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Communication difficulties form a part of the diagnostic criteria for autism spectrum disorders. Therefore, some degree of language impairment characterizes all autistic children. For those who cannot enunciate syllables or words clearly, have problems with fluency, or experience difficulty eating and swallowing, a classic speech therapist teaches proper pronunciation, helps strengthen weak mouth and jaw muscles, and works with food textures and temperatures to improve oral skills. However, most children with autism do not need that type of therapy. Vocabulary makes up only a small portion of speech. Improving eye contact, understanding what words mean, using them appropriately in a sentence, and teaching children to express themselves and carry on a conversation are all important aspects of social communication and language.
Speech language therapy While a few autistic children do need help with articulation and other oral issues, speechlanguage pathologists trained and experienced in autisms unique processing difficulties and communication deficits mainly focus on language and communication activities.
Words carry power. They make things happen. Through speaking and conversation, a child learns that talking can get him what he wants. Speech and language therapy goes beyond articulation and seeks to teach autistic children that communicating is a worthwhile activity. It encourages one-on-one or small group engagement in a home environment, clinical setting, or classroom; and uses applied behavior analysis (ABA) principles sometimes referred to as verbal behavior (VB). Related: Applied Behavior Analysis (ABA) for Autism While the details of each individual program depend on where the child falls on the spectrum, his developmental difficulties, and why he is specifically having language problems (as determined by a speech-language pathologists evaluation), most intervention plans involve keeping the child engaged through games of interaction and repetition, increased eye contact, and encouragement of expression. Through small, but measurable verbal behaviors, a child learns:
to imitate through modeling (echoic) how to make requests (mand) how to label items in his environment (tact) better comprehension and eventually conversation
By using pictures or picture boards, objects, and books, and by interacting through talking, games, and other activities, a therapist hopes to stimulate or increase vocabulary, grammar skills, problem solving, and sequencing; and thereby improve overall speech and language development.
This shows the child that talking brings benefits and is worth the effort to learn, since he now sees speech as a way to fulfill his needs and desires. With the reinforcement strongly tied to the request, it also strengthens the likelihood that the same verbal behavior will occur in the future, as well as the probability that the childs interest will be sparked enough to begin naming other objects on his own. Whether the therapist teaches requests, labeling, expression, grammar, or any other language or communication technique, as in basic ABA principles, speech-language therapy also uses prompts to make learning as errorless as possible. Language is far too complex to allow frustration to override what an autistic child can accomplish through teaching in small steps and using positive reinforcement.
Related: Teaching Life Skills to Autistic Children Once parents have a handful of possible motivational triggers, they can move what interests the child to where he can no longer reach it. However, objects should always be partly visible to keep the child interested. Instead of using a bowl of fruit to decorate the kitchen counter, a parent can place it on top of the refrigerator in such a way that the child can still see it. Likewise, parents can do the same thing with toys. Instead of keeping a childs favorite truck sitting on top of his dresser, place it on a higher shelf inside his closet. There are many ways parents can incorporate speech-language therapy, activities, and games into a childs day. It just takes thought, and a little time and effort. For typical children, teens, and adults, speech and language comes naturally, but parents of autistic children can train themselves to become more aware of the possibilities. In addition to the games, activities, and exercises learned at speech-language therapy sessions, parents should watch for different times throughout the day when communication takes place through talking. New awareness can bring a crop of ideas that will get an autistic child to speak. Change does have its consequences though. Autistic children resist anything that is different. But the benefits that come from better communication will help a child in all areas of his life, not just speech.