FACILITATED COMMUNICATION TRAINING:
AN ANNOTATED BIBLIOGRAPHY


CHRIS BORTHWICK


Facilitated communication training (FCT) is a strategy for teaching individuals with severe communication impairments to use communication aids with their hands. In FCT a communication partner (facilitator) helps the communication aid user overcome physical problems and develop functional movement patterns. The immediate aim in FCT is to allow the aid user to make choices and to communicate in a way that has been impossible previously. Practice using a communication aid such as a picture board, speech synthesizer, or keyboard in a functional manner is encouraged, to increase the userís physical skills and self-confidence and reduce dependency. As the studentís skills and confidence increase the amount of facilitation is reduced. The ultimate goal is for students to be able to use the communication aid(s) of their choice independently.

Facilitated communication training was developed at DEAL Communication Centre in Melbourne, Australia. It is now used throughout North America and in several European countries with people with communication difficulties diagnosed as, for example, intellectually impaired, autistic, or cerebral palsied. It has already developed a lengthy list of relevant publication. These are, however, scattered across several continents and several fields of study, and are not always readily accessible. This bibliography attempts to give an brief account of each piece along with, for articles not readily available, a contact address where they may be obtained.

This bibliography does not cover material on autism, hyperlexia, or movement disorders unless they involve FCT.

The quotations selected for inclusion (and given in inset type) are not necessarily those covering the core message of the piece; they are, rather, passages that cover points not made elsewhere in the basic texts.

I have not myself sighted some references, and these are given in Bold Italics.

Contents

Bibliographies

Books & Monographs

Complete Texts

Chapters

Brief Mentions

Accounts of or by FCT Users

Journals & Periodicals

(by author)

A-C

D-J

K-Z

Theses

Cases at Law

I would very much appreciate any suggestions for additions to this bibliography. I can be reached by e-mail at cborthwick@vichealth.vic.gov.au.


BIBLIOGRAPHIES


Text

Koppenhofer, J., Gilmer, D., & McElroy, M., 1993, Facilitated Communication; An Annotated Bibliography, Orono, Center for Community Inclusion

75 citations. Available from Center for Community Inclusion (see Address List). Includes citations of some relevant articles about autism and AAC not involving FCT. (23 pp)

MacPherson-Court, L., Rutherford, G., & McDonald, L., 1993, Facilitated Communication; An Annotated Bibliography, Severe Disabilities Program, Department of Educational Psychology, University of Alberta

76 citations. Available from L. MacPherson-Court at University of Alberta (see Address List). Includes many annotated citations of Canadian and Australian newspaper items. (26 pp)

Internet

Selected Readings Related to Facilitated Communication - Facilitated Communication Institute

Bibliography of journal articles regarding facilitated communication - Facilitated Communication Institute

LITERATURE REVIEW: Mental Retardation, 32 (4) - Exchange of Opinion on the Risks and Benefits of Facilitated Communication

BOOKS & MONOGRAPHS - COMPLETE TEXTS


Barker, B, Leary, M., Repa, S., & Whissel, P., 1993, Getting In Touch; A Workbook on Becoming a Facilitator, DRI Press, Madison

Worksheets and useful short chapters on facilitation practices and techniques. Illustrative diagrams unfortunately show poor facilitation practice, with pressure applied under the index finger. (44 pp)

Biermann, A., 1999, Gest¸tze Kommunikation im Widerstreit, Speiss, Berlin

Untranslated.

Berger, C., 1992, Facilitated Communication Guide, New Breakthroughs, Eugene, Oregon, USA. v.1 50 pp, v.2

Berger discovered FCT techniques independently of Crossley and Biklen in 1987 when working in special education classes in Oregon. The first volume of the Guide contains practical information with an emphasis on autism and facilitated handwriting. The second volume goes more deeply into matters such as reading and autism and facilitated communication and technology. Includes a resource guide. Available from New Breakthroughs (see Address List). (140 pp.)

We now need to begin the task of restructuring our own view of people with autism and other developmental disorders, as well as the low-track education system into which they have been placed. A complete paradigm shift is underway.

Berger, C. & Kilpatrick, K., 1992, Facilitated Communication Guide and Materials, New Breakthroughs, Eugene, Oregon, USA

An expanded version of vol. 1 of Berger,1992, Facilitated Communication Guide, with added classroom teaching materials.

Berger, C. , 1994, Facilitated Communication Technology Guide , New Breakthroughs, Eugene, Oregon, USA

"An extensive list of computer programs and devices used successfully with Facilitated Communication in the United States for the last 7 years.".

Biklen, D., 1993 , Communication Unbound, Teachers College Press, New York

A basic text. The first book to deal with the general technique of facilitated communication training, this book covers the development of the technique in Australia and America, gives examples of its use by people with a range of disabilities, discusses the theoretical basis for the technique, and covers issues of validation and of FCT's implications for the conceptualization of disability.

