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Autism:Technology &
Communication - Part 2
Gwendolyn Meier Eberhard, SLP, MT	

Villa Esperanza Services	

!
geberhard@villaesperanzaservices.org
Moving to Budapest!
Moving to Budapest!
AAC Assessment
The snapshot	

•Test of icon
recognition (e.g.,
TASP)	

•Present a few
systems	

•Final
recommendation

The full assessment	

•Initial impression	

•System trial/
teaching period	

•Final
recommendation
Teaching Hungarian
• HOW are we teaching this new language?	

Hungarian:	

• More likely to learn in meaningful
chunks at first	

• Before segmentation occurs
Is there someone here who speaks English?!
Beszél itt valaki angolul? !
(BE-seyl it VÅ-lå-ki ÅN-go-loul)
Where is the toilet? !
Hol van a mosdó? !
(hol vån å MOSH-doa?)!
Teaching AAC
• HOW are we teaching this new language?	

In AAC:	

• More likely to learn sequences made
meaningful by the reaction they elicit	

!
Teaching Hungarian
• HOW are we teaching this new language?	

Hungarian:	

• Flashcards?	

• Scripted interaction?	

• Conversation?
How are we teaching this new language?
Contexts:	

• Labeling? 	

• Requesting?	

• Answering
questions?	

• Scripted
interaction?	

• Conversation?	

Taught through:

• Icon recognition?	

• Verbal cues? 	

• Motor patterns?	

• Gesture cues?	

• Visual cues?
Teaching Language in
Autism
• Use strengths to shore up weaknesses	

In autism:
(-) Auditory weakness	

(-) Symbolic weakness	

(+)Visual strength 	

(+/- ?) Motor skills
Teaching Language in
Autism
• Modeling and Augmented input highlight the
auditory boundaries between words	

‣ Human speech alone does not
Teaching AAC Language
• Neurons that fire together, wire
together (Hebb’s rule)	

In AAC:	

• Hearing language	

• Seeing language
Model and Expand Language
In typical development
In AAC development
Images: Joan Cafiero, 2004 via Tannish & Farrall, 2013
Synonyms
• Modeling Language	

• Augmented Input (AI)	

• Aided Language Input	

• Aided Language Stimulation (ALgS)	

• Aided Language Support	

• Simultaneous Communication
Aided Language Input/	

Aided Language Stimulation
Definition:
• A communication strategy, where a
communication partner teaches symbol
meaning and models language by combining
his or her own verbal input with selection
of vocabulary on the Augmentative and
Alternative Communication (AAC) system.
AAC Institute, retrieved online 2013
Aided Language Input/	

Aided Language Stimulation
• This is done by simultaneously selecting
vocabulary on the AAC system while
speaking to the augmented communicator
(AC).
Aided Language Input
I, me, mine like have go
you see help stop
want come more no, not
pudding cup popcorn pretzels
crackers apple oranges
Aided Language Input
Low Tech / High Tech
2 Purposes for
Augmenting Input
	
  1.	
  Words	
  are	
  modeled	
  to	
  s.mulate	
  use	
  of	
  core	
  vocabulary	
  	
  
and	
  encourage	
  communica.on	
  exchange.	
  	
  
•Modeled	
  words	
  do	
  not	
  need	
  to	
  be	
  repeated	
  back	
  	
  
•	
  Language	
  matches	
  the	
  process	
  of	
  normal	
  language	
  
acquisi.on	
  
•The	
  augmented	
  communicator	
  sees	
  and	
  hears	
  
language	
  produced	
  via	
  an	
  AAC	
  system	
  
•EVENTUALLY	
  says	
  that	
  language	
  him/herself	
  on	
  the	
  AAC	
  
system
GailVanTatenhove, 2014
2 Purposes for
Augmenting Input
2.	
  Words	
  are	
  modeled	
  to	
  give	
  an	
  example	
  of	
  what	
  
the	
  augmented	
  communicator	
  could	
  say.	
  	
