Teaching Children With Communication Challenges -the Case For Using Verbal Behavior

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Teaching Children with Communication Challenges The Case for Using Verbal Behavior Presented by

Cindy Peters Autism One Conference May, 2008

Who am I? 

Parent of Kenny, diagnosed with severe autism at 27 months of age in 1995



Founder and former President and Executive Director of The Mariposa School for Children with Autism in Cary, NC

Copyright 2008 by Cynthia A. Peters

2

Turf wars: Educational vs. Biomedical treatment 

There are many co-morbid conditions associated with autism



Each approach has the potential to improve the chances of success with the other



Data from educational therapies can help determine if biomedical treatments are effective



Biomedical interventions can help the child focus on education, rather than discomfort



Let’s look at the WHOLE child, and not worry about who gets the “credit” for success.

Copyright 2008 by Cynthia A. Peters

3

Origins of Verbal Behavior (VB) Approach 

1957 - B.F. Skinner introduced concept in his book “Verbal Behavior”



1970’s - Dr. Jack Michael began teaching VB at Western Michigan University



1998 – Dr. Mark Sundberg and Dr. James Partington





“Teaching Language to Children with Autism or Other Developmental Disabilities”



“The Assessment of Basic Language and Learning Skills- (The ABLLS)” (The “ABLLS-R” was released by Dr. Partington in 2006)

Dr. Vincent Carbone, his associates and others created seminars, workshops and training videos which have been influential in the gain in popularity of VB programs Copyright 2008 by Cynthia A. Peters

4

Behavioral Definitions Antecedent -> Behavior -> Consequence 



Antecedent: The event or condition which occurs directly before a behavior occurs 

Stimulus/Demand (explicit/implicit)



Motivating condition

Behavior: An “action” which changes the environment in some way, either directly or indirectly. For example:  



Directly – A hungry child gets a cookie to eat Indirectly – A hungry child asks someone else to get them a cookie

Consequence: The event or condition which occurs directly after the behavior occurs Copyright 2008 by Cynthia A. Peters

5

Skinner’s Analysis of Verbal Behavior (VB) 

Language can be defined as a set of functionally independent categories, each of which has a different communicative purpose.



Language is a learned behavior, influenced by certain conditions in the environment.



Within these categories, there is a distinction between Speaker and Listener behaviors



A word is not “learned” until it can be used across all functional categories



Verbal behavior isn’t always vocal behavior

Copyright 2008 by Cynthia A. Peters

6

Language as a set of Functionally Independent Categories 

Verbal Behavior (Actions of a Speaker) 



Duplic 

Motor Imitation (Signing)



Echoic (Repeating what is heard)



Mand (Requesting)



Tact (Labeling)



Intraverbal (Answering questions / Conversation)

Non-verbal Behavior (Actions of Listener/Responder) 

Receptive (Following instructions of Speaker) 

(Receptive by Feature, Function, Class) Copyright 2008 by Cynthia A. Peters

7

Speaker Behavior - The Duplic (Echoic and Motor Imitation) 

It’s essential to have one of these in order for all functional categories of language to be taught



To use vocal language, the student must be able to echo sounds produced by another person



To use sign language, the student must be able to copy the motor movements of another person



However, the ability to “imitate” a word doesn’t necessarily mean that it will automatically transfer to other forms of verbal behavior

Copyright 2008 by Cynthia A. Peters

8

Augmentative Communication for Non-Vocal Learners 

Providing the learner with a means to express him/herself reduces the likelihood of problem behaviors



If the learner is not yet vocal, an augmentative communication system should be chosen to allow expressive communication 

Sign language



Picture Systems / Pointing



Voice Box or other device

Copyright 2008 by Cynthia A. Peters

9

Which Form of Augmentative Communication Should You Choose? 

First and foremost, it depends on the learner



Consider which form will be easiest for the learner to acquire AND requires the least response effort



The goal is to be able to easily transition to vocal behavior – which form is the most likely to facilitate this?



