Abstract
This chapter briefly explores the research currently supporting Child-Directed Interaction (CDI) as a treatment modality both as part of broader Parent–Child Interaction Therapy (PCIT) framework and as a stand-alone intervention. It examines theoretical reasons why CDI is an effective and appropriate intervention that benefits children, parents, and the parent–child relationship as a whole as well as its unique value for children on the autism spectrum. The authors discuss effective CDI coaching strategies useful in both PCIT and CDI for children with autism spectrum disorder (ASD), including expanding play ideas, working with stereotyped interests, exploring the appropriateness of using labeled praises as reinforcers, and tailoring reflections for children with limited speech. The authors also suggest therapeutic guidelines for parents who rapidly reach mastery and address issues that commonly occur around the “Don’t” skills. Finally, the authors deliberate policy issues concerning the expansion of CDI as a stand-alone treatment to a broader base of health care providers.
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