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The manual contains practical recommendations for the development of speech in children with autism of senior preschool age. It describes the peculiarities of the development of mental and sensory spheres, highlights the specificity of the formation of the emotional and volitional sphere, and provides characteristics of behaviour and play activities in children with autism. Particular attention is paid to the communication skills of children with autism and their development using the method of forming speech activity with the disclosure of the purpose, tasks, directions, methods and techniques of work. The psychological and pedagogical conditions and principles of a corrective approach to the formation of speech activity are described.