Play Interactions between Children with Autism and their Siblings in a European American and a Vietnamese American Family

  • Received : 2011.10.20
  • Accepted : 2011.12.14
  • Published : 2012.02.28


We examined play interactions between siblings when one child has autism in a Vietnamese American and a European American family. Analysis was based on video recorded free play sessions with each set of siblings at their home. Interviews with the typically developing sibling and parents also provided supplemental data to aid our knowledge about their play behavior. This study describes the role of the typically developing sibling in play and the types of play engaged in by siblings. Findings indicate that the two sets of siblings differed in their play behavior. Specifically, significant differences were noted in the role of the typically developing sibling in play, and the types of play engaged in by the siblings. The perceptions of the typically developing siblings and parents regarding autism also differed across families, significantly affecting their play behavior. Implications for research are described.



  1. Appl, D., Fahl-Gooler, F., & McCollum, J. (1997). Inclusive parent-child play groups: How comfortable are parents of children with disabilities in the groups? Infant-Toddler Intervention, 7(4), 235-247.
  2. Benderix, Y., & Sivberg, B. (2007). Siblings' experiences of having brother or sister with autism and mental retardation: A case study of 14 siblings from five families. Journal of Pediatric Nursing, 22, 410-418.
  3. Bogdan, R., & Biklen, S. (1982). Qualitative research for education: An introduction to theory and methods. Boston: Allyn and Bacon.
  4. Braun, K. (2008). Beliefs and experiences of disability in young children who have siblings with autism: Pictorial and narrative representations. Unpublished master's thesis, University of Washington.
  5. Breslau, N. (1982). Siblings of disabled children: Birth order and age-spacing effects. Journal of Abnormal Child Psychology, 10(1), 85-95.
  6. Buchanan, M., & Cooney, M. (2000). Play at home, play in the classroom: Parent/professional partnerships in supporting child play. Young Exceptional Children, 3(4), 9-15.
  7. Caruso, D. (1988). Play and learning in infancy: Research and implications. Young Children, 43(6), 63-70.
  8. Chan, S. (1986) Parents of exceptional Asian children. In M. K. Kitano & P. C. Chinn (Eds.), Exceptional Asian children and youth (pp. 36-53). Reston, VA: Council for Exceptional Children.
  9. Chan, S., & Lee, E. (2004). Families with South Asian roots. In E. W. Lynch & M. J. Hanson (Eds.), Developing cross-cultural competence: A guide for working with children and their families (pp. 415-437). Baltimore: Paul H. Brooks.
  10. Cuskelly, M., & Gunn, P. (1993). Maternal reports of behavior of siblings of children with Down syndrome. American Journal on Mental Retardation, 97, 521-529.
  11. El-Ghoroury, N., & Romanczyk, R. (1999). Play interactions of family members towards children with autism. Journal of Autism and Developmental Disorders, 29, 249-58.
  12. Francke, J., & Geist, E. (2003). The effects of teaching play strategies on social interaction for a child with autism: A case study. Journal of Research in Childhood Education, 28(2), 125-140.
  13. Glasberg, B. (2000). The development of siblings' understanding of autism spectrum disorders. Journal of Autism and Developmental Disorders, 30(2), 143-156.
  14. Glaser, B., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. New York: Hawthorne.
  15. Groce, N. E., & Zola, I. K. (1993). Multiculturalism, chronic illness, and disability. Pediatrics, 91(Suppl. 2), 1048-1055.
  16. Happe, F. (1995). Autism: An introduction to psychological theory. Cambridge, MA: Harvard University Press.
  17. Howes, C., Unger, O., & Matheson, C. (1992). The collaborative construction of pretend. Albany: State University of New York Press.
  18. Hughes, F. (1998). Play in special populations. In O. Saracho & B. Spodek, (Eds.), Multiple perspectives on play in early childhood education, (pp.171-193). Albany, NY: State University of New York Press.
  19. Jegatheesan, B. (2005). Ways of being in home and community: Language socialization of children with autism in multilingual South Asian immigrant families. Unpublished doctoral dissertation, University of Illinois at Urbana-Champaign.
  20. Jegatheesan, B. (2009). Cross-cultural issues in parent-professional interactions: A qualitative study of perceptions of Asian American mothers of children with developmental disabilities. Research and Practices for Persons with Severe Disabilities, 34(3-4), 123-136.
  21. Jegatheesan, B., Miller, P., & Fowler, S. (2010). Autism from a religious perspective: A study of parental beliefs in South Asian Muslim immigrant families. Focus on Autism and Other Developmental Disabilities, 25(2), 98-109.
