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{{Short description|Home-based program for autistic children}}
'''Son-Rise''' is a home-based program for children with [[autism spectrum disorder]]s and other [[developmental disabilities]], which was developed by Barry Neil Kaufman and Samahria Lyte Kaufman for their autistic son, Raun, who is claimed to have fully recovered from his condition.<ref name=Kaufman>{{cite book |author=Kaufman BN |title= Son-Rise: The Miracle Continues |publisher= HJ Kramer |year=1995 |isbn=0-915811-61-8}}</ref>{{self published inline|date=November 2017}} The program is said{{bywhom|date=November 2017}} to be a parent-directed, relationship-based [[play therapy]].
{{Distinguish|Son Rise}}
'''Son-Rise''' is a [[home-based program]] for children and adults with [[autism spectrum disorder]]s and other [[developmental disabilities]], which was developed by Barry Neil Kaufman and Samahria Lyte Kaufman for their son Raun, who was diagnosed with autism and is claimed to have fully recovered from his condition.<ref name=Kaufman>{{cite book |author=Kaufman BN |title=Son-Rise: The Miracle Continues |publisher=HJ Kramer |year=1995 |isbn=0-915811-61-8 |url-access=registration |url=https://archive.org/details/sonrise00barr }}{{self published inline|date=November 2017}}</ref> The program is described by [[Autism Speaks]] as a "child-centered program that places parents as the key therapists and directors of their program."<ref name="autspeaks">{{cite web|url=http://www.autismspeaks.org/treatment/sonrise.php |title=Autism Speaks, "The Son Rise Program" |access-date=2010-08-09 |url-status=bot: unknown |archive-url=https://web.archive.org/web/20100809104544/http://www.autismspeaks.org/treatment/sonrise.php |archive-date=2010-08-09 }}</ref>{{medcn|date=November 2017}}


Parents are trained at the Autism Treatment Center of America (ATCA), the division of The Option Institute in Sheffield, Massachusetts that teaches The Son-Rise Program. There, the Kaufman family and their fellow staff members teach families how to be aware of their attitudes—a core principle of the therapy—for bonding and relationship building, as well as creating a low-stimulus, distraction-free playroom environment so the child can feel secure and in control of the [[Sensory integration dysfunction|over-stimulation]]. Parents and facilitators join in a child's exclusive and restricted [[stimming]] behavior until the child shows social cues for willing engagement. Then encouragement for more complex social activities is done in a non-coercive way. If the child moves away from social interaction, the facilitator gives the child their space by using [[parallel play]] in order to gain the child's trust. To encourage skill acquisition, the program uses the child's particular motivation for learning.<ref>{{cite web|url=http://www.autismspeaks.org/treatment/sonrise.php |title=autismspeaks |accessdate=2010-08-09 |url-status=bot: unknown |archiveurl=https://web.archive.org/web/20100809104544/http://www.autismspeaks.org/treatment/sonrise.php |archivedate=2010-08-09 }}</ref>{{mcn|date=November 2017}}
Parents are trained at the Kaufman's Autism Treatment Center of America (ATCA) - the division of The Option Institute in Sheffield, Massachusetts that teaches The Son-Rise Program. There, the Kaufman family and their fellow staff members teach families and professionals how to be aware of their attitudes—a core principle of the therapy—for bonding and relationship building, as well as creating a low-stimulus, distraction-free playroom or a room of attention environment so the autistic person (child or adult) can feel secure and in control of the [[Sensory integration dysfunction|over-stimulation]]. Parents and facilitators join in an autistic person's exclusive and restricted [[stimming]] behavior until the autistic person shows social cues for willing engagement. Then encouragement for more complex social activities is done in a non-coercive way. If the autistic person moves away from social interaction, the facilitator gives the autistic person their space by using [[parallel play]] in order to gain the child's or the adult's trust. To encourage skill acquisition, the program uses the autistic person's particular motivation for learning.<ref name="autspeaks"/>


