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How Do We Help A 3.5 Year Old With Receptive Language (labeling Items) If We Know He Hears Us, But Is Unable To Process The Words?

How Do We Help A 3.5 Year Old With Receptive Language (labeling Items) If We Know He Hears Us, But Is Unable To Process The Words?

We have hit a wall with ABA and receptive language. My 3.5 year old son has outsmarted our therapists for 9 months, we though he knew labels for common items. We would ask him to hand us an item from a field of 6 items. We figured out that he was memorizing locations or items, or would only get it correct if prompted first. We know he hears the command "Give me...", but is unable to process it. For example we will say "give me sock" and he will say "ock" several times and hand you a spoon… read more

A MyAutismTeam Member said:

make sure you change the materials or have several examples... ie. several different socks or pictures of socks.

Secondly your ABA consultant should work with you to discuss what the mastery criteria is. Generally you do not count prompted trials towards the 80-90% correct. If he's getting no trials correct without being prompted, then he does not have the skill.

I suggest you move back a step and go to matching these items to first determine if he can discrimated. Is he able to match a sock to a sock, a toothbrush to a toothbrush. Is so, then do sorting. then move to receptive trials but reduce the field to 3.

As always, make sure your reinforcement is REINFORCING to him. If you don't have good reinforcement, there's no point because you won't know if its lack of motivation or lack of understanding.

posted over 8 years ago
A MyAutismTeam Member said:

Work with pictures for communication, so he can understand that pictures have very specific meaning. Do you use pictures for food, drinks, things like that? If not, you could try. As for therapy, it seems obvious, therapist needs to change strategy.

posted over 8 years ago
A MyAutismTeam Member said:

Ate you comfortable with the quality of your ABA provider? If you have another option in your area, you may want to give it a shot. There are lots of different ways to work through this (3D vs 2D labels, reducing the field, game playing, etc). So, if this is the first ABA provider you've tried, you may want to try another. I know from experience that there is a huge difference in results based on the therapist you have. My son currently has a team of 3 ABA therapists, and the results he "gives each one " varies - I wouldn't place the "blame" on the therapist necessarily, it's really dependent on the "match" with your son.

posted over 8 years ago
A MyAutismTeam Member said:

I meant decriminate.... ie. tell the difference of the different objects.

posted over 8 years ago
A MyAutismTeam Member said:

Thank you for all the advice. We have tried some of your suggestions like reducing the field,variable reinforcement and using the items in context. He is very good at figuring things out in context, it is a matter of does he understand "commands" with no gestures or contextual cues. The only way we were able to outsmart him with the task at hand was to have 3 different piles of items, with 3 different kinds of socks, spoons and trains. All 3 items were in each pile, since he memorized what we were asking for. This is where he started to get frustrated and we realized that he really didn't have labels for these items. I think we will need to go back to having him sort items, so that he can discriminate their distinct features. Reinforcement has been a big obstacle, we are constantly having to find new reinforcers.

posted over 8 years ago
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