By Sara Finegan
One of the most frequent questions I get, from special education and general education teachers alike, is how to deal with the fact that their students with autism do not pay attention during story time. Readers with autism are generally not good listeners and often will not only fail to attend to read-alouds, but may disrupt the experience of others when it is going on.
I like to think of myself as a dynamic and interesting teacher, one who can keep a child’s interest most of the time, even when the subject we are learning isn’t utterly fascinating. At any rate, that’s what I aim for, and it usually happens that kids are engaged most of the time in my classroom.
I love read-alouds!
One of my favorite events of the day, is the read-aloud. We read high-level books, often novels related to what we’re studying in history, to bring that world alive and show how dry facts aren’t just words in a textbook. We also read funny stories, fantasy books, and fables. I like to use accents and unique voices to represent characters, and incorporate a lot of drama into the reading. My students are usually captivated. Except the ones with autism.
It used to be really disconcerting to look up from a particularly scary rendition of a scene in a Goosebumps story to see my student Bobby looking off into space and laughing at shadows or dust motes floating in the air. I became rather discouraged when my best Draco Malfoy imitation didn’t even seem to have any effect on him, nor did my ancient old-lady-Charlotte-the-dying-spider voice. If I hadn’t understood him and how he perceives sound, I’d have given up all aspirations of becoming a reader for Books on Tape.
“Wah…wah…wah…”
Kids with autism do not tend to be auditory learners and most of them do not respond well to the read-aloud. In fact, the majority of them drift off into their own worlds when I read aloud to the class. I am reminded of the Charlie Brown television specials, where the teacher’s voice in class is unintelligible, consisting of droned “Wah…wah…wah….” I imagine that is how my students with autism hear me when I’m reading to them.
It doesn’t matter what tone of voice I use, what accent, or how loudly or softly I intone. They aren’t really present for the reading. Not very flattering to any teacher, of course, but even more important, it raises the question of how to support the students’ learning if they aren’t attending to the read-aloud.
What is the purpose of the read-aloud?
If you’re struggling with a reader with autism’s inability to listen to the text, stop for a moment and ask yourself why it’s important. In evaluating how to handle this situation, it is important to consider the express purpose for the read aloud, and determine whether there are alternative ways to get the objectives met. So, first consider whether:
- The read-aloud is used for the primary purpose of exposing kids to necessary and important text that is higher than their own reading level.
Kids who do not read at grade level often need grade-level texts read to them in order to be able to participate in literacy activities such as response to literature, literary discussions, and just accessing the classics. If the objective is related to cultural literacy, then a child’s ability to attend to and learn from a read-aloud may be important. I think we’d all like for every child to have read certain books by the time they finish elementary school: Charlotte’s Web comes to mind, for example. If the book is higher than the child’s independent reading level, then understanding the story read aloud could be an essential expectation. But…if your student doesn’t read the book, can you show the film in class? And if not, can it wait?
- The read-aloud is used to expose the kids to the pleasure of the written word.
Reading fluency is not always strong in the early and intermediate process. We need to help kids hear the text in order for them to develop expectations of text and enjoyment of the process. We do want our children to love reading and get pleasure from the written word. It’s good for kids to experience the flow and fluency of text – many of them will not develop the internal voice as readers unless they first hear it externally.
Whether they hear stories on tape or “live,” the fact is that a voice and an auditory experience is important. If the read-aloud is for the purpose of exposing kids to the pleasure of the written word, we may need to accept that for some kids, it’s not going to happen the way we’d like. Maybe your student with autism will enjoy hearing your voice even though he or she isn’t retaining the words and ideas themselves. Maybe your student will hear some of the words you are reading and will use his or her imagination to use those words in a different way. And maybe the student will never come to love the sound of the written word, or understand that words are arranged in a pattern that has melody and fluency. There are other things the child will learn that are equally, if not more important this year.
- The read-aloud is used in writing intruction to show kids how words, the rhythm of language, and rhymes can influence a text.
The use of read-aloud to support lessons in writing instruction is a best practice employed by most literacy teachers. We can tell kids how mood, and setting, and action are influenced and directed by the use of language and rhythm, but they need to hear it as well as hear about it. It gives them ideas and inspiration to try the techniques out on their own.
