Early intervention O.T.A. presentation, results

Open Therapy of Autism (O.T.A.) is a unique therapeutic approach developed for young children with ASD. It based on primary intersubjectivity and mirroring. Improves parent-child interactions by using video feedback and video feedforward.

There is no child´s teaching. Only coaching the parents by therapeutists. Parent are trained in a new interactions and communication skills. Then they just wait for the onset of the child's key developmental skills.

Here is a case study of the O.T.A. This girl is currently attending the first class of the elementary school, where she is, just as before in kindergarten, a premiant (one of the best students).

The commented Presentation of the Early Intervention O.T.A. watch below


O.T.A. intervention methodology was developed during a longitudinal pilot study (2012-2016) in 16 children and their families, further refined and now is being verified in the current study (quasi-experiment) in 100 children, which after positive M-CHAT-R (≥ 7 points), ADOS-2 confirms ASD.

Study 2019-2022 presents the main theoretical basis of the early intervention for children with ASD without the therapist's direct work with the child. Using video-feedback (VIG), the therapist leads the parent to interactions that change the child's behavior and perception, and watches for developmental milestones at the same time from the entry into intervention as in healthy development up to 18-24 months of a mental age, when, in a successful intervention, a rapid imitation and a sufficient level of internal motivation appear. At that age the interest in learning also appears and the child is catching up with his peers at a chronological age of about 3-4 years.

Conclusion: The early intervention O.T.A. can be an inspiration for other professionals and offers the possibility of treating several dozen children with ASD by one therapist at the same time. The disadvantage is the indirect work with the child, which requires higher demands on the therapist's ability to motivate parents to change their attitude forward their child and abandon their efforts to be their child's teacher, but instead of that to accept their child as capable and trust in their abilities. Early intervention O.T.A. does not use behavioral techniques, however each therapist must be able to use ABA procedures. In many cases, it is a necessity in the second year of the intervention.