Documenti di Didattica
Documenti di Professioni
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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:
Trends were found for the interaction to be more pronounced for the
social cognitive questions.
Conclusions:
Pre-treatmentmeasures
Heterogeneity/How we know who our children
are
Post-treatment/Outcome measures
Treatment manual
Fidelity measures
What we need most
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!