Wednesday, December 13, 2017

USA news on Youtube Dec 13 2017

Hi my name is Catherine Horton and I'm the clinical director of Pyramid U.S.

My background is in speech and language and I'm also a board certified behavior analyst.

Today I wanted to continue our discussion regarding core vocabulary.

As a review, core vocabulary as defined by Beukelman and Miranda in 2013 refers to

those words and messages that are commonly used by a variety of

individuals that occur very frequently.

Whereas fringe vocabulary refers to a vocabulary that's more specific to a

topic, environment, or individual. Out of confusion exists based upon the fact

that different practitioners include slightly different words on their core

lists; however for our purposes today, I will be referring to the core words

originally included within the 2003 article by banjee and colleagues

entitled core vocabulary determination for toddlers. People have mistakenly

asserted that Pyramid is anti core, however our stance has always been to

teach vocabulary in a way that's meaningful to our learners. We collect

and analyze data to make sure that all of our students are making progress.

If a student's skills aren't progressing in any way; functional academics

independent living skills, etc, then it's an indication that a change needs to

occur within our lesson plans, or the way that we are teaching the skills.

Our approach is the same for any communication skills that we're teaching

to our learners including when we provide instruction on either core or

fringe words. Further, we've long believed that the question should not be core or

fringe, rather; our model encompasses the inclusion of core words as appropriate

and not a transition to core. In a video that remains available online Dr. Joe

McCleery described considerations for when to teach core

vocabulary based upon research regarding typical speech and language development.

The most important part of our view is that inclusion of the core words is

based upon the repertoire of typically developing children who already have 350

to 400 words in their vocabulary. It's reasonable to look at an AAC users

vocabulary when it's that large to assure that the most common spoken words

are being addressed by the current AC system; however, to argue that the most

frequently used words when the repertoire is at least 400 should also

be representative of a person's language when the repertoire is 100 or less just

isn't reasonable. Doctor McCleery also notes some research suggesting that when

the language of typically developing children includes an overabundance of

Core versus Fringe words subsequent language development may be impoverished.

Thus, attempts to focus on teaching core vocabulary too early may not lead to

successful long term communicative growth. Further, despite extensive searches we

have not been able to locate any controlled or experimental studies

demonstrating the effectiveness of teaching core words to our emergent

communicators. In addition to analyzing core vocabulary from a developmental

perspective, it may also be helpful to use Skinner's analysis of verbal behavior to

classify the conditions under which the Core versus Fringe vocabularies

generally appear. For our learners with autism spectrum disorders, a variety of

teaching strategies recommend an early emphasis upon mand development since the

associated reinforcers tend to be more powerful for young children with ASD;

however, an analysis of several of the words on the Banajee

Core vocabulary list reveals that many of the words function as generalized

mands. This is the case for words like more, that the learner may use to gain

access to a variety of different edibles items or activities, research regarding

generalized mands shows us that specific mands are more effective in reducing

problem behavior and specific mand training has also been shown to support

the development of other verbal operants, such as tacts and echoics. Further, if

generalized mands are taught first, extinction will have to be employed to

teach more specific mands later. In other words, if we teach 'more' without teaching

specific requests first later on we're going to have to stop responding to the

learner's use of 'more'. Continued use of Skinner's analysis reveals that in many

circumstances, use of core vocabulary may best be conceptualized as an autoclitic.

An autoclitic is verbal behavior that depends upon the speaker's own verbal

behavior, in fact on page 330 of the book 'verbal behavior' Skinner specifically

indicates in the absence of any other verbal behavior whatsoever autoclitics

cannot occur. We do not simply say 'almost' or 'perhaps' or 'some' or 'the'. Note that both

'some' and 'the' are two of the words incorporated on the Bannajee list and

this analysis could appropriately be extended to other core items such as 'a'

'that' and other words depending on the context. Quite simply, words like 'some' and 'the' modify other words and are only acquired in conjunction with other words

Children don't walk into a room and announce 'some'. In fact if this did happen,

a communication breakdown would likely occur. Given the occurrence of

challenging behavior on the part of many learners it's important to ensure that

early communication training focuses on teaching specific words that result in

access to the exact item that specified. This information supports our approach

to focus on teaching specific vocabulary often referred to as 'fringe words first'

This vocabulary should be selected based upon individual preferences for each

learner once this repertoire is in place we continue with our assessments to

determine which of the core words should be included for selection within our

structured teaching lessons. Within my role as a consultant, I've had the

opportunity to observe a variety of approaches for teaching core, this

includes one common approach often referred to as aided language

stimulation and which their trainer repeatedly models a variety of core

words in the hopes that the student may eventually begin pointing to these same words.

'Put all in here...'

Just as with any skill there is no one Universal teaching strategy that's going to be effective for all learners. However, it's important

to note that in order for modeling to be an effective teaching strategy the

student must both be attending to the communication partner as well as

imitating, these two skills in of themselves are oftentimes difficult for

students with ASD. Given this information we often consider a structured teaching

plan when introducing new skills including core vocabulary. One example of

this approach can be found in the PECS second edition manual written in 2002 by

Lori Frost and Andy Bondy regarding the description for teaching requests for

help. Help is a word commonly included on many core lists. This skill should really

only be introduced after mastery of specific mands. To teach this skill, we

first identify opportunities where the learner may require

assistance, for now let's look at a student who has difficulty turning the

knob of a wind-up toy. Notice that the learner is first given

the opportunity to wind the knob on his own, at the point, when he has attempted

to wind, but before he begins to engage in a challenging behavior the physical

prompter prompts the student to request assistance by constructing the sentence

'I want help'. In addition, the child also hands over the windup toy so it's clear

that he needs help with the toy. The communicative partner then provides the

appropriate amount of assistance. It's important to ensure generalization of

this skill by structuring opportunities for 'help' with a variety of different

items, in addition be sure that the student does not over generalize this

skill by sometimes providing the toy already wound given the structured

teaching plan. The goal is to begin eliminating the prompts provided by the

physical prompter as quickly as possible, thereby moving towards independence.

Over time, systematically increase the communicative expectation to more

complex utterances such as 'I want help toy' and eventually 'I want help winding toy'.

A more advanced lesson could occur with teaching a preposition 'on', this may best

be conceptualized as an advanced attribute or commenting lesson. To teach

this concept use a preferred item and another common object that is in the

students repertoire, from there vary the placement of the preferred item as a fun

way to target prepositions. Specifically there's a preferred ball on the top of

the container and a broken or non preferred ball in the container, and so

doing, you have captured a request for 'I want the ball on the container' and use

of other prepositions like 'in' or 'next to' would be viewed as an error, signal in

the use of error correction strategies. I hope these two examples begin to provide

you with a guideline for an alternative approach to teaching core words. As with

any skill detailed lessons should be created implemented and modified as

necessary to ensure that all of our learners are making meaningful progress

I believe that we all have the same end goal for all of our learners to the

independent communicators and I'm hopeful that this information will

assist you and further evaluating your plans to make this goal a reality for all students.

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