Abstract
Systematic longitudinal observations were made as typically developing toddlers and young children with autism and with Down syndrome interacted with their caregivers in order to document how joint engagement developed over a year-long period and how variations in joint engagement experiences predicted language outcome. Children with autism displayed a persistent deficit in coordinated joint attention; children with Down syndrome were significantly less able to infuse symbols into joint engagement. For all groups, variations in amount of symbol-infused supported joint engagement, a state in which the child attended to a shared object and to language but not actively to the partner, contributed to differences in expressive and receptive language outcome, over and above initial language capacity.
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Adamson, L. B. (1996). Communication development during infancy. Boulder, CO: Westview.
Adamson, L. B., & Bakeman, R. (1984). Mothers’ communicative actions: Changes during infancy. Infant Behavior and Development, 7, 467–478. doi:10.1016/S0163-6383(84)80006-5.
Adamson, L. B., & Bakeman, R. (1991). The development of shared attention during infancy. In R. Vasta (Ed.), Annals of child development (Vol. 8, pp. 1–41). London: Kingsley.
Adamson, L. B., & Bakeman, R. (2006). The development of displaced speech in early mother-child conversations. Child Development, 77, 186–200. doi:10.1111/j.1467-8624.2006.00864.x.
Adamson, L. B., Bakeman, R., & Deckner, D. F. (2004). The development of symbol-infused joint engagement. Child Development, 75, 1171–1187. doi:10.1111/j.1467-8624.2004.00732.x.
Adamson, L. B., Bakeman, R., & Deckner, D. F. (2005). Infusing symbols into joint engagement: Developmental themes and variations. In L. Namy (Ed.), Symbol development and symbol use (pp. 171–195). Mahwah, NJ: Erlbaum.
Adamson, L. B., & Chance, S. (1998). Coordinating attention to people, objects, and symbols. In A. M. Wetherby, S. F. Warren, & J. Reichle (Eds.), Transitions in prelinguistic communication: Preintentional to intentional and presymbolic to symbolic (pp. 15–37). Baltimore, MD: Brookes.
Adamson, L. B., McArthur, D., Markov, Y., Dunbar, B., & Bakeman, R. (2001). Autism and joint attention: Young children’s responses to maternal bids. Journal of Applied Developmental Psychology, 22, 439–453. doi:10.1016/S0193-3973(01)00089-2.
Akhtar, N. (2005). Is joint attention necessary for early language learning? In B. D. Homer & C. Tamis-LeMonda (Eds.), The development of social cognition and communication (pp. 165–179). Mahwah, NJ: Erlbaum.
Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother-infant and peer-infant interaction. Child Development, 55, 1278–1289. doi:10.2307/1129997.
Bakeman, R., & Adamson, L. B. (1986). Infants’ conventionalized acts: Gestures and words with mothers and peers. Infant Behavior and Development, 9, 215–230. doi:10.1016/0163-6383(86)90030-5.
Bakeman, R., & Gottman, J. M. (1997). Observing interaction: An introduction to sequential analysis (2nd ed.). New York: Cambridge University Press.
Baldwin, D. A. (1995). Understanding the link between joint attention and language. In C. Moore & P. Dunham (Eds.), Joint attention: Its origin and role in development (pp. 131–158). Hillsdale, NJ: Erlbaum.
Baranek, G. T. (1999). Autism during infancy: A retrospective video analysis of sensory-motor and social behaviors at 9–12 months of age. Journal of Autism and Developmental Disorders, 29, 213–224. doi:10.1023/A:1023080005650.
Baron-Cohen, S., Cox, A., Baird, G., Swettenham, J., Nightengale, N., Morgan, K., et al. (1996). Psychological markers in the detection of autism in infancy in a large population. The British Journal of Psychiatry, 168, 158–163.
Bloom, L. (1993). The transition from infancy to language. Cambridge: Cambridge University Press.
Bloom, L., & Tinker, E. (2001). The intentionality model and language acquisition: Engagement, effort, and the essential tension in development. Monographs of the Society for Research in Child Development, 66, vii-91.
Bono, M. A., Daley, T., & Sigman, M. (2004). Relations among joint attention, amount of intervention and language gains in autism. Journal of Autism and Developmental Disorders, 34, 495–505. doi:10.1007/s10803-004-2545-x.
Bruner, J. (1983). Child’s talk: Learning to use language. New York: W. W. Norton.
Chapman, R. S. (1997). Language and communication in children and adolescents with Down syndrome. International Review of Research in Mental Retardation, 3, 307–312.
Chapman, R. S. (2003). Language and communication in individuals with Down syndrome. International Review of Research in Mental Retardation, 27, 1–34. doi:10.1016/S0074-7750(03)27001-4.
