Appropriate Answers
Autism Correct Answer - a developmental disorder that appears by age
3, characterized by impairment of the ability to form normal social
relationships, impairment of the ability to communicate with others, and
repetitive behavior patterns.
Diagnostic criteria for ASD according to the DSM-4 Correct Answer -
Criteria comes from 3 different domains- social interaction, communication,
and restrictive, repetitive and stereotypic behavior patterns. Must exhibit at
least 6 criteria to be diagnosed according to the DSM-4. Most recent version is
the DSM-5. Onset of symptoms must occur prior to age 3.
Diagnostic criteria for the social interaction domain Correct Answer -
Must exhibit at least 2 of these. Failure to develop peer relationships,
impairment in use of nonverbal behaviors, and lack of seeking to share
enjoyment with others.
Diagnostic criteria for the communication domain Correct Answer -
Must exhibit at least 1 of these. Delay or lack of spoken language, deficient
conversation skills, repetitive use of language, and impaired make believe
play.
Diagnostic criteria for the restrictive, repetitive and stereotypic behavior
patterns domain Correct Answer - Must exhibit at least 1 of these.
Inflexible adherence to routines or rituals, repetitive motor mannerisms,
persistent preoccupation with parts of objects.
Rates of ASD Correct Answer - ASD affects 1 in 150 children, and rates of
autism are 4-5 times higher in boys.
Behavior deficits Correct Answer - language (expressive and receptive),
play, social skills, perspective taking/theory of mind, executive function,
motor skills, self help and school skills.
Behavior excesses Correct Answer - stereotypy (self stimulating
behavior. ex. flapping), non-compliance, tantrums, aggression.
,ABA Correct Answer - applied behavior analysis. The application of
"principles of behavior" to issues that are socially important in order to
produce practical change.
Principles of behavior include reinforcement, generalization, and extinction.
ABA can be used in regular and special education, pediatric medicine,
treatment of troubled teens, sports psychology, business and service
organizations, and early intensive treatment for children with autism.
Core principle of ABA- Correct Answer - the consequences that follow a
behavior control whether that behavior will increase or decrease.
behavioral contingency/ 3-term contingency Correct Answer - unit of
analysis in ABA. In order to increase or decrease behavior, we must look at 3
pieces, referred to as A B C.
A- antecedent. What is happening prior to the behavior.
B- behavior. What a person says or does.
C- consequence. What occurs immediately after the behavior.
The 3-term contingency can be used to increase appropriate behaviors and
decrease inappropriate behaviors.
Consistency in ABA Correct Answer - Consequence must be consistent to
increase or decrease a behavior. Parents, teachers, and therapists must be
consistent.
Skill repertoire building- Correct Answer - When treating a child's deficit
behaviors, we manipulate the antecedents and consequences to increase
appropriate behaviors.
Ex. We want to increase the variety and frequency of language skills.
Antecedent- Emily is hungry. Behavior- Emily asks for an apple. Consequence-
Emily is given an apple.
Behavior management- Correct Answer - When treating a child's excess
behaviors, we manipulate the antecedents and consequences to decrease
inappropriate behaviors.
Ex. We want to decrease tantrums. Antecedent- Emily wants an apple.
Behavior- Emily cries. Consequence- Emily is not given an apple.
,early intensive behavioral intervention (EIBI) Correct Answer - One
application of ABA is early intensive behavioral intervention (EIBI)
In the 1970's Ivar Lovaas published data that suggested treatment can be
maximized if the intervention is initiated early in a child's life, intensive,
encompassing most of the child's waking hours, and is comprehensive,
addressing all of the child's skill deficits and behavior excesses. This
application of principles of behavior is called early intensive behavioral
intervention. This has also been called Intensive applied behavior
analysis/ABA programming and early intensive behavioral treatment/ EIBT.
10 major components of EIBI programs Correct Answer - 1- Treatment
should begin early.
2- Intervention should be intensive
3- Intervention must be behavioral.
4- Treatment is individualized for each child
5- Treatment must be comprehensive.
6- Treatment should occur in the child's natural environments.
7- Active parent involvement
8-Opportunity to learn from and interact with typical peers.
9- Duration of treatment.
10- Treatment supervision is only provided by individuals with experience in
autism and advanced training in ABA.
EIBI:1- Treatment should begin early. Correct Answer - It is
recommended that children start services prior to age 4, and if they have been
diagnosed earlier than that, then treatment should begin immediately.
However, research has shown that EIBI can still be effective for children if
initiated between ages 4 and 7.
EIBI:Intervention should be intensive Correct Answer - This is one of the
most critical components of EIBI. Initially, treatment should be provided one
to one (one child, one therapist). 30-40 hours per week of therapy is most
effective. Children should start off receiving 1:1 therapy at a minimum of 30
hours per week.
EIBI:Intervention must be behavioral. Correct Answer - All procedures
implemented must be based on principles of behavior analysis. These
principles should help the child build appropriate behaviors and reduce
, problem behaviors that make it difficult for the child to function
appropriately.
EIBI:Treatment is individualized for each child Correct Answer - Child's
skill deficits and behavior excesses are identified and treated. Treatments are
designed specific to each child's characteristics and modified based on the
child's response to designed interventions.
EIBI:Treatment must be comprehensive. Correct Answer - All skill
domains must be assessed and treated. Language/communication, play, social,
perspective taking, motor skills, adaptive skills, academic skills, and
planning/self management skills. All problem behaviors should be addressed.
EIBI:Treatment should occur in the child's natural environments. Correct
Answer - Treatment is initially conducted in the child's home or preschool
that implements EIBI. Treatment is later transitioned to community settings
such as a park, fast food restaurant, gym classes, play groups, and typical
preschool programs.
EIBI:Active parent involvement. Correct Answer - Parents are taught
how to manage their child's problem behaviors, teach their child new skills,
and help their child use skills in everyday life.
EIBI:Opportunity to learn from and interact with typical peers. Correct
Answer - As the child begins to be able to learn from others, it is important
to use the skills with typical peers. The child should be provided with these
opportunities as early as possible.
EIBI:Duration of treatment. Correct Answer - 2 or more years is
necessary to achieve optimal outcomes. Most children receive at least 3 years
of treatment, some require longer treatment duration, and others may be
finished earlier and transition to a traditional classroom setting.
EIBI:Treatment supervision is only provided by individuals with experience in
autism and advanced training in ABA. Correct Answer - Supervisors
should be board certified in behavior analysis with specific experience in
autism or be directly supervised by someone with ample experience in the
field.