The goal of the current research proposal is to investigate the effects of core social deficits in autism spectrum disorders (ASD) on the sign language development of deaf children. This will be done by collecting data from 20 autistic deaf children of deaf parents (deaf-of-deaf or DoD) between the ages of 4 and 12 and 45 typically- developing (TD), non-autistic DoD children between the ages of 4 and 12 (15 in each of three age ranges: 4-5, 6-8, and 9-12). Previous research has examined how hearing children with severe autism are able to learn manual signs as an alternative to speech, but no research has systematically examined the signing of deaf autistic children. This study represents a continuation of the PI's research into this population, the first of its kind. This is particularly important due to growing awareness about autism within the Deaf community as well as the steep increase in estimates of the prevalence of autism in recent years (1 in 91 children according to the CDC;2009). Furthermore, an investigation of the sign language development of deaf children with autism could be particularly illuminating due to the non-linguistic cognitive skills required to learn a sign language such as American Sign Language, or ASL. Several of the core social skills known to be impaired in autism are crucial for sign learning, and thus sign language could show unique effects of autism on cognition that are not observable in speech. These skills include the ability to engage in episodes of joint attention, interpret facial expressions, understand the differing visual perspectives of others and replicate the body movements and stances of others (a complex cognitive process that is involved in discourse (signer/addressee) perspective- taking that we refer to as """"""""self-other mapping""""""""). The first specific aim is to investigate the effects of autism on sign language acquisition by eliciting targeted structures, including lexical items, agreement verbs, personal pronouns, and classifier constructions.
The second aim of the proposed study is to investigate the performance of deaf ASD and TD children on non-linguistic cognitive skills thought to be entailed in self-other mapping, including theory of mind and identification with others, and to analyze possible correlations between performance on the social and linguistic tasks. This research has implications for a clearer understanding of the specific cognitive impairments underlying autistic disorders, and how these impairments affect language acquisition. Since little is known about this population, the knowledge gained will inform the development of diagnostic instruments, educational interventions, and sign language training for deaf children with autism.

Public Health Relevance

Examining the effects of autism on the sign language development of deaf children reflects an innovative approach and unique opportunity for understanding how the social impairments of autism affect language acquisition. The results of this study will help us to better understand how autism impacts cognition in both deaf and hearing children, and could lead to improved diagnostic instruments, interventions, and educational strategies.

National Institute of Health (NIH)
National Institute on Deafness and Other Communication Disorders (NIDCD)
Postdoctoral Individual National Research Service Award (F32)
Project #
Application #
Study Section
Communication Disorders Review Committee (CDRC)
Program Officer
Sklare, Dan
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Boston University
Schools of Arts and Sciences
United States
Zip Code
Shield, Aaron; Cooley, Frances; Meier, Richard P (2017) Sign Language Echolalia in Deaf Children With Autism Spectrum Disorder. J Speech Lang Hear Res 60:1622-1634
Shield, Aaron; Pyers, Jennie; Martin, Amber et al. (2016) Relations between language and cognition in native-signing children with autism spectrum disorder. Autism Res 9:1304-1315
Shield, Aaron; Meier, Richard P; Tager-Flusberg, Helen (2015) The Use of Sign Language Pronouns by Native-Signing Children with Autism. J Autism Dev Disord 45:2128-45
Shield, Aaron (2014) Preliminary findings of similarities and differences in the signed and spoken language of children with autism. Semin Speech Lang 35:309-20
Mood, Deborah; Shield, Aaron (2014) Clinical use of the autism diagnostic observation schedule-second edition with children who are deaf. Semin Speech Lang 35:288-300
Shield, Aaron; Meier, Richard P (2012) Palm reversal errors in native-signing children with autism. J Commun Disord 45:439-54