Charman, T. (2004). Why is joint attention a pivotal skill in autism? In U. Frith & E. L. Hill (Eds.), Autism: Mind and brain (pp. 68–87). Oxford: Oxford University Press.
Cielinski, K. L., Vaughn, B. E., Seifer, R., & Contreras, J. (1995). Relations among sustained engagement during play, quality of play, and mother-child interaction in samples of children with Down syndrome and normally development toddlers. Infant Behavior and Development, 18, 163–176. doi:10.1016/0163-6383(95)90046-2.
Cohen, J. (1960). Coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46. doi:10.1177/001316446002000104.
Dawson, G., Meltzoff, A., Osterling, J., Rinaldi, J., & Brown, E. (1998). Children with autism fail to orient to naturally occurring social stimuli. Journal of Autism and Developmental Disorders, 28, 479–485. doi:10.1023/A:1026043926488.
Dawson, G., Toth, K., Abbott, R., Osterling, J., Munson, J., Estes, A., et al. (2004). Early social attention impairments in autism: Social orienting, joint attention, and attention to distress. Developmental Psychology, 40, 271–283. doi:10.1037/0012-1649.40.2.271.
DeLoache, J. S. (2002). The symbol-mindedness of young children. In W. W. Hartup & R. A. Weinberg (Eds.), Child psychology in retrospect and prospect; The Minnesota symposium on child psychology (Vol. 32, pp. 73–101). Mahwah, NJ: Erlbaum.
Dunn, L. M., & Dunn, L. M. (1997). Peabody picture vocabulary test (3rd ed.). Circle Pines, MN: American Guidance Service.
Fenson, L., Dale, P. S., Reznick, J. S., Thal, D., Bates, E., Hartung, J. P., et al. (1993). MacArthur communicative development inventories. San Diego: Singular.
Fleiss, J. L. (1981). Statistical methods for rates and proportions. New York: Wiley.
Franco, F., & Wishart, J. G. (1995). Use of pointing and other gestures by young children with Down syndrome. American Journal of Mental Retardation, 100, 160–182.
Frith, U. (1989). Autism: Explaining the enigma. Oxford: Basil Blackwell.
Goldfield, B. A., & Reznick, J. S. (1990). Early lexical acquisition: Rate, content, and the vocabulary spurt. Journal of Child Language, 17, 171–183.
Happe, F. (1998). Language and communication disorders in autism and Asperger’s syndrome. In B. Stemmer & H. A. Whitaker (Eds.), Handbook of neurolinguistics (pp. 525–534). San Diego: Academic Press.
Harris, S., Kasari, C., & Sigman, M. D. (1996). Joint attention and language gains in children with Down syndrome. American Journal of Mental Retardation, 100, 608–619.
Hobson, R. P. (1993). Autism and the development of mind. Hillsdale, NJ: Erlbaum.
Hobson, R. P. (2000). The grounding of symbols: A social-developmental account. In P. Mitchell & K. J. Riggs (Eds.), Children’s reasoning and the mind (pp. 11–35). Hove, East Sussex, UK: Psychology Press.
Hoff, E. (2005). How social contexts support and shape language development. Developmental Review, 26, 55–88. doi:10.1016/j.dr.2005.11.002.
Joseph, R. M., & Tager-Flusberg, H. (1997). An investigation of attention and affect in chidlren with autism and Down syndrome. Journal of Autism and Developmental Disorders, 27, 385–396. doi:10.1023/A:1025853321118.
Kasari, C., Freeman, S. F., Mundy, P., & Sigman, M. D. (1995). Attention regulation by children with Down syndrome: Coordinated joint attention and social referencing looks. American Journal of Mental Retardation, 100, 128–136.
Landa, R. (2007). Early communication development and intervention for children with autism. Mental Retardation and Developmental Disabilities Research Reviews, 13, 16–25. doi:10.1002/mrdd.20134.
Leekam, S., & Moore, C. (2001). The development of attention and joint attention in children with autism. In J. A. Burack, T. Charman, N. Yirmiya, & P. R. Zelazo (Eds.), The Development of autism: Perspective from theory and research (pp. 105–129). Mahwah, NJ: Erlbaum.
Legerstee, M., & Weintraub, J. (1997). The integration of person and object attention in infants with and without Down syndrome. Infant Behavior and Development, 20, 71–82. doi:10.1016/S0163-6383(97)90062-X.
Lord, C. (1995). Follow-up of two-year-olds referred for possible autism. Journal of Child Psychology and Psychiatry, 36, 1365–1382. doi:10.1111/j.1469-7610.1995.tb01669.x.
