A therapeutic approach for ASD: method and outcome of the DERBBI – Developmental, Emotional Regulation and Body-Based Intervention
Abstract
Autism spectrum disorder (ASD) is a neurodevelopmental disorder displaying individual impairments in social interaction, communication skills, interest and behaviours. In the last decade several studies have been published on the approaches that can be used with ASD children.
This study illustrated the therapeutic approach of the DERRBI method, defined as a relational and body based intervention. The research described the symptoms and emotional development outcomes of ASD children aged 21–66 months, after 2 of the 4 years of planned therapy; the study group included both children who had received a diagnosis of autism and children (under 30 months) who had a risk of developing symptoms.
Approximately 78% of the children with a more severe ASD symptomatology after two years of therapy maintained this diagnosis, instead, among children with a less severe ASD symptomatology, about the 67% after two years of therapy no longer fulfilled the ADOS-2 criteria for autism. Among the children who were at risk of developing the autistic symptomatology, about the 42% no longer showed this risk after 2 years of therapy. The improvements that the children showed in their ability to understand the intentions of others and to contact the emotions of others were also investigated. The findings of this study have underlined the importance of early positive indicators which, among the Autisms, could be defined a specific subpopulation that get better benefits from such a type of intervention.
Keyword
Full Text
PDF (English)Riferimenti bibliografici
Alvarez, A. (2012). The thinking heart: three levels of psychoanalytic therapy with disturbed children. Hove, UK: Routledge.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM–5). Washington, DC.
Anzieu , D. , Houzel , D. , Missenard , A. , Enriquez , M. , Anzieu , A. , Guillaumin , J. , Doron , J. , Lecourt , E. , & Nathan , T. (1987). Les enveloppes psychiques [The psychic envelopes] Paris, France : Dunod .
Baranek, G. T., Woynaroski, T. G., Nowell, S., Turner-Brown, L., DuBay, M., Crais, E. R., & Watson, L. R. (2017). Cascading effects of attention disengagement and sensory seeking on social symptoms in a community sample of infants at-risk for a future diagnosis of autism spectrum disorder. Developmental Cognitive Neuroscience, 29, 30–40.
Baranek, G. T., Carlson, M., Sideris, J., Kirby, A. V., Watson, L. R., Williams, K. L., & Bulluck, J. (2019). Longitudinal assessment of stability of sensory features in children with autism spectrum disorder or other developmental disabilities. Autism Research, 12(1), 100-111.
Baron-Cohen, S. (1991). Precursors to a theory of mind: understanding attention in others. In A. Whiten (Ed.), Natural theories of mind: evolution, development and simulation of everyday mindreading. Oxford, UK: Basil Blackwell (pp. 233-251).
Barthelemy C, Haumeury L, & Lelord G (1995). L’autisme de l’enfant. La Thérapie d’Echange et de développment. Paris: Expansion Scientifique Françaises.
Beall, P. M , Moody, E. J., McIntosh, D. N., Hepburn, S. L., & Reed, C. L. (2008). Rapid facial reactions to emotional facial expressions in typically developing children and children with autism spectrum disorder. J. Exp. Child Psychol. 101(3):206–23
Bion, W. R. (1967). Second thoughts. London. UK: William Heinemann.
Braten, S. (2009). The intersubjective mirrorin infant learning and evolution of speech. Amsterdam/Philadelphia: John Benjamins Publishing Company.
Center for Disease Control and Prevention (CDC). (2014). Prevalence of Autism spectrum disorder among children aged 8 years— Autism and developmental disabilities monitoring network, 11 Sites, United States, 2010. Morbidity and Mortality Weekly Reports (MMWR), 63(2), 1–24.
Charman, T., Howlin, P., Berry, B., & Prince, E. (2004). Measuring developmental progress of children with autism spectrum disorder on school entry using parent report. Autism, 8(1), 89-100.
Chelini, G., Zerbi, V., Cimino, L., Grigoli, A., Markicevic, M., Libera, F., & Galbusera, A. (2018). Aberrant somatosensory processing and connectivity in mice lacking Engrailed-2. Journal of Neuroscience, 0612-18.
Choi, B., Leech, K. A., Tager-Flusberg, H., & Nelson, C. A. (2018). Development of fine motor skills is associated with expressive language outcomes in infants at high and low risk for autism spectrum disorder. Journal of neurodevelopmental disorders, 10(1), 14.
Damasio, A. (2010). The Self Comes to Mind. NewYork, NY:Pantheon.
Damiano-Goodwin, C. R., Woynaroski, T. G., Simon, D. M., Ibañez, L. V., Murias, M., Kirby, A., & Cascio, C. J. (2018). Developmental sequelae and neurophysiologic substrates of sensory seeking in infant siblings of children with autism spectrum disorder. Developmental cognitive neuroscience, 29, 41-53.
Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics, 125(1), 17-23.
