Behavioral and Communication Approaches
Tammi Reynolds, BA & Mark Dombeck, Ph.D., edited by Kathryn Patricelli, MAWe combine discussion of behavioral and communication approaches here because they are so closely connected. In practice, behavioral and communicative therapies are usually presented simultaneously. Many troubling behavioral issues disappear once children can communicate their wants and needs. Children who understand what to expect from their environments and what is expected of them are less likely to display obsessive behavior or to have a tantrum.
Speech and Occupational Therapy
Speech, as well as occupational therapies (OT), are frequently offered simultaneously. Speech therapists will prompt children to use words or sign language while they are engaged in activities designed to promote fine or gross motor development which have been organized by occupational therapists. This dual therapy presentation is effective as well as efficient. However, it is not appropriate for every child. In some cases, it is best to keep children focused on one task at a time. When this is the case, speech and OT therapies can be presented separately.
Occupational therapies focus on helping children develop self-help skills so that they can ultimately perform activities of daily living with maximum independence. The development of these skills requires a lot of practice with fine and gross motor coordination. Some children with autism spectrum disorder resist engaging in activities like coloring, cutting and beading while others are very motivated to complete them. These sorts of activities help children develop the skills necessary to dress and feed themselves, and to complete school work.
When speech and OT are combined, occupational therapists will often engage children in an enjoyable sensory activity, like swinging. The therapist will stop the swing and prompt the children to say "more" or "swing" before they will resume the swinging. The sensation of swinging back and forth is frequently motivating for children on the spectrum because they find it a comforting source of stimulation. With their attention focused on the swinging sensations, children are better able to attend to the speech therapist's word use prompts. Children who cannot use words are often prompted to imitate simple sounds.
Since language development is severely delayed in many cases of autism spectrum disorder, speech therapists may engage children in preverbal imitation activities. The therapy begins with therapists helping children form simple mouth movements, like opening, sticking out the tongue, and puckering. These oral movements are often difficult for children with autism spectrum disorder to copy. Some speech therapists incorporate mirrors into the therapy to help children with these mouth movements.
The muscles used to operate the mouth are very complex and difficult to learn to operate. In some cases, it is best to begin speech therapy with sign language which is visual and concrete, and often simpler to learn to perform than oral speech. Speech and occupational therapists can use hand-over-hand prompts to help children sign accurately. They cannot physically prompt them to speak. Opponents of the use of sign language have argued that children who learn and use sign language to communicate will not later become motivated to learn to speak. This worry is unfounded, however, as it has been found that sign language helps to facilitate spoken words in children with autism spectrum disorder.
Resources
-
Articles
- What is Autism Spectrum Disorder?
- Diagnosis of Autism Spectrum Disorder
-
Autism Spectrum Disorder Interventions & Supportive Services
- Autism Spectrum Disorder Treatment
- Behavioral and Communication Approaches
- Picture Exchange Communication System (PECS)
- Applied Behavior Analysis
- Discrete Trial
- Fluency
- Sensory Integration
- Floortime
- Medication
- Diet and Vitamins
- Complementary Approaches
- Therapeutic Animals
- Helping Families Cope
- Support Groups
- Wraparound Services
- Autism Spectrum Disorder and Mainstream Public Education
- Autism Spectrum Disorder in Adulthood
- Conclusion
- Autism Spectrum Disorder Resources
-
News
-
Questions and Answers
-
Book & Media Reviews
- A Guide to Asperger Syndrome
- A Parent's Guide to Asperger Syndrome and High-Functioning Autism
- A User Guide to the GF/CF Diet for Autism, Asperger Syndrome and AD/HD
- An Exact Mind
- Asperger Syndrome and Your Child
- Asperger Syndrome, Adolescence, and Identity
- Asperger's and Girls
- Autism - The Eighth Colour of the Rainbow
- Autism's False Prophets
- Autistic Spectrum Disorders
-
38 more
- Born on a Blue Day
- Boy Alone
- Can't Eat, Won't Eat
- Caring for a Child with Autism
- Children with Emerald Eyes
- Demystifying the Autistic Experience
- Eating an Artichoke
- Educating Children With Autism
- Elijah's Cup
- Exiting Nirvana
- Eye Contact
- Freaks, Geeks and Asperger Syndrome
- Incorporating Social Goals in the Classroom
- Integrated Yoga
- Learning and Behavior Problems in Asperger Syndrome
- Look Me in the Eye
- Maverick Mind
- Mysterious Creatures
- Our Journey Through High Functioning Autism and Asperger Syndrome
- Rain Man
- Reweaving the Autistic Tapestry
- Seeing Ezra
- Snapshots of Autism
- Songs of the Gorilla Nation
- Targeting Autism
- Temple Grandin
- The Boy Who Loved Windows
- The Curious Incident of the Dog in the Night-Time
- The Dragons of Autism
- The Flight of a Dove
- The Horse Boy
- The OASIS Guide to Asperger Syndrome
- The Ride Together
- The Speed of Dark
- Things Tom Likes
- Through the Glass Wall
- Weather Reports from the Autism Front
- What's Happening to Tom?
