"How can I help my 5-year-old AS child (high functioning) to have a better understanding of other people’s feelings? He often seems oblivious to some of the hurtful things he says and does, but I don’t think he does this intentionally."
“Neurotypicals” (i.e., children not on the autism spectrum) continually modify their behavior based on the non-verbal feedback they receive from others. For example, they may elaborate on a story if their friend is smiling, looking on intently, or showing other signs of genuine interest. Conversely, if the other person repeatedly looks at her school book, sighs, or looks otherwise disinterested, most neurotypical children notice this non-verbal cue and stop talking or cut the story short.
Kids with AS and HFA often have difficulty recognizing and understanding these non-verbal cues. Because of this, they are less able to modify their behavior to meet the emotional and cognitive needs of their peers.
When kids with AS and HFA appear rude, aloof or unresponsive, it doesn’t mean that they don’t experience any emotions, or that they don’t have empathy for others. However, they do tend to express their emotions differently than neurotypical kids do. Also, studies have shown that AS and HFA kids do not always recognize facial expressions, which is part of the difficulty in reading the emotional responses of others.
The most basic technique used to teach “feelings skills” involves showing the child pictures of people exhibiting various emotions. Pictures can range from showing basic emotions (e.g., happy, sad, angry, scared) to more complicated ones (e.g., embarrassed, ashamed, nervous). Begin by asking the youngster to point to an emotion (e.g., “point to happy”), then ask the youngster to identify what the character is feeling (e.g., “how is he feeling”).
Most AS and HFA kids will pick up the ability to identify emotions quite easily. When they do, it is time to move on to more advanced instructional techniques, such as teaching them to understand the meaning (or “why”) behind emotions. This requires the youngster to make inferences based on the context and cues provided in the picture (e.g., “based on the information in the picture, why is this little girl sad?”). The pictures should portray characters participating in various social situations and exhibiting various facial expressions or other nonverbal expressions of emotion. You can cut pictures out of magazines, or download and print them from the Internet. You can also use illustrations from kids’ books, which are usually rich in emotional content and contextual cues.
Once mastery is achieved on the pictures, you can move on to television programs or videos of social situations. Many of the programs that air on some of the kids’ channels are excellent resources for this teaching technique since they portray characters in social situations and display clear emotional expressions. You can use the same procedure as for the pictures, only this time the youngster is making inferences based on dynamic social cues. Simply ask the youngster to identify what the characters might be feeling – and why they may be feeling that way. If the scenario moves too quickly for the youngster, press pause, and ask the question with a still frame.
Other ways to teach “feelings skills” include the following:
• Applied Behavioral Analysis (ABA): ABA therapy uses positive reinforcement to encourage desired behavior. ABA can also be used to teach an AS or HFA youngster about emotions by generally providing examples of appropriate emotional behavior for her to model, and then rewarding her when she gives the correct emotional responses.
• Online Games: Most AS and HFA kids enjoy playing computer games, and these games can be an effective learning tool for teaching about emotions. The Internet has many games and activities to help these kids learn about emotions in a way that engages them.
• Play therapy: Play therapy strategies can help AS and HFA kids emotionally connect with their mom, dad and siblings. The simple act of “child-led” play to teach new ideas is quite effective for kids on the spectrum.
• Social Stories: Social stories help teach social skills to AS and HFA kids through stories that provide examples of common social situations. The stories outline how to respond to the situation. Stories about feelings and appropriate emotional responses can help the youngster learn how to understand emotions in context.
Teaching Social Skills and Emotion Management
