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the speech sprout journal

sensory processing shapes communication

Communication does not happen separately from the body.

07 Sep 20256 min readby Hannah Chamberlain
Speech Sprout, sensory processing shapes communication in autism

Communication development is closely linked to how the nervous system processes sensory information. The two are not separate. Communication does not happen apart from the body.

In a real sense, communication is itself a sensory process. It asks the brain to integrate information from many systems at once: seeing faces and gestures, hearing speech sounds, sensing the body's position and movement, reading internal signals. Long-standing work on early communication describes it as a deeply embodied, shared activity built from exactly these channels (Trevarthen & Aitken, 2001).

Communication is a sensory process

So when sensory processing works differently, communication may develop differently too. And these sensory differences are common, not occasional: a meta-analysis found them to be a core, consistent feature of autism (Ben-Sasson et al., 2009).

Auditory processing differences

Spoken language leans heavily on rapid auditory processing. For some autistic children, speech can feel overwhelming, unclear, or hard to filter from background noise, which affects how easily it is taken in during the moment of interaction. A child may need more time to process speech, focus on predictable language patterns, or repeat phrases they have heard before.

Visual processing differences

Social interaction relies just as much on visual information: facial expressions, eye gaze, gestures. For autistic children, these visual cues may not always be the most efficient or accessible source of information, so communication can develop through different pathways rather than leaning primarily on visual social signals.

Interoceptive processing differences

There is also the inward sense. Interoception, the reading of internal states like hunger, discomfort, fatigue, pain, thirst, and temperature, shapes how readily a child can notice and name what they need. When those signals are harder to access or interpret, communicating a need clearly becomes harder, because the signal itself is less available (Craig, 2002; Fiene & Brownlow, 2015).

Vestibular and proprioceptive systems

The body's regulation systems matter too. Vestibular and proprioceptive processing, balance, movement, and body awareness, shape attention, posture, and a child's readiness to engage. When these systems need more input, a child may move, climb, spin, or seek pressure. These are regulatory, not communicative, yet such movement is frequently misread as a communication difficulty. Sensory profiles like these have been shown to track with everyday functioning (Lane et al., 2010).

When sensory input is overwhelming, the brain prioritises regulation before interaction

Put it together and a pattern emerges. When sensory input becomes overwhelming or hard to organise, the nervous system tends to prioritise regulation before interaction. In those moments a child may withdraw, avoid eye contact, repeat familiar language, or focus on an object or a movement.

Behaviours sometimes labelled communication problems may have sensory roots.

Reframing communication: behaviours may reflect sensory processing differences

This reframes a great deal. What looks like one thing on the surface is often doing something else underneath:

avoiding interactionregulating before engaging
non-compliantmanaging sensory overload
not listeningprocessing speech more slowly
disengagedfocusing to stay regulated
What if it is not a communication problem?

So it is worth asking a different question. For autistic children, sensory processing shapes how communication develops and is expressed, and behaviour is only the surface. When we look beneath it, we start to see how the nervous system is experiencing the environment, and how the child is responding to it.

Communication differences are not separate from sensory processing.
They are often deeply interconnected. Understanding the sensory picture lets us interpret behaviour more accurately, and support communication in ways that fit how the child actually experiences the world.

Look past the behaviour to the nervous system, and communication starts to make sense.

referencesAmerican Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

Ayres, A. J. (2005). Sensory integration and the child: Understanding hidden sensory challenges. Western Psychological Services.

Baranek, G. T. (2002). Efficacy of sensory and motor interventions for children with autism. Journal of Autism and Developmental Disorders, 32(5), 397–422.

Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 1–11.

Bogdashina, O. (2016). Sensory perceptual issues in autism and Asperger syndrome (2nd ed.). Jessica Kingsley Publishers.

Craig, A. D. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Reviews Neuroscience, 3(8), 655–666.

Dunn, W. (1997). The impact of sensory processing abilities on the daily lives of young children and their families: A conceptual model. Infants & Young Children, 9(4), 23–35.

Feldman, R., & Eidelman, A. I. (2009). Biological and environmental initial conditions shape the trajectories of cognitive and social-emotional development across the first years of life. Developmental Science, 12(1), 194–200.

Fiene, L., & Brownlow, C. (2015). Investigating interoception and body awareness in adults with and without autism spectrum disorder. Autism Research, 8(6), 709–716.

Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism: A randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47(6), 611–620.

Lane, A. E., Young, R. L., Baker, A. E. Z., & Angley, M. T. (2010). Sensory processing subtypes in autism: Association with adaptive behavior. Journal of Autism and Developmental Disorders, 40(1), 112–122.

Miller, L. J., Anzalone, M. E., Lane, S. J., Cermak, S. A., & Osten, E. T. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. American Journal of Occupational Therapy, 61(2), 135–140.

Schaaf, R. C., & Davies, P. L. (2010). Evolution of the sensory integration frame of reference. American Journal of Occupational Therapy, 64(3), 363–367.

Shumway-Cook, A., & Woollacott, M. H. (2017). Motor control: Translating research into clinical practice (5th ed.). Wolters Kluwer.

Trevarthen, C., & Aitken, K. J. (2001). Infant intersubjectivity: Research, theory, and clinical applications. Journal of Child Psychology and Psychiatry, 42(1), 3–48.
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