Promoting Spontaneous Speech in Autism – Behavioral Therapies and/or BHB?

One key issue for most people with more severe autism (DSM5 level 3, any DSM3, or just SDA – Strictly Defined Autism) is getting them to fully use their capacity to communicate. Many such people do learn to talk, but often this is a very matter of fact kind of speech, that is limited to answering questions and making requests. Often the limiting factor is not vocabulary, grammar or vocalization. Many can put ideas in words on paper, they can sing and read aloud; but something is lacking when it comes to conversation. You can use behavioral therapy (like Verbal Behavior, VB) and some of the more relevant parts of speech therapy to encourage more extensive speech, but it is a real slog. When you spend less time on 1:1 “speech training”, in order to develop academic school work, you end up with less speech. I was discussing this with Monty’s assistants, the need to take a step back and refocus on speech as a skill, in addition to regular school work. It is good to be able to master ...