Tuesday, April 21, 2009

Theory of Mind/Auditory Processing

Most people with autism have difficulties with what's called Theory of Mind. While your daughter may know how she feels in her own mind, she may have no idea that other people don't share her same thoughts and feelings and are even unaware of what's in your daughter's mind. You can read more of Theory of Mind and it's implications at sites like these:

http://www.iidc.indiana.edu/irca/education/TheoryofMind.html

http://www.autism.org/mind.html

I wrote a previous article on this topic at the web address below. The boy this refers to is a little older than your daughter but Theory of Mind and its implications is discussed in more detail. You can read it at:

http://en.allexperts.com/q/Autism-1010/Autism-37.htm

Apart from Theory of Mind, auditory processing is another problematic area for many people with autism. While your child's hearing may be just fine, she may have difficulty concentrating on what is said to her, making sense of what she hears and then knowing how to act on what you've said.

Most of us as adults are talkers. We try to reason with our children and the more their behavior bothers us, the more we tend to "talk at them". While this strategy may be fine for many kids, children with auditory processing weaknesses can be made more confused and frustrated by our talking. This is particularly true in emotionally charged situations. At such times it's better to keep your speaking to a minimum.

Instead, try using picture or signs or gestures. Just as many kids with autism have weak auditory processing skills, many are stronger visually. So, use this strength. While it may not be your natural way of doing things, if it makes messages clearer for your daughter, what have you got to lose?

You can find information on using visuals at www.do2learn.com. You'll be amazed what a difference it can make to incorporate visual schedules into your daughter's life both at home and at school.

Along with visual schedules, social stories are another tactic that can yield big dividends for the amount of effort you put in. A social story will show (in words and/or pictures) just what you want your child to do.

You can read some more about sensory issues and examples of how you can help at these sites:

http://www.autismsite.ca/html/hands_in_pants.html

http://www.autismsite.ca/html/hits_others.html

http://www.autismsite.ca/html/gym_and_music.html

http://www.autismsite.ca/html/frustrated.html

When sensory issues influence behaviour, social stories cna be an effective tool. Read more about them and see some examples:

http://www.autismnetwork.org/modules/social/sstory/index.html

http://www.polyxo.com/socialstories/

http://www.autisminspiration.com/public/dltemp/25AI1134.pdf

http://www.thegraycenter.org/

http://www.adders.org/socialstories.htm

http://autism.about.com/od/treatmentoptions/l/angry.pdf?nl=1

http://autism.healingthresholds.com/therapy/social-stories#rowe

While social stories are great tools, it can look daunting if you think you must write a social story for every situation imaginable. Don't worry. Start small. Over time you may have a whole collection of them that you keep in a binder. You and your little girl can read through them often or refer to them when similar situations arise. But for now, pick a couple key areas in which to concentrate.

Raising a child with autism requires detective work on your part. Fortunately there are people and tools to help you. You've made a great start with the teachers - they have observed and come up with possible reasons as to why your child is shoving others.

So, if it seems that she always pushes when she's standing in line, have her stand at the back of the line where she can keep everyone else in sight and feel safe from any possible pushing. Or if not knowing where the group is headed causes her anxiety, she could be first in the line.

If uncertainly over what comes next in her day contributes to the behaviors, using a visual schedule can help, possible accompanied by a verbal explanation if this assists her.

If others coming too close causes her to hit out, the whole class could work on personal space. They could all practice standing at arms length from each other. At circle time, your child could sit at the edge of the group or the back where she can see that others will not come too close. She (and others) could sit on carpet squares or masking tape marks so that they are spaced apart.

If she's touching to get the attention of other children, a social story can show her different ways of getting their attention. Role playing can help her hone these skills.

The other kids in the room can play a part in this. While we try to teach children in school to be kind, understand and accepting of each other, we also need to teach them when and how to be assertive. It's all right for the other children to say to your daughter, "No" or "Don't hit me" or "That hurts - no, don't hit". Even very young children can become effective role models and help decrease some of these undesirable behaviors.

Sharon A. Mitchell, B.A., B.Ed., M.A.
http://www.autismsite.ca/



http://en.allexperts.com/q/Autism-1010/Discipline-autism-4-year.htm

Charting Bad Behaviors

Expert: Sharon A. Mitchell - 7/2/2007

Question
We do not have an official diagnosis for our 3 year old but early testing shows our son could have HFA or asbergers. We are having a very difficult time finding a discipline strategy that works with him. He is a wonderful, loving, amazing boy, but can be aggressive, destructive and very defiant. Any form of discipline we use seems to completely fall flat as if it just doesn't register with him. Could you please offer some advice on how we can discipline him positively and successfully, assuming autism could be the root of his behavior? Thank you so much.


Answer:

Whether or not he has an exact diagnosis does not matter nearly as much as finding the strategies that are helpful with your son.

Since you describe your son as loving and amazing, I gather that the difficult behaviors are not displayed all the time. Do you have any idea what sets off the defiance and aggression? Is there a pattern?

You could try charting when these negative actions occur. Divide a piece of paper lengthwise into three columns. Label the columns A, B and C. A stands for antecedent or what happened before you noticed the negative behavior. B stands for behavior and is where you'd describe what you are observing when your boy displays the behavior you don't want. C stands for consequence. What type of consequence did you impose after the behavior and how effective was your consequence. If you keep track for a few days or a week, you may begin to detect a pattern of when your son acts out. And how successful your consequences are at deterring these behaviors.