One of the most personally disappointing aspects of our using facilitated communication or of seeing it used by other people is that for many professionals it is merely a new teaching or communication technique. This perspective... implies that... many people who were previously thought to be dumb are now redefined as smart and must therefore be treated differently. It is a perspective that does not question the validity of treating people differently on the basis of perceived intelligence.

(221 pp.)

D Biklen, D Cardinal (eds). Contested Words, Contested Science, Teachers College Press, New York: .

A collection of studies (controlled, quantitative ones as well as qualitative investigations) of facilitation, focusing mainly on the authorship question: who is doing the typing, facilitator or the person with the communication impairment. The book includes a chapter by Marcus and Shevin in which Marcus, an FC user, replicates a classic facilitated communication authorship test.

Bundschuh, K, & Basler-Eggen, 1997, ëFacilitated Communicationîbei Menschen mit schweren Kommunikationzztorrungen, I Zwischenbericht, Ludwig-Maximilians-Universitat Munchen

Centre for Community Inclusion, 1993, What Frontline Didnít Tell You, Centre for Community Inclusion, Orono, Maine

A reponse to attack on FCT in American TV program Frontline. Contains contributions from Biklen, D., Cardinal, D., Haskew, P., Kochmeister, S., Schawlow, A., and others. Available from Centre for Community Inclusion (see Address List). Lists inaccuracies in program, provides examples of evidence disregarded, uncovers program bias.

Collins, A.J., (ed), 1992, Facilitated Communication; A reference book, Annandale, Va., National Association of Private Residential Resources

Crossley, R., 1994, Facilitated Communication Training, Teachers College Press, New York, 150 pp

Basic text on methods of facilitation. Crossley originated the method in Australia in the 1970s and has practiced it widely since. Essential reading.

Facilitated communication training is a strategy for teaching people how to use communication aids. It does not cure anything. It is not a particularly good method of communication. However, it has allowed many individuals to communicate verbally for the first time in their lives. Communication involving facilitation is certainly imperfect, but, for some people, right now itís the best option. Until we can find a better alternative, it is up to us to make facilitated communication work as well as possible.

Crossley, R., 1997, Speechless, E P Dutton, New York, $24.95 ( ISBN: 0525941568)

Series of case studies tracing various aspects of using facilitated communication training with people who have diagnoses of PVS, autism, Down syndrome, and undifferentiated mental retardation. Essential reading

I tried standing Emma up and holding the Communicator low (if you have a problem with low muscle tone it helps not to have to lift your arm against gravity) and by the end of the session I had Emma spelling out words with no bodily contact at all. Like many of DEAL's clients, she'd liked the human contact involved in arm support, and it was a wrench to be weaned so abruptly. This involved more tears. The next day at school Emma spontaneously typed without any support. She has continued to be able to do so, provided that the Communicator is positioned low so that she doesn't have to lift her hand against gravity.

Crossley, R. , 1997, Gest¸tzte Kommunikation : Ein Trainingsprogramm zur Kommunikationsfarderung f¸r Menschen mit Behinderungen, Đbersetzung aus dem Englischen, deutsche Bearbeitung und Nachwort: Ralf Sch¸tzendorf. Vorwort: Christiane Nagy. (Edition Sozial.) 1997. Ca. 200 Seiten. 9 Abbildungen. Broschiert. DM 42,- (ISBN 3-407-55796-5 )

German translation of Facilitated Communication Training.

Crossley, R. 1998, Il Metodo Della Comunicazione Facilitata, Savona, Provincia di Savona/Associazione Bambini Cerebrolesi Liguria

Italian translation of Facilitated Communication Training.

Crossley, R., & McDonald, A., 1980, Annie's Coming Out, Penguin, London & Melbourne

The story of how FCT was originally devised to establish communication with a young woman with cerebral palsy in an institution for people with mental retardation, and the story of the struggle she then had to gain control of her own destiny through the Australian courts. Essential reading

In 1977 I was taught to communicate by using an alphabet board on which I point to letters in order to spell sentences. That is how I wrote my part of this book.

Dying was dependent on the way you felt. Jobs in mental hospitals do not attract the best doctors, and there was no supervision. The patients could not complain. If you wanted to die you had every opportunity. Many short-stay kids took their chance. Death never appealed to me; I wanted revenge. Now that does not seem to matter. What is important is stopping other kids going through what we went through.

Time was when the strongest emotion I felt was hate, and hate makes you strong. Tender emotions were dangerously softening. Implacable hatred of the whole world which hunted handicapped children into middens like St Nicholas twisted my relationships with people for years.

DEAL Communication Centre, 1992, Facilitated Communication Training, DCC, Melbourne

A collection of DEAL pamphlets on aspects of FCT. DEAL Communication Centre was set up by Rosemary Crossley to asist people with severe communication disorders and was the centre where FCT was first developed in Australia. Available from DEAL Communication Centre, Melbourne, or Facilitated Communication Institute, Syracuse (see Address List); however, much of the material from the pamphlets is now also incorporated into Crossley, Facilitated Communication Training (see above)

DEAL Communication Centre, 1992, Getting the Message; Aspects of communication without speech, DCC, Melbourne

A collection of DEAL pamphlets on non-vocal communication. (66 pp.)

