<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="discussion" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychiatry</journal-id>
<journal-title>Frontiers in Psychiatry</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychiatry</abbrev-journal-title>
<issn pub-type="epub">1664-0640</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyt.2025.1665247</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychiatry</subject>
<subj-group>
<subject>Opinion</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>How do we reconcile the seemingly contradictory theories of Gestalt language processing and weak central coherence?</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Schwartz</surname>
<given-names>Anna M.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/3185796/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Caldwell-Harris</surname>
<given-names>Catherine L.</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/131534/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Physical Therapy, Movement &amp; Rehabilitation Science, Northeastern University</institution>, <addr-line>Boston, MA</addr-line>,&#xa0;<country>United States</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Psychology, Boston University</institution>, <addr-line>Boston, MA</addr-line>,&#xa0;<country>United States</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1039657/overview">Antonio M. Persico</ext-link>, University of Modena and Reggio Emilia, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Ma&#xeb;va Michon, Universit&#xe9; Paul Val&#xe9;ry, France</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Catherine L. Caldwell-Harris, <email xlink:href="mailto:charris@bu.edu">charris@bu.edu</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1665247</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>07</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Schwartz and Caldwell-Harris.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Schwartz and Caldwell-Harris</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>A long-standing characterization of autistic cognition is variously referred to as detail-oriented, local processing bias, bottom-up processing, and weak central coherence. A related construct, enhanced perceptual functioning, is a mechanism that could account for autistics&#x2019; superiority at a variety of detail-oriented visual tasks. However, detail-focused and enhanced perceptual functioning appear the opposite of what is called Gestalt language processing. Observed in autistic language acquisition, whole phrases are produced at the beginning of language learning, rather than the expected smaller unit of single words. This idea has been enlarged to encompass Gestalt processing as a broad cognitive style, said to be characteristic of autistic processing in some cases or for some individuals. We explain and critique these diverse accounts, noting which aspects of them are controversial. We propose a spectrum of reconciliations, beginning with how both attention to detail and production of holistic speech can emerge from enhanced perceptual function. Inherent differences between auditory and visual processing allow holistic processing to be more easily observed in language than in vision. Autistic individuals may less easily learn what level and type of detail correspond to their culture&#x2019;s normative expectations.</p>
</abstract>
<kwd-group>
<kwd>autism</kwd>
<kwd>language acquisition</kwd>
<kwd>top-down and bottom-up approach</kwd>
<kwd>enhanced perceptual functioning</kwd>
<kwd>gestalt language processing</kwd>
<kwd>weak central coherence</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="76"/>
<page-count count="8"/>
<word-count count="4359"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Autism</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction: local processing bias</title>
<p>Focusing on the trees and not the forest. Working on the details of a problem but ignoring the big picture. Over the last decades, these observations of autistic cognitive processing have been experimentally verified using diverse tasks. In the embedded figure task (<xref ref-type="bibr" rid="B1">1</xref>), a line drawing of a pie shape would be difficult to find if it was drawn by the spokes on the wheel of a baby carriage. Autistics were faster and more accurate than a neurotypical comparison group at identifying hidden shapes, presumably because of greater bottom-up processing, meaning focusing on details of the image, without conflicting top-down signals from the context surrounding the shape.</p>
<p>Another informative task was the local-global task, where observers viewed a large letter (such as G) composed of small images of a different letter (such as E). Observers are asked to respond as quickly as possible regarding which letter is being displayed. Autistics were more likely than neurotypical observers to respond with the small (or &#x201c;local&#x201d;) letter (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>). The frequency of local vs. global choices can then be used to quantify the relative predominance of local vs. global processing bias.</p>
<sec id="s1_1">
<label>1.1</label>
<title>Weak central coherence</title>
<p>Happ&#xe9; and Frith (<xref ref-type="bibr" rid="B3">3</xref>) explained detail-oriented cognition using the phrase &#x201c;weak central coherence,&#x201d; where central coherence refers to integrating information coming from diverse aspects of domains. For example, in vision, integrating the distinct shape of leaves, branches, and a trunk helps identify the overall object, tree; integrating a scene with trees, hills and a sky would identify this as a landscape. Neuroanatomical evidence has also supported the idea that autistic brains have more connections in local areas, and fewer long-range connections (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B7">7</xref>). <xref ref-type="bibr" rid="B8">8</xref>). Happ&#xe9; and Frith (<xref ref-type="bibr" rid="B3">3</xref>) argued that difficulty integrating information is a general characteristic of autistic functioning. Examples include integrating information when listening to sentence narratives (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>), and difficulties making generalizations about categories, especially new categories (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>). Autistic individuals are less helped by context when taking memory tests and problem-solving (<xref ref-type="bibr" rid="B14">14</xref>). Happ&#xe9; and Frith (<xref ref-type="bibr" rid="B3">3</xref>) argued that difficulty with integrating information could also explain two key aspects of autism, restricted interests and social impairments. Specific, idiosyncratic interests are those that don&#x2019;t depend on flexibly interrelated diverse types of conceptual information. Social skills deficits may emerge because the social domain requires a dynamic blend of facial emotion processing, gestures, and knowledge of social norms (see also <xref ref-type="bibr" rid="B15">15</xref>).</p>
</sec>
<sec id="s1_2">
<label>1.2</label>
<title>Enhanced perceptual functioning</title>
<p>Mottron et&#xa0;al. (<xref ref-type="bibr" rid="B16">16</xref>) proposed that autistics have heightened sensitivity to sensory stimuli, particularly in the visual and auditory domains. This sensitivity leads to a detail-oriented cognitive style, where fine-grained information is prioritized for processing, at the expense of attention to global information(see review in <xref ref-type="bibr" rid="B17">17</xref>). As part of reframing detail-orientation as a strength, Mottron et&#xa0;al. (<xref ref-type="bibr" rid="B16">16</xref>) showed that autistic outperformed neurotypicals on diverse tasks of block design, pattern recognition, and visual search. Children with ASD exhibited faster reaction times and no disruption in search efficiency on dynamic visual processing tasks (<xref ref-type="bibr" rid="B18">18</xref>). Those authors argued that the autistic advantage derives from enhanced perceptual ability to discriminate between targets and distractors, although the cause of this was not specified.</p>
<p>EPF reframed local processing bias as a strength, which also helped explain savants (<xref ref-type="bibr" rid="B19">19</xref>). EPF could be the mechanism by which some autistic individuals develop extreme talents such as calendrical calculation (<xref ref-type="bibr" rid="B20">20</xref>).</p>
<p>Mottron et&#xa0;al. (<xref ref-type="bibr" rid="B16">16</xref>) proposed that EPF is broadly about sensory processing, and not just visual processing. They reviewed that autistics have superior pitch discrimination, heightened ability to distinguish between different musical pitches, enhanced pure-tone detection. Relative to NTs, autistics have improved auditory pattern recognition. They excel at identifying and remembering complex auditory patterns and sequences, and have superior auditory stream segregation, meaning better ability to separate and process multiple simultaneous auditory streams. Many individuals with ASD report heightened sensitivity to certain sounds, which may be related to enhanced auditory perception. Autistic individuals reported during interviews being drawn to details in a visual scene and having enhanced perceptual processing, such as navigating through an environment with a detailed map-like mental representation (<xref ref-type="bibr" rid="B21">21</xref>).</p>
</sec>
<sec id="s1_3">
<label>1.3</label>
<title>Evolving views of the causes of enhanced perceptual functioning</title>
<p>It was older literature from the 1980s, 1990s, and early 2000s that used the terms detail-oriented, local processing bias, and weak central coherence. Another reframing came from researchers who argued that enhanced sensory functioning can be attributed, at least in part, to enhanced sensory capacity.</p>
