Autism spectrum disorders presentation

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Transcript of Autism spectrum disorders presentation

February 13, 2013

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1. Old and New Classifications

2. Verbal vs. Performance Abilities

3. Executive function

4. Recent research in the news – is it accurate?

5. Tips for working with students

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Autistic Disorder

Nonverbal Learning Disabilities (NLD)

Rett’s Disorder (rare)

Childhood Disintegrative Disorder (rare)

Asperger’s Disorder

Pervasive Developmental Disorder (somewhat rare)

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MORE LESS SEVERE SEVERE

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*Disturbances in social relationships

*Difficulties with communication

*Unusual and repetitive interests and behaviors

*Deficient in executive functioning: trouble with

prioritization, impulse control, attention,

retention, organization

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6

Frontal

Posterior

Systems or object orientated not people orientated

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Baron-Cohen – Autism Research Centre Cambridge University

Autistic Disorder Asperger’s Disorder Nonverbal Learning Disabilities

Strong in performance abilities

Weak in performance abilities

Weak in performance abilities

Weak in verbal tasks Strong in verbal tasks Strong in verbal tasks

Content to be loners Seek out social interaction, little success

Seek out social interaction, little success

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Subtests of Wechsler Adult Intelligence Scale

Purpose: illustrate the testing our students endure

Help understand performance vs. verbal abilities

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29 Questions

Measures: general information one has acquired

in his/her culture

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Part 1: 3-7 digits are reproduced

Part 2: 3-7 digits are reproduced backwards

Measures: attention, concentration, mental control

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35 words

Measures: degree of learning, comprehension,

expression

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14 problems

Measures: concentration, mental math ability

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14 items that ask what way 2 things are alike

Measures: Abstract verbal reasoning

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20 cards

Measures: ability to perceive visual details

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9 tasks

Measures: nonverbal abstract processing,

problem solving

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26 items

Measures: inductive reasoning, nonverbal

abstract problem solving

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26 items

Measures: spatial reasoning

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27 items

Measures: Quantitative and logical reasoning

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Summary

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No 2 people display the same problems to the same degree or in the same way

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EXECUTIVE FUNCTIONING

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Called context blindness

Have social skills but cannot use them in all situations

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Not one single thing

Believed to be an element of executive dysfunction

Low energy and being out of touch with one’s body and emotions

Difficulty in changing gears

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Difficulty starting things if stopped

Difficulty in stopping things started

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Might be able to do something easily one day but run up against severe inertia with the same task the next day

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Autism isn’t something constant like blindness or deafness but rather something variable, more like multiple sclerosis, fibromyalgia, or lupus. What we can do one day, we can’t do every day. What we can’t do one day, we might be able to do on another.

www.unstrangemind.wordpress.com

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Journal of Child Psychology and Psychiatry, January 2013

News media reporting children can “recover”

Behavioral therapy early in life

Deborah Fein of University of Connecticut

n= 34

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“Higher cognitive functioning and somewhat milder initial symptoms”

Parent reports that participants “had typically developed friends”

20% reported impairment in nonverbal social interaction

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3 - parent completion surveys

1 - clinician observing and scoring

1 - IQ test

1 - handedness test (left handedness is more common in ASD)

2 - facial recognition and language

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Statement from the Autistic Self Advocacy Network (ASAN)

Autism is a natural part of the human condition and not something to recover from or eliminate. The goal of autism research should be to create happy Autistic people, not to encourage ‘passing for non-Autistic’ without regard to the impact on our quality of life.

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Every difficulty or issue cannot be “fixed”

Most important interventions are patience and being positive

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Reinforce turn-taking when speaking with others

Reinforce cues for when to reply, interrupt, listen, change the topic, and end the conversation

Wait longer than you usually would for an answer

Make the same point several different ways

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Provide oral material in written form as well

Explain and point out the signals and clues when a person is using sarcasm

When showing movies use closed captioning

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Remind often of assignments and due dates

If frequently forgetting materials, encourage student to use peer assistance

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Do not give false praise

Provide positive, explicit, appropriate, accurate, and specific praise

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Normal levels of auditory and visual input can be perceived as too much or too little

Keep the level of sensory stimulation within the student’s ability to cope

Consider developing a crash room for students with sensory overload

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Resistance to change is usually an indication of stress

Explain fully what the change entails

Be as consistent as possible

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Accept, support and understand autism as diversity

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