Guest guest Posted January 4, 2006 Report Share Posted January 4, 2006 Hi , In my estimation, the child that you are describing- passive, uninterested and willing to wait without frustration is in many cases the most difficult to work with. Escpecially if you are working with a child on a short duration basis, such as an hour a day. Children like this can usually wait out an hour with you to be left free to do what they want on their own time in their own way. There are a couple strategies you can consider. First begin watching the child outside of your therapy hours. What is she most motivated to be doing? Does she spend most of her time on a swing, watching videos? staring out windows? walking around in patterns, sliding items under doors, or putting objects into patterns? All of these are behaviors of interest we find with many children who are not interested in typical reinforcing objects. Once identified, can you find a way to use these activities as reinforcement. For instance if she has a baby buggy that the child likes pushing around a couch, let her push it for a while until she gets to really enjoy it. Then just pick two places along her normal route that you can stand in front of her and give her a simple instruction to follow. Something basic and easy. As soon as you prompt her through this easy instruction send her on her way again. When she gets to the next stopping place, repeat the procedure and begin fading your prompts as she becomes more willing to help. Then, when she is willing to participate in these simple directions you can begin to change your instructions more toward your goals. Just realize with a child like this your number one goal is to evoke participation in anything. Don't start focusing on learning goals until you have this participation goal met first. If you cannot find patterns in her play that can be used as teaching settings, look at her stims. What is a " sensory need " that she seems to be fulfilling for herself. If she has several stims, try to figure out what she finds stimulating about those specific behaviors and find a way to increase the pleasure of them with your involvement. Ex. She loves bouncing up and down on a sofa cushion. Can you hold her hands and bounce her a little higher? can you bring in a more bouncy object for her to bounce on like a giant gym ball or a mini trampoline. Once you can show her that this activity of hers is more fun with you than it is alone you can begin to use the simple instructions from above to begin developing participation. Another option is to begin identifying stim toys that have specific characteristics of things she likes to stim on. There is a website we use here in Germany that has about a hundred of these reinforcing objects. They are called " verstarker speilzeug " (reinforcing toys) and with enough of these in our posession we can usually find something that captures the childs attention and eventually willingness to work. To look at these toys either for order or just to get an idea of what to look for go to www.pro-aba.de (you can email them for info in English). Bottom line, there is always a way to reach every child, it only takes time, effort and a willingness to never give up. I think the best answer to the most important question in the world is: Q: How do you make a child smile? A: Keep trying stuff until he does. Hope this helps, Dodson <starlene@...> wrote: Hello all, I am a speech therapist and new to this group. I need help with a child recently diagnosed with autism (2 1/2 year old little boy, seen in the home). Although we have not formally started an official behavioral program, his OT and I are doing some simple simple behavior based intervention trials to see how he will do. Our problem is that this child is motivated by nothing. He tunes in and out to us throughout the session, really does not get frustrated much at all and could care less about any and all reinforcers we have tried. Anyone have any insight on this? We would truly appreciate the help! Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 9, 2006 Report Share Posted January 9, 2006 Hi, You bring up an excellent point. Tom Caffrey is fantastic! As are all involved in the Verbal Behavior Network! The things I have seen them do (on video) is just amazing. Every time I see a video at one of their workshops I just about cry when I see footage of " Jimmy " (the boy I believe you were referring to) before and after. Pairing and Manding are SOOO important. These things have the power to change a child's life when done correctly and when demands are kept very low to start until a relationship has been established. Best, ann Quote Link to comment Share on other sites More sharing options...
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