Autistic children are diagnosed because of challenges with social and communication interactions, as well as a tendency to engage in repetitive behaviors and to have a limited range of interests. Almost all autistic preschool-aged children have difficulty with joint attention and symbolic play.
When researchers have looked at what preschool skills are most predictive of how an autistic person will function when s/he is older, language skills are among the most important abilities. Children who have acquired the ability to use spoken language in order to communicate with others by the end of preschool face fewer academic challenges than children who are still nonverbal. Further, research tells us that if we teach joint attention and symbolic play skills to autistic children, they will develop better language and communication abilities. Alternatively, if we do not specifically teach joint attention and symbolic play skills, they will be unlikely to learn the skills, and their language development will not progress as well. So, joint attention and symbolic play are key skills that should be addressed for all autistic preschool-aged children.
Of course, preschool-aged autistic children generally have many needs, and a comprehensive intervention program that helps them develop in many areas is essential. The ASAP intervention is intended for use in preschool programs that are providing comprehensive educational services for autistic children.
The term “joint attention” describes what happens when two people pay attention to the same thing on purpose. Imagine, for example, that a teacher points to a picture book and says to a child, “Look at this book.” The child looks where the teacher is pointing, and they look at the book together. In this situation, the teacher and the child have engaged in joint attention. Children can also initiate joint attention. Imagine that you are out with your child and your child sees a dog. Your child might look up at you to see whether you also see the dog, and then look back at the dog again. This would also be joint attention – sharing attention to the dog on purpose.
Symbolic play involves pretending or using imagination. At a simple level, when a toddler pretends to stir in a bowl that is actually empty, she is pretending that there is something in the bowl. Or when a preschooler picks up a cardboard tube and swings it in front of him like a sword, he is pretending that the cardboard tube is something different from what it actually is. A kindergartner who swoops around pretending to be a superhero defeating the bad guys is also showing symbolic play skills.
This occurs when the child uses a toy to act on another person. Playing with toys in a functional way directed towards others shows the child is starting to understand that other people can be included in play.
Domain: Play
Category: Functional
Context: Focused/1:1, Generalized/Group
This occurs when the child uses an object/toy to represent something else. Using an object to stand for a different object shows the child is starting to understand that objects can symbolize something else in play routines.
Domain: Play
Category: Symbolic
Context: Focused/1:1, Generalized/Group
This occurs when the child combines some type of gesture, such as pointing or reaching, and/or uses vocalizations while looking at that person to indicate that they want to continue a game or activity that has paused. This illustrates that the child is beginning to understand how to engage another person and that there is some shared enjoyment during a particular activity.
Domain: Social Communication
Category: Social Interaction
Context: Focused/1:1, Generalized/Group
This occurs when the child shows an object of interest to another person for the purpose of sharing the object, and the child looks at the other person and the object while showing the object. Showing objects to another person shows the child is beginning to understand that s/he can initiate engagement about an object of interest through the gesture of showing.
Domain: Social Communication
Category: Joint Attention
Context: Focused/1:1