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Parent-Directed Interaction: Considerations When Working with Young Children with Autism Spectrum Disorders

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Handbook of Parent-Child Interaction Therapy for Children on the Autism Spectrum

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Abstract

This chapter discusses the use of the second phase of Parent–Child Interaction Therapy (PCIT), Parent-Directed Interaction (PDI), with children with autism spectrum disorder (ASD). As PDI may not be appropriate for every child on the autism spectrum, the authors focus on the use of PDI with children with receptive and expressive language at or above 30 months. Unique considerations in PDI with children on the autism spectrum and PDI coaching strategies for children with ASD are highlighted.

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References

  • Agazzi, H., Tan, R., & Tan, S. Y. (2013). A case study of Parent-Child Interaction Therapy for the treatment of autism spectrum disorder. Clinical Case Studies, 12(6), 428–442. https://doi.org/10.1177/1534650113500067

    Article  Google Scholar 

  • Agazzi, H., Tan, S. Y., Ogg, J., Armstrong, K., & Kirby, R. S. (2017). Does Parent-Child Interaction Therapy reduce maternal stress, anxiety, and depression among mothers of children with autism spectrum disorder? Child and Family Behavior Therapy, 29(4), 283–303. https://doi.org/10.1080/07317107.2017.1375622

    Article  Google Scholar 

  • Armstrong K, DeLoatche KJ, Preece KK, Agazzi H. (2015). Combining Parent Child Interaction Therapy and visual supports for the treatment of challenging behavior in a child with autism and intellectual disabilities and comorbid epilepsy. Journal of Analytical and Applied Pyrolysis, 14(1), 3–14.

    Article  Google Scholar 

  • Armstrong, K., & Kimonis, E. R. (2013). Parent-Child Interaction Therapy for the treatment of Asperger’s disorder in early childhood: A case study. Clinical Case Studies, 12(1), 60–72. https://doi.org/10.1177/1534650112463429

    Article  Google Scholar 

  • Baker, B. L., & Feinfield, K. A. (2003). Early intervention. Current Opinion in Psychiatry, 16(5), 503–509. https://doi.org/10.1097/01.yco.0000087255.35258.d6

    Article  Google Scholar 

  • Bearss, K., Burrell, T. L., Stewart, L., & Schahill, L. (2015). Parent training in autism spectrum disorder: What’s in a name? Clinical Child and Family Psychology Review, 18(2), 170–182. https://doi.org/10.1007/s10567-015-0179-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Bearss, K., Johnson, C., Handen, B., Smith, T., & Scahill, L. (2013). A pilot study of parent training in young children with Autism Spectrum Disorders and disruptive behavior. Journal of Autism and Developmental Disorders, 43(4), 829–840. https://doi.org/10.1007/s10803-012-1624-7

    Article  PubMed  Google Scholar 

  • Breiner, J., & Beck, S. (1984). Parents as change agents in the management of their developmentally delayed children’s noncompliant behaviors: A critical review. Journal of Applied Research on Mental Retardation, 5(2), 259–278.

    Article  Google Scholar 

  • Brereton, A. V., Tonge, B. J., & Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders, 36(7), 863–870. https://doi.org/10.1007/s10803-006-0125-y

    Article  PubMed  Google Scholar 

  • Bryce, D. I., & Jahromi, L. B. (2013). Brief report: Compliance and noncompliance to parental control strategies in children with high-functioning autism and their typical peers. Journal of Autism and Developmental Disorders, 43(1), 236–243. https://doi.org/10.1007/s10803012-1564-2

    Article  PubMed  Google Scholar 

  • Brown, S. M., & Bebko, J. M. (2012). Generalization, overselectivity, and discrimination in the autism phenotype: A review. Research in Autism Spectrum Disorders, 6, 733–740.

    Article  Google Scholar 

  • Carr, E. G., & Durand, V. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.

    Article  PubMed  PubMed Central  Google Scholar 

  • Didden, R., Duker, P. C., & Korzilius, H. (1997). Meta-analytic study on treatment effectiveness for problem behaviors with individuals who have mental retardation. American Journal on Mental Retardation, 101(4), 387–399.

    PubMed  Google Scholar 

  • Doehring, P., Reichow, B., Palka, T., Phillips, C., & Hagopian, L. (2014). Behavioral approaches to managing severe problem behaviors in children with autism spectrum and related developmental disorders: A descriptive analysis. Child and Adolescent Psychiatric Clinics of North America, 23, 25–40.

    Article  PubMed  Google Scholar 

  • Ducharme, J. M. (1996). Errorless compliance training, optimizing clinical efficacy. Behavior Modification, 20(3), 259–280.

    Article  PubMed  Google Scholar 

  • Ducharme, J. M., & Popynick, M. (1993). Errorless compliance to parental requests: Treatment effects and generalization. Behavior Therapy, 24, 209–226.

