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Engaging Autism: Helping Children Relate, Communicate and Think with the DIR Floortime Approach
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Engaging Autism: Helping Children Relate, Communicate and Think with the DIR Floortime Approachby Stanley I. Greenspan
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23 of 24 people found the following review helpful: Autism and Floortime, April 4, 2006 Reviewer:Lynne Roberts - This is a detailed look at a difficult subject but for the parent of a child with autism it is one of those stones that should not go unturned. Dr. Greenspan makes the extraordinary claim that he has treated thousands of children and adults with ASD and has never seen one that could not be moved forward on the spectrum, not even one. In many cases they have been be able to join their peers in full healthy emotional and intellectual lives. Dr. Greenspan is no quack. He is Clinical Professor of Psychiatry and Pediatrics at George Washington University Medical School. He and Dr. Serena Wieder have spent the last twenty five years developing the approach they call Floortime. Their thesis is that all learning begins with emotion. The tiniest infant typically bonds and begins to communicate with its mother because it finds that communication pleasurable and desirable. Each little step in the process represents a foundational building block required for the next step. Children with autism have missed some of those building blocks. The idea behind Floortime is to meet the child wherever she is emotionally. Find what the child likes to do. Join her in the activity. Follow her lead and establish an emotional bond that can be used to communicate in a way the child finds pleasurable. That in turn can allow her to put some of the missing foundation in place. Over time the child moves up on the spectrum. I find Dr. Greenspan's success stories inspirational. My four year old grandson has made remarkable progress in the two years since he was diagnosed with autism. He plays with his peers, makes strong eye contact, and laughs with his dad. But for the past six months or so he seems to be stuck on a language plateau. He hasn't regressed, but beyond asking for what he wants he is distressingly quiet, rarely engaging in conversation though he loves to sing. And his stimming has gotten worse. Don't bother to look it up. You won't find it in Webster's, not even in the unabridged edition. It's what Greenspan calls self-stimulation and Weston's mother calls sensory overload. Weston dances on his toes in what Mom and Dad call his happy dance. He also paces incessantly back and forth in a little trot. He is excessively excited and that appears to be interfering with his therapy. If I understand Greenspan, he would see it as an opportunity. Weston does that because it makes him feel good. So dance with him, sing with him and if he wants to trot, trot. Let him share his pleasure with you. Turn it into a game. It could be a non-verbal game that would help him develop an appreciation for non-verbal cues such as tone of voice, body language, even flirting. It just might add a foundation building block. That would be a wonderful thing.
From Publishers Weekly
Greenspan and Wieder (The Child with Special Needs) start out by redefining autism in realistic yet positive terms which open the door for successful intervention: instead of focusing solely on the autistic spectrum, a more flexible axis measuring progress, on which placement is not fixed, can give parents and children a "a healthy developmental trajectory," taking into account such goals as "showing intimacy and warmth communicating with gestures and talking meaningfully." The authors give readers a pragmatic approach to thinking about people on the autistic spectrum, including specific ideas for enhancing connectivity and communication in people of any age, most of whom "rarely advance intellectually above the ten-to-twelve-year-old level when they could progress far beyond the level of concrete thinking," if only there were a curriculum that would "challenge them to do so." Most of the text is used to help develop an engaging program for someone with autism, including resources and examples, in order to address "relationships, specific behaviors, the creative use of ideas, and the various processing areas." This is essential reading for caregivers, parents and friends of people on the spectrum, as well as compelling reading for anyone who wants to learn more about autism.
Copyright © Reed business Information, a division of Reed Elsevier Inc. All rights reserved.
Library Journal, starred Review 04/12/06
"[An] excellent book…The definitive guide to Greenspans respected 'floortime' methodilluminatinghighly recommended."
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