Topography based VB (Signing, Talking) requires distinctive behavior for each response (e.g. signs for ball and cookie are made differently)



Selection based VB (Pictures, Voice Box) requires scanning an array of possibilities and using the same behavior for each response (e.g. pointing) Copyright 2008 by Cynthia A. Peters

10

Which Form of Augmentative Communication Should You Choose? 

It should allow verbal behavior across all functional categories of language in case the Learner does NOT acquire vocal language Sign

Pictures

Mand

Yes

Yes

Tact

Yes

No (Match to Sample)

Intraverbal

Yes

No (Receptive by FFC)



It should be readily available (portable) to the Speaker



It should be possible to make quick responses to avoid frustration for both Speaker and Listener

Copyright 2008 by Cynthia A. Peters

11

How to Increase the Use of Language 

Language is a learned behavior, influenced by certain conditions in the environment. We can increase the likelihood of this behavior occurring by: 

Setting up motivational conditions to evoke it AND



Providing reinforcement after it occurs Antecedent -> Behavior -> Consequence Motivation -> Behavior -> Reinforcement Copyright 2008 by Cynthia A. Peters

12

Motivational Conditions (MO) 

Factors/events which temporarily alter the value of other stimuli/events to act as reinforcers thereby increasing the likelihood of the behaviors to occur which have evoked these reinforcers in the past.



Relates to deprivation/satiation SITUATION: Child wants cookie which has been put out of reach Motivation:

Desire to have cookie

Behavior:

Child asks LISTENER for cookie

Reinforcement: LISTENER gives child the cookie Copyright 2008 by Cynthia A. Peters

13

What is Reinforcement? 

Something that is valuable at this moment in time to the recipient



EITHER Specific to a motivating condition





Giving something which is desired (positive reinforcement)



Removing something that is aversive (negative reinforcement)

OR Social (Generalized reinforcement) 

Primary/Tangible – Food, toys, books etc.



Approval – “Great job!” , “That’s right!”



Physical – Tickles, hugs, pats on the back, etc.



Emotional – Smiles, laughter etc. Copyright 2008 by Cynthia A. Peters

14

Speaker Behavior - The Mand 

Controlled by motivation (state of deprivation) or the desire to remove an aversive condition



The only form of VB to directly benefit the Speaker



A request for something the Speaker wants (item, attention, activity, information etc.)



Usually the first form of VB to be learned since it is likely to produce immediate reinforcement



May take the form of maladaptive behaviors (aggression, SIB, etc.) instead of more appropriate forms Copyright 2008 by Cynthia A. Peters

15

Examples of Mands 

A crying baby (seeking attention)



A speaker saying “Cookie” when hungry (requesting when in state of deprivation)



A speaker saying “Stop!” when being tickled (requesting the removal of something)



“(I want to) swing.” (requesting a desired activity)



“Where are my shoes?” (requesting information) Copyright 2008 by Cynthia A. Peters

16

Speaker Behavior - The Tact 

Controlled by nonverbal environment (stimuli), such as visual, auditory, sensory etc.



Labeling something (objects, people, actions, events etc.), or a property of something, that is present. (Nouns, pronouns, adjectives, prepositions, adverbs)



Reinforced through social reinforcement



Not readily acquired if learner does not respond to social reinforcement



The ability to tact something does not automatically transfer to the ability to mand for the same thing, or understand it’s “meaning” Copyright 2008 by Cynthia A. Peters

17

Examples of Tacts Non-verbal Stimulus

Response



Child sees a cat

“(It’s a) cat.”



Child has been running in the heat

“(I feel) hot!”



Child’s mother enters the room

“(I see) Mommy.”



A fire truck drives past



A movie starts in the theater

“(It’s too) loud.”



Pizza is brought into the house

“(I smell) pizza.”



A child is crying

“(It’s) red.”

“(She’s) sad.”

Copyright 2008 by Cynthia A. Peters

18

Speaker Behavior -The Intraverbal 

Controlled by somebody else’s verbal behavior



Reinforced through social reinforcement



Answering “Wh” questions or responding to something said by another person about something (objects, people, actions, events etc.), or a property of something, that is not present. A conversational exchange.



