Effects of the Picture Exchange Communication System (PECS) on Maladaptive Behavior in Children with Autism Spectrum Disorders (ASD): A Review of the Literature

Authors

  • Dana Battaglia, Ph.D. (Author) Adelphi University image/svg+xml
    Dana Battaglia, Ph.D., is Assistant Professor of Communication Sciences and Disorders at Adelphi University in Garden City, New York. Her research interests include vocabulary development and associative language in individuals with autism spectrum disorders, as well as curriculum development for clinicians and teachers working with individuals with autism spectrum disorders.
  • Mary E. McDonald, Ph.D. (Author) Hofstra University image/svg+xml
    Mary McDonald, Ph.D., is an Associate Professor in the Special Education Department at Hofstra University in Hempstead, NY. She is currently the Program Director for the Advanced Certificate Programs. Some recent areas of publication include: self-management, social reciprocity, response to intervention, inclusion and persistence of fads in autism intervention.
https://doi.org/10.64546/jaasep.260
This paper provides an overview of the literature investigating the functional relationship between the use of the Picture Exchange Communication System (PECS) and maladaptive behavior (i.e., aggression, tantrums) in individuals with autism spectrum disorders (ASD). Digital searches were conducted to identify single subject design studies published between 1994 and 2012. While nine studies were identified, only three explicitly addressed the collateral effects of PECS training on reduction of maladaptive behavior. Of the seven participants across these three studies, four demonstrated an inverse relationship between PECS exchange and reduction of maladaptive behavior. Results are promising in terms of functional communication. However, the authors suggest caution due to limited number of publications to date.

American Psychiatric Association. (2004). Diagnostic and statistical manual of mental disorders (4th ed., TR). Washington, DC: Author. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. American Speech-Language-Hearing Association. (1993). Definitions of communication disorders and variations [Relevant Paper]. Available from www.asha.org/policy. American Speech-Language-Hearing Association. (2007). Scope of practice in speech-language pathology [Scope of Practice]. Available from www.asha.org/policy.

Angermeier, K., Schlosser, R.W., Luiselli, J.K., Harrington, C., & Carter, B. (2008). Effects of iconicity on requesting with the Picture Exchange Communication System in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 2, 430-446. DOI: https://doi.org/10.1016/j.rasd.2007.09.004

Bloomfield, L. (1914). An introduction to the study of language. New York: Henry Holt and Company.

Centers for Disease Control and Prevention (CDC). (2007). Prevalence of autism spectrum disorders-autism and developmental disabilities monitoring network, 14 Sites, Unites States, 2002. WR SS 2007; 56(No.SS-1). Retrieved January 7, 2013, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5601a2.htm

Carr, E., & Durand, V.M. (1985). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111-126. DOI: https://doi.org/10.1901/jaba.1985.18-111

Charlop-Christy, M. H., Carpenter, M., Le, L.LeBlanc, L.A.., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: Assessment of acquisition, speech, social communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35, 213-231. DOI: https://doi.org/10.1901/jaba.2002.35-213

19 Charlop, M., Malmberg, D. & Berquist, K. (2008). An application of the picture exchange communication system (PECS) with children with autism and a visually impaired therapist. Journal of Development & Physical Disabilities, 20(6), 509-525. DOI: https://doi.org/10.1007/s10882-008-9112-x

Cooper, J.O., Heron, T.E., & Heward, W.L. (2007). Applied Behavior Analysis (2nd ed.). Upper Saddle River, NJ: Pearson.

Dogoe, M., Banda, D.R., & Lock R.H. (2010). Acquisition and generalization of the picture exchange communication system behaviors across settings, persons, and stimulus classes with three students with autism. Education and Training in Autism and Developmental Disabilities, 45 (2), 216-229.

Frea, W.D., Arnold, C.L., & Vittimberga, G.L. (2001). A demonstration of the effects of augmentative communication on the extreme aggressive behavior of a child with autism within an integrated preschool setting. Journal of Positive Behavior Interventions, 3, 194-198. DOI: https://doi.org/10.1177/109830070100300401

Flippin, M., Reszka, S., & Watson, L.R. (2010). Effectiveness of the picture exchange communication system (PECS) on communication and speech for children with autism spectrum disorders: A meta-analysis. American Journal of Speech-Language Pathology, 19, 178-195. DOI: https://doi.org/10.1044/1058-0360(2010/09-0022)

Frost, L. A., & Bondy, A. S. (1994). The picture exchange communication system: Training manual. Cherry Hill, NJ: Pyramid Educational Consultants.

Frost, L. & Bondy, A. (2002). PECS: The picture exchange communication systems training manual (2nd ed.). Cherry Hill, NJ: Pyramid Educational Consultants.