DEAL Communication Centre, 1988, Response to Report of Inter-Disciplinary Working Party on Issues in Severe Communication Impairment, Author, Melbourne

A correction of the major errors of the IDWPISCI report (qv Reports). (64 pages)

Donellan, A., & Leary, M., 1995, Movement Differences and Diversity in Autism/Mental Retardation; Appreciating and Accomodating People with Communication and Behaviour Challenges , DRI Press, Madison

A valuable analysis of the relation between movement disorders and the conceptualisation of developmental disorders. Has a postscript on FCT.

To suggest that facilitated communicating 'does not work' because there may be influence, or we cannot understand the phenomenon, or we cannot always make it predictable, is just bad science.

Eichel, E., 2001, Gest¸tze Kommunikation bei Menschen mit autischer St–rung, Projekt Verlag, Bochum

Untranslated.

Haskew, P., & Donellan, A., 1993, Emotional Maturity and Well-Being; Psychological Lessons of Facilitated Communication, DRI Press, Madison

A psychiatric view of the use of FCT. (45 pp.)

We want to report the degree to which FC reveals aspects of normal psychological development among people with profound communication impairments, and deviations from normalcy in that population that may originate from the customary care provided for people with communication difficulties.

Hill, D., & Leary, M., 1993, Movement Disturbance, A Clue to Hidden Competencies in Autism and Related Disorders, DRI Press, Madison

Exhaustive examination of the literature dealing with features of movement disorders and a use of these to offer an alternative explanation of behaviours observed in people with autism. Goes on to suggest applications in clinical treatment situations. Valuable text. (33 pp)

Inter-Disciplinary Working Party on Issues in Severe Communication Impairment, 1988, D.E.A.L. Communication Centre Operation; A Statement of Concern, Author, Melbourne

A collection of anonymous anecdotal reports from an ad hoc group of Victorian psychologists and therapists opposed to the operations of DEAL Communication Centre. Unreliable. (85 pp.)

Iverson, Portia, 2006Strange Son: two mothers, two sons, and the quest to unlock the hidden world of autism, Penguin Books, London

Iverson worked with Soma Mukhopadhyay (Tito's mother) to apply Soma's methods (which closely track FCT, though developed independently) with her own son. Understandably, Ms Iverson wishes to mention FCT as little as possible.

Jowonio School, 1992, First Words; Facilitated Communication and the Inclusion of Young Children, Author, Syracuse

A manual from an inclusive preschool on techniques and strategies for FCT work with children. Valuable text. Available from Jowonia School (see Address List).

McNabb, W., (ed), 1992, The Handbook of Facilitated Communication, Northwest Centre for Information Resources, Vashon Island

Reprints a number of pamphlets from DEAL Communication Centre and adds other brief instructional material.

Nusbeck, Susanne, 2000, Gest¸tzste Kommunikation: Ein Ausdrucksmittel f¸r Menschen mit geistiger Behinderung? Hogrefe-Verlag, Gottingen

Untranslated.

Reed, D., 1996, Paid for the Privilege: Hearing the Voices of Autism, DRI Press, Madison

A detailed account of the development of FC use at an autism day centre in St. Paul, Minnesota. Includes extensive transcripts of FC users' prose. Suggests behavioural improvement in clients. Includes also chapter New Scientific Approaches to Challenge Our Assumptions about Austism/Mental Retardation, by Anne Donellan.

Being recognized as individuals with capabilities, rather than persons stuck with disabilities, became possible at MTS with the help of FC. This communication has enabled them to tell us about themselves. We listen, and with accomodations, try to lay the foundation for more productive and happy lives. (162 pp)

Savarese, Ralph, 2007, Reasonable People: a memoir of autism and adoption, Other Press, New York

Ralph Savarese's memoir of his experiences establishing and engaging in communication with his adopted son DJ. 

Neither a typical saga of autism nor simply a challenge to expert opinion, Reasonable People illuminates rthe belated emergence of a self in language. And it does so using DJ's own words, expressed through the once discredited but now resurgent technique of facilitated communication (FC)

Olsen, L., Gurry, S., Larkin, A., & McSheehan, M., 1992, A Training Guide to Facilitated Communication Use; implications for use with adults in community settings, Lesley College, Cambridge, MA.

A basic working guide to FCT or caregivers, including discussion of such topics as "what should I do if a client is becoming too attached to me? How can I use facilitated communication on a daily basis? What are the possible implications of facilitated communication for staff? Valuable short text. (32 pp.)

Richard, J., Jackson, K., Urich, M, and Urich, A., 1993, First Hand; Personal Accounts of Breakthroughs in Facilitated Communication, DRI Press, Madison

Three case studies; one written by a boy with autism using FCT, one by a facilitator, and one by two parents. Many valuable insights. (55 pp.)

