社会工作与自闭症儿童家长消极心态干预研究

自闭症儿童的康复是一个世界性难题。从社会工作视角来看则更加注重自闭症儿童与家庭环境和社会环境的互动。自闭症儿童的家庭照顾者是自闭症儿童社会支持系统的“桥梁”,本文正是从自闭症儿童的家庭照顾者入手来研究其对自闭症儿童康复和积极融入社会的重要意义、面临的困境和相应对策。研究发现,自闭症儿童的家庭照顾者不仅存在经济压力和专业护理知识匮乏,更重要的是其内在巨大的心理压力和社会支持系统不足。本文从社会工作实践的优势视角出发,提出了构建家庭照顾者的互助系统以克服无助悲观的心态,加快恢复家庭的社会功能,促进自闭症儿童和家庭融人日常社会。     

Evaluating the Effectiveness of the Stimulus Pairing Observation Procedure and Multiple Exemplar Instruction on Tact and Listener Responses in Children with Autism

The Analysis of Verbal Behavior - The stimulus pairing observation procedure (SPOP) combined with multiple exemplar instruction (MEI) has been shown to be effective with typically developing...     

Using Instructive Feedback to Increase Response Variability During Intraverbal Training for Children with Autism Spectrum Disorder

We evaluated the effects of instructive feedback on the variability of intraverbal responses for two children with autism spectrum disorder. Specifically, we used an adapted alternating treatments design to compare participants’ novel responses and response combinations during an intraverbal category program across conditions with and without instructive feedback. During instructive feedback, secondary targets were presented during the consequence event of the learning trial and consisted of a therapist’s model of response variability. The results showed that participants engaged in more novel response combinations during instructive feedback conditions. We discussed the clinical implications of these results as well as areas for future research.     

A Comparison of Prompting Tactics for Teaching Intraverbals to Young Adults with Autism

Several researchers have compared the effectiveness of tact or textual prompts to echoic prompts for teaching intraverbal behavior to young children with autism. We extended this line of research by comparing the effectiveness of visual (textual or tact) prompts to echoic prompts to teach intraverbal responses to three young adults with autism. An adapted alternating treatments design was used with 2 to 3 comparisons for each participant. The results were mixed and did not reveal a more effective prompting procedure across participants, suggesting that the effectiveness of a prompting tactic may be idiosyncratic. The role of one’s learning history and the implications for practitioners teaching intraverbal behavior to individuals with autism are discussed.     

Use of a Modified Chaining Procedure with Textual Prompts to Establish Intraverbal Storytelling

Echoic, tact, and textual transfer procedures have been proven successful in establishing simple intraverbals (Braam and Poling Applied Research in Mental Retardation, 4, 279–302, 1983; Luciano Applied Research in Mental Retardation, 102, 346–357, 1986; Watkins et al. The Analysis of Verbal Behavior, 7, 69–81, 1989). However, these strategies may be ineffective for some children due to the complexity of the targeted intraverbals. The current study investigated the use of a novel procedure which included a modified chaining procedure and textual prompts to establish intraverbal behavior in the form of telling short stories. Visual prompts and rule statements were used with some of the participants in order to produce the desired behavior change. Results indicated that the procedure was effective for teaching retelling of short stories in three children with autism.     

Spirituality in Latino families of children with autism spectrum disorder

Research on Latino parents of children with intellectual and developmental disabilities (IDD) suggests that these parents often use spirituality to conceptualize and to cope with their child’s diagnosis. However, there are no studies that examine religion among Latino parents of children with autism spectrum disorders (ASD). The current study explores how Latino parents of children with ASD incorporate spirituality into their conceptualizations of their child’s disability. In the current study, 34 Latina mothers of children with ASD were interviewed about autism-related services, family characteristics, and cultural beliefs including spiritual beliefs. Thematic analysis of the transcribed interview data relating to spiritual beliefs was conducted for the present study. Most mothers endorsed beliefs that their child with a disability was a message from God. Within this theme, mothers reported beliefs that their child was a blessing from God, a test from God, a sign from God or that the parent was special. Other parents believed that having a child with a disability was not an act of God, but related to biomedical factors, and another group of parents was unsure about the spiritual meaning of their child with a disability. Lastly, some mothers reported that their larger cultural group believed that having a child with a disability was a punishment or a negative sign from God but they markedly rejected that conception. These findings suggest that providers working with Latino families of children with ASD should acknowledge the importance of spirituality for these families.     

Autism and theory of mind in everyday life

The theory of mind account of autism suggests that the key social, communicative and imaginative impairments which characterise this disorder result from an inability to represent mental states. While this account has been largely confirmed by experimental work, there has, as yet, been little examination of autistic children's theory of mind outside the laboratory. The present study used the Vineland Adaptive Behavior Scales to measure real life social adaptation, through the report of care-givers. In particular, we were interested to find out more about the real life competence of those few autistic subjects who do pass tests of theory of mind. Autistic, mentally handicapped and normally developing children were tested with two standard theory of mind tasks. Groups of subjects who passed or failed these tasks were contrasted. We supplemented the Vineland Scales with items designed to distinguish social behaviour which necessitates theory of mind (termed Interactive) and social behaviour which could be learned (Active). We also asked about maladaptive behaviour of two sorts: Bizarre behaviour typical of autism, and Antisocial behaviour at least some of which would appear to require consideration of beliefs (e.g. deception). We found that the normally developing and mentally handicapped children showed a great deal of evidence of “mind-reading” in their everyday lives, regardless of theory of mind task performance. By contrast, in the autistic group, only those individuals who passed the false belief tasks showed insightful Interactive and Antisocial behaviour. These passers also had better verbal and communication abilities. The autistic subjects who failed the laboratory tasks showed little or no evidence of understanding mental states in their everyday lives, but many did show a high degree of simple Active sociability. Closer analysis showed that only some of the passers showed good evidence of theory of mind in their real life behaviour, and that even these were somewhat impaired relative to their age and developmental level. Implications for the theory of mind account of autism are discussed.     

The Use of Instructive Feedback to Promote Emergent Tact and Intraverbal Control: A Replication

Instructive feedback (IF) involves incorporating additional acquisition targets into skill-acquisition programs. A recent study by Frampton and Shillingsburg (2020) found that IF led to emergent verbal operants with two elementary-aged children diagnosed with autism spectrum disorder (ASD). The current study replicated Frampton and Shillingsburg with two children with ASD. Therapists conducted sessions of mastered listener-by-name trials (e.g., “Show me otter,” with pictures of otter, dog, and elephant) with IF statements for features of the target stimuli (e.g., “It lives in rivers.”) embedded during the consequence portion of the trial. We evaluated the acquisition of secondary targets and emergent responses using a concurrent multiple baseline across sets design. We observed increased correct responding for secondary targets and emergent responses for all three sets of stimuli with one participant. The other participant emitted correct responses for secondary targets and emergent operants with the first set but not with the other two sets of stimuli. Results suggested that IF can lead to emergent verbal operants, but the extent of emergence may be idiosyncratic.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40616-022-00171-y.