| Literature DB >> 34487273 |
Eleonora Marocchini1,2, Simona Di Paola1, Greta Mazzaggio3, Filippo Domaneschi4.
Abstract
Few works have addressed the processing of indirect requests in High-Functioning Autism (HFA), and results are conflicting. Some studies report HFA individuals' difficulties in indirect requests comprehension; others suggest that it might be preserved in HFA. Furthermore, the role of Theory of Mind in understanding indirect requests is an open issue. The goal of this work is twofold: first, assessing whether comprehension of indirect requests for information is preserved in HFA; second, exploring whether mind-reading skills predict this ability. We tested a group of (n = 14; 9-12 years) HFA children and two groups of younger (n = 19; 5-6 years) and older (n = 28; 9-12 years) typically developing (TD) children in a semi-structured task involving direct, indirect and highly indirect requests for information. Results suggested that HFA can understand indirect and highly indirect requests, as well as TD children. Yet, while Theory of Mind skills seem to enhance older TD children understanding, this is not the case for HFA children. Therefore, interestingly, they could rely on different interpretative strategies.Entities:
Keywords: Development; Experimental pragmatics; High-functioning autism; Indirect requests; Theory of mind
Mesh:
Year: 2021 PMID: 34487273 PMCID: PMC8831260 DOI: 10.1007/s10339-021-01056-z
Source DB: PubMed Journal: Cogn Process ISSN: 1612-4782
Studies on IRs comprehension in TD children
| Author (year) | Task | Comparison | Main findings | Interpretation | |
|---|---|---|---|---|---|
| Shatz ( | 18 TD, 1;7–2;10 | Requests for action and for information of 8 sentence types (e.g., | For each sentence type, verbal versus action responses (on children’s total meaningful responses and on total responses) | For all sentence types, actions were 91% of the meaningful responses and 62% of all responses | Two-year-olds grasp interrogative IRs Children are strongly biased to respond to language with action, regardless of its form |
| Reeder ( | 7 TD, 2;6 7 TD, 3;0 | Paraphrase-choice task; | Effect of condition: indirect offers versus interrogative IRs. Effect of age group Interaction condition X age group | Significant condition X age group interaction: 3-year-olds performed better than 2; 6-year-olds in the IR condition (but not in the indirect offers condition) | Children between 2; 6 and 3 years grasp interrogative IRs. However, interrogative IRs are more difficult than indirect offers, possibly because younger children are more exposed to offers than to IRs |
| Carrell ( | 21 TD, 4;0 30 TD, 5;0 25 TD, 6;0 24 TD, 7;0 | Children knew they would be asked to color a circle either in red or in blue Linguistic material: 10 pairs of IRs of different forms (declaratives; interrogatives; N.2 imperatives) with positive vs. negative surface polarity (e.g., | For each pair, differences in proportions between age groups Differences in proportions between interrogatives and declaratives For each pair, differences in proportions between negative and positive surface polarity items | Accuracy by age group: 4 64.5% at 4; 73.5% at 5; 78% at 6, 92% at 7 Interrogatives were more difficult than declaratives Negative conveyed IRs were more difficult than positive counterparts | Children are able to comprehend a wide variety of IRs, but they are influenced by surface polarity There is a general developmental pattern, but IRs are not fully acquired before age 7 |
| Bernicot and Legros ( | 24 TD, 3;0–4;1 24 TD, 5; 1–5;11 | DIRs, IRs, and non-directives were presented in stories with a weakly or strongly supportive context. A character would not comply with the request. Children had to choose whether the speaker was angry, unhappy, or okay | Effect of age group Effect of condition: non-directive vs DIR versus IR Effect of context: strong versus weak Interactions age X condition X context | Older children performed better than younger children. They interpreted directively DIRs more than IRs, and IRs more than non-directives. They correctly interpreted IRs more often when the context was strong | Children at 3–4 years of age seem not to perceive condition nor context manipulation Children at 5–6 years of age do, but IRs comprehension is not fully acquired yet |
