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| Autism Autism is the most common disorder of the Autism Spectrum Disorders (ASD) Autism is a complex neurobiological disorder that typically persists throughout a person's lifetime Currently 1 in 150 individuals are diagnosed with autism Autism occurs in all racial, ethnic, and social groups and occurs more frequently in boys than in girls (1 in 94 boys is diagnosed with autism) Symptoms of autism can be mild to quite severe. Autism is characterized by: Inability to engage in and/or lack of interest in social interactions Impairment in communication skills Repetitive and self-stimulating behaviors
Behaviors typically associated with autism may appear before the age of 2 The cause of autism is unclear, though there are several theories: Currently there is no known cure for autism Research indicates that early intervention can result in significant improvements for many young children with autism spectrum disorders (See "Scientifically Supported Treatments")
ABA and Autism The process of systematically applying interventions based upon the principles of learning theory to improve socially significant behaviors to a meaningful degree, and to demonstrate that the interventions employed are responsible for the improvement in behavior (Baer, Wolf & Risley, 1968; Sulzer-Azaroff & Mayer, 1991)
- An objective discipline. ABA focuses on the reliable measurement and objective evaluation of observable behavior
- Uses methods of analysis that yield convincing, reproducible, and conceptually sensible demonstrations of how to accomplish specific behavior changes (Baer & Risley, 1987)
- There is a wealth of validated and peer-reviewed studies supporting the efficacy of ABA methods to improve and sustain socially significant behaviors in every domain
- The effectiveness of ABA-based interventions with persons with autism is well documented, with current research replicating already-proven methods and further developing the field. Documentation of the efficacy of ABA-based interventions with persons with autism emerged in the 1960s, with comprehensive evaluations beginning in the early 1970s
- ABA methods are used to support persons with autism in 6 ways:
1. to increase behaviors 2. to teach new skills 3. to maintain behaviors 4. to generalize or to transfer behavior from one situation or response to another 5. to restrict or narrow conditions under which interfering behaviors occur 6. to reduce interfering behaviors
- Behavioral intervention is not without controversy, despite the empirical support. Detractors theorize behavioral programs produce robotic children. Research reviewed by MADSEC reveals nothing to substantiate this theory. On the contrary, one of the more consistent findings of the research is improved social skills in those children treated (eg Lovaas, 1987; Maurice, 1993). Others question whether Lovaas (1987) used a representative sample of children with autism. While that debate continues, subsequent research using a variety of samples (eg Anderson, et al, 1987; Sheinkopf & Seigel, 1998; Birnbrauer & Leach, 1993; Fenske, et al, 1985) shows that unlike other treatments proposed for autism, there have been no studies which do not support the effectiveness of behavioral intervention. To date, there are no published studies which refute the effectiveness of this approach.
Summarized from Association for Science in Autism Treatment www.asatonline.org Scientifically Supported Treatments - Physical Therapy (For identified gross motor delays)
- Occupational Therapy (for identified fine motor delays)
- Speech Therapy (for identified speech delays)
*Summarized from the Association for Science in Autism Treatment- Treatment Summaries Scientifically Unsupported Treatments - Scientifically unsupported treatments or treatments with little to no scientific support:
- Animal Therapy
- Anti-fungal therapy
- Anti-yeast therapy
- Art Therapy
- Auditory Integration Training (AIT)
- Brain Integration Therapy
- Craniosacral Therapy
- Facilitated Communication
- Floor Time (Greenspan)
- Holding Therapy
- Interactive Metronome (IM)Training
- Magnets
- Music Therapy
- Patterning
- Relationship Development Intervention (RDI)
- Sensory Integration Therapy (SI, SIT)
- Vision Therapy
- Unsupported treatments with possible harmful side effects:
- Chelation Therapy
- Herbs and homeopathic treatments
- Hyperbaric Oxygen Therapy (HBOT)
- Off-label psychotropic medications
- Secretin
- Special and Elimination Diets (*unless a known allergy)
- Psychoanalytic and humanistic play therapy
- Vitamin and supplement therapy
*Summarized from the Association for Science in Autism Treatment- Treatment Summaries Suggested Reading Bailey, J., Burch, M.R., and Burch, M. (2006). How to think like a behavior analyst. Mahwah, NJ: Lawrence Erlbaum and Associates. Buchanan, S.M., & Weiss, M.J. (2006). Applied behavior analysis and autism: An introduction. Ewing, NJ: COSAC.
Jacobson, J., Foxx, R.M., & Mulick, J.A. (2004) Controversial therapies for development: Fads, fashion, and science in professional practice. Mahwah, NJ: Lawrence Erlbaum Associates.
Koegel & Koegel, (1995). Teaching Children with Autism.
Koegel & Lazebnik (2004). Overcoming Autism
Leaf, R., McEachin, J., & Harsh, J.D. (Eds.) (1999). A work in progress: Behavior management strategies and a curriculum for intensive behavioral treatment of autism. New York, NY: DRL Books. Maurice, C., Green, G., & Foxx, R.M. (2001). Making a difference: Behavioral intervention for autism. Austin, TX: PRO-ED. Maurice, Catherine (1993). Let me hear your voice. A family's triumph over autism. New York: Knopf.
National Research Council (2001). Educating children with autism. Committee on Educational Interventions for Children with Autism. C. Lord & J.P. McGee (Eds.)
Newman, Bobby. (1999). When Everybody Cares: Case Studies of ABA with People with Autism. N.Y.: Dove and Orca. Sundberg, M.L., & Partington, J.W. (1998). Teaching language to children with autism or other developmental disabilities. Pleasant Hills, CA: Behavior analysts, Inc. Wheeler, M. (2007). Toilet training for individuals with autism other developmental issues. Arlington, TX: Future Horizons. | |
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