Challenging behaviors are considered predictors of poor outcomes and children with Autism Spectrum Disorder (ASD) are at increased risk for such behaviors. There is limited research on how the functions of such behaviors and intervention strategies aimed at reducing them may differ by context. Using a researcher-designed survey, this study examined parents’ and teachers’ descriptions of the function of, and strategies for, challenging behaviors among children with and without ASD. A total of 488 respondents completed the survey, including 251 (51.5%) teachers and 237 (48.5%) parents. The participants were recruited in person and via social networking using snowballing and word-of-mouth. The study findings revealed that while both parents and teachers frequently identified avoidance/escape and attention-seeking as functions of challenging behaviors for children with and without ASD, there were some differences in their reports. Most notably, for children with ASD, 28% of parents reported children’s use of challenging behaviors to get attention at home whereas 2% reported this function at school, while 72% of the teachers indicated children’s use of challenging behaviors to seek attention at school and only 10% reported this function at home. The two most common intervention strategies identified by both teachers and parents were reinforcing positive effortful behavior and providing positive attention such as praise and acknowledgement. These finding are critical as they show the differences in the opinions towards the use of challenging behaviors in the home and school settings as reported by parents and teachers and inform future intervention efforts aimed at addressing challenging behaviors in varying contexts.

There is increasing interest in the role of peers in facilitating the social interaction of pupils with ASD through Peer-mediated Interventions (PMI). A systematic literature review was conducted to provide an overview of methods used to evaluate the impact of PMI and provide examples of innovative practice. Four databases were searched. Following application of inclusion and exclusion criteria and coding of studies, 10 were included in the final review. The review found that measuring the outcome of PMI at the level of target pupils has been a focus, with less attention given to exploring experiences of participants; impact on peers and implementation of PMI within an educational context. An innovative PMI was implemented within a mainstream primary school to promote the social inclusion of a Year 3 male pupil with ASD, with his class and five peers. Key elements of the PMI included development of the programme with school staff, whole class awareness raising and a small group peer network. The intervention was evaluated through structured playground observations of pupil-peer interaction, interviews with the target pupil and school staff and a peer focus group. Findings indicated that this small-scale PMI had a positive impact at the level of the target pupil and peers. Key factors facilitating the implementation of this intervention within a school context were also identified. A structured dissemination strategy that involved consultation activities with key stakeholders explored the refinement of an ecologically valid and feasible model for delivery in mainstream schools. Future considerations in developing the intervention framework include; refining elements of the programme based on feedback from key stakeholders and trialling the delivery of the intervention by school staff trained in the programme. Implications for Educational Psychologists (EPs) in the development and delivery of the intervention are discussed.

Conclusion. The present study revealed specific memory deficits profile of ASD children associated with ineffective use of organization strategies. Together with their deviated EEG coherence pattern, it has implicated that the memory deficits associated with ASD was possibly subserved by dysfunctional cooperation in frontal and frontal-posterior cortical regions. The potential benefits of explicit cueing and subtle effect of implicit cue on memory performance and neural functional cooperation in ASD were discussed. / Method. Twenty-three children with high-functioning ASD and 39 normal children (NC) aged 5 to 14 years were recruited. In experiment 1, their memory was assessed with the Hong Kong List Learning Test (HKLLT), a memory test of disorganized (DIS) and semantically organized (ORG) words. In experiment 2, their memory of abstract geometric figure (Rey-O) and nameable object (Object Recognition Test, ORT) was tested. The objects in the ORT were presented in DIS or ORG manner. While semantic cue was given explicitly in the HKLLT, it was delivered implicitly in the ORT. In experiment 3, EEG theta coherences connecting anterior, temporal and posterior brain regions were recorded before and during the ORT. / Objective. Some studies found that autistic spectrum disorder (ASD) associated memory deficits were related to frontal lobe dysfunctions, e.g., ineffective organization strategy for memory. Yet, the memory profile of ASD remains inconclusive. The present study aims to examine the memory profile of ASD children based on the information processing model and its association with their organization strategies adopted, and to explore the effect of 'voiced' (with explicit instruction) and 'unvoiced' (without instruction) experimenter-provided organization cueing on memory retrieval. The neuro-physiological basis underlying their memory process was also explored using electroencephalographic (EEG) coherence. / Results. ASD children showed frontal-lobe-related memory problems, with encoding and retrieval deficits, and vulnerability to interference. Their memory deficits were associated with ineffective use of organization strategies. Hyper-coherence at inter-hemispheric anterior-posterior connections and lesser reduction in intra-left anterior coherence correlated with their poorer recognition. Explicit cueing has enhanced semantic clustering and delayed recall of words. Yet, the effect of 'unvoiced' cueing was subtle, with a trend of improving severer memory impairment and suppressing excessive coherence. / Sze, Lai Man. / Adviser: Agnes Sui Yin Chan. / Source: Dissertation Abstracts International, Volume: 71-01, Section: B, page: 0674. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves 79-85). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in English and Chinese.

