Subject in this study was an 11-year-old mute autistic boy with poor language comprehension. When he was instructed orally in sequence which of two objects to choose out of three different ones (e.g.,"choose cup and spoon", when presented with those objects and also a toothbrush), his first choice would be incorrect (e.g., the toothbrush instead of the cup), but he almost always chose the second one correctly. It seemed that he did not hear the first word of such two-word combinations. In each session, the subject was asked on about 40 trials to choose two out of three items presented, either a spoon, cup, and toothbrush, or, in later sessions, an orange, pencil, and scissors. In the Single Instruction condition, an adult said two words, once each. In the Double Instruction condition, the adult spoke the second word 2 sec. after the first, and spoke the two words again successively 2 sec. later. Over two months, there were 26 sessions. In the fifth session, when speaking the first word, the adult pointed to the tabletop on the boy's left side, and, when speaking the second word, to the tabletop on the boy's right side. Immediately the boy began to point without the adult model. That is, he would listen to the first word and point, and then listen to the second word and point, as the adult had done. With this behavior, he made more correct choices; the pointing seemed to help him hear both words. In the tenth session, he made correct choices on 73% of Single Instruction trials, and 95% of Double Instruction trials. At that time, pointing in the Single Instruction condition was occurring less often than before. When he was asked to choose the new objects, and when he was prevented for one or more seconds from making a choice, his pointing increased again. With the delay procedure, he could choose two objects correctly after a 3-sec. delay, but not after 5 sec. On almost all trials, he placed the first object selected in the place where he pointed first, and the second object selected. where he pointed second. The results of this study indicate that this boy had difficulty with the auditory language comprehension of a combination of two objects. This seemed to be caused by his restricted receiving and memorizing of auditory language. Through pointing, however, he could translate the two-word auditory stimulus into the visuo-spatial relationship of two objects. Visuo-spatially supported listening appeared to overcome his receiving and memorizing problems, and to facilitate comprehension of combinations of two words.
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