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Pronoun reversal, or pronominal reversal, is when individuals, typically children, refer to themselves as "he", "she", "they", or "you", or by their proper name (pronoun avoidance).^[1] While it may signal autism spectrum disorder when it persists for an unusual length of time, some degree of pronoun confusion can occur as a part of allistic speech development, and it is common in toddlers. Pronoun reversal is closely linked to echolalia: referring to themselves as they have heard others speak of them, resulting in the misapplication of pronouns.

For example:

Parent: What are you doing, Johnny?

Child: You're here.

Parent: Are you having a good time?

Child: You sure are.

As with many other autistic traits, if speech continues to develop more normally, this pronoun reversal might be expected to disappear. However, it can also be highly resistant to change. Some children require extensive training to stop pronoun reversal, even after they have stopped echolalia.

References

^ (Psychiatrist), Goodman, Robert (1997). Child psychiatry. Scott, Stephen (Psychiatrist). Oxford: Blackwell Science. ISBN 0632038853. OCLC 36470680.{{cite book}}: CS1 maint: multiple names: authors list (link)

Tramontana & Stimbert, 1970 ^{[full citation needed]}
Davison, Neale & Kring, 2004 ^{[full citation needed]}

External links

Gold, Kevin and Brian Scassellati, "Grounded Pronoun Learning and Pronoun Reversal", Yale University (2006)

v t e Autism
Main	Causes Diagnosis Epidemiology Epigenetics Heritability History Memory Pathophysiology Sex and gender Societal and cultural aspects Therapies
Diagnoses	Pervasive developmental disorder Autistic disorder Asperger syndrome Pervasive developmental disorder not otherwise specified Childhood disintegrative disorder High-functioning autism
Associated conditions and phenomena	Alexithymia Autism and LGBTQ identities Autistic burnout Autistic catatonia Autistic masking Autistic meltdown Echolalia Echopraxia Emotional dysregulation Hyperlexia Infodumping Late talker Monotropism Nonverbal autism Pathological demand avoidance Pronoun reversal Savant syndrome Special interests Stimming Sensory overload
Comorbid conditions	Avoidant/restrictive food intake disorder Attention deficit hyperactivity disorder Anxiety disorder obsessive–compulsive disorder Developmental coordination disorder Epilepsy Intellectual disability Sensory processing disorder Global developmental delay Developmental verbal dyspraxia
Associated syndromes	22q13 deletion syndrome Angelman syndrome CHARGE syndrome Cohen syndrome Cornelia de Lange syndrome DiGeorge syndrome Down syndrome Fetal valproate spectrum disorder Fragile X syndrome MECP2 duplication syndrome Neurofibromatosis type I Noonan syndrome Multiple hamartoma syndrome Rett syndrome Smith–Lemli–Opitz syndrome Timothy syndrome Tuberous sclerosis Williams syndrome
Related issues	Autism rights movement Critical autism studies Discrimination Double empathy problem Employment Multiple complex developmental disorder Neurodiversity TEACCH program Twice exceptional Violence and autism
Controversies	Facilitated communication Lancet MMR autism fraud MMR vaccine Rapid prompting method Thiomersal Chelation Combating Autism Act Autistic supremacism
Diagnostic scales	Autism Diagnostic Interview Autism Diagnostic Observation Schedule Childhood Autism Rating Scale Gilliam Asperger's disorder scale
Screening scales	Autism-spectrum quotient Childhood Autism Spectrum Test Ritvo Autism and Asperger Diagnostic Scale
Lists	Autism-related topics Fictional characters Schools
Accommodations	Autism-friendly Curb cut effect Inclusive design Neurodiversity and labor rights Sensory friendly Supported employment Universal design
Category

Autism resources

Autism
- outline
- history

Awareness

Culture

Accommodations

Therapies

Psychotropic medication (antipsychotics)	Aripiprazole Risperidone
Behavioral	Discrete trial training (Lovaas) Picture exchange communication system (PECS) Pivotal response treatment Positive behavior support Early Start Denver Model (ESDM) Cognitive behavioral therapy (CBT) Social skills training
Developmental	Floortime (PLAY Project)
Controversial	Applied behavior analysis (ABA) Auditory integration training Aversion therapy (Judge Rotenberg Center) Chelation of mercury Facilitated communication Gluten-free, casein-free diet Hug machine Hyperbaric oxygen therapy Holding therapy Relationship development intervention Secretin Sensory integration therapy Son-Rise Vitamin B12
Related	ADHD medication Melatonin Occupational therapy Social Stories Speech therapy Selective serotonin reuptake inhibitors Structured teaching (TEACCH)

Centers

Research

United States	Association for Science in Autism Treatment Autism Research Institute Autism Science Foundation Kennedy Krieger Institute National Alliance for Autism Research Simons Foundation Autism Research Initiative Yale Child Study Center
United Kingdom	Autism Research Centre (UK)
Conditions and research areas Researchers

Therapy

United States	Center for Autism and Related Disorders (CARD) MIND Institute

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International

Americas

United States

Centro Ann Sullivan (Peru)
Domus Instituto de Autismo (Mexico)

Asia

Action for Autism (India)
Autism Resource Centre (Singapore)

Caribbean

Autistic Society of Trinidad and Tobago (Trinidad and Tobago)
Maia Chung Autism and Disabilities Foundation (Jamaica)

Europe

UK	Autism Anglia The Autism Directory Autism Awareness Campaign UK Autism Cymru Autism Plus Autistica National Autistic Society Sacar
Specialisterne (Denmark) Aspies For Freedom

Oceania

Luke Priddis Foundation (Australia)

Literature

Non-fiction	The Accidental Teacher: Life Lessons from My Silent Son Animals in Translation Aspergirls: Empowering Females with Asperger's Syndrome Autism's False Prophets Extreme Love: Autism Freaks, Geeks, and Asperger Syndrome: A User Guide to Adolescence In a Different Key Life, Animated Like Colour to the Blind Look Me in the Eye Mother Warriors My Autobiography NeuroTribes Nobody Nowhere The Reason I Jump Somebody Somewhere Son-Rise: The Miracle Continues Strange Son Switched On Unstrange Minds
Fiction	The Curious Incident of the Dog in the Night-Time Dear John House Rules Mockingbird Saving Max Speed of Dark The Winter Journey With the Light
For younger people	Everybody Is Different: A Book for Young People Who Have Brothers or Sisters With Autism Ian's Walk: A Story about Autism Marcelo in the Real World Rage: A Love Story Rules
Journals	Autism Autism in Adulthood Autism Research Journal of Autism and Developmental Disorders Molecular Autism Research in Autism Spectrum Disorders

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