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Facilitated communication (FC), or supported typing, is a scientifically discredited technique that claims to allow non-verbal people, such as those with autism, to communicate. The technique involves a facilitator guiding the disabled person's arm or hand in an attempt to help them type on a keyboard or other such device which they are unable to properly use if unfacilitated.
Relationship Development Intervention (RDI) is a trademarked proprietary treatment program for autism spectrum disorders (ASD), based on the belief that the development of dynamic intelligence is the key to improving the quality of life for autistic people. The program's core philosophy is that autistic people can participate in authentic emotional relationships if they are exposed to them in a gradual, systematic way. The goal of treatment is to systematically build up the motivation and tools for successfully interacting in social relationships, to correct deficits in this area that are thought to be common to all autistic people.
Diagnoses of autism have become more frequent since the 1980s, which has led to various controversies about both the cause of autism and the nature of the diagnoses themselves. Whether autism has mainly a genetic or developmental cause, and the degree of coincidence between autism and intellectual disability, are all matters of current scientific controversy as well as inquiry. There is also more sociopolitical debate as to whether autism should be considered a disability on its own.
Ole Ivar Løvaas was a Norwegian-American clinical psychologist and professor at the University of California, Los Angeles. He is most well known for his research on what is now called applied behavior analysis (ABA) to teach autistic children through prompts, modeling, and positive reinforcement. The therapy is also noted for its use of aversives (punishment) to reduce undesired behavior, however these are now used less commonly than in the past.
Autism Is a World is an American short subject documentary film allegedly written in 2004 by Sue Rubin, an autistic woman who is purported to have learned to communicate via the discredited technique of facilitated communication. It was nominated in the 77th annual Academy Awards for Best Documentary Short Subject. The film is controversial for promoting the debunked facilitated communication technique.
Discrete trial training (DTT) is a technique used by practitioners of applied behavior analysis (ABA) that was developed by Ivar Lovaas at the University of California, Los Angeles (UCLA). DTT uses direct instruction and reinforcers to create clear contingencies that shape new skills. Often employed as an early intensive behavioral intervention (EIBI) for up to 25–40 hours per week for children with autism, the technique relies on the use of prompts, modeling, and positive reinforcement strategies to facilitate the child's learning. It previously used aversives to punish unwanted behaviors. DTT has also been referred to as the "Lovaas/UCLA model", "rapid motor imitation antecedent", "listener responding", errorless learning", and "mass trials".
Applied behavior analysis (ABA), also called behavioral engineering, is a psychological intervention that applies approaches based upon the principles of respondent and operant conditioning to change behavior of social significance. It is the applied form of behavior analysis; the other two forms are radical behaviorism and the experimental analysis of behavior.
Augmentative and alternative communication (AAC) encompasses the communication methods used to supplement or replace speech or writing for those with impairments in the production or comprehension of spoken or written language. AAC is used by those with a wide range of speech and language impairments, including congenital impairments such as cerebral palsy, intellectual impairment and autism, and acquired conditions such as amyotrophic lateral sclerosis and Parkinson's disease. AAC can be a permanent addition to a person's communication or a temporary aid. Stephen Hawking, probably the best-known user of AAC, had amyotrophic lateral sclerosis, and communicated through a speech-generating device.
The following outline is provided as an overview of and topical guide to autism:
Autism therapies include a wide variety of therapies that help people with autism, or their families. Such methods of therapy seek to aid autistic people in dealing with difficulties and increase their functional independence.
Pivotal response treatment (PRT), also referred to as pivotal response training, is a naturalistic form of applied behavior analysis used as an early intervention for children with autism that was pioneered by Robert Koegel and Lynn Kern Koegel. PRT advocates contend that behavior hinges on "pivotal" behavioral skills—motivation and the ability to respond to multiple cues—and that development of these skills will result in collateral behavioral improvements. In 2005, Richard Simpson of the University of Kansas identified pivotal response treatment as one of the four scientifically based treatments for autism.
Social Stories were devised as a tool to help individuals with ASD better understand the nuances of interpersonal communication so that they could "interact in an effective and appropriate manner". Although the prescribed format was meant for high functioning people with basic communication skills, the format was adapted substantially to suit individuals with poor communication skills and low level functioning. The evidence shows that there has been minimal improvement in social interaction skills. However, it is difficult to assess whether the concept would have been successful if it had been carried out as designed.
The developmental social-pragmatic model (DSP) is a developmental intervention that focuses on initiation and spontaneity in communication and following the child's focus of attention and motivations. Developmental interventions focus on a child's ability to form positive, meaningful relationships with other people when these are hampered by autism spectrum disorders such as autism or Asperger syndrome, or developmental disorders. It aims to build on the child's current communicative repertoire, even if this is unconventional; and using more natural activities and events as contexts to support the development of the child's communicative abilities.
