Intervention for Infants at Risk of Developing Autism: A Case Series
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ORIGINAL PAPER
Intervention for Infants at Risk of Developing Autism: A Case Series Jonathan Green • Ming Wai Wan • Jeanne Guiraud • Samina Holsgrove Janet McNally • Vicky Slonims • Mayada Elsabbagh • Tony Charman • Andrew Pickles • Mark Johnson • The BASIS Team
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Springer Science+Business Media New York 2013
Abstract Theory and evidence suggest the potential value of prodromal intervention for infants at risk of developing autism. We report an initial case series (n = 8) of a parent-mediated, video-aided and interaction-focused intervention with infant siblings of autistic probands, beginning at 8–10 months of age. We outline the theory and evidence base behind this model and present data on feasibility, acceptability and measures ranging from parentinfant social interaction, to infant atypical behaviors, attention and cognition. The intervention proves to be both feasible and acceptable to families. Measurement across domains was successful and on larger samples promise to be an effective test of whether such an intervention in infancy will modify emergent atypical developmental trajectories in infants at risk for autism. The BASIS team members are as follows: Simon Baron-Cohen, Patrick Bolton, Kim Davies, Janice Fernandes, Helena Ribeiro, and Leslie Tucker.
Electronic supplementary material The online version of this article (doi:10.1007/s10803-013-1797-8) contains supplementary material, which is available to authorized users. J. Green (&) Institute of Brain, Behaviour and Mental Health, University of Manchester, Room 4.308, Jean McFarlane Building, Oxford Rd, Manchester M13 9PL, UK e-mail: [email protected] M. W. Wan S. Holsgrove J. McNally Institute of Brain, Behaviour and Mental Health, University of Manchester, Jean McFarlane Building, Oxford Rd, Manchester M13 9PL, UK J. Guiraud M. Elsabbagh M. Johnson Centre for Brain and Cognitive Development, Department of Psychological Science, Birkbeck, University of London, The Henry Wellcome Building, London WC1E 7HX, UK
Keywords Autism Intervention Prodromal Infancy Parent–child interaction
Introduction Recent theoretical models of the early emergence of autism spectrum disorder (ASD) have proposed that infant intrinsic risk susceptibilities in brain functioning or behaviour may be amplified by interaction in the early social environment into an increasingly atypical developmental trajectory (Dawson 2008; Elsabbagh and Johnson 2007; Elsabbagh and Johnson 2010). Part of the appeal of such models is their dynamic view of development and the corresponding possibilities they imply for early intervention (Dawson 2008; Wallace and Rogers 2010). ‘Interactive specialization’ theory in developmental neuroscience has detailed how postnatal social experience may influence the specialization and localization of the neural substrates of the developing ‘social brain’: typically developing infants and toddlers are biased to orient towards, attend to, and learn
V. Slonims Guy’s and St Thomas’ NHS Foundation Trust/King’s College London, Great
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