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978-1572305441

autism

autism

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Trevor 145<br />

Trevor also showed more interest in the other children in day care.<br />

He would sit with them on the rotating tire in the playground. The<br />

more Trevor and the other children went to the playground together,<br />

the more his teacher had an opportunity to intrude on his happiness<br />

and get him to communicate his pleasure and enjoyment. She modeled,<br />

“Is this fun? Are you having a good time?” At first Trevor would echo<br />

these questions, but eventually he would spontaneously communicate<br />

to his teacher what fun he was having on the swings: He would smile,<br />

squeal with delight, say the word “fun,” and laugh with the other children.<br />

At first this was pure verbal imitation, but soon it became part of<br />

the routine on the swings, and eventually the words and the nonverbal<br />

communications became spontaneous. By teaching some basic skills in<br />

verbal imitation, in simple skills needed to construct a theory of mind<br />

such as joint attention (where both adult and child pay attention to the<br />

same object of interest) and eye contact, the teacher could start to shape<br />

more developmentally appropriate behavior.<br />

More and more, Trevor was able to fit in to the routine of the day<br />

care and behave just like the other children. Once Trevor learned more<br />

communication skills, both verbally and by using his pointing skills, his<br />

frustration level decreased and he became less aggressive. He did not<br />

have to resort to whacking his classmates to get them out of the way.<br />

With an outstretched arm, he could tell them to leave the room when he<br />

wanted to play with one of their toys. In addition, as his play skills improved,<br />

the periods when he would rock in the corner, flick his fingers<br />

in front of his eyes, and look autistic became farther apart. We never<br />

had to design interventions to reduce these “autistic” behaviors; they<br />

disappeared on their own as his social and communication skills improved<br />

overall.<br />

As these positive social relationships developed at day care, the<br />

potential to use the other children in the class as “peer tutors” became<br />

possible. Trevor’s teacher had to coach the other children on how to<br />

interact with Trevor, how to let him take the lead, how to avoid fights,<br />

how not to expect Trevor to share or take turns in play. But if they stuck<br />

to simple games like chasing, tag, and tickling, the other children in the<br />

class could have fun with him and they could play together. Soon<br />

Trevor sought out his classmates and wanted to play tag with them.<br />

Even more exciting was the fact that the other children were inviting<br />

Trevor to play with them. Trevor seemed to be actually enjoying the social<br />

interaction, even if it could be only at a relatively simple level.<br />

Imaginative play with his peers was beyond him at this point. That

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