Autism Therapy: reinforcer

definition of reinforcer: Something offered to someone after a desired behavior that increases the frequency of the behavior, such as a reward.

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J Autism Dev Disord, by Koegel, RL, Vernon TW, and Koegel LK, published in 2009, summarized May 6, 2010

Children with autism who are rewarded with social interactions during therapy may learn to seek out and initiate social interactions.

The purpose of this study was to see if social exchange could be used to as a reinforcer during speech therapy. This means that rather than giving a reward, the therapist provides social exchange as the reward. The data show that speech therapy sessions with social exchanges helped the child to be more engaged and have higher affect ratings. The authors hope that teaching social exchange will also improve speech and behavior. They also hope that helping children to learn to connect with the therapist will help the child learn to connect with other children.


Journal of Autism and Developmental Disorders, by Horner, RH, Carr EG, Strain PS, Todd AW, and Reed HK, published in 2002, summarized Oct 21, 2006

This article describes in detail how the applied behavior analysis (ABA) approach can be used to decrease problem behaviors in young children with autism.

The authors focus on using the ABA approach to reduce inappropriate behaviors, for example, hitting, tantrums, finger-chewing, self-injury, and aggression. The ABA approach has been shown to reduce these behaviors by about 90% or more, regardless of the type of autism diagnosed. In addition, the reduction in problem behaviors is larger when familiar people (for example, teachers and parents) are responsible for ABA treatment versus when hospital staff or specialists are involved. Further, the ABA approach works best when the practitioner observes the child carefully enough to know what a good reinforcer would be for that specific child. For example, one child may respond to praise, but another may want access to a mechanical car. Finally, the authors conclude that future research should focus on, among other things, the effectiveness of ABA treatments in different settings (home, community, school, clinic).


Many parents will use some form of applied behavior analysis (ABA) therapy with their children with autism. ABA has been in use for over 35 years, and is a therapeutic intervention that can be done in a clinic, at school, and/or at home; it works best when it’s used throughout the child’s day. Dr. Nina Pinnock, director of the consultation program at the Fernandes Center for Children & Families at St. Anne’s Hospital in MA, explained, “ABA is a playful way of managing behaviors and also skill-building by working on many different things each day: using building blocks, finishing puzzles and drawing with crayons. It’s all the things you might do with a preschooler, but with a child who is resistant you would find a reinforcer such as praise, a high-five, a tap on the shoulder or an edible — sometimes we just switch on a toy that lights up.”

Read original article: ABA Therapy Helps Autistic Kids Develop Positive Habits


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