SpeechPathology.com Phone: 800-242-5183

New master brand. Same great company. Introducing continued! Read Our Story

360 Degree Therapy

'Scripting' in Children with Autism Spectrum Disorder

Darcy Leoni ., M.S.,CCC

October 22, 2007

Share:

Question

My 7 year old son has PDD. He had echolalia when he was first diagnosed around age 3. He would repeat the last word we said-especially when we asked him a question. This is not so much a concern anymore. I believe the last four years of speech therapy ha

Answer

Reciting lines from movies, commercials, books, etc. is a common occurrence among those with Autism Spectrum Disorder (ASD). It is also termed scripting. It is unclear exactly why this is so popular. Some experts predict it is a coping mechanism that is used during high stress periods, hence, a form of "stimming". Others believe it is just an attempt to communicate in some form and this is the form they know. It does not require them to have to generate a response. They just repeat something they heard and imprinted into memory though it may be totally irrelevant to the conversation. In some instances I believe the question we ask may in some way relate to the topic of the movie etc. and therefore provoke the scripting.

I have witnessed a few different ways to redirect this. Some behavior specialist will use the directive, "no movie talk". I personally have used both auditory and written cues to redirect scripting by stating, "we are not talking about Sponge Bob right now, we are talking about school". If I feel that the "movie talk" is some how relative to school I may follow the child's lead and say, "Oh, you read a Sponge Bob book at school?"

The important thing to remember is that, like all aspects of behavior, the types of scripting and cues that will be effective to redirect the child's behavior may vary from person to person. You may need to try a variety of methods to find the one that gets the results you are looking for.

Darcy Leoni is Satellite Coordinator of Speech-Language Services at The Children's Institute in Pittsburgh, Pennsylvania. She currently works with the pediatric population in an outpatient site. As a speech-language pathologist for 10 years Darcy has experience with both pediatric and adult populations and has worked in many arenas of rehabilitative care. Theses areas include acute, sub-acute, skilled nursing and long term care, home care, and outpatient rehabilitation.

Related Courses

Trach Talk: Current Clinical Trends and Patient Perspectives
Presented by Kim Appel, MS, CCC-SLP, Meggin Nunamaker, MS
Video

Presenters

Kim Appel, MS, CCC-SLPMeggin Nunamaker, MS
Course: #6634 1 Hour
  'Great personal experience stories! This course covered a wide range of content'   Read Reviews
This course is designed for clinicians with varying levels of experience working with tracheostomy tubes. Indications for, and methodologies used to perform a tracheotomy, as well as applications for various trach styles, sizes, features, and communication options will be discussed. Best practices in assessment and treatment will be emphasized including documentation, subglottic suction, manometry, and upper airway auscultation. Unique perspectives and tips for practitioners will also be shared by a trach user.

Mechanical Ventilation and the SLP: What Should You Know?
Presented by Kim Appel, MS, CCC-SLP
Video

Presenter

Kim Appel, MS, CCC-SLP
Course: #6833 1 Hour
  'I think many acute care therapists are exposed to ventilated patients but do not have much knowledge or background in it'   Read Reviews
Treating mechanically ventilated patients can be intimidating and stressful. This course is designed to provide SLPs with the building blocks they need to better understand mechanical ventilation, have more informed discussions with other team members, and provide optimal care to these medically complex patients.

Treatment to Improve Timing & Synchronization of Critical Neural Networks for Speech, Language, and Cognitive-Communicative Abilities; presented in partnership with Interactive Metronome
Presented by Amy Vega, MS, CCC-SLP
Video

Presenter

Amy Vega, MS, CCC-SLP
Course: #6508 1 Hour
  'I had not heard of this therapeutic approach before and am very interested in it'   Read Reviews
Synchronous timing of neural networks is critical for the core skills of attention, working memory, processing accuracy/speed, and executive functions that underlie speech, language and cognitive-communicative function in people of all ages. Researchers have identified that many of the individuals we see for SLP services exhibit impaired neural timing & synchronization, including those diagnosed with Dyslexia and other reading disorders, Autism, Sensory Processing Disorder, Attention Deficit Hyperactivity Disorder, Aphasia associated with stroke and acquired brain injury, cognitive-communicative impairments associated with acquired brain injury, and cognitive and motor planning/sequencing impairments seen in Parkinson’s disease. This course will introduce you to a patented, non-invasive biometric technology, called the Interactive Metronome, that is specifically designed to help you objectively evaluate and treat this underlying impairment in timing & rhythm in order to achieve better SLP treatment outcomes.

Play-Based Treatment: Basic Strategies for Exceptional Instruction
Presented by Meredith Poore Harold, PhD, CCC-SLP
Video

Presenter

Meredith Poore Harold, PhD, CCC-SLP
Course: #7108 3.5 Hours
  'The practical application'   Read Reviews
Many SLPs use fun activities to increase student investment and participation. However, the “fun” must also be directly connected to the targeted skill in a way that both captures attention and forms memories that will aid in meaningful learning. This course teaches SLPs how to use structured and purposeful play strategies to enhance their therapy sessions for achievement and generalization.

Adolescents with Autism: Reading for Success!
Presented by Tina Veale, PhD, CCC-SLP
Video

Presenter

Tina Veale, PhD, CCC-SLP
Course: #7249 1 Hour
  'Great overall review of reading strategies'   Read Reviews
This is Part 1 of a 2-part series, Adolescents with Autism: Reading & Writing for Success. Individuals with autism not only demonstrate difficulty in comprehending and producing spoken language, but struggle in learning to read, as well. This course will explore techniques for promoting reading development in adolescents with autism so that they can become successful readers at home, at school, and at work.