Social Skills Training for Autistic and other Neurodivergent children, adolescents and young adults is a multi-billion dollar industry. Applied Behavioral Analysis (ABA) clinics, as well as many other for-profit entities, heavily advertise “social skills training” to the parents of Autistic children. A quick Google search for “Social Skills Training” will provide links to thousands of ABA clinics, schools, therapy practices, summer camps, etc., along with thousands of books, videos and “social skills training programs” that promise to train social skills into the autistic or other neurodivergent child, while simultaneously teaching them “how to make friends” through:

 Ivar Lovaas, early ABA pioneer:
“You see, you start pretty much from scratch when you work with an autistic child. You have a person in the physical sense—they have hair, a nose and a mouth—but they are not people in the psychological sense. One way to look at the job of helping autistic kids is to see it as a matter of constructing a person. You have the raw materials, but you have to build the person.” 

Investors across the United States, as well as around the world,enormously profit from the fact that while “Autism Awareness” is a fairly mainstream concept, Autism Acceptance sadly remains far from the norm. 2017 research published in Scientific Reports indicates that “first impressions of individuals with ASD made from thin slices of real-world social behavior by typically-developing observers are not only far less favorable across a range of trait judgments compared to controls, but also are associated with reduced intentions to pursue social interaction.”1 Sasson, N. J. et al. Neurotypical Peers are Less Willing to Interact with Those with Autism based on Thin Slice Judgments. Sci. Rep. 6, 40700; doi: 10.1038/srep40700 (2016). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5286449/ The research demonstrates that it is the autistic social presentation style rather than the substantive content of social speech (that drives) negative impression formation of” 2ibid autistic individuals. It is clear that the endless drilling of autistic children and adolescents to memorize and parrot “appropriate” rote phrases in specific social situations will not lead to their neurotypical peers judging them as more likable. The “Business” of Autism incorporates tremendous amounts of money and time towards the task of “normalizing” the social, behavioral, developmental, and linguistic conventions of Autistic people. The end goal of ABA is to make the Autistic person appear indistinguishable from their peers. As there is no “cure” for Autism, the only way to do this is for Autistic people to camouflage or compensate for their autistic differences through masking, which can lead to negative consequences such as exhaustion, anxiety, depression, negative self-perception, low self-esteem and even suicidal ideation.

I wouldn’t treat a dog that way3 IS ABA REALLY “DOG TRAINING FOR CHILDREN”? A PROFESSIONAL DOG TRAINER WEIGHS IN. THE ASPERGIAN. CAROL MILLMAN, MARCH 27, 2019 . https://theaspergian.com/2019/03/27/is-aba-really-dog-training-for-children-a-professional-dog-trainer-weighs-in/

Therapist Neurodiversity Collective Therapists don’t “train” social skills. We believe that social skills training is one more way of dehumanizing Autism. Dictating how a neurodivergent person is expected to communicate in specific social situations takes away their self-determination. Training people as one trains animals is appalling. Therapist Neurodiversity Collective believes in respecting the authentic social communication of all people, rather than compelling compliance for neurotypical expectations through a system of rewards and punishments. Instead of role-playing and parroting memorized verbal and behavioral scripts, we use supports, such as visual schedules to help people navigate specific routines. We teach perspective-taking. We empower through teaching self-advocacy and encouraging self-determination.

Therapist Neurodiversity Collective supports the emotional well-being and sensory needs of our clients, first and foremost. It is important for neurotypical therapists to understand that social interaction can be exhausting for autistic people and other people who are neurodivergent, especially if they are being pressured to imitate neurotypical mannerisms and mask their autistic behaviors, mannerisms and feelings. Therapist Neurodiversity Collective therapists don’t “train” social skills, nor do we “treat Autism.” Historically, social skills therapy has been generally based upon neurotypical expectations which do not take into consideration the diversity of the populations we serve.

Examples of Pro-Neurodiversity Objectives:

Note on Perspective Taking Therapy: 
Targeting perspective taking may include teaching children and teens to understand how and why neurotypical act the way they do in various settings and situations. We do not use rote social scripts or social stories that compel verbal or behavioral compliance as this takes away self-determination and leads to inauthentic communication. (See more about the use of social stories below.)

Targeting perspective taking may include teaching consenting Autistic people (old enough to determine their personal “social skills” goals, and old enough to understand potentially harmful aspects of masking) neurotypical socially expected norms in various social, educational and work environments. Clients will self-determine if, or when they choose to use this knowledge.