<p>Remington et&#xa0;al. (<xref ref-type="bibr" rid="B22">22</xref>) designed tasks to stress visual processing capacity. Autistic adults and children had intact performance on a central attention task, but compared to an NT group, autistic adults had increased ability to process irrelevant peripheral information, even under high levels of perceptual load. Those authors concluded that autistics had superior visual processing ability compared to NTs (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>A proposed mechanism is increased auditory capacity, paralleling the increased visual attention advocated by Remington et&#xa0;al. (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). To compare perceptual capacity in both autistics and NT groups, Remington and Fairnie (<xref ref-type="bibr" rid="B24">24</xref>) designed auditory detection and identification tasks designed to tax processing capacity. Tasks were constructed to highlight both the benefits and disadvantages of increased capacity. Autistics were better able to notice and respond to unexpected sounds, meaning, sounds not central to the current task or focus. The authors concluded that autistics were able to process a greater amount of auditory information at any given time compared to neurotypical individuals.</p>
</sec>
</sec>
<sec id="s2">
<label>2</label>
<title>The paradox of detailed-focused and Gestalt-focused processing</title>
<p>We just reviewed the long-standing understanding of autistic cognition as detail-focused. This appears to contradict a theory that is increasingly popular among speech-language pathologists (SLP) called Gestalt language processing (GLP). GLP proposes that some individuals, including many autistic individuals, learn language by memorizing and using larger &#x201c;chunks&#x201d; of language (like phrases or sentences) before they fully understand the individual words within those chunks (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B26">26</xref>). Because our goal is to chart out future research that could reconcile these two broad perspectives, we first review the historical background and current arguments for GLP, just as we did regarding evidence about autistics having weak central coherence.</p>
<sec id="s2_1">
<label>2.1</label>
<title>The insight igniting Gestalt language fervor: echolalic utterances are communicative</title>
<p>Echolalia was the term to describe the repetition of phrases used in a meaningless way, such as repeating an advertising jingle. The innovation at the heart of GLP was that echolalic utterances have communicative intent. Prizant (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>) observed that the echolalic utterances produced by his autistic clients could be understood as meaningful for caregivers who understood the purpose and context of use, even if these utterances were idiosyncratic and not directly interpretable. As an example, one autistic youth repeated &#x201c;Are you a good witch or a bad witch?&#x201d; as a stand-in for greeting a new person. Prizant (<xref ref-type="bibr" rid="B26">26</xref>) proposed that the children were using the echoes to communicate, albeit idiosyncratically.</p>
<p>During the same era, language acquisition theorists established that using unanalyzed whole chunks to communicate is a strategy many children employ during early language development (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>). As part of extensive research on typical children&#x2019;s language acquisition, Nelson (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B29">29</xref>) discussed holistic phrases such as <italic>Iwandat</italic>, which would be used during social interaction; she referred to this as an expressive style of language learning. Counterposed to this was the referential style, meaning using isolated words as labels to refer to objects.</p>
<p>Thirty years later, another SLP, Marge Blanc, took up Prizant&#x2019;s insight that repeated phrases have communicative intent. Blanc (<xref ref-type="bibr" rid="B30">30</xref>) worked to develop and popularize the idea of Gestalt processing, describing it in a manner that SLPs could use to instruct parents to help autistic children communicate. This was done in a neuroaffirming way. Blanc did not try to &#x201c;normalize&#x201d; autistic children&#x2019;s language acquisition, but to advise caregivers on treating Gestalt language as communicative, so that language could be a useful tool rather than an obstacle. Blanc (<xref ref-type="bibr" rid="B30">30</xref>) argued the autistics&#x2019; path to language learning is rooted in a &#x201c;a form of thinking that includes a whole experience or situation&#x2014;and suggest(s) that, for many GLPs, Gestalt language processing is an intrinsic part of the emotional experience in which the language was first used&#x201d; (p. 1282, <xref ref-type="bibr" rid="B31">31</xref>).</p>
<p>GLP proposes that autistic people latch onto a &#x201c;whole experience or situation&#x201d; because it is difficult for them to parse the individual components (in this case, words). As part of evaluating this claim, we note it stands in opposition to the long-standing claim, reviewed earlier, that autistics struggle to see the coherent whole because they are overly focused on the details.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Resolving the paradox</title>
<p>There are a number of possible reconciliations. We first note that the paradox is less severe than one might assume, because how autism is characterized has evolved since the decades when weak central coherence was proposed by Happ&#xe9; (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Autistic individuals are now understood to employ both detail-oriented and big-picture processing, albeit in a slightly different manner from neurotypical individuals (<xref ref-type="bibr" rid="B33">33</xref>).</p>
<sec id="s3_1">
<label>3.1</label>
<title>New ideas about bottom-up vs. top-down processing</title>
<p>In recent decades, local-global tasks have been heavily scrutinized by researchers (e.g., <xref ref-type="bibr" rid="B34">34</xref>). A view has solidified that local processing bias is a cognitive style and a preference rather than a disability (<xref ref-type="bibr" rid="B35">35</xref>&#x2013;<xref ref-type="bibr" rid="B37">37</xref>; although note that this was also proposed in <xref ref-type="bibr" rid="B32">32</xref>). Evidence for this is that even when autistic individuals (including children) default to responding at the local level, they are able to report the global level when instructed to do so (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B38">38</xref>).</p>
<p>An idea frequently discussed in the autism community is that autistic people process details first and then use the details to construct a big-picture perspective (<xref ref-type="bibr" rid="B39">39</xref>). Numerous online articles, blogs and popular science books now summarize and explain the view that autistics can construct big-picture views, but these are the end-goal of processing, not the starting point (e.g., <xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B41">41</xref>). One autistic researcher noted that autistic people appear to be &#x201c;details-before-the-concept&#x201d; thinkers, while non-autistic people are &#x201c;concept-before-the-details&#x201d; thinkers (<xref ref-type="bibr" rid="B39">39</xref>).</p>
<p>Some autistic advocates note that learning approaches may differ from neurotypical norms. Aiello (<xref ref-type="bibr" rid="B42">42</xref>) advises: &#x201c;If learning a scientific theory, an Autistic student may need to see multiple specific experiments and results before understanding the overarching concept, rather than absorbing a general explanation first.&#x201d; Numerous social media posts elaborate on the view that autistics reach the big picture via processing of details, rather than being limited to details (<xref ref-type="bibr" rid="B43">43</xref>). However, this view is currently not discussed by academic researchers (as determined in July 2025 via multiple literature searches, including queries using AI tools).</p>
<p>This sea-change away from the original &#x2018;weak central coherence&#x2019; view reduces the processing difference between weak central coherence and Gestalt processing in language. This raises the possibility that differences in the nature of tasks and one&#x2019;s expertise could shift relative the extent to which someone makes use of detail-oriented vs. holistic processing.</p>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>No paradox, because echolalic utterances are not holistic episodic memories</title>
<p>GLP has been criticized from within the field of speech and language pathology (e.g., <xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>) and from academic researchers (e.g., <xref ref-type="bibr" rid="B46">46</xref>), for being ill-defined and lacking robust empirical support. Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) noted that both Prizant (<xref ref-type="bibr" rid="B26">26</xref>) and Peters (<xref ref-type="bibr" rid="B25">25</xref>) intended their description of Gestalt processing as provisional, awaiting future theoretical analysis. Yet Blanc (<xref ref-type="bibr" rid="B30">30</xref>) adopted and developed the idea of a holistic style as if it were a theoretically and empirically vetted construct. Some researchers have argued that clinical practices based on GLP could even be detrimental for children with neurodevelopmental and communication disabilities (<xref ref-type="bibr" rid="B47">47</xref>).</p>
<p>We focus here on the criticism of Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) that GLP is ill-defined because echolalic utterances are not unanalyzed forms, and are not holistic representations. Regarding forms not being analyzed, Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>, p. 5) note that Prizant&#x2019;s examples of &#x201c;Gestalt mode of processing&#x201d; appeared to be better characterized as &#x201c;need for sameness but not a lack of internal analysis of the situation&#x201d;.</p>
<p>Prizant (<xref ref-type="bibr" rid="B26">26</xref>) defined a Gestalt mode of processing as one &#x201c;in which events are remembered or retained with relatively little analysis &#x2026; [which] must be viewed in contrast to an analytic mode in which experiences or events are analyzed and segmented into meaningful components based upon prior experience&#x201d; (p. 300). How can a phrase (which is a multi-word utterance) be remembered with relatively little analysis? Blanc and others proposed that Gestalt forms are supported by superior episodic memory, which allows information to exist in an unanalyzed, holistic form.</p>
