The present study focused on behaviors that caregivers of children with autism show during play interactions, particularly the extent to which the caregiver's behavior is synchronized with the child's focus of attention and ongoing activity. The study had two major findings. First, caregivers of children with autism synchronized their behaviors to their children's attention and activities as much as did caregivers of children with developmental delay and caregivers of typically developing children, matched on language capacities. Second, caregivers of children with autism who showed higher levels of synchronization during initial play interactions had children who developed superior joint attention and language over a period of 1, 10, and 16 years than did children of caregivers who showed lower levels of synchronization initially. These findings suggest a developmental link between parental sensitivity and the child's subsequent development of communication skills in children with autism. Implications for parent training interventions are discussed.
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Akhtar, N., Dunham, F., & Dunham, P. J. (1991). Directive interactions and early vocabulary development: The role of joint attentional focus. Journal of Child Language,18, 41–49.
American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders, Third Edition (DSM III). Washington, DC.
Arbelle, S., Sigman, M. D., & Kasari, C. (1994). Compliance with parental prohibition in autistic children. Journal of Autism and Developmental Disorders,24, 693–702.
Bailey, A., Phillips, W., & Rutter, M. (1996). Autism: Towards an integration of clinical, genetic, neuropsychological, and neurobiological perspectives. Journal of Child Psychology and Psychiatry,37, 89–126.
Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother-infant and peer-infant interaction. Child Development,55, 1278–1289.
Bartak, L., & Rutter, M. (1973). Special educational treatment of autistic children: A comparative study: I. Design of study and characteristics of units. Journal of Child Psychology and Psychiatry,14, 161–179.
Bruner, J. (1981). The pragmatics of acquisition. In W. Deutsch (Ed.), The child's construction of language. New York: Academic Press.
Bruner, J. (1983). Child's talk: learning to use language. New York: Norton.
Buch, G. A. (1995). Teaching parents and paraprofessionals how to provide behavioral intensive early intervention for children with autism and pervasive developmental disorder. Unpublished doctoral dissertation, University of California, Los Angeles.
Camarata, S. M., & Nelson, K. E. (1992). Treatment efficiency as a function of target selection in the remediation of child language disorders. Clinical Linguistics and Phonetics,6, 167–178.
Carpenter, M., Nagell, K., & Tomasello, M. (1998). Social cognition, jont attention, and communicative competence from 9 to 15 months of age. Monographs of the Society for Research in Child Development,63 (Serial No. 255).
Cattell, P. (1940). The measurement of intelligence of infants and young children. New York: Basic Books.
Clark, P., & Rutter, M. (1981). Autistic children's responses to structure and to interpersonal demands. Journal of Autism and Developmental Disorders,11, 201–217.
Cunningham, C., Reuler, E., Blackwell, J., & Deck, J. (1981). Behavioral and linguistic developments in the interactions of normal and retarded children with their mothers. Child Development,52, 62–70.
Eheart, B. K. (1982). Mother-child interactions with nonretarded and mentally retarded preschoolers. American Journal of Mental Deficiency,87, 20–25.
Franco, F., & Butterworth, G. (1996). Pointing and social awareness: Declaring and requesting in the second year. Journal of Child Language,23, 307–336.
Greenspan, S. I., & Wieder, S. (1999). A functional developmental approach to autism spectrum disorders. The Journal of the Association for Persons with Severe Handicaps,24, 147–161.
Harris, S., Kasari, C., & Sigman, M. D. (1996). Joint attention and language gains in children with Down syndrome. American Journal on Mental Retardation,100, 608–619.
Hemsley, R., Howlin, P., Berger, M., Hersov, L., Holbrook, D., Rutter, M., & Yule, W. (1978). Treating autistic children in a family context. In M. Rutter & E. Schopler (Eds.), Autism, a reappraisal of concepts and treatment. New York: Plenum Press.
Howlin, P., Rutter, M., Berger, M., Hemsley, R., Hersov, L., & Yule, W. (1987). Treatment of autistic children. Chichester, England: Wiley & Sons.
