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ensory Integration as an Umbrella Model:
(SI Theory and the role it plays in the understanding of Autism/PDD).
Sensory Integration theory provide a good framework for understanding human performance in a context of normal neurological maturation.
Autism and PDD impact the individual in so many parameters of human performance relevant to the field of Occupational Therapy.
Sensory Integration theory can provide us with a comprehensive model for understanding all the areas of human performance that are affected by autism and PDD.
Sensory Integration is a theory that can provide a guide for understanding the behaviors we observe in Autism and PDD.
In understanding of the influences that sensory input and sensory organization on the development of human performance abilities; we can provide a good road map for understanding a lot about what may go haywire in the disability we know of as Autism and PDD.
A sensory integration theory can also provide us with a model for assessment and treatment.
By having a model of Sensory Integration theory we can then look at ways to assess sensory integration function though observation and history which is especially important in the untestable child
This same model can provide us with a model to examine progress.
With a model of Sensory Integration it was possible to pull from other intervention strategies and see how they are related. This is what I did with integrating the auditory system.
Sensory integration is a good model to allow integration of other sensory based approaches in order to form a comprehensive approach to the individual.
A theory should be a dynamic paradigm evolving with new knowledge. On a recent literature review of Autism that my colleague Pat Bober did for the Autism and PDD course we taught for AOTA, she found 350 new articles in the preceding 6 months. We need an umbrella model to sort, classify, and integrate this information.
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nfluences on the development of Sensory Integration Theory
Sensory Integration Theory was not unique to Jean Ayres. She is responsible for synthesizing much of the scientific research and making it specific to certain areas of human performance, particularly in the area of reading and learning disabilities. Her research that established clusters of symptoms was a major contribution to the understanding of brain mechanism and neuro-psychology. She stood on some fairly large shoulders and review some of this may help us gain a broader perspective on sensory integration theory and help us consider the multi-disciplinary contributions.
In 1871 Darwin proposed some ideas on human cognitive evolution that suggested the idea of a series of special human adaptations leading to speech. In his book "The Descent of Man" - a chapter called the " Comparison of the Mental Powers of Man and the Lower Animals" , Darwin proposes that "language evolved out of prelinguistic change in primate cognition that raised the level of basic cognitive skills above those of Apes." He also suggested that speech once established interacted with the human capacity for thought, leading to the development of new thinking. It was the beginning of considering phylogony in the development of cognition and it also suggested that interaction of newly acquired capacity with the rest of the brain lead to new and higher level cognitive organization. This was the concept that newer evolutionary skill grew out of older functions and had some dependence upon them.
The neurophysiologist Charles Sherrington stressed the importance of the central nervous system mechanisms for sensory integration in his 1906 book The Integrative Action of the Nervous System. He stressed the emergence of mechanisms enabling intersensory integration as a major phyletic trend. He suggests that this capacity was a major source of man's advanced adaptive ability.
Lassek in his 1957 book "The Human Brain from Primitive to Modern" focused on the rapid evolution of sensory neurons as opposed to motor neurons that lead to enhanced perception of the environment which in turn led to additional new and more complex adaptive responses. Enlarging the scope of information supplied the brain enabled it, in turn to develop increasingly complex adaptive responses.
C. Judson Herrick The Evolution of Human Nature 1956, wrote that higher intellectual functions are just as much a product of the evolutionary development as is the human skeleton. (p5 Ayres) It is not possible to say when Man's brain began to learn how to learn. The function of the human cortex today is still strongly dependent upon brain stem functions. (p9 Ayres) Higher integrative functions operate through the mediation of sensorimotor experience (Ayres 26) It primarily motor reaction to environmental demands which effected the evolution of the mind rather than the mind that make the body into the motor being (Ayres p36) The cerebral cortex never works independently of the more primitive structures from which is was derived (Ayres p119)
The Russian neuropsychologist Lauria, A. R. Higher Cortical Functions in Man. Lauria - higher brain processes, such as perception, cognition and learning are performed by a number of dynamic functional system of neurons involving many CNS structures at many different levels. These systems involve the combined working of parts of the brain which may be remote, each contributing to the integrated functional system. The process of developing higher cortical function is characterized by an early focus on elementary sensorimotor processes. (Ayres p92-93) The greater the opportunity for interaction among parts of the brain, the greater the adaptive capacity. From an evolutionary standpoint, the capacity for interaction among localized area has been increased through the association areas. Each primary sensory area of the cerebral cortex is surrounded by integrating areas which overlap integrating areas of other sensory modalities. (Ayres p14)
Piaget in The Origins of Intelligence in Children, 1952, stressed the importance of early sensorimotor stage in infants as leading to meaningful experiences and the formation of associations which are the source of sensorimotor intelligence. Symbolic action is based on assimilation of prior sensorimotor intelligence.
