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Improvisers’ experiences across neurotypes of participating in improv comedy 不同神经类型的即兴表演者参与即兴喜剧的经验
IF 1.2 Q3 Medicine Pub Date : 2023-05-12 DOI: 10.1108/aia-09-2022-0047
N. Keates, J. Beadle‐Brown
PurposePrevious studies have confirmed the potential benefits of participating in theatrical improvisation, including improved mental health, well-being, skills and strategy development. This study aims to explore the experiences of improv (a subset of theatrical improvisation) for autistic, non-autistic, yet neurodivergent and neurotypical people. In particular, it explores whether participants believe that there have been any benefits from participating in improv.Design/methodology/approachTwenty adult participants were recruited using snowball sampling. Semi-structured interviews were conducted and analysed using interpretative phenomenological analysis (IPA) and qualitative content analysis (QCA). IPA explored the autistic lived experience during improv participation, while QCA sought to identify the benefits gained.FindingsImplementing IPA allowed for the benefits of improv to be embedded into autistic lived experience. This was aggregated into two themes: “life beyond improv” and “social worlds negative impact”. Findings from QCA found five themes: “creativity and opportunities: the arts and workplace”; “acceptance, cognitive flexibility and rolling with it”; “interpersonal, social and communication skills and human connection”; “gains in mental health, quality of life and wellbeing”; and for just autistic participants, “‘I've gone full autistic’ (and can learn why neurotypicals are like they are)”.Originality/valueTo the best of the authors’ knowledge, this is a novel study area that has not been investigated previously.
目的先前的研究证实了参与戏剧即兴创作的潜在好处,包括改善心理健康、幸福感、技能和策略发展。本研究旨在探索自闭症、非自闭症、神经分化和神经正常人群的即兴表演(戏剧即兴表演的一个子集)体验。特别是,它探讨了参与者是否认为参与即兴表演有任何好处。设计/方法/方法采用滚雪球抽样法招募了20名成年参与者。采用解释性现象学分析(IPA)和定性内容分析(QCA)进行半结构化访谈并进行分析。IPA在即兴表演参与过程中探索了自闭症患者的生活体验,而QCA则试图确定所获得的好处。发现实施IPA可以将即兴表演的好处融入自闭症患者的生活体验中。这被归纳为两个主题:“即兴表演之外的生活”和“社会世界的负面影响”。QCA的调查结果发现了五个主题:“创造力和机会:艺术和工作场所”;“接受、认知灵活性和随波逐流”;“人际、社交和沟通技能以及人际关系”;“心理健康、生活质量和幸福感方面的收益”;对于自闭症参与者,“我已经完全自闭了”(并且可以了解为什么神经正常人是这样的)。独创性/价值据作者所知,这是一个以前没有调查过的新颖研究领域。
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引用次数: 0
Nothing for us, without us: a review of the clinical literature and discursive evidence of interpersonal trauma in autistic women 我们一无所有,没有我们:临床文献回顾和自闭症女性人际创伤的话语证据
IF 1.2 Q3 Medicine Pub Date : 2023-04-17 DOI: 10.1108/aia-11-2021-0046
Alexandra Schnabel, Clem Bastow
PurposeFrom the authors’ personal and professional experiences, they have observed that autistic women are uniquely at risk of interpersonal trauma. Given the tendency for autistic women to be overlooked in research and practice, this study aims to rectify this by exploring the relevant literature and including the voices of autistic women throughout this paper.Design/methodology/approachThis study completed a literature review of quantitative and qualitative data relating to exposure to interpersonal trauma in autistic women. This study also reviewed relevant discursive evidence available on in memoirs and reports. This study also included dialogue between us as authors from an auto/“Autie”-ethnographic position.FindingsBoth clinical literature and discursive evidence support the idea that autistic women are uniquely at risk of interpersonal trauma, in particular, sexual victimisation. Explanatory factors are considered. Studies exploring rates of post-traumatic stress disorder (PTSD) were less consistent. Further evidence is required to better understand how autistic women experience and express PTSD and to inform assessment and treatment modifications.Originality/valueTo the best of the authors’ knowledge, this is the first paper to integrate clinical literature and discursive evidence on the topic of interpersonal trauma in autistic women. It provides useful insights into the experiences of autistic women in this space, directions for urgently needed future research and modifications to clinical practice.
