Abstract
Used Pivotal Response Training (PRT) to teach 7 children with autism to engage in symbolic play behaviors. Symbolic play, complexity of play behavior, and creativity of play were assessed. In addition, generalization measures were obtained across settings, toys, and play partners. Interaction with the play partners and comparison with typical controls were also examined. Results indicated that children with autism rarely exhibited symbolic play before training or after a control condition. After specific symbolic play training using PRT, all of the children learned to perform complex and creative symbolic play actions at levels similar to that of language-matched typical controls. In most cases the children generalized their play to new toys, environments, and play partners and continued to engage in symbolic play behavior after a 3-month follow-up period. In addition, interaction skills improved after training. Treatment implications for these findings are discussed.
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References
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: Author.
Atlas, J. A. (1987). Symbol use by developmentally disabled children.Psychological Reports, 61, 207–214.
Baron-Cohen, S. (1987). Autism and symbolic play.British Journal of Developmental Psychology, 5, 139–148.
Beghly, M., Weiss-Perrry, B., & Cicchetti, D. (1989). Structural and affective dimensions of play development in young children with down syndrome.International Journal of Behavioral Development, 12, 257–277.
Clark, P., & Rutter, M. (1979). Task difficulty and task performance in autistic children.Journal of Child Psychology and Psychiatry, 20, 271–285.
Courchesne, E. (1987). A neurophysiological view of autism. In E. Schopler & G. B. Mesibov (Eds.),Neurobiological issues in autism (pp. 285–324). New York: Plenum Press.
Dunn, L. M., & Dunn, L. M. (1981).Peabody Picture Vocabulary Test-Revised: Manual: Circle Pines, MN: American Guidance Service.
Fenson, L., Dale, P. S. Reznick, J. S., Thal, D., Bates, E., Reilly, J. S., & Hartung, J. P. (1991).Technical manual for the MacArthur Communicative Development Inventories: Preliminary version. San Diego, CA: San Diego State University.
Gardner, M. F. (1990).Expressive One-Word Picture Vocabulary Test. Novato, CA: Academic Therapy Publications.
Hersen, M., & Barlow, D. H. (1976).Single case experimental designs: Strategies for studying behavior change. New York: Pergamon.
Hill, P. M., & McCune-Nicolich, L. (1981). Pretend play and patterns of cognition in Down's syndrome children.Child Development, 52, 611–617.
Jarrold, C., Boucher, J., & Smith, P. (1993). Symbolic play in autism: A review.Journal of Autism and Developmental Disorders, 23, 281–307.
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.
Koegel, R. L., Schreibman, L., Good, A., Cerniglia, L., Murphy, C. & Koegel, L. K. (1989).How to teach pivotal behaviors to children with autism: A training manual. Santa Barbara: University of California, Santa Barbara.
Krantz, P. J., & McClannahan, L. E. (1993). Teaching children with autism to initiate to peers: Effects of a script fading procedure.Journal of Applied Behavior Analysis, 26, 121–132.
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.
Leiter, R. G. (1979).Leiter International Performance Scale: Instruction manual Chicago: Stoelting Company.
Lewis, V., & Boucher, J. (1988). Spontaneous, instructed and elicited play in relatively able autistic children.British Journal of Developmental Psychology, 6, 325–339.
Oke, N. J., & Schreibman, L. (1990). The effects of social initiations on an autistic child's social behavior: Generalization and collateral behavior change.Journal of Autism and Developmental Disorders, 20, 479–497.
Riguet, C. B., Taylor, N. D., Benarogya, S., & Klein, L. S. (1981). Symbolic play in autistic, Down's and normal children of equivalent mental age.Journal of Autism and Developmental Disorders, 11, 439–448.
Schreibman, L. (1988a).Autism. Newbury Park, CA: Sage.
Schreibman, L. (1988b). Parent training as a means of facilitating generalization in autistic children. In R. H. Horner, G. Dunlap, & R. L. Koege (Eds.),Generalization and maintenance: Lifestyle changes in applied settings (pp. 21–40). Baltimore: Paul H. Brooks.
Stokes, T. F., & Baer, D. M. (1977). An implicit technology of generalization.Journal of Applied Behavior Analysis, 10, 349–367.
Thorndike, R. L., Hagen, E. P., & Sattler, J. M. (1986).Guide for administering and scoring and Stanford-Binet Intelligence Scale (4th ed.). Chicago:Riverdale.
Ungerer, J. A., & Sigman, M. (1981). Symbolic play and language comprehension in autistic children.Journal of the American Academy of Child Psychiatry, 20, 318–337.
Wing, L., Gould, J., Yeates, S. R., & Brierley, L. M. (1977). Symbolic play in severely mentally retarded and autistic children.Journal of Child Psychology and Psychiatry, 18, 167–178.
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Stahmer, A.C. Teaching symbolic play skills to children with autism using Pivotal Response Training. J Autism Dev Disord 25, 123–141 (1995). https://doi.org/10.1007/BF02178500
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DOI: https://doi.org/10.1007/BF02178500