It is a serious neuro-developmental problem that can occur in early childhood.

Symptoms of autism problem may occur with speech or focus problems, apathy to the environment, lack of reaction in the child.

Among the problems of the autism problem;

– Speech delay in the child,

– Inability to social and communicative behavior,

– Difficulty developing and maintaining relationships,

– Repetitive motor movements, object use or speech,

– Persistence and strict adherence to stereotypical situations can be considered situations.

Developed For Children and Families!

Floortime is a comprehensive program developed for children and their families who experience many developmental difficulties, including the DIR Model, autism spectrum disorder.

The Opening of DIR:

D (Developmental) developmental

I (Individual-differences) individual differences

R (Relationship-based) means a relationship-based section.

It was Put Forward in 1979… The Floortime model aims to identify and focus, understand and evaluate the strengths and weaknesses of children in particular.

In particular, it is a highly effective model for children who have significant developmental profiles with autism spectrum disorder and other developmental disorders.

Model Dr. Stanley Greenspan developed and first described this model in his book “Intelligence and Adaptation”, written in 1979.

This Developmental, Individual Differences-Based and Relationship-Based model makes important contributions to the assessment and evaluation of children with developmental disabilities with the feature that it is new, inclusive and individualizable.

It is a method called Floortime (playing on the floor) for short, based on mutual relationship to support emotional and cognitive development.Floortime is an approach that uses play as a therapeutic tool, emphasizing the importance of mutual interaction involving emotion and excitement in a child’s development (AFFECT).

The Child is the Leader in This Model!

The Floortime approach, which aims to ensure that important steps related to healthy development are taken under the lens and followed up, is included as a strategy within the relationship-based model. Floortime offers an emotionally meaningful learning process, especially by encouraging developmental abilities.

Floortime takes into account the developmental characteristics of children and helps them to move to the next level through some goals.

The Floortime therapist or parent should have a positive focus with games that address the child’s interests, led by the child. At the point where the child connects with the adult individual, he is encouraged to reach a level in the hierarchy that is shaped according to his developmental characteristics.

According to this model, there are six important developmental stages that are overlooked and cannot be improved in children with Autism Spectrum Disorder.

Developmental Stages

1- Regulation And Attention

2- Providing Togetherness

3- Ability To Communicate Two-way

4- Complex Social Problem Solving And Organization Of Behaviors

5- Representation Of Thoughts

6- Abstract Thinking

Children who do not have any problems, that is, have normal development, have achieved these stages by the age of 4-5; but in children diagnosed with Autism Spectrum Disorder, there are difficulties and delays in these critical developmental features.

Floortime is not only about playing games under the leadership of the child; it is about getting involved in his world, desires and goals, ensuring common interest, developing a sense of enjoying togetherness and a desire to learn something from us.

By providing meaningful play interaction with the caregiver under the child’s leadership, these important skills can be strengthened and the child can climb the steps in the developmental hierarchy.

In summary, DIR FLOORTIME offers a multidimensional system for evaluating and supporting the development of infants and children with different developmental characteristics, and DIR Floortime can only be applied by specialized therapists in Turkey who have completed the necessary training.

ISU Istinye University MedicalPark Hospital Istanbul



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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