040ASDEM1

Neuro-functional models of intervention in autism : the example of the Exchange and Development Therapy

Autism Spectrum Disorder is defined as a neurodevelopmental disorder affecting aspects of social interaction and social communication with others, as well as involving sensory behavioral disturbances and restricted and repetitive interests. Research in this field continues to develop, addressing both neurobiological concepts and intervention research. This teaching unit aims to present the latest advances in interventions for autism, using the example of Exchange and Development Therapy (EDT). It was developed in Tours at François-Rabelais University and the CHRU by a child psychiatry team specializing in autism: Gilbert Lelord, Catherine Barthélemy, and Laurence Hameury. It is based on a neurofunctional and developmental conception of autism. It aims to exercise deficient functions, such as attention to others, intention, imitation, etc., and to mobilize the activity of the underlying cerebral integrative systems, thereby providing functional rehabilitation. How can TED help children with autism? According to the term used by the authors, EDT aims to “unravel” the child, by helping them discover that they can look, listen, and make associations. It seeks to encourage and promote reciprocal exchanges during play and, through these exchanges, to develop communication. This rehabilitative therapy is therefore carried out in the context of playful sessions, adapted to the child’s developmental profile, across all areas.


Temps présentiel : 20 heures


Charge de travail étudiant : 75 heures


Méthode(s) d'évaluation : Examen final


Référence :
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. • Adrien, J. L., Bernard, M. A., Thiébaut, E., Gattegno, M. P., Blanc, R., Kaye, K., ... & Nader-Grosbois, N. (2016). Profils de développement dans le Trouble du Spectre de l’Autisme (TSA), avec ou sans déficience intellectuelle sévère. Implications pour l’évaluation et l’intervention. Devenir, 28(4), 255-272. • Barthélémy. C., Lelord, G., Hameury, L. (1995), La thérapie d’échange et de développement dans l’autisme de l’enfant. Paris : Expansion Scientifique Française. • Blanc, R., Latinus, M., Guidotti, M., Adrien, J., Roux, S., Dansart, P., Barthélémy, C., Rambault, A., Bonnet-Brilhault, F., & Malvy, J. (2021). Early Intervention in Severe Autism: Positive Outcome Using Exchange and Development Therapy. Frontiers in Pediatrics, 9. https://doi.org/10.3389/fped.2021.785762 • Blanc, R., Malvy, J., Dansart, P., Bataille, M., Bonnet- Brilhault, F., Barthélémy, C. (2013), La thérapie d’échange et de développement, une rééducation neuro-fonctionnelle de la communication sociale, Neuropsychiatrie de l’enfance et de l’adolescence, 61 : 288-294

Ce cours est proposé dans les diplômes suivants
 Master en orthophonie