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Floor
Time Therapy
The following information is from
the Autism National Committee at www.autcom.org.
Stanley Greenspan, MD's model of Autism/
Pervasive Developmental Disorder (which he prefers to call "multisystem
developmental disorder") is thoroughly developmental. He faults
most interventions for zeroing in on the initial problem area
observed during diagnosis -- motor, sensory, behavioral, language,
etc. -- rather than conceiving the child's challenge in terms of a
broad set of developmental processes across all areas.
The strength of Greenspan's "Developmental/Individual
Difference Model" is that it is not based on membership in a
presumed group, such as PDD. Rather, it is based on an analysis of
where in the normal sequence of development the individual child
went off the track and on crafting a strategy for getting
development back on track based on the child's individual
differences, the familial and cultural patterns of the child's
environment, and how they can best interact.
The typical Greenspan intervention revolves around a concept he
calls "floor time" -- time which the caregivers, generally
the parents, spend entering the child's activities and following the
child's lead.
Of course, the larger and very serious game being played by the
parent is to turn even what looks like random behavior into
intentional acts that get a specific response, and thereby become
the means of nudging the child's crucial affective development back
on track.
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