Lord, C., Risi, S., & Pickles, A. (2004). Trajectory of language development in autistic spectrum disorders. In M. L. Rice & S. F. Warren (Eds.), Developmental language disorders: From phenotypes to etiologies (pp. 7–29). Mahwah, NJ: Lawrence Erlbaum Associates.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685. doi:10.1007/BF02172145.
McArthur, D., & Adamson, L. B. (1996). Joint attention in pre-verbal children: Autism and developmental language disorder. Journal of Autism and Developmental Disorders, 26, 481–496. doi:10.1007/BF02172271.
McDuffie, A., Yoder, P., & Stone, W. (2005). Prelinguistic predictors of vocabulary in young children with autism spectrum disorders. Journal of Speech, Language, and Hearing Research: JSLHR, 48, 1080–1097. doi:10.1044/1092-4388(2005/075).
Mundy, P. (1995). Joint attention and social-emotional approach behavior in children with autism. Development and Psychopathology, 7, 63–82.
Mundy, P., Kasari, C., Sigman, M., & Ruskin, E. (1995). Nonverbal communication and early language acquisition in children with Down syndrome and in normally developing children. Journal of Speech and Hearing Research, 38, 157–167.
Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20, 115–128. doi:10.1007/BF02206861.
Nazzi, T., & Bertoncini, J. (2003). Before and after the vocabulary spurt: Two modes of word acquisition? Developmental Science, 6, 136–142. doi:10.1111/1467-7687.00263.
Nelson, K. (1996). Language in cognitive development: Emergence of the mediated mind. Cambridge: Cambridge University Press.
Nelson, P. R., Adamson, L. B., & Bakeman, R. (in press). Toddlers’ joint engagement experience facilitates preschoolers’ acquisition of theory of mind. Developmental Science.
Osterling, J., & Dawson, G. (1994). Early recognition of children with autism: A study of first birthday home videotapes. Journal of Autism and Developmental Disorders, 24, 247–257. doi:10.1007/BF02172225.
Prezbindowki, A. K., Adamson, L. B., & Lederberg, A. R. (1998). Joint attention in deaf and hearing 22-month-old children and their hearing mothers. Journal of Applied Developmental Psychology, 19, 377–387. doi:10.1016/S0193-3973(99)80046-X.
Rheingold, H. L., & Adams, J. L. (1980). The significance of speech to newborns. Developmental Psychology, 16, 397–403. doi:10.1037/0012-1649.16.5.397.
Rice, M. L., Warren, S. F., & Betz, S. K. (2005). Language symptoms of developmental language disorders: An overview of autism, Down syndrome, fragile X, specific language impairment, and Williams syndrome. Applied Psycholinguistics, 26, 7–27.
Roach, M. A., Barratt, M. S., Miller, J. F., & Leavitt, L. A. (1998). The structure of mother-child play: Young children with Down syndrome and typically developing children. Developmental Psychology, 34, 77–87. doi:10.1037/0012-1649.34.1.77.
Roberts, J. E., Price, J., & Malkin, C. (2007). Language and communication developing in Down syndrome. Mental Retardation and Developmental Disabilities Research Reviews, 13, 26–35. doi:10.1002/mrdd.20136.
Robins, D., Fein, D., Barton, M., & Green, J. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31, 131–144. doi:10.1023/A:1010738829569.
Romski, M. A., Adamson, L. B., Bakeman, R. B., & Sevcik, R. A. (2008). The Effects of augmented language intervention on the development of joint engagement. Manuscript in preparation.
Romski, M. A., Sevcik, R. A., & Adamson, L. B. (1997). Framework for studying how children with developmental disabilities develop language through augmented means. Augmentative and Alternative Communication, 13, 172–178. doi:10.1080/07434619712331277988.
Schertz, H. H., & Odom, S. L. (2007). Promoting joint attention in toddlers with autism: A parent-mediated developmental model. Journal of Autism and Developmental Disorders, 37, 1562–1575. doi:10.1007/s10803-006-0290-z.
Sigman, M., & Ruskin, E. (1999). Continuity and change in the social competence of children with autism, Down syndrome, and developmental delays. Monographs of the Society for Research in Child Development, 64.
Siller, M., & Sigman, M. (2002). The behaviors of parents of children with autism predict the subsequent development of their children’s communication. Journal of Autism and Developmental Disorders, 32, 77–89. doi:10.1023/A:1014884404276.
Smith, V., Mirenda, P., & Zaidman-Zait, A. (2007). Predictors of expressive vocabulary growth in children with autism. Journal of Speech Language and Hearing Research: JSLHR, 50, 149–160. doi:10.1044/1092-4388(2007/013).