-
Links
-
Videos
- New Genetic Tools to Treat Autism and Pediatric Neurological Disorders
- Diagnosing and Treating Autism with Doris Trauner
- Talking to Our Kids With Autism Spectrum Disorder About Acts of Terrorism
- Talking to Our Kids With Autism Spectrum Disorder About Death
- Understanding the Genome and the Future of Autism Therapies
- What Is Asperger's?
- Autism Early Intervention
- Minority Children May Miss Autism Diagnosis
- Key Features of Autism
- Autism Puberty and Adolescence Toolkit
-
70 more
- Autism and Minorities
- Understanding the Genome and the Future of Autism Therapies
- Catching Autism Early
- The World of Autism PSA
- Is Asperger’s Syndrome Autism?
- Learning the Signs of Autism
- What is Autism?
- Understanding Autism
- Siblings of Children with Autism
- How Weighted Blankets May Lift Anxiety
- Caring for Children and Adolescents with Autism During COVID 19
- 1 in 45 autism prevalence explained
- Autism & Asperger's: What's The Difference?
- Screening for Signs of Autism
- Beyond the Data -- Autism Spectrum Disorder
- Treating Autism
- What it’s like to have a brother on the autism spectrum
- iPads and Autism: 3 Features That Make the Tablet Easier to Use
- iPads and Autism: Getting the Most From Out-of-the-Box Apps
- Great Apps for Autism
- Teaching Social Skills to Teens with ASD
- ABA for Teens with ASD
- Customizing ABA Programs for Teens
- Autism Diagnosis and Access to Care in Minority Populations
- From Diagnosis to Treatment: The Revolution Driving Autism Research
- Reducing Disparities in Autism Diagnosis and Access to Care
- Autism Jargon: DRO
- Autism Jargon: NET
- 5 Tips for Getting the Most Out of ABA
- Autism Jargon: DTT
- Autism Jargon: Distractor
- Autism Jargon: Theory of Mind
- Autism Jargon: Pica
- Autism Jargon: Fluency
- Autism Jargon: Systematic Desensitization
- Is Asperger’s Included in the DSM5?
- Autism Jargon: Functional Communication Training
- 8 Questions to Ask Your Autism Service Provider
- Autism Jargon: Verbal Operants
- Autism Jargon: Establishing Operation
- Autism Jargon: Token Economy
- Treating Anxiety in Children and Teens with ASD
- Autism Jargon: Response Cost
- Teaching Soccer Skills to Kids with ASD
- "Focus on Ability, Not Disability"
- Dr. Tim Shriver: Intellectually Different ... Not Disabled
- P2I: Can We Prevent Autism?
- Autism Jargon: Positive Reinforcement
- Autism Jargon: Negative Reinforcement
- How the Diagnosis of Autism Helps Us Learn More About Autism
- Pathways for Treatments in Autism Spectrum Disorder
- Genetics of Autism Spectrum Disorders
- Autism Jargon: IEP
- My Inner Life with Asperger's
- Autism Jargon: Least Restrictive Environment
- Dealing with Challenging Behaviors
- How law enforcement and families work together to keep loved ones with autism safe
- Back to School: Homework Help!
- Advice on Telling Your Teen they have ASD
- Social Intervention Helps Adults With Autism
- Autism Jargon: Antecedent Modification
- Motor and Social Skill Function: Connecting Learning and Brain Function in Autism
- Minecraft for Autism
- Autism Signs
- CDC’s new update on autism: What you need to know
- Autism & Friendship
- Employment resources for adults with autism and their families
- Housing and residential support options for adults with autism
- Autism Spectrum Disorder: Many Questions Many Answers
- Diagnosing and Treating Autism
Topics
-
Related Topic Centers
-
Addictions
-
Aging & Elder Care
-
Assessments & Interventions
-
Career & Workplace
-
Emotional Well-Being
-
Life Issues
-
Parenting & Child Care
-
Abuse
-
ADHD: Attention Deficit Hyperactivity Disorder
-
Adoption
-
Autism
-
Child & Adolescent Development: Overview
-
Child & Adolescent Development: Puberty
-
Child Development & Parenting: Early (3-7)
-
Child Development & Parenting: Infants (0-2)
-
Child Development & Parenting: Middle (8-11)
-
Child Development & Parenting:Adolescence (12-24)
-
Child Development Theory: Adolescence (12-24)
-
Child Development Theory: Middle Childhood (8-11)
-
Childhood Mental Disorders and Illnesses
-
Childhood Special Education
-
Divorce
-
Family & Relationship Issues
-
Intellectual Disabilities
-
Learning Disorders
-
Oppositional Defiant Disorder
-
Parenting
-
Self Esteem
-
-
Psychological Disorders
-
Anxiety Disorders
-
Bipolar Disorder
-
Conversion Disorders
-
Depression: Depression & Related Conditions
-
Dissociative Disorders
-
Domestic Violence and Rape
-
Eating Disorders
-
Impulse Control Disorders
-
Intellectual Disabilities
-
Mental Disorders
-
Obsessive-Compulsive Spectrum Disorders
-
Personality Disorders
-
Post-Traumatic Stress Disorder
-
Schizophrenia
-
Sexual Disorders
-
Somatic Symptom and Related Disorders
-
Suicide
-
Tourettes and other Tic Disorders
-