| Elrod ( | 39 TD, 3;3–4;7 39 TD, 4;8–6;5 | Children presented with stories with a DIR or a HIR (e.g., | Effect of age group Effect of condition: DIR versus HIR Interaction age X condition | HIRs were more difficult to understand for both groups. Older children performed better than younger children in (i) for IRs and in (ii) regardless of condition | The two age groups mostly differ in IRs comprehension, while their comprehension of DIRs is similar Children younger than 4; 7 do not understand IRs as well as DIRs |
| Bucciarelli et al. ( | 40 TD, 2;6–3;0 40 TD, 3;6–4; 0 40 TD, 4; 6–5;6 40 TD, 6;0–7;0 | Children asked to complete stories including IRs (e.g., These were presented in both a linguistic and a gestural protocol | Effect of condition, 5 levels: Directs, Simple Indirects (including IRs), Simple Deceits, Simple Ironies, Complex Indirects (including HIRs) Effect of condition by age group Effect of protocol: linguistic versus gestural | Effect of condition: Simple Indirects were easier than Complex Indirects Effect of condition by age group: a developmental pattern emerged for Complex Indirects: at 2;6–3 (38%); at 3;6–4 (42%) and 4;6–5;6 (43%); at 6–7 (68%) No difference between protocols | Complex Indirects such as HIRs are still developing at 6–7 years of age. This may be due to both the complexity of the mental representations and the inferential load involved |
TD: typically developing; IRs: Indirect requests; HIRs: Highly indirect requests; DIRs: Direct requests
Studies on IRs Comprehension in ASD
| Author (year) | Task | Comparison | Main findings | Interpretation | |
|---|---|---|---|---|---|
| Paul and Cohen ( | 8 ASD adults mean age: 22.3 8 non-ASD cognitively disabled adults mean age: 27.9 | Adapted from Carrell ( | Effect of: group; Scenario: structured vs. unstructured Sentence type: interrogative versus declarative Surface polarity: positive versus negative conveyed IRs Interactions: group X scenario X sentence type; group X scenario X surface polarity | Effect of group: ASD adults performed worse than controls in both scenarios Effect of scenario X group: ASD adults performed worse in the unstructured than in the structured scenario. Interaction of scenario X group X sentence type: in the unstructured scenario, negative IRs were more difficult than positives for ASD adults | Both groups performed similarly to TD children in Carrel (1981). ASD participants show a pragmatic impairment that makes it more difficult for them to comply with IRs in an unstructured scenario |
| Ozonoff and Miller ( | 17 HFA 16;1–57;8 17 NT adults 16;5–45;2 | Participants asked to choose the response to | Effect of group Effect of condition: direct question versus IR Interaction group X condition | HFA participants chose significantly more IR than direct responses, regardless of condition Main effect of group: HFA participants provided overall less correct responses than NTs. Main effect of condition: IR was overall easier than direct question | Results suggest a specific underlying impairment in using context for IRs interpretation in HFA, rather than a tendency to be overly literal |
| Deliens et al. ( | 24 ASD, 15–52 24 NT, 15–53 | Participants heard | Effect of group Effect of condition: Interaction group X condition Effect of condition in the Response Time (RT) analysis: control imperatives and interrogatives were also taken into account | Effect of group X condition: NT participants interpreted Effect of group in the RT analysis: NT were faster than ASD participants. Effect of group X condition: ASD participants took longer than the NT group in providing a literal response to | ASD adults have no difficulties with interrogative IRs comprehension (while they have difficulties with irony—tested by the authors in a separate task). The author report that it is not clear why ASD adults interpreted |
