
Image courtesy of Canva
Communication stretches are the second domain in which people with ASD find challenging. Impairment in this domain presents as follows:
-lack of language
-absent of desire to communicate
-excessive or formal speech with poor reciprocal conversation
Key features of communication domain:
Early signs:
-speech delay
-lack of expressive language is of most concern for parents of children between 1-5
-difficulty with sharing needs ie not pointing, waving, or gesturing to what they want
-regression in the use of words
-difficulty with pragmatics (lack of eye gaze, lack of reciprocal vocalization, lack of need to communicate or delayed babbling after 9 months
Additional signs:
-atypical use of language
-echolalia
-atypical tonal or rhythm qualities
-mixing up pronouns
-regression of language between 15 and 24 months (sudden or gradual) that can be paired with loss of adaptive functioning, loss of eye gaze, etc.
-struggle with creative or imaginative play
(Bernier, 2015, p. 75-76)
Important considerations for communication interventions:
1. Establish a cooperative environment
2. Ensure the child is in an environment in which they can use strengths to interact with a communication partner
3. Introduce child to how communication is used
(Caruso, D & Caruso, A, n.d.)
Interventions for communication:
Evidence-based practices for communication and social skills development: https://www.iidc.indiana.edu/irca/articles/evidence-based-practices-for-effective-communication-and-social-intervention.html
Speech Therapy Guide for Parents of Children with Autism: https://teach.com/resources/speech-therapy-guide-for-parents-of-children-with-autism/
References:
Bernier, R. (2014). Chapter 4: Assessment of the Core Features of ASD. In J. Tarbox, D. R. Dixon, P. Sturmey, & J. L. Matson (Authors), Handbook of Early Intervention for Autism Spectrum Disorders Research, Policy, and Practice (pp. 65-79). New York, NY: Springer New York.
Caruso, D & Caruso, A. (n.d.). Children with autism spectrum disorder strategies for communication intervention [PDF]. Retrieved from https://pubs.asha.org/doi/pdf/10.1044/cicsd_25_S_28
No comments:
Post a Comment