“Fill in” responses are also frequently used.



Conversational repertoire which has no point to point correspondence with the stimulus

Copyright 2008 by Cynthia A. Peters

19

Examples of Intraverbals Verbal Stimulus

Response



“An animal that says meow is a …”



“How do you feel?”

“(I’m) hot!”



“Who do you love?”

“Mommy.”



“What color is a fire truck?”

“(It’s) red.”



“What’s the matter?”

“(It’s too) loud.”



“Something that smells yummy is a …”



“Why is she crying?“

Copyright 2008 by Cynthia A. Peters

“cat.”

“pizza.” “(She’s) sad.”

20

Listener Behavior – Receptive Language 

Controlled by somebody else’s verbal behavior



Reinforced through social reinforcement



Complying with or responding to the requests (mands) of others. Identifying an object by pointing, touching, giving, etc.

Copyright 2008 by Cynthia A. Peters

21

Examples of Receptive Language Verbal Stimulus

Response



“Do this!” (touches nose)

Touches nose



“Go get your coat.”

Gets coat



“Show me the cat.”

Points to cat



“Kick the ball.”

Kicks ball



“Give me the red block.” Speaker Copyright 2008 by Cynthia A. Peters

Gives block to

22

Feature, Function and Class 

Controlled by somebody else’s verbal behavior



Reinforced through social reinforcement



Associations or “intraverbal connections” between words.



Responses can be receptive, tact, or intraverbal

Copyright 2008 by Cynthia A. Peters

23

Examples of Feature, Function and Class (Items present) 

Speaker: “Show me something that has chocolate chips.” Student:



(points to cookie) (Receptive by Feature)

Speaker: “ Which one is a food?” Student: (points to cookie) “ Cookie.” (Tact by Class)

(No items present) 

Speaker: “Something you can eat is a ______” Student: “Cookie.” (Intraverbal fill-in by Function)



Speaker: “What tastes sweet?” Student: “Cookie.” (Intraverbal by Feature)

Copyright 2008 by Cynthia A. Peters

24

VB Curriculums: The ABLLS-R 

“The Assessment of Basic Language and Learning Skills (The ABLLS™)” (Partington and Sundberg -1998)



Revised by Dr. Partington in 2006 to ABLLS-R



An assessment tool, curriculum guide and skill tracking system



Task analysis of learning skills divided into 25 categories; each category consists of multiple goals; within each goal, 1 – 4 steps to mastery



ABLLS-R Protocol 

Basic Learner Skills

(Sections A – P)



Academic Skills

(Sections Q – T)



Self-Help Skills

(Sections U – X)



Motor Skills

(Sections Y – Z) Copyright 2008 by Cynthia A. Peters

25

VB Curriculums: The ABLLS-R 

Basic Learner Skills 

A. Cooperation and Reinforcer Effectiveness



B. Visual Performance



C. Receptive Language



D. Imitation



E. Vocal Imitation



F. Requests (Mands)



G. Labeling (Tacts)



H. Intraverbals



I. Spontaneous Vocalizations

Copyright 2008 by Cynthia A. Peters

26

VB Curriculums: The ABLLS-R 

Basic Learner Skills (continued) 

J. Syntax and Grammar



K. Play and Leisure



L. Social Interaction



M. Group Instruction



N. Follow Classroom Routines



P. Generalized Responding

Copyright 2008 by Cynthia A. Peters

27

VB Curriculums: The ABLLS-R 



Academic Skills Assessment 

Q. Reading Skills



R. Math Skills



S. Writing Skills



T. Spelling

Self Help Skills 

U. Dressing Skills



V. Eating Skills



W. Grooming



X. Toileting Skills Copyright 2008 by Cynthia A. Peters

28

VB Curriculums: The ABLLS-R 

Motor Skills Assessment 

Y. Gross Motor Skills



Z. Fine Motor Skills

Copyright 2008 by Cynthia A. Peters

29

The ABLLS-R

Copyright 2008 by Cynthia A. Peters

30

The ABLLS-R

Copyright 2008 by Cynthia A. Peters

31

The ABLLS-R

Copyright 2008 by Cynthia A. Peters

32

VB Curriculums: The VB-MAPP 

“The Verbal Behavior Milestones Assessment and Placement Program: The VB-MAPP” (Sundberg, 2008)



