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Showing posts with the label GOAL

Prioritisation of Goals in Autism: the crux of Goal Directed Cognitive Approach

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Prioritisation of Goals in Autism: From Comprehensive Assessment to Meaningful Intervention - Dr Kondekar Developmental Opportunity Cost as a Side Effect of Poor Goal Prioritization read more Dr. Kondekar emphasizes that the consequences of therapy are not limited to its direct benefits or adverse effects. Failure to prioritize developmental goals can itself become a side effect of management. When substantial therapy time is repeatedly devoted to visible but secondary difficulties—such as sensory activities, repetitive exercises, object manipulation, or isolated behavioural targets—there may be less time available for awareness, understanding, human connection, language comprehension, communication and social cognition. The concern is therefore not that these interventions are inherently harmful, but that poor prioritization can unintentionally displace more developmentally important opportunities . As described in the Principle of Developmental Opportunity Cost, every therapy hour h...

Goal Directed Cognitive Approach (Dr Kondekars GDCA) in Autism and Neurodevelopmental Disorders

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Goal Directed Cognitive Approach (GDCA) in Autism and Neurodevelopmental Disorders A Comprehensive Clinical–Conceptual  Goal Prioritisation Model Abstract Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by impairments in social communication, sensory integration, and adaptive functioning. Conventional therapeutic models often emphasize behavioural modification, skill acquisition, or sensory-motor training, frequently applied in parallel without hierarchical prioritisation. The Goal Directed Cognitive Approach (GDCA) proposes a cognition-first, goal-oriented, time-bound intervention framework. It emphasizes cognitive readiness, communication hierarchy, and measurable functional outcomes. A key advancement in GDCA is its structured model of goal prioritisation, goal optimisation, and strategic allocation of developmental resources. GDCA hypothesizes that autism is fundamentally a disorder of cognition–perception–connection, and that therapy must...

14 point followup monitoring protocol for weekly update of autism kids follow up

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Format for giving information or follow up of your kid across whatsapp to Dr Kondekar copy paste the following with answers Name of child Date of birth City Payment date and time and mode See weekly symptom monitoring diary at http://bit.ly/monitoringautism ************ List changes as per-- Comparing now with two week back.. and send me pl 1. Eye to eye connection-- 2.Concentration- 3-Obeying commands- 4.Response to sounds - 5. Unnecessary Jumping or running - 6.Biting mouthing throwing hitting hurting : 7.Sleep- 8.Constipation- 9.pointing, gripping, imitation, Writing - 10.Sounds from mouth- 11.Speech- 12. Pretend play, role play, Comprehension and Stories listening skills, sequential 13. Other (sensory issues/ school issues/behaviours)- 14. Mixing with peers in sitting games, group work ********** List as gains and goals, rather than writing positives or negatives List any medicine doses changed recently. List any medicine couldn't be taken with number of days couldn't be ta...