Children with autism spectrum disorder (ASD) have significant delays in early language acquisition (Charman et al.
2003; Ellis Weismer et al.
2011; Mitchell et al.
2006), but unlike late talking children, these language delays are accompanied by restricted interests, repetitive behaviors and a social communication deficit (American Psychiatric Association
2013). Might the language delay and the core deficits of ASD be related? This question highlights one of the central theoretical controversies within the ASD literature. That is, are the language delays associated with ASD merely adjustments along a continuum of development, where differences are primarily quantitative and along a single dimension (
the dimensional account)? Or are the delays associated with ASD the result of a categorical difference in the way children with ASD learn language, giving rise to distinct language profiles that are not simply delayed versions of typical development (
the categorical account)? Similarly, are the language profiles of children with ASD similar to late talking toddlers, or do they represent a unique profile unto themselves?
Although the current diagnostic criteria for ASD does not include lexical or grammatical language deficits (American Psychiatric Association
2013), receptive and expressive language delays have been found to differentiate children who will and will not go on to receive a diagnosis of ASD at ages as young as 12 months (Lazenby et al.
2016). Given this, previous research has examined the relation between various language domains and the language deficits in children with ASD (for an excellent review, see Eigsti et al.
2011). Though previous work has looked at early developmental patterns of the lexicon among children with ASD (Charman et al.
2003; Luyster et al.
2007; Rescorla and Safyer
2013; Ellis Weismer et al.
2011), the evidence needed to resolve the dimensional versus categorical account has been insufficient. The current study aims to address this problem by conducting an in-depth examination of the lexical composition of a large sample of children with ASD and to directly compare this with a large sample of children with typical language development as well as late talkers. Before we go on to describe our approach, we first describe the research supporting the dimensional and categorical accounts, lexical development in children with ASD and late talkers, and finally the putative role of social information in lexical development among children with ASD.
The Dimensional and the Categorical Account of Language Development
In the dimensional account of language development (Gernsbacher et al.
2005; Rescorla
2009), children are placed along a continuum of language abilities, ranging from those with the poorest language skills to those with advanced language skills. Hence, the differences between a late talker and a typical talker are framed as being only quantitative (i.e., differences in the number of words produced), not qualitative (i.e., the type of words they produce). This account also implies that when late talkers and typical talkers are matched by language abilities (i.e., same number of words) the composition of their lexicons should remain similar. In contrast to the dimensional account, the categorical perspective of language development suggests that groups with language impairments demonstrate defining features of language development that do not align with characteristics of typical language development (Dollaghan
2004). In order to provide evidence for the categorical account, the identification of qualitative differences in the lexical profiles is useful because it can indicate the existence of potential atypical learning mechanisms. In this way, confirmation of lexical differences serves as a guidance for future investigations of cognitive processes, providing further insight into potential categorical differences.
To date, many studies have provided evidence suggesting that children with language delay and typically developing children show similarities in their patterns of language development (e.g., Ellis Weismer
2007; Rescorla
2009). The same has been proposed for children with ASD with regards to the proportion of syntactic and semantic classes (Charman et al.
2003; Luyster et al.
2007; Rescorla and Safyer
2013; Ellis Weismer et al.
2011). For instance, Charman et al. (
2003) compared the proportion of words produced within syntactic classes (nouns, predicates, and closed-class words) in 87 preschool children with ASD to the normative sample for the MacArthur-Bates Communicative Development Inventory (CDI, Fenson et al.
1993). Charman et al. observed that the representation of the three syntactic classes across different vocabulary groups in the children with ASD was analogous to the pattern expected in a typical population. The proportion of semantic categories was also inspected in their sample. Children with ASD were reported to produce fewer words of the categories of ‘Sound Effects’, ‘Animals’, and ‘Toys’; however, none of these differences were greater than 20% different relative to the CDI normative sample. In a later study conducted by Luyster et al. (
2007), the percentage of syntactic classes was similar to that of typically developing children, even after controlling for verbal and nonverbal mental age, confirming the descriptive findings of Charman et al. (
2003).
