This study examined the premise that intensive social interaction facilitates a greater quality of responsiveness and the learning of social routines in children with profound and multiple learning difficulties (pmld). The significant behaviours that adults and normally developing infants use during social interaction and the suitability of their application to children with pmld was examined. Four children with chronological ages of five years, six years, eight years and nine years and designated as having pmld, were videotaped in a classroom setting, in a series of interaction sequences with a teacher. The manifestation of the features of attentiveness, imitation, vocalisation, posture changes, eye contact and facial expressions in children with pmld were considered in relation to adult interactive behaviours of touch, facial movements, vocalisations using infant register, play movements, en face positions with the child and imitation of child behaviours. Analysis of the videotaped data took the form of observation of five second sequences of interaction scored on a schedule indicating the adult and child interactive behaviours. A second observer viewed a number of Interactions in the videotaped data to confirm reliability. The indications were that children with pmld show a quality of responsiveness that has implications for the learning of social routines