| MacKay and Shaw ( | 19 HFA children, 8;0–11; 7 21 TD children, 9;0–10;11 | Children heard stories ending with HIRs and were asked one question about the “meaning” of the utterance and one about its “intent”. Hyperbole, irony, metonymy, rhetorical questions, understatement were also tested) | Effect of group | HFA and TD children correctly understood the meaning of IRs. Effect of group: HFA participants exhibited more difficulties at explaining the intent | HFA participants could understand the meaning of IRs, but they had poor understanding of a speaker’s intention and motives in using an IR |
| Kissine et al. ( | 11 ASD children, 4;3–12;5 | Children asked requests through 4 sentence types (imperative, declarative, interrogative, sub-sentential) | Effect of sentence type: imperative versus declarative versus interrogative versus sub-sentential | ASD children complied well with all types of requests (no significant differences) | HFA children seem to comply with IRs. Their interpretive strategies might be fairly simple, given their very low IQ |
| Kissine et al. ( | 15 ASD children, 7–12 20 TD children, 2;7–3;6 | Children asked to “dress” a toy with a hat using the HIR: | For each phase, effect of group | Phase 1: ASD children performed at ceiling; TD children performed significantly worse than ASD children Phases 2 and 3: No significant group differences | IRs comprehension seems to be preserved in ASD. TD children had difficulties, instead; these results might be due to development in ToM |
ASD: Autism spectrum disorders; HFA: High-functioning autism; NT: Neurotypical; TD: Typically developing; IRs: Indirect requests; HIRs: Highly indirect requests
Studies on ToM and IRs Comprehension
| Author (year) | Task | Comparison | Main findings | Interpretation | |
|---|---|---|---|---|---|
| van Ackeren et al. ( | 16 NT, mean age: 21.39 | fMRI study; HIRs (e.g., | Effect of condition: IR versus literal versus utterance control versus picture utterance control condition ROI analysis and whole-brain analysis were performed | Effect of condition: HIRs triggered a stronger BOLD response than controls in regions identified as part of the ToM network (medial pre-frontal cortex and temporo-parietal junction) | Understanding IRs requires a similar inference on the mental state of the speaker as ToM tasks |
| Trott and Bergen ( | Exp 1: 42 NT, mean age: 37 Exp 2: 83 NT, mean age: 33 Exp 3: 84 NT mean age: 34.3 | Exp 1–2: Paraphrase-choice task; Exp 3: request judgment task (Yes/No). In the stories material, the speaker’s awareness was manipulated: the speaker could either be aware or unaware of an obstacle to the fulfillment of their HIR Short story task for ToM (Exp 2–3) | Effect of condition: Speaker aware versus speaker unaware Effect of predictor: ToM task Interaction condition X ToM | Main effect of ToM and interaction with speaker awareness: higher ToM abilities enhanced participants’ ability to recognize IRs when the speaker was unaware of the obstacle | ToM abilities seem to predict whether the speaker’s inferable knowledge states are taken into account during the comprehension of IRs |
| Cuerva et al. ( | 12 AD with ToM 70.6 22 AD without ToM 72.5 10 NT mean age: 60.6 | 14 AD participants and the control group were presented with 10 vignettes: 5 eliciting IRs production, 5 assessing comprehension of conversational implications. The comprehension part was a paraphrase-choice test. All 34 participants were also presented with a second-order ToM (false belief) and Short Stories tests | Effect of group: (7) AD patients with ToM versus (7) AD patients without ToM versus (10) controls | Main effect of group: both groups of AD performed worse than controls in both production and comprehension. In the comprehension task, patients without ToM performed significantly worse than patients with ToM, as well | AD patients with mild dementia present deficits in both ToM and pragmatic abilities and there seems to be a relationship between the two, as AD patients without ToM showed significantly more deficits than AD patients with preserved ToM |