Rescorla and Safyer (
2013) investigated the syntactic and semantic composition of early vocabularies of children with ASD by employing a different vocabulary inventory, the Language Development Survey (LDS, Rescorla
1989). In their research, 45 children with ASD and 273 typically developing children were arranged into two overlapping groups by their total vocabulary: 1 to 49 words produced, and 1 to 310 words produced. Children with ASD and typically developing children who produced between 1 and 49 words had similar lexicons, for both syntactic and semantic classes. When examining the lexicons of the children who produced between 1 and 310 words, differences were found in the number of words produced in semantic categories; however, the differences appeared to be explained by the overall lower vocabulary skills in the children with ASD relative to the normative comparison sample. Across the quantitative and qualitative analyses that Rescorla and Safyer (
2013) conducted, many similarities were observed between the children with ASD and typically developing children, which suggested that the sample of children with ASD demonstrated a significant delay instead of deviance in lexical development.
The significant delay in lexical development in children with ASD frequently challenges researchers when attempting to control for age differences when comparing children with ASD with children. Although previous work has documented that adults typically adapt their language input to the child’s language level (e.g., Dykstra et al.
2012; Hani et al.
2013; Paul and Elwood
1991), it is probable that older children are exposed to a somewhat different range of words which reflects changes in their immediate environment (e.g., "potty" instead of "diaper"). For this reason, an alternative comparison group to children with ASD is late talking children, who are closer in age. Although the majority of late talkers make significant language gains during the first years of life, many of them will experience persistent difficulties with some specific language abilities, such as in understanding and producing complex sentences at age five (Rescorla and Turner
2015) and in non-word repetition tasks (Conti-Ramsden et al.
2001). Predicting future outcomes and vocabulary structure in late talkers have been the subject of much investigation (for a review, see Hawa and Spanoudis
2014). For instance, Beckage and colleagues found that the structure of late talkers’ vocabularies have less semantic clustering and are less tightly connected than vocabulary-matched typical talkers (Beckage et al.
2011). Further, the emergence of word-learning biases has been computationally modeled in typical and late talkers’ vocabularies to confirm the difference in the lexical structure of these two groups, such as a difference in the reliance on the shape bias (Colunga and Sims
2017).
With regards to lexical composition, the percentage of the different syntactic and semantic categories in late talkers’ vocabularies have been found to be similar to vocabulary-matched typically developing children, with the exception of the percentage of nouns, which have been found to be lower (MacRoy-Higgins et al.
2016). Ellis Weismer et al. (
2011) compared 40 toddlers with ASD and 40 late talkers, who were matched on expressive vocabulary. The authors found no differences between the two diagnostic groups across the 18 semantic categories on the CDI. Noun proportions were not examined in the sample; therefore, the question of whether the early vocabulary of children with ASD shows similar proportions of nouns to their late talking peers remained unanswered.
To date, a few studies on lexical composition give some weak support for the categorical account. Recent research has focused on individual lexical items within young children with ASD. In a large-scale study (209 toddlers with ASD and 272 typically developing toddlers), Bruckner et al. (
2007) observed that 25 words in the CDI are more likely to be learned by children with ASD (i.e., had a large bias). Bruckner et al. suggested that ASD symptomatology, such as restricted object use, deficits in orienting to social cues, and social communication deficits, might be related to vocabulary differences between children with ASD and typically developing children. A more recent study by Lazenby et al. (
2016) also showed that certain words on the CDI were statistically more or less frequent in the vocabularies of infants who later were diagnosed with ASD, compared to typically developing infants.
Despite the insubstantial evidence gathered to support the categorical view of language delay, findings that identify different learning biases in children with ASD warrant the continued examination of evidence for the dimensional or categorical account of language development (e.g., Field et al.
2016; Happé and Booth
2008; Pierce et al.
2011). Additionally, previous results from research that solely focused on the acquisition of nouns and verbs motivate us to further examine these two syntactic categories. For example, many studies have focused on a special case of lexical composition: the noun bias (e.g., Gentner
1982). The greater percentage of nouns in early vocabularies not only has been observed in typically developing toddlers, but also in 2- to 3-year-olds with ASD (Swensen et al.
2007). The noun bias has been linked to the well-known ‘naming explosion’ or spurt (Nelson
1973; Benedict
1979; Rescorla
1980; Goldfield and Reznick
1990). Many late talkers exhibited a reduced spurt, which suggests a potential link between noun acquisition and language delay (Rescorla et al.