  22. Jegatheesan, B., & Witz, K. (in press). An ethnographic study on religion, spirituality and maternal influence on sibling relationships in a Muslim family with a child with autism. The Review of Disability Studies: An International Journal.
  23. Kaminsky, L. & Dewey, D. (2001). Siblings relationships of children with autism. Journal of Autism and Developmental Disorders, 31(4), 399-410.
  24. Knott, F., Lewis, C., & Williams, T. (1995). Sibling interaction of children with learning disabilities: A comparison of autism and Down's Syndrome. Journal of Child Psychology and Psychiatry, 36(6), 965-976.
  25. Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224-253.
  26. McHale, S., Sloan, J., & Simeonsson, R. (1986). Sibling relationships or children with autistic, mentally retarded, and nonhandicapped brothers and sisters. Journal of Autism and Developmental Disorders, 16(4), 399-413.
  27. Meyer, D. J., & Vadasy, P. F. (1994). Sibshops: Workshops for siblings of children with special needs. Baltimore: Paul H. Brookes.
  28. Orsmond, G. I., & Seltzer, M. M. (2000). Brothers and sisters of adults with mental retardation: Gendered nature of the sibling relationship. American Journal on Mental Retardation, 105, 486-508.<0486:BASOAW>2.0.CO;2
  29. Orsmond, G. I., & Seltzer, M. M. (2007a). Siblings of individuals with autism or Down syndrome: Effects on adult lives. Journal of Intellectual Disability Research, 51, 682-696.
  30. Orsmond, G. I., & Seltzer, M. M. (2007b). Siblings of individuals with autism spectrum disorders across the life course. Mental Retardation and Developmental Disabilities Research Reviews, 13, 313-320.
  31. Parker, J., & Gottman, J. (1989). Social and emotional development in relational context: Friendship interaction from early childhood to adolescence. In T. J. Berndt & G. W. Ladd (Eds.), Peer relationships in child development (pp. 95-131). New York: Wiley.
  32. Reagon, K., Higbee, T., & Endicott, K. (2006). Teaching pretend play skills to a student with autism using video modeling with a sibling as model and play partner. Education & Treatment of Children, 29(3), 517-522.
  33. Ross, P., & Cuskelly, M. (2006). Adjustment, sibling problems and coping strategies of brothers and sisters of children with autistic spectrum disorder. Journal of Intellectual & Developmental Disability, 31, 77-86.
  34. Rubin, K. (1980). Fantasy play: Its role in the development of social skills and social cognition. In K. Rubin (Ed.), Children's play (pp. 69-84). San Francisco: Jossey-Bass.
  35. Sage, K., & Jegatheesan, B. (2010a). Perceptions of siblings with autism and relationships with them: European American and Asian American siblings draw and tell. Journal of Intellectual and Developmental Disability, 35(2), 92-103.
  36. Sage, K., & Jegatheesan, B. (2010b). Parents' beliefs and involvement in sibling relationships of children with autism in a European American and a Vietnamese American family. International Journal of Early Childhood Special Education, 2(3), 193-213.
  37. Shaked, M. (2005). The social trajectory of illness: Autism in the ultraorthodox community in Israel. Social Science & Medicine, 61, 2190-2200.
  38. Skinner, D. G., Correa, V., Skinner, M., & Bailey, D. B. Jr. (2001). Role of religion in the lives of Latino families of young children with developmental delays. American Journal on Mental Retardation, 106, 297-313.<0297:RORITL>2.0.CO;2
  39. Stoneman, Z. (2005). Siblings of children with disabilities: Research themes. Mental Retardation, 43, 339-350.
  40. Taunt, H., & Hastings, R. (2002). Positive impact of children with developmental disabilities on their families: A preliminary study. Education and Training in Mental Retardation and Developmental Disabilities, 37, 410-420.
  41. Taylor, B., Levin, L., & Jasper, S. (1999). Increasing play-related statements in children with autism toward their siblings: Effects of video modeling. Journal of Developmental and Physical Disabilities, 11(3), 253-264.
  42. Tew, B., & Lawrence, K. (1973). Mothers, brothers, and sisters of patients with spina bifida. Developmental Medicine and Child Neurology, 15, 69-76.
  43. Tremblay, A., Strain, P., Hendrickson, J., & Shores, R. (1981). Social interactions of normal preschool children: Using normative data for subject and target behavior selection. Behavior Modification, 5(2), 237-253.
  44. Uba, L. (1994). Asian Americans: Personality patterns, identity, and mental health. New York: The Guildford Press.
  45. Vygotsky, L. (1978). Mind in society: The development of higher psychological processes. London, England: Harvard University Press.
  46. Wolfberg, P. (1999). Play and imagination in children with autism. New York: Teachers College Press.
  47. Zeavin, C. (1997). Toddlers at play: Environments at work. Young Children, 52(3), 72-76.