目的从作者的个人和职业经历中,他们观察到自闭症女性有独特的人际创伤风险。鉴于自闭症女性在研究和实践中被忽视的趋势,本研究旨在通过探索相关文献并在本文中纳入自闭症女性的声音来纠正这一现象。设计/方法/方法本研究完成了对自闭症女性暴露于人际创伤的定量和定性数据的文献综述。本研究还回顾了回忆录和报告中的相关论述证据。这项研究还包括了我们作为作者从汽车/“自闭症”-民族志立场的对话。研究结果临床文献和文献证据都支持这样一种观点,即自闭症女性有独特的人际创伤风险,尤其是性伤害。考虑了解释因素。关于创伤后应激障碍(PTSD)发病率的研究不太一致。需要进一步的证据来更好地了解自闭症女性如何经历和表达创伤后应激障碍,并为评估和治疗修改提供信息。原创性/价值据作者所知,这是第一篇将临床文献和话语证据整合在自闭症女性人际创伤主题上的论文。它为自闭症女性在这一领域的经历提供了有用的见解,为急需的未来研究和临床实践的修改提供了方向。
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引用次数: 0
Increasing collaboration and knowledge in school communities to enhance outcomes for autistic students 增加学校社区的合作和知识,以提高自闭症学生的成绩
IF 1.2 Q3 Medicine Pub Date : 2022-12-01 DOI: 10.1108/aia-03-2022-0014
A. Griffiths, Diana Baker, J. Brady, K. Kennedy, A. Valladolid, Rachel Wiegand, Raquel Delgado
PurposeThis paper describes a case study of a developmental program evaluation on the Autism Community Toolkit, a collaborative skills training program for parents and school professionals. The purpose of this study was to examine the influence of the training on participants’ knowledge, competence and perceived collaboration; and potential improvements to the training program.Design/methodology/approachThe program included multiple training sessions for families and school professionals, designed to educate participants on autism, evidence-based interventions and to increase home-school communication and collaboration. Data collection methods included pre- and post-measures and feedback forms.FindingsResults indicated that the training program was beneficial for participants overall. Pre- and posttest measures indicated growth in knowledge and competency in autism interventions. While there were no statistically significant differences in the quantitative measure of collaboration, qualitative results suggest that participants reported increased collaboration posttraining.Practical implicationsOverall, the training program was effective, and the ongoing implementation assessment was conducive to continuous improvement. The authors also discuss difficulties with implementation and recommendations for future intervention implementation.Originality/valueThis case study provides practical information about creating, evaluating and improving a unique intervention designed to support school–home collaboration.
目的本文描述了对自闭症社区工具包的发展项目评估的案例研究,该工具包是一个针对家长和学校专业人员的合作技能培训项目。本研究的目的是检验培训对参与者的知识、能力和感知协作的影响;以及培训计划的潜在改进。设计/方法/方法该计划包括为家庭和学校专业人员举办的多次培训课程,旨在教育参与者自闭症、循证干预措施,并加强家校沟通与合作。数据收集方法包括事前和事后测量以及反馈表格。调查结果表明,培训计划对参与者总体而言是有益的。测试前和测试后的测量结果表明,自闭症干预的知识和能力有所增长。虽然合作的定量测量没有统计学上的显著差异,但定性结果表明,参与者在训练后报告合作增加。实践意义总体而言,培训计划是有效的,正在进行的实施评估有助于持续改进。作者还讨论了实施中的困难以及对未来干预措施实施的建议。独创性/价值本案例研究提供了有关创建、评估和改进旨在支持学校-家庭合作的独特干预措施的实用信息。
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引用次数: 0
The psychometric properties of the Iranian version of Social Communication Questionnaire (SCQ) in children with autism spectrum disorder 伊朗版社会沟通问卷(SCQ)对自闭症谱系障碍儿童的心理测量特性
IF 1.2 Q3 Medicine Pub Date : 2022-11-30 DOI: 10.1108/aia-12-2021-0048
E. Jenabi, N. Rabiei, Mahdieh Seyedi, Mohammad Rezaei, A. Soltanian, S. Bashirian, A. Salehi
PurposeThis study aims to investigate the psychometric properties of the social communication questionnaire (SCQ) in Iran by identifying children with autism spectrum disorder (ASD) who had Persian-speaking parents.Design/methodology/approachA case–control study was performed from June to August 2021 in Hamadan, Iran. The case group consisted of children who were examined by clinicians who used a coding scheme based on the DSM-V criteria for ASD by a psychiatrist. The control group consisted of non-ASD children who were asked to participate in the study. This study conducted the reliability, content and face validity to evaluate the psychometric properties of the tool. In the first step, Kaiser–Meyer–Olkin and Bartlett’s test were used to determine sampling adequacy and appropriateness of correlation matrix. In