Case #4Six year-old Alex uses both immediate and delayed Wh…

Case #4 Six year-old Alex uses both immediate and delayed When asked, “What do you want?” he replies, “What do you want?” He often sings jingles from TV commercials. Alex bites his wrist to the point of bleeding when he is prevented from getting what he wants. He doesn’t appear to feel any pain. What type of communication intervention will be appropriate for Alex? Explain Refer to chapter 6 At least one full page (APA)


Communication is a fundamental aspect of human interaction and plays a crucial role in various aspects of a person’s life, including socialization, education, and emotional expression. However, not all individuals develop communication skills in a typical manner, which may necessitate the need for communication interventions. In the case of six-year-old Alex, who exhibits certain atypical communication behaviors, it is important to identify appropriate communication interventions to support his communication development. This paper will discuss the type of communication intervention that would be appropriate for Alex, considering his behaviors and needs.

Assessment of Alex’s Communication Behaviors

Before determining the appropriate communication intervention for Alex, it is essential to gain a comprehensive understanding of his communication behaviors. Alex displays both immediate and delayed echolalia, as evidenced by his repetition of the question “What do you want?” when asked the same question. This behavior suggests that Alex may have difficulty formulating his own original responses and relies on repeating others’ words or phrases.

Another atypical communication behavior exhibited by Alex is his tendency to sing jingles from TV commercials. This behavior is significant as it demonstrates a limited range of communication skills and may indicate difficulty in engaging in spontaneous conversation or expressing his own thoughts and ideas.

Furthermore, Alex engages in self-injurious behavior by biting his wrist to the point of bleeding when he is prevented from obtaining what he wants. This behavior is concerning and requires immediate attention as it poses potential risks to his physical well-being. It is noteworthy that Alex does not appear to exhibit any signs of pain when engaging in this behavior, which may indicate an altered sensory perception or difficulty in expressing discomfort.

Choosing an Appropriate Communication Intervention

Based on the assessment of Alex’s communication behaviors, it is clear that he requires a communication intervention that addresses various aspects of his communication development. One such intervention that can be beneficial for Alex is Augmentative and Alternative Communication (AAC). AAC encompasses the use of various tools and strategies to support or replace spoken language, enabling individuals with communication difficulties to effectively express themselves (Beukelman & Mirenda, 2013).

The use of AAC could be particularly useful for Alex as it can provide him with a structured means of communication, allowing him to overcome the challenges associated with spontaneous conversation and generating independent responses. AAC systems can vary, ranging from low-tech options such as picture boards or communication books to high-tech solutions such as speech-generating devices or tablet applications. An assessment of Alex’s needs would help determine the most appropriate AAC system for his specific communication needs.

Additionally, considering Alex’s self-injurious behavior, it is crucial to incorporate strategies that address his emotional regulation and expression of discomfort. This may involve implementing a behavioral intervention alongside the AAC system. A positive behavior support plan could be designed to teach Alex alternative ways of expressing his needs and frustrations, reducing the likelihood of self-injurious behavior. The plan may involve teaching Alex appropriate communication strategies to express his wants, needs, and emotions, such as using visuals or gestures to indicate his preferences or employing simple language to request assistance.

Furthermore, incorporating sensory strategies into the communication intervention may be beneficial for Alex. Since he does not appear to exhibit pain when engaging in self-injurious behavior, it is crucial to consider his sensory perception and ensure that his communication system accommodates any sensory sensitivities or differences he may have. Providing alternative sensory outlets or incorporating sensory supports into his AAC system may help him regulate his emotions and prevent the escalation of self-injurious behaviors.


In conclusion, based on an assessment of Alex’s communication behaviors, it is evident that he requires an appropriate communication intervention to support his communication development. Augmentative and Alternative Communication (AAC) can be an effective intervention for Alex, providing him with structured means of communication and enabling him to overcome challenges associated with generating independent responses. Additionally, incorporating strategies that address emotional regulation and sensory sensitivities alongside the AAC system can further support Alex’s communication development. Tailoring interventions to his specific needs will be essential for promoting his communication skills and overall well-being.