Maternal experience of Lego Therapy in families with children with autism spectrum conditions: What is the impact on family relationships?

Abstract

This study aimed to explore mothers’ experience of implementing Lego Therapy at home within the family. Following a Lego Therapy training session, mothers carried out hourly sessions with their child with an autism spectrum condition and the child’s sibling, once a week, for 6 weeks. Mothers were interviewed following the intervention, and the data were analysed using interpretative phenomenological analysis. Themes emerged around improved family relationships, a positive impact on the child as an individual, and changed maternal, sibling and child perspectives. Challenging and facilitative aspects also emerged, as did some ambivalence about the impact of the intervention in the wider context. The findings are supportive of previous Lego Therapy studies and have implications for strengths-based service provision.

Keywords

autism spectrum Lego Therapy social skills interventions

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References

Attwood

(1998) Asperger Syndrome: A Guide for Parents and Professionals. London: Jessica Kingsley Publishers.

Bohlander

Orlich

Varley

(2012) Social skills training for children with Autism. Pediatric Clinics of North America 59(1): 165–174.

De Shazer

Dolan

Korman

(2007) More Than Miracles: The State of the Art of Solution-Focused Brief Therapy. New York: Haworth Press.

Dodd

(2005) Understanding Autism. Marrickville, NSW, Australia: Elsevier.

Elliott

Fischer

Rennie

(1999) Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology 38(3): 215–229.

Evans

Sanders

Knight

(2014) ‘Lego Therapy’ Club for children with high functioning autism and Asperger’s syndrome. Clinical Psychology Forum 262: 18–21.

Freedman

Combs

(1996) Narrative Therapy: The Social Construction of Preferred Realities. New York: W.W. Norton & Company, Inc.

Goldenberg

(2003) Family Therapy. Pacific Grove, CA: Brooks/Cole.

Green

Gilchrist

Burton

. (2000) Social and psychiatric functioning in adolescents with Asperger syndrome compared with conduct disorder. Journal of Autism and Developmental Disorders 30: 279–293.

10.

Greenspan

Wieder

(1998) The Child with Special Needs: Encouraging Intellectual and Emotional Growth. Reading, MA: Perseus Books.

11.

HM Government (2004a) Every Child Matters: Change for Children. Nottingham: Department for Education and Skills.

12.

HM Government (2004b) National Service Framework for Children, Young People and Maternity Services: Evidence to Inform the National Service Framework for Children, Young People and Maternity Services. London: Department for Education and Skills and Department of Health.

13.

Jones

Schwartz

(2004) Siblings, peers, and adults: differential effects of models for children with Autism. Topics in Early Childhood Special Education 24(4): 187–198.

14.

Kaminsky

Dewey

(2001) Sibling relationships of children with ASC. Journal of Autism and Developmental Disorders 31(4): 399–410.

15.

Kaminsky

Dewey

(2002) Psychosocial adjustment in siblings of children with ASC. Journal of Child Psychology and Psychiatry 43(2): 225–232.

16.

Kausar

Jevne

Sobsey

(2003) Hope in families of children with developmental disabilities. Journal on Developmental Disabilities, 10, 35–46.

17.

Kim

Szatmari

Bryson

. (2000) The prevalence of anxiety and mood problems among children with Autism and Asperger syndrome. Autism 4(2): 117–132.

18.

Koegel

(1995) Communication and language intervention. In: Koegel

Koegel

(eds) Teaching Children with ASC: Strategies for Initiating Positive Interactions and Improving Learning Opportunities. Baltimore, MD: Brookes Publishing, pp. 17–32.

19.

Koning

Magill-Evans

(2001) Social and language skills in adolescent boys with Asperger syndrome. Autism 5(1): 23–36.

20.

LeGoff

(2004) Use of LEGO^® as a therapeutic medium for improving social competence. Journal of Autism and Developmental Disorders 34(5): 557–571.

21.

LeGoff

Sherman

(2006) Long-term outcome of social skills intervention based on interactive Lego^© play. Autism 10: 317–329.

22.

LeGoff

Gomez de la Cuesta

Krauss

. (2014) Lego^® -Based Therapy – How to Build Social Competence through Lego^® -based Clubs for Children with Autism and Related Conditions. London: Jessica Kingsley Publications.

