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Cited by 243Autism Spectrum Disorder ResearchBehavioral and Psychological StudiesChild Nutrition and Feeding Issues

Pivotal Areas in Intervention for Autism

Koegel, Robert L., Koegel, Lynn Kern, McNerney, Erin K.·2001·Journal of Clinical Child & Adolescent Psychology
DOI 10.1207/s15374424jccp3001_4
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Abstract

Discusses several core pivotal areas that appear to be influential in intervention for autism. Literature and outcome data are reviewed with respect to several core areas that appear to be particularly helpful in intervention for autism, including improving motivation, responsivity to multiple cues, self-management, and self-initiation of social interactions. A conceptual framework is described, and outcome data are reviewed suggesting that when children with autism are motivated to initiate complex social interactions, it may reverse a cycle of impairment, resulting in exceptionally favorable intervention outcomes for many children. Because the peripheral features of autism can be numerous and extensive, the concept of intervention for pivotal areas of functioning may be critical if children are to be habilitated in a time- and cost-efficient manner.

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Crossref · 10.1207/s15374424jccp3001_4

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147 of 147 references verified0 citation errors · 0 not checkable

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  • In behavioral treatment programs, young children with ASD profit less from social rewards than from non-social reinforcers.

    “In fact, in behavioral treatment programs, young children with ASD profit less from the use of social rewards than from non-social reinforcers [42,43]”

    From Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications (2012) · cites this paper as [42]

  • A weak social 'wanting' circuitry suggests that particularly strong social cues, in combination with other strategies to boost attention and engagement, might be necessary for individuals with ASD to establish motivational salience and initiate desired behaviors.

    “A weak social ‘wanting’ circuitry suggests that particularly strong social cues, in combination with other strategies to boost attention and engagement [2], might be necessary for individuals with ASD to help them establish motivational salience and initiate desired behaviors [4,42].”

    From Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications (2012) · cites this paper as [42]

  • Initial behavioral modification programs using operant conditioning with powerful reinforcers showed only limited generalization effects to daily social function.

    “The initial behavioral modification programs attempted to create responsiveness to social stimuli through operant conditioning using already powerful reinforcers (for example, food [43,188,189]), but this approach only showed limited generalization effects to daily social function [42].”

    From Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications (2012) · cites this paper as [42]

  • Later programs focusing on functional analysis of problem behaviors were more successful in addressing core deficits.

    “Later programs focusing on the functional (that is, contextual) analysis of problem behaviors were more successful in addressing core deficits [3,5,6,32,42,190-196].”

    From Social “wanting” dysfunction in autism: neurobiological underpinnings and treatment implications (2012) · cites this paper as [42]

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Authors
Koegel, R. L., Koegel, L. K., & McNerney, E. K.
Affiliations
University of California, Santa Barbara (US)
ORCID
Venue
Journal of Clinical Child & Adolescent Psychology
Publisher
Informa UK Limited
Published
2001-02-01
Volume
30
Issue
1
Pages
19-32
ISSN
  • 1537-4416 (ISSN-L)
  • 1537-4424
DOI
10.1207/s15374424jccp3001_4
OpenAlex
W2015957449
Cited by
243
References
150
Citations by year
2026: 1 · 2025: 15 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 14 · 2020: 15 · 2019: 6 · 2018: 9 · 2017: 9 · 2016: 9 · 2015: 11 · 2014: 18 · 2013: 12 · 2012: 13
FWCI
1.57
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Child & Adolescent Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH 28210)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
autism spectrum disorder, autism intervention, motivation, self-management, social initiation, social interaction, intervention outcomes, conceptual framework
MeSH terms
Autistic Disorder, Child, Cues, Humans, Models, Psychological, Motivation, Physical Stimulation, Reinforcement, Psychology, Self Care, Social Behavior, Treatment Outcome

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