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Raising Awareness and Addressing ASD Triad of Impairment • Language and Communication • Social Interaction • Flexibility of Thought Impaired Language and Communication Language - Semantic - Pragmatic - Literal Communication – – – – – – – – Eye Contact Gesture Facial Expressions Volume Tone Speech Manner Listening and Attention Impaired Social Interaction • Friendships – Difficulty playing with other children – Rules of social play – ‘The Unwritten Rules’ – Lack of innate drive to be a social being • Social Conventions – Inappropriate comments and actions – Difficulty with proximity • Empathy – Doesn’t recognise other people’s feelings – Expects other people to know their thoughts, experiences and feelings. • Social Cues – Poor turn taking in conversations – Poor timing • Body language – Misses the signals – Non-verbal communication Impaired Flexibility • Imagination – – – – Pretend play Fiction books Free choice / Dead time Creative writing • Interests and Obsessions – All encompassing – May not reflect culturally ‘normal’ interest • Routines – Loves repetition and rules / Hates rules to be broken – Changed routines without warning – Poor organisational skills • Difficulty seeing another person’s point of view Inappropriate Behaviour to Situations Specific Behaviours No response to: •Reprimand •Warnings •Adult’s anxiety •No remorse •Others’ upset Underlying Difficulties •Receptive language limitations •Sensory – pain experiences abnormal •Inconsistent memory retrieval •Does not understand relationship between behaviour and consequences Aggression Specific Behaviours •Pushing •Hitting •Spitting •Throwing Underlying Difficulties •Poor Social Judgement •Unawareness of feelings of others •Sensory misperceptions •Frustration over communication limitations •Not understanding how to interact appropriately Poor Play Skills Specific Behaviours Cannot: – amuse himself – use toys normally – play with others - breaks toys Underlying Difficulties •Does not understand concept of rules •Cannot organise own time •Lacks understanding of symbolic or imaginary play •Likes and is distracted by specific details of toys •Inadequate ability to structure self •Prefers repetitive activities Tantrums Specific Behaviours •Screams without apparent cause •Self-injurious •Destroys toys Underlying Difficulties •Unable to communicate needs •Emotional inconsistency •Poor understanding of the situation •Strong need for closure or sameness •Low frustration tolerance Lacks initiative Specific Behaviours •Unmotivated •Waits for prompts •Overly dependent •Seems lazy Underlying Difficulties •Unable to organise behaviour •Poor concept of time •Does not understand future rewards •Does not understand expectations Classroom Strategies General • Avoid distraction – noise, disturbances, smells and sights. • Use the child's interests as motivators or a reinforcers. • Use of regular spells of physical activity, incorporated into the timetable, are often beneficial. • Recognise literal nature of understanding of:– Language – Events • Avoid negatives:- “Remember to walk” rather than “Don’t run” – encourages positive behaviour Give clear rules and Be consistent Keep instruction / questions simple. Ensure that the child understands what is required. Use language that is clear, precise and concrete. Always forewarn: Tell the person what to expect Give plenty of notice Structure The person should always know:- Where do I have to be? What am I doing? How much do I have to do? When will I know when I have finished? What will I do next? Free choice can cause anxiety. Things must have a beginning, middle and a clear ending. Children respond best in a structured environment where things are organised and clearly labelled.