Shane, H. (ed), 1994, Facilitated Communication; The clinical and social phenomenon, Singular Publishing Group, San Diego

Basic anti-FCT text, including chapters by Shane, Green, and others.

Sharing to Learn, 1993, Facilitated Communication; A guide to resource materials, Author, Thornhill (Ontario)

A reprint of articles having appeared in Communicating Together. See address list.

Sharing to Learn, 1993, Facilitated Communication; A set of readings, Author, Thornhill (Ontario)

Reprints articles by (inter alia) Calculator, Crossley, Hudson, McDonald, Shane, and Vicker from Communicating Together, 9; 2, 10; 4, 11; 2 and 11; 4.

Sharing to Learn, 1994, Facilitated Communication; A set of readings (2nd edition) Author, Thornhill (Ontario)

A revised and in some cases expanded reprint of articles on FCT having appeared in Communicating Together.

Shubert, Annagret, 1992, Facilitated Communication Resource Guide,

(240 pp)

Spitz, H., 1997, Nonconscious Movements - From Mystical Messages to Facilitated Communication, Erlbaum (202 pp)

Spitz has previously published a book on why you can't raise the intelligence of people with mental retardation, and takes FCT as the latest in that line. Assuming its falsity (with some few possible exceptions) he then relates it to other phenomena such as Clever Hansing and Ouija boards.

Stafford, L., 1993, Communication Menu Handbook, Longman Paul, Auckland, New Zealand

Useful spiral-bound set of words, phrases and spelling boards for use with facilitated communication. Customisable.

Strandt-Conroy, K., & Sabin, L., 1993, Making Connections: Facilitating Communicating in an Inclusive Classroom, DRI Press, Madison

Journal and case studies dealing with the introduction of FCT into a mainstream sixth grade class setting, including valuable tips on behavioural cuing, and general strategies for introducing FCT to the classroom, adapting lessons, adapting testing, and modifying IEP's. (43 pp).

Twatchman-cullen, D., 1997, A Passion to Believe: Autism and the Facilitated Communication Phenomenon, Boulder, Westview Press

Twatchman's book has various errors of fact that could have been checked, but its serious flaws are more basic. Her viewpoint comes out most clearly in the section where she points out that people using facilitated communication often produce output inconsistent with their previous assessments. How do FCT people account for that? she asks, and seems to think she has made a point. The answer is, of course, that assessments made without being able to communicate with a person would be expected to differ from assessments made with a person who could communicate, and the fact that she cannot see this elementary point points to her basic mind-set. She believes that psychological assessments are infallible, however they are done. She believes that what has been done in the past is infallible, that we already know all we need about (say) autism, and that no new concepts are conceivable or permissible. Writing from this standpoint it is hardly surprising that she misinterprets almost everything about the cases she purports to record. The book is illogical, biased, and an example of 'scientism' rather than scientific thinking. Anybody who can't pick ten internal contradictions in the first chapter has no business calling themselves a sceptic. (208 pp).

Vexiau, Anne-Marguerite, Je Choisis Ta Main Pour Parler


Books & Monographs - Chapters

 

Attwood, T., & Remington-Gurney, J., 1992, Assessment of literacy skill using facilitated communication, in Van Kraayenoord, C., (Ed), A survey of adult literacy provision for people with intellectual disabilities, Schonell Special Education Research Centre, University of Queensland, Brisbane

Preliminary report on Queensland validation project.

"This study identified a sample of twenty adults who had been assessed on standardised tests of intelligence and communication as profoundly disabled. ... During assessment for literacy skills, the responses of 17 students were recorded as level 4 <open conversation>. ...the responses of nine students had at least one example of... content validity. "

Biklen, D., 1992, Communication unbound; autism and praxis, in Hehir, T. & Latus, T. (eds) Special Education at the Century's End, Harvard Review, Harvard

A reprint of the Biklen (1990) article in Harvard Educational Review (see Journals)
(p. 321-349)

Brodin, J., & Bj–rk-‰kesson (eds), 1994, Methodological Issues in Research in Augmentative and Alternative Communication, Proceedings from the Third ISAAC Research Symposium in Augmentative and Alternative Communication, Kelkgrade, October 14-15th, 1994, J–nk–ping University Press, J–nk–ping

Reprints papers on FCT by Remington-Gurney and von Tetzchner; see Conference Papers.

Hudson, A. ,1995, Facilitated Communication; A critique. in T. Ollendick & R. Prinz (Eds.), Advances in Clinical Child Psychology (vol. 17). Plenum Press, New York

A somewhat biased review of the validation literature.

