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PCIT and Language Facilitation for Children with Autism Spectrum Disorders

  • Brenda L. Beverly
  • Kimberly ZlomkeEmail author
Chapter

Abstract

This chapter outlines the significance of Parent-Child Interaction Therapy (PCIT) in facilitating language growth in young children. PCIT’s first phase of treatment, Child Directed Interaction (CDI), is described in relation to literature from child language disorders. Parent-mediated methods, such as responsiveness, engagement, and directive strategies, are linked to the skills taught in CDI (i.e., PRIDE skills). Authors review scientific evidence for the effectiveness of language facilitation strategies, including their three pilot projects investigating PCIT and language growth for children with autism spectrum disorders (ASD). Factors impacting implementation are considered, such as treatment fidelity and dosage, and clinical applications and potential adaptations of PCIT for ASD are discussed.

Keywords

Parent-Child Interaction Therapy (PCIT) Language Responsiveness Engagement Directive strategies 

Notes

Acknowledgments

We acknowledge the outstanding contributions of many graduate students at the University of South Alabama in speech-language pathology and psychology who have shared responsibility for our projects: Shayne L. Keyes, Kelsey Wagner Watrol, Dongyin Mei, Kate Darnell, Mary Grace Davis, Lori Foran, Jordan Lins, Katelyn McCarthy, Jillian Murphy, Sarah Bauman, Kathryn Jeter, Dustin Lamport, Garet Edwards, and Jessica VanOrmer. These talented individuals have consistently contributed valuable ideas and hard work, and they keep us from being lonely academics. We thank The LENA™ Foundation for providing LENA™ at a discounted price for the limited purposes of one data-driven project. (Their support does not imply endorsement of our ideas or findings.) We are grateful to families of children with autism spectrum disorder who participate in our clinics and our research. Their stories inspire us every day in countless ways.

