Autism Therapy: expressive language

definition of expressive language: not yet defined.

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Journal of Speech, Language, and Hearing Research, by Tager-Flusberg, H., Rogers S., Cooper J., Landa, Lord C., Paul R., Rice M., and Stoel-Gammon C., published in 2009, summarized Aug 12, 2010

This article describes a new framework that can be used to define a child’s level of spoken language and to measure if therapy may be effective for children with autism.

The aim of this article is to offer measures that can be used to see whether interventions are useful in teaching language skills. The report describes the effort of a working group from the National Institute on Deafness and Other Communication Disorders that spent 18 months setting benchmarks to describe a child’s language level. The working group suggests that therapists move away from the term functional speech and instead use a developmental framework for language. They note that it is hard to measure the early stages of language: first words and use of communication. Their framework must still be worked on so that it includes these first types of communication.


J Autism Dev Disord, by Stanley, GC, and Konstantareas MM, published in 2007, summarized Jan 25, 2008

Play therapy may help children with autism have higher IQs and learn to speak better.

Previous studies have shown that children with autism have trouble with symbolic play (play where something simple like a box can serve as a boat or a house) even if their verbal skills and IQ are ok. This study was designed to see which features of children with autism are linked to the ability to do symbolic play. The authors used data collected from 101 children between 1982 and 1992. This study found that children with lower IQs do have more trouble with symbolic play. The study also found that expressive (spoken) but not receptive (understanding) language was related to the ability to do symbolic play.


J Autism Dev Disord., by Grela, BG, and McLaughlin KS, published in 2006, summarized Nov 15, 2006

Focused stimulation can be effective for children who do not enjoy adult-directed therapies and for children with strong IQ and expressive language skills, but weak language comprehension skills.

Therapies designed to treat children with language difficulties often rely on an adult leader who chooses activities and materials. In contrast, with focused stimulation, the child directs the activities and the adult follows the childâ??s lead. The adult gives the child many models of the language goal, but does not require an answer from the child. Rather the child learns from observing and listening. In this study the authors trained the parents of a 3 ½ year old child with autism how to provide focused stimulation. The language skill targeted was for the child to identify actions performed by a character (â??What is X doing?â?). Before treatment, the child could identify the character but not the action. After 6 weeks of treatment, the child successfully named the action 80% of the time. The parents reported that the child also could apply the new skill to language targets he had not practiced (generalization).


J Autism Dev Disord., by Koegel, LK, published in 2000, summarized Sep 25, 2006

This paper describes the importance of parental involvement in the implementation of speech therapy. The author describes communication needs of children with autism and explains ways to improve speech therapy so that these needs can be met by the parents or caregivers.

She believes that early communication skills form a lifelong foundation for social and personal relationships, behavior, and learning. She suggests that when motivational techniques are incorporated into speech therapy, and the therapy is implemented early (before the age of 5), 85-90% of children with autism may be able to use verbal communication as a primary mode of communication. She also emphasizes the importance of following the child'??s lead and providing many opportunities for expressive language throughout the day. Day-long communication implies that parents must be heavily involved in the speech therapy process.


Communication DEALL (Developmental Eclectic Approach to Language Learning) has provided early intervention for children with autism in India for seven years. DEALL uses "units" of communication therapy along with speech therapists, OTs, and psychologists. Based on need, children receive "receptive/expressive language, oromotor skills, social skills...." DEALL was developed by Dr. Prathibha Karanth.

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Hi there,

My name is Dan, and my wife Carey and I are parents to a four-year-old boy (with autism) and a two-year-old girl (neurotypical). Both of our kids are adorable and keep us laughing!

Our son is verbal, though his expressive language is weak and he struggles with sensory processing, particularly in new environments. We were turned on to picture-based communication aids by the Connecticut Birth to Three system -- laminated strips of pictures, notebooks, magnet boards, etc. 

These tools worked. They helped Evan a good deal. Unfortunately, though, they weren't the most "workable" solution. Carrying around notebooks and boards is inconvenient. We'd lose the symbols, or not have the right one on hand when needed. 

So, we invented an application for the iPhone and iPod Touch that lets caregivers customize and present visual schedules, social stories, timers and choices -- all right there in the palm of your hand. It's called iPrompts -- check it out at http://www.iprompts.com. We've gotten some incredible feedback about it. Hope it helps!

 

- Dan



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