Unresponsiveness in Children with Severe Disabilities: Potential Effects on Parent‐Child Interactions

Abstract

This paper examines the potential effects on parent‐child interactions when children, because of severe mental and physical impairments, are unable to exhibit most social responses. A model is proposed to explain why a child is perceived to be responsive or unresponsive by parents and caregivers; the former applies only if the child's behaviour is recognized and valued by the observer. It is also proposed that: (a) perceived unresponsiveness may be more critical than the disability per se;(b) intense interactions early in the disabled child's development, commonly described by observers as controlling, intrusive behaviour, may be due to high levels of caregiver motivation and extinction burst effects; and (c) reductions in the amount of some caregiver‐child interactions may be the outcome of previously unrewarded interaction attempts and decreased expectancy levels.