Jacobson, J., Eberlin, M., Mulick, J., Schwartz, A., Szempruch, J., & Wheeler, D., 1993, Autism, Facilitated Communication, and Future Directions, in Matson, J., (ed),1993, Autism; Etiology, Assessment, and Intervention, Sycamore Press, Sycamore, IL

Presents accounts of validation studies by Working Party on Severe Communication Impairment, 1988 (see Monographs), Intellectual Disability Review Panel, 1989, (see Reports), Hudson et al, Moore et al, & Szempruch & Jacobson (see Journals). Also provides summary of paper by Eberlin et al, 1992 (see Conference Papers). Criticizes Calculator & Singer for poor procedural controls. Criticizes Biklen's use of qualitative analysis of client's work for validation. Criticizes FCT for its inconsistency with previous conclusions about people with autism.
(pp. 93-132)

Klewe, L., 1991, Kommunikation ved hjaelp af staveplader. En eksperimental-psykologisk undersŻgelse [Communication via spelling-boards. An experimental-psychological examination]. Copenhagen, Danmarks Paedagogiske Institut & Forlaget

Account of validation exercise with 17 clients from Danish group described in Johnson, 1988, and Johnson, 1989. See Klewe, 1993, for an account of the exercise in English.

Morley, B., 1996, The Apparently Intellectually Handicapped, in Burrows, G., (ed.), Fifth Greek/Australian International Legal and Medical Conference, Crete 1995, Melbourne, Greek/Australian Legal and Medical Confererence Ltd.

Transcript of adderess by neurologist. Describes thirteen clients who have established nexpected communication - five with head injuries, two with cerebral palsy, two with encephalitis, two with Down syndrome, and two with autism. All at some stage used facilitation. Seven of the 13 provided confirmation by recovering speech or writing skills.

The irrefutable fact is that seven of the thirteen patients whom I have examined ... . have eventually become independent of their facilitator.

Remington-Gurney, J., 1994, Facilitated Communication and AAC: a Dichotomy? in Brodin, J., & Bj–rck-‰kesson, E. (eds), Methodological Issues in Research in Augmentative and Alternative Communication, J–nk–ping University Press, J–nk–ping

Reprint of ISAAC paper on the relation of FCT to AAC.

Facilitated Communication is here to stay. What we must now do as AAC specialists is to ascertain clearly the parameters in which it is used, and how we measure and test for the authenticity of both the FC users and their facilitators.

Schawlow, A. & Schawlow, A., 1985, The endless search for help, in Brady, M., & Gunther, P. (eds), Integrating moderately and severely handicapped learners; Strategies that work, Springfield, Ill., Charles C. Thomas (pp. 5-15)

Account by a Nobel prizewinner of an independent discovery of the principles of FCT with an autistic boy. Emphasises the use of typed communication, but does not stress the facilitation aspect.

<He> still needed a parent's hand on his to guide him. Sometimes, he would do nearly all the guiding by himself, but he would rarely do it alone. Later, we wrote another program that displayed and printed larger characters... This was an improvement, but he still wanted a hand on his.

Snow, P., 1991, Fringe Therapies in the Management of Brain Damage, in Caliuy, J., (ed) Occamís Razor 3, Melbourne, ABC Enterprises, (pp 21-26)

Transcript of radio talk. An attack on FCT (called 'assisted communication') for claiming to establish communication with people in 'persistent vegetative state'.

The pathophysiology of such damage precludes the sparing of cognitive abilities against a background of severe physical impairment.

As she concedes that a small number of people assessed as having 'persistent vegetative state' have subsequently recovered, this global denial is is patently untrue and casts some doubt on the author's other comments.

Stehli, A. (ed), 1995, Dancing in the Rain; Stories of Exceptional Progress by Parents of Children with Special Needs, The Georgiana Organisation, Westport

A compilation of case histories writen by parents of children with disabilities. The main intervention discussed is Auditory Integration Training (AIT), but two of the 22 cases also use FCT. There is a short piece by Sharisa Kochmeister. All the studies are interesting. (303 pp)

FC gave me a way to communicate that cerebral palsy had denied me. It opened the door to other treatment, such as nutritional and vitamin therapies, occupational theray to reduce sensitivity and improve motor planning, speech therapy to overcome oral apraxia in eating and speaking, vision training to help me learn to use my eyes more effectively, and AIT to overcome hypersensitive hearing and improve processing.

von Tetzchner, S., 1994, Research Issues in Facilitated Communication, in Brodin, J., & Bj–rck-‰kesson, E. (eds), Methodological Issues in Research in Augmentative and Alternative Communication, J–nk–ping University Press, J–nk–ping

Copy of conference paper at ISAAC conference, 1994.

The research issues discussed are how to distinguish between automatic and facilitated communication, characteristics of facilitated communicators, processes of facilitated and automatic communication, and historical processes underlying intervention development.


BOOKS & MONOGRAPHS - BRIEF MENTIONS


Baron-Cohen, S., & Bolton, P., 1993, Autism; The Facts, OUP, London

Brief mention of FCT as a fringe therapy (p.74).

