Autism Therapy: relationship

definition of relationship: not yet defined.

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Annals of Clinical Psychiatry, by Gutstein, SE, published in 2009, summarized Jun 15, 2010

Relationship development intervention (RDI) may be helpful as part of a larger autism treatment program.

The purpose of this article is to teach psychiatrists about RDI. RDI has been in use for ten years now and it is a major relationship-based tool for autism intervention. RDI consultants focus on family support and parent training. They also focus on helping any IQ weaknesses in the child. The author notes that while RDI has not been studied in outcome based research, the thought behind the therapy makes sense and therefore the therapy likely offers value to the child with autism and the family.


Educational Sciences: Theory & Practice, by Aksoy, AB, and Yildririm Bercin G., published in 2008, summarized Feb 17, 2010

Family therapy may help siblings of children with autism to have a better attitude toward their sibling.

Healthy children (228 children 10 to 17 years old) were asked about their attitudes toward children with disabilities, including their own brother or sister. This study was performed in Turkey. Disabilities included autism, learning disability, mental retardation, cerebral palsy, motor retardation, and Down syndrome. The authors said that healthy children had a more positive attitude toward their own brother or sister than toward other children with disabilities. Healthy children have more negative attitudes toward their siblings when they have lower abilities. The authors think that educating siblings of disabled children may help the family develop more positive relationships.


Infant Mental Health Journal, by Sanefuji, W., Yamashita H., and Ohgami H., published in 2009, summarized Dec 25, 2009

Mothers who imitate their child with autism may help teach nonverbal social skills and feel more positive about their relationship with their children.

This case report describes a therapy approach where the mother imitated her 21-month-old child with autism. The mother and child were together for sessions with therapists for 60 minutes per month, and the mother was taught how to continue therapy at home. For the first two months, she spent 5 minutes every day playing with her child and responding to him. For the next two months, she imitated her child’s facial expressions and sounds during play. For the last two months, the mother stopped imitating and was responsive during play. The child’s joint attention skills improved more rapidly during the imitation phase than during the other phases of therapy. The mother also enjoyed being with her child more during the imitation phase.


Journal of Creativity in Mental Health, by Silverman, MJ, published in 2008, summarized Sep 8, 2009

Music therapy may help nonverbal people with autism communicate through the music.

Music is a nonverbal form of communication that is used by many people. Even verbal people use music to communicate things that words cannot express. Music therapy may help nonverbal people with autism communicate and thereby connect with other people. The author describes several studies, which showed that music therapy may be very helpful for people with autism. The author also described a case study of a nonverbal 29-year-old woman with autism. The author and the woman developed a relationship, and the patient showed improved eye contact and vocalization. They both enjoyed the therapy sessions very much.


This great article is by a mom with a neurotypical son and a son with Cerebral Palsy and Asperger’s. Jody Shaw starts by sharing her older son’s expectations for his relationship with his new brother. When the next three years were spent on therapies and doctor appointments, her older boy began to act out. Shaw explains some techniques she found useful including communication, books or movies on the subject, and community sibling workshops. All of these helped the family learn understanding and coping skills that helped each other.

Read original article: Siblings and Autism: How Are Kids Affected by Special Needs Brothers and Sisters?


The Andrews decided to involve the entire family in their son’s autism therapy. The therapy they chose was Relationship Development Intervention (RDI). Chresta Ambers, a certified RDI therapist, says this therapy can be used at any age and any range of a person with autism. RDI was created by Dr. Steven Gutstein and is a parent-based treatment that incorporates six objectives: emotional referencing, social coordination, declarative language, flexible thinking, rational information processing, and foresight and hindsight. The Andrews say that RDI is a therapy they can practice 24/7 with their son.

Read original article: KidSafe - R.D.I. for Autism


Sitrin Health Care Center, Upstate Cerebral Palsy and Kelberman Center are fundraising to build an equine therapy center for kids with autism and other developmental and physical delays. These New York organizations will build the center on the Sitrin campus and will employ occupational therapists, physical therapists, speech therapists, and equine therapists. Studies have found that a horse’s movement mimics that of the human body; this in turn helps build muscle strength in kids who might be weak in those areas. In addition, being in relationship with a horse has been shown to promote calm, relaxation, social integration, and responsibility for people who receive equine therapy.

Read original article: Equestrian Therapeutic Center to be Built on Sitrin Campus


Dr. Ronald Leaf, co-founder of Autism Partnership, believes that it’s as important for kids to get social skills training as it is to get communication and academic training. In this article, he explains that as children become adolescents, they may experience more feelings of loneliness and anxiety. Leaf has found that children with social relationships tend to be happier and enjoy an increased quality of life. Some of his suggestions include play dates with other kids and teaching children how to negotiate with their peers.

Read original article: Enhancing the School Year for Kids with Autism



Please comment on this autism topic.

Children with autism and horses

Jan 17, 2012 by Anonymous

PREFACE:

My experience working with children diagnosed with Autism has been a little like knocking on the door to their place of business. 

Option #1

Sometimes, no one answers the door and even if the hours of operation are posted, they are not always observed.

Option #2

If the door is answered, you rare sometimes invited in, but once inside you realize it is a waiting room where messages are exchanged.  There is no direct contact.  This can cause delays, miscommunication and confusion.  Patience and timing are critical.

Option #3

With enough effort and understanding you are sometimes (and hopefully) invited into the main office and speak to the boss directly.  In this setting, skills understanding and effort are still required but are less demanding and more productive.

This is the most rewarding and productive of the three options.

The equine program developed at the Westwind Rodeo Academy has facilitated the opportunity to enter the office and speak to the boss directly.  (Remember - they are not YOUR boss, but the boss of the company you need to do business with.)