Jones, O. L. M. (1977). Mother-child communication with pre-linguistic Down's syndrome and normal infants. In H. Schaffer (Ed.), Studies in mother-infant interaction. New York: Academic Press.
Kasari, C., Sigman, M., Mundy, P., & Yirmiya, N. (1988). Caregiver interactions with autistic children. Journal of Abnormal Child Psychology,16, 45–56.
Kern, L., Vorndran, C. M., Hilt, A., Ringdahl, J. E., Adelman, B. E., & Dunlap, G. (1998). Choice as an intervention to improve behavior: A review of the literature. Journal of Behavioral Education,8, 151–169.
Koegel, L. K., Koegel, R. L., Harrower, J. K., & Carter, C. M. (1999). Pivotal response intervention: I. Overview of approach. The Journal of The Association for Persons with Severe Handicaps,24, 174–185.
Koegel, L. K., Koegel, R. L., Shoshan, Y., & McNerney, E. (1999). Pivotal response intervention: II. Preliminary long-term outcome data. The Journal of The Association for Persons with Severe Handicaps,24, 186–198.
Koegel, R. L., O'Dell, M. C., & Koegel, L. K. (1987). A natural language teaching paradigm for nonverbal autistic children. Journal of Autism and Developmental Disorders,17, 187–200.
Laski, K. E., Charlop, M. H., & Schreibman, L. (1988). Training parents to use the natural language paradigm to increase their autistic children's speech. Journal of Applied Behavior Analysis,21, 391–400.
Le Couteur, A., Bailey, A., Goode, S., Pickles, A., Gottesman, I., Robertson, S., & Rutter, M. (1996). A broader phenotype of autism: The clinical spectrum of twins. Journal of Child Psychology and Psychiatry,37, 785–801.
Le Couteur, A., Rutter, M., Lord, C., Rios, P., Robertson, S., Holdrafer, M., & McLennan, J. (1989). Autism diagnostic interview: A standardized investigator-based instrument. Journal of Autism and Developmental Disorders,19, 363–387.
Lemanek, K. L., Stone, W. L., & Fishel, P. T. (1993). Parent-child interactions in handicapped preschoolers: The relation between parent behaviors and compliance. Journal of Clinical Child Psychology,22, 68–77.
Leung, E. H. L., & Rheingold, H. L. (1981). Development of pointing as a social gesture. Developmental Psychology,17, 215–220.
Lord, C., & Rhea, P. (1997). Language and communication in autism. In D. J. Cohen & F. R. Volkmar (Eds.), Handbook of autism. New York: Wiley & Sons.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Instrument-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders,24, 659–685.
Lord, C., & Schopler, E. (1989). Stability of assessment results of autistic and non-autistic language-impaired children from preschool years to early school age. Journal of Child Psychology and Psychiatry,30, 575–590.
Lovaas, O. I. (1978). Parents as therapists. In M. Rutter & E. Schopler (Eds.), Autism: a reappraisal of concepts and treatment. New York: Plenum Press.
Loveland, K., & Landry, S. (1986). Joint attention and language in autism and developmental language delay. Journal of Autism and Developmental Disorders,16, 335–349.
Markus, J., Mundy, P., Morales, M., Delgado, C. E. F., & Yale, M. (2000). Individual differences in infant skills as predictors of child-caregiver joint attention and language, Social Development,9, 302–315.
McGee, G. G., Morrier, M. J., & Daly, T. (1999). An incidental teaching approach to early intervention for toddlers with autism. The Journal of The Association for Persons with Severe Handicaps,24, 133–146.
Mesibov, G. B., Schopler, E., & Hearsey, K. A. (1994). Structured teaching. In E. Schopler & G. B. Mesibov (Eds.), Behavioral issues in autism. New York: Plenum Press.
Moore, C. (1996). Theories of mind in infancy. British Journal of Developmental Psychology,14, 19–40.
Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders,20, 115–123.
Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: the contribution of nonverbal communication measures. Journal of Child Psychology and Psychiatry,27, 657–669.
Murphy, C. M., & Messer, D. J. (1977). Mothers, infants and pointing: A study of a gesture. In H. R. Schaffer (Ed.), Studies in mother-infant interaction. London: Academic Press.
