05/29/2025
As we come to the end of Speech and Hearing month, we celebrate the teachings and advocacy of our Neurodivergent communities. All have the right to environments and supports that honour and protect authentic communication in all of its forms.
🤔💭 What’s your definition of “successful communication”? Depends on the paradigm you prioritize.
Two radically different views:
🔻 The Pathology Paradigm’s “9 critical communication skills” according to PECS®.
🔺 The Neurodiversity Paradigm’s commitment to agency, authenticity, and rights.
Under the pathology paradigm, communication is reduced to compliance with the person in authority. The PECS® teaching protocol is rooted in B.F. Skinner’s Verbal Behavior and broad-spectrum applied behavior analysis (ABA). PECS® communication prioritizes requests for reinforcers—edibles, toys, or activities—alongside compliance with directions, tolerating delays, and transitioning without protest.
➡️ What’s left out? Autonomy. Authentic self-expression. Consent.
⚠️ PECS® Phase I explicitly includes violations of bodily autonomy. Two adults are used during this phase. “Communication” is defined as obedience to authority—not authentic interaction with another person.
▶ ▶ ▶ (The autistic individual “sees a desired item, is physically guided by a prompter to pick up a picture of that item from the table and place it into the “communication partner’s” hand in exchange for the desired item. Physical guidance by the prompter is faded as soon as possible.)
In PECS®, “critical listener skills” = obedience.
• “Stop.”
• “Come here.”
• “Give it to me.”
• “Put it back.”
• “Let’s go.”
Compliance is ***not*** communication. The neurodiversity paradigm rejects this framing.
Agency-centered communication affirms that:
• The person gets to decide how, when, and with whom they communicate.
• All forms of communication—speech, alternatives to speech, actions, gestures, stimming—all valid.
• Real connection is not conditional on compliance.
• Robust AAC in the forms that work best for the person should be available at all times without preconditions.
• Presumption of competence isn’t optional.
Without agency, there cannot be authentic communication. Communication therapies aligned with the neurodiversity paradigm respect human dignity and rights, accept all forms of communication, and prioritize authentic expression and connection—not compliance.