the second step, the exploratory factor analysis approach was used. The method of extracting the factors is done by using the varimax rotation method and selecting the number of factors using an eigenvalue and scree plot. Statistical analysis was performed using Software Package for Social Sciences 21 with the statistical significance set at level less than 0.05.FindingsThe quantitative content validity analysis revealed that the mean of content validity ratio and content validity index were 0.92 and 0.91, respectively. Mean score ± standard deviation in the two groups of ASD and control were 14.23 ± 3.84 and 7.83 ± 4.80, respectively. With cut-off point >12.5, sensitivity, specificity and misclassification error values were 73.33%, 80.0% and 23%, respectively.Research limitations/implicationsThe results showed that the internal consistency of the SCQ is desirable. Also, the internal consistency of its five subscales was obtained between 0.700 and 0.87. The findings showed that SCQ questionnaire is highly reliable in reciprocal social interaction (Factor 1) and the total score, while other factors were relatively reliable.Originality/valueTo the best of the authors’ knowledge, this is the first paper on psychometric properties of SCQ in ASD children in Iran.
目的通过对父母为波斯语的自闭症谱系障碍(ASD)儿童进行识别,探讨伊朗儿童社会交际问卷(SCQ)的心理测量特征。设计/方法学/方法2021年6月至8月在伊朗哈马丹进行了一项病例对照研究。病例组由临床医生检查的儿童组成,临床医生使用基于DSM-V标准的编码方案,由精神科医生检查ASD。对照组由非asd儿童组成,他们被要求参加这项研究。本研究通过信度、内容和面效度来评价该工具的心理测量特性。第一步采用Kaiser-Meyer-Olkin和Bartlett检验来确定相关矩阵的抽样充分性和适当性。第二步,采用探索性因子分析方法。提取因子的方法是采用最大变量旋转法,利用特征值和屏幕图选择因子个数。采用软件包for Social Sciences 21进行统计学分析,统计学显著性设为水平< 0.05。结果定量内容效度分析显示,内容效度比均值为0.92,内容效度指数均值为0.91。ASD组和对照组的平均评分±标准差分别为14.23±3.84和7.83±4.80。在截断点>12.5下,敏感性、特异性和误分类误差值分别为73.33%、80.0%和23%。研究局限/启示结果表明,SCQ的内部一致性是可取的。五个分量表的内部一致性在0.700 ~ 0.87之间。结果表明,SCQ问卷在互惠社会互动(因子1)和总分上具有较高的信度,而其他因子则相对可靠。原创性/价值据作者所知,这是第一篇关于伊朗ASD儿童SCQ心理测量特征的论文。
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引用次数: 1
Editorial 社论
IF 1.2 Q3 Medicine Pub Date : 2022-10-13 DOI: 10.1108/aia-10-2022-076
V. Chester, S. Tromans
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引用次数: 0
Experiences of equine assisted therapy for females with autism spectrum disorders 马辅助治疗女性自闭症谱系障碍的经验
IF 1.2 Q3 Medicine Pub Date : 2022-08-31 DOI: 10.1108/aia-10-2021-0040
Katie Warner, S. Keville, Jemma Hockley, A. Ludlow
PurposeThis research indicates females with autism spectrum disorders (ASDs) have a diverse clinical presentation compared to males. Furthermore, females with ASD are often diagnosed later and typically experience greater levels of mental health difficulties. Evidence suggests that clinic-based verbal interventions for ASD have limited efficacy; therefore, alternative therapies, such as equine-assisted therapies (EATs), are gaining recognition. The purpose of this study was to directly explore the experiences of females with an ASD who have undertaken EAT.Design/methodology/approachFive female participants with a diagnosis of ASD were recruited from two equine therapy centres. Participants were aged between 15 and 30 years and undertook semi-structured interviews, which were analysed using interpretative phenomenological analysis.FindingsThree superordinate themes emerged: the difficult experience of the social world, the process of EAT and the emotional impact of horses.Originality/valueDirectly exploring the experiences of females with ASD highlights benefits from engaging therapeutically with horses, building confidence and independence to transferring this into more effective social communication with other people. Offering emotion-focused therapeutic complementary interventions for females with ASD should be forefronted to help remediate the impact of difficult and sometimes traumatic earlier experiences in the social world. This requires increased funding for EAT, combined with larger-scale research projects to evaluate this.
