Managing interactional breakdowns with children with ASD: Therapists' practices when directives face challenges in therapeutic interactions.

IF 0.8 4区 医学 Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Clinical Linguistics & Phonetics Pub Date : 2025-03-07 DOI:10.1080/02699206.2024.2448700
Xiaoxin Ma, Wen Ma, Shuai Zhang
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Abstract

Effective interventions to promote language competence, cognitive abilities and integrate these skills into daily activities for children with autism spectrum disorder (ASD) often involve providing guidance and training through specific tasks, typically delivered by speech and language therapists through directive interactions. However, engaging children with ASD in such activities is not straightforward and often fraught with challenges. Yet we know very little about how practitioners cope when the interaction breaks down, for example, due to misunderstandings or failures to engage. This study employs a conversation analytic approach to uncover therapists' intricate practices for managing breakdowns in therapeutic interactions. Over 200 hours of naturally occurring interactions between seven Mandarin-speaking children and their therapists were recorded and analysed. Using Conversation Analysis, we identified and analysed 1062 directive turns issued by therapists and subsequent responses of the children. The findings are in three aspects: 1) A crucial and effective premise for increasing engagement and improving the quality of therapeutic interactions lies in recognising, ascribing and utilising the specific interactive modes of children with ASD, including their repeated utterances and prosodic resources. 2) Therapists' strategies are successful when they flexibly address and adapt the format of directives through tailored verbal iteration and embodied solicitation. 3) The importance of timing underscores the increased opportunities to positively influence turn-taking in children with ASD. It is proposed that practitioners can enhance their understanding of children with ASD by incorporating the profiling of interaction into their assessments and interventions, adapting ways to align with the unique patterns of children with ASD.

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来源期刊
Clinical Linguistics & Phonetics
Clinical Linguistics & Phonetics AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
2.70
自引率
16.70%
发文量
74
审稿时长
6-12 weeks
期刊介绍: Clinical Linguistics & Phonetics encompasses the following: Linguistics and phonetics of disorders of speech and language; Contribution of data from communication disorders to theories of speech production and perception; Research on communication disorders in multilingual populations, and in under-researched populations, and languages other than English; Pragmatic aspects of speech and language disorders; Clinical dialectology and sociolinguistics; Childhood, adolescent and adult disorders of communication; Linguistics and phonetics of hearing impairment, sign language and lip-reading.
期刊最新文献
Speech and language skills in a case of Watson syndrome. Managing interactional breakdowns with children with ASD: Therapists' practices when directives face challenges in therapeutic interactions. Could linguistic and cognitive factors, degree of autistic traits and sex predict speech disfluencies in autistic young adults and controls? A comparison of narrative abilities in Malay school-age typically developing children and children with developmental language disorder. Phonological neighbourhood effects in Italian speech production: Evidence from healthy and neurologically impaired populations.
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