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Parent-Child Interaction Therapy (PCIT): Autism Case Study #4

  • Dorothy ScattoneEmail author
  • Dustin E. Sarver
  • Amanda D. Cox
Chapter

Abstract

A majority of children with autism engage in behavior problems including tantrums, noncompliance, and physical aggression. Managing these behavior problems for parents can be difficult and ultimately can limit the family’s participation in educational, community, and family social activities. Therefore, interventions that teach parents to effectively manage behavior problems may significantly improve functioning in these areas. In addition, evidence for the use of behavior programs such as Parent-Child Interaction Therapy (PCIT) to treat behavior problems—and potentially autistic behaviors—in children with autism is still accumulating. The following case study presents the effectiveness of PCIT in the treatment of noncompliance for a 4-year-old boy with autism spectrum disorder (ASD) and limited language skills. Rating scales and observations of behavior problems, social interactions, and repetitive behaviors were collected at pre- and posttreatment, with parent/teacher ratings of behavior also collected at 12-month follow-up. Results of this case study demonstrate that PCIT was effective in reducing parent/teacher ratings of behavior problems, and improving parent-child interactions, child compliance, and objective indicators of social interaction (e.g., eye gaze, prosocial behaviors) and repetitive behaviors. The case study provides clinicians with specific examples in which PCIT was tailored to address or circumvent difficulties associated with autism, and provides recommendations for use of PCIT in this population.

Keywords

Autism Parent-Child Interaction Therapy (PCIT) Autism spectrum Autism treatment Behavior therapy Social stories Time-out Parenting Observational coding 

Notes

Acknowledgments

This project was funded by the Mississippi Council for Developmental Disabilities (MSCDD).

References

  1. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.Google Scholar
  2. Berry, J. O., & Jones, W. H. (1995). The parental stress scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12, 463–472.CrossRefGoogle Scholar
  3. Dunn, L. M., & Dunn, D. M. (2007). Peabody picture vocabulary test, Fourth Edition (PPVT™-4). Minneapolis, MN: Pearson Assessments.Google Scholar
  4. Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory professional manual. Psychological Assessment Resources: Odessa, FL.Google Scholar
  5. Eyberg, S. M., & Funderburke, B. W. (2011). Parent-child interaction therapy protocol. Gainesville, FL: PCIT International.Google Scholar
  6. Eyberg, S. M., Chase, R. H., Fernandez, M. A., & Nelson, M. M. (2014). Manual for the dyadic parent-child system (4th ed.). Thousand Oaks, CA: Sage.Google Scholar
  7. Gray, C., & Garand, J. D. (1993). Social Stories. Improving responses of student with autism with accurate social information. Focus on Autistic Behavior, 8(1), 1–10.CrossRefGoogle Scholar
  8. Ingersoll, B., & Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects of language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36(4), 487–505.CrossRefGoogle Scholar
  9. Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., Moreci, P., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADSPL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988.CrossRefGoogle Scholar
  10. Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism diagnostic observation schedule (ADOS-2)—Second Edition. Los Angeles, CA: Western Psychological Services.Google Scholar
  11. Lyon, A., Gershenson, R., Farahmand, F., Thaxter, P., Behling, S., & Budd, K. S. (2009). Effectiveness of Teacher-Child Interaction Training (TCIT) in a preschool setting. Behavior Modification, 33, 855–884.CrossRefGoogle Scholar
  12. Masse, J., & Girard, E. (n.d.). PCIT time-out procedure flipbook. Retrieved from http://www.pcit.org/store/c4/Flip_Books.html
  13. Rutter, M., Bailey, A., & Lord, C. (2003). Social communication questionnaire. Los Angeles, CA: Western Psychological Services.Google Scholar
  14. Wong, N., Beidel, D. C., Sarver, D. E., & Sims, V. (2012). Facial emotion recognition in children with high functioning autism and children with social phobia. Child Psychiatry & Human Development, 43, 775–794.CrossRefGoogle Scholar
  15. Zimmerman, I. L., Steiner, V. G., & Pond, R. A. (2011). Preschool Language Scales, Fifth Edition (PLS™-5). Bloomington, MN: Pearson/Psych Corp.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Dorothy Scattone
    • 1
    Email author
  • Dustin E. Sarver
    • 1
  • Amanda D. Cox
    • 1
  1. 1.Department of PediatricsCenter for Advancement of Youth, University of Mississippi Medical CenterJacksonUSA

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