Dec 23 2022
A Quick Review of Facilitated Communication
Facilitated communication (FC) is a technique that involves a facilitator supporting the hand or arm of a person with severe communication disabilities, such as autism or cerebral palsy, as they type on a keyboard or communicate through other means. The theory behind FC is that the facilitator’s physical support allows the person to overcome any motor impairments and communicate more effectively. However, FC has been the subject of considerable controversy and skepticism within the scientific community.
One major issue with FC is that there is little scientific evidence to support its effectiveness. Despite being used for decades, FC has never been rigorously tested in controlled, double-blind studies. This is problematic because it is impossible to determine whether the messages being communicated through FC are actually coming from the person with disabilities or from the facilitator. Some researchers have suggested that FC may be susceptible to ideomotor effect, which is when unconscious movements or responses are influenced by a person’s thoughts or beliefs. This means that the facilitator’s own thoughts and beliefs could be influencing the messages that are being communicated.
Another issue with FC is that there have been numerous cases where the messages communicated through FC have been shown to be incorrect or misleading. For example, in one well-known case, a woman with severe communication disabilities was believed to have communicated through FC that she had been sexually abused as a child. However, subsequent investigations revealed that the allegations were not true and that the facilitator had likely influenced the woman’s responses.
Given these concerns, it is important to be cautious about the validity of FC as a means of communication. While it may be tempting to believe that FC can provide a way for people with severe communication disabilities to express themselves, the lack of scientific evidence and the potential for misleading or false messages make it difficult to rely on FC as a reliable source of information. Instead, it may be more productive to focus on other, more established communication methods, such as augmentative and alternative communication (AAC) devices or sign language.
In conclusion, while FC may be a well-intentioned approach to helping people with severe communication disabilities communicate, the lack of scientific evidence and the potential for misleading or false messages make it difficult to rely on as a reliable source of information. Until there is more rigorous scientific evidence to support the effectiveness of FC, it is important to approach it with skepticism and consider alternative methods for communication.
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