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Teaching the Imitation and Spontaneous Use of Descriptive Gestures in Young Children with Autism Using a Naturalistic Behavioral Intervention

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Abstract

Children with autism exhibit deficits in the imitation and spontaneous use of descriptive gestures. Reciprocal Imitation Training (RIT), a naturalistic imitation intervention, has ben shown to increase object imitation skills in young children with autism. A single-subject, multiple-baseline design acroess five young children with autism was used to determine whether RIT could be adapted to target the imitation of descriptive gestures. All participants increased their imitation of gestures in the treatment setting and on a structured imitation assessment. Gains generalized to a novel therapist, setting, and materials and maintained at a 1-month follow-up. Three participants also increased their spontaneous use of descriptive gestures. These results provide support for the effectiveness of a naturalistic intervention for teaching gesture imitation.

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References

  • Acredolo, L., & Goodwyn, S. (1988). Symbolic gesturing in normal infants. Child Development, 59, 450–466.

    Article  PubMed  Google Scholar 

  • Alpert, C. L., & Kaiser, A. P. (1992). Training parents as milieu language teachers. Journal of Early Intervention, 16, 31–52.

    Article  Google Scholar 

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revision. Washington: American Psychiatric Association.

    Google Scholar 

  • Attwood, A., Frith, U., & Hermelin, B. (1988). The understanding and use of interpersonal gestures by autistic and Down’s syndrome children. Journal of Autism and Developmental Disorders, 18, 241–257.

    Article  PubMed  Google Scholar 

  • Bartak, L., Rutter, M., & Cox, A. (1975). A comparative study of infantile autism and specific developmental receptive language disorder: I. The children. British Journal of Psychiatry, 126, 127–145.

    Article  PubMed  Google Scholar 

  • Bayley, N. (1993). Bayley Scales of Infant Development (2nd ed.). San Antonio: Harcourt Brace & Company.

    Google Scholar 

  • Buffington, D. M., Krantz, P. J., McClannahan, L. E., & Poulson, C. L. (1998). Procedures for teaching appropriate gestural communication skills to children with autism. Journal of Autism and Developmental Disorders, 28, 535–545.

    Article  PubMed  Google Scholar 

  • Buitelaar, J. K., van Engeland, H., de Kogel, K. H., deVries, H., van Hooff, J. (1991). Differences in the structure of social behaviour of autistic children and non-autistic retarded controls. Journal of Child Psychology and Psychiatry, 32, 995–1015.

    Article  PubMed  Google Scholar 

  • Carr, E. G. (1981). Sign language. In O. I. Lovaas, A. Ackerman, D. Alexander, P. Firestone, M. Perkins, & A. L. Egel (Eds.), The me book: Teaching manual for parents and teachers of developmentally disabled children (pp. 153–161). Baltimore: University Park Press.

    Google Scholar 

  • Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.

    Google Scholar 

  • DeMyer, M., Alpern, G., Barton, S., DeMyer, W., Churchill, D., Hingtgen, J., Bryson, C., Pontius, W., & Kimberlin, C. (1972). Imitation in autistic, early schizophrenic, and non-psychotic subnormal children. Journal of Autism and Childhood Schizophrenia, 2, 264–287.

    Article  PubMed  Google Scholar 

  • Fenson, L., Dale, P., Reznick, S., Thal, D., Bates, E., Hartung, J., Pethick, S., & Reilly, J. (1993). MacArthur Communicative Development Inventory. San Diego: Singular Publishing Group Inc.

    Google Scholar 

  • Hammes, J., & Langdell, T. (1981). Precursors of symbol formation and childhood autism. Journal of Autism and Developmental Disorders, 11, 331–346.

    Article  PubMed  Google Scholar 

  • Hart, B. M., & Risley, T. R. (1968). Establishing use of descriptive adjectives in the spontaneous speech of disadvantaged preschool children. Journal of Applied Behavior Analysis, 1, 109–120.

    Article  PubMed  Google Scholar 

  • Hersen, M., & Barlow, D. H. (1976). Single case experimental designs: Strategies for studying behavior change. New York: Pergamon.

    Google Scholar 

  • Ingersoll, B., & Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36, 487–505.

    Article  PubMed  Google Scholar 

  • Kaiser, A. P., Yoder, P. J., & Keetz, A. (1992). Evaluating milieu teaching. In S. F. Warren, & J. E. Reichle (Eds.), Causes and effects in communication and language intervention (pp. 9–47). Baltimore: Paul H. Brookes Publishing.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Krug, D., Arick, J., & Almond, P. (1993). Autism Screening Instrument for Educational Planning (ASIEP-2). Austin: Pro-Ed Inc.

    Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C., Pickles, A., & Rutter, M. (2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223.

    Google Scholar 

  • Lovaas, O. I., Freitas, K., Nelson, K., & Whalen, C. (1967). The establishment of imitation and its use for the development of complex behavior in schizophrenic children. Behaviour Research and Therapy, 5, 171–182.

    Article  PubMed  Google Scholar 

  • Loveland, K., & Landry, S. (1986). Joint attention and language in autism and developmental language delay. Journal of Autism and Developmental Disorders, 16, 335–349.

    Article  PubMed  Google Scholar 

  • Maurice, C., Green, G., & Luce, S. C. (Eds.). (1996). Behavioral intervention for young children with autism: A manual for parents and professionals. Austin: Pro-Ed Inc.