| Champagne-Lavau and Joanette ( | 15 adults with RHD, mean age: 60.9 15 NT adults, mean age: 60.7 | Participants were presented with utterances within a context implying a literal or a HIR interpretation. If they failed when asked to explain, they would get a multiple-choice cue. They also performed a ToM (false belief) task. (Metaphor and executive functioning were also assessed) | Effect of group Effect of condition: literal vs. HIR Interaction group X condition Hierarchical cluster analysis on IRs task and metaphor task performances of the patients | Effect of group: patients performed overall worse than controls in both the IRs task and the ToM test. Effect of condition: participants of both groups performed worse in the indirect condition. In the clusters of patients identified as impaired in indirect conditions, this co-occurred with first-order ToM (and inhibition) difficulties | Patients with right-hemisphere lesions have impairments in IRs comprehension and ToM abilities; the ability to understand IRs is closely associated with ToM abilities |
| Muller et al. ( | 15 adults with TBI, mean age: 37.2 15 NT adults, mean age: 37 | Participants were presented with stories ending with DIRs or HIRs and had to explain what the speaker meant. A ToM battery was also administered (false beliefs, Faux pas, character intention task, Reading the Mind in the Eyes). Empathy and executive functioning were also assessed | Effect of group Effect of condition: DIR versus IR Correlation between ToM tasks and IRs task | Effect of group: patients performed significantly worse than controls in the IRs task, as well as on all ToM tasks, except for the first-order task. A high correlation was found between the IRs task and ToM tasks (all but the Reading the Mind) | Participants with traumatic brain injury might have problems in using context to understand both IRs and DIRs, as well as mentalizing questions |
NT: Neurotypical; AD: Alzheimer’s disease; RHD: Right hemisphere damage; TBI: Traumatic brain injury; IRs: Indirect requests; HIRs: Highly indirect requests; DIRs: Direct requests
Mean score (SD) of each experimental group in the tasks assessing for IRs comprehension (conditions DIR, IR and HIR), linguistic (BVL) and mind-reading abilities (first- and second-order ToM; and ToM composite score)
| TD children | HFA children | Younger TD children | |
|---|---|---|---|
| DIR | 4.00 (0) | 3.00 (1.30) | 3.32 (0.74) |
| IR | 3.36 (1.41) | 4.00 (0) | 3.58 (0.69) |
| HIR | 2.93 (1.74) | 3.14 (1.02) | 3.26 (0.80) |
| BVL score | 37.3 (2.32) | 30.1 (6.14) | 29.2 (3.75) |
| First-order ToM | 0.92 (0.26) | 0.50 (0.51) | 0.57 (0.50) |
| Second-order ToM | 0.71 (0.46) | 0.35 (0.49) | 0.05 (0.22) |
| ToM composite score | 1.64 (0.62) | 0.85 (0.66) | 0.63 (0.59) |
Fig. 1Mean composite score for the accuracy in the IRs task in each experimental group and condition. Error bars indicate the standard deviation. Jittered points indicate the individual data points. (HFA: High-Functioning Autism group; TD: older Typically Developing group; YTD: Younger Typically Developing group)
Results—Children’s accuracy in the IRs task
| Condition | F (2.116) = 4.47; | |||||
| Group | F (2.58) = 0.02; | |||||
| Condition X Group | F (4.116) = 4.39; | |||||
| Coefficient | Estimate ( | Std. error ( | DF | |||
| Intercept | 3.000 | 0.288 | 159.122 | 10.407 | < 0.0001*** | |
| Condition HIR | 0.142 | 0.360 | 116 | 0.396 | 0.692 | |
| Condition IR | 1.000 | 0.360 | 116 | 2.771 | 0.006** | |
| Group TD | 1.000 | 0.353 | 159.120 | 2.832 | 0.005** | |
| Group Younger TD | 0.315 | 0.379 | 159.120 | 0.831 | 0.407 | |
| Cond HIR: Group TD | − 1.214 | 0.442 | 116 | − 2.747 | 0.006** | |
| Cond IR: Group TD | − 1.642 | 0.442 | 116 | − 3.717 | 0.0003*** | |
| Cond HIR: Group Younger TD | − 0.195 | 0.475 | 116 | − 0.411 | 0.681 | |
| Cond IR: Group Younger TD | − 0.736 | 0.475 | 116 | − 1.549 | 0.124 | |
| Model | AIC | logLik | DF | |||
| Null model | 562.46 | − 278.23 | ||||
| Full model | 551.99 | − 265.00 | 26.468 | 8 | 0.0008*** | |
