Managing interactional breakdowns with children with ASD: Therapists' practices when directives face challenges in therapeutic interactions.
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 th...
| Publicado en: | Clinical Linguistics & Phonetics Vol. 40; no. 5; pp. 395 - 423 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts tracings Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193364435&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193364435 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02699206 B6X jtl: Clinical Linguistics & Phonetics issn: 02699206 maglogo: Y pubinfo: dt: May2026 vid: 40 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 193364435 183535152 193364435 193364435 10.1080/02699206.2024.2448700 193364435 ppf: 395 ppct: 28 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Managing interactional breakdowns with children with ASD: Therapists' practices when directives face challenges in therapeutic interactions. aug: au: Ma, Xiaoxin Ma, Wen Zhang, Shuai affil: Centre for Clinical Neurolinguistics, School of Foreign Languages and Literature, Shandong University, Jinan, China sug: subj: Autism Spectrum Disorder Therapy Cognition Evaluation Task Performance and Analysis Speech-Language Pathologists Communication Speech Disorders Therapy Speech Therapy Methods Language Therapy Methods Professional Role Professional-Patient Relations Human Male Female Child Linguistics Data Collection Methods Audiorecording Descriptive Statistics Funding Source Child: 6-12 years Male Female ab: 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. pubtype: Academic Journal doctype: pictorial research tables/charts tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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