Facilitated Communication has recently had a considerable impact on teaching children with autism in North America. ..... under such physical guidance it is reported that the children communicate more easily. .... These psychological theories are exciting... but they are also somewhat difficult to assess, as they have often had no independent evaluation...

Beukelman, D., & Mirenda, P., 1992, Augmentative and Alternative Communication; Management of Severe Communication Disorders in Children and Adults, Baltimore, Paul H. Brookes

Extended presentation of FCT as a recent development in communication impairment.

We have included facilitated communication as a possible AAC option because we believe that people with autism deserve to communicate successfully, even if we are unable to understand exactly how the technique helps them to do so.

Beusst-Smith, B., & Keeney, C., 1992, Parentsí Guide to Facilitated Communication, River Bend Co., Houston

Basic techniques with a discussion of integration and parentsí perspectives. Includes accounts of use with authorís children. Underestimates the need for literacy teaching and illustrates some undesirable handholding postures. Available from River Bend Company (see Address List)
(26 pp.)

Carlton, S., 1993, The Other Side of Autism, A positive approach, Self Publishing Association, Worcester

A general treatment of autism with a brief and inaccurate reference to FCT (pp. 142-3).

Facilitated communication was started several years ago in Australia where it continues to be used to help people suffering from dyslexia, autism, stammering and depression. <Wrong.> This method does not purport to cure autism but is merely an aid to helping the person communicate.

Goode, D., 1994, A World Without Words: The Social Construction of Children Born Deaf and Blind, Temple University Press, Philadelphia, ISBN 1-56639-215-2

"The result of studies of two children with congenital deaf-blindness and mental retardation... discusses the implications of the work for some current issues of the disabilities field, such as 'inclusion', 'quality of life', and 'facilitated communication."

Grandin, T., 1995, Thinking in Pictures, Doubleday, New York

A page on FCT, taken largely from Rimland (con) and Berger (pro).

It is likely that the truth about facilitated communication is somewhere between wishful hand-pushing and real communication.

Also some interesting details of autistic perceptions.

Hart, C., 1993, A Parent's Guide to Autism, Pocket Books, New York

Contains chapter on FCT. Reports critics, but generally positive. Gives extensive instructions.

Maurice, C., Green, G., & Luce, S., 1996, Behavioural Intervention for Young Children with Autism: A Manual for Parents and Professionals, Pro-ed, Austin, Texas

Manual edited by parents. Recommends Lovaas approach. Contains several chapters by Gina Green analysing other approaches, including FCT, negatively.

...others continue to believe in (and practice) Facilitated Communication. Clearly, such service-providers should be avoided.

Oppenheim, R. F., 1974, Effective teaching methods for autistic children., Charles Thomas , Illinois.

First published record of the use of FCT techniques with significant numbers of people. Pioneering and still valuable manual on teaching people with autism to communicate.

Most of the autistic children whom we have taught have learned to read without difficulty, often before they develop speech. Writing, however, is another story. Many autistic youngsters have major problems in controlling pencils, chalk or crayons. This disability appears to be more pronounced in nonverbal children... ...we usually teach writing by manipulating the child's hand, and thus feeding in the motor patterns. We believe that the autistic child's difficulties stem from a definite apraxia... There seems to be a basic deficiency in certain areas of his motor expressive behaviour. So, in teaching writing, we find that it is usually necessary to continue to guide the child's hand for a considerable period of time. Gradually, however, we are able to fade this to a mere touch of a finger on the child's writing hand. We're uncertain about precisely what purpose this finger-touching serves. What we do know is that the quality of the writing deteriorates appreciably without it, despite the fact that the finger is in no way guiding the child's writing hand. "I can't remember how to write the letters without your finger touching my skin' one nonverbal child responded... The problem is not recognition, but rather execution, in retaining the mental image of required motor patterning. Ultimately, however, the finger-touching can be eliminated, and the child does write without it, although some children want the touch of a finger on some other bodily surface, such as the head, in order to write.

Roopnarine, J., & Johnson, J., 1992, Approaches to Early Childhood Education, 2nd Ed, Merrill, New York

Special education textbook. Brief account of FCT.

Some young children for whom speech is absent, delayed or deviant can spell their wants and needs on a keyboard with physical support. This method is called 'facilitated communication'. ... With this method, children have been able to spell words and sentences that are apparently at a much higher level than would be expected of even a 'normal' child of 3 or 4. Some children have demonstrated extraordinary literacy skills and can spell what they cannot speak. These children's abilities to read and type has compelled us to revise totally our expectations and understanding of their cognitive potential.

Siegel, B., 1996, The World of the Autistic Child, Oxford, NY

Brief unfavourable mention.

By and large, FC is a hoax that has managed to deceive many parents and teachers because it appeals to a longing for a normal child to be 'inside'.

Silverson, F., 1995, Communication for the Speechless, 403 pp, ISBN 0-13-184870-4

"This text will be of most use in courses where the primary goal is preparing students for clinical work with persons who are severely communicatively impaired... New approaches and services, such as facilitated communication and telecommunications relay services are covered."

