Skip to main content
Journal of Applied Behavior Analysis logoLink to Journal of Applied Behavior Analysis
. 2002 Fall;35(3):213–231. doi: 10.1901/jaba.2002.35-213

Using the picture exchange communication system (PECS) with children with autism: assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior.

Marjorie H Charlop-Christy 1, Michael Carpenter 1, Loc Le 1, Linda A LeBlanc 1, Kristen Kellet 1
PMCID: PMC1284381  PMID: 12365736

Abstract

The picture exchange communication system (PECS) is an augmentative communication system frequently used with children with autism (Bondy & Frost, 1994; Siegel, 2000; Yamall, 2000). Despite its common clinical use, no well-controlled empirical investigations have been conducted to test the effectiveness of PECS. Using a multiple baseline design, the present study examined the acquisition of PECS with 3 children with autism. In addition, the study examined the effects of PECS training on the emergence of speech in play and academic settings. Ancillary measures of social-communicative behaviors and problem behaviors were recorded. Results indicated that all 3 children met the learning criterion for PECS and showed concomitant increases in verbal speech. Ancillary gains were associated with increases in social-communicative behaviors and decreases in problem behaviors. The results are discussed in terms of the provision of empirical support for PECS as well as the concomitant positive side effects of its use.

Full Text

The Full Text of this article is available as a PDF (195.5 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker L., Cantwell D. P. A prospective psychiatric follow-up of children with speech/language disorders. J Am Acad Child Adolesc Psychiatry. 1987 Jul;26(4):546–553. doi: 10.1097/00004583-198707000-00015. [DOI] [PubMed] [Google Scholar]
  2. Bondy A. S., Frost L. A. The picture exchange communication system. Semin Speech Lang. 1998;19(4):373–424. doi: 10.1055/s-2008-1064055. [DOI] [PubMed] [Google Scholar]
  3. Carr E. G., Durand V. M. Reducing behavior problems through functional communication training. J Appl Behav Anal. 1985 Summer;18(2):111–126. doi: 10.1901/jaba.1985.18-111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Carr E. G., Kologinsky E. Acquisition of sign language by autistic children. II: Spontaneity and generalization effects. J Appl Behav Anal. 1983 Fall;16(3):297–314. doi: 10.1901/jaba.1983.16-297. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Charlop M. H., Schreibman L., Thibodeau M. G. Increasing spontaneous verbal responding in autistic children using a time delay procedure. J Appl Behav Anal. 1985 Summer;18(2):155–166. doi: 10.1901/jaba.1985.18-155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Charlop M. H., Trasowech J. E. Increasing autistic children's daily spontaneous speech. J Appl Behav Anal. 1991 Winter;24(4):747–761. doi: 10.1901/jaba.1991.24-747. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Charlop M. H., Walsh M. E. Increasing autistic children's spontaneous verbalizations of affection: an assessment of time delay and peer modeling procedures. J Appl Behav Anal. 1986 Fall;19(3):307–314. doi: 10.1901/jaba.1986.19-307. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. DeLeon I. G., Iwata B. A. Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. J Appl Behav Anal. 1996 Winter;29(4):519–533. doi: 10.1901/jaba.1996.29-519. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. DeLeon I. G., Iwata B. A., Roscoe E. M. Displacement of leisure reinforcers by food during preference assessments. J Appl Behav Anal. 1997 Fall;30(3):475–484. doi: 10.1901/jaba.1997.30-475. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Durand V. M., Carr E. G. Functional communication training to reduce challenging behavior: maintenance and application in new settings. J Appl Behav Anal. 1991 Summer;24(2):251–264. doi: 10.1901/jaba.1991.24-251. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Hagopian L. P., Fisher W. W., Sullivan M. T., Acquisto J., LeBlanc L. A. Effectiveness of functional communication training with and without extinction and punishment: a summary of 21 inpatient cases. J Appl Behav Anal. 1998 Summer;31(2):211–235. doi: 10.1901/jaba.1998.31-211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Halle J. W., Marshall A. M., Spradlin J. E. Time delay: a technique to increase language use and facilitate generalization in retarded children. J Appl Behav Anal. 1979 Fall;12(3):431–439. doi: 10.1901/jaba.1979.12-431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hart B. M., Risley T. R. Establishing use of descriptive adjectives in the spontaneous speech of disadvantaged preschool children. J Appl Behav Anal. 1968 Summer;1(2):109–120. doi: 10.1901/jaba.1968.1-109. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hart B., Risley T. R. In vivo language intervention: unanticipated general effects. J Appl Behav Anal. 1980 Fall;13(3):407–432. doi: 10.1901/jaba.1980.13-407. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ingenmey R., Van Houten R. Using time delay to promote spontaneous speech in an autistic child. J Appl Behav Anal. 1991 Fall;24(3):591–596. doi: 10.1901/jaba.1991.24-591. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Lovaas O. I. Behavioral treatment and normal educational and intellectual functioning in young autistic children. J Consult Clin Psychol. 1987 Feb;55(1):3–9. doi: 10.1037//0022-006x.55.1.3. [DOI] [PubMed] [Google Scholar]
  17. Matson J. L., Sevin J. A., Box M. L., Francis K. L., Sevin B. M. An evaluation of two methods for increasing self-initiated verbalizations in autistic children. J Appl Behav Anal. 1993 Fall;26(3):389–398. doi: 10.1901/jaba.1993.26-389. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Matson J. L., Sevin J. A., Fridley D., Love S. R. Increasing spontaneous language in three autistic children. J Appl Behav Anal. 1990 Summer;23(2):227–233. doi: 10.1901/jaba.1990.23-227. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Mundy P., Sigman M., Kasari C. A longitudinal study of joint attention and language development in autistic children. J Autism Dev Disord. 1990 Mar;20(1):115–128. doi: 10.1007/BF02206861. [DOI] [PubMed] [Google Scholar]
  20. Mundy P., Sigman M., Ungerer J., Sherman T. Defining the social deficits of autism: the contribution of non-verbal communication measures. J Child Psychol Psychiatry. 1986 Sep;27(5):657–669. doi: 10.1111/j.1469-7610.1986.tb00190.x. [DOI] [PubMed] [Google Scholar]
  21. Prizant B. M., Audet L. R., Burke G. M., Hummel L. J., Maher S. R., Theadore G. Communication disorders and emotional/behavioral disorders in children and adolescents. J Speech Hear Disord. 1990 May;55(2):179–192. doi: 10.1044/jshd.5502.179. [DOI] [PubMed] [Google Scholar]
  22. Shabani Daniel B., Katz Roger C., Wilder David A., Beauchamp Kenneth, Taylor Crystal R., Fischer Kirsten J. Increasing social initiations in children with autism: effects of a tactile prompt. J Appl Behav Anal. 2002 Spring;35(1):79–83. doi: 10.1901/jaba.2002.35-79. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Stokes T. F., Baer D. M. An implicit technology of generalization. J Appl Behav Anal. 1977 Summer;10(2):349–367. doi: 10.1901/jaba.1977.10-349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Thiemann K. S., Goldstein H. Social stories, written text cues, and video feedback: effects on social communication of children with autism. J Appl Behav Anal. 2001 Winter;34(4):425–446. doi: 10.1901/jaba.2001.34-425. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Touchette P. E. Transfer of stimulus control: measuring the moment of transfer. J Exp Anal Behav. 1971 May;15(3):347–354. doi: 10.1901/jeab.1971.15-347. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Applied Behavior Analysis are provided here courtesy of Society for the Experimental Analysis of Behavior

RESOURCES