Through the Kinesthetic Lens : Observation of Social Attunement in Autism Spectrum Disorders

© 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).This paper will present a movement-informed perspective to social attunement in Autism Spectrum Disorders (ASD). BACKGROUND: Dance movement therapy (DMT) is a psychotherapeutic intervention that is used with participants with ASD in various settings. Regular clinical outcome monitoring in an outpatient setting in the Netherlands had shown positive effects on social attunement capacities in young people with ASD. However, a systematic study of the development of social attunement movement behaviors of participants with ASD throughout a DMT intervention was not yet available. METHODS: A series of individual cases of DMT with young people with ASD (mean age 12.2 years.) were analyzed for changes in interpersonal movement behaviors employing video-based retrospective observation. RESULTS: The findings were summarized in an observation scale for interpersonal movement behaviors. This scale was then tested for its applicability for the monitoring of social attunement behaviors throughout therapy. DISCUSSION: A movement-informed perspective may be helpful to inventory changes in social attunement behaviors in participants with ASD. The relevance of a movement-informed perspective for the concept of social attunement in ASD will be discussed.Peer reviewedFinal Published versio

Increasing appropriate social communication and pragmatic language skills in young adults with autism spectrum disorders

This report seeks to explore intervention methodologies that can be adapted for use with young transitional adults with Autism Spectrum Disorders (ASD) to increase appropriate social communication. No interventions have been developed explicitly for use in speech-language therapy with young adults with ASD. As a result, existing interventions have to be adapted to use with this population. The interventions that were adapted were Behavioral Interventions, Developmental Social Pragmatic Interventions, and Enhanced Milieu Teaching. The adaptations of the reviewed interventions were illustrated by creating an instructional video to highlight how to use the interventions and their adaptations with an adult with ASD. The author and participant consider the video development and final product to be a success; however, until peer-reviewed efficacy studies that explore the effects of these intervention adaptations with young-adults with ASD are conducted, the author cannot assert that the intervention adaptations discussed will be effective therapy strategies for young adults with ASD.Communication Sciences and Disorder

From the emotional integration to the cognitive construction: the developmental approach of Turtle Project in children with autism spectrum disorder

Background: Children with autism spectrum disorder show a deficit in neurobiological processes. This deficit hinders the development of intentional behavior and appropriate problem-solving, leading the child to implement repetitive and stereotyped behaviors and to have difficulties in reciprocal interactions, empathy and in the development of a theory of mind. The objective of this research is to verify the effectiveness of a relationship-based approach on the positive evolution of autistic symptoms. Method: A sample of 80 children with autism spectrum disorder was monitored during the first four years of therapy, through a clinical diagnostic assessment at the time of intake and then in two follow-up. Results: The results showed that through the Autism Diagnostic Observation Schedule it is possible to assess the socio-relational key elements on which the therapy is based. There was evidence, in fact, of significant improvements after two and four years of therapy, both for children with severe autistic symptoms and for those in autistic spectrum. Conclusions: Socio-relational aspects represent the primary element on which work in therapy with autistic children and can be considered as indicators of a positive evolution and prognosis that will produce improvements even in the cognitive are

Development of a Semi-Autonomous Robotic System to Assist Children with Autism in Developing Visual Perspective Taking Skills