<p>Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) claim this is a misunderstanding of episodic memory. Cognitive psychologists view episodic memory to be flexible, hierarchically structured, and composed of multiple analyzed components (<xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>). Episodic memory is a constructive process, not just a simple recording of past events. This constructive nature allows individuals to flexibly extract and recombine elements of past experiences, and to imagine or simulate future scenarios. Memories need to be reshaped slightly by new context, emotions, or suggestions during each retrieval. The reason for this is the human memory system is designed for predicting future events, which means it needs to be adaptable, not a mechanism for freezing in place replicas of past experiences (<xref ref-type="bibr" rid="B50">50</xref>).</p>
<p>Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) argued that delayed echolalia would be better understood as reflecting strength in perceptual memory. This is a non-declarative form of memory that registers and retains relatively unprocessed &#x2018;snapshot&#x2019; records of single items to compensate for episodic memory (<xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B51">51</xref>, <xref ref-type="bibr" rid="B52">52</xref>).</p>
<p>Let us accept the point of Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) that echolalic utterances are recordings in perceptual memory. These could also be understood as holistic. It is thus difficult to understand why relatively unanalyzed forms stored as unprocessed snapshots in perceptual memory are not Gestalt forms. The proposal by Hutchins et&#xa0;al. (<xref ref-type="bibr" rid="B45">45</xref>) is thus either wrong or incomplete. Below, we propose several novel resolutions.</p>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Echolalic utterances are details seized upon in a rich, complex conversational setting</title>
<p>If Gestalt forms are perceptual representations, they can plausibly exhibit enhanced sensory capacity. Consistent with existing research that autistics have enhanced auditory capacity, overheard phrases can be retained as an auditory trace. These can be holistic, in the sense that the phrase is mapped to some salient meaning in the environment, but not fully analyzed into constituent pieces.</p>
<p>Some phonological analysis must have been performed, since with echolalia, phonemes are typically pronounced correctly, and appropriate intonation is employed. But if autistics have local processing bias and attention to detail, why don&#x2019;t they analyze the details of phrases, such as the component words? We propose that autistic learners may already be showing local processing bias regarding language input, but in a way that deviates from our conventional understanding of what it means to be detail-oriented in the domain of language.</p>
<p>Consider the richness and complexity of a typical conversational setting. Within this rich setting, a detail-oriented processor with high perceptual capacity may have selected the detail consisting of a phrase spoken to them or an overheard TV jingle. This is the detail that is selected for focus, but not integrated with diverse aspects of the larger setting in which the phrase is spoken, including objects handled by speakers and speakers&#x2019; physical actions in space. Consistent with local processing bias, the detail is not integrated within the larger conversational setting, which includes speakers&#x2019; communicative intentions. The result is one of the hallmarks of echolalia: unconventional, idiosyncratic meaning. Schuler and Prizant (<xref ref-type="bibr" rid="B53">53</xref>) cited the example from Kanner (<xref ref-type="bibr" rid="B54">54</xref>) of an autistic youth repeating <italic>&#x201c;don&#x2019;t throw the dog off the balcony&#x201d;</italic> to remind himself to exert self-control. On this account, there is no conflict between GLP and detail-oriented processing, because an echolalic utterance is a detail, albeit also a holistic, unanalyzed form.</p>
<p>Given that autistics appear to excel at identifying the small units of any input stream, why would this ability be absent in the case of speech? The standard explanation is that identifying word-level semantics requires intense attention to joint attention and speakers&#x2019; communicative intent (<xref ref-type="bibr" rid="B55">55</xref>). Autistics at the beginning of language learning may be focusing their attention on perceptual details of the speech stream, rather than tracking conversation partners&#x2019; communicative goals.</p>
<p>A speculative proposal about why autistics sometimes do not break into language learning with words continues with the theme that autistics do have &#x201c;enhanced auditory capacity.&#x201d; Infants&#x2019; restricted working memory capacity was an assumption in Newport&#x2019;s (<xref ref-type="bibr" rid="B56">56</xref>) &#x2018;less is more&#x2019; hypothesis. Newport (<xref ref-type="bibr" rid="B56">56</xref>) speculated that early childhood is a sensitive period for language learning, due in part to reduced working memory capacity. According to the &#x2018;less is more&#x2019; hypothesis, reduced capacity forces young children to focus on (and thus identify) smaller linguistic units that form the fundamental components of language (although see <xref ref-type="bibr" rid="B57">57</xref>). In contrast, the more capacious working memory capacity of older children and adults allows them to encode large units of language, which then interferes with identifying what are the small units that form the building blocks of language.</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Inherent differences between auditory and visual processing mean holistic processing is more easily observed in language than in vision</title>
<p>Auditory inputs can be easily repeated (re-produced) in a holistic fashion. This is as simple as listening to auditory input and repeating verbatim an overhead phrase or environmental sound. Any individual with a larger-than-expected sensory capacity can impress observers by repeating a long phrase. This can strike observers as &#x2018;holistic&#x2019; if the speaker is not known to produce any of the phrases&#x2019; component words on their own.</p>
<p>Recall that visual stimuli where local processing bias is reported for autistic children and adults. What would it mean to demonstrate holistic processing in vision? An example is drawing. Autistics do produce high-capacity visual stimuli in the form of accurate, detailed drawings of real-life scenes (<xref ref-type="bibr" rid="B58">58</xref>). As example, is the autistic artist Stephen Wiltshire, who regularly draws pictures of cityscapes after a one-time viewing from a plane (<xref ref-type="bibr" rid="B59">59</xref>). This ability to produce high-capacity representations of visual scenes has been observed for autistic individuals beyond those labeled as savants. High-capacity drawings may be less apparent to observers because drawing requires fine motor skills, an area of documented challenges for some autistics (<xref ref-type="bibr" rid="B60">60</xref>). Nonetheless, when autistic children produce such drawings, they are lauded and admired, but what gets remarked by both caregiver and autism researchers is not the holistic nature of the drawings, but their details. We suggest that autistic visual processing is not just detail-oriented, but also has a holistic quality, given that some drawings are an accurate rendering of a coherent, big-picture stimulus, just as echolalic utterances are typically faithful copies of a heard phrase.</p>
<p>On this analysis, autistics&#x2019; enhanced sensory function allows them to repeat large sequences of auditory stimuli and re-present 2-D visual forms via drawing (or demonstrate knowledge via keen spatial navigation or rapid learning of visual material). We maintain that what differs between vision and audition is not that the former is detail-oriented and the latter holistic. What differs is that demonstrating to observers examples of holistic auditory forms is easily done through verbal repetition, but less easily done in the visual realm.</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>The paradox of weak-central coherence vs. Gestalt processing is an illusion caused by observers&#x2019; normative expectations, influenced by culture</title>
<p>When learning language, experts and parents alike have an expectation that words will be acquired first, then phrases. The building blocks should be acquired first, then combined into large forms. When autistics produce phrases, onlookers regard this as aberrant. The assumption that words must come first reflects a society that is educated about developmental psychology. This assumption is part of the educated middle-class parenting tool kit, not a universal of human language acquisition. Child language acquisition researchers have reported that typically developing children use multiple strategies in learning language, including phrasal productions (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B61">61</xref>).</p>
<p>In a different culture, the normative expectations may differ. For example, cross-cultural psychologists report that North Americans process a visual scene by focusing on a central detail. For example, when shown an image of a fish foregrounded in a fishtank, Americans report seeing &#x201c;a fish&#x201d;, while East Asians more often report the larger context, such as a fishtank (<xref ref-type="bibr" rid="B62">62</xref>). Stages of learning may also be different in cultures where children begin learning via overhearing rather than direct verbal interaction with caregivers (<xref ref-type="bibr" rid="B63">63</xref>).</p>