Ganz, J.B., & Simpson, R. (2004). Effects on communicative requesting and speech development of the picture exchange communication system in children with characteristics of autism. Journal of Autism and Developmental Disorders, 34 (4), 395-409. DOI: https://doi.org/10.1023/B:JADD.0000037416.59095.d7

Ganz, J., Parker, R. & Benson, J. (2009). Impact of the picture exchange communication system: Effects on communication and collateral effects on maladaptive behaviors. AAC: Augmentative & Alternative Communication, 25(4), 250-261. DOI: https://doi.org/10.3109/07434610903381111

Hart, S.L., & Banda, D.R. (2010). Picture exchange communication system with individuals with developmental disabilities: A meta-analysis of single subject studies. Remedial and Special Education, 31, 476-488. DOI: https://doi.org/10.1177/0741932509338354

Jurgens, A., Anderson, A., & Moore, D.W. (2009). The effects of teaching PECS to a child with autism on verbal behavior, play, and social functioning. Behaviour Change, 26 (1), 66-81. DOI: https://doi.org/10.1375/bech.26.1.66

Lancioni, G.E., O-Reilly, M.F., Cuvo, A.J., Singh, N.N., Sigafoos, J., & Didden, R.(2007). PECS and VOCAs to enable students with developmental disabilities to make requests: An overview of the literature. Research in Developmental Disabilities, 28, 468-488. DOI: https://doi.org/10.1016/j.ridd.2006.06.003

Markel, J.M., Neef, N.A., & Ferreri, S.J. (2006). A preliminary analysis of teaching improvisation with the picture exchange communication system to children with autism. Journal of Applied Behavior Analysis, 39 (1), 109-115. DOI: https://doi.org/10.1901/jaba.2006.131-04

Mirenda, P. (2003). Toward functional augmentative and alternative communication for students with autism: Manual signs, graphic symbols, and voice output communication aids. Language, Speech, and Hearing Services in Schools, 34, 203–216. doi:10.1044/0161-1461(2003/017). DOI: https://doi.org/10.1044/0161-1461(2003/017)

National Research Council. (2001). Educating children with autism. Washington, DC: National Academy Press. 20 Ostryn, C., Wolfe, P.S., & Rusch F.R. (2008). A review and analysis of the picture exchange communication system (PECS) for individuals with autism spectrum disorders using a paradigm of communication competence. Research and Practice for Persons with Severe Disabilities, 33, 13-24. DOI: https://doi.org/10.2511/rpsd.33.1-2.13

Peterson, S.L., Bondy, A.S., Vincent, Y., & Finnegan, C.S. (1995). Effects of altering communicative input for students with autism and no speech: Two case studies. Augmentative and Alternative Communication, 11, 93-100. DOI: https://doi.org/10.1080/07434619512331277189

Preston, D., & Carter, M. (2009). A review of the efficacy of the picture exchange communication system intervention. Journal of Autism and Developmental Disorders, 39, 1471-1486. DOI: https://doi.org/10.1007/s10803-009-0763-y

Subramanian, A., & Wendt, O. (2010). PECS has empirical support, but limitations in the systematic review process require this conclusion to be interpreted with caution. Evidence-based Communication Assessment and Intervention, 4 (1), 22-26. DOI: https://doi.org/10.1080/17489530903550341

Tiger, J.H., Hanley, G.P., & Bruzek, J. (2008). Functional communication training: A review and practical guide. Behavior Analysis in Practice, 1, 16-23. DOI: https://doi.org/10.1007/BF03391716

Travis, J., & Geiger, M. (2010). The effectiveness of the picture exchange communication system (PECS) for children with autism spectrum disorder (ASD): A South African pilot study. Child Language Teaching & Therapy, 26, 39-59.van der Meer, L. A. J., & Rispoli, M. (2010). Communication interventions involving speech-generating devices for children with autism: A review of the literature. Developmental Neurorehabilitation, 13, 294-306. DOI: https://doi.org/10.1177/0265659009349971

Wendt, O., & Boesch, M.C. (2010). Systematic review documents PECS effectiveness for exchange-based outcome variables, but effects on speech, social or challenging behavior remain unclear. Evidence-based Communication Assessment and Intervention, 4(2), 55-61. DOI: https://doi.org/10.1080/17489531003771753

There are 27 references in total.
Battaglia, D., & McDonald, M. E. (2015). Effects of the Picture Exchange Communication System (PECS) on Maladaptive Behavior in Children with Autism Spectrum Disorders (ASD): A Review of the Literature. Journal of the American Academy of Special Education Professionals, 10(1), 8-20. https://doi.org/10.64546/jaasep.260

Downloads

Article Information

  • Article Type Articles
  • Submitted December 12, 2014
  • Published February 15, 2015
  • Issue Winter 2015
  • Section Articles
  • File Downloads 0
  • Abstract Views 0
  • Altmetrics
  • Share
Download data is not yet available.