Social cognitive abilities are needed to process and understand social information in order to respond appropriately in everyday social interactions. While there are a number of tests that have been developed to measure social cognition in the literature, many have important limitations such as only assessing one ability, performance being predicted by measures of intelligence and exhibiting low ecological validity. To address some of these limitations, I developed a new test called the Edinburgh Social Cognition Test (ESCoT). The ESCoT is an animated test that assesses four domains of social cognition: cognitive Theory of Mind (ToM) (What is X thinking?); affective ToM (How does X feel at the end of the animation?); interpersonal understanding of social norms (Did X behave as other people should behave?); and intrapersonal understanding of social norms (Would you have acted the same as X in the animation?). The aims of this thesis were to examine the validity of the ESCoT as a test of social cognition and to further investigate social cognitive processes in healthy and neurological populations. The ESCoT was firstly administered to a healthy population of older, middle-aged and younger adults to examine the effects of ageing on social abilities. This study found that the ESCoT was sensitive to age; poorer performances on cognitive and affective ToM and also interpersonal but not intrapersonal understanding of social norms were predicted by older age. Furthermore unlike traditional tests used in the study, performance was not predicted by measures of intelligence. Instead, the sex of participants and autistic-like traits, in addition to age were found to be important for performance. The ESCoT was then validated in a sample of adults with Autism Spectrum Disorder (ASD), and performance was compared to performance on established social cognition tests. Convergent validity was demonstrated in the study and the ESCoT was sensitive to social cognitive difficulties found in ASD. This study also showed that the ESCoT was more effective than existing tests at differentiating ASD adults and neurotypical controls. The interplay of social anxiety and empathy on ESCoT performance in addition to further exploring sex and autistic-like traits were then examined in a younger adult population. Social anxiety and empathy were not significant predictors of performance on the ESCoT. Similar to the results of the ageing study, this study found that women were better than men on affective ToM. However, unlike the ageing study, better cognitive ToM performance was predicted by older age. Better performance on interpersonal understanding of social norms and ESCoT total scores were predicted by more years of education. The subsequent chapter then examined the clinical efficacy of the ESCoT in a patient population (Alzheimer's disease, behavioural-variant Frontotemporal dementia and amnestic mild cognitive impairment). Here performance on the ESCoT was compared between the patients and neurotypical controls. It was found that patients performed poorer than neurotypical controls on ESCoT total scores, affective ToM, inter-and intrapersonal understanding of social norms. The final chapter returned to healthy ageing to more closely investigate the consequences of healthy ageing on social cognitive processes, by examining the positivity bias (preference for positive over negative stimuli) found in older adults using an attention paradigm. There was no evidence of the positivity bias in older, middle-aged and younger adults in regards to reaction time or accuracy. However, older and middle-aged adults differed in accuracy across stimuli type compared to younger adults. This thesis offers novel insights into the social cognitive abilities of various populations. The ESCoT presents a new, informative and validated test of social cognition for researchers and clinicians to use, which has many advantages over established tests of social cognition.

