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What is central coherence?

Angie Neal, MS, CCC-SLP

September 16, 2024

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Question

What is central coherence?

Answer

It is a focus on details. In other words, those with autism often focus so intensely on details that they can't see the whole or the bigger picture. You've likely heard the phrase, "they can't see the forest for the trees." An autistic person, when looking at a bunch of trees, doesn't see a forest. They see an oak, a maple, a pine tree, and a fallen stump. They notice all these details at a level most people don't, but they miss the bigger picture and the invisible relationships between these details.

What does this look like in real life? In conversation, these individuals struggle to get to the point. They share detail after detail without connections or a clear end result. Academically, these students excel in short-term recall questions but struggle with main ideas, inference, or prediction. 

To me, central coherence—this ability to see things in incredibly detailed ways—is our calling. I am convinced that students who can perceive this level of detail, which others cannot, are the ones who might find cures for diseases like cancer. They see details that most can't even begin to fathom. However, if we, as a collective team, don't teach them collaboration and communication skills, we won't get the answers we're seeking.

This Ask the Expert is an edited excerpt from the course Assessment of Autism: Differentiation Consideration presented by Angie Neal, MS, CCC-SLP.


angie neal

Angie Neal, MS, CCC-SLP

Angie Neal is the SLP Contact and Policy Advisor for Speech-Language Services and Early Literacy at the SC State Department of Education. She stays busy as LETRS Facilitator, a board member with the State Education Agency Communication Disability Council, and as a member of the ASHA School Issues Advisory Board. She is a published author of two books and presents on a wide variety of topics all across the United States.


Related Courses

Assessment of Autism: Differentiation Consideration
Presented by Angie Neal, MS, CCC-SLP
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Presenter

Angie Neal, MS, CCC-SLP
Course: #10894Level: Intermediate1 Hour
  'Great Course'   Read Reviews
This is Part 2 of a two-part series. Factors that should be considered when differentiating Autism Spectrum Disorders (ASD) from Attention Deficit/Hyperactivity Disorder (ADHD), Intellectual Disability, Emotional Disability, and Speech-Language Impairment are described in this course. Important questions and critical data that support an accurate diagnosis or classification are also discussed.

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Angie Neal, MS, CCC-SLP
Course: #10893Level: Intermediate1 Hour
  'Great information!'   Read Reviews
This is Part 1 of a two-part series. Key terms that all evaluation partners need to be knowledgeable about are described. The importance of using those key terms for an accurate diagnosis or classification is discussed.

Play, Talk, Read: The Connection Between Play, Language, and Academic Success
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Children learn to read through play and language-rich environments well before they are taught the first letter. However, as play is disappearing, children are entering school without critical skills necessary for academic success. Connections between play, literacy and academic readiness and strategies for facilitating play and language-rich environments are discussed in this course.

Reading Comprehension and the SLP: Foundational Understanding
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  'Reading comprehension is so important and I recognize the role the SLP can play in supporting it'   Read Reviews
This is Part 1 of a two-part series. This course provides SLPs with foundational knowledge needed to directly address and collaboratively support reading comprehension across all grade levels. Models of language and reading comprehension, comprehension processes vs. products, instruction in comprehension skills vs. strategies, factors in reading comprehension difficulties, and connections to general education are discussed.

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  'The content of this presentation is relevant and applicable to the school-based SLP'   Read Reviews
This is Part 2 of a two-part series. The connections between reading comprehension and areas of language such as vocabulary, morphosyntax and social communication are described in this course. Implications for intervention/instruction and collaboration with educators are also discussed.

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