References

  1. 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.Google Scholar
  2. Aldred, C., Green, J., & Adams, C. (2004). A new social communication intervention for children with autism: Pilot randomised controlled treatment study suggesting effectiveness. Journal of Child Psychology and Psychiatry, 45(8), 1420–1430.Google Scholar
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th Ed. Washington, DC.Google Scholar
  4. Armstrong, K., DeLoatche, K. J., Preece, K. K., & 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. Clinical Case Studies, 14(1), 3–14.Google Scholar
  5. 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.Google Scholar
  6. Bagner, D. M., Garcia, D., & Hill, R. (2016). Direct and indirect effects of behavioral parent training on infant language production. Behavior Therapy, 47(2), 184–197. https://doi.org/10.1016/j.beth.2015.11.001 Google Scholar
  7. Benner, G. J., Nelson, J. R., Sanders, E. A., & Ralston, N. C. (2012). Behavior intervention for students with externalizing behavior problems: Primary-level standard protocol. Exceptional Children, 78(2), 181–198.Google Scholar
  8. Bopp, K. D., Mirenda, P., & Zumbo, B. D. (2009). Behavior predictors of language development over 2 years in children with autism spectrum disorders. Journal of Speech, Language, and Hearing Research, 52, 1106–1120.PubMedGoogle Scholar
  9. Budd, K. S., Hella, B., Bae, H., Meyerson, D. A., & Watkin, S. C. (2011). Delivering parent-child interaction therapy in an urban community clinic. Cognitive and Behavioral Practice, 18(4), 502–514.Google Scholar
  10. Camarata, S. M., Nelson, K. E., & Camarata, M. N. (1994). Comparison of conversational-recasting and imitative procedures for training grammatical structures in children with specific language impairment. Journal of Speech, Language, and Hearing Research, 37(6), 1414–1423.Google Scholar
  11. Carr, E. G., & Durand, V. M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18(2), 111–126.PubMedPubMedCentralGoogle Scholar
  12. Chaing, H. M. (2008). Expressive communication of children with autism: The use of challenging behaviour. Journal of Intellectual Disability Research, 52(11), 966–972.Google Scholar
  13. Cleave, P. L., Becker, S. D., Curran, M. K., Owen Van Horne, A. J., & Fey, M. E. (2015). The efficacy of recasts in language intervention: A systematic review and meta-analysis. American Journal of Speech-Language Pathology, 24, 237–255.PubMedPubMedCentralGoogle Scholar
  14. Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., & Charman, T. (2002). A pilot randomised control trial of a parent training intervention for pre-school children with autism: preliminary findings and methodological challenges. European Child & Adolescent Psychiatry, 11(6), 266–272.Google Scholar
  15. Ellawadia, A. B., & Ellis Weismer, S. (2015). Using spoken language benchmarks to characterize the expressive language skills of young children with autism. American Journal of Speech-Language Pathology, 24, 696–707.Google Scholar
  16. Ellis Weismer, S., Lord, C., & Esler, A. (2010). Early language patterns of toddlers on the autism spectrum compared to toddlers with developmental delay. Journal of Autism and Developmental Disorders, 40, 1259–1273. https://doi.org/10.1007/s10803-010-0983-1 PubMedGoogle Scholar
  17. Eyberg, S. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child and Family Behavior Therapy, 10(1), 33–46.Google Scholar
  18. Fenson, L., Marchman, V. A., Thal, D. J., Dale, P. S., Reznick, J. S., & Bates, E. (2007). MacArthur-bates communicative development inventories second edition. Baltimore, MD: Brooks.Google Scholar
  19. Furrow, D., Nelson, K., & Benedict, H. (1979). Mothers’ speech to children and syntactic development: Some simple relationships. Journal of Child Language, 6(3), 423–442.PubMedGoogle Scholar
  20. Ginn, N. C., Clionsky, L. N., Eyberg, S. M., 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 & Adolescent Psychology, 46(1), 101–109.Google Scholar
  21. Girolametto, L. E. (1988). Improving the social-conversational skills of developmentally delayed children: An intervention study. The Journal of Speech and Hearing Disorders, 53, 156–167.PubMedGoogle Scholar
  22. Girolametto, L. E., Weitzman, E., & Bornstein, M. H. (2002). Responsiveness of child care providers in interactions with toddlers and preschoolers. Language, Speech, and Hearing Services in Schools, 33, 268–281.PubMedGoogle Scholar
  23. Haebig, E., McDuffie, A., & Weismer, S. E. (2013). The contribution of two categories of parent verbal responsiveness to later language for toddlers and preschoolers on the autism spectrum. American Journal of Speech-Language Pathology, 22(1), 57–70.PubMedGoogle Scholar
  24. 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.Google Scholar
  25. 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.Google Scholar
  26. Herschell, A. D., Calzada, E. J., Eyberg, S. M., & McNeil, C. B. (2002). Parent-child interaction therapy: New directions in research. Cognitive and Behavioral Practice, 9(1), 9–16.Google Scholar
  27. Hoff-Ginsberg, E. (1986). Function and structure in maternal speech: Their relation to the child’s development of syntax. Developmental Psychology, 22(2), 155.Google Scholar
  28. Huttenlocher, J., Waterfall, H., Vasilyeva, M., Vevea, J., & Hedges, L. V. (2010). Sources of variability in children’s language growth. Cognitive Psychology, 61(4), 343–365.PubMedPubMedCentralGoogle Scholar
  29. 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(4), 487–505. https://doi.org/10.1007/s10803-006-0089-y PubMedGoogle Scholar
  30. Kaiser, A. P., & Roberts, M. Y. (2013). Parent-implemented enhanced milieu teaching with preschool children with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 56, 1–12.Google Scholar
  31. Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056.PubMedPubMedCentralGoogle Scholar
  32. Keyes, S. L., Beverly, B. L., & Zlomke, K. (2012, November). Measuring communication in parent-mediated intervention in a child with ASD. Poster presented at the annual convention of the American Speech-Language-Hearing Association, Atlanta, GA.Google Scholar
  33. Kjelgaard, M. M., & Tager-Flusberg, H. (2001). An investigation of language impairment in autism: Implications for genetic subgroups. Language & Cognitive Processes, 16(2/3), 287–308.Google Scholar
  34. LENA Foundation. (2011). Language Environment Software [computer software]. Boulder, CO.Google Scholar
