Escolar Documentos
Profissional Documentos
Cultura Documentos
Diane Cullinane, MD
Josh Feder, MD
Connie Lillas, PhD, MFT, RN
Lois Black, PhD
Devin Casenheiser, PhD
Jim Stieben, PhD
The Southern California DIR®/Floortime™ Regional Institute
Pasadena, California October 2010- May 2011
Josh Feder, MD
‘But I’m a clinician’
Community collaboration
Parents, clinicians, researchers, agencies,
funders
Vetting ideas
Learning from each other
Coming to consensus
Taking Project ImPACT…..
Parent driven
Mixed developmental/ behavioral
Language focused
Specific goals
ImPACT
And make it ours
Warm it up
Broaden the vision
Give it our context
BRIDGE Enhancements
Engagement
Communication
Sensori-motor
Reflective process
Warmed up…
Project ImPACT
And Make it Ours
The Evidence Based Movement: 19th
Century Science versus Complexity:
Welcome to the 21st Century
Significant results: ANOVA analysis, with Prosodic Mode (E vs. S vs. D),
Group (ASD vs. TD), and Story as independent variables, resulted in a
significant interaction between Group and Prosodic Mode.
ASD children better able to answer narrative questions as prosody became
enhanced from D to S to E, for both immediate and delayed questions.
Findings, cont’d:
No such beneficial effect of prosodic mode was seen in the TD
group. (Essentially no differences across disconnected, standard
and enhanced conditions.)
TD performed better than ASD children in all prosodic modes.
Trends were found for the interaction to be more pronounced for the
social cognitive questions.
Conclusions:
Treatment manual
Fidelity measures
The Final Frontier: Research on
DIR® on both Clinical and
Functional Imaging Outcomes
Clinical improvement
Brain looks better!
Publication status
Implications
Profound evidence
Comparison w/ other imaging studies
Next steps (studies, advocacy)
Your Thoughts!