Validite sociale du traitement de la reponse pivot chez de jeunes enfants autistes : perspectives d'adultes autistes

Auteurs

Résumé

La validite sociale des interventions comportementales pour l'autisme a ete remise en question. Les interventions comportementales developpementales naturalistes (NDBI) tentent de repondre a certaines preoccupations, mais on ne sait pas clairement si les personnes autistes considerent les NDBI comme socialement valides. La validite sociale d'une NDBI, le traitement de la reponse pivot (PRT), a ete examinee au moyen de commentaires d'adultes autistes sur des videos d'enfants autistes recevant le PRT. Le codage qualitatif des reponses a genere trois themes : le respect des individus ; l'evaluation de la mise en oeuvre de l'intervention ; et les considerations socioemotionnelles. Bien que la brievete des videos limite la portee des conclusions de la presente etude, les participants ont mis en evidence des composantes du PRT qui semblaient socialement valides (p. ex., renforcer les tentatives, suivre l'initiative de l'enfant) et des aspects qui semblaient non valides (p. ex., une importance excessive accordee au langage parle). Par consequent, des ajustements semblent necessaires pour que le PRT soit pleinement acceptable pour la communaute autiste.

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