Interventions for autism are increasing being held to standards such as ‘evidence-based practice’ in psychology and ‘scientifically-based research’ in education. When these concepts emerged in the context of adult psychotherapy and regular education, they caused considerable controversy. Application of the concepts to autism treatments and special education has raised additional concerns. An analysis of the benefits and limitations of current approaches to empiricism in autism interventions is presented, and suggestions for future research are made.
Aldred, C., Green, J., & Adams, C. ( 2004) ‘A New Social Communication Intervention for Children with Autism: Pilot Randomized Controlled Treatment Study Suggesting Effectiveness’ , Journal of Child Psychology and Psychiatry45(8): 1420-1430.
2.
American Psychological Association. (2006) ‘Evidence-Based Practice in Psychology’, American Psychologist61 (4): 271-285.
3.
Berliner, D.C. ( 2002) ‘Educational Research: The Hardest Science of All’ , Educational Researcher31(8): 18-20.
4.
Bodfish, J.W. ( 2004) ‘Treating the Core Features of Autism: Are We There Yet?’Mental Retardation and Developmental Disabilities Research Reviews10(4): 318-326.
5.
Burack, J.A. (ed.). (2004) ‘Research Methodology - Matching’ [Special issue]. Journal of Autism and Developmental Disorders34 (1).
6.
Chalfant, A.M., Rapee, R., Carroll, L. ( 2007) ‘Treating Anxiety Disorders in Children with High Functioning Autism Spectrum Disorders: A Controlled Trial’, Journal of Autism and Developmental Disorders37 (10): 1842-1857.
Crits-Christoph, P., et al. (1996) ‘An Update on Empirically Validated Therapies’, The Clinical Psychologist49(2): 5-18.
9.
Chambless, D.L., Baker, M.J., Baucom, D.H., Beutler, L.E., Calhoun, K.S., Crits-Christoph, P., et al. (1998) ‘Update on Empirically Validated Therapies II’, The Clinical Psychologist51(1): 3-16.
10.
Chambless, D.L. & Ollendick, T.H. ( 2001) ‘Empirically Supported Psychological Interventions: Controversies and Evidence’, Annual Review of Psychology52: 685-716.
11.
Charman, T. & Howlin, P. ( 2003) ‘Research into Early Intervention for Children with Autism and Related Disorders: Methodological and Design Issues. Report on a Workshop Funded by the Wellcome Trust, Institute of Child Health, London, UK, November, 2001’, Autism7(2): 217-225.
12.
Chorpita, B.F., Yim, L.M., Donkervoet, J.C., Arensdorf, A., Amundsen, M.J., McGee, C., et al. (2002) ‘Toward Large Scale Implementation of Empirically Supported Treatments for Children: A Review and Observations by the Hawaii Empirical Basis to Services Task Force’, Clinical Psychology: Science and Practice9(2): 165-190.
13.
Drew, A., Baird, G., Baron-Cohen, S., Cox, A., Slonims, V., Wheelwright, S., et al. (2002) ‘A Pilot Randomized Control Trial of a Parent Training Intervention for Pre-School Children with Autism: Preliminary Findings and Methodological Challenges’, European Child and Adolescent Psychiatry11(6): 266-272.
Eisenhart, M. & Towne, L. ( 2003) ‘Contestation and Change in National Policy on ‘Scientifically based’ Education Research’, Educational Researcher32(7): 31-38.
16.
Elliot, R. ( 1998) ‘Editor’s Introduction: A Guide to the Empirically Supported Treatments Controversy’, Psychotherapy Research8(2): 115-125.
17.
Frederickson, B. ( 2009) Positivity: Groundbreaking Research Reveals How to Embrace the Hidden Strength of Positive Emotions, Overcome Negativity, and Thrive . New York: Crown Publishers.
18.
Frost, L.A. & Bondy, A.S. ( 2002) The Picture Exchange Communication System Training Manual (2nd ed.). Newark, DE: Pyramid Educational Products, Inc.
19.
Gordon, E.J. ( 2006) ‘The Political Contexts of Evidence-Based Medicine: Policymaking for Daily Homodialysis’Social Science & Medicine62 (11): 2707-2719.
20.
Green, G. ( 1996) ‘Early Behavioral Intervention for Autism: What Does the Research Tell Us?’ In C. Maurice , G. Green, & S.C. Luce (eds). Behavioral Intervention for Young Children with Autism: A Manual for Parents and Professionals, pp. 29-44. Austin, TX: Pro-ed.
21.
Greenspan, S.I. & Wieder, S. ( 2006) Engaging Autism: Using the Floortime Approach to Help Children Relate, Communicate, and Think. New York: Da Capo.
22.
