10/30- Treatment of Autism Spectrum Disorders Flashcards
What is the timeline of treatment approaches?
- 1943- Kanner describes Early Infantile Autism
- 1967- “Refrigerator Mothers” counted
- 1970- Pragmatics Revolution- Bates (IMPORTANT)
- 1970- Sensory Integration
- 1981- Lovaas “Me Book”
- 1986- Functional Assessment of Behavior- Durand
- 1990- Theory of Mind
- 1990- Facilitated Communication
- 1994- Let me Hear Your Voice- ABA follow-up study
What is the Pragmatics Revolution?
- began the study of language and communication within social context
- pragmatics studied for the first time
- focused on the child being an active learner instead of being under control of the teacher
- follow child’s intentional focus
- communication goals was developed based on the child’s current abilities and learning strengths and needs as opposed to using the same goals for all children
- focus was developing meaningful and function communication
True of False
The “Me Book” was the gold standard for the discrete trial approach?
True
Why should facilitated communication treatment not good to use?
- kids has severe motor problems to be able to communicate
- facilitator was to study the child’s fingers on a keyboard
- child was communicating via the keyboard at a high level, even low IQs. Even children who were verbal and high IQs.
- it was discovered that the facilitator was actually guiding the child’s hands to type and this was being done subconsciously
What does DT-TB stand for?
Discrete trial-Traditional Behavior
What does SP-D
Social Pragmatic- Development
When it comes to the continuum of ABA Intervention Approaches, what is middle ground referred to as?
It draws strategies from both sides (DT-TB and SP-D) depending on what the activity is.
What approaches fall under DT-TB?
- Lovaas
- Isolated Skills
- Repetitive practice
- Confusion with ABA
What type of style is DT-TB?
- Directive
- greater demands on child to respond, behave and communicate in a certain manner
What type of style is SP-D
- follow child’s lead
- provide minimal direction from the communicative partner
- minimal instruction or intrusion
What type of style are middle ground approaches?
- selective use of directive or facilities elements depending on the activity
- depends on the child’s ability depending not he activity demands
- child’s emotional regulatory status
What approach would you use for hand washing?
DT-TB because there might need to be more physical instruction/motor teaching
What approach would you use for fostering social communication during hand washing?
Less directive approach, maybe SP-D or middle ground approaches
What approaches fall under the middle ground approaches?
- Modified Discrete Trail
- TEACCH
- PRT
- RDI
What approaches fall under the SP-D approaches?
- SCERTS
- More Than Words
- Greenspan Floor Time