TTAP Method with People TTAP Method with People Diagnosed with Asberger’s Diagnosed with Asberger’s

Syndrome Syndrome

Internship-TRAINING, KERAVAInternship-TRAINING, KERAVATeija RäikkönenTeija Räikkönen

8.6.20098.6.2009FinlandFinland

ASPERGER SYNDROMEASPERGER SYNDROME

• The lack of demonstrated empathy is The lack of demonstrated empathy is possibly the most dysfunctional aspect of possibly the most dysfunctional aspect of Asperger syndrome-AS. Individuals with AS Asperger syndrome-AS. Individuals with AS experience difficulties in basic elements of experience difficulties in basic elements of social interaction, whitch may include a social interaction, whitch may include a failure to develop friendships or to seek failure to develop friendships or to seek shared enjoyments or archievements with shared enjoyments or archievements with others, a lack of social or emotional others, a lack of social or emotional reciprocity, and impaired nonverbal reciprocity, and impaired nonverbal behaviors in areas such as eye contact, behaviors in areas such as eye contact, fasial exression, posture and gesture.fasial exression, posture and gesture.

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• People with Asperger syndrome often People with Asperger syndrome often display behavior, intrests and display behavior, intrests and activitis that are restricted and activitis that are restricted and repetitive and are sometimes repetitive and are sometimes abnormally intense or focused. They abnormally intense or focused. They may stick to inflexible routines, move may stick to inflexible routines, move in stereotyped and repetiteve ways in stereotyped and repetiteve ways or preoccypy themselves with parts or preoccypy themselves with parts of objects. of objects.

Internship-TRAINING, Internship-TRAINING, KERAVAKERAVA

Service:Service:• Personalised, out reaching and integrated Personalised, out reaching and integrated

support for clients with Asperger syndrome as support for clients with Asperger syndrome as well as others who may benefit from the well as others who may benefit from the serviceservice

Resources:Resources:• 2 trainers, 1 assistant and 1 part-time 2 trainers, 1 assistant and 1 part-time

supervisor supervisor Clients:Clients:• 18 clients, includes 8 in leasure activities and 18 clients, includes 8 in leasure activities and

10 in individual training10 in individual training• We have a responsibility for 9 municipalities, We have a responsibility for 9 municipalities,

2 hospital districts, for two different projects 2 hospital districts, for two different projects as well as individuals as well as individuals

Day activity internship Day activity internship instructorinstructor• My most important role as intern is to find My most important role as intern is to find

out the clients strengths and create a out the clients strengths and create a enpowerment activities for this special enpowerment activities for this special population. population.

• I`m listening, reacting and encouraging my I`m listening, reacting and encouraging my clients to do things what they didn`t even no clients to do things what they didn`t even no that they can do. that they can do.

• Using the TTAP Method will assist me in a Using the TTAP Method will assist me in a structure that this special population can structure that this special population can follow and has meaning.follow and has meaning.

TTAP-METHOD WITH OUR CLIENTSTTAP-METHOD WITH OUR CLIENTS

STEP ONE- ConversationSTEP ONE- ConversationSharing ideas and placing Sharing ideas and placing

them on paper. We use them on paper. We use

four different pictures for four different pictures for helping make a decision. helping make a decision.

Pictures was a summer, Pictures was a summer, feelings, sport and feelings, sport and

animals.animals.

Group choose the Group choose the picture of Summer.picture of Summer.

STEP TWO- MusicSTEP TWO- Music

• We were listening a music, which We were listening a music, which make group think of Summer (wind, make group think of Summer (wind, birds, etc.). birds, etc.).

• Music we use was Finnish:Music we use was Finnish:Anne Mattila: Anne Mattila: Perutaan häätPerutaan häät

Anna Eriksson: Anna Eriksson: Juliet ja JonatanJuliet ja Jonatan

Kesä hengittääKesä hengittää

PMMP: PMMP: RusketusraidatRusketusraidat

STEP THREE-DrawingSTEP THREE-Drawing

• We were painting We were painting along with the along with the music and images music and images came to the clients came to the clients minds’ as to what minds’ as to what the sound evoked- the sound evoked- the sounds we use the sounds we use this second session this second session was sounds of the was sounds of the rainforest.rainforest.

STEP FOUR-SculptureSTEP FOUR-Sculpture

• We then used We then used paper mache’ to paper mache’ to sculpted shapes sculpted shapes and objects. The is and objects. The is a magicbutterfly, a magicbutterfly, stone from the sea stone from the sea and two cups. and two cups.

STEP FIVE- MovementSTEP FIVE- MovementWe went to the Kuusijärvi and we play diffrent finnish games. One of We went to the Kuusijärvi and we play diffrent finnish games. One of my clients did take these pictures. There was a little lake but water my clients did take these pictures. There was a little lake but water was so cold that nobady wanted to swim. We walked in forest, grilling was so cold that nobady wanted to swim. We walked in forest, grilling sausage and enjoyed the sunshine and weathersausage and enjoyed the sunshine and weather

STEP SIX- Words and PoetrySTEP SIX- Words and Poetry

• We create a group story and poetry We create a group story and poetry into words what we put on paper at into words what we put on paper at first step. first step.

• It was hard to my clients cause they It was hard to my clients cause they have problems to describe things. have problems to describe things. Still we made it!!!Still we made it!!!

STEP SEVEN-Food SessionSTEP SEVEN-Food Session

• We made a cake We made a cake that is traditional that is traditional food to eat in food to eat in summer. Group summer. Group made a early made a early potatous and potatous and herring. Desert was herring. Desert was a strawberries and a strawberries and cream.cream.

STEP ONE- Back to STEP ONE- Back to ConversationConversation• Group participants’ brought some photos from their Group participants’ brought some photos from their

earlier summers with their families and we all looked earlier summers with their families and we all looked at these together. They were all able to share at these together. They were all able to share memories. This was the most impressive moment for memories. This was the most impressive moment for this group as they wouldnt normally interact in this this group as they wouldnt normally interact in this manner.They described where they have been and manner.They described where they have been and what they have eaten and what kind of clothes they what they have eaten and what kind of clothes they have wearing. This enhanced their ability to recall have wearing. This enhanced their ability to recall and share their memories with others.and share their memories with others.

• The TTAP Method clearly stimulated the cognitive The TTAP Method clearly stimulated the cognitive abilites of all participants involved.abilites of all participants involved.

My Observations:My Observations:• My clients were highly motivated with the My clients were highly motivated with the

TTAP Method process and I haven`t seen TTAP Method process and I haven`t seen this kind of focusing and personal this kind of focusing and personal exchange ever before. exchange ever before.

• Client’s were excited for each new step Client’s were excited for each new step and the TTAP Method structured what I and the TTAP Method structured what I was planning for the clients.was planning for the clients.

• Participants’ enjoyed working together Participants’ enjoyed working together which is very important for this population.which is very important for this population.

• There was more cognitive and emotional There was more cognitive and emotional stimulation seen with each person.stimulation seen with each person.