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Helping Children On The Autism Spectrum Who Have Difficulty Picking Up On Social Cues

Question

Our 10-year-old son is diagnosed with high functioning autism. He is bright and inquisitive, but has great difficulty picking up on social cues and understanding many aspects of friendship. We struggle to coach him in these areas ...our explanations often don’t make sense to him. Any suggestions?

Answer

High-Functioning Autism (HFA) and Asperger's presents kids with a variety of social and emotional stumbling blocks. Due to difficulties understanding implied meaning, humor, and other inferential reasoning skills, these young people are often confused by the rapidly changing landscape of social interaction.

Their tendency toward quick and literal interpretation of words can produce significant problems with establishing and maintaining friendships. Preoccupations with narrow, solitary interests can impede their capacity to converse on the range of topics that typically interest peers.

Moms and dads of kids on the autism spectrum often help them make sense of their social world, but success can be fleeting and isolated to certain circumstances.

==> Teaching Social Skills and Emotion Management

Here are some coaching tips that may increase the success rate:

 Road Maps--

Think of the social world as a variety of “relationship road maps” that your youngster needs to perceive accurately and use talking tools to be able to follow. On various pieces of paper, draw “roads” of how conversations flow depending upon environmental cues. Cues include who your youngster is with, where it takes place, what the other youngster says and the degree of familiarity your youngster has with a peer.

For instance, if your son bumps into a friend at a movie theater, depict how the initial greeting may lead to a short period of questioning about the movie, and finally to a closing remark about the next time he might see the peer again. Be sure to emphasize that what is said is just as important as perceiving the available cues in order to keep comments on target and within the boundaries of the environment.

Refer to boundaries as the lines that keep people within the relationship road they are supposed to be on. Boundaries are a critical piece of the social puzzle, but are often ignored by kids with HFA and Asperger's since they are subtle and hard to distinguish.

Make boundaries visual by depicting the kinds of statements and behaviors that are appropriate to the particular “road” (write them within the road) and examples of responses that are not (write them outside of the road). Explain how behaving within the boundaries protect the feelings of others and tells people that we are aware of what is going on around us. Depict how boundaries are more narrow when first meeting people, but gradually widen as they become more familiar. Likewise, display how boundaries are narrow or wide depending on the people present, situation and other circumstances.

Offer ways of understanding humor or typical childhood banter that uses available environmental cues. Kids on the spectrum can easily get caught in the throes of strong emotional reactions to common antagonistic statements made by peers. The intention of such comments may be to entertain bystanders, self-inflate, or trigger over-reactions by the youngster in question. But no matter the intention, if your son reacts with verbal or physical aggression, he is going to pay severe penalties. This makes it especially critical to coach anticipation skills that normalize typical peer-baiting.

Draw another relationship road that depicts some of the standard comments that kids say to each other in various circumstances. Add a thinking bubble that contains a self-instruction to help your son keep his cool.

==> Teaching Social Skills and Emotion Management

Multimedia Technologies--

Consider using multimedia technologies to augment social skills training for your son. Many types of multimedia technologies can be an excellent match for the specific learning styles and preferences of children with HFA and Asperger's (e.g., virtual environments, simulations, videos, etc.). Since most kids on the spectrum are visual learners, videos, simulations, virtual environments, pictures and other multimedia are effective teaching tools.

For example, you could video tape your son playing with friends, and then use the video to conduct a discussion (or “autopsy”) of the social interactions. Still images from the video could be captured and used to create a slide show with text or loaded onto a smart phone to be used as reminders when your son is in mainstream environments.

AS and HFA children seem to learn social skills best when they are taught in authentic situations using a variety of mediums. Role playing, listening to Social Stories, observing peer behavior, and conducting social skills autopsies can all be augmented with the use of multimedia tools.



==> Click here for information, and the associated parenting strategies, on dealing with Oppositional Defiant Disorder in kids and teens on the autism spectrum...

==> Teaching Social Skills and Emotion Management

Crucial Classroom Modifications for Kids on the Spectrum: Tips for Teachers

“Are there some tips that my high functioning autistic daughter’s teacher could use to help her with things link reading, handwriting, taking notes, staying organized, homework, and so on? She’s currently struggling in several of these (and other) areas. Thanks in advance!”

Many students with High-Functioning Autism (HFA) and Asperger’s do indeed struggle in those areas you listed. Let’s look briefly at each in turn:

Reading—

The amount of reading the student on the autism spectrum is expected to complete should be evaluated by the teacher. These “special needs” children (who sometimes read slowly and can’t discern relevant from irrelevant information) spend a lot of time concentrating on facts that will not be tested and are considered unimportant.

Highlighted texts and study guides help them maximize their reading time. Educators also should consider identifying the information the student is responsible to learn for an upcoming assignment or test.

Handwriting—

Handwriting is a concern for many kids on the spectrum. Thus, educators should offer them several ways to demonstrate mastery, including (a) giving verbal responses instead of written essays, (b) using the computer instead of a pen or pencil, (c) completing a multiple-choice rather than a short-answer test, and (d) creating a project rather than writing a report.

Note-taking—

Many children with HFA and Asperger’s have difficulty taking notes in class. Often, motor-skills deficits prevent them from getting important content onto paper. In addition, some have difficulty listening and writing at the same time (they can do both, but often not at the same time).

Depending on the amount of assistance they need, the teacher can provide (a) a complete outline including the main idea and supporting details, (b) a skeletal outline that they can use to fill in details, (c) a peer-constructed outline, and (d) the opportunity to use outlining software.

Graphic Organizers—

Graphic organizers highlight important concepts and display the relationship between them. They provide abstract or implicit information in a concrete manner. Graphic organizers can be used before, during, or after these students read a selection – either as an advanced organizer or as a measure of concept attainment.

Three commonly used graphic organizers are semantic maps, analogy graphic organizers, and timelines.
  • Semantic maps: The focal point of the semantic map is the key word or concept enclosed in a geometric figure (e.g., circle or square) or in a pictorial representation of the word or concept. Lines or arrows connect this central shape to other shapes. Words or information related to the central concept are written on the connecting lines or in the other shapes. As the map expands, the words become more specific and detailed. In addition, semantic maps can use pictures for the key words or concepts.
  • Analogy graphic organizers: These contain two concepts and their attributes. The teacher and student define how the two concepts are alike and how they differ, then draw a conclusion. Often the teacher has to assist the youngster in identifying attributes by presenting choices, either written or pictorial, from which the he or she can select. This task can be completed individually, in small groups, or with an entire class.
  • Timelines: These provide benchmarks for completing tasks and thereby aid the student in budgeting his or her time. Timelines consist of a list of steps needed to complete the task with concomitant due dates. This visual representation enables the student and teacher to monitor progress toward project completion. Ideally, educators enlist the aid of parents in developing and monitoring timelines to ensure the student follows through at home.

Homework—

Educators and parents should work together to determine whether or not homework should be assigned, and if so, how much. Because students with HFA and Asperger’s need structure, it is often best for educators to assign tasks that the student can complete in the structured school environment.

If homework is assigned, an assignment notebook and a parent-teacher communication system will help parents monitor their youngster's homework. In some cases, the parent may have to model the task for his or her child. Therefore, educators should ensure that the parent understands the youngster's homework.

To facilitate home-school communication, schools can establish a "homework line" that both the parent and child can call to hear an overview of assigned work. This system is ideal for students on the autism spectrum.


More resources for parents (and teachers):

Understanding the Role of Risperidone and Aripiprazole in Treating Symptoms of ASD

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by social communication challenges and restricted, re...