目的本研究提示女性自闭症谱系障碍(asd)患者的临床表现与男性患者不同。此外,患有自闭症谱系障碍的女性往往诊断较晚,通常会经历更大程度的精神健康问题。有证据表明,临床语言干预对ASD的效果有限;因此,替代疗法,如马辅助疗法(EATs),正在获得认可。本研究的目的是直接探讨患有ASD的女性接受饮食治疗的经历。设计/方法/方法从两个马治疗中心招募了5名诊断为ASD的女性参与者。参与者年龄在15至30岁之间,并进行了半结构化访谈,使用解释性现象学分析对其进行了分析。研究发现:三个最重要的主题出现了:社会世界的艰难经历、EAT的过程和马的情感影响。独创性/价值直接探索患有ASD的女性的经历,突出了与马进行治疗的好处,建立了自信和独立性,并将其转化为与他人更有效的社会沟通。为患有自闭症谱系障碍的女性提供以情感为中心的补充性治疗干预措施,应该放在首位,以帮助纠正社会世界中困难的、有时是创伤性的早期经历的影响。这需要增加对生态环境评估的资助,并结合更大规模的研究项目来评估这一点。
{"title":"Experiences of equine assisted therapy for females with autism spectrum disorders","authors":"Katie Warner, S. Keville, Jemma Hockley, A. Ludlow","doi":"10.1108/aia-10-2021-0040","DOIUrl":"https://doi.org/10.1108/aia-10-2021-0040","url":null,"abstract":"\u0000Purpose\u0000This research indicates females with autism spectrum disorders (ASDs) have a diverse clinical presentation compared to males. Furthermore, females with ASD are often diagnosed later and typically experience greater levels of mental health difficulties. Evidence suggests that clinic-based verbal interventions for ASD have limited efficacy; therefore, alternative therapies, such as equine-assisted therapies (EATs), are gaining recognition. The purpose of this study was to directly explore the experiences of females with an ASD who have undertaken EAT.\u0000\u0000\u0000Design/methodology/approach\u0000Five female participants with a diagnosis of ASD were recruited from two equine therapy centres. Participants were aged between 15 and 30 years and undertook semi-structured interviews, which were analysed using interpretative phenomenological analysis.\u0000\u0000\u0000Findings\u0000Three superordinate themes emerged: the difficult experience of the social world, the process of EAT and the emotional impact of horses.\u0000\u0000\u0000Originality/value\u0000Directly exploring the experiences of females with ASD highlights benefits from engaging therapeutically with horses, building confidence and independence to transferring this into more effective social communication with other people. Offering emotion-focused therapeutic complementary interventions for females with ASD should be forefronted to help remediate the impact of difficult and sometimes traumatic earlier experiences in the social world. This requires increased funding for EAT, combined with larger-scale research projects to evaluate this.\u0000","PeriodicalId":43640,"journal":{"name":"Advances in Autism","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42446877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies used by students with autism when solving multiplicative problems: an exploratory study 自闭症学生解决乘法问题的策略:一项探索性研究
IF 1.2 Q3 Medicine Pub Date : 2022-08-23 DOI: 10.1108/aia-03-2021-0017
J. Goñi-Cervera, María Cristina Martínez Romillo, I. Polo-Blanco
PurposeThis paper aims to study the strategies used by ten students diagnosed with autism when solving multiplication and division problems because these operations are rarely studied in students with this condition.Design/methodology/approachThis study conducted an exploratory study with ten students diagnosed with autism to explore and describe the strategies used in solving equal group problems. The authors also describe in detail the case of a student whom the authors deem to be representative because of the reasoning the student employed.FindingsThe informal strategies that they used are described, as well as the difficulties observed in the various problems, depending on the operation required to solve them. The strategies used include direct modeling with counting and others that relied on incorrect additive relationships, with strategies based on multiplication and division operations being scarce. Difficulties were observed in several problems, with measurement division being particularly challenging for the study participants.Practical implicationsThe detailed description of the strategies used by the students revealed the meanings that they associate with the operations they are executing and brought to light potential difficulties, which can help teachers plan their instruction.Originality/valueThis research supplements other studies focusing on mathematical problem-solving with autistic students.
