PCIT and autism: A case study

Abstract

Behavioral difficulties are widely recognized in children on the autism spectrum. Research has demonstrated that up to 80% of children with autism spectrum disorder (ASD) present with a range of comorbid difficulties, and up to 37% meet full diagnostic criteria for a disruptive behavior disorder. Left untreated, behavioral difficulties persist and can result in social isolation as well as exclusion in educational and community settings. Parent-Child Interaction Therapy (PCIT), an evidence-based treatment for externalizing behavior disorders, has been empirically shown to ameliorate problem behaviors while increasing positive parenting behaviors and prosocial behaviors for children with ASD. The following case study further extends the literature by showing positive behavior and social outcomes for a 4-yearold boy with ASD at posttreatment and 3-month follow-up. In addition, through the lens of this individual case, the manuscript examines the general application of PCIT with the ASD population from a theoretical, therapeutic coaching, and case management perspective.