Session 325: Developing Rapport and Sustaining Motivation in Autism Treatment

Listen on: Apple Podcasts | Spotify | YouTube

Event details:

  • Instructor: Alice Shillingsburg, Ph.D., BCBA-D
  • Location: Asynchronous Online
  • Learning CEs: 1.0 ACE
  • Provider: Behavioral Observations, OP-23-10227
  • ACE Organizational Coordinator: Matthew J. Cicoria, MS, BCBA

In this episode, I talk with Dr. Alice Shillingsburg about her work on rapport building and pairing procedures in applied behavior analysis for children with autism. We explore how building therapeutic rapport goes beyond simply “liking someone,” emphasizing the importance of establishing trust and engagement to facilitate learning, especially when tasks are challenging.

Alice explains the nine-stage pairing protocol she developed and highlights how careful timing, observation, and reinforcement choices can make pairing effective. We discuss the significance of observing children’s approach behaviors to understand their preferences and keep therapy engaging, as well as how instructional fading can gradually increase task difficulty without creating aversive experiences.

During our conversation, we took a quick sidebar to talk about the upcoming Verbal Behavior Conference. This is a conference like none other. Whether you participate online or make the short drive to Austin, you'll be treated to very in-depth talks about generative learning for individuals with Autism and related disabilities. Learn more and register here.

We also dive into practical applications — how pairing and instructional procedures can be adapted in real-world therapy settings, while still maintaining their effectiveness. Alice talks about data collection strategies for engagement and behavior, including the importance of tracking approach behaviors, avoidance, and other signals of a child’s readiness.

Finally, we consider the sustainability of pairing procedures over time and potential directions for future research, including investigating methods of instructional fading and tracking gestural communication development in children with autism.

Resources Mentioned

  • Shillingsburg, et al. (2019). Rapport Building and Instructional Fading Prior to Discrete Trial Instruction: Moving From Child-Led Play to Intensive Teaching
  • Cariveau, et al. (2020). A Structured Intervention to Increase Response Allocation to Instructional Settings for Children with Autism Spectrum Disorder
  • Shillingsburg, et al. (2014). Increasing social approach and decreasing social avoidance in children with autism spectrum disorder during discrete trial training
  • Session 313: Client Assent in Behavior Analysis: Balancing Autonomy and Clinical Progress (Ethics CE available!)
  • Alice's first appearance on the BOP: Innovation and Change in ABA: Session 154 with Alice Shillingsburg

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