I had an opportunity to observe a feeding session at an outpatient pediatric clinic. J.B. is a four-year-old boy who was diagnosed with autistic spectrum disorder. The client was referred to occupational therapy for autism-related food aversion. Mother concerns that J.B. does not eat a well-balanced diet because the client only eats muffin, and mother supplemented his diet with Pediasure. The feeding treatment consisted a 4 ounces of applesauce and 20 goldfish crackers. When my CI introduced a spoonful of applesauce to the child, he started screaming and got off from his seat. The screaming last for 10 minutes while the therapist tried unsuccessfully to calm the client with her embrace. Finally, my CI changed her strategy by allowing the client
