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Making and maintaining friendships often proves to be difficult for those with autism.

For them, the quality of friendships, not the number of friends, predicts how lonely they feel.

In the second and third years, children with autism have less frequent and less diverse babbling, consonants, words, and word combinations; their gestures are less often integrated with words.

Three- to five-year-old children with autism are less likely to exhibit social understanding, approach others spontaneously, imitate and respond to emotions, communicate nonverbally, and take turns with others.It is not known whether early overgrowth occurs in all children with autism.It seems to be most prominent in brain areas underlying the development of higher cognitive specialization.Both autistic groups performed worse than controls at complex language tasks such as figurative language, comprehension and inference.As people are often sized up initially from their basic language skills, these studies suggest that people speaking to autistic individuals are more likely to overestimate what their audience comprehends.Unusual social development becomes apparent early in childhood.

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