  
•	
  Communica.on	
  partner	
  might	
  verbally	
  say	
  “you	
  
could	
  say	
  ....I	
  want	
  to	
  play	
  that	
  game”	
  	
  
•	
  While	
  modeling	
  “I	
  want	
  to	
  play	
  that	
  game.”	
  	
  
•	
  THE	
  HOPE	
  -­‐	
  the	
  augmented	
  communicator	
  
repeats	
  part	
  or	
  all	
  of	
  the	
  language	
  modeled
GailVanTatenhove, 2014
Multi-Sensory Language
Modeling & Augmented Input	

• See the visual, See the movement, Hear the
auditory feedback, Experience the natural
consequence
Picture-Supported Input
Input with Pictures
Output with Pictures
General Intervention Principles
Functional & Fun	

• Communication is not something you can
force a person to do	

• It must help the person achieve their own
purpose or function:	

• Get something they want	

• Avoid something negative	

• Connect with others	

• Share an opinion
Interesting Motivating
Useful
General Intervention Principles
• FUN! - Learning occurs when positive
emotion or affect is present
General Intervention
Principles
Person-Directed	

• Helping the learner feel “in control”
General Intervention Principles
Person-Directed	

• Personal power and control are critical to
becoming an independent, internally motivated
communicator	

The power to:	

• Control what and when activities occur	

• Control the pace of an activity	

• Express both positive and negative opinions
General Intervention Principles
Good Teaching	

• Follow the person’s lead	

• Build on the person’s interests	

• Carefully use barriers	

• Be surprising and novel	

• React naturally
Modeling with Pogg
General Intervention
Principles
Good Teaching	

• Be honest about communication attempts -
be an interpreter	

• I hear you using your voice to talk to me, but
I don’t know what you are saying	

• Use the words on your [system] so ANYONE
can understand what you want
General Intervention Principles
Model Language	

• Provide short but complete verbal models	

• Provide aided language input - when you
talk to help in picture comprehension and
learning simple language structure
General Intervention
Principles
Model Language	

• Demonstrate expressive language on their
system or a second system
Modeling / Augmented Input at
Early Language Stages
• Requires pre-planning	

• Occupies valuable ‘real estate’ on the
visual display
I want to say
Modeling / Augmented Input at
Early Language Stages
• Takes dedicated modeller(s) 	

• Like oral language development - aided
language development also TAKES TIME
General Intervention Principles
Learning Language & Symbols	

• Words are learned in a single context, but
quickly broaden in their meaning
“GO”	

1. (Electronic toy with movement, light or music)	

2. Make sure individual is attending to AAC device.	

3. Select “GO”. Say,“Go”	

4. Say,“Make it go.”	

5. Say,“Want to make it go?”	

• Other Ideas for ways to use “GO” in
conversation include: Getting to the car or
down a school hall in increments, playing music
a bit at a time, leaving out the door
General Intervention Principles
Learning Language & Symbols	

• Words are learned in a single context, but
quickly broaden in their meaning
“TURN”	

1. (When motivated by book reading)	

2. Make sure individual is attending to AAC
device.	

3. Select “TURN”. Say,“Turn.”	

4. Say,“Turn the page.”	

5. Say,“Want to turn the page?”	

• Other ideas for using “TURN” in conversation:
Spinning toys, play with office chair, jack-in-the-
box,
General Intervention Principles
Learning Language & Symbols	

• Expand concepts - language learning is a
continual process of decontextualization.
Using the same words:	

• In different activities	

• With different people	

• In different settings	

• Teach language and pictures in context
“DIFFERENT”	

1. (Preferred and less preferred activities to choose)	

2. Provide less preferred item in the presence of a more
preferred item.	

3. Make sure individual is attending to AAC device.	

4. Select “DIFFERENT”. Say,“Different”	

5. Say,“I want something different.”	

6. Say,“Want something different?”	

• Other Ideas for ways to use “DIFFERENT” in
conversation include:When disinterest is obvious -
model the language and offer another choice, food &
drink choices, recreational app choices.
“GO IN”	