    Article  Google Scholar 

  • Eyberg, S. (2005). Tailoring and adapting parent-child interaction therapy to new populations. Education and Treatment of Children, 28, 197–201.

    Google Scholar 

  • Fischetti, A. T., Wilder, D. A., Myers, K., Leon-Enriquez, Y., Sinn, S., & Rodriguez, R. (2012). An evaluation of evidence-based interventions to increase compliance among children with autism. Journal of Applied Behavior Analysis, 45(4), 859–863. https://doi.org/10.1901/jaba.2012.45-859

    Article  PubMed  PubMed Central  Google Scholar 

  • Ginn, N. C., Clionsky, L. N., Eyberg, S., Warner-Metzger, C., & Abner, J. P. (2017). Child-Directed Interaction training for young children with autism spectrum disorders: Parent and child outcomes. Journal of Clinical Child and Adolescent Psychology, 46(1), 101–109. https://doi.org/10.1080/15374416.2015.1015135

    Article  PubMed  Google Scholar 

  • Gray, C. (2000). The new social story book. Arlington, TX: Future Horizons ISBN 1-885477 66-X.

    Google Scholar 

  • Gray, C., Broek, E., Cain, S. L., Dutkiewicz, M., Fleck, C., Gray, B., … Moore, L. (1993). The social story book. Jenison, MI: Jenison Public Schools.

    Google Scholar 

  • Gray, C. A., & Garand, J. D. (1993). Social stories: Improving responses of students with autism with accurate social information. Focus on Autistic Behavior, 8(1), 1–10.

    Article  Google Scholar 

  • Gray, K., Keating, C., Taffe, J., Brereton, A., Einfeld, S., & Tonge, B. (2012). Trajectory of behavior and emotional problems in Autism. American Journal on Intellectual and Developmental Disabilities, 117(2), 121–133. https://doi.org/10.1352/1944-7588-117-2.121

    Article  PubMed  Google Scholar 

  • Greco, L. A., Sorrell, J. T., & McNeil, C. B. (2001). Understanding manual-based behavior therapy: Some theoretical foundations of Parent-Child Interaction Therapy. Child & Family Behavior Therapy, 23(4), 21–36.

    Article  Google Scholar 

  • Hanley, G. P., Iwata, B. A., & McCord, B. E. (2003). Functional analysis of problem behavior: A review. Journal of Applied Behavior Analysis, 36(2), 147–185. https://doi.org/10.1901/jaba.2003.36-147

    Article  PubMed  PubMed Central  Google Scholar 

  • Hansen, B., & Shillingsburg, M. A. (2016). Using a modified Parent-Child Interaction Therapy to increase vocalizations in children with autism. Child and Family Behavior Therapy, 38(4), 318–330. https://doi.org/10.1080/07317107.2016.1238692

    Article  Google Scholar 

  • Hartley, S. L., Sikora, D. M., & McCoy, R. (2008). Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder. Journal of Intellectual Disability Research, 52(10), 819–829. https://doi.org/10.1111/j.1365-2788.2008.01065.x

    Article  PubMed  Google Scholar 

  • Hatamzadeh, A., Pouretemad, H., & Hassanabadi, H. (2010). The effectiveness of Parent-Child Interaction Therapy for children with high functioning autism. Procedia Social and Behavioral Sciences, 5, 994–997. https://doi.org/10.1016/j.sbspro.2010.07.224

    Article  Google Scholar 

  • Hayes, S., & Watson, S. (2013). The impact of parenting stress: A meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 629–642.

    Article  PubMed  Google Scholar 

  • Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32(5), 423–446.

    Article  PubMed  Google Scholar 

  • Howlin, P., & Rutter, M. (1987). The consequences of language delay for other aspects of development. In W. Yule & M. Rutter (Eds.), Language development and disorders (pp. 271–294). Oxford: Mac Keith Press.

    Google Scholar 

  • Humm, S. P., Blampied, N. M., & Liberty, K. A. (2005). Effects of parent-administered, home-based, high-probability request sequences on compliance by children with developmental disabilities. Child and Family Behavior Therapy, 27, 27–45.

    Article  Google Scholar 

  • Kaat, A. J., & Lecavalier, L. (2013). Disruptive behavior disorders in children and adolescents with Autism Spectrum Disorders: A review of the prevalence, presentation, and treatment. Research in Autism Spectrum Disorders, 7(12), 1579–1594. https://doi.org/10.1016/j.rasd.2013.08.012

    Article  Google Scholar 

  • Kasari, C., Sigman, M., Mundy, P., & Yirmirya, N. (1988). Caregiver interactions with autistic children. Journal of Abnormal Clinical Psychology, 16(1), 45–56.

