Examining Language, Speech and Behaviour Characteristics: A Cross-Sectional Study in Saudi Arabia Using the Arabic Version of Gilliam Autism Rating Scale-Third Edition

Autism spectrum disorder (ASD) exhibits diverse manifestations influenced by demographic factors. This study evaluates these variations within Saudi Arabia, aiming to investigate language, speech and behaviour characteristics across different demographics in Saudi Arabia using the Arabic Version of the Gilliam Autism Rating Scale-Third Edition (A-GARS-3). Employing a cross-sectional design, 178 participants were stratified by developmental status (n = 124 school settings, n = 54 clinical setting), sex (Females = 77, Males =101), age (range = 3-22), and geographical region (different provinces in Saudi Arabia). The A-GARS-3 measured ASD manifestations across six subscales. The study identified significant differences in ASD manifestations by developmental status, with higher ASD likelihood and severity in clinical settings. Younger children showed more pronounced ASD characteristics, and males were slightly more likely to be diagnosed with ASD. Geographical analysis revealed regional differences in severity. The findings underline the importance of demographic considerations in ASD assessment and diagnosis, suggesting the need for age-specific and culturally sensitive approaches. The A-GARS-3 is a reliable tool for the Saudi context. Regional disparities in ASD prevalence and severity indicate a need for tailored health policies and resources across Saudi provinces.

Language competency in autism: a scientometric review

The study of atypical language acquisition in children with, autism spectrum disorder (ASD) is crucial for both practical and theoretical reasons. Understanding the course of language development in ASD can inform potential interventions and treatments while shedding light on the necessary conditions for language development in typically developing children. This scientometric review aims to provide a comprehensive overview of the research landscape in this field, identifying trends, patterns, and knowledge gaps. The methods employed in this review comprise a systematic search of three major databases: Scopus (5,026 documents), Web of Science (WoS; 4,570 documents), and Lens (3,235 documents). The analysis includes bibliometric indicators such as knowledge production size by year, country, university, source, subject area, author, and citation. Scientometric indicators consist of burst detection, silhouette, clusters, citation, and co-occurrence of keywords. The analysis reveals clusters focusing on various aspects of language development in ASD, such as motor skills, parental communication strategies, cognitive processes, and genetics. Key clusters include the relationship between fine motor gestures and language usage patterns, the role of expressive language skills and maternal gesture use, and the effectiveness of online parent training modules for improving prelinguistic predictors. Other noteworthy clusters explore the importance of core language skills, the role of natural language input and syntactic complexity, and the genetic underpinnings of language abilities in high-functioning adults with ASD. In conclusion, this scientometric review highlights the top 10 clusters and their respective Silhouette values, providing valuable insights into language acquisition in ASD. These findings have important implications for guiding future research directions and informing the creation of targeted and effective interventions to support language acquisition in this population.

A thematic review of autism spectrum disorder research in Saudi Arabia: Insights into diagnosis, assessment, and language considerations

This study reviews the crucial role of language in Autism Spectrum Disorder (ASD) diagnosis and assessment in Saudi Arabia. Using tailored search strings, 206 relevant documents were retrieved from the Web of Science and Scopus databases. An increasing trend in ASD research in Saudi Arabia was observed through temporal analysis. Keyword analysis identified key themes including "autism," "language," "assessment," "diagnosis," "Saudi Arabia," and "children." The focus of research has shifted over the years, from pure clinical and diagnostic aspects to a more comprehensive approach that includes language and cultural factors in ASD evaluation. The findings underscore the need for culturally and linguistically sensitive assessment tools, acknowledging the impact of bilingualism on language development, and the importance of language difficulties in diagnostic decision-making. The study highlights the necessity for further research, especially longitudinal studies examining the influence of language and cultural factors on ASD outcomes. The findings are significant for clinical practice, emphasizing the need for linguistically sensitive approaches in ASD diagnosis and assessment. This research serves as a guide for future studies by identifying the gaps in existing literature and areas of focus. The study identifies crucial gaps in existing literature, particularly the need for longitudinal studies examining the influence of language and cultural factors on ASD outcomes. The findings underscore the importance of culturally and linguistically sensitive approaches in ASD diagnosis and assessment, providing a novel insight for future research and clinical practice in Saudi Arabia.