<p>The language domain has other examples where autistic children&#x2019;s patterns are ambiguous between supporting weak central coherence vs. a lack of orientation to normative expectations. Autistic children do not manifest a shape bias in laboratory experiments on new word learning (<xref ref-type="bibr" rid="B64">64</xref>, <xref ref-type="bibr" rid="B65">65</xref>). In contrast, the non-autistic group robustly used shape to infer the meaning of new words starting at 24 months of age, a phenomenon that exists (Hou et&#xa0;al. One interpretation is that learning to use shape to infer words&#x2019; meaning is an example of an abstraction of a high-level principle, and that its absence indicates weak central coherence (specifically, lack of generalization). An alternative is that autistic children have not learned (or not attended to) the normative expectation that shape is routinely used to identify words&#x2019; referents in typical language interactions. Agent-based modeling has been used to explain the shape bias as originating from pressures of communicative efficiency cultures (<xref ref-type="bibr" rid="B66">66</xref>). The strength of the shape-bias holds in some cross-cultural comparisons (e.g., <xref ref-type="bibr" rid="B67">67</xref>), but not across others, suggesting that cultures vary in their normative expectations that object shape is relevant to inferring a word&#x2019;s referent (<xref ref-type="bibr" rid="B68">68</xref>).</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Our purpose is to galvanize the research community to investigate whether autistics&#x2019; local processing bias and high-capacity productions in vision and languages share more similarities than is currently acknowledged. Visual outputs may have holistic properties (such as Wiltshire&#x2019;s expert drawings), and echolalic utterances may have more details (such as precise phonemic and intonational renderings) than researchers have recognized. Here, we discuss the relevance of these issues to open questions in autism research.</p>
<sec id="s4_1">
<label>4.1</label>
<title>Some autistics may be bottom-up processors, others, top-down processors</title>
<p>Across a range of types of cognitive processing, abilities are normally distributed for the population at large, but abilities for autistic individuals may manifest a more flattened distribution of abilities. This derives from more individuals at the low end of ability (corresponding to intellectual and social disabilities), but also a higher proportion of individuals with special skills, such as visual-spatial processing, music, and math ability (<xref ref-type="bibr" rid="B69">69</xref>, <xref ref-type="bibr" rid="B70">70</xref>). A case where autistic abilities load more strongly on the tails of a distribution concerns sensory sensitivities. Some autistics are hypersensitive to sound and others are hyposensitive (<xref ref-type="bibr" rid="B71">71</xref>, <xref ref-type="bibr" rid="B72">72</xref>). Hyposensitivity and hypersensitivity are not mutually exclusive but often co-occur within an individual (<xref ref-type="bibr" rid="B73">73</xref>, <xref ref-type="bibr" rid="B74">74</xref>). The same individual may be hypersensitive to light but hyposensitive to sound. Individuals may even be hyper- and hyposensitive to the same sensory domain, with touch being the most commonly reported. We suggest the same variation can manifest in bottom-up vs. top-down processing.</p>
<p>But could some autistics be primarily top-down processors? The idea of autistic gestalt-type of cognition was suggested as far back as Kanner (<xref ref-type="bibr" rid="B75">75</xref>):</p>
<p>&#x201c;[Autistic children&#x2019;s] world must seem to them to be made up of elements that, once they have been experienced in a certain setting or sequence, cannot be tolerated in any other setting or sequence; nor can the setting or sequence be tolerated without all the original ingredients in the identical &#x2026; order. (P.41)&#x201d;.</p>
<p>We add here a contemporary updating. Autistic adults who have read about Gestalt language processing have reflected that they feel their cognitive style has Gestalt elements. Examples include the following.</p>
<disp-quote>
<p>I am a Gestalt processor, and this shows up in many different ways in my life. It is very hard for me to follow steps and thought processes unless I know the endpoint/the whole picture (<xref ref-type="bibr" rid="B77">77</xref>).</p>
</disp-quote>
<disp-quote>
<p>&#x2026;when it comes to learning and thinking about things I have to first understand the greater context before focusing on specific pieces&#x2026;. [subsequent response] I have always knew my brain or &#x201c;way of thinking&#x201d; was top down, iterative, and associative but never had the words for it past that (<xref ref-type="bibr" rid="B78">78</xref>).</p>
</disp-quote>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Future research</title>
<p>Whether and how much some autistic individuals have a Gestalt approach vs a detailed orientation is unknown, with heterogeneous findings on global-local tasks (<xref ref-type="bibr" rid="B36">36</xref>). Future work can explore the relative strength of top-down vs. bottom-up processing across modalities, following what has been done by child language acquisition researchers (e.g., <xref ref-type="bibr" rid="B61">61</xref>).</p>
<p>Some autistic individuals may:</p>
<list list-type="bullet">
<list-item>
<p>display a detail-focused approach to visual stimuli and a gestalt-focused approach to language and auditory processing.</p>
</list-item>
<list-item>
<p>experience challenges when moving between details and gestalts, rather than being biased towards one or the other.</p>
</list-item>
<list-item>
<p>have the ability to be detail-focused and holistic, with their major challenge located at an intermediary level of processing.</p>
</list-item>
</list>
<p>GLP is confined to language learning, whereas weak-central coherence is assumed to be part of general processing, although most examples concern vision. Future work could disentangle this difference when trying to reconcile whether or not there are different processing strategies across modalities, including and beyond vision vs. language.</p>
</sec>
<sec id="s4_3" sec-type="conclusions">
<label>4.3</label>
<title>Conclusions</title>
<p>The scientific research literature has characterized the autistic cognitive style as detail-oriented. As noted, this contrasts with the Gestalt language perspective discussed by speech-language pathologists. We described several ways to resolve this, such as understanding how large perceptual capacity can facilitate detailed, oriented processing in vision but holistic-seeming productions in speech. Autistic and neurotypical individuals differ in their connections between sensory processing and amodal integration systems (<xref ref-type="bibr" rid="B76">76</xref>). Future research can reveal how variations in connectivity may differently prioritize top-down vs. bottom-up information processing. Pursuing these questions between and within autistic and neurotypical groups will illuminate a core question presented in brain sciences, which is the nature of the relationship between low-level sensory information and higher-order cognition.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="author-contributions">
<title>Author contributions</title>
<p>AS: Conceptualization, Formal Analysis, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing. CC-H: Conceptualization, Formal Analysis, Project administration, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s6" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article.</p>
</sec>
<sec id="s7" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s8" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors&#xa0;and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Frith</surname> <given-names>U</given-names>
</name>
</person-group>. <source>Autism: explaining the enigma</source>. <publisher-loc>Oxford</publisher-loc>: <publisher-name>Basil Blackwell</publisher-name> (<year>1989</year>).</citation></ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>The weak central coherence account of autism</article-title>. <source>Handb Autism Pervasive Dev Disord</source>. (<year>2005</year>) <volume>1</volume>:<page-range>640&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/9780470939345</pub-id>
</citation></ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
<name>
<surname>Frith</surname> <given-names>U</given-names>
</name>
</person-group>. <article-title>The weak coherence account: detail-focused cognitive style in autism spectrum disorders</article-title>. <source>J Autism Dev Disord</source>. (<year>2006</year>) <volume>36</volume>:<fpage>5</fpage>&#x2013;<lpage>25</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10803-005-0039-0</pub-id>, PMID: <pub-id pub-id-type="pmid">16450045</pub-id></citation></ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Belmonte</surname> <given-names>MK</given-names>
</name>
<name>
<surname>Allen</surname> <given-names>G</given-names>
</name>
<name>
<surname>Beckel-Mitchener</surname> <given-names>A</given-names>
</name>
<name>
<surname>Boulanger</surname> <given-names>LM</given-names>
</name>
<name>
<surname>Carper</surname> <given-names>RA</given-names>
</name>
<name>
<surname>Webb</surname> <given-names>SJ</given-names>
</name>
</person-group>. <article-title>Autism and abnormal development of brain connectivity</article-title>. <source>J Neurosci</source>. (<year>2004</year>) <volume>24</volume>:<page-range>9228&#x2013;31</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1523/JNEUROSCI.3340-04.2004</pub-id>, PMID: <pub-id pub-id-type="pmid">15496656</pub-id></citation></ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chung</surname> <given-names>S</given-names>
</name>
<name>
<surname>Son</surname> <given-names>JW</given-names>
</name>
</person-group>. <article-title>Visual perception in autism spectrum disorder: a review of neuroimaging studies</article-title>. <source>J Korean Acad Child Adolesc Psychiatry</source>. (<year>2020</year>) <volume>31</volume>:<fpage>105</fpage>&#x2013;<lpage>120</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.5765/jkacap.200018</pub-id>, PMID: <pub-id pub-id-type="pmid">32665755</pub-id></citation></ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pellicano</surname> <given-names>E</given-names>
</name>
<name>
<surname>Burr</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>When the world becomes &#x2018;too real&#x2019;: A Bayesian explanation of autistic perception</article-title>. <source>Trends Cogn Sci</source>. (<year>2012</year>) <volume>16</volume>:<page-range>504&#x2013;10</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.tics.2012.08.009</pub-id>, PMID: <pub-id pub-id-type="pmid">22959875</pub-id></citation></ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ursino</surname> <given-names>M</given-names>
</name>
<name>
<surname>Serra</surname> <given-names>M</given-names>
</name>
<name>
<surname>Tarasi</surname> <given-names>L</given-names>
</name>
<name>
<surname>Ricci</surname> <given-names>G</given-names>
</name>
<name>
<surname>Magosso</surname> <given-names>E</given-names>
</name>
<name>
