Autistic Adults on Gestalt Language Processing and Scripting

This podcast episode with Lily Konyn and Alyssa Hillary Zisk aired on May 10th, 2023, and I cannot stop thinking about it! 

One moment I keep coming back to was when Lily explained her perspective and lived experience when it comes to the “brain-to-mouth filter”. 

Lily explains:

“Sometimes there are words in my brain that just have to come out. They don't mean anything, but the brain-to-mouth filter is not there. And we hear that a lot from people who experience significant apraxia or dyspraxia, that they just can't stop the words from coming out, regardless of whether they mean anything at all.”

Lily relates this to how we can get songs stuck in our heads. Just like I can’t help myself from singing out loud when I hear songs like Spice Girls “Wannabe” (am I right?!) and then those words start looping repeatedly. 

Lily described how she and many other autistic adults can get phrases stuck in their heads, and just like how I sing the song in my head, the phrases in their heads come out of their mouths too. For many autistic kids and adults, this repetitive loop of words is a daily struggle, and it can be tough to control.

AND— (even more important) it may not be helpful to control.

Lily reports that scripting the same word/phrase repeatedly can be a comfort, especially when it's about something she's really into.

Lily expands on this in her article over at Assistiveware:

I use echolalia all the time, and it feels so many different ways. When all I can get out is the phrase stuck in my head, but I can’t explain why, it’s frustrating. When I’m telling you what I mean by echoing my favorite television shows, it’s joyful. When it’s tumbling out of my mouth just because it feels nice to say, it’s cozy. The only time it feels deeply negative, however, is when someone disconnects from me because of it.

One of the big takeaways for me from this moment was that it's really not just about using AAC tools “effectively”; it's about understanding and accepting the different ways people express themselves… whatever that looks like. 

Instead of seeing repetitive communication as a problem, let’s get curious and dive into the possibilities of what is being communicated and why, and not write it off as a “behavior,” “nonfunctional,” or “stimming”.

It's all about empathy, acceptance, and making sure everyone's voice is heard

As Lily says in her article:

Listen to me. Affirm that I’ve said something, even if you don’t understand it. Repeat it back to me. Nod. Tell me that you’re trying to understand. Help me regulate. Find joy in my echoes!

If you haven’t listened to the episode yet, you can find it here. There is SO much wisdom and insight from both Lily and Alyssa that you won’t want to miss out on!


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How to Redefine Stimming on AAC Devices

How many times have you heard: "They are just stimming on their device.” In this blog post, I’ve teamed up with Laura Hayes (@AACinnovations on Instagram) to take a magnifying glass and zoom in on how AAC learners may “stim” on their devices and how we can utilize this information to better support them.

New Resource: How to Build Sentences with Your Child

Without question, the following line is one of the biggest challenges I hear from parents: “My child isn’t speaking in sentences.” After all, building sentences is central to a child’s communication success. This skill develops as babies listen to adults around them having conversations. Then over time, babies slowly start to emulate adults by first producing single words and eventually short phrases.  As language skills grow, their sentences become more and more sophisticated.

Unfortunately, this process isn’t quite as simple for children. A lot of my clients might be able to repeat words or phrases, but they are mostly using scripts and aren’t formulating their unique thoughts and ideas into sentences.

This is where I find visual supports to be incredibly helpful.

Best Speech Therapy Apps

As a speech therapist and technology specialist, I get asked all the time about my favorite apps I use in my practice. It can be overwhelming finding the right apps for children that are practical, but that also facilitate learning and communication, and aren’t just for playing games. So in my latest blog post I’m sharing a few of my favorite apps.

5 Signs Your Child Needs Augmentative/Alternative Communication

“You were a late talker too,” your mom says as she sips her latte. “I wouldn’t worry about it. Look at you. You turned out fine. Just give him time. He’ll talk when he’s good and ready.” Your well intentioned, reassuring mother might be absolutely right. Your child might begin talking (or talking more) any day now. But what if she’s not right? What if speech doesn’t develop like you hoped it would? While you wait to find out, might valuable time be slipping by when your child could be learning tools that could help him to communicate? 

"Inspire, Don't Require" When Teaching Children How to Communicate

We don’t have the capacity to force verbal children to talk… so why, then, would it be acceptable to take a child’s hand and activate their words on their device or tell them what to say in any given situation? 

And more importantly... how does requiring a child to say specific words actually translate into autonomous communication? Spolier alert: it doesn’t. 

 That’s where the “Inspire” piece of this catch phrase comes into play. 

Resources: Top 5 Parent-Friendly Podcast Episodes

Hi my name is Rachel and I’m a podcast junkie. Every day I hop in my car, hit play and start flooding my brain with life hacks, compelling stories, news headlines and daily inspo all while I sit in L.A. traffic (YES, L.A. traffic is as bad as everyone says it is!).

My podcast addiction peaked last October when I was asked to co-host a new speech therapy podcast called Talking with Tech. Talking with Tech combines two things that I love most: speech therapy and technology. Not sure what kind of technology I’m talking about? Well there’s an earlier blog post in which I talk all about AAC and how it can transform your child's communication.

Our podcast was originally created to help guide speech therapists working with children who are minimally verbal, but we quickly realized the information was applicable well beyond the scope of speech-language pathologists. Now with 60,000 monthly downloads across 54 countries, we’ve gained a following of dedicated parents interested in helping their child start communicating more effectively.

Struggling to Communicate with your Child? Try AAC

It stands for Augmentative and Alternative Communication, and it basically refers to any kind of communication system that helps kids (or anyone, for that matter) express their needs to you if they can’t use verbal speech.

One of the biggest misconceptions I see in my practice is that people think that AAC only refers to sleek gadgets activated by fancy buttons.

In fact, some of the most effective AAC supports I use every day are quite simple, and considered “no tech” or “paper based”.