Sinason, V., 1992, Mental Handicap and the Human Condition, Free Association Books, London.

A poetic psychiatric interpretation of intellectual disability. Contains (ch. 8) an account of FCT as used in House M, Denmark (See Johnson, 1988 & Johnson, 1989, Journals).

The residents of House M know their staff are catering for both their highest functioning and their lowest. No-one is denying their right to be alive and feel and think. This means that they are faced with their own internal enemy. Nietzsche understands this interplay well. 'Under conditions of peace the warlike man attacks himself.'

Sobsey, D., 1994, Violence and Abuse in the Lives of People with Disabilities, Paul H. Brookes, Baltimore

Contains a balanced discussion of FCT in the section on Law and Law Enforcement.

Even if it is valid in 99% of cases, it may not be valid in the case of the particular witness in question. If it is invalid in 99% of cases, but it is legitiumate for the witness at hand, he or she should be allowed to use it.

Williams, D., 1996, Like Color to the Blind: Soul Searching and Soul Finding, Bantam, New York

Records Williams' discussions with a person with autism given the name Alex.

Alex's writing was typed via a method called facilitated communication, in which he received physical assistance in order to type. His writing was almost overwhelmingly deep, sweepingly poetic, and shatteringly real - the words of a teenager and a genius trapped in the straitjacket of autism.

Zaretsky, H., Eisenberg, M., & Glueckauf, R., 1993, Medical Aspects of Disability, a handbook for the rehabilitation professional, Springer, New York

Brief favourable mention, based on Biklen's early articles. Regrettably, Biklen is spelt Bicklin throughout.


 

BOOKS & MONOGRAPHS -
ACCOUNTS OF OR BY FCT USERS


Ball, Marshall Stewart, 1999, Kiss of God, The Wisdom of a Silent Child, Deerfield Beach, Health Communications Ltd

A popular book of religious poems by a boy who communicates by pointing to letters with arm support.

Crossley, R. & McDonald, A., 1980, Annie's Coming Out. Penguin Books, Melbourne

The account of how Rosemary Crossley developed the technique later to be called facilitated communication as a means of communication with Anne McDonald, a child with cerebral palsy in an Australian institution for people with severe mental retardation. Available in America from FaCTs (see Address List) (256 pp)

Crossley, R. & McDonald, A., 1990, Annie ó Licht Hinter Mauern, Piper, Munchen

The German translation of Annie's Coming Out.

Davey, R., 1982, Annie's Coming Out, Education Department, Tasmania

A play for schools based on Crossley & McDonald, 1980. The actors play the children in the ward, talking directly to the audience. The published monograph includes the text of the play and documentation on the project.

Eastham, D., 1985, Understand; Fifty memowriter poems, Oliver Pate, Ottawa

Poems by David Eastham, produced with FCT (see Eastham, 1992).

HELL IS WHERE YOU'RE IGNORED
THIS IS TRUE I SAY
HOPE
YOU UNDERSTAND
YOUR YOUTH HAS GONE AWAY

Eastham, D., 1992, Silent Words; A Biography, Oliver Pate, Ottawa

Account of an independent discovery of the techniques of FCT by a Canadian mother and her son with autism in the late 70's. David Eastham's privately published book of poetry (Forever Friends) is also reprinted.

Eckardt, Bettina & Kristina, 2001, Ein Offenes Tagebuch, Band 1, Germany

Untranslated.

Gauger, J., (Ed.). , 1999, Give Me My Voice, A Book Of Poems expressed through Facilitated Communication, The Institutes Press, Philadelphia

"The poems contained in this book were written by brain-injured children on the Intensive Treatment Program of the Institutes for Human PotentialÖ They use facilitated communication toanswer questions, initiate conversations, write letters, and explain with great understanding the challenges they face in life. Once they become adept at this mode of communication, their most poignant means of expression is found in the poetry they choose to write."

Graham, G., 1996, A Long Season in Hell: The Battle to Save My Son, Macmillan, Sydney

An account of the treatment of a head-injured young man, by his mother. Includes material on discovery of his communication through FC.

Being a facilitator... is not as simple as it looks. The head-injured person who is fortunate enough to have a degree of upper body control and good head control can use this method virtually unaided. But even this person will need someone who knows how to correctly fit and position the headpointer, and who will take the time and trouble to make sure the alphabet board is properly mounted so that it can be used easily, comfortably and effectively. And, of course, the facilitator must have the patience to stand there and wait during the slow, tedious business of spelling things out.

Lapos, M. (ed), 1996, A Foot in Both Worlds, Facilitation Supports, Danville PA

"A collection of personal accounts from speakers, their families, friends and facilitators".