Neuropragmatics: A scientometric review

Neuropragmatics investigates brain functions and neural activities responsible for pragmatic language abilities, often impaired in disorders such as hemisphere damage, autism, schizophrenia, and neurodegenerative disorders. This study examined the development of neuropragmatics and existing neuroimaging evidence using bibliometric and scientometric indicators, analyzing 4,247 documents published between 1967 and 2022 with CiteSpace and VOSviewer. Our cluster analysis revealed key themes. 1) Language comprehension loss due to brain injury: Studies exploring the impact of brain injuries on language comprehension and underlying neural mechanisms. 2) Right hemisphere damage and pragmatic language skills: Research focusing on the relationship between right hemisphere damage and pragmatic language abilities, investigating impairments in social language use and potential neural correlates. 3) Traumatic brain injury and social communication assessment: Research on traumatic brain injury effects on social communication skills, using various assessment tools to evaluate communication effectiveness in social situations. These clusters provide valuable insights into the neuropragmatics field and serve as a framework for future investigations. By building upon existing knowledge, researchers can improve our understanding of brain functions, language behavior, and enhance rehabilitation for individuals with pragmatic language impairments.

Examining pragmatic language development in preschoolers with and without neurodevelopmental disorders: A cross-sectional study

This cross-sectional study examined the relationship between gender, age, and pragmatic language development in n = 77 Italian preschool children (49-84 months) with and without neurodevelopmental disorders. The sample included 62 children without psychiatric history (n = 34 females, n = 27 males) and n = 15 children with psychiatric history (2 females, n = 13 males). Eight cases (n = 6 males, n = 2 females, 59-75 months) were matched for age and gender. The neurodevelopmental disorder group used the Targeted Observation of Pragmatics in Children's Conversations (TOPICC) tool. Pragmatic language skills were assessed with the Pragmatic Language Abilities (APL), Children's Communication Checklist-Version 2 (CCC-2), and TOPICC scales. Results showed no significant relationship between gender and pragmatic language development subscales, except for a marginally significant relationship with figurative metaphor scores. Age was positively correlated with verbal metaphor, metaphor, implied meaning, and overall pragmatic language skills, but not with figurative metaphor or situations scores. Paired samples t-tests and Wilcoxon tests compared matched groups, revealing significant differences between children with and without neurodevelopmental disorders on the TOPICC, APL, and CCC-2 tools. The findings highlight the importance of early identification and intervention for children with pragmatic language impairment (PLI) and the need for further research with larger samples.

Perceptions of Stakeholders Regarding China's Special Education and Inclusive Education Legislation, Law, and Policy: Implications for Student Wellbeing and Mental Health

Laws and policies, no matter how well designed, can fail if they are not implemented correctly. This can occur when there is no interaction between policymakers and those who are working on the ground. The purpose of this study was to determine the understanding of Chinese stakeholders regarding legislation, policy, and law associated with the provision of special education and explore its implications for student wellbeing and mental health. Two questions were posed: (1) Does a stakeholder's attitude towards legislation, policy, and law regarding special education impact their role or responsibilities? (2) In what ways do stakeholders interact with legislation, laws, and policies regarding special education and their work experience in the field? Using in-depth interviews as the basis for the study, researchers gained valuable insight into how administrators, practitioners, and academics perceive laws and policies. Participants exhibited exaggerated attitudes and over-interpretations of some of these items, which we attribute to partly real factors, as well as nationalistic or patriotic feelings. The evidence included calls for specific laws and policies as well as a switch from a top-down to a bottom-up approach to reform to bridge the disparity between different regions in the country. As the participants agreed, there have also been remarkable achievements in building a more comprehensive and inclusive system over the last decade. However, the gaps between rural and urban areas, primary and middle schools, high schools and vocational schools need to be addressed urgently in specific laws and policies. Addressing these disparities will not only improve the overall quality of special education but also have significant implications for student wellbeing and mental health. By ensuring that all students have access to tailored support and resources, policymakers can foster a more inclusive and supportive environment that promotes positive mental health outcomes for all learners.

Cognitive Linguistics: Analysis of Mapping Knowledge Domains

Language acquisition, processing, comprehension, and production encompass a complex mechanism. Particularly, the mechanisms by which we make sense of language, including perception, conceptualization, and processing, have been controversial topics among cognitive linguists and researchers in cognitive sciences. Cognitive processes such as attention, thought, perception, and memory play a significant role in meaningful human communication. This study aimed to apply the science mapping method to detect and visualize emerging trends and patterns in literature pertaining to cognitive linguistics. In order to accomplish this, eight bibliometric and eight scientometric indicators were used in conjunction with CiteSpace 5.8.R3 and VOSviewer 1.6.18 for scientometric analysis and data visualisation. The data were collected and triangulated from three databases, including 2380 from Scopus, 1732 from WOS, and 9911 from Lens from 1969 to 2022. Among the findings were the visualization of eight bibliometric indicators regarding the knowledge production size of cognitive linguistics based on year, country, university, journal, publisher, research area, authors, and cited documents. Second, we presented scientometric indicators with regard to cognitive linguistics development, including the most important authors in the field, co-citation networks, citation networks, sigma metrics to detect works with potential citation growth, and clusters to group related topics to cognitive linguistics. We conclude the study by emphasizing that cognitive linguistics has evolved from the micro level where it focused on studying cognitive aspects of language in relation to time, language, and modality dimensions, to the macro level, which examines cognitive processes and their relationship to the construction of meaningful communication using both sensation and perception.