  • McGee, G. G., Krantz, P. J., Mason, D., & McClannahan, L. E. (1983). A modified incidental-teaching procedure for autistic youth: Acquisition and generalization of receptive object labels. Journal of Applied Behavior Analysis, 16, 329–338.

    Article  PubMed  Google Scholar 

  • Mullen, E. M. (1995). Mullen Scales of Early Learning: AGS Edition. Circle Pines: American Guidance Service.

    Google Scholar 

  • Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contribution of non-verbal communication measures. Journal of Child Psychology and Psychiatry, 27, 657–669.

    Article  PubMed  Google Scholar 

  • Namy, L. L., & Waxman, S. R. (2002). Patterns of spontaneous production of novel words and gestures within an experimental setting in children ages 1;6 and 2;2. Journal of Child Language, 29, 911–921.

    Article  PubMed  Google Scholar 

  • Özçalişkan, S., & Goldin-Meadow, S. (2005). Gesture is at the cutting edge of early language development. Cognition, 96, B101–B113.

    Article  PubMed  Google Scholar 

  • Rogers, S., Bennetto, L., McEvoy, R., & Pennington, B. (1996). Imitation and pantomime in high-functioning adolescents with autism spectrum disorders. Child Development, 67, 2060–2073.

    Article  PubMed  Google Scholar 

  • Rogers, S. J. (1999). An examination of the imitation deficit in autism. In J. Nadel, & G. Butterworth (Eds.), Imitation in infancy (pp. 254–283). New York: Cambridge University Press.

    Google Scholar 

  • Rogers, S. J., Cook, I., & Meryl, A. (2005). Imitation and play in autism. In F. R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders: Vol. 1. Diagnosis, development, neurobiology, and behavior (3rd ed.), (pp. 382–405). Hoboken: Wiley.

    Google Scholar 

  • Rogers, S. J., Hall, T., Osaki, D., Reaven, J., & Herbison, J. (2000). The Denver model. In J. S. Handleman, & S. L. Harris (Eds.), Preschool education programs for children with autism (2nd ed.), (pp. 95–134). Austin: Pro-Ed Inc.

  • Rogers, S. J., Hepburn, S. L., Stackhouse, T., & Wehner, E. (2003). Imitation performance in toddlers with autism and those with other developmental disorders. Journal of Child Psychology and Psychiatry, 44, 763–781.

    Article  PubMed  Google Scholar 

  • Schopler, E., Reichler, R. J., DeVellis, R. F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10, 91–103.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Schreibman, L., Koegel, R. L., Mills, J. I., & Burke, J. C. (1981). Social validation of behavior therapy with autistic children. Behavior Therapy, 12, 610–624.

    Article  Google Scholar 

  • Sigman, M., & Ungerer, J. (1984). Cognitive and language skills in autistic, mentally retarded and normal children. Developmental Psychology, 20, 293–302.

    Article  Google Scholar 

  • Smith, I., & Bryson, S. (1994). Imitation and action in autism: A critical review. Psychological Bulletin, 116, 259–273.

    Article  PubMed  Google Scholar 

  • Smith, I. M., & Bryson, S. E. (1998). Gesture imitation in autism I: Nonsymbolic postures and sequences. Cognitive Neuropsychology, 15, 747–770.

    Article  Google Scholar 

  • Spradlin, J. E., & Siegel, G. M. (1982). Language training in natural and clinical environments. Journal of Speech and Hearing Disorders, 47, 2–6.

    PubMed  Google Scholar 

  • Stone, W., Ousley, O., & Littleford, C. (1997). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology, 25, 475–485.

    Article  PubMed  Google Scholar 

  • Stone, W., Ulman, T., Swanson, A., McMahon, C., & Turner, L. (2004, May). Structured vs. naturalistic object imitation in young children with ASD. Poster session presented at the annual meeting of the International Meeting for Autism Research, Sacramento.

  • Wetherby, A., & Prutting, C. A. (1984). Profiles of communicative and cognitive-social abilities in autistic children. Journal of Speech and Hearing Research, 27, 364–377.

    PubMed  Google Scholar 

  • Whalen, C., Schreibman, L., & Ingersoll, B. (2006). The collateral effects of joint attention training on social initiations, positive affect, imitation, and spontaneous speech for young children with autism. Journal of Autism and Developmental Disorders, 36, 655–664.

    Article  PubMed  Google Scholar 

  • Whalen, C. M., & Schreibman, L. (2003). Joint attention training for children with autism using behavior modification procedures. Journal of Child Psychology and Psychiatry, 44, 456–468.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a grant from the Organization for Autism Research and the M.I.N.D. Institute Scholars Program and a N.L. Tartar Research Fellowship Award to the first author. We are grateful to the children and their families who participated in this research. We would also like to thank Laura Schreibman, PhD for her advisement, and Samantha Gergans, Meredith Maxon, and Johnny Askew for their assistance on this project.

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Correspondence to Brooke Ingersoll.

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Ingersoll, B., Lewis, E. & Kroman, E. Teaching the Imitation and Spontaneous Use of Descriptive Gestures in Young Children with Autism Using a Naturalistic Behavioral Intervention. J Autism Dev Disord 37, 1446–1456 (2007). https://doi.org/10.1007/s10803-006-0221-z

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