Paul Isaacs' Blog

Autism from the inside

Aphasias – Expressive & Receptive Language in Autism “Fruit Salads” – D.Williams



Note – this is a personal account of Aphasia all people on the spectrum have different profiles. 🙂 


Expressive aphasia (non-fluent aphasia) is characterized by the loss of the ability to produce language (spoken or written). It is one subset of a larger family of disorders known collectively as aphasia. Expressive aphasia differs from dysarthria, which is typified by a patient’s inability to properly move the muscles of the tongue and mouth to produce speech. Expressive aphasia contrasts with receptive aphasia, which is distinguished by a patient’s inability to comprehend language or speak with appropriately meaningful words. Expressive aphasia is also known as Broca’s aphasia in clinical neuropsychology and agrammatic aphasia in cognitive neuropsychology and is caused by developmental issues or damage to the anterior regions of the brain, including (but not limited to) the left posterior inferior frontal gyrus or inferior frontal operculum, also described as Broca’s area 

Personal Overview

Sometimes even now I “lose” words “within myself” this is to do with “internal verbal fragmentation” word would just escape from mind and I would have no interpretive words to express, so I would use movements and sounds to create my own language and that was both functional and meaningful to me


Auditory verbal agnosia (AVA), also known as pure word deafness, is the inability to recognize speech. Individuals with this disorder lose the ability to understand language, repeat words, and write from dictation. However, spontaneous speaking, reading, and writing are preserved. Individuals who exhibit pure word deafness are also still able to recognize non-verbal sounds.Sometimes, this agnosia is preceded by cortical deafness; however, this is not always the case. Researchers have documented that in most patients exhibiting auditory verbal agnosia, the discrimination of consonants is more difficult than that of vowels, but as with most neurological disorders, there is variation among patients.

Personal Overview

Even now when people give me long litanies of verbal information the words will fragment back into “sounds” and I cannot process the words in real time it would be a mouth with sounds coming out of them but with no “meaning” – this at times can overwhelm and/or make me shutdown, ironically it is verbal overload which cases me the most pain.

Remember that language processing is diverse. 🙂

Paul Isaacs 2014




Author: Paul Isaacs

Paul was branded as a “naughty & difficult child” at school. He was classically autistic and non-verbal due to speech articulation difficulties. He had complex sensory issues and appeared both deaf and blind. He gained functional speech around the age of 7 or 8 years old. He went through the mainstream school system with no additional help or recognition of his autism. Consequently, he did not achieve his academic or his social potential and had very low self-esteem. At age 11, Paul was referred to the children’s mental health service with childhood depression where he was regarded as “developmentally underage” and having speech problems. As an adult, Paul had a string of unsuccessful jobs, and his mental health suffered. He developed both Borderline and Schizotypal Personality Disorders in early 2007. He was referred to mental health services and misdiagnosed with “Asperger traits with a complex personality”, which did not satisfy Paul or his family. A local autism organisation put Paul in touch with an experienced psychiatrist, who diagnosed him with Autism at 24 years old. In 2012 Paul was also diagnosed with Scotopic Sensitivity Syndrome by an Irlen Consultant who confirmed that he also had face, object and meaning blindness – conditions which Paul describes eloquently in his speeches and training sessions. He also has dyslexia, dyscalculia and also a dissociative disorder. Having started working as an local autism organisation as a public speaker in 2010, Paul joined their mission to promote autism awareness. His hope is that others will not have to suffer as he did. Now also a core member of our Training Team, Paul continues to enhance true understanding of autism at every opportunity. Paul has released and published 5 books on the subject of autism published by Chipmunka publishing and has contributed to other books too. Having overcome many challenges to achieve the success that he now enjoys, Paul’s message is that Autism is a complex mix of ability and disability. He firmly believes that every Autistic person should have the opportunity to reach their potential and be regarded as a valued member of society. Apart from autism related blogs Paul also write about movies, fashion, art and anything that is of interest. As of August 2015 Paul now works as a freelance speaker, training and consultant in and around the Oxfordshire & Buckinghamshire area. If you are interested please contact him via email at

2 thoughts on “Aphasias – Expressive & Receptive Language in Autism “Fruit Salads” – D.Williams

  1. Dear Paul, Thank you so much for sharing your experiences. I came across your passage while searching for information regarding expressive and receptive language. I have a three year old son named Isaac who is mostly nonverbal and shows many of the traits of autism. This presents two challenges. The first is getting your child the assistance and care that is appropriate. While lacking and difficult that is actually the easy part. The most challenging thing is being a mother and wanting what is best for your child and to understand where their frusterations are coming from. I have a huge desire to understand the world from my sons perspective. I realize that varies for each individual, but any little bit of understanding helps.
    Once again, Thank you
    Sincerely, Shannon Bailey

    • Dear Shannon

      That is correct is is different for all folks on the spectrum and that is something that needs to be remembered as well as the important of personhood. 🙂

      Kindest regards


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