<surname>Romei</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>Bottom-up vs. top-down connectivity imbalance in individuals with high-autistic traits: An electroencephalographic study</article-title>. <source>Front Syst Neurosci</source>. (<year>2022</year>) <volume>16</volume>:<elocation-id>932128</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fnsys.2022.932128</pub-id>, PMID: <pub-id pub-id-type="pmid">36032324</pub-id></citation></ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wickelgren</surname> <given-names>I</given-names>
</name>
</person-group>. <article-title>Autistic brains out of synch</article-title>? <source>Science</source>. (<year>2005</year>) <volume>3089</volume>:<page-range>1856&#x2013;8</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1126/science.308.5730.1856</pub-id>, PMID: <pub-id pub-id-type="pmid">15976282</pub-id></citation></ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jarrold</surname> <given-names>C</given-names>
</name>
<name>
<surname>Russell</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Counting abilities in autism: Possible implications for central coherence tbeory</article-title>. <source>J Autism Dev Disord</source>. (<year>1997</year>) <volume>27</volume>:<fpage>25</fpage>&#x2013;<lpage>37</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1023/A:1025817121137</pub-id>, PMID: <pub-id pub-id-type="pmid">9018580</pub-id></citation></ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Studying weak central coherence at low levels: children with autism do not succumb to visual illusions. A research note</article-title>. <source>J Child Psychol Psychiatry</source>. (<year>1996</year>) <volume>37</volume>:<page-range>873 &#x2013; 7</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1469-7610.1996.tb01483.x</pub-id>, PMID: <pub-id pub-id-type="pmid">8923230</pub-id></citation></ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jolliffe</surname> <given-names>T</given-names>
</name>
<name>
<surname>Baron-Cohen</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>A test of central coherence theory: can adults with high-functioning autism or Asperger syndrome integrate fragments of an object</article-title>? <source>Cogn Neuropsych</source>. (<year>2001</year>) <volume>6</volume>:<fpage>193</fpage>&#x2013;<lpage>216</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/13546800042000124</pub-id>, PMID: <pub-id pub-id-type="pmid">16571517</pub-id></citation></ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gastgeb</surname> <given-names>HZ</given-names>
</name>
<name>
<surname>Strauss</surname> <given-names>MS</given-names>
</name>
</person-group>. <article-title>Categorization in ASD: The role of typicality and development</article-title>. <source>Perspect Lang Learn Educ</source>. (<year>2012</year>) <volume>19</volume>:<fpage>66</fpage>&#x2013;<lpage>74</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1044/lle19.2.66</pub-id>, PMID: <pub-id pub-id-type="pmid">22708002</pub-id></citation></ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Van Overwalle</surname> <given-names>J</given-names>
</name>
<name>
<surname>van der Donck</surname> <given-names>S</given-names>
</name>
<name>
<surname>Geusens</surname> <given-names>B</given-names>
</name>
<name>
<surname>Boets</surname> <given-names>B</given-names>
</name>
<name>
<surname>Wagemans</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Altered category learning and reduced generalization in autistic adults</article-title>. <source>Autism Res</source>. (<year>2025</year>) <volume>18</volume>:<fpage>295</fpage>&#x2013;<lpage>311</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/aur.3286</pub-id>, PMID: <pub-id pub-id-type="pmid">39676745</pub-id></citation></ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Skoyles</surname> <given-names>JR</given-names>
</name>
</person-group>. <article-title>Autism, context/noncontext information processing, and atypical development</article-title>. <source>Autism Res Treat</source>. (<year>2011</year>) <volume>2011</volume>:<fpage>681627</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1155/2011/681627</pub-id>, PMID: <pub-id pub-id-type="pmid">22937255</pub-id></citation></ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Herringshaw</surname> <given-names>AJ</given-names>
</name>
<name>
<surname>Kumar</surname> <given-names>SL</given-names>
</name>
<name>
<surname>Rody</surname> <given-names>KN</given-names>
</name>
<name>
<surname>Kana</surname> <given-names>RK</given-names>
</name>
</person-group>. <article-title>Neural correlates of social perception in children with autism: local versus global preferences</article-title>. <source>Neuroscience</source>. (<year>2018</year>) <volume>395</volume>:<fpage>49</fpage>&#x2013;<lpage>59</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.neuroscience.2018.10.044</pub-id>, PMID: <pub-id pub-id-type="pmid">30419259</pub-id></citation></ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mottron</surname> <given-names>L</given-names>
</name>
<name>
<surname>Dawson</surname> <given-names>M</given-names>
</name>
<name>
<surname>Souli&#xe8;res</surname> <given-names>I</given-names>
</name>
<name>
<surname>Hubert</surname> <given-names>B</given-names>
</name>
<name>
<surname>Burack</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Enhanced perceptual functioning in autism: An update, and eight principles of autistic perception</article-title>. <source>J Autism Dev Disord</source>. (<year>2006</year>) <volume>36</volume>:<fpage>27</fpage>&#x2013;<lpage>43</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10803-005-0040-7</pub-id>, PMID: <pub-id pub-id-type="pmid">16453071</pub-id></citation></ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Robertson</surname> <given-names>CE</given-names>
</name>
<name>
<surname>Baron-Cohen</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Sensory perception in autism</article-title>. <source>Nat Rev Neurosci</source>. (<year>2017</year>) <volume>18</volume>:<page-range>671&#x2013;84</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/nrn.2017.112</pub-id>, PMID: <pub-id pub-id-type="pmid">28951611</pub-id></citation></ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Joseph</surname> <given-names>RM</given-names>
</name>
<name>
<surname>Keehn</surname> <given-names>B</given-names>
</name>
<name>
<surname>Connolly</surname> <given-names>C</given-names>
</name>
<name>
<surname>Wolfe</surname> <given-names>JM</given-names>
</name>
<name>
<surname>Horowitz</surname> <given-names>TS</given-names>
</name>
</person-group>. <article-title>Why is visual search superior in autism spectrum disorder</article-title>? <source>Dev Sci</source>. (<year>2009</year>) <volume>12</volume>:<page-range>1083&#x2013;96</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1467-7687.2009.00855.x</pub-id>, PMID: <pub-id pub-id-type="pmid">19840062</pub-id></citation></ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mottron</surname> <given-names>L</given-names>
</name>
<name>
<surname>Belleville</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>A study of perceptual analysis in a high-level autistic subject with exceptional graphic abilities</article-title>. <source>Brain Cogn</source>. (<year>1993</year>) <volume>23</volume>:<fpage>279</fpage>&#x2013;<lpage>309</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1006/brcg.1993.1060</pub-id>, PMID: <pub-id pub-id-type="pmid">8292330</pub-id></citation></ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wallace</surname> <given-names>GL</given-names>
</name>
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
<name>
<surname>Giedd</surname> <given-names>JN</given-names>
</name>
</person-group>. <article-title>A case study of a multiply talented savant with an autism spectrum disorder: neuropsychological functioning and brain morphometry</article-title>. <source>Philos Trans R Soc B: Biol Sci</source>. (<year>2009</year>) <volume>364</volume>:<page-range>1425&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1098/rstb.2008.0330</pub-id>, PMID: <pub-id pub-id-type="pmid">19528026</pub-id></citation></ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rattray</surname> <given-names>F</given-names>
</name>
<name>
<surname>Ruane</surname> <given-names>M</given-names>
</name>
<name>
<surname>Saliko</surname> <given-names>N</given-names>
</name>
<name>
<surname>Absoud</surname> <given-names>M</given-names>
</name>
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Gathering autistic adults&#x2019; visual experiences to inform adaptations: a qualitative interview study</article-title>. <source>Disability Soc</source>. (<year>2025</year>), <fpage>1</fpage>&#x2013;<lpage>28</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/09687599.2025.2498415</pub-id>
</citation></ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Remington</surname> <given-names>A</given-names>
</name>
<name>
<surname>Swettenham</surname> <given-names>J</given-names>
</name>
<name>
<surname>Campbell</surname> <given-names>R</given-names>
</name>
<name>
<surname>Coleman</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Selective attention and perceptual load in autism spectrum disorder</article-title>. <source>psychol Sci</source>. (<year>2009</year>) <volume>20</volume>:<page-range>1388&#x2013;93</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1467-9280.2009.02454.x</pub-id>, PMID: <pub-id pub-id-type="pmid">19843262</pub-id></citation></ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Remington</surname> <given-names>AM</given-names>
</name>
<name>
<surname>Swettenham</surname> <given-names>JG</given-names>
</name>
<name>
<surname>Lavie</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Lightening the load: perceptual load impairs visual detection in typical adults but not in autism</article-title>. <source>J Abnormal Psychol</source>. (<year>2012</year>) <volume>121</volume>:<fpage>544</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1037/a0027670</pub-id>, PMID: <pub-id pub-id-type="pmid">22428792</pub-id></citation></ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Remington</surname> <given-names>A</given-names>
</name>
<name>
<surname>Fairnie</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>A sound advantage: Increased auditory capacity in autism</article-title>. <source>Cognition</source>. (<year>2017</year>) <volume>166</volume>:<page-range>459&#x2013;65</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cognition.2017.04.002</pub-id>, PMID: <pub-id pub-id-type="pmid">28476357</pub-id></citation></ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Peters</surname> <given-names>AM</given-names>