Lehr, S., 1992, If You Look In Their Eyes... You Know; parents' perspective on facilitated communication, Facilitated Communication Institute, Syracuse

Basic procedures of FCT in the form of answers to commonly asked questions. Sound instructional text with examples and short case studies. (44 pp)

Martin, R., 1994, Out of Silence, Henry Holt, New York

Moving in-depth account of life of an autistic boy, eventually communicating through FCT. Very interesting discussion of processes of language acquisition and their influence on behaviour. (300 pp)

...a modest sort of account of the way in which facilitated communication actually might succeed depends less on synonyms for mystery than on words that work on describing movement.

Mukhopadhyay, Rajarshi  (Tito), 2000, WHEN SILENCE SPEAKS - The Way My Mother Taught Me, National Autistic Society, New York

 A book by a person with autism  who learned to communicate through a method very similar to FCT (though  arrived at  independently).

'Let me hold your shoulder like I used to when you started pointing and
communicating', she said, trying to find a way. This time it was easy for the boy to
write, as he could feel the presence of the hand, his own hand linked to his body,
at the shoulder point, where his mother was holding him. The boy could relate his
thoughts to words and express them by pointing or writing only when somebody
held his shoulder.

Tito and his remarkable achievements were featured in a TV documentary, 'Inside Story - Titoís Story'  broadcast in the UK by the BBC on Sunday 21st May 2000.1.8 million viewers watched Inside Story on Sunday 21st May. This represents a 12.4% audience share.

Mukhopadhyay, Rajarshi  (Tito), 2003, The Mind Tree: A miraculous child breaks the silence of autism, National Autistic Society (Arcade Publishing), New York

 A book by a person with autism  who learned to communicate through a method very similar to FCT (though  arrived at  independently).  The introduction by Lorna Wing establishes a distinction without a difference between  this method and FCT:

She used the technique, familiar to parents and teachers of children with autism, of moving his limbs through the notions neeeded for each task, including pointing, until he felt the feel of the muscle movement. This seems to support the proponents of facilitated communication, who believe that all children with autistic disorders, however severely learning disabled they appear to be, are potentially capable of understanding and expressing complex ideas if helped by appropriate physical guidance. It is important to emphasise that Tito showed, very early on, clear signs of good cognitive ability in his recognition of and ability to match  numbers, letters and shapes..... Children who do not exhibit any signs of good cognitive ability are very unlikely indeed to develop skills through any method of teaching, including facilitated communication.
Lorna Wing, p. xii

Mukhopadhyay, Rajarshi  (Tito), 2008, How Can I Talk if my Lips Don't Move: Inside my autistic mind, Arcade Publishing, New York

 Tito's second book, giving more information about his life and his communication.

"People need to believe you" she told me every now and again.

 Sunday 21st May 2000.1.8 million viewers watched Inside Story on Sunday 21st May. This represents a 12.4% audience share.

Mukhopadhyay, Rajarshi  (Tito), 2005, The Gold of the Sunbeams and other stories, Arcade Publishing, New York

 A rare example of a person with autism using  assisted communication to write a book that is about neither autism nor  assisted communication, these excellent short stories are about Indian life.

Nolan , C., 1987. Under the Eye of the Clock, Weidenfeld and Nicolson, London

Christopher Nolan, who has cerebral palsy, uses a headpointer, with support, to access a keyboard. The book is both a literary masterpiece and a fine account of life with severe communication impairment.

Page , Thomas S., 2003. Caught Between Two Worlds, Words of Understanding, Woodbridge, Connecticut

A book of recollections by a person with autism.
"At age 36 Tom leaned Facilitated Communication (FC)  and began learning to express his desires, interests, and thoughts..."

Rocha, A., & Jorde, K., 1995, A Child of Eternity; an extraordinary young girl's message from the world beyond. Ballantine Books, New York

An autistic girl spelling out through FC that she is the reincarnation of John the Baptist. The messages are total nonsense: there is no reason to believe, however, that the communication is not accurate.

Rohde, Katja, 1999, Ich Igelkind, Botschaften au seiner autistchen Welt, Lebenswege, Munchen

Untranslated

Sellin, B., 1993 , Ich will kein inmich mehr sein, botschaften aus einem autistichen kerker, Kiepenheuer & Witsch, Koln

An account by a German youth with autism who uses facilitated communication.

Sellin, B., (1995) , I Don't Want To Be Inside Me Anymore, New York, Basic Books

A translation of Ich will kein inmich mehr sein, botschaften aus einem autistichen kerker.

Sellin, B., (1995) , tr. Anthea Bell, In Dark Hours I Find My Way, London, Victor Gollancz

Another translation of Ich will kein inmich mehr sein, botschaften aus einem autistichen kerker. I do not know why two different translations were commissioned.

Sellin, B., 1995, Ich Deserteur einer artigen autistenrasse, Kiepenheuer & Witsch, Koln

Z–ller, D., 1992 , Ich gebe nicht auf, Scherz Verlag, M¸nchen

An account by a German youth with autism who uses facilitated communication


 

JOURNALS & PERIODICALS


Adams, C., 1997, Facilitated Communication Training: an evaluation, European Journal of Disorde