1. Make sure individual is attending to AAC
device.	

2. Select “GO” and “IN.” Say,“Go in.”	

3. Say,“I want to go in.”	

4. Say,“Would you like to go in?”	

• Other Ideas for other words to use in
conversation with “GO” include: Out, up,
down, left, right, on, off, here, there, etc.
From:The Pixon Language and Learning Activity Notebook, GailVanTatenhove, 2009
“TURN UP”	

1. Make sure individual is attending to AAC
device.	

2. Select “TURN” and “UP.” Say,“Turn up.”	

3. Say,“I want to turn it up.”	

4. Say,“Would you like to turn it up?”	

• Other ideas for other words to use in
conversation with “TURN” include: Down, it,
on, off, left, right, around, back, over, this, that
From:The Pixon Language and Learning Activity Notebook, GailVanTatenhove, 2009
2-word Phrases with Core
Vocabulary
• what that, what is,
what do	

• want help, I help, help
you, need help	

• do that, you do, I do,
do it, do more	

• it all gone, that all
gone	

• look that, look there	

• more that, want more	

• give me more, get
more	

• do again, look again,
get again	

• different thing, do
different, different one	

• want stop, stop that,
all done this
Modeling / Augmented Input at
Early Language Stages
General Intervention Principles
Learning Language & Symbols	

• Use motor skills to learn the location and
the language - Receptive ID is not a
prerequisite
Core Words in ASD
Core Words as Request
• Receptive ID for PUT and ON? 	

• How is she going to learn to use
“Put” + “on” to request?
What about now?
Teaching AAC Language
• Neurons that fire together, wire together
(Hebb’s rule)	

!
• Hearing 	

• Seeing	

• Add motor pattern
= Multi-sensory stimulation
General Intervention Principles
Hiding /Visual Masking	

• Focus on target words	

• Reduce random word selection
Getting Started with Core
Vocabulary
• again	

• all done	

• all gone	

• different	

• do	

• help	

• look	

• more	

• stop	

• what	

• turn	

• different
Getting Started with Core 	

Actions
• come	

• get 	

• give	

• go	

• have	

• make	

• put	

• tell	

• see	

• take	

• turn	

• watch
General Intervention Principles
Hiding /Visual Masking	

• Support person-directed therapy - in
response to a new topic, quickly reveal
hidden vocabulary in app
General Intervention Principles
Hiding /Visual Masking	

• Support long-range planning - hiding in a
robust vocabulary leaves words there for
later learning (reducing development time)
General Intervention Principles
DISADVANTAGES of Hiding	

• Limits aided language input	

• Limits person-directed interaction
Getting Communication Going
In autism we know we can teach: 	

!
!
Cause-and-Effect Requesting
!
!
!
Cause-and-Effect Rejecting
!
• Builds “buy-in”	

• Adds pay-off to the effort of communicating	

• BUT DON’T STOP HERE!	

• It’s very easy to get stuck on requesting
START with One-word/One-button
Requesting for items, actions or
recurrence (“more”)
Early Pragmatic Communicative
Functions
• Attention Directing	

• Requesting	

• Rejecting	

• Greeting	

• Self-Expression and Self-Assertion	

• Naming	

• Commenting	

• Giving Information / Requesting Information
In ASD, modeling is essential to:
First) Model the use and power of additional
functions of communication: attention
directing, commenting, sharing opinions,
greeting
!
Oops - Sorry - I like it - I don’t like it -
Look - Oh man - That’s funny - gross -
etc.
In ASD, modeling is essential to:
First) Model the use and power of additional
functions of communication: attention
directing, commenting, sharing opinions,
greeting	

Then) We can worry about teaching the
vocabulary/symbol location for these
functions - after they know WHY
Getting Started with
AAC
Early Communication Goals:	

• To encourage the communicator to direct the
behavior or actions of others and the course of
any activity with words instead of behavior.	