Now, if the way words sound is the entire point of the read aloud, there may be alternative ways to teach the lesson to a child with autism. Bobby may not be able to listen to and completely understand a story in which repeated words or rhymes convey a message or mood, but he can learn about and use rhymes in songs and nursery rhymes just as well. He didn’t learn anything when I read aloud When I Was Young and In The Mountains, but he was easily able to write a little story using a repeated introduction after we sang “Old McDonald” and “Do You Remember?”
- The read-aloud is used as a warm-up or cool-down exercise for kids as they prepare to transition to other tasks.
Many teachers have a read-aloud session immediately after recess or lunch to help kids settle down and get ready for active learning again. Reading aloud to kids to help support transitions or to give them a break from written work or intensive intellectual work is a tried and true strategy that many of us have been using for years. It is derived from the bedtime story, and how many of us don’t have memories of drowsing while our parents read us one last book before turning out the lights? This type of read-aloud not only calms the mind and body, but introduces the concept of reading for relaxation to a child.
- The read-aloud is used as a break from other academic tasks.
Research shows that the best learning is accomplished in cycles of input and output of information. Reading is an excellent respite of intake that can be used after an intensive output of intellectual effort. If reading is for relaxation and transitioning, then a child can gain equivalent results from drawing pictures, rocking, doing a puzzle, or some other pleasurable quiet activity.
While you are doing the reading aloud, your students who are weak in auditory processing can be engaging in separate activities—so long as they are able to do so independently and without disturbing others. One of my students has always loved to draw dragons, and this is his invariable free choice activity. When everyone moves to the rug for the read-aloud, he pulls out his sketchbook and begins to draw. Sometimes his dragon pictures actually end up having something to do with what I’m reading aloud; sometimes they simply express whatever is going on in his own mind.
- The read-aloud is used to engage kids in bringing a period of history or a certain situation they’ve read about in other contexts to life.
Students studying the pioneer period love hearing the Little House books read to them; I remember how the colonial and revolutionary period came alive for me when I read Johnny Tremaine. I link genre studies to our history units; we read Aesop’s fables when we study Ancient Greece and a number of Native American legends when we study early America. We explore the mystery genre by reading The Golden Goblet and A Place in the Sun when we study Egypt, and similar novels based in Rome and Greece. We study the Coming of Age genre when we study early man by reading Maroo and the Winter Cave, Boy of Painted Cave, and Dar and the Spear Thrower.
Very few of these texts are able to be accessed by my students on their own; hearing them read, with accents and emphasis, drama and even passion, helps the kids visualize and synthesize information they’ve been learning from their social studies textbooks. It is important that kids learn that history is a live and pulsating thing, no question about that. The plethora of excellent books for children and young adults about historical people and events is terrific. Kids who cannot read them on their own will miss out on some wonderful pieces and likely will not be able to truly envision the times and circumstances about which they have studied.
On the other hand, they can gain some insights from more visual resources, including some of the great pictorial books about historical eras, films, and doing arts and crafts projects. Just because a child doesn’t truly hear the story of how Laura Ingalls’ father built a log cabin doesn’t mean that she or he can’t find out about them by building a replica; we can learn about candlemaking from reading a story about Laura and her mother, or we can dip them ourselves.
When the child’s attention is essential…
If you determine that the child’s attention to the read-aloud is essential, and that you want to support his or her participation in the experience, there are a few things you can do as a part of the routine.
Here is a list of some strategies that have worked with some of my students with autism. In addition to these, I’ve had great success with several of my students with autism by using a read-aloud in conjunction with exercises related to questioning as we read. This intervention is discussed in another blog entry.
…five possible solution tips
- Give the student have a copy of the text to follow along with. Having a visual aid is often helpful in keeping a child’s attention on the read-aloud.
- Make finger puppets or paper puppets on a craft stick for the child to hold up when a given character is speaking or discussed. The child will follow along as you read more easily if he or she is waiting to hear from or about a character.
- Ask your students to provide the sound effects for a story. If you are reading about a storm, set an auditory signal (“sound effects!” or “It sounded like….”) for them to begin making rain or thunder noises. A child with autism will try to pay attention for the opportunity to participate.
- Ask your student with autism to draw a picture of what you are reading as she or he listens.