Stone, W. L., Ousley, O. Y., Yoder, P. J., Hogan, K. L., & Hepburn, S. L. (1997). Nonverbal communication in two- and three-year-old children with autism. Journal of Autism and Developmental Disorders, 27, 677–696. doi:10.1023/A:1025854816091.
Sullivan, M., Finelli, J., Marvin, A., Garrett-Mayer, E., Bauman, M., & Landa, R. (2007). Response to joint attention in toddlers at risk for autism spectrum disorder: A Prospective study. Journal of Autism and Developmental Disorders, 37, 37–48. doi:10.1007/s10803-006-0335-3.
Tager-Flusberg, H. (1994). Dissociation in form and function in the acquisition of language by autistic children. In H. Tager-Flusberg (Ed.), Constraints on language acquisition: Studies of atypical children (pp. 175–194). Hillsdale, NJ: Erlbaum.
Tomasello, M. (1995). Joint attention as social cognition. In C. Moore & P. J. Dunham (Eds.), Joint attention: Its origins and role in development (pp. 103–130). Hillsdale, NJ: Erlbaum.
Tomasello, M., & Farrar, J. M. (1986). Joint attention and early language. Child Development, 57, 1454–1463. doi:10.2307/1130423.
Toth, K., Munson, J., Meltzoff, A. N., & Dawson, G. (2006). Early predictors of communication development in young children with autism spectrum disorder: Joint attention, imitation, and toy play. Journal of Autism and Developmental Disorders, 36, 993–1005. doi:10.1007/s10803-006-0137-7.
Travis, L. L., & Sigman, M. (2001). Communicative intentions and symbols in autism: Examining a case of altered development. In J. A. Burack, T. Charman, N. Yirmiya & P. R. Zelazo (Eds.), The development of autism: Perspective from theory and research (pp. 279–308). Mahwah, NJ: Erlbaum.
Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Cambridge, MA: Harvard University Press.
Watson, L. R. (1998). Following the child’s lead: Mothers’ interactions with children with autism. Journal of Autism and Developmental Disorders, 28, 51–59. doi:10.1023/A:1026063003289.
Werner, E., & Dawson, G. (2005). Validation of the phenomenon of autistic regression using home videotapes. Archives of General Psychiatry, 62, 889–895. doi:10.1001/archpsyc.62.8.889.
Werner, H., & Kaplan, B. (1963). Symbol formation. New York: Wiley.
Wetherby, A., & Prutting, C. (1984). Profiles of communicative and cognitive-social abilities in autistic children. Journal of Speech and Hearing Research, 27, 364–377.
Wetherby, A. M., Watt, N., Morgan, L., & Shunway, S. (2007). Social communication profiles of children with autism spectrum disorders late in the second year of life. Journal of Autism and Developmental Disorders, 37, 960–975. doi:10.1007/s10803-006-0237-4.
Wetherby, A. M., & Woods, J. J. (2006). Early social interaction project for children with autism spectrum disorder beginning in the second year of life: A preliminary study. Topics in Early Childhood Special Education, 26, 67–82.
Williams, K. T. (1997). Expressive vocabulary test. Circle Pines, MN: American Guidance Service.
Williams, E., Costall, A., & Reddy, V. (1999). Children with autism experience problems with both objects and people. Journal of Autism and Developmental Disorders, 29, 367–378. doi:10.1023/A:1023026810619.
Yoder, P., & Warren, S. F. (2004). Early predictors of language in children with and without Down syndrome. American Journal of Mental Retardation, 109, 285–300.
Acknowledgments
This research was supported by grants from the National Institute of Child Health and Human Development (R01HD35612) and from the Research Enhancement Program of Georgia State University. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Child Health and Human Development or the National Institutes of Health. Portions of the study were presented at the Society for Research in Child Development, Atlanta, 2005, and at the International Conference on Infant Studies, Kyoto, 2006. The authors thank Barbara Dunbar, Pamela K. Rutherford, Janis Sayre, and Kimberly M. McMillan for their many contributions to this project and Diana Robins for her helpful comments. In addition we gratefully acknowledge Alicia Brady, M. Janelle Cambron, Jesse Centrella, Susan Kupferberg, Ginair McKerrow, P. Brooke Nelson, Lauren Pierre, Jana Pruett, Rodney Teague, Melissa Traver, Anjali Vasudeva, and Leslie Wade who coded the corpus.
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Adamson, L.B., Bakeman, R., Deckner, D.F. et al. Joint Engagement and the Emergence of Language in Children with Autism and Down Syndrome. J Autism Dev Disord 39, 84–96 (2009). https://doi.org/10.1007/s10803-008-0601-7
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DOI: https://doi.org/10.1007/s10803-008-0601-7