Autistic art is artwork created by autistic artists that captures or conveys a variety of autistic experiences. According to a 2021 article in Cognitive Processing, autistic artists with improved linguistic and communication skills often show a greater degree of originality and attention to detail than their neurotypical counterparts, with a positive correlation between artistic talent and high linguistic functioning. Autistic art is often considered outsider art. Art by autistic artists has long been shown in separate venues from artists without disabilities. The works of some autistic artists have featured in art publications and documentaries and been exhibited in mainstream galleries. Although autistic artists seldom received formal art education in the past, recent inclusivity initiatives have made it easier for autistic artists to get a formal college education. The Aspergers/Autism Network's AANE Artist Collaborative is an example of an art organization for autistic adults.
The Childhood Autism Rating Scale (CARS) is a behavior rating scale intended to help diagnose autism. CARS was developed by Eric Schopler, Robert J. Reichier, and Barbara Rochen Renner. The scale was designed to help differentiate children with autism from those with other developmental delays, such as intellectual disability.
Autism, formally called autism spectrum disorder (ASD) or autism spectrum condition (ASC), is a neurodevelopmental disorder marked by impaired social communication and restricted and repetitive patterns of behavior. Other common signs include difficulty with social interaction, verbal and nonverbal communication, along with perseverative interests, stereotypic body movements, rigid routines, and hyper- or hyporeactivity to sensory input. Autism is clinically regarded as a spectrum disorder, meaning that it can manifest very differently in each person. For example, some are nonspeaking, while others have proficient spoken language. Because of this, there is wide variation in the support needs of people across the autism spectrum.
Strange Son: Two Mothers, Two Sons, and the Quest to Unlock the Hidden World of Autism is a 2007 autobiography by Portia Iversen. It follows the development of her second son, who started expressing autistic characteristics around age two. Iverson heard about a nonverbal autistic 14-year-old boy in India whose mother had taught him to speak and write poetry. Iverson decided to bring the boy and his mother to California to see if her son could be taught to speak.
The Reason I Jump: One Boy's Voice from the Silence of Autism is a biography attributed to Naoki Higashida, a nonverbal autistic person from Japan. It was first published in Japan in 2007. The English translation, by Keiko Yoshida and her husband, English author David Mitchell, was published in 2013.
Matthew Belmonte is a reader in psychology at Nottingham Trent University who researches the behavior and neurophysiology of autistic individuals. He has studied the behavioral aspects of autism by providing subjects with videogames that measure several perceptual properties. Belmonte has received a $700,000 National Science Foundation grant to study this aspect, and uses MRI and EEG technology to measure brain activity of autistic and non-autistic individuals. He has an older brother with autism, and both have a fascination with order and regularity. In his essay 'Life Without Order: Literature, Psychology, and Autism', Belmonte stated that he was inspired to pursue a career in science because of his need for a single right answer.
The rapid prompting method (RPM) is a pseudoscientific technique that attempts to aid communication by people with autism or other disabilities to communicate through pointing, typing, or writing. Also known as Spelling to Communicate, it is closely related to the scientifically discredited technique facilitated communication (FC). Practitioners of RPM have failed to assess the issue of message agency using simple and direct scientific methodologies, saying that doing so would be stigmatizing and that allowing scientific criticisms of the technique robs people with autism of their right to communicate. The American Speech-Language-Hearing Association has issued a statement opposing the practice of RPM.
References
- ↑ Todd, James T. (2015). "Old Horses in New Stables". In Foxx, Richard M.; Mulick, James A. (eds.). Controversial Therapies for Autism and Intellectual Disabilities: Fad, Fashion, and Science in Professional Practice. Routledge. p. 374. ISBN 9781317623830.
- ↑ Montague, Jules (9 January 2018). "Apple's 2017 Webby-nominated ad featured autism pseudoscience". The Verge. Retrieved 17 July 2019.
- ↑ Kreidler, Marc (28 April 2016). "Syracuse, Apple, and Autism Pseudoscience". Skeptical Inquirer. Retrieved 17 July 2019.
- ↑ Tostanoski, Amy; Lang, Russell; Raulston, Tracy; Carnett, Amarie; Davis, Tonya (2014). "Voices from the past: Comparing the rapid prompting method and facilitated communication". Developmental Neurorehabilitation. 17 (4): 219–223. doi: 10.3109/17518423.2012.749952 . PMID 24102487.
- ↑ Schlosser, Ralf; Hemsley, Bronwyn; Shane, Howard; Todd, James; Lang, Russell; Lilienfeld, Scott; Trembath, David; Mostert, Mark; Fong, Seraphine; Odom, Samuel (2019). "Rapid prompting method and autism spectrum disorder: Systematic review exposes lack of evidence". Review Journal of Autism and Developmental Disorders. 6 (4): 403–412. doi:10.1007/s40489-019-00175-w.
- ↑ "Tito breaks the silence". The Times of India . 24 December 2008.
