Enhancing Communication in Children With Autism Spectrum Disorders
By Tammy Barry, Stephanie Bader, Theodore Tomeny and
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Book preview
Enhancing Communication in Children With Autism Spectrum Disorders - Tammy Barry
THE PRACTICAL STRATEGIES SERIES
IN AUTISM EDUCATION
series editors
FRANCES A. KARNES & KRISTEN R. STEPHENS
Enhancing Communication
in Children With Autism
Spectrum Disorders
Tammy D. Barry, Ph.D.,
Stephanie H. Bader,
& Theodore S. Tomeny
PRUFROCK PRESS INC.
Copyright ©2010 by Frances A. Karnes
and Kristen R. Stephens-Kozak
All rights reserved.
No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher.
Printed in the United States of America.
ISBN-13: 978-1-59363-783-5
At the time of this book’s publication, all facts and figures cited are the most current available. All telephone numbers, addresses, and website URLs are accurate and active. All publications, organizations, websites, and other resources exist as described in the book, and all have been verified. The authors and Prufrock Press Inc. make no warranty or guarantee concerning the information and materials given out by organizations or content found at websites, and we are not responsible for any changes that occur after this book’s publication. If you find an error, please contact Prufrock Press Inc.
Contents
Series Preface
Introduction
Autism Spectrum Disorders:
The Trouble With Language and Communication
Interventions for Enhancing Communication
Techniques to Implement Interventions
Facilitated Communication
and Other Alternative Therapies
Conclusion
Resources
References
About the Authors
Series Preface
The Practical Strategies Series in Autism offers teachers, counselors, administrators, parents, and other interested parties up-to-date information on a variety of issues pertaining to the characteristics, diagnosis, treatment, and education of students with autism spectrum disorders. Each guide addresses a focused topic and is written by an individual with authority on the issue. Several guides have been published. Among the titles are:
An Introduction to Children With Autism
Diagnosis and Treatment of Children With Autism Spectrum Disorders
Educational Strategies for Children With Autism Spectrum Disorders
For a current listing of available guides within the series, please contact Prufrock Press at 800-998-2208 or visit http://www.prufrock.com.
Introduction
Autism spectrum disorders (ASD) are a cluster of psychological diagnoses also known as Pervasive Developmental Disorders (PDDs; American Psychiatric Association [APA], 2000), which include Autistic Disorder, Asperger’s syndrome, and Pervasive Developmental Disorder, Not Otherwise Specified (PDD-NOS), among others. Symptoms of ASD include impairment in three broad areas: (1) quantity and quality of social interactions; (2) language development and qualitative communication skills; and (3) restricted, repetitive, and stereotyped behaviors or circumscribed interests. The focus of this volume is on the second core area of impairment—language and communication—including methods by which to enhance these abilities in children with ASD. Because communication deficits have a large impact on social interactions, research on social skills building, particularly in the context of enhancing communication, also is reviewed. Notably, children with ASD often experience associated problems that are not part of the criteria for their diagnoses but that, nevertheless, complicate the clinical picture. A number of these associated problems (e.g., academic difficulties, deficits in adaptive skills, exhibiting problem behavior such as aggression when frustrated) often are due to or exacerbated by impairments in communication (Volkmar & Lord, 2007). Thus, when working with this population, it is essential to consider interventions that can enhance their communication skills. Likewise, to some extent, the interventions have to consider ways in which to manage associated problems so they do not further impede communication skills building. The overarching focus of this volume is on practical and effective strategies that can be implemented in a school setting.
The goal is to provide the reader with an overview of the many interventions that show empirical promise to enhance both the receptive and expressive communication abilities of children with ASD and allow them to interact more effectively with others. In addition, a broad range of more general behavioral techniques that are used to implement the communication-specific interventions are examined. None of the strategies examined will eliminate all language and/or communication impairments in children with ASD. However, these communication-building and language-enhancing strategies can alleviate these impairments, thus leading to an improved quality of life for children with ASD by: (a) teaching new skills; (b) building on existing skills; (c) fine-tuning emerging skills; (d) providing motivation for the demonstration of mastered but rarely exhibited skills; (e) helping children generalize their skills to new settings and situations; and (f) maintaining acquired skills.
Autism Spectrum Disorders:
The Trouble With Language and Communication
Language Deficits
Language deficits are a core feature of ASD. Children with ASD, particularly those with a diagnosis of autism, demonstrate significant clinical impairment in their language development and the qualitative nature of their communication (APA, 2000). Diagnostically, children with autism typically show delayed language development and lack of compensation with nonverbal behaviors (e.g., gestures). In fact,