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 points to a nearby object to indicate that s/he wants the object. Nearby is defined as being within reach. Pointing to nearby object as a form of requesting shows that the child is beginning to understand that another person can help him/her to get a desired item, and s/he can communicate his/her desires by pointing.
Domain: Social Communication
Category: Requesting
Context: Focused/1:1, Generalized/Group
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 another person points to an object that is out of reach, and the child follows the other person’s point to the more distant object and looks at the other person. Following a point to a more distant object shows the child is learning to follow the line of sight in pointing and beginning to understand that pointing can reference objects that are farther away.
Domain: Social Communication
Category: Joint Attention
Context: Focused/1:1, Generalized/Group
This occurs when an object is far enough away that the child cannot touch it, and the child reaches towards the object. This is often an open hand reach, but could also be an action in which the child opens and close his/her hand repetitively. Reaching towards an out of reach object shows that the child wants the object and is beginning to understand that reaching will communicate to another person that s/he wants that object.
Domain: Social Communication
Category: Requesting
Context: Focused/1:1, Generalized/Group