23.

LeGoff

Krauss

Levin

(2010) Lego^®-based play therapy for autistic spectrum children. In: Drewes

Schaefer

(eds) School-Based Play Therapy. 3rd ed. Hoboken, NJ: John Wiley & Sons, pp. 221–235.

24.

Lethem

(2002) Brief solution focused therapy. Child and Adolescent Mental Health 7(4): 189–192.

25.

Lopata

Thomeer

Volker

. (2010) RCT of a manualized social treatment for high-functioning autism spectrum disorders. Journal of Autism and Developmental Disorders 40(11): 1297–1310.

26.

Lord

Rutter

Goode

. (1989) Autism Diagnostic Observation Schedule: a standardized observation of communicative and social behaviour. Journal of Autism and Developmental Disorders 19(2): 185–212.

27.

MacLeod

Nelson

(2000) Programs for the promotion of family wellness and the prevention of child maltreatment: a meta-analytic review. Child Abuse & Neglect 24(9): 1127–1149.

28.

Matson

Rivet

(2008) Social-skills treatments for children with autism spectrum disorders: an overview. Behavior Modification 31(5): 682–707.

29.

Montes

Halterman

(2007) Psychological functioning and coping among mothers of children with autism: a population-based study. Paediatrics 119(5): 1040–1046.

30.

Murray

Lesser

Lawson

(2005) Attention, monotropism and the diagnostic criteria for autism. Autism 9(2): 139–156.

31.

Orsmond

Krauss

Seltzer

(2004) Peer relationships and social and recreational activities among adolescents and adults with autism. Journal of Autism and Developmental Disorders 34(3): 245–256.

32.

Orsmond

Seltzer

Greenberg

. (2006) Mother-child relationship quality among adolescents and adults with autism. American Journal on Mental Retardation 111(2): 121–137.

33.

Owens

Granader

Humphrey

. (2008) Lego^® therapy and the social use of language programme: an evaluation of two social skills interventions for children with high functioning Autism and Asperger syndrome. Journal of Autism and Developmental Disorders 38(10): 1944–1957.

34.

Rao

Beidel

Murray

(2008) Social skills interventions for children with Asperger’s syndrome or high-functioning autism: a review and recommendations. Journal of Autism and Developmental Disorders 38(2): 353–361.

35.

Reichow

Volkmar

(2010) Social skills interventions for individuals with Autism: evaluation for evidence-based practices within a best evidence synthesis framework. Journal of Autism and Developmental Disorders 40(2): 149–166.

36.

Sansosti

Powell-Smith

(2006) Using social stories to improve the social behavior of children with Asperger syndrome. Journal of Positive Behavior Interventions 8(1): 43–57.

37.

Schertz

Odom

(2007) Promoting joint attention in toddlers with Autism: a parent-mediated developmental model. Journal of Autism and Developmental Disorders 37(8): 1562–1575.

38.

Seligman

Darling

(2007) Ordinary Families, Special Children. 3rd ed. New York: Guilford Press.

39.

Smith

Flowers

Larkin

(2009) Interpretative Phenomenological Analysis. Los Angeles, CA: SAGE.

40.

Sofronoff

Attwood

Hinton

(2005) A randomised controlled trial of a CBT intervention for anxiety in children with Asperger syndrome. Journal of Child Psychology and Psychiatry 46(11): 1152–1160.

41.

Turnbull

(2001) Families, Professionals, and Exceptionality. Upper Saddle River, NJ: Merrill/Prentice Hall.

42.

Vangelisti

(2004) Handbook of Family Communication. Mahwah, NJ: Laurence Erlbaum Associates, Inc.

43.

White

Epston

(1989) Literate Means to Thera-peutic Ends. Adelaide, SA, Australia: Dulwich Centre Publications.

44.

Williams

Wishart

(2003) The Son-Rise Program intervention for autism: an investigation into family experiences. Journal of Intellectual Disability Research 47(4–5): 291–299.

45.

Willig

(2008) Introducing Qualitative Research in Psychology. Berkshire: Open University Press.