one-to-one interventions and social interaction

I keep reading about a variety of interventions that are based on a one-to-one interaction between someone on the spectrum and a counsellor. One term I see used in relation to this is "dyadic".

There seems to be an assumption that if progress can be made on a one-to-one basis it resolves the kinds of problems that arise in social interaction and communication where multiples of people are involved.

I was under the impression that one-to-one is usually easier and improves with time and greater understanding. It is easier too to rely on spoken language rather than body language in one-to-one, so that it is easy to develop verbal skills to compensate. My question is whether the skills learned in one-to-one situations can be meaningful or helpful to other kinds of social situation.

I have not seen anything that tackles the wider social integration problem where people on the spectrum have to converse as one of a group of people or in an environment where lots of conversations are ongoing. This applies to lots of social situations including fitting in at work.

Have I misunderstood things, or are people advocating interventions actually claiming that one-to-one will solve anything significantly more than what to expect in a one-to-one dialogue?

Parents
  • Thanks for explaining this but I still don't see how this equips them for the real world.

    One thing you state that the ideal one-to-one intervention is one where there is a team of people involved, who each work individual shifts with the autistic person. This enables maximum contact time and minimum overload, with gradual exposure to different personal styles of interaction.

    Aside from the fact that in real life people on the spectrum face difficulty dealing with multiples of people but may find one-to-one easier, how does dealing with a team of people rotating one-to-one help? OK you say it has helped your child in mainstream school, but how does that help after school?

    You don't take account of change, or ability to recognise people in different contexts. I am concerned that a lot of treatment methods are derived from other contexts and used because it seems to work, (like electro-convulsive therapy?).

    The real world problem is with multiples of people. If you have clear scientific evidence this teamwork process with rotation of one-to-one sessions works, show the evidence.

Reply
  • Thanks for explaining this but I still don't see how this equips them for the real world.

    One thing you state that the ideal one-to-one intervention is one where there is a team of people involved, who each work individual shifts with the autistic person. This enables maximum contact time and minimum overload, with gradual exposure to different personal styles of interaction.

    Aside from the fact that in real life people on the spectrum face difficulty dealing with multiples of people but may find one-to-one easier, how does dealing with a team of people rotating one-to-one help? OK you say it has helped your child in mainstream school, but how does that help after school?

    You don't take account of change, or ability to recognise people in different contexts. I am concerned that a lot of treatment methods are derived from other contexts and used because it seems to work, (like electro-convulsive therapy?).

    The real world problem is with multiples of people. If you have clear scientific evidence this teamwork process with rotation of one-to-one sessions works, show the evidence.

Children
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