Echolalia from a transdiagnostic perspective

Background & aims Echolalia, the repetition of one's or others’ utterances, is a behavior present in typical development, autism spectrum disorder, aphasias, Tourette's, and other clinical groups. Despite the broad range of conditions in which echolalia can occur, it is considered prim...

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Main Authors: Tyler C McFayden, Shelia M Kennison, J Michael Bowers
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:Autism and Developmental Language Impairments
Online Access:https://doi.org/10.1177/23969415221140464
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author Tyler C McFayden
Shelia M Kennison
J Michael Bowers
author_facet Tyler C McFayden
Shelia M Kennison
J Michael Bowers
author_sort Tyler C McFayden
collection DOAJ
description Background & aims Echolalia, the repetition of one's or others’ utterances, is a behavior present in typical development, autism spectrum disorder, aphasias, Tourette's, and other clinical groups. Despite the broad range of conditions in which echolalia can occur, it is considered primarily through a disorder-specific lens, which limits a full understanding of the behavior. Method Empirical and review papers on echolalia across disciplines and etiologies were considered for this narrative review. Literatures were condensed into three primary sections, including echolalia presentations, neural mechanisms, and treatment approaches. Main contribution Echolalia, commonly observed in autism and other developmental conditions, is assessed, observed, and treated in a siloed fashion, which reduces our collective knowledge of this communication difference. Echolalia should be considered as a developmental, transdiagnostic, and communicative phenomenon. Echolalia is commonly considered as a communicative behavior, but little is known about its neural etiologies or efficacious treatments. Conclusions This review is the first to synthesize echolalia from a transdiagnostic perspective, which allows for the direct comparisons across and within clinical groups to inform assessment, treatment, conceptualization, and research recommendations. Implications Considering echolalia transdiagnostically highlights the lack of consensus on operationalization and measurement across and within disorders. Clinical and research future directions need to prioritize consistent definitions of echolalia, which can be used to derive accurate prevalence estimates. Echolalia should be considered as a communication strategy, used similarly across developmental and clinical groups, with recommended strategies of shaping to increase its effectiveness.
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spelling doaj.art-39e960051f834c97891b03f93930ce492024-02-02T09:31:20ZengSAGE PublishingAutism and Developmental Language Impairments2396-94152022-11-01710.1177/23969415221140464Echolalia from a transdiagnostic perspectiveTyler C McFaydenShelia M KennisonJ Michael BowersBackground & aims Echolalia, the repetition of one's or others’ utterances, is a behavior present in typical development, autism spectrum disorder, aphasias, Tourette's, and other clinical groups. Despite the broad range of conditions in which echolalia can occur, it is considered primarily through a disorder-specific lens, which limits a full understanding of the behavior. Method Empirical and review papers on echolalia across disciplines and etiologies were considered for this narrative review. Literatures were condensed into three primary sections, including echolalia presentations, neural mechanisms, and treatment approaches. Main contribution Echolalia, commonly observed in autism and other developmental conditions, is assessed, observed, and treated in a siloed fashion, which reduces our collective knowledge of this communication difference. Echolalia should be considered as a developmental, transdiagnostic, and communicative phenomenon. Echolalia is commonly considered as a communicative behavior, but little is known about its neural etiologies or efficacious treatments. Conclusions This review is the first to synthesize echolalia from a transdiagnostic perspective, which allows for the direct comparisons across and within clinical groups to inform assessment, treatment, conceptualization, and research recommendations. Implications Considering echolalia transdiagnostically highlights the lack of consensus on operationalization and measurement across and within disorders. Clinical and research future directions need to prioritize consistent definitions of echolalia, which can be used to derive accurate prevalence estimates. Echolalia should be considered as a communication strategy, used similarly across developmental and clinical groups, with recommended strategies of shaping to increase its effectiveness.https://doi.org/10.1177/23969415221140464
spellingShingle Tyler C McFayden
Shelia M Kennison
J Michael Bowers
Echolalia from a transdiagnostic perspective
Autism and Developmental Language Impairments
title Echolalia from a transdiagnostic perspective
title_full Echolalia from a transdiagnostic perspective
title_fullStr Echolalia from a transdiagnostic perspective
title_full_unstemmed Echolalia from a transdiagnostic perspective
title_short Echolalia from a transdiagnostic perspective
title_sort echolalia from a transdiagnostic perspective
url https://doi.org/10.1177/23969415221140464
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AT sheliamkennison echolaliafromatransdiagnosticperspective
AT jmichaelbowers echolaliafromatransdiagnosticperspective