Dear Friends,
Thank you for the advice on receptive, function, feature & what have you.
Lynda, thanks for your private reply too. I mostly agree, but you know I
think Carbone may be incorrect to say it is never the task, e.g., boring,
but the reinforcement.
Good Lord, I certainly have a whole lot of tasks I am sick to death of and
I guess maybe if you offered me a trip to the Virgin Island's, I would find
ironing more exciting. but that is a VERY big prize for ironing shirts for
a month. I don't think anyone can afford to do that very often, if at all,
hence I don't iron. ;-)
I guess a better way to put it is maybe there are no known reinforcers
available that the child wants ENOUGH to do the task. The task has become
aversive in its familiarity. Isaac truly looks pained at the sight of cards
laid out and having to point to them when asked to show, point, find. I
admit this is MY opinion, not confirmed by Ize verbally, but he has done
receptive work, both miserably in the past, and wonderfully now for months,
but just way too much of it since we did not yet know how to have him work
more on language at the time, and we were struggling with staffing issues
and consulting issues. Now, we have slightly more stability and a good
consultant, and we're making some nice gains in language. I think that we
have to find a way to move on, and yet cover the same concepts and skills,
without making him miserable in the process. I can play with reinforcers
and I need to think about this more.
I do think we have to find a balance between reinforcing big time for the
receptive work and the expressive work. Since the expressive is so much
newer, and harder, we probably do give way more positive feedback for
language. How can we possibly avoid the discrepancy though? Talking is
newer, harder and more rewarding for all of us. And it is the priority for
sure. I could care less if Isaac EVER showed me what has a tail, if he can
say some labels, or ask for his wants and needs.
I think I'll just do cards here and there in smaller chunks and try RFFC a
bit more in the NET environment and with new materials. His attention is
still not real high for doing some of it in the natural environment unless
it makes sense to him, and that's not always easy to do. Not everything
fits in context and it's hard to address it more aggressively since Isaac
does not generally learn new concepts by osmosis.
Like an umbrella, and what do you use when it rains? I mean I can hardly
plan for it to rain a significant amount of the time unless I move to
Oregon, so some things need objects or cards.
Anyhow, the good news, yesterday Isaac and his newer therapist were at
home, after making a McDonald's run. They used PECS for fries, coke, etc.,
and Ize verbally manded for coke nicelya few times, and a couple of other
things and he said CHICKEN 3+ times, once pretty clearly, as in I
practically got whiplash turning my head at a speed not condusive to good
neck health, and said, "
Did he just say "chicken?"" (I just came in the door from being out on
errands with his sister, and heard it clear as day!) and the therapist,
unnamed in case she prefers it that way, but she should get accolades for
this, "Oh yeah, he said it a few times."
You can bet we are buying chicken nuggets again VERY soon. That was soooo
exciting, and as exciting was when she said, in three weeks of working with
Isaac, or however long, she was noticing an increase in manding, tacts and
slightly better articulation for the words too. Gotta love somebody who
tells you that!!!
And last, but not least, I went to another therapist's wedding last night,
one of our guys, and had a great time. He has been determined for months to
see us GO OUT, but really, he didn't have to arrange a marriage for us to
do that, but I guess he felt it was imperative to find some excuse to make
us have a night out. Anyhow, the touching thing was his mother came over,
and I had not met her in person before, but had talked to her via phone,
and she told me how much lovely Isaac was, and what a pleasure it was to
have him visit and to make sure Jay brought Ize over more often, because
they had missed him recently! She also said he was listening and following
directions and even more seemed to watching other people talk and was
interested in the goings on, and she had noted a real improvement in the
last few months in his ability to be a part of things, not just there. Ok,
now I love her too.
Jennie