目的本文旨在研究10名被诊断为自闭症的学生在解决乘法和除法问题时使用的策略,因为这些运算很少在自闭症学生中进行研究。设计/方法/方法本研究对10名被诊断为自闭症的学生进行了一项探索性研究,以探索和描述解决平等群体问题的策略。作者还详细描述了一名学生的情况,作者认为该学生具有代表性,因为该学生采用了推理方法。发现描述了他们使用的非正式策略,以及在各种问题中观察到的困难,这取决于解决这些问题所需的操作。所使用的策略包括使用计数的直接建模和其他依赖于不正确的加性关系的策略,而基于乘法和除法运算的策略很少。在几个问题中观察到了困难,测量部门对研究参与者来说尤其具有挑战性。实践含义对学生使用的策略的详细描述揭示了他们与正在执行的操作相关联的含义,并揭示了潜在的困难,这可以帮助教师计划他们的教学。独创性/价值这项研究补充了其他关注自闭症学生数学问题解决的研究。
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引用次数: 0
Reducing perseverative requesting and other problem behavior in a young girl with autism: a sequentially implemented intervention package 减少自闭症年轻女孩的持续请求和其他问题行为:一个顺序实施的干预包
IF 1.2 Q3 Medicine Pub Date : 2022-08-18 DOI: 10.1108/aia-09-2020-0055
Mo Chen, Shelley Kreibich
PurposeThis study aims to use a sequentially implemented intervention package to reduce the occurrence of perseverative requesting and other problem behavior in a young girl with autism spectrum disorder (ASD).Design/methodology/approachIn this single-case study, subsequent to a functional analysis and a preference assessment, an intervention package consisting of three components (i.e. a tolerance for delay to reinforcement, choice-making and visual schedule) was implemented sequentially to address perseverative requesting and other problem behavior maintained by access to preferred items/activities in a young girl with ASD.FindingsVia the intervention package, the girl demonstrated higher self-control skills (i.e. delaying access to preferred items/activities, choosing more preferred items/activities with delayed access over less preferred ones with immediate access, completing tasks before having access to preferred items/activities) with a reduction of perseverative requesting or other problem behavior.Originality/valueThe current case study presents concrete steps that could be applied to address tangible-maintained perseverative requesting using more natural and educationally relevant signals while improving the child’s appropriate skills (e.g. delay to reinforcement, self-control and task engagement).