</name>
</person-group>. <article-title>Language learning strategies: Does the whole equal the sum of the parts</article-title>? <source>Language</source>. (<year>1977</year>), <page-range>560&#x2013;73</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2307/413177</pub-id>
</citation></ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prizant</surname> <given-names>BM</given-names>
</name>
</person-group>. <article-title>Gestalt language and gestalt processing in autism</article-title>. <source>Topics Lang Disord</source>. (<year>1982</year>) <volume>3</volume>:<fpage>16</fpage>&#x2013;<lpage>23</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1097/00011363-198212000-00006</pub-id>
</citation></ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prizant</surname> <given-names>BM</given-names>
</name>
<name>
<surname>Duchan</surname> <given-names>JF</given-names>
</name>
</person-group>. <article-title>The functions of immediate echolalia in autistic children</article-title>. <source>J Speech Hearing Disord</source>. (<year>1981</year>) <volume>46</volume>:<page-range>241&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1044/jshd.4603.241</pub-id>, PMID: <pub-id pub-id-type="pmid">7278167</pub-id></citation></ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nelson</surname> <given-names>KE</given-names>
</name>
</person-group>. <article-title>Structure and strategy in learning to talk</article-title>. <source>Monograph Soc Res Child Dev</source>. (<year>1973</year>) <volume>38</volume>:<page-range>170&#x2013;87</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2307/1165788</pub-id>
</citation></ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nelson</surname> <given-names>KE</given-names>
</name>
</person-group>. <article-title>Individual differences in language development: Implications for development and language</article-title>. <source>Dev Psychol</source>. (<year>1981</year>) <volume>17</volume>:<page-range>170&#x2013;87</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1037/0012-1649.17.2.170</pub-id>
</citation></ref>
<ref id="B30">
<label>30</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Blanc</surname> <given-names>M</given-names>
</name>
</person-group>. <source>Natural language acquisition on the autism spectrum: The journey from echolalia to self-generated language</source>. <publisher-loc>Madison, WI</publisher-loc>: <publisher-name>Communication Development Center</publisher-name> (<year>2012</year>).</citation></ref>
<ref id="B31">
<label>31</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Blanc</surname> <given-names>M</given-names>
</name>
<name>
<surname>Blackwell</surname> <given-names>A</given-names>
</name>
<name>
<surname>Elias</surname> <given-names>P</given-names>
</name>
</person-group>. <article-title>Using the natural language acquisition protocol to support gestalt language development</article-title>. <source>Perspect ASHA Special Interest Groups</source>. (<year>2023</year>) <volume>8</volume>:<page-range>1279&#x2013;86</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1044/2023_PERSP-23-00098</pub-id>
</citation></ref>
<ref id="B32">
<label>32</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Autism: cognitive deficit or cognitive style</article-title>? <source>Trends Cogn Sci</source>. (<year>1999</year>) <volume>3</volume>:<page-range>216&#x2013;22</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/S1364-6613(99)01318-2</pub-id>, PMID: <pub-id pub-id-type="pmid">10354574</pub-id></citation></ref>
<ref id="B33">
<label>33</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Mottron</surname> <given-names>L</given-names>
</name>
<name>
<surname>Peng</surname> <given-names>D</given-names>
</name>
<name>
<surname>Berthiaume</surname> <given-names>C</given-names>
</name>
<name>
<surname>Dawson</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Local bias and local-to-global interference without global deficit: A robust finding in autism under various conditions of attention, exposure time, and visual angle</article-title>. <source>Cogn Neuropsychol</source>. (<year>2007</year>) <volume>24</volume>:<page-range>550&#x2013;74</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/13546800701417096</pub-id>, PMID: <pub-id pub-id-type="pmid">18416507</pub-id></citation></ref>
<ref id="B34">
<label>34</label>
<citation citation-type="web">
<person-group person-group-type="author">
<name>
<surname>Smith</surname> <given-names>D</given-names>
</name>
</person-group>. <source>Beyond the Forest and the Trees: a Cross-Sectional Investigation into Local and Global Information Processing in Visual Perception and Language in Typical Development and Autism Spectrum Disorder. (Doctoral dissertation, Aston University)</source> (<year>2018</year>). Available online at: <uri xlink:href="https://publications.aston.ac.uk/id/eprint/41140/">https://publications.aston.ac.uk/id/eprint/41140/</uri> (Accessed <access-date>May 28, 2025</access-date>).</citation></ref>
<ref id="B35">
<label>35</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Booth</surname> <given-names>R</given-names>
</name>
<name>
<surname>Happ&#xe9;</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>Hunting with a knife and &#x2026; fork&#x201d;: Examining central coherence in autism, attention deficit/hyperactivity disorder, and typical development with a linguistic task</article-title>. <source>J Exp Child Psychol</source>. (<year>2010</year>) <volume>107</volume>:<page-range>377&#x2013;93</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.jecp.2010.06.003</pub-id>, PMID: <pub-id pub-id-type="pmid">20655060</pub-id></citation></ref>
<ref id="B36">
<label>36</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gambra</surname> <given-names>L</given-names>
</name>
<name>
<surname>Magallon</surname> <given-names>S</given-names>
</name>
<name>
<surname>Crespo-Egu&#xed;laz</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Weak central coherence in neurodevelopmental disorders: a comparative study</article-title>. <source>Front Psychol</source>. (<year>2024</year>) <volume>15</volume>:<elocation-id>1348074</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fpsyg.2024.1348074</pub-id>, PMID: <pub-id pub-id-type="pmid">38933578</pub-id></citation></ref>
<ref id="B37">
<label>37</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tassini</surname> <given-names>SCV</given-names>
</name>
<name>
<surname>Melo</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Bueno</surname> <given-names>OFA</given-names>
</name>
<name>
<surname>de Mello</surname> <given-names>CB</given-names>
</name>
</person-group>. <article-title>Weak central coherence in adults with ASD: evidence from eye-tracking and thematic content analysis of social scenes</article-title>. <source>Appl Neuropsychol: Adult</source>. (<year>2024</year>) <volume>31</volume>:<page-range>657&#x2013;68</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/23279095.2022.2060105</pub-id>, PMID: <pub-id pub-id-type="pmid">35450487</pub-id></citation></ref>
<ref id="B38">
<label>38</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Koldewyn</surname> <given-names>K</given-names>
</name>
<name>
<surname>Jiang</surname> <given-names>YV</given-names>
</name>
<name>
<surname>Weigelt</surname> <given-names>S</given-names>
</name>
<name>
<surname>Kanwisher</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Global/local processing in autism: Not a disability, but a disinclination</article-title>. <source>J Autism Dev Disord</source>. (<year>2013</year>) <volume>43</volume>:<page-range>2329&#x2013;40</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10803-013-1777-z</pub-id>, PMID: <pub-id pub-id-type="pmid">23378063</pub-id></citation></ref>
<ref id="B39">
<label>39</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Silvertant</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>Thinking styles in autistic people</article-title>. In: <source>Embrace Autism</source> (<year>2018</year>). Available online at: <uri xlink:href="https://embrace-autism.com/thinking-styles-in-autistic-people/">https://embrace-autism.com/thinking-styles-in-autistic-people/</uri>.</citation></ref>
<ref id="B40">
<label>40</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Ampe</surname> <given-names>P</given-names>
</name>
<name>
<surname>Rammant</surname> <given-names>E</given-names>
</name>
</person-group>. <source>Great minds think unalike: The benefits of ADHD, autism, dyslexia and OCD</source>. <publisher-loc>Belgium</publisher-loc>: <publisher-name>Lannoo Meulenhoff</publisher-name> (<year>2023</year>).</citation></ref>
<ref id="B41">
<label>41</label>
<citation citation-type="web">
<person-group person-group-type="author">
<name>
<surname>Viter</surname> <given-names>H</given-names>
</name>
<name>
<surname>Westheimer</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mattar</surname> <given-names>N</given-names>
</name>
<name>
<surname>Patriquin</surname> <given-names>M</given-names>
</name>
</person-group>. <source>Autism acceptance: Great minds don&#x2019;t think alike. Mind Matters from Menninger</source> (<year>2022</year>). Available online at: <uri xlink:href="https://www.psychologytoday.com/us/blog/mind-matters-from-menninger/202204/autism-acceptance-great-minds-dont-think-alike">https://www.psychologytoday.com/us/blog/mind-matters-from-menninger/202204/autism-acceptance-great-minds-dont-think-alike</uri> (Accessed <access-date>May 28, 2025</access-date>).</citation></ref>
<ref id="B42">
<label>42</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Aiello</surname> <given-names>T</given-names>
</name>
</person-group>. <source>Bottom-up problem-solving in autistic adults: A unique cognitive strength, not a learned behavior</source>. <publisher-name>Myndset Therapeutics</publisher-name> (<year>2025</year>).</citation></ref>
<ref id="B43">
<label>43</label>
<citation citation-type="web">
<person-group person-group-type="author">
<collab>u/AutismTranslated</collab>
</person-group>. <source>About bottom/top thinking [Online forum post]. Reddit</source> (<year>2024</year>). Available online at: <uri xlink:href="https://www.reddit.com/r/AutismTranslated/comments/1d1v7mj/about_bottomtop_thinking/">https://www.reddit.com/r/AutismTranslated/comments/1d1v7mj/about_bottomtop_thinking/</uri> (Accessed <access-date>May 28, 2025</access-date>).</citation></ref>