Ninio, A., & Bruner, J. (1978). The achievement and antecedents of labelling. Journal of Child Language,5, 1–15.
Plomin, R. (1994). The Emanuel Miller Memorial Lecture 1993: Genetic research and identification of environmental influences. Journal of Child Psychology and Psychiatry,35, 817–834.
Ratner, N., & Bruner, J. (1978). Games, social exchange and the acquisition of language. Journal of Child Language,5, 391–401.
Reynell, J. (1977). Reynell Developmental Language Scales. Windsor, England: NFER Publishing.
Rutter, M. L. (1996). Developmental psychopathology: Concepts and prospects. In M. F. Lenzenweger & J. J. Haugaard (Eds.), Frontiers of developmental psychopathology. New York: Oxford University Press.
Rutter, M., & Bartak, L. (1973). Special educational treatment of autistic children: A comparative study: II. Follow-up findings and implications for services. Journal of Child Psychology and Psychiatry,14, 241–270.
Rutter, M., & Plomin, R. (1997). Opportunities for psychiatry from genetic findings. British Journal of Psychiatry,171, 209–219.
Rutter, M. Silberg, J., O'Conner, T., & Simonoff, E. (1999). Genetics and child psychiatry: I. Advances in quantitative and molecular genetics. Journal of Child Psychology and Psychiatry,40, 3–18.
Scarr, S., & McCartney, K. (1983). How people make their own environments: A theory of genotype-environment effects. Child Development,54, 424–435.
Schopler, E., & Reichler, R. J. (1971). Parents as cotherapists in the treatment of psychotic children. Journal of Autism and Childhood Schizophrenia,1, 87–102.
Schreibman, L., Kaneko, W. M., & Koegel, R. L. (1991). Positive affect of parents of autistic children: A comparison across two teaching techniques. Behavior Therapy,22, 479–490.
Semel, E., Wiig, E. H., & Secord, W. (1987). Clinical Evaluation of Language Fundamental-Revised. San Antonio: The Psychological Corporation.
Sigman, M., Mundy, P., Sherman, T., & Ungerer, J. A. (1986). Social interactions of autistic, mentally retarded and normal children with their caregivers. Journal of Child Psychology and Psychiatry,27, 647–669.
Sigman, M., & Ruskin, E. (1999). Continuity and change in the social competence of children with autism, Down syndrome, and developmental delays. Monographs of the Society for Research in Child Development,64, Serial No. 256.
Sugarman, S. (1984). The development of preverbal communication: Its contribution and limits in promoting the development of language. In R. L. Schriefelbusch & J. Pickar (Eds.), The acquisition of communicative competence. Baltimore: University Park Press.
Thorndike, R. (1972). Stanford-Binet Intelligence Scale: norms tables. Boston: Houghton Mifflin.
Tomasello, M., & Farrar, M. J. (1986). Joint attention and early language. Child Development,57, 1454–1463.
Tomasello, M., Mannle, S., & Kruger, A. (1986). Linguistic environment of 1-to 2-year-old twins. Developmental Psychology, 22, 169–176.
Tomasello, M., & Todd, J. (1983). Joint attention and lexical acquisition style. First Language,4, 197–212.
Wainwright, J. A., & Bryson, S. E. (1996). Visual-spatial orienting in autism. Journal of Autism and Developmental Disorders,26, 423–438.
Watson, L. R. (1998). Following the child's lead: Mothers'interactions with children with autism. Journal of Autism and Developmental Disorders,28, 51–59.
Wiig, E. H., Secord, W., & Semel, E. (1992). Clinical Evaluation of Language Fundamental-Preschool. San Antonio: The Psychological Corporation.
Yoder, P. J., Kaiser, A. P., Alpert, C., & Fischer, R. (1993). Following the child's lead when teaching nouns to preschoolers with mental retardation. Journal of Speech and Hearing Research, 36, 158–167.
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Siller, M., Sigman, M. The Behaviors of Parents of Children with Autism Predict the Subsequent Development of Their Children's Communication. J Autism Dev Disord 32, 77–89 (2002). https://doi.org/10.1023/A:1014884404276