What is it about?

This article explores how being aware of our internal body signals (called interoceptive awareness or IA) may affect our ability to understand and communicate emotions and thoughts with others, as well as take actions to meet our needs (self-regulate). We review various studies to explain how IA, emotional awareness, and self-regulation are connected and why these connections are important for Speech-Language Pathologists (SLPs). Key points discussed include: 1. Understanding Emotions: IA helps us understand and manage our emotions, which is important for effective communication. 2. Self-Regulation: IA influences our ability to control our emotions and behaviors, which is crucial for social interactions. 3. Social Cognition: IA enhances our ability to understand what others are thinking and feeling, improving our empathy and perspective-taking skills. SLPs usually address social communication skills in therapy by helping clients understand others' emotions and thoughts using external cues like facial expressions and tone of voice. However, we suggest that understanding our internal body signals might be even more important. Traditional intervention methods addressing social communication (Theory of Mind approaches) may miss out on this aspect, which can be crucial, especially for neurodiverse individuals. SLPs may find it helpful to consider IA when assessing and planning intervention for individuals with social communication support needs. This means looking at how well someone can conceptualize and describe their unique internal body sensations, connect those sensations with physical feelings and emotions, and problem solve to meet their needs. This information may help SLPs to better tailor social communication intervention. We also discuss ways SLPs might consider interoception communication during assessment, such as using specific questionnaires to describe IA in children and adolescents.

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Why is it important?

This article is important because it sheds light on a new way of improving how people understand and communicate physical feelings and emotions, especially for those with social communication challenges. Here’s why it matters: 1. We suggest that being aware of our internal body signals (like heart rate or stomach butterflies) can play a big role in how we understand and manage our emotions and consider the perspective of others. This could be a game-changer for SLPs who help people with social communication support needs. 2. We highlight that traditional intervention methods, which focus on external cues like facial expressions and tone of voice, might not be enough, especially for autistic individuals. Understanding internal body signals might help bridge the empathy gap between autistic and non-autistic people. 3. We suggest that by incorporating communication for body awareness into assessments and intervention, SLPs can develop more effective and personalized strategies. This could lead to better social communication outcomes, increased independence with self-regulation, and improving overall communication. 4. We advocate for neurodiversity-affirming approaches, recognizing that different people have different ways of experiencing and expressing emotions. This perspective helps create more inclusive and effective therapy methods. In summary, we propose a more comprehensive way to assess and plan social communication intervention, which may significantly benefit those with social communication support needs.

Perspectives

This paper emerged from my dissatisfaction with the conventional methods of assessing and treating pragmatic language skills. I observed that about half of my clients with social-emotional communication goals and objectives appeared to respond well to traditional ToM approaches, while the other half made little progress, and any improvements they demonstrated in the therapy room did not extend beyond structured settings. This issue became more pronounced when I began working with adolescents and adult students with intellectual and developmental disabilities, with high communication and behavior support needs. These individuals could answer social problem-solving questions, identify emotions from faces and body language, and articulate their feelings verbally or using AAC. However, they struggled to apply this knowledge in real-time to self-regulate, even after many years of intervention. This discrepancy was frustrating, especially for older students who had been receiving therapy since preschool. I began to explore the concept of interoceptive awareness (IA) after hearing about Kelly Mahler's work from my occupational therapy colleagues. The idea that understanding internal body signals could be the missing link in effective social and pragmatic language interventions resonated with me. This paper represents my initial frustration and questioning, but through literature review and scientific analysis, we have identified that addressing IA might be crucial for improving these interventions. I am eternally grateful for the incredible teamwork and leadership of my friends and colleagues, Dr. Tina C. Melamed and Kristin M. Kirkley.

Laura Obuchowski
Fort Worth Independent School District

Read the Original

This page is a summary of: Connecting the Dots: Interoception and Social–Emotional Communication, Perspectives of the ASHA Special Interest Groups, July 2024, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2024_persp-23-00285.
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