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What is the difference between ABA, floortime and Relationship Development Intervention?

43 replies

oodlesofdoodles · 15/10/2011 21:21

Is there a difference between ABA, Floortime and Relationship Development Intervention? Or are they all brand names of pretty similar approaches?

OP posts:
saintlyjimjams · 18/10/2011 10:36

lingle they have published a couple of books full of ideas/exercises. I can't remember the name, but iirc they're published by jessica kinglsey.

Hang on will search.

saintlyjimjams · 18/10/2011 10:39

this was the book we had although there will be others published by now. It had lots of exercises, but ds1 could only do about one of them, maybe 2. IIRC it was divided into stages - so you could work your way up through different levels of complexity. We did try, it just didn't seem to be suitable for ds1 and I wasn't going to pay thousands to have a consultant tell me something that wasn't going to work :cynical:

lingle · 18/10/2011 11:58

that's kind of you, thank you.

we are at the "filling gaps" level so it should be suitable for us (everything is easy now compared to three years ago).

I don't think you're cynical at all. If it is profit-making, or even if there is just a lot of pressure to cover costs, then they are going to focus on the biggest market aren't they?

saintlyjimjams · 18/10/2011 12:03

Oh I think the biggest issue I had with RDI, was that they kept telling me it could work with my son, but then would suggest something that was never going to work and did not remotely take into account his inability to imitate.

I'm pretty cynical about most autism 'experts' these days tbh. Most have not been as good with ds1 as the surfers Grin

lingle · 18/10/2011 14:33

"Most have not been as good with ds1 as the surfers "

well funnily enough I sort of feel something similar now DS2 is borderline. I could read up about this RDI thing. Or I could let his relationship with his brother and his little friend do the work.

saintlyjimjams · 18/10/2011 14:44

Oh don't let my cynicism stop you Grin I don't know I've just been disappointed with a lot of autism 'experts' - they often don't seem to see ds1. And many charge ridiculous fees. I have sort of discovered the less I pay the better someone tends to me Confused Hmm Grin

StarlightMcKenzie · 18/10/2011 15:02

Snap saintly. There appears to be this ridiculous notion that the more you pay for SN things, the better they will work and that just isn't the case. Usually the less you pay, the more functional and less gimmicky.

sphil · 18/10/2011 16:59

We have pretty much binned all therapies too, not not without much soul-searching on my part. The Growing Minds VB programme was great and we still use ABA/VB teaching methods all the time but we have found that nothing really 'sticks' with DS unless it is done within the context of a highly motivating activity and/or it really matters to him. So he learnt loads of stuff at the table with ABA and could generalise it too, but he never EVER used it spontaneously unless it was something desirable. If we could find a 'key' activity, like Jimjams' Ds's surfing, we'd be away, because if he's involved in a motivating activity he learns very quickly. For example, a friend who's an excellent trampolinist (is that a word?) taught him a sequence of movements in 30 minutes the other day, and although she wasn't trying to get him to speak, he was using much more language than he ever does usually, and it was completely spontaneous. And I know this is all about reinforcement, and as such is pure ABA, but with DS the reinforcement has to be intrinsic to the thing he's learning, rather than an add-on - if that makes sense.

Within the limits of his language ability, Ds2 is pretty good at the emotional/social stuff: he can tease, share a joke and is extremely affectionate. He references us all the time to check our reactions to things and if he is enjoying an activity or someone's company, his eye contact is excellent.We do a lot of Floortime/Intensive Interaction type games with him, and always have done, and I believe that his strong engagement has much to do with this.

Latest idea is to convert a room in our house into a softplay/sensory area and to use that for therapy - for example teaching verbs and putting them into sentences - within the highly motivating framework of being bounced, thrown about, tickled and spun!

saintlyjimjams · 18/10/2011 20:07

Yes that intrinsic reinforcement is an issue.

Ds1 got to the stage where he just would not cooperate in any formal type learning out of school and he objected in every way he could. Eventually I came to the conclusion it was pointless. He's been a lot happier and learned a lot more since we binned that side of things.