The program's developers claim if the parents learn to accept their child without judgement that they will teach themselves to interact with others, and that this will allow them to engage in social interaction because they chose to learn the skills.<ref name=Kaufman/>{{self published inline|date=November 2017}} However, due to the lack of adequate training with the parents during the training sessions at the center, no published independent study has been able to accurately test the efficacy of the program. A 2003 study found that involvement with the program led to more drawbacks than benefits for the involved families over time, though there was a strong correlation between patterns of intervention implementation and parental perceptions of intervention efficacy.<ref name=Williams2003/> A 2006 study found that the program is not always implemented as it is described in the literature, which means it will be difficult to evaluate its success and failure rate.<ref name=Williams2006/>
The program's developers claim if the parents learn to accept their loved one without judgement that they will teach themselves to interact with others, and that this will allow them to engage in social interaction because they chose to learn the skills.<ref name=Kaufman/><ref name="Houghton et al 2013">{{cite journal |last1=Houghton |first1=Kat |last2=Schuchard |first2=Julia |last3=Lewis |first3=Charlie |last4=Thompson |first4=Cynthia K. |title=Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects |journal=Journal of Communication Disorders |date=September 2013 |volume=46 |issue=5–6 |pages=495–506 |doi=10.1016/j.jcomdis.2013.09.004 |pmid=24209427 |doi-access=free }}{{primary source inline|date=November 2017}}</ref> A 2003 study found that involvement with the program led to more drawbacks than benefits for the involved families over time, though there was a strong correlation between patterns of intervention implementation and parental perceptions of intervention efficacy.<ref name=Williams2003/> A 2006 study found that the program is not always implemented as it is described in the literature, which means it will be difficult to evaluate its success and failure rate.<ref name=Williams2006/>


==History==
==History==
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In 1976, Barry Neil Kaufman published ''Son-Rise'', a book recounting his son's claimed recovery, which he [[Self-publishing|self published]] in 1995 with the title ''Son-Rise: The Miracle Continues''.<ref name=Kaufman/> The book was adapted into a televised [[docudrama]] film, called ''[[Son-Rise: A Miracle of Love]]'' and aired on [[NBC]] in [[1979 in film|1979]].
In 1976, Barry Neil Kaufman published ''Son-Rise'', a book recounting his son's claimed recovery, which he [[Self-publishing|self published]] in 1995 with the title ''Son-Rise: The Miracle Continues''.<ref name=Kaufman/> The book was adapted into a televised [[docudrama]] film, called ''[[Son-Rise: A Miracle of Love]]'' and aired on [[NBC]] in [[1979 in film|1979]].


Today, Raun Kaufman is the Director of Global Education for the Autism Treatment Center of America.<ref>{{cite web |url=http://www.autismtreatmentcenter.org/contents/about_son-rise/professional-network-raun-kaufman.php |publisher= Autism Treatment Center of America |title= Raun R Kaufman |accessdate=2014-06-18}}</ref> A 1997 BBC documentary followed the family of a five-year-old autistic boy treated by the program.<ref>{{cite web |title= I Want My Little Boy Back |year=1997 |url=http://www.bbcactivevideoforlearning.com/1/TitleDetails.aspx?TitleID=611 |accessdate=2014-06-18}}</ref>
Today, Raun Kaufman is the Director of Global Education for the Autism Treatment Center of America.<ref>{{cite web |url=http://www.autismtreatmentcenter.org/contents/about_son-rise/professional-network-raun-kaufman.php |publisher= Autism Treatment Center of America |title= Raun R Kaufman |access-date=2014-06-18}}</ref> A 1997 BBC documentary followed the family of a five-year-old autistic boy treated by the program.<ref>{{cite web |title=I Want My Little Boy Back |year=1997 |url=http://www.bbcactivevideoforlearning.com/1/TitleDetails.aspx?TitleID=611 |access-date=2014-06-18 |archive-url=https://web.archive.org/web/20150402155148/http://www.bbcactivevideoforlearning.com/1/TitleDetails.aspx?TitleID=611 |archive-date=2015-04-02 |url-status=dead }}</ref>


==Effectiveness==
==Effectiveness==
In late 2013, the first peer reviewed journal article providing evidence for effectiveness of the Son-Rise Program was published by researchers at Northwestern University. Children in the experimental group received 40 hours of Son-Rise program for one week. The study found that children in the experimental group had a significant increase in the rate of head orientation and gestures exhibited during 15- minute probes as compared to a control group that received no intervention. However, the study did not use random allocation or a single-blind experimental design, rather the control groups were chosen by the parents based on their perception over the effectiveness of the intervention. The researchers suggests more research should "evaluate the difference between parental attitudes and the actual effectiveness of the intervention." <ref>{{Citation | last1 = Houghton | first1 = Kat | last2 = Schuchard | first2 = Julia | last3 = Lewis | first3 = Charlie | last4 = Thompson | first4 = Cynthia K. | title = Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects | journal = Journal of Communication Disorders | volume = 46 | issue = 5 | pages = 495–506 | date = 2013 | url = http://comm.soc.northwestern.edu/aphasia/files/2012/11/Houghton-Schuchard-Lewis-Thompson_J-of-Comm-Disorders_2013.pdf | doi = 10.1016/j.jcomdis.2013.09.004 | url-status = dead | archiveurl = https://web.archive.org/web/20140819085650/http://comm.soc.northwestern.edu/aphasia/files/2012/11/Houghton-Schuchard-Lewis-Thompson_J-of-Comm-Disorders_2013.pdf | archivedate = 2014-08-19 }}</ref>{{primary source inline|date=November 2017}}