Robot-assisted therapy has been successfully used to help children with Autism Spectrum Condition (ASC) develop their social skills, but very often with the robot being fully controlled remotely by an adult operator. Although this method is reliable and allows the operator to conduct a therapy session in a customised child-centred manner, it increases the cognitive workload on the human operator since it requires them to divide their attention between the robot and the child to ensure that the robot is responding appropriately to the child's behaviour. In addition, a remote-controlled robot is not aware of the information regarding the interaction with children (e.g., body gesture and head pose, proximity etc) and consequently it does not have the ability to shape live HRIs. Further to this, a remote-controlled robot typically does not have the capacity to record this information and additional effort is required to analyse the interaction data. For these reasons, using a remote-controlled robot in robot-assisted therapy may be unsustainable for long-term interactions. To lighten the cognitive burden on the human operator and to provide a consistent therapeutic experience, it is essential to create some degrees of autonomy and enable the robot to perform some autonomous behaviours during interactions with children. Our previous research with the Kaspar robot either implemented a fully autonomous scenario involving pairs of children, which then lacked the often important input of the supervising adult, or, in most of our research, has used a remote control in the hand of the adult or the children to operate the robot. Alternatively, this paper provides an overview of the design and implementation of a robotic system called Sense- Think-Act which converts the remote-controlled scenarios of our humanoid robot into a semi-autonomous social agent with the capacity to play games autonomously (under human supervision) with children in the real-world school settings. The developed system has been implemented on the humanoid robot Kaspar and evaluated in a trial with four children with ASC at a local specialist secondary school in the UK where the data of 11 Child-Robot Interactions (CRIs) was collected. The results from this trial demonstrated that the system was successful in providing the robot with appropriate control signals to operate in a semi-autonomous manner without any latency, which supports autonomous CRIs, suggesting that the proposed architecture appears to have promising potential in supporting CRIs for real-world applications.Peer reviewe

Evaluating the Effectiveness of a Goal-Directed Intervention on the Social Interaction of Children with Neurodevelopmental Disabilities

This study sought to address social interaction needs of children with neurodevelopmental disabilities through an eight week intervention focusing on social skills at Spaulding Youth Center (SYC), a residential facility in Northeast United States. The study implemented a randomized control design, with a control and intervention group, totaling n=19 students. Results have implications for future practice

Use of the STAR PROCESS for Children with Sensory Processing Challenges

Background: This study examined the effectiveness of the STAR PROCESS, an intensive, short-term intervention that combines principles of sensory integration, relationship-based therapy, and parental-therapist collaboration for children with sensory processing challenges. Method: A nonconcurrent multiple baseline, repeated measures design was used. Four boys, aged 5 years 0 months to 7 years 9 months, participated in this study. The mean length of intervention was 22 sessions delivered 3 to 5 times per week. A behavioral coding system was used to measure change in four areas: play level, positive affect, joint attention, and novel use of equipment. The theory of change reflects the use of multisensory experiences in combination with parent participation to impact outcomes. Results: Improvement was noted in play level in all of the participants. Multisensory experiences and parent participation were associated with these changes in two participants. Discussion: The study results suggest a feasible methodology to study occupational therapy interventions. The behavioral coding system was sensitive to change. Play abilities changed in all four children. Preliminary support was provided for the theory of change combining multisensory experiences with parent participation. Conclusion: A targeted treatment approach that emphasizes parents as play partners in a multisensory environment shows promise in remediating these deficits

Hippotherapy and Therapeutic Riding: Practicing Social Workers and Undergraduate Social Work Students

This study attempted to explore, through the use of surveys, what practicing social workers and undergraduate student social workers know about hippotherapy and therapuetic riding. In addition, this study made an effort to examine what the key means of learning participants had when it came to these alternative methods of therapy. The hypothesis that undergraduate social work students would collectively not be familiar with hippotherapy or therapuetic riding and that practicing social workers would have a better knowledge base in this area, was tested through the use of surveys. These surveys were distributed in a handful of undergraduate social work classes and among a convenience sample of social work agencies in the providence area. A total number of 21 surveys were collected and analyzed using the computer program Statistical Package for the Social Sciences (SPSS). Using percentages that were found by creating frequency tables, it was determined that 44.4% of undergraduate social work students had heard of these alternative therapies compared to 41.7% of professional social workers. These findings were not consistent with the predictions. What was consistent with the study’s predictions was that practicing social workers and undergraduate social work students indicated their community to be their primary means of learning about hippotherapy and therapuetic riding