Very little is known about the ability of low-functioning children with autism (LFA) to engage in collaborative activities. Children with autism have deficits in other-awareness, joint attention and imitation, skills considered fundamental in social cognition and associated with the ability to collaborate. Research has focused on identifying the impairments of LFA children's social interactional abilities in controlled experimental contexts with adult partners. However, there is a paucity of research investigating if LFA children can participate in collaborative activity with peers, and if so what form the collaborative behaviour takes. Children with autism are highly motivated to interact with technology and technology is evolving fast offering opportunities to apply it to research. Therefore, we used innovative technology and a novel software architecture called Separate Control of Shared Space (SCoSS) on three types of shareable computer technology to aid our investigation of other-awareness and collaboration in LFA children. Paper 1, describes two studies using a dual-control laptop to present picture-sorting tasks to children paired with an adult and peer. SCoSS was more effective at facilitating other-awareness in TD and LFA children than a standard interface. Crucially, LFA children showed no active other-awareness without the supportive interface. Paper 2 presented two different picture-sorting problems for pairs of LFA children to solve. This yielded a model of collaborative problem-solving based on a sequence of three prerequisite capacities. Paper 3 successfully applied the SCoSS framework to picture-sequencing tasks delivered via tablet technology. As in paper 1, pairs of LFA children were only actively aware of a peer using linked dual-tablets, analogous to SCoSS. In summary, the thesis presents evidence that the other-awareness of LFA children can be facilitated by technology to support collaborative problem-solving, providing a more complete profile of their abilities and offers evidence that LFA are sensitive to the type of collaborative partner.

Orientador: Silvia Regina Ricco Lucato Sigolo / Banca: Maria Júlia Canazza Dall'Acqua / Banca: Vera Lucia Messias Fialho Capellini / Resumo: O movimento da inclusão escolar traz muitas dúvidas, principalmente em relação à escolarização e apresenta ainda muitos desafios. No caso de crianças com Transtorno do Espectro Autista (TEA), estes parecem ser maiores diante de suas características específicas (dificuldades de socialização e de comunicação) e de estereótipos predeterminados por concepções equivocadas dos profissionais e familiares que se relacionam com elas. O objetivo deste estudo foi descrever o processo educacional de crianças de quatro anos de idade com TEA nos contextos de desenvolvimento e aprendizagem na Educação Infantil e no Atendimento Educacional Especializado (AEE) da escola comum, bem como na família, buscando entender como se estabelecem as inter-relações entre os diferentes contextos. A fundamentação teórica respaldou-se na Perspectiva Bioecológica do Desenvolvimento Humano proposta por Urie Bronfenbrenner. Participaram da pesquisa três profissionais da Secretaria Municipal de Educação (SME), uma diretora de escola, duas professoras regentes, uma professora itinerante e duas crianças e dois pais, totalizando onze participantes. O estudo se caracteriza como uma pesquisa qualitativa, de natureza descritiva. Foram realizados dois procedimentos de coleta de dados: entrevista com base em roteiros semiestruturados e observação das crianças com TEA com registro em diário de campo. Os principais resultados mostraram que a SME vem atualizando suas propostas para a Educação Infantil e Inclusiva do Município em prol do desenvolvimento e aprendizagem de todas as crianças matriculadas. Ainda, que o conhecimento e as concepções da equipe escolar e dos pais sobre as características de crianças com TEA apoiam-se no entendimento do senso comum. Por fim, sobre o processo de escolarização e de inclusão das crianças com TEA, no contexto da escola comum, tem-se que as professoras o desenvolvem de... / Abstract: The movement of school inclusion brings many questions, especially in relation to education and still presents many challenges. In the case of children with Autistic Spectrum Disorder (ASD), these seem to be higher on their specific characteristics (difficulties in socialization and communication) and predetermined stereotypes by misconceptions of work and family that relate to them. The objective of this study was to describe the educational process of children from four years old with ASD in development contexts and learning in Early Childhood Education and Care Specialized Education (CSE) of the common school as well as in the family, trying to understand how to establish the interrelationships between different contexts. The theoretical framework was endorsed on Bioecological Perspective Human Development proposed by Urie Bronfenbrenner. The participants were three professionals of the Municipal Secretary Education (MSE), a school principal, two teachers regents, an itinerant teacher and two children and two parents, a total of eleven participants. The study is characterized as a qualitative research of descriptive nature. Two data collection procedures were performed: interview based on semi-structured scripts and observation of children with ASD with daily field. The main results showed that the MSE has updated its proposals for Early Childhood and Inclusive Education of the Municipality for the development and learning of all children enrolled. Still, the knowledge and conceptions of school staff and parents about the characteristics of children with ASD rely on the understanding Special Education student audience of common sense. Finally, on the process of education and inclusion of children with ASD, in the context of the common school, it has to be the teachers to develop in order to insert them into society, given that the inclusion should be initiated in the first stage of basic education / Mestre