Currently being field tested – to be released Summer,2008



An assessment tool, curriculum guide and skill tracking system



5 Components 

VB-MAPP Skills Assessment



VB-MAPP Barriers Assessment



VB-MAPP Task Analysis and Skills Tracking System



VB-MAPP Transition Assessment



VB-MAPP Placement Guide and IEP Goals

Copyright 2008 by Cynthia A. Peters

33

VB Curriculums: The VB-MAPP 

VB-MAPP Skills Assessment - 170 milestones balanced across the verbal operants and 3 developmental levels (0-18 months, 18-30 months, and 30-48 months). 

Mand



Tact



Echoic



Intraverbal



Listener



Motor Imitation



Independent Play Copyright 2008 by Cynthia A. Peters

34

VB Curriculums: The VB-MAPP 

VB-MAPP Skills Assessment (continued) 

Social and Social Play



Visual Perceptual and Matching-to-Sample



Linguistic Structure



Group and Classroom Skills



Early Academics

Copyright 2008 by Cynthia A. Peters

35

VB Curriculums: The VB-MAPP 

VB-MAPP Barriers Assessment - An assessment of 22 common language and learning barriers 

Instructional Control



Behavior Problems



Defective Imitation, Mands, Tacts, Echoic, Intraverbal



Defective Matching-to-Sample



Defective Listener skills



Prompt Dependency



Defective Generalization



Scrolling



Defective Scanning Copyright 2008 by Cynthia A. Peters

36

VB Curriculums: The VB-MAPP 

VB-MAPP Barriers Assessment (continued) 

Defective Conditional Discriminations



Weak Motivators



Response Requirement Weakening the Motivators



Self-stimulation



Defective Articulation



Obsessive Compulsive Behavior



Reinforcer Dependency



Defective Attending



Defective Social Skills Copyright 2008 by Cynthia A. Peters

37

VB Curriculums: The VB-MAPP 

VB-MAPP Task Analysis and Skills Tracking System 

Provides a further breakdown of the skills (the steps supporting the milestones)



Serves as a more complete and ongoing language and learning skills curriculum guide.



Over 1000 skills presented covering the 16 areas of the VB-MAPP.



New sequence of the verbal behavior curriculum

Copyright 2008 by Cynthia A. Peters

38

VB Curriculums: The VB-MAPP 

VB-MAPP Transition Assessment  





Contains 18 assessment areas Helps to identify if a child has acquired the skills necessary for learning in a less restrictive educational environment Comprised of several summary measures from other parts of the VB-MAPP Includes measures of the overall score on the VB-MAPP Skills Assessment, negative behaviors, group skills, social skills, independence, classroom routines, play skills, toileting, eating, spontaneity, reinforcer effectiveness, natural environment learning, generalization, rate of acquisition, retention, transfer skills, self-care, and safety.

Copyright 2008 by Cynthia A. Peters

39

VB Curriculums: The VB-MAPP 

VB-MAPP Placement Guide and IEP Goals 

Provides specific direction for each of the 170 milestones in the Skills Assessment



Specific suggestions for IEP goals



Helps the program designer balance out an intervention program, and ensure that all the relevant parts of the necessary intervention are included

Copyright 2008 by Cynthia A. Peters

40

Teaching Imitation Skills 

Make it fun!



