The purpose of this article is to present an overview of several pivotal re
sponse interventions. Our research at the University of California, Santa B
arbara, has been focused on attempting to identify pivotal areas that, when
changed, result in concomitant positive changes in other areas. Pivotal ar
eas that are discussed include responsivity to multiple cues, motivation to
initiate and respond appropriately to social and environmental stimuli, an
d self-regulation of behavior, including selfmanagement and self-initiation
s. The trend to streamline intervention by targeting behaviors that will ha
ve widespread effects on development, rather than targeting individual beha
viors one at a time, is discussed.