Harrington, R.C., Cartwright-Hatton, S., & Stein, A. ( 2002) ‘Annotation: Randomized Trials’, Journal of Child Psychology and Psychiatry43(6): 695-704.
23.
Handleman, J.S. & Harris, S.L. ( 2001) Preschool Education Programs for Children with Autism (2nd ed.). Austin, TX: Pro-ed.
24.
Handleman, J.S. & Harris, S.L. ( 2006) School- age education programs for children with autism . Austin, TX: Pro-ed.
25.
Horner, R.H., Carr, E.G., Halle, J., McGee, G., Odom, S. & Wolery, M. ( 2005) ‘The Use of Single-subject Research to Identify Evidence-based Practice in Special Education’, Exceptional Children71(2): 165-179.
26.
Howard, J.S., Sparkman, C.R., Cohen, H.G., Green, G., & Stanislaw, H. ( 2005) ‘A Comparison of Intensive Behavior Analytic and Eclectic Treatments for Young Children with Autism’, Research in Developmental Disabilities, 26 (4): 359-383.
27.
Hume, K. ( 2009) ‘Effects of an Individual Work System on Independence, Task Acquisition and Duration, and Generalization in Students with Autism’ , Manuscript submitted for publication.
28.
Hume, K. & Odom, S. ( 2007) ‘Effects of an Individual Work System on the Independent Functioning of Students with Autism’, Journal of Autism and Developmental Disorders37(6): 1166-1180.
29.
Iovannone, R., Dunlap, G., Huber, H. & Kincaid, D. ( 2003) ‘Effective Educational Practices for Students with Autism Spectrum Disorders’, Focus on Autism and Other Developmental Disabilities18(3): 150-165.
30.
Johnson, C.R., Handen, B.L., Butter, E., Wagner, A., Mulick, J., Sukhodolsky, D.G., Williams, S., Swiezy, N.A., Arnold, L.E., Aman, M.G., Scahill, L., Stigler, K.A., McDougle, C.J., Vitiello, B., & Smith, T. ( 2007) ‘Development of a Parent Training Program for Children with Pervasive Developmental Disorders’, Behavioral Interventions22: 201-221.
31.
Jones, G. & Jordan, R. ( 2008) ‘Research Base for Intervention in Autism Spectrum Disorders’ in E. McGregor, M. Nunez, K. Cebula, & J.C. Gomez (eds.) Autism: An Integrated View from Neurocognitive, Clinical, and Intervention Research , pp 281-302. Malden, MA: Blackwell.
32.
Kasari, C. ( 2002) ‘Assessing Change in Early Intervention Programs for Children with Autism’, Journal of Autism and Developmental Disorders32(5): 447-461.
33.
Kazdin, A.E. ( 2008). ‘Evidence-based Treatment and Practice: New Opportunities to Bridge Clinical Research and Practice, Enhance the Knowledge Base, and Improve Patient Care’, American Psychologist, 63 (3): 146-159.
34.
Klin, A., Saulnier, C.A., Sparrow, S.S., Cicchetti, D.V., Volkmar, F.R., & Lord, C. ( 2007) ‘Social and Communication Abilities and Disabilities in Higher Functioning Individuals with Autism Spectrum Disorders: The Vineland and the ADOS’, Journal of Autism and Developmental Disorders37(4): 748-759.
35.
Koegel, R.L. & Koegel, L.K. ( 2006) Pivotal Response Treatments: Communication, Social, and Academic Development. Baltimore: Paul H. Brookes.
36.
Lampropoulos, G.K. ( 2000) ‘A Reexamination of the Empirically Supported Treatments Critiques’, Psychotherapy Research10 (4): 474-487.
37.
Laugeson, E.A., Frankel, F., Mogil, C., & Dillon, A.R. ( 2009) ‘Parent-assisted Social Skills Training to Improve Friendships in Teens with Autism Spectrum Disorders’Journal of Autism and Developmental Disorders39 (4): 596-606.
38.
Lehmkuhl, H.D., Storch, E.A., Bodfish, J.W., Geffken, G.R. ( 2008) ‘Brief report: Exposure and Response Prevention for Obsessive Compulsive Disorder in a 12-year-old with Autism’Journal of Autism and Developmental Disorders38 (5): 977-981.
39.
Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., et al. (2005) ‘Challenges in Evaluating Psychosocial Interventions for Autism Spectrum Disorders’, Journal of Autism and Developmental Disorders35(6); 695-708.
40.
Lovaas, O.I. ( 1987) ‘Behavioral Treatment and Normal Educational and Intellectual Functioning in Young Autistic Children’, Journal of Consulting and Clinical Psychology55(1): 3-9.
41.
Lovaas, O.I. (with Bondy, A., Buch, G., Cohen, H.G., Dobel, K., Eikeseth, S., Frost, L., et al.). (2003) Teaching Individuals with Developmental Delays: Basic Intervention Techniques. Austin, TX: Pro-ed.
