RDI Fun

“Wow! The sun is really reflecting light off that building,” I remarked at breakfast last Thursday. I made a show of gawking through the kitchen window.

Martin, seated at the counter, fiddled another second with a toy, then turned to look out the window.

Score!

“It’s so bright it kind of hurts my eyes,” I said.

Martin shifted his gaze to me and replied, “It’s bright.”

Double score! I scrawled a few words in my countertop notebook and let several minutes pass while Martin ate breakfast.

“When the sun is still rising, it’s much lighter outside these windows”—I inclined my head to the kitchen window and other west-facing windows—“than it is outside those windows.” I finished with a dramatic point across the room to the east-facing windows.

Martin checked the kitchen window once more, then compared the east-facing windows.

Score! I made another note and let a few more minutes pass.

“It looks like it’s starting to get cloudy,” I said.

Pause.

Nothing.

I decided to add some “scaffolding.”

“I was looking out the window,” I said, “and I noticed that it looks like it’s starting to get cloudy.”

My words alerted Martin. He looked at me and then out the window. “It’s cloudy,” he said.

Score!

And so we went, through breakfast. Observation. Reaction. My gaze. Martin’s gaze.

This odd game is part of a behavioral therapy, Relationship Development Intervention, or RDI, that we do with Martin. Although I meet regularly with our RDI consultant, the program is intended to be family-based and driven through everyday interactions. It rests upon “guided participation,” wherein I serve as a mentor to Martin, helping him master the basics of social interaction. RDI for ASD covers approximately a gazillion milestones, and I have found it challenging to get my arms around the program.

Nevertheless, our consultant is patient, and on occasions like last Thursday’s breakfast, I see the logic behind the RDI strategy. Right now we’re working on Martin’s ability to read facial expressions. Ideally, Martin would show sustained interest in me during breakfast. He would check my face regularly, and if he noticed me staring in some direction, he’d also look there, for clues to what’s going on.

That’s what neurotypical persons generally do. For example, this afternoon I walked into my bank and saw several patrons and staff craning their necks to look at the high ceiling. So I looked, too. I just did. And before I had a son with ASD, I would never have thought twice about the moment. (A ceiling vent was emitting ash, it turned out.)

Martin, on the other hand, does not automatically make such observations, at least not yet. So I’m teaching him to do so. I look out the window. I give Martin a chance to notice and to look out the window, too. If he doesn’t, then I add some “scaffolding”—that’s RDI-speak for “extra help”—by making some verbal observation. I give Martin another chance to catch my clues. If he doesn’t, it’s time for more scaffolding. I might point, or make my comment more explicit, such as when I said, “I was looking out the window and ….”

At all costs, I avoid using the imperative. Martin, look out the window, is a no-no. So is an imperative hidden in a question, like, Can you look out the window? RDI sets a goal of 20% imperatives, and 80% “observations,” “emotion sharing,” and so forth. That’s probably the toughest component. When you have a child on the spectrum, the day can easily dissolve into 99% imperatives. Martin, eat your breakfast. Martin, chew. Hurry up! Martin, can you put your shoes on? Martin, come here and brush your teeth.

We’re also playing little games to work on facial observations. Over the weekend I placed three identical boxes upside down on the rug and hid Martin’s miniature guitar under one. With facial expression alone I indicated which box was harboring the guitar.

Martin showed no interest whatsoever.

I scaffolded. I removed one box, arranged the other two on either side of me, and nodded dramatically toward the correct box.

Martin started to get up.

I scaffolded some more. “I think the guitar is there,” I said while nodding.

Martin perked up and lifted the correct box.

Mini-score! Score with extra scaffolding!

I’ve got the mantra ingrained by now: ASD recovery is a marathon, not a sprint.

Even the little victories count.

(Careful readers might be wondering why the rising sun shines brighter through our western windows than our eastern windows, given the sun’s proclivity to rise in the east. The anomaly happens because a taller building blocks our eastern exposure, while our western exposure is open to, across an expanse, office towers whose windows throw the sunbeams back toward us. Ah, city life.)

2 thoughts on “RDI Fun

  1. Sorry to inundate you with comments today, but I was wondering if you were still happy with your decision to discontinue ABA and go with RDI? Would love to hear more about the difference. My son has been doing what we consider a more modern version of ABA with lots of natural interactions included in the teaching, but I do get nervous about the prompting being too much.

    • You can send as many comments as you want! You can also email me at findingmykid@yahoo.com. In response to your question, yes, I am still happy with our decision to discontinue ABA. I know a lot of families find it helpful; parents of a child in Martin’s former playgroup told me it was the only thing that curbed their son’s aggressive behavior. For us, it was not helpful at all. I wanted nothing more than Martin’s creativity to emerge. I found ABA made him speak in rote responses, and expect the same thing to happen every time. I did not want him believing that “How are you?” has one correct response, or that asking one question 10 times will yield 10 answers all the same. In addition, I found ABA unnatural and unconnected to the way children learn and play. RDI worked much better for helping Martin learn to adapt to changing scenarios and express real thoughts, instead of just what is expected. I was nervous about abandoning ABA, insofar as everyone calls it the “only proven therapy.” When I went back and checked the studies that “prove” the benefits of ABA, however, I found the real, lasting results to be lacking. Is that what you were wondering?

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