Use “Do this” followed by the behavior to be imitated



Reinforce correct responses or approximations



Shape responses with physical prompts if necessary



Fade prompts gradually until child is able to perform skill on his/her own



Make sure the reinforcers used cannot be obtained for “free” outside of learning sessions



Increase vocal imitation by pairing sounds with the delivery of fun reinforcement

Copyright 2008 by Cynthia A. Peters

41

Teaching the Mand 

Start with the mand since it is the only verbal operant which benefits the learner



Mand training should be done in the natural environment (NET)



Teach mands when there is strong motivation for the item or activity – what are the child’s reinforcers right now?



Motivation can be either “captured” or “contrived”



Prompt the mand before the child gets frustrated



Approximations for mands are OK at first – they can be “shaped” later



If the learner is using sign or pictures to mand, always pair the vocal with the mand Copyright 2008 by Cynthia A. Peters

42

Teaching the Mand 



Select mands/reinforcers that: 

Have a short duration of contact (tickles, bubbles)



Are easy to remove from child (book, toy, video)



Can be consumed in small bites or sips in multiple instances



Are easily distinguishable (vocal, sign)

Avoid generic words such as “more” or “eat” which don’t give enough information

Copyright 2008 by Cynthia A. Peters

43

Teaching Receptive Language 

The goal is to teach the child to respond to others



Initially, choose skills that are easy and can be immediately reinforced



Try not to call the child away from reinforcement s/he is already engaged in; rather, call the child to something that will be (even more) reinforcing



Prompt correct response before a mistake is made



Receptive commands can be taught through a transfer procedure from imitative behavior



When teaching touch/point to specific items, use a reinforcer as the item Copyright 2008 by Cynthia A. Peters

44

Teaching the Tact 

Transfer from the Mand Child: <sees train and wants to play with it> “Train!” (Mand) Adult: “What is this?” Child: “Train.” (Tact) Adult: “Great job”



Transfer from the Echoic Adult: “Say shirt.” Child: “Shirt.” Adult: “What is this?” <pause> “Shirt” Child: “Shirt.” Adult: “What is this?” Child: “Shirt.” Copyright 2008 by Cynthia A. Peters

45

Teaching the Intraverbal 

Focus on what interests the child; make it fun!



Can start with “fill in the blank” to a favorite song or nursery rhyme, leaving off the last word



Objective is to get child to fill in a phrase after hearing the first part



Targets for training should be derived from acquired echoics, mands and tacts

Copyright 2008 by Cynthia A. Peters

46

Good Teaching Principles for VB 

Make learning FUN!



Teaching should be based on the learner’s motivation, not compliance. Reevaluate which conditions are motivating and what provides reinforcement constantly.



Teach what is meaningful and interesting to the learner.



Initially, focus on developing a large mand repertoire.



Work on skills which allow the learner to experience a high rate of success.



Use a mixture of all functional categories of language during teaching sessions.



Teach by feature, function and class in order to make intraverbal connections.

Copyright 2008 by Cynthia A. Peters

47

Good Teaching Techniques 

Use errorless teaching techniques



Fade the use of prompts to avoid prompt dependency



Use pairing techniques to make a situation, person or activity reinforcing



Generalize skills immediately



Teach to fluency (response within 3 seconds)



Mix and vary teaching tasks



Instruction should be fast paced (Note: Does NOT mean you should speak quickly!)



Intersperse difficult tasks with easy ones to keep level of reinforcement high



Use transfer procedures to make learning easier Copyright 2008 by Cynthia A. Peters

48

Things to Remember 

Try to capture or contrive motivational conditions as much as possible



Make each moment count as a “teachable moment”



If the child is having trouble learning, re-examine your teaching techniques and change YOUR behavior



Look for positive behaviors to reinforce – reward the positive and ignore the negative



Use differential reinforcement – the harder the task, the bigger the reinforcement



Keep learning FUN for both teacher and student! Copyright 2008 by Cynthia A. Peters

49

Resources Curriculum and Workshops ABLLS-R

www.BehaviorAnalysts.com

VB-MAPP www.MarkSundberg.com Internet Groups [email protected] [email protected] Other Workshops and Seminars www.DrCarbone.net www.ChristinaBurkABA.com

Copyright 2008 by Cynthia A. Peters

50

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