O transtorno do espectro autista (TEA) é um transtorno de desenvolvimento que prejudica persistentemente a comunicação e a interação social e causa padrões restritos e repetitivos de comportamento, interesses e atividades. Esses sintomas estão presentes desde o início da infância e limitam ou prejudicam o cotidiano do indivíduo. Contudo, vários fatores impedem que seja possível diagnosticar antes dos três anos de idade, entre eles o fato de que o diagnóstico é essencialmente clínico e realizado com base nos critérios descritos no Manual diagnóstico e estatístico de transtornos mentais da sociedade americana de psiquiatria (DSM), entrevistas com os pais, observação do comportamento e aplicação de questionários e escalas padronizadas. Estas ferramentas e questionários para a realização do diagnóstico ainda carecem de validação e adaptação ao contexto brasileiro. O estudo das características antropométricas em indivíduos com TEA e indivíduos em desenvolvimento típico mostrou que podem existir diferenças como distâncias entre as pupilas, formato das orelhas, estrabismo e circunferência da cabeça. A hipótese é que seria possível classificar indivíduos com TEA e indivíduos em desenvolvimento típico com base nas medidas antropométricas faciais. Desta forma, este trabalho teve como objetivo a construção de um classificador que, dada uma imagem facial de uma criança, consiga discriminar entre os dois grupos, auxiliando assim o diagnóstico. A fim de testar a hipótese, foram coletadas imagens bidimensionais de crianças e adolescentes com TEA e em desenvolvimento tipico para a construção de uma base de dados. As imagens foram processadas por meio de um pipeline definido neste trabalho e foram testados e comparados diferentes métodos de redução de dimensionalidade e classificação e como resultado obteve-se acurácia de 80% na classificação com Random Forests / Autism Spectrum Disorder (ASD) is a developmental disorder that persistently impairs communication and social interaction and causes restricted and repetitive patterns of behavior, interests, and activities. These symptoms are present from the beginning of childhood and limit or impair the daily life of the individual. However, several factors prevent it from being possible to diagnose before the age of three, including the fact that the diagnosis is essentially clinical and performed based on the criteria described in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatry Association (DSM) , interviews with parents, observation of behavior and application of questionnaires and standardized scales. These tools and questionnaires to carry out the diagnosis still lack validation and adaptation to the brazilian context. The study of anthropometric features in individuals with ASD and individuals in typical development showed that there may be differences such as distances between the pupils, ear format, strabismus and head circumference. The hypothesis is that it would be possible to classify individuals with ASD and individuals in typical development based on anthropometric facial measures. Therefore, this work aimed to construct a classifier that, given a childs facial image, can discriminate between the two groups, thus helping the diagnosis. In order to test the hypothesis, two-dimensional images of children and adolescents with ASD and in typical development were collected for the database construction. The images were processed in a pipeline defined in this work and different methods of dimensionality reduction and classification were tested and compared and as a result 80% accuracy was obtained in the classification with Random Forests algorithm