• To expand the person’s ability to request and
direct action with core action words	

✦ Also Model: Comments and sharing
opinions
Getting Started with
AAC
Early Participation Goals:	

• Deliver a whole-button message (efficient)	

• Participate in a social scripted interaction
Thank you!
Email: geberhard@villaesperanzaservices.org	

!
Blog: www.scaacn.blogspot.com	

Facebook: facebook.com/socalaac.scaacn	

Twitter: @scaacn

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ComPTIA Overview | Comptia Security+ Book SY0-701
 

Autism:Technology & Communication - Part 2, Univ. of Redlands, 11.15.14

  • 1. Autism:Technology & Communication - Part 2 Gwendolyn Meier Eberhard, SLP, MT Villa Esperanza Services ! geberhard@villaesperanzaservices.org
  • 4. AAC Assessment The snapshot •Test of icon recognition (e.g., TASP) •Present a few systems •Final recommendation
 The full assessment •Initial impression •System trial/ teaching period •Final recommendation
  • 5. Teaching Hungarian • HOW are we teaching this new language? Hungarian: • More likely to learn in meaningful chunks at first • Before segmentation occurs Is there someone here who speaks English?! Beszél itt valaki angolul? ! (BE-seyl it VÅ-lå-ki ÅN-go-loul) Where is the toilet? ! Hol van a mosdó? ! (hol vån å MOSH-doa?)!
  • 6. Teaching AAC • HOW are we teaching this new language? In AAC: • More likely to learn sequences made meaningful by the reaction they elicit !
  • 7. Teaching Hungarian • HOW are we teaching this new language? Hungarian: • Flashcards? • Scripted interaction? • Conversation?
  • 8. How are we teaching this new language? Contexts: • Labeling? • Requesting? • Answering questions? • Scripted interaction? • Conversation? Taught through:
 • Icon recognition? • Verbal cues? • Motor patterns? • Gesture cues? • Visual cues?
  • 9. Teaching Language in Autism • Use strengths to shore up weaknesses In autism: (-) Auditory weakness (-) Symbolic weakness (+)Visual strength (+/- ?) Motor skills
  • 10. Teaching Language in Autism • Modeling and Augmented input highlight the auditory boundaries between words ‣ Human speech alone does not
  • 11. Teaching AAC Language • Neurons that fire together, wire together (Hebb’s rule) In AAC: • Hearing language • Seeing language
  • 12.
  • 13. Model and Expand Language In typical development In AAC development
  • 14. Images: Joan Cafiero, 2004 via Tannish & Farrall, 2013
  • 15. Synonyms • Modeling Language • Augmented Input (AI) • Aided Language Input • Aided Language Stimulation (ALgS) • Aided Language Support • Simultaneous Communication
  • 16. Aided Language Input/ Aided Language Stimulation Definition: • A communication strategy, where a communication partner teaches symbol meaning and models language by combining his or her own verbal input with selection of vocabulary on the Augmentative and Alternative Communication (AAC) system. AAC Institute, retrieved online 2013
  • 17. Aided Language Input/ Aided Language Stimulation • This is done by simultaneously selecting vocabulary on the AAC system while speaking to the augmented communicator (AC).
  • 18.
  • 19. Aided Language Input I, me, mine like have go you see help stop want come more no, not pudding cup popcorn pretzels crackers apple oranges
  • 21. Low Tech / High Tech
  • 22. 2 Purposes for Augmenting Input  1.  Words  are  modeled  to  s.mulate  use  of  core  vocabulary     and  encourage  communica.on  exchange.     •Modeled  words  do  not  need  to  be  repeated  back     •  Language  matches  the  process  of  normal  language   acquisi.on   •The  augmented  communicator  sees  and  hears   language  produced  via  an  AAC  system   •EVENTUALLY  says  that  language  him/herself  on  the  AAC   system GailVanTatenhove, 2014
  • 23. 2 Purposes for Augmenting Input 2.  Words  are  modeled  to  give  an  example  of  what   the  augmented  communicator  could  say.     •  Communica.on  partner  might  verbally  say  “you   could  say  ....I  want  to  play  that  game”     •  While  modeling  “I  want  to  play  that  game.”     •  THE  HOPE  -­‐  the  augmented  communicator   repeats  part  or  all  of  the  language  modeled GailVanTatenhove, 2014