I personally believe it has been a key ingredient in several instances, in moving forward and grasping the potential for the Education system to assist and direct students diagnosed with Autism in their academic efforts and opportunities.

FOLLOWING : Is a cursory description of a multi-faceted program that will hopefully provide a glimpse into these concepts.

CAUTION:  The thoughts information and data provided here are solely my responsibility and have not been endorsed, accredited, approved or even spell-checked by the Westwind School Division, the Westwind Rodeo Academy or any other authority.

Harlan (Lanny) Smith B.S.W., Family School Liaison Counselor

e-mail lannysmith56@gmail.com

The Program

More than just a riding program, the Westwind Rodeo Academy in Cardston Alberta provides a unique program centered on relationships that is based on a triad as part of a larger group of nine.  Each child that attends the program is matched with a specific horse and equine specialist EQ (horse handler) that is chosen for their skills and experience working with children with special needs as well as their command of horse knowledge and competence.  

The group of 9 is formed with 3 groups of 3 to allow for broader experience, interactive activities and comparative experiences and an ambience in the session.  The selection of which 3 students will attend together is carefully considered and may include children with a variety of challenges not limited to Autism.  The sessions are repeated for 6 consecutive weeks and may be repeated up to 4 times a year, space allows and need requires, although each section is provided as a stand alone intervention.

One of the most inspiring experiences is when children fully embrace the horse and the relationship when they take the opportunity to lay down on the horses back without saddle (sometimes with a bareback pad or blanket, but not always), and spend quiet time, just embracing the horse while the child is at rest.  This can include conversation with the EQ as originated by the child and is largely a listening activity for the EQ, or just a silent time.  This activity is sometimes suggested by the child and sometimes by the EQ and may occur at anytime during the session.  It is can be used to de-escalate the child or address stress or emotional discomfort.  It is also used as a modest celebration or reinforcement in the relationship.

Actual riding occurs during these sessions but is not the object or the goal.  Many sessions pass without the child being on horseback as the situation dictates.   Each session is focused on the child's orientation to the world around them as far as they can express through words, body language, choices or actions, their needs and concerns as well as interests and inclinations.  Although safety is an over riding principal, convenience to the horse or EQ is secondary to the child's expressed or perceived preference.  

We have witnessed EQ's trotting beside the horse as ridden by the child who has expressed a desire to have the horse move at faster than a walk.

(Again, safety is paramount which necessitates one or more EQs running beside the horse. In this case, the child's skills and aptitude to remain safely on the horse is previously determined.  We also consider the horses history and attitude and performance on that particular day as part of the decision making process.)  

This can be physically demanding and inconvenient for the EQ but a major contributor to the child's experience and benefit.  The results the child experiences, the more effort required by the EQ to facilitate without imposing or tainting the child's experience.

The other component of this system is the support of a Mental Health Practitioner and supervision by the Facility Director.  This completes the formal team.  Decisions about activities, concepts and specific goals are managed by the Facility Director and Bahavior Specialist and the EQ's in consultation.

We have also encouraged with some success, the attendance to at least one of the sessions in each section by a significant family member as well as the students classroom teacher and possible other support personnel.  These individuals are given direction about the concepts of non-interference and non-projecting on the child's experience while acknowledging the elements the child is embracing.  They meet the horse, the EQ and observe the activities.  We often take pictures or video and encourage this experience to be talked about at home and in the classroom.

Of course this is a snapshot of the experience in condensed form and there are many details and intricacies that cannot be explained or properly presented in this format.  Overall, the development of this process has been  most rewarding and inspiring and worth the investment of time, money and effort.  It requires many elements working in concert to achieve this model.  We are fortunate that these things have come together thus far.

Questions or comments leading to discussion and education are appreciated.


I am a parent of an 18 yr. old young man with ASD who we have been doing RDI with for the past 3 years. Once we began the program his life and ours changed. He now initiates conversation with us - true conversation, with give and take, perspective sharing, observations are related and my interests considered. He is much more other-focused and considerate. Outbursts and anti-social behaviors have been significantly decreased. Our household is so much more calm and life normalized. His ability to make study us during communication (total body language - faces, posture, tone - not just the words said) and approrpriately respond and interpret this non-verbal aspect of language is really imporved and remarked upon by family/friends and teachers. He is able to do this on his own, no prompting, no scripting - it is becoming "normal" and happening as expected. We are completely satisfied with this program and while costly, it has delivered the results where others haven't. It really changed his life. I work in Special Olympics and have a control group to compare him and this intervention against as a result. His progress compared against his peers (same age/ school experiences/ but different interventions) is significantly better. We very much look forward to how far he can go.



Thank you to all the RDI defenders. It is ridiculous to believe that there is just one tried and true therapy for kids with autsim.  I believe ABA works for some kids, but it wasn't even an option for mine.  We had a very well-known doctor who agreed with our decision and believed because of our son's personality, ABA might cause of problems for him.  We started RDI at home about 2 years ago.  We then moved into extendeder services at our home and now have him in an RDI therapeutic school 5 full days a week.  WOW, what a difference!  My son has made such striders.  The extenders are wonderful people who really care about him and his progress.  He has built peer relationships at school that I never thought was possible.  RDI is not a fad.  Because of the nature of the program, progress is documented on a regular basis via videos made by parents, consultants, etc.  It is amazing to look back and see how far my son has come.  As a parent, you feel supported and a huge part of your child's progress which is so rewarding.  I urge other families to take a look at RDI and not be pushed into other therapies that they are not comfortable with.  BTW, my son's RDI is covered 100% through insurance after we reach our deductible.



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