  35. 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.Google Scholar
  36. Luyster, R. J., Kadlec, M. B., Carter, A., & Tager-Flusberg, H. (2008). Language assessment and development in toddlers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 38, 1426–1438. https://doi.org/10.1007/s10803-007-0510-1 PubMedGoogle Scholar
  37. Masse, J. J., McNeil, C. B., Wagner, S. M., & Chorney, D. B. (2007). Parent–child interaction therapy and high functioning autism: A conceptual overview. Journal of Early and Intensive Behavior Intervention, 4(4), 714–735.Google Scholar
  38. Masse, J. J., McNeil, C. B., Wagner, S. M., & 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, 2508–2525.Google Scholar
  39. McDiarmid, M. D., & Bagner, D. M. (2005). Parent child interaction therapy for children with disruptive behavior and developmental disabilities. Education and Treatment of Children, 28(2), 130–141.Google Scholar
  40. McNeil, C. B., Eyberg, S., Eisenstadt, T. H., Newcomb, K., & Funderburk, B. (1991). Parent-child interaction therapy with behavior problem children: Generalization of treatment effects to the school setting. Journal of Clinical Child Psychology, 20, 140–151.Google Scholar
  41. Meadan, H., Ostrosky, M. M., Zaghlawan, H. Y., & Yu, S. (2009). Promoting the social and communicative behavior of young children with autism spectrum disorders: A review of parent-implemented intervention studies. Topics in Early Childhood Special Education, 29(2), 90–104.Google Scholar
  42. Mei, D., Beverly, B. L., & Zlomke, K. (2017, June). Parent-child interaction therapy and language gains for children with autism spectrum disorder. Poster presented at the 38th annual Symposium on Research in Child Language Disorders, Madison, WI.Google Scholar
  43. Miller, J. F., & Nockerts, A. (2002). Systematic analysis of language transcripts, Research Version 7.0 [computer software]. Madison, WI: University of Wisconsin Language Analysis Laboratory.Google Scholar
  44. Paul, R., & Norbury, C. F. (2012). Language disorders from infancy through adolescence: Listening, speaking, reading, writing, and communicating, 4th Ed. St. Louis, MO: Elsevier.Google Scholar
  45. Petrenko, C. L. (2013). A review of intervention programs to prevent and treat behavioral problems in young children with developmental disabilities. Journal of Developmental and Physical Disabilities, 25(6), 651–679.Google Scholar
  46. Proctor-Williams, K., Fey, M. E., & Loeb, D. F. (2001). Parental recasts and production of copulas and articles by children with specific language impairment and typical language. American Journal of Speech-Language Pathology, 10(2), 155–168.Google Scholar
  47. Roberts, A. J., Rice, L. M., & Tager-Flusberg, H. (2004). Tense marking in children with autism. Applied PsychoLinguistics, 25, 429–448.Google Scholar
  48. Roberts, M. Y., Hensle, T., & Brooks, M. K. (2016). More than “try this at home”—including parents in early intervention. Perspectives of the ASHA Special Interest Groups, 1(1., Part 4), 130–142.Google Scholar
  49. Roberts, M. Y., & Kaiser, P. A. (2011). The effectiveness of parent-implemented language interventions: A meta-analysis. American Journal of Speech-Language Pathology, 20, 180–199.PubMedGoogle Scholar
  50. Rose, V., Trembath, D., Keen, D., & Paynter, J. (2016). The proportion of minimally verbal children with autism spectrum disorder in a community-based early intervention programme. Journal of Intellectual Disability Research, 60(5), 464–477.Google Scholar
  51. Sandbank, M., & Yoder, P. (2016). The association between parental mean length of utterance and language outcomes in child with disabilities: A correlational meta-analysis. American Journal of Speech-Language Pathology, 25(2), 240–251.PubMedGoogle Scholar
  52. Siller, M., & Sigman, M. (2008). Modeling longitudinal change in the language abilities of children with autism: Parent behaviors and child characteristics as predictors of change. Developmental Psychology, 44(6), 1691–1704.PubMedGoogle Scholar
  53. Smith, T., & Iadarola, S. (2015). Evidence base update for autism spectrum disorder. Journal of Clinical Child & Adolescent Psychology, 44, 897–922.Google Scholar
  54. 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, 1767–1776.PubMedPubMedCentralGoogle Scholar
  55. Tamis-LeMonda, C. S., Bornstein, M. H., & Baumwell, L. (2001). Maternal responsiveness and children’s achievement of language milestones. Child Development, 72(3), 748–767.PubMedPubMedCentralGoogle Scholar
  56. Tempel, A. B., Wagner, S. M., & McNeil, C. B. (2013). Behavioral parent training skills and child behavior: The utility of behavioral descriptions and reflections. Child and Family Behavior Therapy, 35(1), 25–40.Google Scholar
  57. Tiano, J. (2010). Teacher-child interaction therapy for preschool classrooms. In C. B. McNeil & T. L. Hembree-Kigin (Eds.), Parent Child Interaction Therapy (pp. 385–391). New York, NY: Springer.Google Scholar
  58. Wagner, K. A., Beverly, B. L., Zlomke, K. L., & Murphy, J. (2014, November). Language increases for children with autism spectrum disorders during coached parent-child interactions. Paper presented at the annual convention of the American Speech-Language-Hearing Association, Orlando, FL.Google Scholar
  59. Warren, S., Gilkerson, J., Richards, J., Oller, D., Xu, D., Yapanel, U., & Gray, S. (2010). What automated vocal analysis reveals about the vocal production and language learning environment of young children with autism. Journal of Autism and Developmental Disorders, 40(5), 555–569.PubMedGoogle Scholar
  60. Warren, S. F., Brady, N., Sterling, A., Fleming, K., & Marquis, J. (2010). Maternal responsivity predicts language development in young children with fragile X syndrome. American Journal on Intellectual and Developmental Disabilities, 115(1), 54–75.PubMedPubMedCentralGoogle Scholar
  61. Weil, L. W., & Middleton, L. (2010). Use of the LENA tool to evaluate the effectiveness of a parent intervention program. Perspectives on Language Learning and Education, 17, 108–111. https://doi.org/10.1044/lle17.3.108 Google Scholar
  62. Zlomke, K. R., Jeter, K., & Murphy, J. (2017). Open-trial pilot of parent-child interaction therapy for children with autism spectrum disorder. Child & Family Behavior, 39, 1–18.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.University of South AlabamaMobileUSA

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