  • 24. Multi-Sensory Language Modeling & Augmented Input • See the visual, See the movement, Hear the auditory feedback, Experience the natural consequence
  • 25. Picture-Supported Input Input with Pictures Output with Pictures
  • 26.
  • 27. General Intervention Principles Functional & Fun • Communication is not something you can force a person to do • It must help the person achieve their own purpose or function: • Get something they want • Avoid something negative • Connect with others • Share an opinion
  • 29. General Intervention Principles • FUN! - Learning occurs when positive emotion or affect is present
  • 31. General Intervention Principles Person-Directed • Personal power and control are critical to becoming an independent, internally motivated communicator The power to: • Control what and when activities occur • Control the pace of an activity • Express both positive and negative opinions
  • 32. General Intervention Principles Good Teaching • Follow the person’s lead • Build on the person’s interests • Carefully use barriers • Be surprising and novel • React naturally
  • 34. General Intervention Principles Good Teaching • Be honest about communication attempts - be an interpreter • I hear you using your voice to talk to me, but I don’t know what you are saying • Use the words on your [system] so ANYONE can understand what you want
  • 35. General Intervention Principles Model Language • Provide short but complete verbal models • Provide aided language input - when you talk to help in picture comprehension and learning simple language structure
  • 36. General Intervention Principles Model Language • Demonstrate expressive language on their system or a second system
  • 37. Modeling / Augmented Input at Early Language Stages • Requires pre-planning • Occupies valuable ‘real estate’ on the visual display I want to say
  • 38. Modeling / Augmented Input at Early Language Stages • Takes dedicated modeller(s) • Like oral language development - aided language development also TAKES TIME
  • 39. General Intervention Principles Learning Language & Symbols • Words are learned in a single context, but quickly broaden in their meaning
  • 40. “GO” 1. (Electronic toy with movement, light or music) 2. Make sure individual is attending to AAC device. 3. Select “GO”. Say,“Go” 4. Say,“Make it go.” 5. Say,“Want to make it go?” • Other Ideas for ways to use “GO” in conversation include: Getting to the car or down a school hall in increments, playing music a bit at a time, leaving out the door
  • 41. General Intervention Principles Learning Language & Symbols • Words are learned in a single context, but quickly broaden in their meaning
  • 42. “TURN” 1. (When motivated by book reading) 2. Make sure individual is attending to AAC device. 3. Select “TURN”. Say,“Turn.” 4. Say,“Turn the page.” 5. Say,“Want to turn the page?” • Other ideas for using “TURN” in conversation: Spinning toys, play with office chair, jack-in-the- box,
  • 43. General Intervention Principles Learning Language & Symbols • Expand concepts - language learning is a continual process of decontextualization. Using the same words: • In different activities • With different people • In different settings • Teach language and pictures in context
  • 44. “DIFFERENT” 1. (Preferred and less preferred activities to choose) 2. Provide less preferred item in the presence of a more preferred item. 3. Make sure individual is attending to AAC device. 4. Select “DIFFERENT”. Say,“Different” 5. Say,“I want something different.” 6. Say,“Want something different?” • Other Ideas for ways to use “DIFFERENT” in conversation include:When disinterest is obvious - model the language and offer another choice, food & drink choices, recreational app choices.
  • 45. “GO IN” 1. Make sure individual is attending to AAC device. 2. Select “GO” and “IN.” Say,“Go in.” 3. Say,“I want to go in.” 4. Say,“Would you like to go in?” • Other Ideas for other words to use in conversation with “GO” include: Out, up, down, left, right, on, off, here, there, etc. From:The Pixon Language and Learning Activity Notebook, GailVanTatenhove, 2009
