September 26th, 2025
Dear MSN and Science X,
We are writing to thank the Science X Staff for highlighting recent research recommendations shared by the A.J. Drexel Autism Institute at Drexel University: New research recommendations for supporting autistic adults to ensure their communication success. The article drew attention to research focused on ways to support autistic adults in achieving meaningful communication outcomes. Specifically, the research team reviewed five years of studies examining the communication skills and communication-related lived experiences of autistic adults. Their analysis highlighted outcomes specific to general communication, including the use of literal and non-literal language, augmentative and alternative communication, nonverbal communication, and the “double empathy” problem in communication between autistic and non-autistic individuals. The double empathy theory describes the mutual misunderstandings that can arise between autistic and non-autistic people and how these misunderstandings can create challenges for effective and authentic communication.
We applaud the article’s emphasis on clear, evidence-based strategies identified by the researchers. For example, effective communication with autistic individuals requires intentional practices that honor diverse processing and expression styles. Allowing extended processing time and tolerating pauses without assuming disengagement is particularly important. In addition, communication should prioritize clarity through direct and concrete language, focusing on the content of what is expressed rather than inferred meaning from behavior. Regular check-ins are also essential to confirm mutual understanding. Finally, offering multiple modalities, including written, typed, or asynchronous communication, ensures equitable access and supports more accurate information exchange. Collectively, these recommendations align with science-based approaches that respect autistic voices and promote meaningful, inclusive opportunities.
At ASAT, we also emphasize the importance of remembering that autism exists on a wide spectrum. Communication strategies that work well for some autistic adults may be less effective—or ineffective altogether—for others. Additionally, an article of this nature is important as there are many debunked communication interventions (e.g., facilitated communication and spelling to communicate) that have continued to be popularized in the media despite the lack of scientific evidence to support their effectiveness. A thoughtful, individualized approach, rooted in ongoing feedback, science-based practices, and respect for personal preferences, is essential to fostering effective and authentic communication.
Readers may also be interested in a special issue that ASAT sponsored in Evidence-based Communication Assessment and Intervention. This issue provides a comprehensive overview of the evidence on a range of communication and intervention techniques, considered from scientific, ethical, and conceptual perspectives.
Sincerely,
Reva Mathieu, ASAT Media Co-Coordinator, EdD, BCBA
Charlie Hui, ASAT Extern
Other Related ASAT Articles
- Treatment Summary: Augmentative and alternative communication (AAC)
- Treatment Summary: Facilitated communication
- Treatment Summary: Natural language acquisition protocol for Gestalt language development
- Treatment Summary: Rapid prompting method (RPM)
- Treatment Summary: Picture exchange communication system (PECS)
- Clinical Corner: Is it possible for people with intellectual disabilities to increase communication skills in adulthood?
