Abstract
Exchange and development therapy (EDT) is based on a neurofunctional and developmental conception of autism. It aims to rehabilitate, through structured sequences of “social play”, functions subtended by the brain systems of social communication: attention to others, intention, imitation, etc. The neurophysiological basic principles developed involved are “physiological curiosity” and “free acquisition”. Serenity conditions, availability and reciprocity facilitate mutual adjustments between the child and the adult and synchronizations. This rehabilitation therapy is carried out in the context of play and exchange adapted to all the areas of the profile of development of the child. Changes induced by EDT (behaviour, development and functioning) are measured at follow-up by standardized behavioural and psychological assessments. For example, a study of 35 children with autism followed for 9months shows improvement in the capacity of exchange and communication in children with a severe autism associated with a developmental delay. This rehabilitation therapy is particularly indicated in young children before 4years, period of maximum brain plasticity. The EDT is one of the major elements of the therapeutic and educational project global multidisciplinary built for the child in close relationship with the family.
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