目的本研究旨在使用顺序实施的干预包来减少自闭症谱系障碍(ASD)年轻女孩持续请求和其他问题行为的发生。设计/方法/方法在这项单一案例研究中,在功能分析和偏好评估之后,一个由三个组成部分组成的干预包(即对强化延迟的容忍度、选择和视觉时间表)被依次实施,以解决患有ASD的年轻女孩通过获得首选项目/活动而保持的持续请求和其他问题行为,女孩表现出更高的自我控制能力(即,延迟获得偏好的项目/活动,选择延迟获得的更偏好的项目或活动,而不是立即获得的不太偏好的项目和活动,在获得偏好项目/活动之前完成任务),并减少了持续的请求或其他问题行为。独创性/价值当前的案例研究提出了具体的步骤,可用于解决有形的、持续的、使用更自然和教育相关的信号的请求,同时提高孩子的适当技能(如延迟强化、自我控制和任务参与)。
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引用次数: 0
Impact of critical pedagogy on professional learning for post-16 education 批判性教学法对16岁后教育专业学习的影响
IF 1.2 Q3 Medicine Pub Date : 2022-08-17 DOI: 10.1108/aia-11-2021-0045
C. Conn, N. Mahoney, Yasmeen Multani, Jodie Rees
PurposeProfessional learning has been highlighted as critical to improvement in educational practice for Autistic learners. Empirical evidence about what is effective for professional learning in education suggests it is a “bottom-up” process of intellectual, practical and emotional engagement and application of new knowledge to specific contexts. The purpose of this study was to gather information about postgraduate professional learning that sought to combine lived experience with reflection on practice in a critical pedagogy approach for practitioners working with Autistic learners in post-16 education.Design/methodology/approachParticipants in the study represented all further education (FE) colleges in Wales and included experienced teachers and leaders, most of whom have a role focused on inclusion and learning support within their setting. Two phases of data collection were carried out, namely, a baseline survey (n = 36) and follow-up interviews (n = 15) at the end of the year of study. Interviews explored personal experiences of learning, knowledge and beliefs about practice and change in this respect and professionals’ priorities for the development of practice.FindingsFindings present information gathered from the interviews and indicate that the course did not provide practitioners with new knowledge about autism but supported the development of more nuanced understandings of autism and more professional confidence about practice. However, familiarisation with lived experience and critical reflection on practice were described as supporting the questioning of basic assumptions and greater appreciation of the nature of difference for Autistic learners.Originality/valueStudy findings reframe what should be considered the focus of support practices for Autistic learners in FE.
目的专业学习是提高自闭症学习者教育实践水平的关键。关于什么对教育专业学习有效的经验证据表明,这是一个“自下而上”的过程,包括智力、实践和情感参与,以及将新知识应用于特定环境。本研究的目的是收集有关研究生专业学习的信息,这些信息试图将生活经验与实践反思结合起来,为从事16岁后自闭症学习者教育的从业者提供一种批判性教学法方法。设计/方法/方法研究的参与者代表了威尔士所有的继续教育(FE)学院,包括经验丰富的教师和领导,他们中的大多数人都专注于在他们的环境中融入和学习支持。数据收集进行了两个阶段,即基线调查(n = 36)和研究年度结束时的随访访谈(n = 15)。访谈探讨了个人的学习经历、对实践的认识和信念,以及在这方面的变化和专业人员对实践发展的优先事项。调查结果从访谈中收集到的信息表明,该课程并没有为从业者提供关于自闭症的新知识,但支持了对自闭症更细致的理解和对实践更专业的信心的发展。然而,对生活经验的熟悉和对实践的批判性反思被描述为支持对基本假设的质疑和对自闭症学习者差异本质的更好欣赏。独创性/价值研究结果重新定义了在英语教学中应该考虑的自闭症学习者支持实践的重点。
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引用次数: 0
The application of adapted dialectical behaviour therapy concepts and skills in the treatment of adults with autistic spectrum disorder who display challenging or offending behaviours 适应辩证行为治疗的概念和技巧在治疗成人自闭症谱系障碍谁显示挑战或冒犯行为的应用
IF 1.2 Q3 Medicine Pub Date : 2022-08-17 DOI: 10.1108/aia-01-2022-0002
J. Sakdalan, Yvonne Maxwell