42.
Lyubomirsky, S. ( 2007) The How of Happiness: A Scientific Approach to Getting the Life You Want. New York: Penguin Press.
43.
Maine Administrators of Services for Children with Disabilities (MADSEC). (2000) ‘Report of the MADSEC Autism Task Force (revised ed.)’ [http://www.madsec.org/docs/atf.htm ]
44.
Marcus, L.M., Lansing, M., Andrews, C.E., & Schopler, E., (1978) ‘Improvement of Teaching Effectiveness in Parents of Autistic Children’, Journal of the American Academy of Child Psychiatry17(4): 625-639.
45.
Maxwell, J.A. ( 2004) ‘Casual Explanation, Qualitative Research, and Scientific Inquiry in Education’, Educational Researcher33(2): 3-11.
46.
McEachin, J.J., Smith, T., & Lovaas, O.I. ( 1993) ‘Long-Term Outcome for Children with Autism who Received Early Intensive Behavioral Treatment’, American Journal on Mental Retardation97(4): 359-372.
47.
Mesibov, G.B., Shea, V., & Schopler, E. (with Adams, L., Burgess, S., Chapman, S.M., Merkler, E., Mosconi, M., Tanner, C. & Van Bourgondien, M.E.). (2005) The TEACCH Approach to Autism Spectrum Disorders . New York: Springer.
48.
National Research Council (2001) Educating Children with Autism. Committee on Educational Interventions for Children with Autism. Division of Behavioral and Social Sciences and Education . Washington, DC: National Academy Press.
49.
New York State Department of Health Early Intervention Program (1999) ‘Clinical Practice Guideline: Report of the Guideline Recommendations:Autism/Pervasive Developmental Disorders: Assessment and Intervention for Young Children (age 0-3 Years) [http://www.health.state.ny.us/community/infants_children/early_intervention/autism/index.htm#acknowledgment/]
50.
Odom, S.L., Brantlinger, E., Gersten, R., Horner, R.H., Thompson, B., & Harris, K.R. ( 2005) ‘Research in Special Education: Scientific Methods and Evidence-Based Practices’, Exceptional Children71(2): 137-148.
51.
Odom, S.L., Brown, W.H., Frey, T., Karasu, N., Smith-Canter, L.L., & Strain, P.S. ( 2003) ‘Evidence-Based Practices for Young Children with Autism: Contributions for Single-Subject Design Research’, Focus on Autism and Other Developmental Disabilities18(3): 166-175.
52.
Ozonoff, S. & Cathcart, K. ( 1998) ‘Effectiveness of a Home Program Intervention for Young Children with Autism’, Journal of Autism and Developmental Disorders28(1): 25-32.
53.
Panerai, S., Zingale, M., Trubia, G., Finocchiaro, M., Zuccarello, R., Ferri, R., & Elia, M. ( 2009) ‘Special Education Versus Inclusive Education: The Role of the TEACCH Program’Journal of Autism and Developmental Disorders.
54.
Reichow. B., Volkmar, F.R. & Cicchetti, D.V. ( 2008) ‘Development of the Evaluative Method for Evaluating and Determining Evidence-Based Practices in Autism’, Journal of Autism and Developmental Disorders38 (7): 1311-1319.
55.
Reichow, B. & Wolery, M. ( 2009) ‘Comprehensive Synthesis of Early Intensive Behavioral Intervention for Young Children with Autism Based on the UCLA Young Autism Project’, Journal of Autism and Developmental Disorders .
56.
Rogers, S.J. ( 1998) ‘Empirically Supported Comprehensive Treatments for Young Children with Autism’, Journal of Clinical Child Psychology27(2): 168-179.
57.
Rogers, S.J. & Vismara, L.A. ( 2008) ‘Evidence-Based Comprehensive Treatments for Early Autism’, Journal of Clinical Child & Adolescent Psychology37 (1): 8-38.
58.
Sallows, G.O. & Graupner, T.D. ( 2005) ‘Intensive Behavioral Treatment for Children with Autism: Four-Year Outcome and Predictors’, American Journal on Mental Retardation110(6): 417-438.
59.
Schreibman, L. ( 2000) ‘Intensive Behavioral/Psychoeducational Treatments for Autism: Research Needs and Future Directions’, Journal of Autism and Developmental Disorders30(5): 373-378.
60.
Schreibman, L. & Koegel, R.L. ( 2005) ‘Training for Parents of Children with Autism: Pivotal Responses, Generalization, and Individualization of Interventions’, In E.D. Hibbs & P.S. Jensen (eds.) Psychosocial Treatments for Child and Adolescent Disorders: Empirically Based Strategies for Clinical Practice (2nd ed.), pp 605-631. Washington, DC: American Psychological Association.
