Praxis as a Framework for Intervention: The Case of Alan
DOI:
https://doi.org/10.64663/aet.21Keywords:
Ayres, Early Intervention, Praxis, Intervention, Special NeedsAbstract
This article presents the case of Alan, a six-year-old boy with autism spectrum condition (ASC), global developmental delay, possible attention-deficit hyperactivity disorder (ADHD), and intellectual difficulties, examined through the framework of praxis. Praxis, the ability to conceptualize, plan, and execute purposeful actions, is explored in two domains: basic core skills (Praxis I) and socio-emotional and behavioral praxis (Praxis III), while excluding advanced academic praxis (Praxis II). Alan has a history of limited gains in occupational and speech therapy but has made gradual progress in an early intervention program, particularly in problem-solving, fine motor abilities, balance, and social awareness, though communication remains a key challenge. He demonstrates difficulties with sensory processing, motor planning, and adapting to new routines, yet responds well to structure and familiar cues. Intervention strategies include sensory diets, visual supports such as PECS, role-play with picture cards and video modeling, handwriting practice, and functional math activities. Emotional regulation can be supported with Zones of Regulation visuals, fidget tools, and positive reinforcement. This article highlights the importance of individualized, flexible approaches and family-school collaboration to enhance Alan’s developmental progress and daily functioning.
References
Autism Speaks. (n.d.). Autism and taking turns. Retrieved September 28, 2025, from https://www.autismspeaks.org/expert-opinion/taking-turns
Ayres, A. J. (1979). Sensory integration and the child. Los Angeles, CA: Western Psychological Services.
Ayres, A. J. (1985). Developmental dyspraxia and adult-onset apraxia. Torrance, CA: Sensory Integration International.
Bellini, S., & Akullian, J. (2007). A meta-analysis of video modeling and video self-modeling interventions for children and adolescents with autism spectrum disorders. Exceptional Children, 73(3), 264–287. https://doi.org/10.1177/001440290707300301
Bondy, A., & Frost, L. (1994). The Picture Exchange Communication System. Focus on Autistic Behavior, 9(3), 1–19. https://doi.org/10.1177/108835769400900301
Bundy, A. C., Lane, S. J., & Murray, E. A. (2002). Sensory integration: Theory and practice (2nd ed.). Philadelphia, PA: F. A. Davis.
Case-Smith, J., & O’Brien, J. C. (2010). Occupational therapy for children (6th ed.). St. Louis, MO: Mosby/Elsevier.
Centers for Disease Control and Prevention (CDC). (2024, May 16). Treatment and intervention for autism spectrum disorder. https://www.cdc.gov/autism/treatment/?CDC_AAref_Val=https://www.cdc.gov/ncbddd/autism/treatment.html
Elbasan, B., Kayıhan, H., & Duzgun, I. (2012). Sensory integration and activities of daily living in children with developmental coordination disorder. Italian Journal of Pediatrics, 38(1), 14. https://doi.org/10.1186/1824-7288-38-14
Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010). Motor coordination in autism spectrum disorders: A synthesis and meta-analysis. Journal of Autism and Developmental Disorders, 40(10), 1227–1240. https://doi.org/10.1007/s10803-010-0981-3
Green, D., Charman, T., Pickles, A., Chandler, S., Loucas, T., Simonoff, E., & Baird, G. (2009). Impairment in movement skills of children with autistic spectrum disorders. Developmental Medicine & Child Neurology, 51(4), 311–316. https://doi.org/10.1111/j.1469-8749.2008.03242.x
Jasmin, E., Couture, M., McKinley, P., Reid, G., Fombonne, E., & Gisel, E. (2008). Sensori-motor and Daily Living Skills of Preschool Children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 39(2), 231–241. https://doi.org/10.1007/s10803-008-0617-z
Jasni, S. H., Graham, F., Bell, E., & Tan, V. T. (2025). Systematic review of group-based emotion regulation interventions for autistic children’s socio-emotional competence. OTJR Occupational Therapy Journal of Research, 00(0).
https://doi.org/10.1177/15394492251330507
Lane, S. J., & Schaaf, R. C. (2010). Examining the neuroscience evidence for sensory-driven neuroplasticity: Implications for sensory-based occupational therapy for children and adolescents. American Journal of Occupational Therapy, 64(3), 375–390. https://doi.org/10.5014/ajot.2010.09069
Lillard, A. S., Lerner, M. D., Hopkins, E. J., Dore, R. A., Smith, E. D., & Palmquist, C. M. (2013). The impact of pretend play on development: A review. Psychological Bulletin, 139(1), 1–34. https://doi.org/10.1037/a0029321
Miller, L. J., Cermak, S. A., Lane, S. J., Anzalone, M. E., & Koomar, J. A. (2007). Concept evolution in sensory integration: A proposed nosology for diagnosis. American Journal of Occupational Therapy, 61(2), 135–140. https://doi.org/10.5014/ajot.61.2.135
Olsen, J. Z. (1999). Handwriting without tears: Kindergarten workbook. Handwriting Without Tears.
Pfeiffer, B. A., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: a pilot study. American Journal of Occupational Therapy, 65(1), 76–85. https://doi.org/10.5014/ajot.2011.09205
Rutherford, M., Baxter, J., Grayson, Z., Johnston, L., & O’Hare, A. (2020). Visual supports at home and in the community for individuals with autism spectrum disorders: A scoping review. Autism, 24(2), 447–469. http://dx.doi.org/10.1177/1362361319871756n
Schaaf, R. C., Benevides, T., Mailloux, Z., Faller, P., Hunt, J., Van Hooydonk, E., Freeman, R., Leiby, B., Sendecki, J., & Kelly, D. (2013). An Intervention for Sensory Difficulties in Children with Autism: A Randomized Trial. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-013-1983-8
Schaaf, R. C., & Mailloux, Z. (2015). Clinician’s guide for implementing Ayres Sensory Integration®: Promoting participation for children with autism. American Journal of Occupational Therapy, 69(5), 6905397010. https://doi.org/10.5014/ajot.2015.696S04
Strand, E. A., Stoeckel, R., & Baas, B. (2006). Treatment of severe childhood apraxia of speech: A treatment efficacy study. Journal of Medical Speech-Language Pathology, 14(4), 297–307.
Stephenson, J., & Carter, M. (2011). The Use of Multisensory Environments in Schools for Students with Severe Disabilities: Perceptions from Teachers. Journal of Developmental and Physical Disabilities, 23(4), 339–357. https://doi.org/10.1007/s10882-011-9232-6
Vanvuchelen, M., Roeyers, H., & De Weerdt, W. (2007). Nature of motor imitation problems in school-aged boys with autism: A motor or a cognitive problem? Autism, 11(3), 225–240. https://doi.org/10.1177/1362361307076846
Wong, C., Odom, S. L., Hume, K., Cox, A. W., Fettig, A., Kucharczyk, S., et al. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45(7), 1951–1966. https://doi.org/10.1007/s10803-014-2351-z
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