In kids with autism spectrum disorders (this includes Asperger's), sensory issues may be behind the negative behaviors. It's not uncommon for kids with autism to have sensory systems that are either under- or over-aroused.

At these sites, I've talked about some of the types of sensory issues that may be affecting your child:

http://www.autismsite.ca/html/hands_in_pants.html

http://www.autismsite.ca/html/wiggles_in_desk.html

http://www.autismsite.ca/html/gym_and_music.html

http://www.autismsite.ca/html/hits_others.html

http://www.autismsite.ca/html/frustrated.html

There are a couple little books by Brenda Smith Myles that I'd recommend:

Asperger's Syndrome and Sensory Issues: Practical Solutions for Making Sense of the World (http://www.amazon.com/Aspergers-Syndrome-Sensory-Issues-Practical/dp/0967251486/...)

Asperger Syndrome And Difficult Moments: Practical Solutions For Tantrums, Rage And Meltdowns (http://www.amazon.com/Asperger-Syndrome-Difficult-Moments-Practical/dp/193128270...)

Thomas Phelan has written an easy-to-follow book called 1-2-3 Magic: Effective Discipline for Children 2-12. It shows you a calm, planned, not-reactive way to help your child learn cause and effect as he learns to control his behavior. I like it because the rules are clear-cut, taking the guess work and emotionality out of the situations. When you're dealing with a difficult child, anything that helps you remain calm is a boon. You can find this book here: http://www.amazon.com/1-2-3-Magic-Effective-Discipline-Children/dp/1889140163/re...

Kids with autism have difficulty making sense of their world. Adults with autism, such as Temple Grandin (http://www.amazon.com/Thinking-Pictures-Expanded-Life-Autism/dp/0307275655/ref=p...) and Donna Williams (http://www.amazon.com/Somebody-Somewhere-Donna-Williams/dp/1853027197/ref=pd_bbs...) talk about how this feels and how it affects the way they cope with their lives. These are intelligent, articulate women who have thought about and learned about what works for them. A three year old boy would not have the knowledge or experience to figure out such strategies on his own. As a parents, you can learn a lot of listening to and reading what successful adults with autism spectrum disorders have to say.

If you have trouble making connections and therefore making sense of your world, think how you would react. When you felt you had a handle on something, you'd resent anyone trying to change you or make you stop what was giving you comfort or pleasure. But in our lives, we don't get to do just what we want, even when you're three. So, when your son is enjoying his play, and you ask him to come to the table for dinner or get ready for bed, there may be an explosion. You've interrupted him. Many three years olds find this annoying but most learn to go along with what is asked of them (at least much of the time).

The child with autism may have even greater difficulties with such interruptions. You're asking him to end his play but on top of this, he may not know what you're asking of him or what will happen next.

Most kids fall into the pattern of the household and grow to anticipate what comes next and the order in which the family does things. But kids with autism may well not make such connections and even though you follow the same routine with him each evening, he still may not have picked up on the sequence of steps you always go through in getting him ready for bed.

Conversely, he may have internalized some of those patterns and woe is you if you deviate from the regular pattern.

If from your charting, you find that these types of situations are causing your son trouble, there are several things you can try.

Before I describe some of these ideas, I'll give a bit of background information. It's common among people with autism to have strong visual skills and weaker auditory processing. That means that such people find it easier to take in information that they see rather than what they hear.

We talk to our kids a lot. That's a good thing most of the time. But when upset, a person with weak auditory processing skills will experience a further reduction in his ability to understand what is said to him. Unfortunately, as parents and as teachers, when we're frustrated we tend to talk even more to kids and maybe even with a raised or frustrated voice. This in turn, can upset the child more, and further hinder his ability to understand our words.

So, rather than talking in such situations, be quiet. Speak less. Speak calmly and most important, use pictures. Show the child what you mean. Visuals can be actual objects, photographs, line drawings or even hastily drawn stick figures. There are great software programs available to help you make visuals such as Boardmaker by Mayer-Johnson. Many Speech/Language Pathologists and schools will have this program. But at home there are some free visuals you can use available at sites such as www.do2learn.com. The do2learn site also has a good explanation on why visuals are something you really should try and how to get started.

Think back again to the difficulty many kids with autism have making sense of their world. If you were in a similar situation, I'd imagine that you'd be please to have a map and itinerary to let you know what was coming next.

Kids with autism disorders often respond amazingly well to schedules. You can post one on the fridge each day that will let your son know what will be happening that day. Again, pictures are available free on www.do2learn and the site also gives you suggestions on how to make your schedule.

Sometimes we nag kids. This is especially bad if a child has trouble understand what you're saying to him. Remember those Charlie Brown cartoons where the teacher's voice drones, "Waaa wa wa wa wa"? If you find yourself nagging your son to get ready in the morning, try putting a chart in his room that tells him how to get dressed. The first thing on the chart could be his underclothes, then his socks next, then a picture of his pants, etc.

The same thing could work in the kitchen for getting his cereal. Or for cleaning up his toys.

After you have charted to find out when your son's negative behaviors are occurring and can make connections to what is happening around him, I can possibly tailor some suggestions more specifically to your situation.

Best of luck,

Sharon A. Mitchell, B.A., B.Ed., M.A.
www.autismsite.ca

http://en.allexperts.com/q/Autism-1010/positive-discipline-HFA-asbergers.htm

Autism Society of America

http://www.autism-society.org

Discovery Channel Autism Guide

http://health.discovery.com/centers/mental/autism/autism-guide/

Autism Workshops

Upcoming workshops and seminars on Autism