<ref id="B44">
<label>44</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bryant</surname> <given-names>L</given-names>
</name>
<name>
<surname>Bowen</surname> <given-names>C</given-names>
</name>
<name>
<surname>Grove</surname> <given-names>R</given-names>
</name>
<name>
<surname>Dixon</surname> <given-names>G</given-names>
</name>
<name>
<surname>Beals</surname> <given-names>K</given-names>
</name>
<name>
<surname>Shane</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>Systematic review of interventions based on gestalt language processing and natural language acquisition (GLP/NLA): clinical implications of absence of evidence and cautions for clinicians and parents</article-title>. <source>Curr Dev Disord Rep</source>. (<year>2024</year>) <volume>12</volume>:<fpage>1</fpage>&#x2013;<lpage>14</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s40474-024-00312-z</pub-id>
</citation></ref>
<ref id="B45">
<label>45</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hutchins</surname> <given-names>TL</given-names>
</name>
<name>
<surname>Knox</surname> <given-names>SE</given-names>
</name>
<name>
<surname>Fletcher</surname> <given-names>EC</given-names>
</name>
</person-group>. <article-title>Natural language acquisition and gestalt language processing: A critical analysis of their application to autism and speech language therapy</article-title>. <source>Autism Dev Lang Impairments</source>. (<year>2024</year>) <volume>9</volume>:<fpage>23969415241249944</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/23969415241249944</pub-id>, PMID: <pub-id pub-id-type="pmid">38784430</pub-id></citation></ref>
<ref id="B46">
<label>46</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beals</surname> <given-names>K</given-names>
</name>
</person-group>. <article-title>A linguist&#x2019;s take on blanc&#x2019;s proposition of gestalt language processing and natural language acquisition: an implausible theory at odds with the research</article-title>. <source>Curr Dev Disord Rep</source>. (<year>2024</year>) <volume>11</volume>:<page-range>163&#x2013;70</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s40474-024-00309-8</pub-id>
</citation></ref>
<ref id="B47">
<label>47</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Venker</surname> <given-names>CE</given-names>
</name>
<name>
<surname>Lorang</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>Continuing the conversation about echolalia and gestalt language development: A response to Haydock, Harrison, Baldwin, and Leadbitter</article-title>. <source>Autism</source>. (<year>2025</year>) <volume>29</volume>:<page-range>821&#x2013;4</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/13623613241287577</pub-id>, PMID: <pub-id pub-id-type="pmid">39340336</pub-id></citation></ref>
<ref id="B48">
<label>48</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boucher</surname> <given-names>J</given-names>
</name>
<name>
<surname>Anns</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Memory, learning and language in autism spectrum disorder</article-title>. <source>Autism Dev Lang Impairments</source>. (<year>2018</year>) <volume>3</volume>:<elocation-id>2396941517742078</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/2396941517742078</pub-id>
</citation></ref>
<ref id="B49">
<label>49</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boucher</surname> <given-names>J</given-names>
</name>
<name>
<surname>Mayes</surname> <given-names>A</given-names>
</name>
<name>
<surname>Bigham</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Memory in autistic spectrum disorder</article-title>. <source>psychol Bull</source>. (<year>2012</year>) <volume>138</volume>:<fpage>458</fpage>&#x2013;<lpage>496</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1037/a0026869</pub-id>, PMID: <pub-id pub-id-type="pmid">22409507</pub-id></citation></ref>
<ref id="B50">
<label>50</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schacter</surname> <given-names>DL</given-names>
</name>
<name>
<surname>Addis</surname> <given-names>DR</given-names>
</name>
<name>
<surname>Buckner</surname> <given-names>RL</given-names>
</name>
</person-group>. <article-title>Episodic simulation of future events: Concepts, data, and applications</article-title>. <source>Ann New York Acad Sci</source>. (<year>2008</year>) <volume>1124</volume>:<fpage>39</fpage>&#x2013;<lpage>60</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1196/annals.1440.001</pub-id>, PMID: <pub-id pub-id-type="pmid">18400923</pub-id></citation></ref>
<ref id="B51">
<label>51</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boucher</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Memory and generativity in very high functioning autism: A firsthand account, and an interpretation</article-title>. <source>Autism</source>. (<year>2007</year>) <volume>11</volume>:<page-range>255&#x2013;64</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1177/1362361307076863</pub-id>, PMID: <pub-id pub-id-type="pmid">17478578</pub-id></citation></ref>
<ref id="B52">
<label>52</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Boucher</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>Structural language in autistic spectrum disorder</article-title>. <source>J Child Psychol Psychiatry</source>. (<year>2012</year>) <volume>53</volume>:<page-range>219&#x2013;33</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/j.1469-7610.2011.02508.x</pub-id>, PMID: <pub-id pub-id-type="pmid">22188468</pub-id></citation></ref>
<ref id="B53">
<label>53</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Schuler</surname> <given-names>AL</given-names>
</name>
<name>
<surname>Prizant</surname> <given-names>BM</given-names>
</name>
</person-group>. <article-title>Echolalia</article-title>. In: <person-group person-group-type="editor">
<name>
<surname>Schopler</surname> <given-names>E</given-names>
</name>
<name>
<surname>Mesibov</surname> <given-names>GB</given-names>
</name>
</person-group>, editors. <source>Communication problems in autism</source>. <publisher-name>Springer US</publisher-name>, <publisher-loc>Boston, MA</publisher-loc> (<year>1985</year>). p. <page-range>163&#x2013;84</page-range>.</citation></ref>
<ref id="B54">
<label>54</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kanner</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>Autistic disturbances of affective contact</article-title>. <source>Nervous Child</source>. (<year>1943</year>) <volume>2</volume>:<page-range>217&#x2013;50</page-range>.</citation></ref>
<ref id="B55">
<label>55</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Tomasello</surname> <given-names>M</given-names>
</name>
</person-group>. <source>Constructing a language: A usage-based theory of language acquisition</source>. <publisher-loc>Cambridge, MA</publisher-loc>: <publisher-name>Harvard University Press</publisher-name> (<year>2005</year>).</citation></ref>
<ref id="B56">
<label>56</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Newport</surname> <given-names>EL</given-names>
</name>
</person-group>. <article-title>Maturational constraints on language learning</article-title>. <source>Cogn Sci</source>. (<year>1990</year>) <volume>14</volume>:<fpage>11</fpage>&#x2013;<lpage>28</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1207/s15516709cog1401_2</pub-id>
</citation></ref>
<ref id="B57">
<label>57</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brooks</surname> <given-names>PJ</given-names>
</name>
<name>
<surname>Kempe</surname> <given-names>V</given-names>
</name>
</person-group>. <article-title>More is more in language learning: Reconsidering the less-is-more hypothesis</article-title>. <source>Lang Learn</source>. (<year>2019</year>) <volume>69</volume>:<fpage>13</fpage>&#x2013;<lpage>41</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1111/lang.12320</pub-id>
</citation></ref>
<ref id="B58">
<label>58</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Furniss</surname> <given-names>GJ</given-names>
</name>
</person-group>. <article-title>Celebrating the artmaking of children with autism</article-title>. <source>Art Educ</source>. (<year>2008</year>) <volume>61</volume>:<fpage>8</fpage>&#x2013;<lpage>12</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/00043125.2008.11518990</pub-id>
</citation></ref>
<ref id="B59">
<label>59</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Roth</surname> <given-names>I</given-names>
</name>
</person-group>. <article-title>Autism, creativity and aesthetics</article-title>. <source>Qual Res Psychol</source>. (<year>2020</year>) <volume>17</volume>:<fpage>498</fpage>&#x2013;<lpage>508</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/14780887.2018.1442763</pub-id>
</citation></ref>
<ref id="B60">
<label>60</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mohd Nordin</surname> <given-names>A</given-names>
</name>
<name>
<surname>Ismail</surname> <given-names>J</given-names>
</name>
<name>
<surname>Kamal Nor</surname> <given-names>N</given-names>
</name>
</person-group>. <article-title>Motor development in children with autism spectrum disorder</article-title>. <source>Front Pediatr</source>. (<year>2021</year>) <volume>9</volume>:<elocation-id>598276</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fped.2021.598276</pub-id>, PMID: <pub-id pub-id-type="pmid">34604128</pub-id></citation></ref>
<ref id="B61">
<label>61</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Bates</surname> <given-names>E</given-names>
</name>
<name>
<surname>Dale</surname> <given-names>PS</given-names>
</name>
<name>
<surname>Thal</surname> <given-names>D</given-names>
</name>
</person-group>. <article-title>Individual differences and their implications for theories of language development</article-title>. In: <source>The handbook of child language</source> <publisher-loc>Oxford</publisher-loc>: <publisher-name>Basil Blackwell</publisher-name> (<year>1996</year>). p. <fpage>95</fpage>&#x2013;<lpage>151</lpage>.</citation></ref>
<ref id="B62">
<label>62</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Nisbett</surname> <given-names>RE</given-names>
</name>
<name>