    Article  Google Scholar 

  • Koegel, R. L., Schreibman, L., Britten, K. R., Burke, J. C., & O’Neill, R. E. (1982). A comparison of parent training to direct child treatment. In R. L. Koegel, A. Rincover, & A. L. Egel (Eds.), Educating and understanding autistic children. San Diego, CA: College-Hill Press.

    Google Scholar 

  • Kohlhoff, J., & Morgan, S. (2014). Parent-Child Interaction Therapy for toddlers: A pilot study. Child & Family Behavior Therapy, 36, 121–139. https://doi.org/10.1080/07317107.2014.910733

    Article  Google Scholar 

  • Lauderdale-Littin, S., Howell, E., & Blacher, J. (2013). Educational placement for children with autism spectrum disorders in public and non-public school settings: The impact of social skills and behavior problems. Education and Training in Autism and Developmental Disabilities, 48, 469–478.

    Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172–183. https://doi.org/10.1111/j.13652788.2005.00732.x

    Article  PubMed  Google Scholar 

  • 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(1), 68–77.

    Article  Google Scholar 

  • Lesack, R., Bearss, K., Celano, M., & Sharp, W. G. (2014). Parent-child Interaction Therapy and autism spectrum disorder: Adaptations with a child with severe developmental delays. Clinical Practice in Pediatric Psychology, 2(1), 68–82. https://doi.org/10.1037/cpp0000047

    Article  Google Scholar 

  • Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849–861.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3–9.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I., Koegel, R. L., Simmons, J. Q., & Long, J. (1973). Some generalization and follow-up measures on autistic children in behavior therapy. Journal of Applied Behavior Analysis, 6, 131–166.

    Article  PubMed  PubMed Central  Google Scholar 

  • LoVullo, S., & Matson, J. L. (2009). Comorbid psychopathology in adults with Autism Spectrum Disorders and intellectual disabilities. Research in Developmental Disabilities, 30(6), 1288–1296. https://doi.org/10.1016/j.ridd.2009.05.004

    Article  PubMed  Google Scholar 

  • Mace, F. C., Hock, M. L., Lalli, J. S., West, B. J., Belfiore, P., Pinter, E., & Brown, D. K. (1988). Behavioral momentum in the treatment of noncompliance. Journal of Applied Behavior Analysis, 21(2), 123–141. https://doi.org/10.1901/jaba.1988.21-123

    Article  PubMed  PubMed Central  Google Scholar 

  • Masse, J. J., McNeil, C. B., Wagner, S., & Quetsch, L. B. (2016). Examining the efficacy of Parent-Child Interaction Therapy with children on the autism spectrum. Journal of Child and Family Studies, 25(8), 2508–2525. https://doi.org/10.1007/s10826-016-0424-7

    Article  Google Scholar 

  • Matson, J. L., Dixon, D. R., & Matson, M. L. (2005). Assessing and treating aggression in children and adolescents with developmental disabilities: A 20-year overview. Educational Psychology, 25, 151–181.

    Article  Google Scholar 

  • Mazurek, M. O., Kanne, S. M., & Wodka, E. L. (2013). Physical aggression in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 455–465.

    Article  Google Scholar 

  • McIntyre, L. L. (2008). Adapting Webster-Stratton’s incredible years parent training for children with developmental delay: Finds from a treatment group only study. Journal of Intellectual Disability Research, 52(12), 1176–1192. https://doi.org/10.1111/j.1365-2788.2008.01108.x

    Article  PubMed  Google Scholar 

  • McStay, R. L., Dissanayake, C., Scheeren, A., Koot, H. M., and Begeer, S. (2014). Parenting stress and autism: the role of age, autism severity, quality of life and problem behaviour of children and adolescents with autism. Autism 18, 502–510. https://doi.org/10.1177/1362361313485163

    Article  PubMed  Google Scholar 

  • McTiernan, A., Leader, G., Healy, O., & Mannion, A. (2011). Analysis of risk factors and early predictors of challenging behavior for children with Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 5(3), 1215–1222. https://doi.org/10.1016/j.rasd.2011.01.009

    Article  Google Scholar 

  • Midouhas, E., Yogaratnam, A., Flouri, E., & Charman, T. (2013). Psychopathology trajectories of children with autism Spectrum disorder: The role of family poverty and parenting. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1057–1065. https://doi.org/10.1016/j.jaac.2013.07.011

    Article  Google Scholar 

  • Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 38(6), 1092–1103.

    Article  PubMed  Google Scholar 

  • Osborne, L. A., & Reed, P. (2010). Stress and self-perceived parenting behaviors of parents of children with autistic spectrum conditions. Research in Autism Spectrum Disorders, 4(3), 405–414.