- Rewrite passages from the text into a readers’ theater experience and assign your student with autism to one of the parts. Let the kids practice and then perform for a small group.
No cookie cutter children!
Use these modifications sparingly. If it’s really not important that the child be able to hear the read-aloud, don’t try to force it. Save the interventions for times when it’s essential. Readers with autism, by their very nature, do not fit into any cookie-cutter classroom view, and we need to pick and choose the times and methods of required conformance.
Even “fake readers,” kids who turn the pages, look at the pictures, and recite from memory passages they’ve heard read aloud, will generally return to the same books, or series of books, or subjects (butterflies, horses, ancient Mesopotamia).
India

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grapho-phonic cuing–the identification of letters and sounds
But if the child with autism or hyperlexia has lost the meaning of what they’re reading, how do they know what questions to ask themselves? 
FAQs about anaphoric cuing and reading comprehension
Q: Is it “anaphoric cuing” or “anaphoric cueing”?
A: Yes.
Q: What are anaphora?
A: Anaphora are words, often pronouns, which refer back to reference words previously used in the text. For example: “Dan opened his book, put his head down on it, and fell asleep.” In this case, “his” and “it” are the anaphora and “Dan” and “book” are the reference words.
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Q: What, briefly, is anaphoric cuing?
A: Anaphoric cuing involves teaching the child to identify the anaphora and to pause to relate them to their reference words while reading. In this way, the student begins to connect the parts of the text to one another. The active engagement required to relate words to one another supports the child’s connection to the text and reduces his or her habit of passive decoding.
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Q: Who first identified anaphoric cuing as an effective intervention for teaching reading comprehension to children on the autism spectrum?
A: Researchers Irene O’Connor and Perry Klein, both of the University of Western Ontario (Canada),worked with 20 adolescent students with hyperlexia to explore the success of cloze questions, pre-reading questions, and anaphoric cuing. They found anaphoric cuing to be the most effective teaching strategy for improving reading comprehension with these students.
[O’Connor, I.M. & Klein, P.D. (2004). Exploration of strategies for facilitating the reading comprehension of high-functioning students with autism spectrum disorders. Journal of Autism and Developmental Disorders, 34(2): 115 -127]
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Q: What is meant by hyperlexia?
A: Hyperlexia is a reading disorder characterized by a precocious ability to decode words, usually two or more levels above the child’s age or grade, combined with significantly impaired comprehension of the same words. Many children on the autism spectrum have this difficulty, even though they may not be diagnosed with hyperlexia. (http://en.wikipedia.org/wiki/Hyperlexia)
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Q: Has O’Connor and Klein’s study been “proven” in the classroom?
A: This blog’s primary author, Sara Finegan, has had success with the technique (http://readerswithautism.com/2009/09/autism-and-hyperlexia-part-1-anaphoric-cuing/ and http://readerswithautism.com/2009/09/autism-and-hyperlexia-part-2-helping-bobby-read/ ) and would like to hear from other teachers or parents about their experience with anaphoric cuing or any other teaching strategy that has worked to improve reading comprehension by students on the autism spectrum.
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Q: How did Sara learn to do this?
A: As her first posts show, Sara and her student, Bobby, worked it out for themselves. The process is not complicated. Paraeducators (paraprofessionals, classroom aides) can help to implement it. (http://readerswithautism.com/2009/12/anaphoric-cuing-asking-clarifying-questions/ and http://paraeducatorcentral.com/2011/02/role-of-the-classroom-aide-to-help-the-child-toward-independence/)
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Q: Does the technique work with students trying to improve reading comprehension in another language besides English?
A: We don’t know for sure, but would assume that in any language that uses pronouns or other anaphora regularly in text, large numbers of children on the autism spectrum have difficulty with comprehension. This technique could be tried to see if it helps and PLEASE let us know what your results are.
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Q: I’m a teacher (or parent) willing to try anaphoric cuing but I have questions. Can I contact you?
A: Certainly. We want you to Post a Comment to any one of our articles, including this one (see below), or you may Contact Us ( http://readerswithautism.com/contact-us/ ) by email. We will respond to any communication from an educator or a parent trying to help a struggling reader.
Our Goal: Providing help for struggling readers on the autism spectrum.