There are no documented normalizations with older children, and it may be that success "depends on a certain level of intellectual potential".<ref>{{cite journal |vauthors=Jordan R, Powell S |title= Reflections of the Option method as a treatment for autism |journal= J Autism Dev Disord |volume=23 |issue=4 |pages=682–5 |year=1993 |doi=10.1007/BF01046111 |pmid=8106309|s2cid= 13631429 }}</ref> Some professionals have questioned the emphasis placed on eye contact and its potential problems for some children.<ref name=NAS>{{cite web |author= Hauser C |title= The Son-Rise Program |publisher= National Autistic Society |year=2005 |url=http://www.nas.org.uk/nas/jsp/polopoly.jsp?a=6558 |access-date=2008-06-04}}{{dead link|date=January 2014}}</ref> The consensus within the medical community is that there is no cure for autism and only a very few treatments have empirical evidence for improvements in symptoms.<ref>Lack of support for interventions:
===Criticism and lack of cured cases===
*{{cite journal |last1=Aman |first1=MG |title=Treatment planning for patients with autism spectrum disorders. |journal=The Journal of Clinical Psychiatry |date=2005 |volume=66 |issue=Suppl 10 |pages=38–45 |pmid=16401149 }}
There are no documented normalizations with older children, and it may be that success "depends on a certain level of intellectual potential".<ref>{{cite journal |vauthors=Jordan R, Powell S |title= Reflections of the Option method as a treatment for autism |journal= J Autism Dev Disord |volume=23 |issue=4 |pages=682–5 |year=1993 |doi=10.1007/BF01046111 |pmid=8106309}}</ref> Some professionals have questioned the emphasis placed on eye contact and its potential problems for some children.<ref name=NAS>{{cite web |author= Hauser C |title= The Son-Rise Program |publisher= National Autistic Society |year=2005 |url=http://www.nas.org.uk/nas/jsp/polopoly.jsp?a=6558 |accessdate=2008-06-04}}{{dead link|date=January 2014}}</ref> The consensus within the medical community is that there is no cure for autism and only a very few treatments have empirical evidence for improvements in symptoms.<ref>Lack of support for interventions:
*{{cite journal |last1=Francis |first1=K |title=Autism interventions: a critical update |journal=Developmental Medicine & Child Neurology |date=16 June 2005 |volume=47 |issue=7 |pages=493–499 |doi=10.1017/s0012162205000952 |pmid=15991872 }}
*{{cite journal |journal= J Clin Psychiatry |year=2005 |volume=66 |issue= Suppl 10 |pages=38–45 |title= Treatment planning for patients with autism spectrum disorders |author= Aman MG |pmid=16401149}}
*{{cite book |doi=10.1007/3-211-31222-6_6 |pmid=16355605 |chapter=The effectiveness of interventions for children with autism |title=Neurodevelopmental Disorders |journal=Journal of Neural Transmission. Supplementum |issue=69 |pages=101–119 |year=2005 |last1=Howlin |first1=P. |isbn=3-211-26291-1 |s2cid=21986640 }}
*{{cite journal |journal= Dev Med Child Neurol |year=2005 |volume=47 |issue=7 |pages=493–99 |title= Autism interventions: a critical update |author= Francis K |pmid=15991872 |url=http://journals.cambridge.org/production/action/cjoGetFulltext?fulltextid=313204 |format=PDF |doi= 10.1017/S0012162205000952}}
*{{cite journal |journal= J Autism Dev Disord |year=2008 |volume=38 |issue=2 |pages=353–61 |title= Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations |vauthors=Rao PA, Beidel DC, Murray MJ |doi=10.1007/s10803-007-0402-4 |pmid=17641962|s2cid=2507088 }}</ref>
*{{cite book |title= Neurodevelopmental Disorders |veditors=Fleischhacker WW, Brooks DJ |chapter= The effectiveness of interventions for children with autism |doi=10.1007/3-211-31222-6_6 |author=Howlin P |year=2005 |pages=101–119 |publisher=Springer |isbn=3-211-26291-1}} {{PMID|16355605}}.
A 2003 study found that involvement with the Son-Rise Program led to more drawbacks than benefits for the involved families over time, although family stress levels did not rise in all cases.<ref name=Williams2003>{{cite journal |journal= J Intellect Disabil Res |year=2003 |volume=47 |issue=4–5 |pages=291–9 |title= The Son-Rise Program intervention for autism: an investigation into family experiences |vauthors=Williams KR, Wishart JG |doi=10.1046/j.1365-2788.2003.00491.x |pmid=12787161}}</ref> A 2006 study found that the Son-Rise Program is not always implemented as it is typically described in the literature, which suggests it will be difficult to evaluate its efficacy.<ref name=Williams2006>{{cite journal |journal=Autism |year=2006 |volume=10 |issue=1 |pages=86–102 |title= The Son-Rise Program intervention for autism: prerequisites for evaluation |author=Williams KR |doi=10.1177/1362361306062012 |pmid=16522712|s2cid=22206988 }}</ref>
*{{cite journal |journal= J Autism Dev Disord |year=2008 |volume=38 |issue=2 |pages=353–61 |title= Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations |vauthors=Rao PA, Beidel DC, Murray MJ |doi=10.1007/s10803-007-0402-4 |pmid=17641962}}</ref>

