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AUTISM FIRST STEPS
AUTISM DAILY NEWSLETTER     
Wednesday December 12, 2001  
Special Edition


INDEX:
*   THE EFFICACY OF AUDITORY INTEGRATION TRAINING

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THE EFFICACY OF AUDITORY INTEGRATION TRAINING (AIT)


Auditory Integration Training was developed by French otolaryngologist Guy Berard in the 1950’s.  Dr. Berard studied the work of Alfred Tomatis and refined the technique to what it is today: listening to 20 half-hour sessions of specially modulated music over a 10-20 day period. Auditory Integration Training has been reported to be beneficial in several conditions, including AD/HD, autism, central auditory processing disorders (CAPD), and hypersensitive hearing at certain frequencies. Stephen Edelson, Ph.D. and Bernard Rimland, Ph.D. have compiled a review of 28 reports on Auditory Integration Training.  Their summaries of the reports, which appeared in peer-reviewed journals, professional newsletters, and/or were presented at professional conferences, can be examined at www.autism.com/ari or by contacting the Autism Research Institute, 4182 Adams Avenue, San Diego, CA.  92116 Of the 28 studies that evaluated physiological, behavioral, and cognitive changes in the subjects, the authors of twenty three (82%) studies concluded that their data supported the efficacy of AIT,  three (11%) claimed to have found no evidence of efficacy, and 2 (7%) report ambiguous, contradictory results. Two of the studies evaluated the physiological effects of AIT on animals. Twenty-six of the studies utilized subjects with autism, attention deficit/hyperactivity disorder, central auditory processing disorder, and/or mental retardation. It is of interest that all seven studies that sought evidence of physiological change as a result of Auditory Integration Training reported positive findings (electrophysiological, --PET scan changes, Magnetoencephalography changes, EEG changes, Audiometric/Uncomfortable loudness threshold changes, and, biochemical---neurochemical changes, reduction in serotonin and 5-HIAA levels, increase in norepinephrine and it’s principle metabolite, MHPG, and increases in brain dopamine and its metabolite HVA). Dr.’s Edelson and Rimland state:
A good deal of what has been written about Auditory Integration Training is   excessively skeptical, negative or derogatory permeated with the assumption that AIT is ineffective. Our review of all the research on the efficacy of AIT that we have been able to find refutes this negative view. Probably because Auditory Integration Training lacks a plausible rationale and is counter-intuitive, it has become the target of skepticism and of negatively biased research. One’s opinion about an intervention, like one’s opinion about an individual, should be based on evidence rather than prejudice.  (We were ourselves) skeptical when first learning about Auditory Integration Training. Our interest was stimulated, despite initial skepticism, by a number of almost-too-good-to-be-true clinical reports from parents of autistic children who had been treated at Dr. Guy Berard’s clinic in Annecy, France.  There is a place for skepticism, but there is also a place for safe, non-intrusive, short-term and relatively inexpensive therapies with reasonably good track records. In conclusion, the review of the literature from January 1993 to May 2001 has produced 23 studies with positive results and only 3 claiming no benefits from Auditory Integration Training. Auditory Integration Training does, in fact, appear to be a worthwhile, frequently beneficial intervention, which shows improvement in a number of symptoms, in a significant proportion of disorders on the autism spectrum, in addition to Attention Deficit Disorders, AD/HD, CAPD and a variety of learning disabilities. To learn more about Auditory Integration Training, you can go to the following web sites, which will provide a review of all 28 studies, links to many other helpful web sites, and other valuable information about the professionals who are trained to provide AIT throughout the United States:
www.autism.com/ari
www.sait.org
www.georgianainstitute.org
or contact:
Terrie Silverman, M.S. at
terries@execpc.com or 262-569-7828

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