The article by Rogers and Vismara reviews the evidence-based comprehensive treatments for early autism, focusing on the efficacy of various intervention approaches. The authors highlight the complex and politically charged nature of early intervention for children with autism, emphasizing the need for rigorous scientific evidence. They discuss the positive outcomes of early intervention programs, which often improve developmental functioning and reduce maladaptive behaviors, but also acknowledge the lack of long-term follow-up data on adult outcomes. The review covers several key studies, including randomized controlled trials (RCTs) and non-RCTs, to assess the efficacy of different interventions. Lovaas's treatment is highlighted as a "well-established" intervention, with multiple RCTs showing significant improvements in IQ, language, and adaptive behavior. However, the authors note that these gains may not be uniform across all children, with some showing little to no improvement. Other interventions, such as parent-delivered developmental interventions and pragmatic language interventions, are also reviewed. While these approaches show promise, they lack the rigorous design and replication required to establish their efficacy. The authors conclude by discussing the need for further research to determine the most effective interventions, the variables that moderate and mediate treatment gains, and the long-term outcomes of early intervention. Overall, the article provides a comprehensive overview of the current state of evidence-based treatments for early autism, emphasizing the ongoing need for high-quality research to guide practice and improve outcomes for children with autism.The article by Rogers and Vismara reviews the evidence-based comprehensive treatments for early autism, focusing on the efficacy of various intervention approaches. The authors highlight the complex and politically charged nature of early intervention for children with autism, emphasizing the need for rigorous scientific evidence. They discuss the positive outcomes of early intervention programs, which often improve developmental functioning and reduce maladaptive behaviors, but also acknowledge the lack of long-term follow-up data on adult outcomes. The review covers several key studies, including randomized controlled trials (RCTs) and non-RCTs, to assess the efficacy of different interventions. Lovaas's treatment is highlighted as a "well-established" intervention, with multiple RCTs showing significant improvements in IQ, language, and adaptive behavior. However, the authors note that these gains may not be uniform across all children, with some showing little to no improvement. Other interventions, such as parent-delivered developmental interventions and pragmatic language interventions, are also reviewed. While these approaches show promise, they lack the rigorous design and replication required to establish their efficacy. The authors conclude by discussing the need for further research to determine the most effective interventions, the variables that moderate and mediate treatment gains, and the long-term outcomes of early intervention. Overall, the article provides a comprehensive overview of the current state of evidence-based treatments for early autism, emphasizing the ongoing need for high-quality research to guide practice and improve outcomes for children with autism.