    Article  Google Scholar 

  • Pearson, D. A., Loveland, K. A., Lachar, D., Lane, D. M., Reddoch, S. L., Mansour, R., & Cleveland, L. A. (2006). A comparison of behavioral and emotional functioning in children and adolescents with Autistic Disorder and PDD-NOS. Child Neuropsychology, 12(4–5), 321–333. https://doi.org/10.1080/09297040600646847

    Article  PubMed  Google Scholar 

  • Quetsch, L. B., Wallace, N. M., Herschell, A. D., & McNeil, C. B. (2015). Weighing in on the time-out controversy: An empirical perspective. The Clinical Psychologist, 68(2), 4–19.

    Google Scholar 

  • Roberts, J., Williams, K., Carter, M., Evans, D., Parmenter, T., Silove, N., … Warren, A. (2011). A randomized controlled trial of two early intervention programs for young children with autism: Centre-based with parent program and home-based. Research in Autism Spectrum Disorders, 5(4), 1553–1566.

    Article  Google Scholar 

  • Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., & Halladay, A. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428. https://doi.org/10.1007/s10803-015-2407-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Shawler, P., & Sullivan, M. (2017). Parental stress, discipline strategies, and child behavior problems in families with young children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 32(2), 142–151. https://doi.org/10.1177/1088357615610114

    Article  Google Scholar 

  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with Autism Spectrum Disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929. https://doi.org/10.1097/CHI.0b013e318179964f

    Article  PubMed  Google Scholar 

  • Simonoff, E., Jones, C. R. G., Baird, G., Pickles, A., Happé, F., & Charman, T. (2013). The persistence and stability of psychiatric problems in adolescents with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 54(2), 186–194. https://doi.org/10.1111/j.1469-7610.2012.02606.x

    Article  PubMed  Google Scholar 

  • Solomon, M., Ono, M., Timmer, S., & Goodlin-Jones, B. (2008). The effectiveness of Parent-Child Interaction Therapy for families of children on the autism spectrum. Journal of Autism and Developmental Disorders, 38(9), 1767–1776. https://doi.org/10.1007/s10803-008-0567-5

    Article  PubMed  PubMed Central  Google Scholar 

  • Stahmer, A. C., Schreibman, L., & Cunningham, A. B. (2011). Toward a technology of treatment individualization for young children with Autism Spectrum Disorders. Brain Research, 1380, 229–1239. https://doi.org/10.1016/j.brainres.2010.09.043

    Article  PubMed  Google Scholar 

  • Storch, E. A., Arnold, E. B., Jones, A. M., Ale, C. M., Wood, J. J., Ehrenreich-May, J., & Murphy, T. K. (2012). The role of co-occurring disruptive behavior in the clinical presentation of children and adolescents with anxiety in the context of autism spectrum disorders. Child Psychiatry and Human Development, 43, 734–746. https://doi.org/10.1007/s10578-012-0294-1

    Article  PubMed  Google Scholar 

  • Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009). Behavioural family intervention with parents of children with ASD: What do they find useful in the parenting program stepping stones triple P? Research in Autism Spectrum Disorders, 3(3), 702–713. https://doi.org/10.1016/j.rasd.2009.01.009

    Article  Google Scholar 

  • Wilder, D., & Atwell, J. (2006). Evaluation of a guided compliance procedure to reduce noncompliance among preschool children. Behavioral Interventions, 21, 165–272. https://doi.org/10.1002/bin.222

    Article  Google Scholar 

  • Zlomke, K. R., Jeter, K., & Murphy, J. (2017). Open-trial pilot of Parent-Child Interaction Therapy for children with autism spectrum disorder. Child and Family Behavior Therapy, 39(1), 1–18. https://doi.org/10.1080/07317107.2016.1267999

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Chatham University, Pittsburgh, PA, USA

    Ashley Tempel Scudder

  2. Child Study Center, Hassenfeld Children’s Hospital at NYU Langone, New York, NY, USA

    Stephanie Wagner

  3. University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    Paul Shawler

Authors
  1. Ashley Tempel Scudder
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  2. Stephanie Wagner
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  3. Paul Shawler
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Correspondence to Ashley Tempel Scudder .

Editor information

Editors and Affiliations

  1. Department of Psychology, West Virginia University, Morgantown, WV, USA

    Cheryl Bodiford McNeil

  2. Department of Psychology, West Virginia University, Morgantown, WV, USA

    Lauren Borduin Quetsch

  3. National Autism Center, May Institute, Randolph, MA, USA

    Cynthia M. Anderson

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Scudder, A.T., Wagner, S., Shawler, P. (2018). Parent-Directed Interaction: Considerations When Working with Young Children with Autism Spectrum Disorders. In: McNeil, C., Quetsch, L., Anderson, C. (eds) Handbook of Parent-Child Interaction Therapy for Children on the Autism Spectrum. Springer, Cham. https://doi.org/10.1007/978-3-030-03213-5_33

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