Lay Abstract
Parents, clinicians, teachers, and researchers seem to agree that individuals with autism spectrum disorders often have sharper hearing, including abilities like perfect pitch, better memory for specific sounds, better abilities to tell one sound apart from even a very similar sound, and so on. We asked whether this sharper hearing ability is related to some of the difficulties in autism, including later development of language: Is better hearing part of having ASD? One important part of this study is that it includes a group of people from all over the U.S. and Canada who had ASD when they were younger (diagnosed before age five years), but who do not have any symptoms now that they are teenagers. We call this an “optimal outcome”. They do not have any symptoms, they do not need any special education services, and their IQ scores are in the normal or high-normal range. We measured the ability to hear the difference between two tones, or pitches, in 26 teenagers with optimal outcomes, 29 teenagers with high-functioning autism, and 20 teenagers with typical development. The teenagers who have ASD were better at hearing pitch differences, suggesting that this special ability is part of ASD; the teenagers with optimal outcomes did not differ from the typically-developing group. Also, the teenagers with the best pitch abilities tended to be the latest to start talking when they were toddlers. The paper discusses what these results mean for communication in ASD, and for the process of learning language more generally.
Scientific Abstract
The autism spectrum disorders (ASD) are neurodevelopmental disorders, diagnosed behaviorally but associated with differences in brain development. Individuals with ASD exhibit superior auditory perceptual skills, which may correlate with ASD symptomatology, particularly language skills. We describe findings from individuals diagnosed with ASD before age five, who now have no symptoms (e.g., having optimal outcomes). Unlike an ASD group, which shows heightened pitch discrimination, the Optimal Outcome group’s abilities do not differ from those of typically developing controls. Furthermore, pitch discrimination is associated with both current autism symptomatology and early language milestones. Findings illuminate processes associated with resolution of autism. We also discuss a specific mechanism by which heightened auditory discrimination leads to language delays in ASD.