2000). Different degrees of noun bias can be found in different languages, with the structure of the language being more influential in defining the intensity of noun bias than the parent linguistic input (Dhillon
2010). However, to our knowledge, previous research has not examined the possibility of identifying different degrees of noun bias and its relation to language abilities and ASD characteristics. The examination of the strength of noun bias seems relevant since previous studies have documented a weak or absent shape bias in children with ASD and late talkers, an important learning strategy for early noun learning (Jones
2003; Tek et al.
2008). In the present study, we will revisit the noun bias in the early vocabularies of children with ASD and late talkers with the aim to examine the strength of noun bias in these populations.
Although nouns are often the only syntactic class investigated in word learning studies, verbs have recently become the subject of interest among some researchers. Early verb acquisition may have a more important role in the later acquisition of grammatical abilities than nouns (Hadley et al.
2016). Some studies have focused on the type of verbs children acquire, which were classified according to syntactic features (transitive, intransitive and ditransitive; Olswang et al.
1997; Horvath et al.
2019) and to semantic features (manner and result verbs, punctual and durative verbs, number of event participants associated with its referent; Horvath et al.
2018b; Horvath et al.
2019). Late talkers who showed less change in MLU during a 9-week period produced fewer intransitive and ditransitive verbs than late talkers that showed greater MLU change (Olswang et al.
1997). Further, late talkers produced fewer manner verbs than their age-matched typical peers (Horvath et al.
2019). Regarding children with ASD, the syntactic bootstrapping strategies used to learn novel verbs by this population follow typical patterns (Shulman and Guberman
2007; Naigles et al.
2011; Horvath et al.
2018a,
b). To our knowledge, the only other type of verbs investigated in children with ASD has been those that reflect mental states, which are described in the next section.
Social Interest Deficit and Word Acquisition
Deficits in social orienting among young children with ASD have been widely reported, including aspects such as responding less to their names or making less eye-contact (Osterling et al.
2002). Additionally, Pierce and colleagues showed that 14-month-old infants with ASD attended to moving geometric shapes longer than to children performing actions (Pierce et al.
2011). Children with ASD also have been found to show a higher preference for verbal and non-verbal noise over clear adult speech (Klin
1991; Ceponiene et al.
2003). Different theories have suggested that this social disinterest in individuals with ASD either as a consequence of their deficits in social cognition (Social Cognitive Theory) or as a cause of their deficits in social cognition due to the diminished exposure to social situations (Theory of Social Motivation; for a discussion contrasting both theories see Chevallier et al.
2012).
Studies have examined the potential ways in which social communication deficits and difficulties in understanding the social world influence word learning in children with ASD. Difficulties with understanding social intentions have been found to negatively influence the acquisition of verbs and prepositions (Parish-Morris
2011). The acquisition of mental state verbs has been assessed (e.g., think, know, pretend) and suggested to be linked to weaknesses in Theory of Mind (Tager-Flusberg
1992). Tager-Flusberg examined language samples from children with ASD and children with Down syndrome and found that children with ASD produced fewer mental state verbs. Ziatas et al. (
1998) found that older children with ASD had poorer comprehension of mental state verbs than verbal-mental-age-matched children with Asperger syndrome, typically developing children, and children with language impairment.
Horvath et al. (
2018b) designed a word feature, where verbs where linked to the number of participants that are usually associated with them. Horvath and colleagues found that typically developing toddlers are more likely to produce verbs that can describe scenes that involve fewer events participants than those that label scenes with more participants. The authors argued that verbs with fewer participants are easier to learn because the syntax in which are embedded are easier to process. This word feature might be related to the degree of ‘socialness’ that children can perceive or be attracted to. In the current study, we explored this idea of words carrying social meaning. Verbs not only imply the number of event participants, but also the type of social interactions; for example, “smile” might evoke in the listener the act of someone smiling at someone else, or “share” might evoke someone sharing an object as part of a social interaction. Horvath et al. (
2018b) demonstrated that typically developing children have greater difficulties in learning verbs that are associated with several event participants, one metric of the degree of socialness of the word. As such, given that children with ASD have difficulties attending to social cues, we wonder whether they would demonstrate pronounced challenges with learning highly-social words, relative to children who do not have ASD.