Sphil - have you seen the Floortime style gyms on the Floortime website/videos - DS1 would love them! I did look into putting one together but it was just too expensive.

sphil · 18/10/2011 20:52

No! Will go and look now. I have designed our room using the Rompa catalogue ( on OTs advice) but its very much a work in progress. Cant fit much in - some blocks for balancing/climbing, a hollow cylinder for crawling, rolling and balancing, an indoor trampoline and a suspension point for swings etc. And even that is horrendously expensive. We're going to apply for a grant from Cerebra for most of it, otherwise it wont happen. Id also like friends children to be able to play there.

oodlesofdoodles · 18/10/2011 21:16

Thanks for all the info everyone. I do feel that my DS missed out on certain stages of development. Not that I believe the brain can be rewired.

I like starlight's tower building game. I was trying to help DS find Wally today in a Where's Wally book, but he just refused to follow my gaze. Whenever we play eye spy he needs big exaggerated gestures to follow.

More books to read then....

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sphil · 18/10/2011 21:22

Jimjams - have you got a link to video or pictures of those gyms? Ive looked on Floortime website but cant find anything, though I remember watching footage of children playing on big suspended swings and other equipment.

While I was searching though, I came across a very interesting web chat with Stanley Greenspan, where he talks about the vital importance of getting your child to do sequences of actions, gradually increasing in complexity, and how doing this has all sorts of positive effects on brain function. And it made me wonder about yr DS1 and the surfing - whether the balance and movement required is having a positive effect on him in other ways than the obvious physical benefits? I am absolutely positive that teaching Ds2 to sequence actions is the key to progress - so much of what he cant do is a result of his problems with motor planning.

oodlesofdoodles · 18/10/2011 21:47

I agree with your Greenspan point sphill - in some totally vague way. When I see DS eg trying to get his bike out the garage and put his coat on upside down at the same time, I think that's how he approaches language and communication as well. If he could just sort things out step by step life would be so much easier.
Not sure how old your DC is, but we have been going to a lovely gym class for preschoolers. The instructor is very patient and understanding and it's been great to see DS improving balance and confidence over the weeks.

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saintlyjimjams · 18/10/2011 21:47

It was in those Stan the Man lectures sphil - or maybe the ones by Serena Williams. They ran that online course on sensory integration didn't they? It might have been there.

I don't know sphil. TBH I think a lot of the benefit comes from having a public space where he can, to a certain extent, be himself. Everyone knows him there now. I was at the beach with him one evening and he ran into the lifeguards hut. I heard a chorus of 'Hi DS1' - from three people stuck my head around the door and I didn't know any of them! Grin ds1 was looking pretty chilled standing amongst them. But because he's known there it means it's safe space to learn acceptable public behaviour - and it's somewhere where I am confident to allow him a much longer rein than I would do usually - I'm not as on top of him as I normally am, so he's slowly learning. Surfing itself really helps his sensory stimulation - and he likes big waves tellingly. Above all though it's just fun. I know what surfing does to me (relaxes me) and it's probably similar for ds1.

sphil · 18/10/2011 22:53

ah yes, I think it was the online course - but that wont be accessible now will it?

Oodles - DS2 is 9. Would love to take him to a gym class - something like a less structured Tumbletots that he couldnt access when he was 3 but would really benefit from now! He does do a gym/music class at school once a week which he loves, though as hes so cautious he really needs to do it often.

saintlyjimjams · 18/10/2011 23:12

Hmm I have vague memories of seeing it elsewhere as well. But I was an ICDL member for a while and had access to extra videos, so it might have been one of those.

silverfrog · 18/10/2011 23:24

some interesting ideas being discussed here. I will return with thoughts another time - have just submitted my final essay for a module, and neeeeed some sleep.

sphil · 19/10/2011 13:10

Oh yes, I was a member too - funny how you forget things!

As a result of my searching for 'gyms' last night, I came across Jimmys Gym, a Dutch company which does gym 'modules' that brace between your floor and your ceiling. They include wall bars, trapeze, rings, ladders etc. Am now wondering if this would be better for DS2 than soft play? Less flexible, but more challenging. He can't climb a ladder without help atm.
Hi Silver! Well done on getting your essay done and will see you later no doubt Grin

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