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Related Experiment Video

Updated: Mar 19, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
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Pivotal Response Treatment: Case Reports.

Pamela Ventola, Hannah Friedman, Devon Oosting

    The Psychoanalytic Study of the Child
    |June 25, 2016
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    Summary

    Pivotal Response Treatment (PRT) effectively improved social communication skills in preschool-aged children with autism spectrum disorder (ASD). This evidence-based approach led to meaningful gains in reciprocity, play, and speech for participants in a clinical trial.

    Area of Science:

    • Developmental Psychology
    • Clinical Psychology
    • Behavioral Science

    Background:

    • Autism Spectrum Disorder (ASD) presents significant social communication challenges.
    • Early intervention is crucial for improving outcomes in children with ASD.
    • Pivotal Response Treatment (PRT) is an evidence-based behavioral intervention for ASD.

    Observation:

    • Two preschool-aged children with high-functioning ASD participated in a four-month PRT clinical trial.
    • Initial assessment revealed deficits in social reciprocity, play skills, and repetitive behaviors/speech.
    • PRT principles were applied to identify treatment goals and design targeted skill-acquisition activities.

    Findings:

    • Both children demonstrated substantial and meaningful improvements in social communication skills.

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  • PRT facilitated enhanced reciprocity, play abilities, and reduced repetitive behaviors/speech.
  • The case reports illustrate the practical application and positive outcomes of PRT.

    • Implications:

    • PRT is a viable and effective treatment for improving social communication in young children with ASD.
    • The findings support the use of PRT in clinical settings for children with ASD.
    • Further research can explore long-term effects and broader applicability of PRT.