Tuesday, August 20, 2019

Evidence based intervention

Interventions Supported by Significant Scientific Evidence 

1.Applied Behavior Analysis (ABA)

ABA is defined as the process of applying behavioral principles to change specific behaviors and simultaneously evaluating the effectiveness of the intervention. ABA emphasizes both prevention and remediation of problem behavior. Significant attention is given to the social and physical environment, including the antecedent conditions and consequences that elicit and maintain behavior. Numerous empirical studies have documented the effectiveness of ABA with individuals with ASD. 

2.Discrete Trial Training (DTT)

DTT often incorporates the use of errorless learning, shaping, modeling, prompting, facing, correction, and reinforcement to encourage skill acquisition. It is especially well-suited for skills that can be taught in small, repeated steps. Research indicates that DTT can produce powerful behavioral outcomes in the areas of language, motor skills, imitation and play, emotional expression, academics, and the reduction of self-stimulatory and aggressive behaviors. 

3.Functional Communication Training (FCT) 

a behavioral methodology that replaces disruptive or inappropriate behavior with more appropriate and effective communication. After the communicative “functions” of disruptive behaviors are determined through functional behavioral analysis, socially appropriate behaviors are taught as replacements for problem behaviors. FCT has a strong research base, especially using single-subject research designs, and FCT has been shown to significantly reduce problem behavior and to increase communication and social interaction. 


4.Pivotal Response Training (PRT)

The NPDC describes PRT as a systematic method for applying the scientific principles of ABA. PRT builds on a child’s initiative and interests, which makes it particularly effective in developing communication, play, and social behaviors. This strategy enhances the pivotal learning variables of motivation, responding to multiple cues, self-management, and self-initiation, which serves to influence target behaviors within a natural setting. 

5.Antecedent-Based Interventions. 

Specific antecedent procedures that are frequently used for ASD include choice, behavioral momentum, cueing and prompting, modifying task demands, errorless learning, priming, non-contingent reinforcement, and time delay. These types of interventions can be used with all ages and ability levels. 

Source: https://www.interventionsunlimited.com/editoruploads/files/Iowa%20DHS%20Autism%20Interventions%206-10-11.pdf

Intervention based on ToM

Interventions based on the Theory of Mind cognitive model for autism spectrum disorder (ASD)

Interventions eligible for inclusion in this review: 1. explicitly state that they are designed to teach ToM; or 2. explicitly state that they are designed to teach precursor skills of ToM; or 3. explicitly state that they are based on or inspired by ToM models of autism; or 4. explicitly state that they aim to test the ToM model of autism. We reiterate that ToM (theory of mind) describes the ability to understand another’s thoughts, beliefs, and other internal states and is encapsulated in a test of false belief. Prior to the development of false-belief understanding (at about four years old in typical development), associated precursor skills are in evidence such as joint attention, imitation, and emotion recognition. Relevant interventions include those which explicitly teach children to understand others’ mental states (e.g. using visual representations of mental states McGregor 1998) and those which use naturalistic teaching to develop imitation skills (Heimann 2006). 


Source: https://www.pure.ed.ac.uk/ws/files/14569288/SFW_Cochrane_final.pdf

Monday, August 19, 2019

Instrument 1- TSES ( Teachers’ Sense of Efficacy Scale )

The TSES is designed to measure the teachers’ sense of efficacy with three sub-scales.Author: Tschannen-Moran & Woolfolk Hoy, 2001Two version: short form (12-item), long form (24-item)A 9-point Likert type scale ranging from 1 (nothing) to 3 (very little) to 5 (some influence) 7 to (quite a bit) to 9 (a great deal)-Student EngagementClassroom ManagementInstructional Practices
https://wmpeople.wm.edu/site/page/mxtsch/researchtools






Sunday, August 11, 2019

Kanner and Asperger

Kanner described Donald and ten other children in a 1943 paper entitled, Autistic Disturbances of Affective Contact1. In this initial description of ‘infantile autismʼ, which went on to become a classic in the field of clinical psychiatry, Kanner described a distinct syndrome instead of previous depictions of such children as feeble-minded, retarded, moronic, idiotic or schizoid. In the words of his contemporary Erwin Schrödinger, Kanner “thought what nobody has yet thought, about that which everybody sees.”

The spectrum of clinical conditions labeled autism soon expanded beyond Kannerʼs first description. In 1944, one year after Kannerʼs paper, Hans Asperger described children that he also called ‘autistic’, but who seemed to have high non-verbal intelligence quotients and who used a large vocabulary appropriately. Confusion remains about the distinction between Asperger syndrome and high-functioning autism.
It is remarkable that although Kanner and Asperger were born in Austria and educated in Germany, and both were astute clinicians focused on the same problems, they did not refer to each other. This may, initially, have been due to isolation during the war years, but it does not explain 35 years of silence.
Clinical definitions of autism continue to evolve. The current Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV) includes autism in a broad category of pervasive developmental disorders. This spectrum blurs at the edges with disruptive behavior, communication disorders and intellectual disability at one end, and with behaviors now thought to be normal at the other. Repeated revision and expansion of the diagnostic categories has probably contributed to the gradual increase in the reported prevalence of autism spectrum disorders that has been evident since the mid-1980s.


Ludwig Wittgenstein: Autism and Philosophy

file:///C:/Users/Yean/Desktop/Ludwig_Wittgenstein_Autism_and_Philosophy_Letter_t.pdf

The neuropsychologist Frith (1989) emphasized that persons with autism have a lack of central coherence which Wittgenstein had and indeed he was aware of it when he said that he led his students down many side roads but had difficulty seeing the big picture—the more important roads (Monk, 1990). It appears that his own identity and sense of self was fragmented in the same way that his view of the world was fragmented and viewed in segments.

Wittgenstein met all the Gillberg criteria for Asperger syndrome (Gillberg, 1991). His difficulties in “affective contact with people” (Kanner, 1943) had a major impact on his philosophical writing.

Wittgenstein suffered from severe depression throughout his life (Fitzgerald & Berman, 1994) and also had problems with aggression and was charged in Court for knocking a pupil in school unconscious. He met the criteria for autism and Asperger syndrome (Asperger, 1944).

https://andphilosophy.com/2015/06/09/rain-man-and-rule-following-how-autism-can-bring-philosophy-to-life/

Tuesday, August 6, 2019

Autism prevalence in China is comparable to Western prevalence

http://docs.autismresearchcentre.com/papers/2019_Sun_Autism-prevalance-China.pdf

Reflection: I am impressed that Simon Baron-Cohen is involved in this research. As a disbeliever for clinical diagnostic such as DSM 6-TR, DSM 5 and ADOS, I have reached a point of realization to understand the importance of those generalization as a fundamental core to make a change.



Clinical Utility of the Rorschach Inkblot Method: Reframing the Debate

  Phase   Period     1 1921- 1950s The unbridled optimism period ...