ASD: iA1-A3: iSocial icommunication i- i>>must ihave ideficits iin iALL i3 isections
-A1: iSOCIAL iEMOTIONAL iRECIPROCITY
i>deficits iin isocial iemotional ireciprocity, ireduced isharing iinterest, idont irespond ito
ismiles
i>no igive iand itake
i>sympt: iabnorm isocail iapproach, ifailure ito ihave itypical iconvo, ireduc ishare iof
iemotions, ilack iof isocial iinterac iinitiation, ipoor isocial iimmitation
-A2: iNONVERBAL iCOMMUNICATION
i>deficits iin inonverbal icommun ibehav iused iin isocial iinterac, ipoorly iin iverbal ito inon
iverbal icommun
i>>>>may italk, ibut inot ihave isame ifacail iexpressions iand ibody ilang ito ishow itheir iemot
i>eye icontact iform iof inonverbal,,most ipronounced ideficit
-A3: iDEVELOPING, iMAINTATING, iAND iUNDERSTANDING iRELATIONSHIPS
i>narrow irange iof iinterests, imakes idiff ito irelate ito iothers
i>difficult ito ido idress iup iwith ijoint iatten
i>use ippl ias itools ito iget itheir ineeds imet
i>inapprop iinterest iw/ ikids
i>lack iof iTHEORY iOF iMIND i(going iin iothers ishoes,perspective itaking)
ASD: iB1-B4: iStereotypes ipatterns iof ibx, iinterset, iand iactivities i- i-at ileast i2 iof i4
isyptoms
-B1: iSTEREOTYPES/REPETITIVE iMOVEMENTS, iUSE iOF iOBJECTS iOR iSPEECH
i> irepetitive ispeech
i>motor imovements: ihandflapping, itouching iitems ias iwalk ipast, iECHOLALIA i(repeat
iyour iwords/what ithey iare ihearing)
B2: iINSITENCE iOF iSAMENESS, iINFLEXIBLE iADHERENCE iTO iROUTINES, iOR
iRITUALIZED iPATTERNS iOF iVERBAL/NONVERBAL iBX
i>Rigiditiy, irigid ithinking, i"overly irule ibound", iexcessive iresistance ito ichange, iritualized
ipatterns iof inonverbal iand iverbal ibehav, icompulsions
B3: iHIGHLY iRESTRICTED, iFIXATED iINTERSTS
i> imany iunusual iperservative iinterests
i> ibeing ioverly iperfectionistic, iexcessive ifocus ion inon-relavent ior inonfunc iparts iof
iobjects, iattachement ito iunusual iinanimat iobj, iunusual ifears
B4: iHYPER/HYPOSENSORY iINPUT
i> iatypical isensory ibehav
i> ihyposensitive:under isensitivity i(low ipain itol)
i> ihypersensitivity: ibeing itoo isensitive iabout icertain ithings i(ex: ihigh ipain itoler)
,BCAT Test
ASD iHigh ifunctioning i(level i1) i- i-requires isupport
-deff iin isocial icommun icause inoticable iimpairment, idiff iinitiating isocial iinterac, idemon
iclear iex iof iatypical/unsuccessful iresponses iin isocial iovertures iof iothers
-Rituals iand irepetitive ibehav icause isigif iinterference iw/ ifunc iin i1+ icontexts; iresists
iattemps iby ithers ito iinterrupt iRRBs ior ito ibe irediected ifrom ifixations
Level i2: iMidfunctioning i- i-Requires isubstantial isupport
-marked ideficits iin iverbal/nonverbal isocial icommun iskills i, isoical iimpairment iapparent
iEVEN iW/ iSUPPORTS iIN iPLACE,
-RRBs iappear ifrequently ienough ito ibe iobvious ito ithe icasual iobserver iand iinterfere iw/
ifunc iin ivarity iof icontexts....
Level i3 iLow iFuncitoning: i- i-requires ivery isubstantial isupport
-Severe ideficits iin iverbal/nonverbal isocial icommun icause iVERY iSEVERE iIMPAIR iIN
iFUNC, ivery ilimited isocial iinterac,
-RRBs imarkedly iinterfere iw/ ifunc iin iall ispheres
-very idiff ito iredirect iform ifixated iinterests
Research iTreatment iintensity i- i-25-40 ihrs ia iweek iis ithe iintensity iof iEIBI!!!
-comprehensive iautism itreatment imost ieffective ifor ikids iage i1-9 iyears iold
-18months iearliest ito iget iASD idiagnosis, iget iservices iimmed ifor ibest iresults!!!
Early iintensive ibehav iintervention iresearch i- i-"God iFather istudy" i(1987): iLovaas, ialso
idid idiscrete itrial itraining
-had ikids iw/ iASD iassigned ito idiff itreatment igroups i(40 ihours, i15 ihours, iect)
-47% iwent ion ito itypical ioutcomes iand iwere iindistigushable ifrom itheir ipeers
-another istudy iin i1993 ishowed iabout i36% iso iits inot ias ihigh ibut istill igood
Knowledge iof ifoundational iautism iresearch i- i-4-5 itimes imore iboys ithan igirl
-one iin i68 iinvid iin iUS iaffected iby iASD
Names ito iRembmer i- i-Lovaas i(God ifather istudy iand iDTT)
, BCAT Test
-Koegel iand iKoegel: iPRT, inatural ienviro itrain
Numbers ito iremember: i- i-recommend: i25-40 ihours ia iweek
-"comprehensive" ispcifically iis iusually i30-40 ihours ia iweek
-ages imost ieffective: i1-9 iyears i(low ias i18 imonths)
Diff ib/w ievid ibased iand inon ievid ibased i- i-reputable isources ilike ipeer ireviewed
ijournals i(JABA iand iJEAB) ior iconfercence i(ABA) iput ion iby igood isources: iABA
iinternational, iCAL-ABA
-Not iall ithese ireputable iand ineed ito ibe ichecked ibefore iconsidered iin icirriculum.....
iNON ievid ibased: inon-peer ireviewed iarticles
Reinforcement i- i-increases ibehavior iin ifuture
Pos iReinf i- i-Adding isomething ito iinc ifuture ibehav
ex:
>child isays iexcuse ime iand iyou igive ihigh ifive...in ifuture ishes isays iexcuse ime iagain
icuz iyou igave ia ihigh ifive
>child icurses iand idad ipays iatten ito ichild. iAs iresult idad igave iatten.. cursing iinc iin
future ieven iwhen inot iintentions
Negative iReinforcement i- i-Take iaway isomething ito iinc ifuture ibehavior
-ex:
>child isays i"all idone" iand iyou iend iaversive itask. iin ifuture isays i"all idone" ito iend
iaversive itask
>Child icries iwhen ihes iasked ito ieat icilantro. iDad itakes iaway icilantro. iAs ia iresult idad
itaking iaway icilantro, icrying iinc iin ifuture
***wahtever istops/takes iaway isomething iaversive
kid icrys icuz isupposed ito igo ito ischool, imom isays iokay, ikids icrys ieveryday iso idoesnt
ihave ito igo ito ischool
Punishment i- i-ALWAYS idec ifuture ibehav
-teaches iwhat iNOT ito ido