<surname>Miyamoto</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>The influence of culture: holistic versus analytic perception</article-title>. <source>Trends Cogn Sci</source>. (<year>2005</year>) <volume>9</volume>:<page-range>467&#x2013;73</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.tics.2005.08.004</pub-id>, PMID: <pub-id pub-id-type="pmid">16129648</pub-id></citation></ref>
<ref id="B63">
<label>63</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Girouard-Hallam</surname> <given-names>LN</given-names>
</name>
<name>
<surname>Norris</surname> <given-names>MN</given-names>
</name>
</person-group>. <article-title>Overheard and understood: A systematic review of children&#x2019;s learning from overhearing</article-title>. <source>Trans Issues psychol Sci</source>. (<year>2024</year>). doi:&#xa0;<pub-id pub-id-type="doi">10.1037/tps0000399</pub-id>
</citation></ref>
<ref id="B64">
<label>64</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abdelaziz</surname> <given-names>A</given-names>
</name>
<name>
<surname>Kover</surname> <given-names>ST</given-names>
</name>
<name>
<surname>Wagner</surname> <given-names>M</given-names>
</name>
<name>
<surname>Naigles</surname> <given-names>LR</given-names>
</name>
</person-group>. <article-title>The shape bias in children with autism spectrum disorder: Potential sources of individual differences</article-title>. <source>J Speech Language Hearing Res</source>. (<year>2018</year>) <volume>61</volume>:<page-range>2685&#x2013;702</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1044/2018_JSLHR-L-RSAUT-18-0027</pub-id>, PMID: <pub-id pub-id-type="pmid">30418496</pub-id></citation></ref>
<ref id="B65">
<label>65</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Potrzeba</surname> <given-names>ER</given-names>
</name>
<name>
<surname>Fein</surname> <given-names>D</given-names>
</name>
<name>
<surname>Naigles</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>Investigating the shape bias in typically developing children and children with autism spectrum disorders</article-title>. <source>Front Psychol</source>. (<year>2015</year>) <volume>6</volume>:<elocation-id>446</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fpsyg.2015.00446</pub-id>, PMID: <pub-id pub-id-type="pmid">25954219</pub-id></citation></ref>
<ref id="B66">
<label>66</label>
<citation citation-type="confproc">
<person-group person-group-type="author">
<name>
<surname>Portelance</surname> <given-names>E</given-names>
</name>
<name>
<surname>Frank</surname> <given-names>MC</given-names>
</name>
<name>
<surname>Jurafsky</surname> <given-names>D</given-names>
</name>
<name>
<surname>Sordoni</surname> <given-names>A</given-names>
</name>
<name>
<surname>Laroche</surname> <given-names>R</given-names>
</name>
</person-group>. (<year>2021</year>). <article-title>The emergence of the shape bias results from communicative efficiency</article-title>, in: <conf-name>Proceedings of the 25th conference on computational natural language learning (CoNLL)</conf-name>, pp. <page-range>607&#x2013;23</page-range>.</citation></ref>
<ref id="B67">
<label>67</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hou</surname> <given-names>W</given-names>
</name>
<name>
<surname>Su</surname> <given-names>YE</given-names>
</name>
<name>
<surname>Naigles</surname> <given-names>LR</given-names>
</name>
<name>
<surname>Li</surname> <given-names>L</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>The shape bias in Mandarin-exposed young autistic children: The role of abstract shape representation</article-title>. <source>Cogn Dev</source>. (<year>2024</year>) <volume>72</volume>:<fpage>101491</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cogdev.2024.101491</pub-id>
</citation></ref>
<ref id="B68">
<label>68</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jara-Ettinger</surname> <given-names>J</given-names>
</name>
<name>
<surname>Levy</surname> <given-names>R</given-names>
</name>
<name>
<surname>Sakel</surname> <given-names>J</given-names>
</name>
<name>
<surname>Huanca</surname> <given-names>T</given-names>
</name>
<name>
<surname>Gibson</surname> <given-names>E</given-names>
</name>
</person-group>. <article-title>The origins of the shape bias: Evidence from the Tsimane&#x2019;</article-title>. <source>J Exp Psychol: Gen</source>. (<year>2022</year>) <volume>151</volume>:<fpage>2437</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1037/xge0001195</pub-id>, PMID: <pub-id pub-id-type="pmid">35343743</pub-id></citation></ref>
<ref id="B69">
<label>69</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Souli&#xe8;res</surname> <given-names>I</given-names>
</name>
<name>
<surname>Dawson</surname> <given-names>M</given-names>
</name>
<name>
<surname>Samson</surname> <given-names>F</given-names>
</name>
<name>
<surname>Barbeau</surname> <given-names>EB</given-names>
</name>
<name>
<surname>Sahyoun</surname> <given-names>CP</given-names>
</name>
<name>
<surname>Strangman</surname> <given-names>GE</given-names>
</name>
<etal/>
</person-group>. <article-title>Enhanced visual processing contributes to matrix reasoning in autism</article-title>. <source>Hum Brain Mapp</source>. (<year>2009</year>) <volume>30</volume>:<page-range>4082&#x2013;107</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/hbm.20831</pub-id>, PMID: <pub-id pub-id-type="pmid">19530215</pub-id></citation></ref>
<ref id="B70">
<label>70</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Souli&#xe8;res</surname> <given-names>I</given-names>
</name>
<name>
<surname>Dawson</surname> <given-names>M</given-names>
</name>
<name>
<surname>Gernsbacher</surname> <given-names>MA</given-names>
</name>
<name>
<surname>Mottron</surname> <given-names>L</given-names>
</name>
</person-group>. <article-title>The level and nature of autistic intelligence II: what about Asperger syndrome</article-title>? <source>PloS One</source>. (<year>2011</year>) <volume>6</volume>:<fpage>e25372</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1371/journal.pone.0025372</pub-id>, PMID: <pub-id pub-id-type="pmid">21991394</pub-id></citation></ref>
<ref id="B71">
<label>71</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Christopher</surname> <given-names>S</given-names>
</name>
</person-group>. <article-title>Touch hypersensitivity in children with autism&#x2013;An analysis</article-title>. <source>Int J Res Analytical Rev</source>. (<year>2019</year>) <volume>6</volume>:<page-range>616&#x2013;22</page-range>.</citation></ref>
<ref id="B72">
<label>72</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ide</surname> <given-names>M</given-names>
</name>
<name>
<surname>Yaguchi</surname> <given-names>A</given-names>
</name>
<name>
<surname>Atsumi</surname> <given-names>T</given-names>
</name>
<name>
<surname>Yasu</surname> <given-names>K</given-names>
</name>
<name>
<surname>Wada</surname> <given-names>M</given-names>
</name>
</person-group>. <article-title>Hypersensitivity as extraordinary high temporal processing in individuals with autism-spectrum disorders</article-title>. <source>Brain Nerve</source>. (<year>2017</year>) <volume>69</volume>:<page-range>1281&#x2013;9</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.11477/mf.1416200905</pub-id>, PMID: <pub-id pub-id-type="pmid">29172193</pub-id></citation></ref>
<ref id="B73">
<label>73</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Baranek</surname> <given-names>GT</given-names>
</name>
<name>
<surname>Foster</surname> <given-names>LG</given-names>
</name>
<name>
<surname>Berkson</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Tactile defensiveness and stereotyped behaviors</article-title>. <source>Am J Occup Ther</source>. (<year>1997</year>) <volume>51</volume>:<page-range>91&#x2013;5</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.5014/ajot.51.2.91</pub-id>, PMID: <pub-id pub-id-type="pmid">9124275</pub-id></citation></ref>
<ref id="B74">
<label>74</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Foss-Feig</surname> <given-names>JH</given-names>
</name>
<name>
<surname>Heacock</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Cascio</surname> <given-names>CJ</given-names>
</name>
</person-group>. <article-title>Tactile responsiveness patterns and their association with core features in autism spectrum disorders</article-title>. <source>Res Autism Spectr Disord</source>. (<year>2012</year>) <volume>6</volume>:<page-range>337&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.rasd.2011.06.007</pub-id>, PMID: <pub-id pub-id-type="pmid">22059092</pub-id></citation></ref>
<ref id="B75">
<label>75</label>
<citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname>Kanner</surname> <given-names>L</given-names>
</name>
</person-group>. <source>Childhood psychosis: Initial studies and new insights</source>. <publisher-loc>New York</publisher-loc>: <publisher-name>V. H. Winston &amp; Sons</publisher-name> (<year>1973</year>).</citation></ref>
<ref id="B76">
<label>76</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kausel</surname> <given-names>L</given-names>
</name>
<name>
<surname>Michon</surname> <given-names>M</given-names>
</name>
<name>
<surname>Soto-Icaza</surname> <given-names>P</given-names>
</name>
<name>
<surname>Aboitiz</surname> <given-names>F</given-names>
</name>
</person-group>. <article-title>A multimodal interface for speech perception: the role of the left superior temporal sulcus in social cognition and autism</article-title>. <source>Cereb Cortex</source>. (<year>2024</year>) <volume>34</volume>:<fpage>84</fpage>&#x2013;<lpage>93</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1093/cercor/bhae066</pub-id>, PMID: <pub-id pub-id-type="pmid">38696598</pub-id></citation></ref>
<ref id="B77">
<label>77</label>
<citation citation-type="web">
<person-group person-group-type="author">
<collab>Ashralouisa</collab>
</person-group>. (<year>2023</year>). <article-title>Autism and Gestalt Processing</article-title>. Available online at: <uri xlink:href="https://www.instagram.com/reel/C0ULMW3sdzT/#">https://www.instagram.com/reel/C0ULMW3sdzT/#</uri> (Accessed September 6, 2025).</citation></ref>
<ref id="B78">
<label>78</label>
<citation citation-type="web">
<person-group person-group-type="author">
<collab>Lemon_Lassie</collab>
</person-group>. (<year>2022</year>). <article-title>Gestalt Processing</article-title>. Available online at: <uri xlink:href="https://www.reddit.com/r/AuDHDWomen/comments/1add35h/gestalt_processing/#">https://www.reddit.com/r/AuDHDWomen/comments/1add35h/gestalt_processing/#</uri> (Accessed September 6, 2025).</citation></ref>
</ref-list>
</back>
</article>