KnE Social Sciences

ISSN: 2518-668X

The latest conference proceedings on humanities, arts and social sciences.

Cues-Pause-Point Method to Decrease Immediate Echolalia In Adolescents With Autism

Published date: Mar 27 2025

Journal Title: KnE Social Sciences

Issue title: The 3rd International Conference of Applied Psychology on Humanity (ICAP-H)

Pages: 49 - 61

DOI: 10.18502/kss.v10i7.18302

Authors:

Dina NastitiIndependent Educational Psychologist, Indonesia

Muryantinah Mulyo Handayanimuryantinah.mulyo@psikologi.unair.ac.idFaculty of Psychology, Airlangga University, Indonesia

Abstract:

Adolescents with autism who show immediate echolalia may experience a communication disorder that increases the likelihood of social failure. This study aims to decrease immediate echolalia in adolescents with autistic spectrum disorder using the Cues-Pause-Point method. This experiment uses multiple baseline designs across content. The participants were 18-year-old and 19-year-old adolescents with autism who were given verbal questions from three content areas: identification, interaction, and facts. The Cues-Pause-Point method was designed to (a) to encourage the participants to remain quiet before, during, and after the presentation of the question and (b) to teach the participants to use environmental cues, which are response cards placed on the table. Their responses were noted and scored by two observers. The resulting data were analyzed using descriptive visual analysis and showed a decrease in the participants’ echolalia percentage. The results show a trend line decrease of immediate echolalia after all subjects get Cues-Pause-Point treatment.

Keywords: adolescence, autism, cues-pause-point method, immediate echolalia

References:

[1] Schaeffer J, Abd El-Raziq M, Castroviejo E, Durrleman S, Ferré S, Grama I, et al. Language in autism: domains, profiles and co-occurring conditions. J Neural Transm (Vienna). 2023 Mar;130(3):433–57.

[2] Valentino AL, Shillingsburg MA, Conine DE, Powell NM. Decreasing Echolalia of the Instruction “Say” During Echoic Training Through Use of the Cues-Pause-Point Procedure. J Behav Educ. 2012 Dec;21(4):315–28.

[3] Edelstein ML, Sloman K, ____________________________________ BD, Larue R, Dean BD, Messer SB. Effects of Demand Complexity On Echolalia in Students with Autism. 2015.

[4] Wilkinson K. Profiles of Language and Communication Skills in Autism. Ment Retard Dev Disabil Res Rev. 1998;4(2):73–9.

[5] Fay WH. On the basis of autistic echolalia. J Commun Disord. 1969 Mar;2(1):38–47.

[6] Stengel E. Suicide and attempted suicide. Penguin Books; 1964.

[7] Stengel E. A clinical and psychological study of echo-reactions. J Ment Sci. 1947 Jul;93(392):598–612.

[8] Patra KP, De Jesus O. Echolalia. 2024.

[9] McMorrow MJ, Foxx RM. Some direct and generalized effects of replacing an autistic man’s echolalia with correct responses to questions. J Appl Behav Anal. 1986;19(3):289–97.

[10] Neely L, Gerow S, Rispoli M, Lang R, Pullen N. Treatment of Echolalia in Individuals with Autism Spectrum Disorder: a Systematic Review. Rev J Autism Dev Disord. 2016 Mar;3(1):82–91.

[11] Baron-Cohen S, Wheelwright S, Hill J, Raste Y, Plumb I. The “Reading the Mind in the Eyes” Test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J Child Psychol Psychiatry. 2001 Feb;42(2):241– 51.

[12] Bhatia MS, Rajender G, Malhotra S, Kanwal K, Chaudhary D. Management of Social Skill Deficits in Autism Spectrum Disorders. Volume 13. Review Article Delhi Psychiatry Journal; 2010.

[13] Mendelson JL, Lerner MD. Friendships Among School-Aged Boys with ASD. Autism Spectr News. 2014;7:17.

[14] Strang JF, Kenworthy L, Daniolos P, Case L, Wills MC, Martin A, et al. Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability. Res Autism Spectr Disord. 2012 Jan;6(1):406–12.

[15] McMorrow MJ, Foxx RM, Faw GD, Bittle RG. Cues-pause-point language training: teaching echolalics functional use of their verbal labeling repertoires. J Appl Behav Anal. 1987;20(1):11–22.

[16] Foxx RM, Schreck KA, Garito J, Smith A, Weisenberger S. Replacing the Echolalia of Children With Autism With Functional Use of Verbal Labeling. J Dev Phys Disabil. 2004 Dec;16(4):307–20.

[17] Sunanto J, K Takeuchi, H Nakata. Penelitian dengan Subjek Tunggal. 2006.

[18] Kratochwill TR, Hitchcock J, Horner RH, Levin JR, Odom SL, Rindskopf DM, et al. What Works Clearinghouse SINGLE-CASE DESIGN TECHNICAL DOCUMENTATION. 2010.

[19] Salda na D, Frith U. Do readers with autism make bridging inferences from world knowledge? J Exp Child Psychol. 2007 Apr;96(4):310–9.

[20] Järvinen-Pasley A, Wallace GL, Ramus F, Happé F, Heaton P. Enhanced perceptual processing of speech in autism. Dev Sci. 2008 Jan;11(1):109–21.

[21] Paramita PP. Margaretha, Handayani MM, Leonardi T, Dewi TK. Memahami Karakteristik, Implikasi dan Strategi Penanganan Anak dengan Spektrum Autisme. Surabaya Fak Psikol Univ Airlangga; 2014.

[22] Mathieu JE, Heffner TS, Goodwin GF, Salas E, Cannon-Bowers JA. The influence of shared mental models on team process and performance. J Appl Psychol. 2000 Apr;85(2):273–83.