Autism Therapy: pivotal response training

definition of pivotal response training: Type of training in which certain behaviors are assumed to be crucial for other behaviors. These pivotal behaviors are then targeted so that the behaviors that depend upon them can change as well.

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Research in Autism Spectrum Disorders, by Schreibman, L., Stahmer AC, Barlett VC, and Dufek S., published in 2009, summarized Mar 27, 2009

Future research may allow therapists to know in advance which type of applied behavior analysis (ABA therapy) is most likely to work for any given child with autism.

While many children with autism respond well to ABA therapy, not all children show a good response to all types of ABA therapy. This study of six children was designed to see if it is possible to predict which type of ABA therapy will work for which child with autism. The authors were able to predict which children would respond to pivotal response training, but not which ones would respond to discrete trial training. The authors note that all children were first exposed to pivotal response training and then to discrete trial training and this may have influenced the results. Children who liked toys were more likely to respond to pivotal response training than children who did not like toys.


Research in Autism Spectrum Disorders, by King, MJ, and Valdovinos MG, published in 2009, summarized Mar 12, 2009

Applied behavior analysis (ABA) therapy may be viewed by society as a good treatment for children with autism.

Very little research has been done to see if society thinks that ABA therapy is a good therapy for children with autism (social validity). Therapies that are socially valid are more likely to be started, adhered to, and then used by others. The purpose of this study was to see if a type of ABA therapy (pivotal response training) would be viewed by a group of college students as a good therapy for a child with autism. The students watched the television show Super Nanny to see ABA therapy used on a child with autism. The students were given questions to answer both before watching the show and after watching the show.


J Autism Dev Disord, by Harper, CB, Symon JBG, and Frea WD, published in 2008, summarized Jul 29, 2008

Peers and teachers can join together to teach social skills to children with autism during recess.

This study looked at whether or not a type of applied behavior analysis (pivotal response training) could be used to teach play skills to children with autism. The therapy plan used peers to teach social skills during recess play time. The program involved peers (two peers per child with autism) who were trained to give responses. The training of peers and teachers took two weeks. Both children in the study improved their social skills during recess time.


Psychology in the Schools, by Cowan, RJ, and Allen KD, published in 2007, summarized Nov 16, 2007

Naturalistic settings (as opposed to tightly controlled settings) can help children with autism learn to generalize (apply new skills to new situations).

Teaching children with autism can be hard. Teachers have to find the balance between teaching new skills and teaching children to apply the learned skills to new situations. This review article describes when it is best to focus on the new skill and when it is best to focus on applying the new skill. The authors also describe tools for school psychologists, teachers and others looking to learn more about naturalistic settings. The authors list books that describe in more detail the three most popular naturalistic therapy techniques: incidental teaching, pivotal response training, and script fading.


Physicians and parents of children with autism advise parents of the newly diagnosed to explore any and all treatment options. They explain that different combinations of interventions work differently for each child with autism spectrum disorder. Therapies to try include: applied behavior analysis (ABA); TEACHH; pivotal response training; Floortime, drug therapy, nutritional supplements, and chelation therapy.

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Autism Therapies Vary

Mar 20, 2007

While some parents of children with autism embrace applied behavioral analysis (ABA), others opt for more flexible and integrative approaches.

Treatments parents use include: Floortime, the Denver model (speech & langauge therapy interwoven with peer relationships), Pivotal Response Training (rewards for requested behavior mingled with play), and the classroom centered TEACCH (Treatment and Education of Autistic and related Communication-handicapped CHildren).

Dr. Stanley Greenspan (GW University Medical School) suspects that different therapies all relate to the child's ability to focus. Dr. Stephen Gutstein (Texas) has developed a parent-centered "relationship development intervention" (RDI) program whose "strategy encourages 'experience-sharing'" with parents.

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