Examples of Ableist Objectives:


Note on Social Stories4Carol Gray Social Stories: What is a Social Story? https://carolgraysocialstories.com/social-stories/what-is-it/ versus “social stories*”5 Behavior Analytic Interventions for Developing Social Skills in Individuals with Autism. Mary Jane Weiss. Excerpted from Social Skills and Adaptive Behavior in Learners with Autism Spectrum Disorders
edited by Peter F. Gerhardt Ed.D, & Daniel Crimmins Ph.D. http://archive.brookespublishing.com/documents/Gerhardt_social-skills.pdf?fbclid=IwAR1EC83FA7Gs1Q11kOo_bfOJG_JtsI0A2iSYGWK-BabUyK9QOjvrEXMqDYc

Carol Gray’s approach: ” First: Abandon all assumptions. Second: Recognize that the social impairment in autism is shared, with mistakes made on all sides of the social equation. Third: When Typical people interact with people with autism, both perspectives are equally valid and deserving of respect. To this day, these three principles define the Social Story philosophy and guide the development of each Story.” 6Carol Gray Social Stories. Origins of the Social Story Philosophy (1986-1989). https://carolgraysocialstories.com/social-stories/origins-of-the-social-story-philosophy/
ABA approach: “Social Stories are often used to convey behavioral expectations for multielement situations (which change frequently), for fear situations, and to reduce challenging behaviors.”7 Behavior Analytic Interventions for Developing Social Skills in Individuals with Autism. Mary Jane Weiss. Excerpted from Social Skills and Adaptive Behavior in Learners with Autism Spectrum Disorders
edited by Peter F. Gerhardt Ed.D, & Daniel Crimmins Ph.D. http://archive.brookespublishing.com/documents/Gerhardt_social-skills.pdf?fbclid=IwAR1EC83FA7Gs1Q11kOo_bfOJG_JtsI0A2iSYGWK-BabUyK9QOjvrEXMqDYc
“Gray (2000) outlined suggestions for developing effective Social Stories and included guidelines about the types of sentences to be used. There are seven recognized sentence types for creating Social Stories (Barry & Burlew, 2004; Crozier & Tincani, 2007; Reynhout & Carter, 2006)” 8ibid.

Respectful practices will never use ABA methods in conjunction with the use of social stories. Empathetic practitioners use “social stories” formats which do not compel compliance or dictate verbal or behavior scripting. In the words of Carol Gray, “Story research, development, and implementation to ensure an overall patient and supportive quality, and a format, “voice”, content, and learning experience that is descriptive, meaningful, and physically, socially, and emotionally safe for the (Autistic) child, adolescent, or adult.”9 Carol Gray Social Stories: What is a Social Story? https://carolgraysocialstories.com/social-stories/what-is-it/

Ally Speech-Language Pathologist and Speech Language Therapists must strive to further the cause of Autism Acceptance by educating the public, our professional peers and especially our client families, while promoting “acceptance and inclusion and changing the dialogue about autism from fear, pity, and tragedy to support, acceptance, and empowerment.”10ASAN Autistic Self-Advocacy Network, Autism Acceptance Month: https://autisticadvocacy.org/projects/community/autism-acceptance-month/

LINK to Pragmatic Language Research, Resources and more!

Julie Roberts, M.S., CCC-SLP

References   [ + ]

1. Sasson, N. J. et al. Neurotypical Peers are Less Willing to Interact with Those with Autism based on Thin Slice Judgments. Sci. Rep. 6, 40700; doi: 10.1038/srep40700 (2016). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5286449/
2.ibid
3. IS ABA REALLY “DOG TRAINING FOR CHILDREN”? A PROFESSIONAL DOG TRAINER WEIGHS IN. THE ASPERGIAN. CAROL MILLMAN, MARCH 27, 2019 . https://theaspergian.com/2019/03/27/is-aba-really-dog-training-for-children-a-professional-dog-trainer-weighs-in/
4.Carol Gray Social Stories: What is a Social Story? https://carolgraysocialstories.com/social-stories/what-is-it/
5, 7. Behavior Analytic Interventions for Developing Social Skills in Individuals with Autism. Mary Jane Weiss. Excerpted from Social Skills and Adaptive Behavior in Learners with Autism Spectrum Disorders
edited by Peter F. Gerhardt Ed.D, & Daniel Crimmins Ph.D. http://archive.brookespublishing.com/documents/Gerhardt_social-skills.pdf?fbclid=IwAR1EC83FA7Gs1Q11kOo_bfOJG_JtsI0A2iSYGWK-BabUyK9QOjvrEXMqDYc
6.Carol Gray Social Stories. Origins of the Social Story Philosophy (1986-1989). https://carolgraysocialstories.com/social-stories/origins-of-the-social-story-philosophy/
8.ibid.
9. Carol Gray Social Stories: What is a Social Story? https://carolgraysocialstories.com/social-stories/what-is-it/
10.ASAN Autistic Self-Advocacy Network, Autism Acceptance Month: https://autisticadvocacy.org/projects/community/autism-acceptance-month/

4 Responses

    1. Thank you for your kind words. More resources are coming soon, including a blog on how to write and target perspective taking goals. The website has research to support the article and our practices if you go to the home page, click on “Therapy” and then”Pragmatic Language.”

  1. Outstanding information! Re: teaching why neurotypical children/teens behave the way they do in certain situations-would love more information/directions on this topic to address (adequately) in therapy sessions. Wonderful resource!

Leave a Reply

Your email address will not be published. Required fields are marked *