Spatial Working Memory in Children With High-Functioning Autism: Intact Configural Processing But Impaired Capacity

ABSTRACTPrevious studies show that young, typically developing (TD) children (<age 5) and children with specific language impairment (SLI; >age 5) make errors in the choice between a definite and an indefinite article. Suggested explanations for overgeneration of the definite article include failure to distinguish speaker from hearer assumptions, and for overgeneration of the indefinite article failure to draw scalar implicatures, and weak working memory. However, no direct empirical evidence for these accounts is available. In this study, 27 Dutch-speaking children with high-functioning autism, 27 children with SLI, and 27 TD children aged 5–14 were administered a pragmatic article choice test, a nonverbal theory of mind test, and three types of memory tests (phonological memory, verbal, and nonverbal working memory). The results show that the children with high-functioning autism and SLI (a) make similar errors, that is, they overgenerate the indefinite article; (b) are TD-like at theory of mind, but (c) perform significantly more poorly than the TD children on phonological memory and verbal working memory. We propose that weak memory skills prevent the integration of the definiteness scale with the preceding discourse, resulting in the failure to consistently draw the relevant scalar implicature. This in turn yields the occasional erroneous choice of the indefinite articleain definite contexts.

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Executive functions disorders in high functioning autism and rehabilitation implications

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.427 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S435-S435

Author(s):

A. Di Santantonio ◽

M. Manfredini ◽

N. Varucciu ◽

M. Fabbri ◽

M.C. Cutrone ◽

...

Keyword(s):

Working Memory ◽

Problem Solving ◽

Executive Functions ◽

Cognitive Flexibility ◽

High Functioning Autism ◽

Wisconsin Card Sorting Test ◽

Autism Spectrum ◽

Cognitive Screening ◽

Card Sorting ◽

High Functioning

IntroductionThe term executive functions (EFs) includes a set of cognitive processes such as planning, working memory, attention, problem solving, inhibition, mental flexibility, multi-tasking, and initiation and monitoring of actions. EFs are the higher order control processes to guide behaviour.Some studies on the relationship between EFs and autism spectrum disorder (ASD) showed deficit in the cognitive flexibility and speed processing, particularly with Asperger syndrome. Recently, Merchán-Naranjo et al. [1] supported that children's and adolescents with autism without intellectual disability are insufficient in at least 5 domains: attention, working memory, cognitive flexibility, inhibitory control and problem-solving.AimsOur work is aimed at verifying if the presence of a dysexecutive syndrome significantly impacts on the adaptive functioning of people with high functioning autism.MethodsA group of young adults with ASD were administered traditional neuropsychological assessment, specific assessment, focusing on the planning strategies for solving problems (Test Tower of London), abstraction and categorization (Wisconsin Card Sorting Test), and the Dysexecutive Questionnaires.ResultsThe results showed the presence of a specific deficit in the executive functioning in an average cognitive functioning.ConclusionsIntegrate the standard cognitive screening with a specific EFs assessment resulted to be very useful for the clinician to realize neuropsychological and psychotherapeutic individualized treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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