  • 46. “TURN UP” 1. Make sure individual is attending to AAC device. 2. Select “TURN” and “UP.” Say,“Turn up.” 3. Say,“I want to turn it up.” 4. Say,“Would you like to turn it up?” • Other ideas for other words to use in conversation with “TURN” include: Down, it, on, off, left, right, around, back, over, this, that From:The Pixon Language and Learning Activity Notebook, GailVanTatenhove, 2009
  • 47. 2-word Phrases with Core Vocabulary • what that, what is, what do • want help, I help, help you, need help • do that, you do, I do, do it, do more • it all gone, that all gone • look that, look there • more that, want more • give me more, get more • do again, look again, get again • different thing, do different, different one • want stop, stop that, all done this
  • 48. Modeling / Augmented Input at Early Language Stages
  • 49. General Intervention Principles Learning Language & Symbols • Use motor skills to learn the location and the language - Receptive ID is not a prerequisite
  • 51. Core Words as Request
  • 52. • Receptive ID for PUT and ON? • How is she going to learn to use “Put” + “on” to request?
  • 54. Teaching AAC Language • Neurons that fire together, wire together (Hebb’s rule) ! • Hearing • Seeing • Add motor pattern = Multi-sensory stimulation
  • 55. General Intervention Principles Hiding /Visual Masking • Focus on target words • Reduce random word selection
  • 56. Getting Started with Core Vocabulary • again • all done • all gone • different • do • help • look • more • stop • what • turn • different
  • 57. Getting Started with Core Actions • come • get • give • go • have • make • put • tell • see • take • turn • watch
  • 58. General Intervention Principles Hiding /Visual Masking • Support person-directed therapy - in response to a new topic, quickly reveal hidden vocabulary in app
  • 59. General Intervention Principles Hiding /Visual Masking • Support long-range planning - hiding in a robust vocabulary leaves words there for later learning (reducing development time)
  • 60. General Intervention Principles DISADVANTAGES of Hiding • Limits aided language input • Limits person-directed interaction
  • 61. Getting Communication Going In autism we know we can teach: ! ! Cause-and-Effect Requesting ! ! ! Cause-and-Effect Rejecting
  • 62. ! • Builds “buy-in” • Adds pay-off to the effort of communicating • BUT DON’T STOP HERE! • It’s very easy to get stuck on requesting START with One-word/One-button Requesting for items, actions or recurrence (“more”)
  • 63. Early Pragmatic Communicative Functions • Attention Directing • Requesting • Rejecting • Greeting • Self-Expression and Self-Assertion • Naming • Commenting • Giving Information / Requesting Information
  • 64. In ASD, modeling is essential to: First) Model the use and power of additional functions of communication: attention directing, commenting, sharing opinions, greeting ! Oops - Sorry - I like it - I don’t like it - Look - Oh man - That’s funny - gross - etc.
  • 65.
  • 66. In ASD, modeling is essential to: First) Model the use and power of additional functions of communication: attention directing, commenting, sharing opinions, greeting Then) We can worry about teaching the vocabulary/symbol location for these functions - after they know WHY
  • 67. Getting Started with AAC Early Communication Goals: • To encourage the communicator to direct the behavior or actions of others and the course of any activity with words instead of behavior. • To expand the person’s ability to request and direct action with core action words ✦ Also Model: Comments and sharing opinions
  • 68. Getting Started with AAC Early Participation Goals: • Deliver a whole-button message (efficient) • Participate in a social scripted interaction
  • 69. Thank you! Email: geberhard@villaesperanzaservices.org ! Blog: www.scaacn.blogspot.com Facebook: facebook.com/socalaac.scaacn Twitter: @scaacn