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Research carried out by the CIPPA (Coordination internationale de psychothérapeutes psychanalystes et membres associés s’occupant de personnes autistes) research group on the emergence of language has highlighted conditions that encourage the emergence of language in autistic people, and the forms that the appearance of language can take. Following previous studies, this article aims to identify the impact on language emergence of the evocation, within a psychotherapeutic context, of traumatic situations and ruptures that the patient had previously found difficult to discuss. Many autistic children, when they begin to speak, pass through a phase of echolalia. When differentiation begins, the echolalia is succeeded by internal dialogues. Echolalia and internal dialogues sometimes develop into more communicative and other-directed language. Mediation via dialogues with objects helps prepare the child for exchanges with a more human environment.