A 2003 study found that involvement with the Son-Rise Program led to more drawbacks than benefits for the involved families over time, although family stress levels did not rise in all cases.<ref name=Williams2003>{{cite journal |journal= J Intellect Disabil Res |year=2003 |volume=47 |issue=4–5 |pages=291–9 |title= The Son-Rise Program intervention for autism: an investigation into family experiences |vauthors=Williams KR, Wishart JG |doi=10.1046/j.1365-2788.2003.00491.x |pmid=12787161}}</ref> A 2006 study found that the Son-Rise Program is not always implemented as it is typically described in the literature, which suggests it will be difficult to evaluate its efficacy.<ref name=Williams2006>{{cite journal |journal=Autism |year=2006 |volume=10 |issue=1 |pages=86–102 |title= The Son-Rise Program intervention for autism: prerequisites for evaluation |author=Williams KR |doi=10.1177/1362361306062012 |pmid=16522712}}</ref>
In 2009, United Kingdom’s Advertising Standards Authority sanctioned the Option Institute for a misleading ad claiming Son-Rise as an autism cure. As of 2017, there was little evidence supporting the program.<ref>
{{cite news
|url=https://slate.com/technology/2017/09/an-in-depth-look-at-the-son-rise-program-an-autism-treatment-center.html
|first=Brendan
|last=Borrell
|date=September 22, 2017
|accessdate=February 23, 2023
|title=Can You Cure Autism?
|work=Slate
}}
</ref>


==References==
==References==
Line 33: Line 45:
{{Autism resources}}
{{Autism resources}}


[[Category:Autism-related organizations in the United States]]
[[Category:Autism-related organizations based in the United States]]

Latest revision as of 20:55, 23 April 2024

Son-Rise is a home-based program for children and adults with autism spectrum disorders and other developmental disabilities, which was developed by Barry Neil Kaufman and Samahria Lyte Kaufman for their son Raun, who was diagnosed with autism and is claimed to have fully recovered from his condition.[1] The program is described by Autism Speaks as a "child-centered program that places parents as the key therapists and directors of their program."[2][medical citation needed]

Parents are trained at the Kaufman's Autism Treatment Center of America (ATCA) - the division of The Option Institute in Sheffield, Massachusetts that teaches The Son-Rise Program. There, the Kaufman family and their fellow staff members teach families and professionals how to be aware of their attitudes—a core principle of the therapy—for bonding and relationship building, as well as creating a low-stimulus, distraction-free playroom or a room of attention environment so the autistic person (child or adult) can feel secure and in control of the over-stimulation. Parents and facilitators join in an autistic person's exclusive and restricted stimming behavior until the autistic person shows social cues for willing engagement. Then encouragement for more complex social activities is done in a non-coercive way. If the autistic person moves away from social interaction, the facilitator gives the autistic person their space by using parallel play in order to gain the child's or the adult's trust. To encourage skill acquisition, the program uses the autistic person's particular motivation for learning.[2]

