that parents who were indifferent to the emotional needs of their children caused autism. • During the 1950s and 1960s Bruno Bettelheim perpetuated the notion that autism could be attributed to the psychopathology of parents. • Bettelheim (1967) theory of psychogenesis claimed that autism was an outcome of disinterested, cold parents. • Mothers of children with autism were called “refrigerator mothers” • But it was never been discovered. • In 1977, the National Society for Autistic Children (today the Autism Society of America) stated, “No known factors in the psychological environment of a child have been shown to cause autism”. • “it is clear that autism reflects the operation of factors in the developing brain”(National Research Council) • Experts now suspect that genes may make a child more susceptible to autism but that environmental factors may trigger it. • It is not known what causes autism. • The current theory among autism genetics researchers supports the idea of complex inheritance. • Multiple genetic factors are likely to be involved, in addition to having the right combination of autism-related genes, exposure to certain environmental factors might lead to the development of autism in some individuals. • Some hypothesis leads to involve immunization in the factors that causes autism but no evidence has been found. EDUCATIONAL APPROACHES
• In recent years, a great
deal of exciting and promising research is contributing to better futures for children with autism and their families. CRITICAL IMPORTANCE OF EARLY INTENSIVE BEHAVIORAL INTERVENTION
• One of the earliest and most powerful examples of the potential
of systematic early intervention on the lives of children with autism with autism is the work f Ivar Lovaas and his colleagues at the University of California at Los Angeles. • In 1987 Lovaas reported the results of a study that provided a group of 19 children with autism with an intensive early intervention program of one-to-one behavioral treatment for more than 40 hours per week for 2 years or more before they reached age 4. • When compared with a similar group, the children in the early intervention group had gained 20 IQ points and had major advances in educational achievement. • Although some questioned the validity of this research the work was a landmark accomplishment in the education of children with autism. APPLIED BEHAVIOR ANALYSIS
• The methods used in the Lovaas early intervention
project were derived from applied behavior analysis (ABA). • ABA is a systematic approach for designing, conducting, and evaluating instruction based upon scientifically verified principles describing how the environment affects learning. • The perspective of ABA, “autism is a syndrome of behavioral deficits and excesses that have a biological basis but are nonetheless amenable to change through carefully orchestrated, constructive interactions with the physical and social environment.” • ABA uses behavioral principles such as positive reinforcement to teach children skills in a planned, systematic manner. • Because of the documented accomplishments of some children with autism after receiving intensive ABA therapy, many have been advocating for ABA programs. • But, misunderstandings about ABA are widespread. • One of the misconceptions is the belief that ABA consists only of discrete trial training (DTT). • ABA programming uses a variety of procedures to help individuals with autism acquire and generalize new skills. • The following is a partial list of systematic strategies based on ABA. Strategies for shifting control over a student’s responses from contrived stimuli to naturally occurring stimuli and events he encounters in his environment Peer-mediated interventions for social relationships Methods of errorless discriminating learning. Development of stimulus equivalence class in which students learn relationships that are not thought directly Pivotal response intervention Naturalistic language strategies. STRATEGIES TO HELP CHILDREN WITH AUTISM COPE WITH SOCIAL SITUATIONS AND INCREASE THEIR INDEPENDENCE IN THE CLASSROOM Social stories and Picture activity schedules are two relatively new and promising interventions for students with autism. Social Stories
• Social stories explain social situations and concepts,
including with ASD. (Autism spectrum disorder) • It can answer a child’s question about concepts and provide information about social behavior. • It can be used to describe a situation and expected behaviors, explain simple steps for achieving certain goals or outcomes, and teach new routines and anticipated actions • Storytelling Picture Activity Schedules
• Most behavioral problems associated with
children with autism seem to stem from a limited communication repertoire. In other words they are not able to tell you their wants or needs. An activity schedule consists of pictures or words that describe a sequence of activities. Example of visual activity schedules EDUCATIONAL PLACEMENT ALTERNATIVES REGULAR CLASSROOM
• Inclusion is a necessary, but not likely
sufficient, condition for social interaction interventions for young children with autism. ACTIVITY SCHEDULES AND ACTIVE KIDS
• Activity schedules can be a major tool for
promoting independence.
• An activity schedules essentially exchanges
one form of prompting for another. Multimedia Activity Schedules
• Children with autism attend very well to
two-dimensional images such as what appears on television or computer monitors. Children with autism have not only learned to independently follow computer schedules but also learned skills such as: • Slight word reading • Spelling • Daily living skills • Functional play routines • Social-communication skills HOW TO GET STARTED NOTEBOOK SCHEDULES
• Prerequisite skills, preparing a first
schedule, proceeding from teaching a child to follow schedule to using them to foster social skills. MULTIMEDIA SCHEDULES
• Teachers should be comfortable with Microsoft
Powerpoint and with handling digital cameras and images. Resource Room
• A resource room is a separate,
remedial classroom in a school where students with educational disabilities, such as specific learning disabilities, are given direct, specialized instruction and academic remediation and assistance with homework and related assignments as individuals or in groups. Resource Room CURRENT ISSUES AND FUTURE TRENDS
• The highly unique characteristics of individuals
with autism have fueled debates. • A hotly debated current issue revolves around the question of whether or not children with autism can improve and permanently considered as “recovered” from autism from the result of effective education. DISTINGUISHING UNPROVEN INTERVENTIONS FROM EVIDENCE-BASED TREATMENTS FACILITATED COMMUNICATION
• Facilitated communication, supported typing or
hand over hand, is a discredited technique used by some caregivers and educators in an attempt to assist people with severe educational and communication disabilities. The technique involves providing an alphabet board, or keyboard. FIVE STRATEGIES THAT WORK TEACH COMMUNICATION AND SOCIAL COMPETENCE
• Use the Picture Exchange Communication System (PECS)
PECS teaches children to communicate with pictures and symbols
• Provide systematic instruction in imitation skills
Imitation is critical to learning from and relating to others • Plan opportunities for students with disabilities to interact directly with typically developing peers. USE INSTRUCTIONAL STRATEGIES THAT MAINTAIN THE CLASS’S NATURAL FLOW
• Rather than isolating children with disabilities to
provide individualized instruction, teach within the context of developmentally appropriate activities and routines. TEACH AND PROVIDE OPPORTUNITIES FOR INDEPENDENCE
• While interdependence is appropriate and normal
in human relationships, we also expect children to become increasingly independent as they grow. BUILD A CLASSROOM COMMUNITY THAT INCLUDES ALL CHILDREN
• Classrooms are learning communities where
everyone can make a valuable contribution and has something to learn. PROMOTE GENERALIZATION AND MAINTENANCE OF SKILLS
• Unless skills are demonstrated across a variety of
situations and maintained over time, children will have limited ability to participate meaningfully in inclusive environments.
Recognizing and Addressing Autism Spectrum Disorders in Toddlers: A Comprehensive Guide for Teachers and Parents of Young Children with Sensory Processing Disorder (Spd) and Autism Spectrum Disorder (Asd)