SLPs' Approach to Treatment: Gestalt Language Processing & Analytic Language Processing- when Encountering Echolalia in ASD

Date of Submission

Spring 2024

Document Type

Closed Research Project

Degree Name

Master of Science in Speech-Language Pathology

Department

Speech-Language Pathology

First Advisor

Ivonne Maldonado-De la Rosa, PhD, MLS, CCC-SLP

Abstract

Autism Spectrum Disorder (ASD) is associated with a variety of communication differences, including echolalia, social communication challenges, and expressive-receptive language difficulties. As the prevalence of ASD continues to rise, speech-language pathologists (SLPs) increasingly encounter clients who use echolalia as part of their communication system. The purpose of this study was to explore SLPs’ knowledge, perceptions, and implementation of GLP and ALP approaches when working with echolalic clients diagnosed with ASD. A qualitative phenomenological research design was utilized. Semi-structured interviews were conducted with four certified speech-language pathologists currently working with pediatric clients with ASD who presented with echolalia. Interviews explored participants’ familiarity with GLP and ALP, treatment decision-making, perceived preparedness, and clinical experiences. Thematic analysis revealed that participants generally demonstrated greater familiarity and comfort with traditional ALP approaches due to graduate school training and prior clinical experiences. Although participants recognized concepts associated with GLP, including scripting, delayed echolalia, melodic intonation, and communicative intent, most reported limited formal education and training related to GLP implementation. Findings also demonstrated that clinicians who incorporated GLP approaches emphasized neurodiverse-affirming and client-centered care, focusing on reducing demands, shaping scripts, and supporting natural language development. Results highlight the growing need for increased education, research, and evidence-based training regarding GLP and ALP frameworks within speech-language pathology programs and continuing professional development. This study contributes to ongoing discussions regarding individualized, neurodiverse-affirming intervention approaches for language development in clients with ASD and echolalia.

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