Re: This book and my ESDM training: Thoughtful intent, but fundamentally misaligned with neurodiversity-affirming and modern, evidence-based AAC practice.
As a paediatric speech-language pathologist working from a neurodiversity-affirming, family-centred framework, I found this book disappointing.
Although it presents itself as a warm, relationship-based, parent-friendly guide, the underlying structure remains rooted in normalization goals and deficit-based thinking about autism. “Engagement,” “progress,” and “success” are consistently framed in terms of approximating typical developmental behaviour rather than supporting authentic autistic communication styles, regulation needs, or autonomy.
One of the biggest disconnects for me was how goal-setting is treated as something that happens apart from parent involvement rather than rooted within it. Goals are often presented as expert-defined developmental targets to be worked toward through structured teaching strategies, while parents are positioned primarily as implementation partners rather than collaborators in meaning-making. This framing subtly shifts the parent role away from co-constructing priorities based on their child’s lived experience, toward delivering predetermined outcomes.
The treatment of communication — particularly AAC — was another major concern. AAC is barely discussed and is often limited to PECS as an example, reinforcing the outdated narrative that AAC is a “last-resort” option once speech has failed. This directly contradicts modern evidence that AAC can support — not hinder — spoken language and should be introduced early and in parallel with speech development when a child needs it. Robust AAC, multimodal communication, and presuming competence are notably absent from the framework.
For families seeking truly neurodiversity-affirming guidance — where AAC is embraced, parent collaboration is central to goal development, and autistic identity is respected rather than framed as something to remediate — this book is likely to feel outdated and misaligned.
I gave it 1 star not because the authors lack intent or expertise, but because it frequently contradicts current evidence-based practices in speech-language pathology, in particular AAC and neurodiversity-affirming standards of practice.