Di Renzo, M. (2017). The Theoretical Principles of the Body-Centered Therapy to Promote Affective Attunement in Children with Autism Spectrum Disorder. Journal of Behavioral and Brain Science, 7, 12. doi:10.4236/jbbs.2017.712039
Di Renzo, M., & Stinà, M. (2011). TCE – Test del Contagio Emotivo [Emotional Contagion Test]. Florence, Italy: Hogrefe Eds.
Di Renzo, M., Bianchi di Castelbianco, F., Vanadia, E., Petrillo, M., Racinaro, L., & Rea, M. (2016a). From the emotional integration to the cognitive construction: the developmental approach of Turtle Project in children with autism spectrum disorder. Autism Open Access , 6, 160.
Di Renzo, M., Bianchi di Castelbianco, F., Vanadia, E., Petrillo, M., Racinaro, L., & Rea, M. (2016b). T.U.L.I.P. Protocol (TCE, UOI, Leiter-R as Indicators of Predictivity) for the Assessment of the Developmental Potential in Children with Autism Spectrum Disorders. Autism Open Access, 6, 188. https://doi.org/10.4172/2165-7890.1000188
Di Renzo, M., Bianchi Di Castelbianco, Plescia, F., Racinaro, L., Petrillo, M., & Rea, M. (2016c). The understanding of others intentions can predict the improvement of symptomatology in children with autism – An exploratory study. Current Pediatric Research 20, 2, 183-192
Di Renzo, M., Bianchi Di Castelbianco, F., Petrillo, M., Racinaro, L., Donaera, F., & Rea, M. (2016d). The Emotional Contagion in Children with Autism Spectrum Disorder. Austin Journal Autism & Related Disability , 2, 1020.
Di Renzo, M., Bianchi di Castelbianco, F., Vanadia, E., Racinaro, L., & Rea, M. (2017a). The psychomotor profile in children with autistic spectrum disorders: clinical assessments and implications for therapy. Autism Open Access, 7, 209.
Donnellan, A. M., Hill, D. A., & Leary, M. R. (2013). Rethinking autism: implications of sensory and movement differences for understanding and support. Frontiers in integrative neuroscience, 6, 124.
Esposito, G., .& Venuti, P. (2008) . Analysis of toddlers' gait after six months of independent walking to identify autism. Perceptual and Motor Skills, 106:259-269.
Freud, A. (1965). Normality and pathology in childhood assessments of development. London, UK: Karnac Books.
Gallese,V. (2006). Intentional attunement: a neurophysiological perspective on social cognition and its disruption in autism. Brain Research, 1079, 15–24. doi:10.1016/j.brainres.2006. 01.05
Greenspan, S., & Wieder, S. (1997). An integrated developmental approach to interventions for young children with severe difficulties in relating and communicating. Zero to Three, 17, 5-18.
Hamadneh, S., Alazzam, M., Kassab, M., & Barahmeh, S. (2019). Evaluation of Intervention Programs for Children with Autism. International Journal of Pediatrics, 7(4), 9341-9347.
Hardy, M. W., & Blythe La Gasse, A. (2013). Rhythm, movement and autism: using rhythmic rehabilitation research as a model for autism. Frontiers Integrative Neuroscience, 7, 19 .doi: 10.3389/fnint.2013.00019
Helt, M., Kelley, E., Kinsbourne, M., Pandey, J., Boorstein, H., Herbert, M., & Fein, D. (2008). Can children with autism recover? If so, how?. Neuropsychology review, 18(4), 339-366.
Hepburn, S., Philofsky, A., Fidler, D. J., & Rogers, S. (2008). Autism symptoms in toddlers with Down syndrome: A descriptive study. Journal of Applied Research in Intellectual Disabilities, 21, 48–57.
Holloway, J. M., Long, T. M., & Biasini, F. (2018). Relationships Between Gross Motor Skills and Social Function in Young Boys With Autism Spectrum Disorder. Pediatric Physical Therapy, 30(3), 184-190.
Inzani, L., Cazzaniga, I., Martelli, D., & Salina, P. R. (2004). Il contagio emotivo: quando le emozioni “passano” tra le persone. ACP–Rivista di Studi Rogersiani.
Khalil, R., Tindle, R., Boraud, T., Moustafa, A. A., & Karim, A. A. (2018). Social decision making in autism: On the impact of mirror neurons, motor control, and imitative behaviors. CNS neuroscience & therapeutics, 24(8), 669-676.
Kostrubiec, V., Huys, R., Jas, B., & Kruck, J. (2018). Age-dependent Relationship Between Socio-adaptability and Motor Coordination in High Functioning Children with Autism Spectrum Disorder. Journal of autism and developmental disorders, 48(1), 209-224.
Lelord, G., Barthelemy-Gault, C., Sauvage, D., & Ariot, J.C. (1978). Les Thérapeutiques d’échange et de développmental (TED) dans les troubles graves de la peronalité chez l’enfant. Concours Méd.
