clear line between verbal and nonverbal autistic people.
Some people with nonverbal autism do develop the ability to use a few words in a meaningful manner but are unable to carry on any kind of significant conversation. For example, they may say "car" to mean "let's go for a ride." Yet they would not be able to answer the question, "Where should we go?" to communicate their wants and needs.
< My Thoughts > “…communicate their wants and needs…”
Having a non-verbal autistic child, as Sonny is, puts an extra strain on our communication. Early on, we learned to ask him, “Show me what you want.” Of course, this exacerbated his tendency to drag us to what he wanted, or to where he wanted us to go. Eventually, before we all became too frustrated, we taught him and he began using ‘baby signing’. Then, he learned to use his low technology ‘Cheap Talk’ communication device to summon us. We also have a similar small push-button device which we take with us in the car.
Hoecker, J. (2018) has information that limited research suggests that ‘baby sign language’ might give a child a way to ease communication frustrations between 8 months and 2 years. During those years, children begin to know what they want but don’t always have the verbal skills to express themselves. There are many ideas when you are searching on your own for sources about teaching ‘baby sign language’. Hoecker has ways that you may learn ‘baby signing’, on YouTube videos, in eBooks, to give you a start. Trying them, may surprise you. But he cautions that the first sign language attempts by your child will look like loose gestures, not the real signs.
Sonny often improvises; for instance, the sign for ‘more’ is to gesture with both hands, putting fingertips together several times. Sonny’s interpretation at first was to clap his hands together, because clapping was what he already knew how to do. And eventually, he was able to better approximate the sign for ‘more’, but he still claps his hands first, or slaps his thigh to alert us that he is signing something.
Sonny also claps his hands loudly if he can’t remember a sign, or if I’m ‘not getting the sign, he will improvise something. If he forgets the sign for ‘hurry’ he will frantically give the sign for ‘more’ – as in ‘more faster’ I guess.
Another method of communication for Sonny are his interactive children’s board books. Some of his favorites are – Sesame Street Elmo’s Play-a-Sound Pop-Up Song Book, Mickey Mouse Play-a-Song with Piano Keys, Nickelodeon Dora and Diego Interactive Sound Books. All of these are board books and take a lot of use and abuse, but have phrases or songs he likes to help him communicate.
The Mickey Mouse book has a button which when pushed says – “Oh Boy! Come on! Let’s GO!” He has this in the kitchen, to use when I’m not filling his cup fast enough. Then he laughs. Yes, he has quite a sense of humor, ‘profound’ autism and all. Sonny’s MA (mental age) is between that of a 2 of 3-year-old; but that doesn’t mean that he isn’t smart, intuitive, and creative when it serves him well. So, if he can do this kind of improvisation, your child should be a whiz!
Caveat to teaching a baby/child to sign – when signing receives such a quick response, why learn or try to speak. Although ‘speaking’ is a early human need, Sonny’s primary mantra is “What’s in it for me?” Why should he make an effort to vocalize, when signing is quicker and easier.
But in Sonny’s case, according to his neurologist, the parts of the brain which allow for language have never formed or developed. He can utter sounds and laugh spontaneously, when moved by something he hears, sees, or feels. He doesn’t cry, even when having a tantrum or meltdown.
Autism is so ‘beyond’ complex, because each person presents autism symptoms and behaviors differently. And these also may be ever changing, from mild to extreme. You may see these symptoms and behaviors once, but never again. They may be persistent throughout one’s lifetime. Constantly transforming; or, somewhere in between.
WebMD Contributor (2020) considers that a speech therapist delivering an individualized treatment is crucial. An experienced speech therapist, working closely with a team of child psychologists and others can provide the communication and behavior supports the child needs. This would be the most desirable situation for everyone.
Speech therapy techniques may include – (My Thoughts)
- Using electronic ‘talkers’
- Signing or typing devices
- Pointing to picture boards
- Implementing picture exchange communication systems (PECS)
- Gaining tolerance for sounds with which person has sensory issues
- Improving articulation by massage or therapy techniques
- Singing songs with individuals to improve speech and reduce stress
< My Thoughts > “…techniques may include…”
Above are just some of the techniques of a Speech-Language Pathologist (SLP). All children seem to learn best when they are having fun or gaining something pleasurable from the experience. A certified SLP will diagnose, develop, and plan an intervention; as well as do constant follow-up to adjust techniques to your individual child.
Parents often ask – why a Speech-Language Pathologist (SLP) when my child is nonverbal? My answer is – because of all the hopeful possibilities for bringing your special person into a world where he/she can communicate and connect with you. Because, chances are you will find them moving closer to you; instead of moving away from you.
References:
CDC Staff Writer (2024). Autism Spectrum Disorder; Centers for Disease Control & Prevention. Retrieved online from: https://www.cdc.gov/autism/about/index.html
Hoecker, J. (2018). Is Baby Sign Language Worthwhile?; Retrieved online from – Mayo Clinic.org/
Rudy, L.J. (2024). Understaanding Nonverbal Autism; Very Well Health. Retrieved online from https://www.verywellhealth.com/what-is-nonverbal-autism-260032.
WebMD Contributor (2020). Benefits of Speech Therapy for Autism; Retrieved online from – www.webmd.com/brain/autism/benefits-speech-therapy-autism/
Note: For further information on 'non-verbal', ‘echolalia’, and other 'stereotypical' communication by children and adults with autism; please find my Free ASD Book: Know Autism, Know Your Child with < My Thoughts > by Sara Luker. Found on website MENU. Read Free online. Please see under UNIT 3 What Is Most Concerning?; prioritizing concerns. CHAPTER 2 – SPEECH & LANGUAGE COMMUNICATION (Including non-verbal, echolalia, & assisted alternative speech).
Kindly share my website, globally. My goal is to reach all parents, caregivers, clinicians, therapists, educators, students, and persons with autism.
Regards,
Sara Luker