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Dr. Stanley Greenspan and Dr. Serena Wieder originated this amazing program that facilitates growth in relationships through a developmental perspective and hierarchy of goals. The emphasis is on using play and spontaneous relationships as the foundation to growth and development, while also considering the unique individual profile of each client. A Total Approach is located just outside of Philadelphia and uses DIR / Floortime as a basic approach to intervention, though also utilizes the Play Project of Dr. R. Solomon from Michigan. Maude Le Roux has a book on DIR pending as well as participates as an international trainer in the DIR training for ICDL (Interdisciplinary Council for developmental and Learning Disorders)