Paul Schilder was perhaps one of the most interesting writers to influence sensory integration theory. Schilder was one of the first clinicians to recognize the significance of the vestibular system to the whole psychic structure. (Ayres Tx young schiz p321) Paul Schilderexamined the vestibular apparatus in neurosis and psychosis (1933). Conceived the vestibular system as a coordinating apparatus for all sensory functions. The vestibular apparatus is an organ the function of which is directed against the isolation of the diverse functions of the body. (Ayres p 61) Study of the vestibular apparatus may have great importance for the understanding of psychotic and neurotic states. Dysfunction of the vestibular apparatus is very often the expression of two conflicting psychic tendencies. The neurosis may produce organic changes in the vestibular sphere. Organic changes in the vestibular apparatus willbe reflected in the psyche structures. They will not only influence the tone, the vegetative system, and the attitudes of the body, but they must also change our whole perceptive apparatus and even our consciousness. (Feldenkraise p88 ) Schilder 1951 Brain and Personality He stressed the importance of muscle tone and its role in the postural model of the body and in psychic and motor development With reduced muscle tone the body scheme and motor development develop less then optimally. (Ayres p 68) The body scheme which provides the substrate for praxis is a product of intersensory integration. The postural model of the body is not the sum of optic, kinesthetic and tactile sensations. It is an integration (Ayres 165)
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his concept of the role of the vestibular system on body schema, praxis and psychological development was expressed by Lorretta Bender in 1956 Schizophrenia in childhood - its recognition, description and treatment. The vestibular system enabled the developing organism to distinguish between self and non self.
M. Feldenkrais in his 1949 book Body and Mature Behavior - A study of anxiety, sex, gravitation and learning Feldenkraise proposes that the only innate fear an infant is born with is the vestibular response to falling. The first experience of anxiety is connected with a stimulation of the vestibular branch of the VIII cranial nerve. Anxiety, in whatever form it may be present, must have been formed by successive conditioning from the unconditioned series of reflexes that constitute the inborn response to falling.
Schilder 1964 Contribution to developmental neuropsychiatry He related vestibular disorders to anxiety neuroses and felt that the vestibular system constituted one of the nuclear formations of the ego.
Edward M. Ornitz 1970 Vestibular dysfunction in schizophrenia and childhood autism along with others studied the role of the vestibular system autism and childhood psychotic disorders
Ayres own article in the Journal of Autism and Childhood Schizophrenia spoke of the sensory integration dysfunction in a young Schizophrenic girl 1972
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ensory Integration
The foundation for learning/for being
Sensory Integration theory is based on the work of Dr Jean A. Ayres. It is based on the premise that the primary building blocks of the central nervous system are the senses, particularly the special senses - vestibular, tactile, and proprioception. All other skills are complex processes based on a strong foundation of sensory integration. The central nervous system receives input from the environment which is organized and processed to produce a motor or behavioral output resulting in accurate feedback and additional input. If the input is not processed and organized accurately, the result is abnormal motor output with abnormal feedback. This cycle continues with increasingly more disorganized sensory input and chaotic output and feedback. The consequences of a disorganized central nervous system are developmental lags, behavioral, emotional, and learning problems. Many atypical behaviors observed in children can be better understood when the effects of a disorganized central nervous system are taken into consideration.
Sensations are the food for the brain. If we don't get sensation we make up the information.
As we are bombarded with all this sensory data we need to
Sensory Integration is the organization of sensation for use so that we can respond.
We are bombarded by millions of sensation daily. (2 million bits per sec.) Sensory integration is the ability to take in, sort out, and connect information, so our bodies are able to respond in an adaptive manner.
This is accomplished by out central nervous system.
It is done on an automatic level- so we don't have to think about it.
Without an efficient nervous system, we are unable to interact comfortably with the world around us
In sensory integration theory we consider senses that are normally below the level of our awareness.
We think of classic senses yet there are many more which are just as essential to or possibly more essential to our survival. These include the vestibular sense, proprioception, tactile sensation, kinesthetic sensation.
Vestibular System: Really the vestibular/cochlea system !