Being Autistic Is Not A Behavior Problem

Applied behavior analysis (ABA) has become a widely used form of therapy for autistic children without its theories and methods being well understood. This critical analysis of the theories and research on which ABA bases its claim to being an evidence-based treatment is a must-read for everyone who has a stake in the lives of autistic individuals. This book reviews the literature which shows that ABA is not based on scientific research, and that practitioners of ABA are not required to be trained in child psychology, pediatrics, child development, education, family therapy, language development, or scientific research. ABA is not based on any form of developmental science, but primarily on the works of B.F. Skinner whose ideas were first published over seventy years ago. This philosophical viewpoint, radical behaviorism, holds that individual experiences are irrelevant to behavior change because the determining factors of our actions are in the environment; the rewards and punishments that result from those actions. This in-depth analysis of the theories and research of ABA leads to the conclusion that ABA is not an applied science, nor does it promote values consistent with current models of child development and education. Other promising methods based on modern science, including parent-directed early infancy pre-emptive strategies and peer-based LEGO Clubs, also discussed here, are often overshadowed by the media coverage and marketing strategies of ABA-based autism services, despite these messages being overstated and misleading. Simply put, the public trust and investment in ABA services needs to be reviewed in greater detail, and with greater skepticism. The pseudoscientific concepts described by behavior analysts sound convincing to many, but upon closer examination amount to little more than what most educators and parents typically do already, and at the same time, involve costly and invasive services with little or no evidence of meaningful benefit. Some natural strategies such as peer-mentoring and caregiver training do help autistic children and their families to adapt to mainstream settings, the persistent promise of evidence-based autism treatment, has generated an expanding market for ABA services which actually interferes with typical social development. Modern views of child development, social and cultural adaptability, play, and education emphasize integration of individuals and their sociocultural environments. Less costly, proactive, and non-invasive approaches to improving social adaptability and quality of life for autistic children and their caregivers are currently available, but unlike ABA-based services, they are not widely promoted in the public media or offered directly to families by thousands of newly certified providers. A science-based and holistic understanding of the life experiences of autistic individuals recognizes the importance of sociocultural adjustment and long-term quality of life, not behavioral compliance in adult-controlled settings, even when those settings are described as naturalistic. Radical behaviorism was not and will never be compatible with developmental models which view development as a reciprocal and dynamic synergistic process, not the outcome of a successful behavior plan. It is important for those who care about diversity in society to promote the creative contributions of individuals with diverse life experiences and to stop thinking about being different as a behavior problem.

This volume provides research-based, practical information on managing the challenges that Asperger syndrome (AS) presents in everyday life and in the classroom. Current knowledge is reviewed on the core learning, behavioral, emotional, social, and communication difficulties associated with this complex disorder. Hurdles facing children with AS and their parents and teachers are clearly identified, and effective assessment and intervention approaches described. Special features include firsthand accounts from an adult with AS and a teacher with extensive experience in the area, as well as numerous illustrative vignettes and classroom examples. While written primarily for professionals, the volume will also be of interest to many parents.

Ce document, qui est le deuxième de la série “Visual Strategies” du même auteur, se présente comme une ressource permettant d'aider les parents, comme tous les intervenants, qui font face à des troubles du comportement de la part d'enfants autistes, ayant des troubles envahissants du développement ou des troubles importants de la communication. Il décrit tout d'abord les liens entre les comportements, la communication et les stratégies visuelles (Visual Strategies), en clarifiant la notion de comportement et leurs diverses causes, la notion de communication ainsi que celle des stratégies visuelles. Par la suite, il est question de l'évaluation des situations comportementales problématiques, des moyens pour favoriser une meilleure communication, enseigner des stratégies éducatives liées à la communication et alors faire le pont, par des stratégies visuelles, entre le soutien à la communication et la résolution des problèmes du comportement. Les stratégies visuelles sont surtout axées sur l'environnement, le milieu de vie de la personne autiste, la gestion du temps et les activités de la vie quotidienne, tout comme sur la sélection ou la liberté de choix, les relations interpersonnelles et sociales, le langage, l'auto-contrôle ainsi que la manière d'aborder les enfants ayant des besoins spécifiques: déficience multiple, visuelle etc.