A. F statistics with degrees of freedom and details of the fixed-effects parameters from the Linear Mixed-Model; Likelihood-ratio test to assess the goodness of fit of the LMM model: comparison between a full model (i.e., all predictors in the fixed-effects structure and all random parameters in the random effects structure) and a null model (i.e., containing only the random parameters in the random effects structure)
B. Pairwise comparisons for the main effect of condition (Tukey contrasts)
C. Simple effects analysis of condition across groups (i.e., Tukey contrasts) to break down the significant GroupXCondition interaction
*p ≤ 0.05
**p ≤ 0.01
***p ≤ 0.001
Results: Group differences in BVL and ToM Tasks. Kruskal–Wallis rank sum test for the effect of group in BVL score and children’s scores in all ToM measures (i.e., first-order ToM; second-order ToM; composite ToM score). Dwass–Steel–Critchlow–Fligner contrasts for pairwise comparisons between groups in the measures for BVL and ToM
| Measure | Kruskal–Wallis rank sum test | Dwass–Steel–Critchlow–Fligner contrasts | |
|---|---|---|---|
| HFA versus TD | |||
| HFA versus Younger TD | |||
| TD versus Younger TD | |||
| 1st order | HFA versus TD | ||
| HFA versus Younger TD | |||
| TD versus Younger TD | |||
| 2nd order | HFA versus TD | ||
| HFA versus Younger TD | |||
| TD versus Younger TD | |||
| Composite score | HFA versus TD | ||
| HFA versus Younger TD | |||
| TD versus Younger TD | |||
Results: Analysis of predictors. Fixed-effects parameters from the Linear Mixed-Model and Likelihood-ratio test to assess the goodness of fit of the LMM model: comparison between a full model (i.e., all predictors in the fixed-effects structure and all random parameters in the random effects structure) and a null model (i.e., containing only the random parameters in the random effects structure)
| Coefficient | Estimate ( | Std. error ( | DF | ||
|---|---|---|---|---|---|
| Intercept | − 0.309 | 1.518 | 140.800 | − 0.204 | 0.838 |
| Condition HIR | 2.707 | 1.881 | 104 | 1.439 | 0.153 |
| Condition IR | 4.309 | 1.881 | 104 | 2.291 | 0.024* |
| Group TD | 4.309 | 3.822 | 140.800 | 1.128 | 0.261 |
| Group Younger TD | 4.259 | 2.724 | 140.800 | 1.563 | 0.120 |
| BVL | 0.084 | 0.054 | 140.800 | 1.569 | 0.118 |
| ToM Composite | 0.879 | 0.500 | 140.800 | 1.758 | 0.080 |
| Cond HIR: Group TD | − 4.555 | 4.735 | 104 | − 0.962 | 0.338 |
| Cond IR: Group TD | − 1.159 | 4.735 | 104 | − 0.245 | 0.807 |
| Cond HIR: Group Younger TD | − 2.191 | 3.376 | 104 | − 0.649 | 0.517 |
| Cond IR: Group Younger TD | − 4.415 | 3.376 | 104 | − 1.308 | 0.193 |
| Group TD: BVL | − 0.084 | 0.105 | 140.800 | − 0.805 | 0.422 |
| Group Younger TD: BVL | − 0.112 | 0.099 | 140.800 | − 1.139 | 0.256 |
| Cond HIR: BVL | − 0.052 | 0.066 | 104 | − 0.789 | 0.432 |
| Cond IR: BVL | − 0.084 | 0.066 | 104 | − 1.266 | 0.208 |
| Group TD: ToM Composite | − 0.879 | 0.603 | 140.800 | − 1.458 | 0.147 |
| Group Younger TD: ToM Composite | − 0.588 | 0.722 | 140.800 | − 0.815 | 0.416 |
| Cond HIR: ToM Composite | − 1.134 | 0.619 | 104.000 | − 1.831 | 0.070 |
| Cond IR: ToM Composite | − 0.879 | 0.619 | 104.000 | − 1.419 | 0.159 |
| Cond HIR: Group TD: BVL | 0.051 | 0.130 | 104.000 | 0.394 | 0.694 |
| Cond IR: Group TD: BVL | − 0.033 | 0.130 | 104.000 | − 0.254 | 0.800 |
| Cond HIR: Group Younger TD: BVL | 0.043 | 0.122 | 104.000 | 0.358 | 0.720 |
| Cond IR: Group Younger TD: BVL | 0.088 | 0.122 | 104.000 | 0.718 | 0.474 |
| Cond HIR: Group TD: ToM Composite | 1.640 | 0.747 | 104.000 | 2.195 | 0.030* |
| Cond IR: Group TD: ToM Composite | 1.244 | 0.747 | 104.000 | 1.664 | 0.099 |
| Cond HIR: Group Younger TD: ToM Composite | 0.642 | 0.895 | 104.000 | 0.718 | 0.474 |
| Cond IR: Group Younger TD: ToM Composite | 1.309 | 0.895 | 104.000 | 1.463 | 0.146 |
| Model | AIC | logLik | DF | ||
| Null model | 562.46 | − 278.23 | |||
| Full model | 565.22 | − 253.61 | 49.233 | 26 | 0.003** |
Fig. 2Mean composite score for the accuracy in the IRs task and participants’ composite scores in ToM, across groups and conditions (HFA: High-Functioning Autism group; TD: older Typically Developing group; YTD: Younger Typically Developing group)