Home » News » Shakespearean Therapy May Aid Communication Skills of Autistic Youth
Shakespearean Therapy May Aid Communication Skills of Autistic Youth

Shakespearean Therapy May Aid Communication Skills of Autistic Youth

New research suggests Shakespeare can be used to improve social interaction, language, and facial expression among children with autism.

The novel study design incorporated a group therapy intervention that paired the recitation of Shakespeare’s rhythmic language with physical gesture.

Children with autistic spectrum disorders (ASD) often have trouble understanding nonverbal behavior in social interactions and struggle to communicate. Many avoid eye contact and miss visual cues, making it difficult to maintain peer relationships and share enjoyment of mutual interests.

“At the end of the study, which incorporated Shakespeare’s play ‘The Tempest,’ children with autism showed significant improvement in their social skills and their ability to engage in social relationships,” said Dr. Marc J. Tassé, professor of psychology and psychiatry at the Ohio State University Wexner Medical Center.

The children showed better language skills and recognition of facial expressions in children with ASD.

Study results have been published recently in the journal Research and Practice in Intellectual and Developmental Disabilities.

Fourteen children with ASD were enrolled for the only systematic implementation of a drama-based social skills intervention known as the “Hunter Heartbeat Method,” created by Kelly Hunter, an actress in the Royal Shakespeare Company in London.

The novel therapeutic approach was designed to improve social interaction, pragmatic language and facial-emotion recognition skills of individuals with ASD.

“These children are taught these core skills in a very relaxed and playful environment, where it’s almost like they’re not aware they’re being taught,” said Tassé, also coauthor of the study.

Each session of the method begins with the children quietly seated in a circle on the floor making a “Hello Heartbeat” by tapping their hand on their chest. This allows them time to adapt to the environment and signifies transition into the session.

Facilitators then lead the children through a series of games based on the plot of “The Tempest,” which focus on skills such as facial-emotion recognition, eye contact, gross motor imitation, affective imitation, pragmatics of dialogue exchange, personal space, turn taking, affective expression, humor, and social improvisation.

Initially, two facilitators model the game in the center of the circle. Subsequently, facilitators and children break into twosomes for repeated practice and retroactive feedback of the game.

Facilitators and children then return to the circle where they take turns “performing” for the other participants. After a number of games, which ultimately reflect the plot progression of the play, the “Hunter Heartbeat Method” intervention concludes with a “Goodbye Heartbeat.”

“You interact with someone, you enjoy yourself, and you get that intrinsic reinforcement of socializing children with autism don’t always get to experience that,” said Maggie Mehling, coauthor and psychology graduate assistant at Ohio State.

Pretest assessments were conducted to obtain baseline information for each child. The children participated in the intervention one hour per week after school for 10 weeks. At the conclusion of the study period, posttest assessments were completed, and parents and participants completed questionnaires regarding their impression of the intervention.

“It just blows me away every time I see how the kids are able to exceed all expectations with their ability to get engaged,” Mehling said.

Source: Ohio State University

Shakespearean Therapy May Aid Communication Skills of Autistic Youth

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Shakespearean Therapy May Aid Communication Skills of Autistic Youth. Psych Central. Retrieved on September 26, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 12 Oct 2016)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.