Stability of diagnosis, symptoms and functioning across the life span is central to understanding any disorder and yet remains a relatively unexplored area in the study of autism (Sigman & McGovern, 2005). This is particularly apparent in the development of communication, including social interaction and language development in children with autism spectrum disorder (ASD), as there is little research on longitudinal development of children with ASD in general. The outlook on ASD has changed throughout the years, and although the emphasis on speech delay and communication problems have been separated from ASD, it is still one of the most common causes of initial referral in autism diagnoses (Pickles, Risi & Lord, 2004). Understanding the trajectory of communication for a child with ASD is fundamental in providing support and intervention in early years development. As communication is also a primary indicator on later development, it can gage outcomes into adaptive skills, school achievement and adult independence in later adult life. Eleven articles were identified in order to systematically review longitudinal studies based on communication development in ASD, or lack thereof, and why it is important to further carry out research in this area. This review seeks to explore: 1. How the development of different communicative functions in children with ASD is related to change over time. And, 2. What aspects of the child’s proximal processes and/or the child’s characteristics are discussed during measurement periods. Communicative functions were the most common form of communication observed in the studies at assessment periods and as for time points; two assessment periods were most common showing a linear trajectory of progress or decline from time point 1 and 2. All studies discussed aspects of child characteristics, most predominantly being gender and I.Q., however lacked insight into the significance of these and factors of proximal process during measurement periods in the studies reviewed. Ultimately, results display a need for more studies with at least three time points. With two time points only comes a “before” and “after” perspective, whereas, three or more time points enables collection of waves of data, showing key predictors of change in communication in children with a form of ASD.

The general purpose of the current study was to evaluate the effects of minimally intrusive prompting procedures and preferred stimuli on protodeclarative joint attention initiations in children diagnosed with autism spectrum disorder (ASD). Two boys and one girl diagnosed with ASD participated. The experimenter provided attention and social interaction following protodeclarative initiations throughout all phases of the study. During intervention, a model prompt was delivered every 30 s if the participant failed to initiate a bid for joint attention. Results for the first participant show that a model prompt was sufficient to increase the rate of protodeclarative initiations across stimulus sets. Generalization was seen across sets, but not across environments. Subsequently, the model prompt was sufficient to increase the rate of protodeclarative initiations across sets in a second setting (classroom). Results for the second participant are inconclusive. Data collected during the initial baseline condition show that she engaged in an incompatible verbal response across sets. When pictorial stimuli depicting highinterest items and activities were introduced, the rate of protodeclarative initiations increased over time. We then returned to original baseline condition and saw an initial decrease, followed by a steady increase in the rate of protodeclarative initiations. The third participant withdrew prematurely due to medical reasons. The findings of the current study show that minimally intrusive prompts and natural consequences may be sufficient to establish protodeclarative initiations in children. However, this finding may be limited to only those children for whom social interactions already function as reinforcers.

This study compared the relative reinforcing efficacy of high-preferred and low-preferred stimuli, as determined by two types of preference assessments, on acquisition rates in three children diagnosed with an Autism Spectrum Disorder (ASD). The study also evaluated the indirect effects of preference on students’ stereotypy and problem behavior during instructional periods. Participants were presented with a task and provided high or low-preferred stimuli contingent upon correct responding. Results showed that acquisition occurred more rapidly in the highly preferred condition for some participants. Higher rates of problem behavior occurred in the low preferred condition for all participants. These results highlight the importance of utilizing preference assessment procedures to identify and deliver high-preferred items in skill acquisition procedures for individuals with ASD.