This book provides a description of the current theory and methodology of LEGO-based therapy (LBT) for social development. It is intended for all readers who have an interest in LBT and both how and why it works to improve the development of social communication and interpersonal collaboration. This work provides an update from previous publications on LBT methods and offers the first in-depth discussion of the theoretical basis for the LBT model. Educators, therapists, parents, and administrators will gain a clearer understanding of how LBT can be used to improve social adjustment and initiate participation in social learning, creativity, and interpersonal synergy. Regardless of the context in which LEGO materials are used to facilitate improvement in interpersonal communication and collaboration, this book is a core text, describing the current strategies and benefits of LBT.

Autism spectrum disorders are developmental disorders. Individuals with autism spectrum disorders develop differently. These differences are usually present in social interaction, communication, and sensory processing, and become visible through a wide variety of behavioral responses that differ from individuals without autism spectrum disorders. Despite significant research efforts, the exact causes of autism spectrum disorders remain poorly understood; however, researchers have gained extensive insights into possible pathomechanisms, even at the molecular level of cells. Many diagnostic criteria have been developed, adapted, and improved. The eight chapters in this book highlight the current state-of-the-art in many areas of autism spectrum disorders. Chapter 1 provides an overview of the epidemiology of autism spectrum disorders and the current knowledge of the underlying pathogenic mechanisms. Chapter 2 summarizes the diagnostic criteria and procedures and highlights present and upcoming therapeutic strategies. Chapter 3 reviews the adverse events and trauma in people with autism spectrum disorders. Chapters 4 and 5 focus on atypical sensory processing, and Chapter 6 discusses the genetic overlap of autism spectrum disorders with other neuropsychiatric disorders such as attention deficit hyperactivity disorder (ADHD), depression, and schizophrenia. Chapter 7 focuses on the contribution of abnormalities in mitochondria, and chapter 8 discusses gut-brain interactions and a potential role for microbiota in autism spectrum disorders. This book is aimed primarily at clinicians and scientists, but many areas will also be of interest to the layperson.

Division TEACCH, a statewide program in North Carolina, serves people with autism and their families through the School of Medicine at the University of North Carolina at Chapel Hill. TEACCH was one of the first, and remains one of the most comprehensive and effective, programs in the world working with this population. Over the years the puzzling and unusual behavior problems these children present have been among the most interesting and challenging of the enigmas parents and professionals confront. This book is designed to provide information on these behaviors that will be relevant and useful. As with the preceding books in our series, Current Issues in Autism, this volume is based in part on one of the annual TEACCH Conferences held in Chapel Hill in May. The books are not simply published proceedings of the conference papers. Instead, conference participants are asked to develop full-length chapters around their presentations. Other international experts, whose work is beyond the scope of each conference but related to its major theme, are asked to contribute chapters as well. These volumes provide the most up-to-date information on research and professional practice available on the most important issues in autism.

Problem behaviors often compound the already difficult task of improving the lives of persons with severe disabilities. This important volume, representing the culmination of more than a decade of clinical research, presents the first complete description of the procedures used in Functional Communication Training--a positive approach for reducing severe behavior problems. The procedures described in this book have been validated by numerous empirical studies for use with children, adolescents, and adults who display behaviors as diverse as aggression, self-injury, tantrums, and bizarre, psychotic speech. Functional Communication Training involves teaching students how to communicate those basic wants and needs that they have previously sought to have fulfilled via their problem behavior. They are taught to replace their challenging behavior with learned communication skills. This book provides the practitioner with step-by-step instructions for implementing this effective approach. A variety of assessment strategies are reviewed and described to assist in determining appropriate interventions. The Motivation Assessment Scale--one device designed to assess the function of problem behavior--is outlined in detail and is accompanied with guidelines for its administration and interpretation. Communication training is then detailed and illustrated using speech, sign language, and augmentative systems as examples. Numerous case examples throughout illuminate both the assessment and intervention strategies. Providing clear direction for ameliorating complex behavior problems, this book will be valued by psychologists, behavior analysts, special educators, and speech and language therapists. It can be used as a text for advanced undergraduate courses on behavior management in psychology and special education, and also serves as supplementary reading for courses on behavior modification or mental retardation/developmental disabilities.