Skip to main content
. 2022 Apr 21;7:23969415221091928. doi: 10.1177/23969415221091928

Table 1.

Communicatively functional models of echolalia.

Study Participants (n = ) Communicative functions Notes/Comments
Wolff and Chess (1965) 14 participants
12 x males
2 x females
Aged under 8 years
Delayed Communicative repetitions
Requests
  • Multiple functions

    refusing items, objecting to action or activity, indicate a need or desire, and direct others to do something

Commentary
  • Used to provide information/comment on current situation

Represented the first study to note that delayed repetitions could serve a communicative function.
Dyer and Hadden (1981)  (No participants) Delayed Echolalia
Negativistic
  • Blocks intrusion of others in their space

Time-lag
  • Multiple functions: refusing items, objecting to action or activity, indicate a need or desire, and direct others to do something

Transferred
  • Invites/interests the listener into a conversation

Mitigated
  • Invites/interests the listener into a conversation

A total of 6 possible functional categories were described in a continuum style. That is, the 4 categories included in this table represent the most communicatively functional echoes. The remaining 2 (stereotypic and egocentric) were believed to serve possible cognitive and self-regulatory purposes. Transferred and mitigated appeared to serve the same function. However, mitigated echolalia is characterised by modifications to the original utterances.
Prizant and Duchan (1981) 4 x males
Aged 4:8, 5:2, 6:3, 9:3
Immediate Echolalia
Turn taking
  • Used to maintain a social dialogue

Declarative
  • Labelling an object or item

Yes-answer
  • Agreeance to prior utterance

Request
  • Used to request an object

A total of 7 possible functional categories were advanced in the model, however only 4 of these were deemed to serve a communicative function, as seen in the column to the left. The remaining 3 (non-focused, rehearsal and self-regulatory) categories possibly served a cognitive function.
Prizant and Rydell (1984) 3 x males
Aged 4:8, 12:4, 14:2
Delayed Echolalia
Turn taking
  • Used similar to normal conversational ‘to-and-fro’

Verbal completion
  • Response to verbal routine

Label (interactive)
  • Used to label an action or object

Providing information
  • Provides new information to listener

Calling
  • Gains attention of others to oneself

Affirmation
  • Agreeance to prior utterance

Request
  • Used to request an object

Protest
  • Used as objection to other's actions

Directive
  • Used to order other's actions

A total of 14 possible functional categories were advanced in the model, however only 9 of these were deemed to serve a communicative function, as seen in the column to the left. The remaining 5 (non-focused, situation association, rehearsal, self-directive and label (non-interactive)) categories possibly served a cognitive function.
Sterponi and Shankey (2014) 1 x male
Aged 5:10
Immediate Echolalia
After correction
  • Used to correct prior mistake

After directive
  • Used to clarify instruction

Delayed Echolalia
Other echoes
  • Used as a way to express an opinion

Impersonal echoes
  • Used to direct own behaviour

A 6-category model was advanced, with other non-communicative immediate repetitions possibly serving a function only known to the child, termed unusual echoes.
Marom et al. (2018) 3 participants
2 x male
1 x female
Aged: 5:2m, 6:6m, 5:8f
Echoing to express strong emotional content
  • Used to express state of emotion

Initiate or maintain communication
  • Used as a way to start or continue a social dialogue exchange

This study did not separate echoes pertaining to time (i.e., immediate or delayed). As such communicative echoes were heard as both immediate and delayed repetitions. Model was a total of 6-categories, serving a variety of social-emotional, learning and communicative functions.

Age – respectively (years:months).