Pragmatic Language Development: Analysis of Mapping Knowledge Domains on How Infants and Children Become Pragmatically Competent

New-borns are capable of recognising and producing sounds as they become phonologically competent. Following this, infants develop a system for connecting these sounds, which helps them become increasingly lexically competent over time. Their knowledge of these words grows as they develop, using words to form phrases, turning them into sentences, and ultimately becoming syntactically competent. By making sense of these linguistic elements, these three competencies are enhanced, and this is how infants become semantically competent. As infants continue to develop linguistic and non-linguistic communication behaviours, this miraculous language development becomes even more complex, enabling them to perfect their linguistic abilities while being pragmatically competent. In this study, a scientometric approach was used to examine past, present, and future trends in pragmatic language development (PLD). A total of 6455 documents were analysed from the Scopus, WOS, and Lens databases between 1950 and 2022. The analysis involved the visualisation and tabulation of eight bibliometric and eight scientometric indicators using CiteSpace 5.8.R3 and VOSviewer 1.6.18 software for data analysis. In this study, we highlight the major patterns and topics directing the research on PLD between 1950 and 2022. The themes and topics included (1) analysing PLD as a social behaviour through the lens of executive functions; (2) studying PLD as a social behaviour based on social understanding; (3) examining PLD as a social behaviour associated with autism spectrum disorder; (4) developing an understanding of PLD in academic settings through the examination of executive functions; (5) identifying pragmatic competence versus communicative competence as a social behaviour; (6) analysing pragmatic language skills in aphasic patients via epistemic stances (i.e., attitudes towards knowledge in interaction); (7) investigating PLD as a behavioural problem in the context of a foreign language; (8) assessing PLD as a behavioural problem in individuals with autism spectrum disorder; (9) assessing PLD in persons with traumatic brain injury and closed head injury as a behavioural problem; (10) identifying the role of the right hemisphere in executive functions as a cognitive substrate; (11) assessing the impact of pragmatic failure in speech acts on pragmatic competence; and (12) investigating the patterns of PLD among learning-disabled children.

Pragmatics: Mapping Evidence on Enhancing Children’s Use of Linguistic and Non-Linguistic Capacities for Interactive Communication

New-born infants communicate from the first minute they come to life. This non-linguistic and non-verbal capacity to interact from the first day they come to life enables them to express their needs and evidence their typical development. This capacity to interact develops to include linguistic and non-linguistic use of verbal and non-verbal interaction, that is, pragmatics. Because pragmatics is heterogeneously structured of semiotic, cognitive, motor and sensory elements so it is vital to ensure successful human interaction. The other language elements (i.e., phonological, morphological, syntactic and semantic) are essential inputs for this human interaction outcome (i.e., pragmatics). Accordingly, this study sought to map evidence that pragmatics can enhance children’s use of linguistic and non-linguistic capacities for interactive communication. This was addressed by conducting bibliometric and scientometric analyses of 6554 documents from Scopus, 1167 from WOS and 11,230 from Lens between 1939 and 2022. We analysed the past, present and future developments of the field of pragmatics using bibliometric and scientometric indicators. The scientometric analysis was conducted using CiteSpace 5.8.R3 and VOSviewer 1.6.18 software, which enabled the tabulation, visualisation and measurement of the impact of central influencers in the field of pragmatics. In the light of our results, pragmatics continues to expand in order to understand human interaction in a deeper way and to enhance children’s typical interactions with the environment around them. The group should also include adults or elderly people whose pragmatic language skills have been impaired due to any acquired or developmental disorder, such as a brain injury.

Biolinguistics: A Scientometric Analysis of Research on (Children’s) Molecular Genetics of Speech and Language (Disorders)

There are numerous children and adolescents throughout the world who are either diagnosed with speech and language disorders or manifest any of them as a result of another disorder. Meanwhile, since the emergence of language as an innate capability, the question of whether it constitutes a behaviour or an innate ability has been debated for decades. There have been several theories developed that support and demonstrate the biological foundations of human language. Molecular evidence of the biological basis of language came from the FOXP2 gene, also known as the language gene. Taking a closer look at both human language and biology, biolinguistics is at the core of these inquiries—attempting to understand the aetiologies of the genetics of speech and language disorders in children and adolescents. This paper presents empirical evidence based on both scientometrics and bibliometrics. We collected data between 1935 and 2022 from Scopus, WOS, and Lens. A total of 1570 documents were analysed from Scopus, 1440 from the WOS, and 5275 from Lens. Bibliometric analysis was performed using Excel based on generated reports from these three databases. CiteSpace 5.8.R3 and VOSviewer 1.6.18 were used to conduct the scientometric analysis. Eight bibliometric and eight scientometric indicators were used to measure the development of the field of biolinguistics, including but not limited to the production size of knowledge, the most examined topics, and the most frequent concepts and variables. A major finding of our study is identifying the most examined topics in the genetics of speech and language disorders. These included: gestural communication, structural design, cultural evolution, neural network, language tools, human language faculty, evolutionary biology, molecular biology, and theoretical perspective on language evolution.