PurposeDespite some advances in the assessment and treatment of autism spectrum disorder (ASD), there remains a paucity of intervention and research literature in treating adults with ASD. There is growing evidence supporting a relationship between the core features of ASD and emotion dysregulation. There is an overlap between ASD and borderline personality disorder (BPD) characteristics such as emotional dysregulation, sensory issues and social skills deficits. This paper aims to explore the applications of dialectical behaviour therapy (DBT) concepts and skills in treating ASD individuals who display challenging or offending behaviours. The similarities in characteristics between ASD and BPD and the core issue of emotion dysregulation hold promise in the utility of DBT with ASD.Design/methodology/approachThis is a conceptual paper that includes a case vignette.FindingsA DBT-informed treatment approach using the adaptations and reconceptualization, i.e. risky mind–wise mind outlined in this paper, can be considered promising in addressing issues for ASD individuals, particularly those with challenging and/or offending behaviours. DBT incorporates different elements of applied behaviour analysis, cognitive behavioural therapy, mindfulness skills, sensory-based treatments, psychosocial interventions and emotion regulation skills, which makes it a more cohesive and integrated approach to treatment. The authors assert that DBT can be considered a more integrated, strengths-based, habilitative and trauma-informed approach which can be promising in its application to address challenging behaviours or offending in ASD individuals.Research limitations/implicationsIt is recommended that research be carried out to evaluate the effectiveness of adapted DBT programs in treating ASD individuals presenting with challenging and/or offending behaviours. Future research can focus on evaluating the effectiveness of the different DBT concepts and skills and the different DBT modules to determine which components of the program are particularly useful for this client group.Practical implicationsTreatment manuals have already been developed for clients with intellectual disability and developmental disabilities who exhibit challenging and/or offending behaviour; hence, it is recommended that modifications be made to make it more applicable and appropriate for ASD individuals. Modifications should address ASD-specific issues (e.g. black and white thinking, cognitive rigidity, sensory issues, impaired theory of mind, emotion dysregulation issues, social skills deficits and anxiety issues). The use of DBT has much wider implications regarding addressing comorbid mental health conditions and personality issues in this client group.Originality/valueThere are limited psychological interventions that prove to be useful for individuals with ASD with complex presentations and challenging or offending behaviours. This paper discusses the application of a
目的尽管在自闭症谱系障碍(ASD)的评估和治疗方面取得了一些进展,但在治疗成人ASD方面仍然缺乏干预和研究文献。越来越多的证据支持ASD的核心特征与情绪失调之间的关系。ASD和边缘型人格障碍(BPD)特征之间存在重叠,如情绪失调、感官问题和社交技能缺陷。本文旨在探索辩证行为疗法(DBT)概念和技能在治疗表现出挑战性或冒犯性行为的ASD患者中的应用。ASD和BPD在特征上的相似性,以及情绪失调的核心问题,为DBT在ASD中的应用提供了希望。设计/方法论/方法这是一篇概念性论文,其中包括一个案例小插曲。发现使用适应和重新概念化的DBT知情治疗方法,即本文中概述的风险思维-明智思维,可以被认为有希望解决自闭症谱系障碍患者的问题,特别是那些有挑战性和/或冒犯性行为的患者。DBT融合了应用行为分析、认知行为治疗、正念技能、基于感觉的治疗、心理社会干预和情绪调节技能的不同元素,使其成为一种更具凝聚力和综合性的治疗方法。作者断言,DBT可以被认为是一种更为综合、基于优势、适应能力和创伤知情的方法,在解决自闭症谱系障碍患者的挑战性行为或冒犯方面有前景。研究局限性/含义建议进行研究,以评估适应性DBT计划在治疗具有挑战性和/或冒犯性行为的ASD个体方面的有效性。未来的研究可以侧重于评估不同DBT概念和技能以及不同DBT模块的有效性,以确定该计划的哪些组成部分对该客户群体特别有用。实际含义已经为表现出挑战和/或冒犯行为的智力残疾和发育残疾客户制定了治疗手册;因此,建议对其进行修改,使其更适用于ASD个体。修改应解决自闭症谱系障碍的具体问题(如黑人和白人思维、认知僵化、感官问题、心理理论受损、情绪失调问题、社交技能缺陷和焦虑问题)。DBT的使用对解决该客户群体中的共病心理健康状况和个性问题具有更广泛的意义。独创性/价值有限的心理干预措施被证明对表现复杂、有挑战性或冒犯性行为的自闭症谱系障碍患者有用。本文讨论了适应的DBT概念和技能的应用,这些概念和技能在治疗这一客户群体方面似乎很有前景。
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Advances in Autism
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