61.
Shea, V. ( 2004) ‘A Perspective on the Research Literature Related to Early Intensive Behavioral Intervention (Lovaas) for Young Children with Autism’, Autism8(4): 349- 367.
62.
Short, A.B. ( 1984) ‘Short-term Treatment Outcome Using Parents as Co-therapists for Their Own Autistic Children’, Journal of Child Psychology and Psychiatry25(3): 443-458.
63.
Simpson, R.L. ( 2005a) Autism Spectrum Disorders: Interventions and Treatments for Children and Youth. Thousand Oaks, CA: Corwin Press.
64.
Simpson, R.L. ( 2005b) ‘Evidence-based Practices and Students with Autism Spectrum Disorders’, Focus on Autism and Other Developmental Disabilities20(3): 140-149.
65.
Simpson, R.L., McKee, M., Teeter, D., & Beytien, A. ( 2007) ‘Evidence-Based Methods for Children and Youth with Autism Spectrum Disorders: Stakeholder Issues and Perspectives’, Exceptionality15(4): 203-217.
66.
Smith, T. ( 1996) ‘Are Other Treatments Effective? In C. Maurice, G. Green , & S.C. Luce (eds.). Behavioral Intervention for Young Children with Autism: A Manual for Parents and Professionals, pp. 45-59. Austin, TX: Pro-ed.
67.
Smith, T., Groen, A.D. & Wynn, J.W. ( 2000) ‘Randomized Trial of Intensive Early Intervention for Children with Pervasive Developmental Disorder’, American Journal on Mental Retardation105(6): 269-85.
68.
Smith, T., Groen, A.D. & Wynn, J.W. ( 2001) ‘Randomized Trail of Intensive Early Intervention for Children with Pervasive Developmental Disorder: Errata’, American Journal on Mental Retardation106 (3): 208.
69.
Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., Rogers, S., & Wagner, A. ( 2007) ‘Designing Research Studies on Psychosocial Intervention in Autism’, Journal of Autism and Developmental Disorders32 (2): 354-366.
70.
Society of Clinical Psychology (1995) ‘Task Force on Promotion and Dissemination of Psychological Procedures’ , The Clinical Psychologist48(1): 1-17.
71.
Sofronoff, K., Leslie, A., & Brown, W. ( 2004) ‘Parent Management Training and Asperger Syndrome: A Randomized Controlled Trial to Evaluate a Parent Based Intervention’ , Autism8(3): 301-317.
72.
Solomon, M., Goodlin-Jones, B.L., & Anders, T.F. ( 2004) ‘A Social Adjustment Enhancement Intervention for High Functioning Autism, Asperger’s Syndrome, and Pervasive Developmental Disorder-NOS’, Journal of Autism and Developmental Disorders34(6): 649-668.
73.
Strain, P.S. & Hoyson, M. ( 2000) ‘The Need for Longitudinal, Intensive Social Skill Intervention: LEAP Follow-Up Outcomes for Children with Autism’, Topics in Early Childhood Special Education20(2): 116-122.
74.
U.S. Department of Health and Human Services. ( 1999) ‘Mental Health: A Report of the Surgeon General-Executive Summary’, Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. [http://www.surgeongeneral.gov/library/mentalhealth/summary.html ]
75.
Webster, A., Webster, V., & Feiler, A. ( 2002) ‘Research Evidence, Polemic and Evangelism: How Decisions are Made on Early Intervention in Autistic Spectrum Disorder’ , Educational and Child Psychology19(3): 54-67.
76.
Welterlin, A. ( 2009). The Home TEACCHing Program: A Study of the Efficacy of a Parent Training Early Intervention Model. Unpublished doctoral dissertation, Rutgers University.
77.
Wendt, D.C. & Slife, B.D. ( 2007) ‘Is Evidence-Based Practice Diverse Enough? Philosophy of Science Considerations’, American Psychologist62(6): 613-614.
78.
Westen, D. & Bradley, R. ( 2005) ‘Empirically Supported Complexity: Rethinking Evidence-Based Practice in Psychotherapy’, Current Directions in Psychological Science14(5): 266-271.
79.
Wood, J.J., Drahota, A., Sze, K., Har, K., Chiu, A., & Langer, D.A.(2009) ‘Cognitive Behavioral Therapy for Anxiety in Children with Autism Spectrum Disorders: A Randomized, Controlled Trial’, Journal of Child Psychology and Psychiatry50(3): 224-234.
80.
Yoder, P. & Stone, W.L. ( 2006) ‘Randomized Comparison of Two Communication Interventions for Preschoolers with Autism Spectrum Disorders’, Journal of Consulting and Clinical Psychology74(3): 426-435.