Research summaries for autism therapy: DIR

definition of DIR: Methodology that is used to help build social interactions with other people. In the name, “D” stands for developmental, “I” stands for individual difference, and “R” stands for relationship-based. This method emphasizes meaningful play and relationship building that is tailored to each child.
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Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review, Summarized Jun 29, 2009

Therapy choices for children with autism may be best guided by the needs of the individual child.

The authors looked at 101 research studies that tested the effectiveness of different types of behavioral therapy. The autism interventions included applied behavior analysis (ABA), Lovaas, TEACCH, and DIR. They compared three studies that were designed better than the others. Even though these studies were small, children who received intensive Lovaas treatment showed improvement in skills compared to those who received special education. However, the authors believe that the choice of behavioral therapies should be designed for the needs of the individual child because they feel there is no single therapy that works for every child. Read more...

Brief Report: Comparative ABA and DIR Trials in Twin Brothers with Autism, Summarized Jun 26, 2009

Identical twin brothers with autism showed different improvements using Developmental, Individual Difference, Relationship-Based therapy (DIR) and Applied Behavioral Analysis (ABA) therapy. Their mother wanted to see which therapy might work better for both of her sons. Each twin (2 years, 4 months old) began with separate therapy sessions (DIR and ABA) and separate therapists. They each attended 16 therapy sessions.... Read more...

An Introduction to Stanley Greenspan’s Clinical Thinking: Autism as an Intention Deficit Disorder, Summarized Jan 14, 2009

DIR therapy may help the parent to understand a child with autism and use that new understanding to build a relationship that may help the child recover from autism. This review article describes the thoughts of Dr. Greenspan, which form the basis of the play approach to autism therapy and Floortime. This type of therapy is also known as DIR (Developmental - Individual Differences - Relationships-Based Therapy). The paper describes the basic factors that Dr. Greenspan believes should be thought about when treating a child with autism. These factors include: biology of the child, nature of the family, and the child/caregiver relationship. The article also includes a case study of a parent who learns to know her child better through DIR therapy.

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Pilot Study of a Parent Training Program for Young Children with Autism: The PLAY Project Home Consultation Program, Summarized Mar 21, 2008

About half of children with autism who receive Floortime therapy for 8-12 months show improved function.

Most people agree that young children with autism can be helped by early and intense intervention. Two of the most common types of early intense therapies are applied behavior analysis (ABA) and a social approach to therapy such as the developmental, individualized, and relationship-oriented (DIR) model. While the ABA approach has been shown to work, it is hard because it requires 40 hours a week of therapy. This paper reports on the use of DIR (also known as Floortime) to treat children with autism. The DIR model supports parents as the main play partner of the child. Read more...

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Synonyms for DIR include: developmental individual difference relationship based therapy, developmental individual-difference relationship-based therapy, DIR, DIR therapy
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