Clinical Linguistics: Analysis of Mapping Knowledge Domains in Past, Present and Future

Across the world, many infants, children, adults, and elderly people are reported with many types of disorders and disabilities that damage, delay, or impede typical language development and/or use. Speech-language pathologists and other relevant clinicians are responsible for diagnosing, assessing, and rehabilitating these conditions. In nearly all types of disorders or disabilities that affect language, clinical linguistics plays a significant role in their study, diagnosis, and evaluation. This study provides a thorough analysis of the field of clinical linguistics. Data from Scopus, WOS, and Lens were used between 1981 and 2022. The documents included in the analysis were 1685, 1628, and 2677 articles published between 1981 and 2022 in clinical linguistics in Scopus, WOS, and Lens, respectively. For the purpose of assessing the development and impacts of the field of clinical linguistics, we used eight bibliometric and eight scientometric indicators. As part of the study, the results summarized the top contributors to clinical linguistics in terms of production size by year, country, university/research centre, journal, publisher, and author. The impact of the examined evidence on clinical linguistics was visualized and tabulated in the form of visual networks, citation counts, burst, cooccurrence, centrality, and sigma factors that are helpful in identifying the main influencers in clinical linguistics. A few examples of clinical linguistics patterns that are being explored extensively by researchers include cleft palate speech with model theories, visual feedback, motor speech disorders with instrumental analysis, acoustic analysis to understand conversational breakdown, nonlinear phonological theory, aphasic conversation in atypical interaction, and diagnostic markers in functional segments. There are also phonological disorders, William Syndrome, and the use of ultrasound, which may be considered potential clusters of clinical linguistics. A key contribution of this paper is highlighting the importance of clinical linguistics as well as its integration with linguistics, speech-language pathology, neurolinguistics, psycholinguistics, neuroscience, cognitive sciences, psychology, and psychometrics.

Arabic Validation of the Pragmatic Language Skills Inventory to Assess Pragmatic Language Development in Preschoolers with and without Pragmatic Language Impairment

Objective: An individual’s articulation of pragmatic language development (PLD) signifies successful social interaction with others. Therefore, it is important to detect early pragmatic language impairment (PLI), whether as a primary disorder or as a symptom of other neurodevelopmental disorders. This study reports on validating the Arabic version of the Pragmatic Language Skills Inventory (A-PLSI). Methods: The PLSI was subjected to various validation stages before the A-PLSI was created. To assess PLD in preschoolers with and without psychiatric histories, 264 preschoolers were assessed in several cities in Saudi Arabia by their teachers and speech–language pathologists. Results: The results of this study included three key findings. First, the established psychometric features, including construct validity, criterion-related validity, and (confirmatory) factor analysis, all reported a high level of measurability to consider the A-PLSI a valid instrument for assessing PLD in school settings and diagnosing PLI in clinical settings. Second, the A-PLSI provided empirical evidence by identifying children with and without PLI, documenting their progress on pragmatic language ability, and distinguishing between preschool children in school and clinical settings. In addition, the A-PLSI approved the typical norm that the older the children, the higher their level of PLD: the data showed higher performance for children aged 6–7 compared to the lower PLD level of children aged 4–5. Conclusion: The present study contributes to the existing literature on PLD assessment in a school setting and PLI diagnosis in a clinical setting. More importantly, it adds a new validated tool to the few available instruments in Arabic to assess PLD and diagnose PLI in Arabian contexts.

A Thematic Review on Research Integrity and Research Supervision: Relationships, Crises and Critical Messages

This article focuses on reporting the relationship between research integrity and research supervision. Initially, it briefly discusses the positive research supervision. By following a detailed thematic analysis methodology, 66 published sources were compiled, disassembled, reassembled and interpreted. The findings of this study highlight that maintaining research integrity is the responsibility of all, and that more responsibility falls onto the shoulders of instructors and supervisors who need to ethically perform research supervision to maintain further research integrity. Further, they show crises related to how research supervision is at danger, and how danger at supervision exists. The insights reported in this study help raise further awareness towards effective research supervision that in return and in effect enhances the overall research integrity. The review also concludes with three critical messages (for higher education policymakers, administrators, instructor/supervisors, and students/supervisees) for a practical implementation.