Autism & Developmental

Play interactions of family members towards children with autism.

el-Ghoroury et al. (1999) · Journal of autism and developmental disorders 1999
★ The Verdict

Parents dominate play with autistic kids, but the kids initiate more with siblings—so back off and let the child lead.

✓ Read this if BCBAs running home-based parent training or sibling-mediation programs.
✗ Skip if Clinicians who only work in center-based 1:1 sessions without family contact.

01Research in Context

01

What this study did

Researchers watched the families at home. Each family had one child with autism, mom, dad, and at least one brother or sister.

For 30 minutes the team counted who started play and who answered. They wrote down every move.

02

What they found

Parents began play twice as often as brothers or sisters. Yet the child with autism spoke up more to siblings than to mom or dad.

Kids picked siblings as play partners a large share of the time, even though parents tried harder to lead.

03

How this fits with other research

Fujiura et al. (2018) asked parents of high-functioning kids how happy they felt about home life. Those parents listed more barriers than parents of typical kids. Reid et al. (1999) shows one barrier: parents over-direct play, so kids wait for them instead of jumping in.

Bauminger et al. (2003) found the same children later start peer chats at school, but still feel lonely. The pattern starts at home: kids initiate, yet adults take over, cutting practice short.

Kehinde et al. (2023) explains why moms keep leading. In Nigeria and South Africa culture expects mothers to carry the autism load while fathers watch. The 1999 numbers echo this imbalance worldwide.

04

Why it matters

If you coach families, teach parents to pause after they set out a toy. Count to five. Let the child make the next move. Siblings already do this naturally, and kids respond. Your goal: flip the ratio so the child with autism leads a large share of starts. One simple script—"wait, watch, then echo"—can build that habit in one visit.

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→ Action — try this Monday

Set a 5-second delay before you prompt; give the child first chance to act.

02At a glance

Intervention
not applicable
Design
case series
Sample size
9
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The play interactions of family members towards children with autism were examined in the current study. Siblings, mothers, and fathers of nine families of a child with autism were observed in dyadic play interactions with the child. Results revealed that mothers and fathers exhibited more play behaviors towards children with autism than siblings, while the children with autism initiated more interactions towards siblings than towards parents. Vineland scale scores were correlated with parental behaviors and the initiations of children with autism towards parents. Results suggest that parents may compensate for their child's disability level by initiating more play interactions. Implications include teaching parents how to pace play interactions to allow children with autism to initiate play interactions.

Journal of autism and developmental disorders, 1999 · doi:10.1023/a:1023036223397