The program's developers claim if the parents learn to accept their loved one without judgement that they will teach themselves to interact with others, and that this will allow them to engage in social interaction because they chose to learn the skills.[1][3] A 2003 study found that involvement with the program led to more drawbacks than benefits for the involved families over time, though there was a strong correlation between patterns of intervention implementation and parental perceptions of intervention efficacy.[4] A 2006 study found that the program is not always implemented as it is described in the literature, which means it will be difficult to evaluate its success and failure rate.[5]

History

[edit]
Raun Kaufman

In the 1970s, Barry and Samahria Kaufman created the treatment modality for their son, Raun, who had been diagnosed with severe autism. However, it remains unclear if Raun Kaufman had ever been autistic. Of the five clinics who evaluated the boy in New York State—each describing him as "socially withdrawn and uncommunicative," it was only the sixth clinic that felt he was autistic.[6]

In 1976, Barry Neil Kaufman published Son-Rise, a book recounting his son's claimed recovery, which he self published in 1995 with the title Son-Rise: The Miracle Continues.[1] The book was adapted into a televised docudrama film, called Son-Rise: A Miracle of Love and aired on NBC in 1979.

Today, Raun Kaufman is the Director of Global Education for the Autism Treatment Center of America.[7] A 1997 BBC documentary followed the family of a five-year-old autistic boy treated by the program.[8]

Effectiveness

[edit]

There are no documented normalizations with older children, and it may be that success "depends on a certain level of intellectual potential".[9] Some professionals have questioned the emphasis placed on eye contact and its potential problems for some children.[10] The consensus within the medical community is that there is no cure for autism and only a very few treatments have empirical evidence for improvements in symptoms.[11] A 2003 study found that involvement with the Son-Rise Program led to more drawbacks than benefits for the involved families over time, although family stress levels did not rise in all cases.[4] A 2006 study found that the Son-Rise Program is not always implemented as it is typically described in the literature, which suggests it will be difficult to evaluate its efficacy.[5]

In 2009, United Kingdom’s Advertising Standards Authority sanctioned the Option Institute for a misleading ad claiming Son-Rise as an autism cure. As of 2017, there was little evidence supporting the program.[12]

References

[edit]
  1. ^ a b c Kaufman BN (1995). Son-Rise: The Miracle Continues. HJ Kramer. ISBN 0-915811-61-8.[self-published source?]
  2. ^ a b "Autism Speaks, "The Son Rise Program"". Archived from the original on 2010-08-09. Retrieved 2010-08-09.{{cite web}}: CS1 maint: bot: original URL status unknown (link)
  3. ^ Houghton, Kat; Schuchard, Julia; Lewis, Charlie; Thompson, Cynthia K. (September 2013). "Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects". Journal of Communication Disorders. 46 (5–6): 495–506. doi:10.1016/j.jcomdis.2013.09.004. PMID 24209427.[non-primary source needed]
  4. ^ a b Williams KR, Wishart JG (2003). "The Son-Rise Program intervention for autism: an investigation into family experiences". J Intellect Disabil Res. 47 (4–5): 291–9. doi:10.1046/j.1365-2788.2003.00491.x. PMID 12787161.
  5. ^ a b Williams KR (2006). "The Son-Rise Program intervention for autism: prerequisites for evaluation". Autism. 10 (1): 86–102. doi:10.1177/1362361306062012. PMID 16522712. S2CID 22206988.
  6. ^ Herbert JD, Sharp IR, Gaudiano BA (2002). "Separating fact from fiction in the etiology and treatment of autism: a scientific review of the evidence". Sci Rev Ment Health Pract. 1 (1): 23–43.
  7. ^ "Raun R Kaufman". Autism Treatment Center of America. Retrieved 2014-06-18.
  8. ^ "I Want My Little Boy Back". 1997. Archived from the original on 2015-04-02. Retrieved 2014-06-18.
  9. ^ Jordan R, Powell S (1993). "Reflections of the Option method as a treatment for autism". J Autism Dev Disord. 23 (4): 682–5. doi:10.1007/BF01046111. PMID 8106309. S2CID 13631429.
  10. ^ Hauser C (2005). "The Son-Rise Program". National Autistic Society. Retrieved 2008-06-04.[dead link]
  11. ^ Lack of support for interventions:
  12. ^ Borrell, Brendan (September 22, 2017). "Can You Cure Autism?". Slate. Retrieved February 23, 2023.
[edit]