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Communication in Autistic Adults: An Action-Focused Review
Journal article   Open access   Peer reviewed

Communication in Autistic Adults: An Action-Focused Review

Ashley B de Marchena, Nicole Cuneo, Emine Gurbuz, Maci Marie Brown, James Trujillo and Jennifer Bergstrom
Current psychiatry reports, v 27, pp 471-481
23 Jun 2025
PMID: 40545515
Featured in Collection :   Research Supported by Drexel Libraries' OA Programs
url
https://doi.org/10.1007/s11920-025-01616-6View
Published, Version of Record (VoR) Open Access via Drexel Libraries Read and Publish Program 2025 Open CC BY V4.0

Abstract

Communication Language Disability AAC Autism Psychology Speech Pathology Nonverbal Communication
Purpose of Review This review focuses on recent research (primarily published between 2020–2024) describing unique aspects of communication in autistic adults. We review research on communication-related outcomes, as well as four communication topics frequently cited as important to autistic people (literal and non-literal language, augmentative and alternative communication, nonverbal communication, and double empathy). Recent Findings A substantial proportion of autistic adults do not develop fluent language by adulthood. Autistic adults frequently experience communication barriers impacting relationships, employment, and health. These barriers arise from multiple sources (e.g., language, nonverbal communication, and unaccommodating environments and communication partners). Thus, it is essential to take a multifaceted approach to supporting autistic adults to ensure their communication success. Summary We conclude that it is vital for clinicians and researchers to understand how autistic traits commonly manifest in adults and to accept and accommodate communication differences as they arise. To that end, we offer specific recommendations to help clinicians and researchers strengthen their interactions with the autistic people in their lives.

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Collaboration types
Domestic collaboration
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Web of Science research areas
Psychiatry
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