Lord, C., Rutter, M., Di Lavore, P. C., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule, second edition. Torrance, CA: Western Psychological Services.
Meltzoff, A.N. (1995). Understanding the intention of others: Re-enactment of intended acts by 18-months- olds. Development Psychology, 31, 838-850.
Nadel, J. (2006). Does imitation matter to children with autism?. In R. J. Williams (Ed.) Imitation and the social mind (pp.118–137). NewYork,NY: TheGuilfordPress.
Panksepp, J., & Biven, L. (2012). The Archaeology of Mind: Neuroevolutionary Origins of Human Emotions. NewYork, NY: Norton.
Piaget, J. (1951). Play, dreams and imitation in childhood. New York: Norton.
Rogers, S. J., & Dawson, G. (2010). Early Start Denver Model for young children with autism: Promoting language, learning, and engagement. Guilford Press.
Roid, G. H., & Miller, L. J. (2002). Leiter–R: Leiter International Performance Scale–Revised. Florence, Italy: O.S. Organizzazioni Speciali.
Scambler, D. J., Hepburn, S., Rutherford, M. D., Wehner, E. A., Rogers, S. J. (2007). Emotional responsivity in children with autism, children with other developmental disabilities, and children with typical development. Journal of Autism Developmental Disorder, 37, 3, 553-63.
Schore, A. (2003). Affect regulation and the repair of the self. NewYork, NY:Norton.
Schore, A. (2012). The Science of The Art of Psychotherapy. New York:Norton.
Shafer, R. L., Newell, K. M., Lewis, M. H., & Bodfish, J. W. (2017). A cohesive framework for motor stereotypy in typical and atypical development: The role of sensorimotor integration. Frontiers in integrative neuroscience, 11, 19.
Smith, A. (2009). The Empathy Imbalance Hypothesis of Autism: A Theoretical Approach to Cognitive and Emotional Empathy in Autistic Development. The Psychological Record, 59, 489-510
Solomon, W., Holland, C., & Middleton, M. J. (2012). Autism and understanding: the waldon approach to child development. Los Angeles-London-NewDelhi-Singapore-Washington: Sage
Stern, D. N. (2004). The present moment in psychotherapy and everyday life. New York: Norton.
Stern, D. N. (2010). Forms of Vitality: Exploring Dynamic Experience in Psychology, the Arts, Psychotherapy and Development. Oxford: Oxford University Press.
Sutera, S., Pandey, J., Esser, E. L., Rosenthal, M. A., Wilson, L. B., Barton, M., ... & Fein, D. (2007). Predictors of optimal outcome in toddlers diagnosed with autism spectrum disorders. Journal of autism and developmental disorders, 37(1), 98-107.
Tomasello, M., Carpenter, M., Call, J., Behne, T., & Moll, H. (2005). Understanding and sharing intentions: The origins of cultural cognition. Behavioral and brain sciences, 28(5), 675-691.
Trevarthen, C. (2001). Infant intersubjectivity: research, theory, and clinical applications. Journal of Child Psychology and Psychiatry, 42, 3-48. doi:10.1111/1469-7610.00701
Trevarthen, C., & Delafield-Butt, J. T. (2013). Autism as a developmental disorder in intentional movement and affective control. Frontiers in integrative neuroscience, 7, 49, 1-16. doi:10.3389/fnint.2013.00049
Tronick, E. Z., Bruschweiler‐Stern, N., Harrison, A. M., Lyons‐Ruth, K., Morgan, A. C., Nahum, J. P., ... & Stern, D. N. (1998). Dyadically expanded states of consciousness and the process of therapeutic change. Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health, 19(3), 290-299.
Turner, L. M., & Stone, W. L. (2007). Variability in outcome for children with an ASD diagnosis at age 2. Journal of Child Psychology and Psychiatry, 48(8), 793-802.
West, K. L. (2018). Infant motor development in autism spectrum disorder: A synthesis and meta‐analysis. Child development.
Winnicott, D. W. (1989). Psychoanalytic explorations. London, UK: Karnac Books.
Woolfenden, S., Sarkozy, V., Ridley, G., & Williams, K. (2012). A systematic review of the diagnostic stability of autism spectrum disorder. Research in Autism Spectrum Disorders, 6(1), 345-354.
Zwaigenbaum, L., Bauman, M. L., Choueiri, R., Kasari, C., Carter, A., Granpeesheh, D., & Pierce, K. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: recommendations for practice and research. Pediatrics, 136 (Supplement 1), S60-S81.
Refback
- Non ci sono refbacks, per ora.
ISSN: 2035-4630, Open-acess, peer-reviewed Journal, Tribunale di Roma 142/09, 04/05/09 - dir. responsabile: G. Colajacomo
Creative Commons - BY-NC-SA 4.0