Speech Therapy for Aspergers Children?

Many moms and dads of extremely verbal kids with Aspergers (high-functioning autism) are surprised when it is suggested that Speech Therapy may help their youngster with communication difficulties. The difficulties are not in how the youngster speaks or pronounces words, but rather in how the youngster perceives the meaning of other people's speech and how they respond to it.

There are many expressions we use that are confusing to a youngster with Aspergers. Until you listen closely to the kinds of questions your youngster asks about what other people say, this problem is an easy one to miss.

Here's an example reported by one parent:

The other night my husband was holding a wooden bowl in his hands. Our younger son said "Can I see that?" and put out his hands to hold it. Our older son with Aspergers immediately asked "Why do people always say what they don't mean?" This had us puzzled until we dug a little deeper and found out the reason for his confusion. My son stated, "Why do people say ‘can I see that’ when they really mean ‘can I hold that’?" There was no way in which my husband and I could explain to our son why people say something that isn't what they mean to our son's satisfaction. I suspect that this problem occurs daily in my son's life, contributing to his stress and anxiety in dealing with the school environment.

Speech therapy can assist this youngster with the understanding of what other people mean when they speak and do something completely different. Social skills can be incorporated into the speech therapy as well. 

The parent went on to say:

When I brought up speech therapy for my son, who is 12 and extremely verbal, at a recent school meeting, there were some rather skeptical looks pointed my way until I explained the theory that speech therapy is one way of helping kids with Aspergers extract the meaning of other people's speech. Using the incidence of the wooden bowl as an example of the difficulty my son has, the teachers understood and are now incorporating this into my son's IEP.

One of the main differences between a youngster with Aspergers and those with one of the other autism spectrum disorders is a lack of a clinically significant language delay. Per the DSM, if there is a clinically-significant language delay present (i.e., lack of communicative phrases by 3 years of age), then a diagnosis of Aspergers cannot be made. However, speech-language pathologists can assist kids with Aspergers in a variety of ways.

Social Skills Group—

One of the hallmark signs of an autism spectrum disorder, including Aspergers, is a lack of age-appropriate social skills. This may manifest in several ways including a lack of eye contact, the inability to merge into a group of peers or simply the lack of desire to participate in reciprocal communication.

Some social skills groups are facilitated by speech-language pathologists (SLP). The SLP, who understands the nuances of language and knowing that language is one of the main methods of communication, assists kids with Aspergers with acquiring social skills. Social skills in typically developing kids emerge as the youngster ages. In kids with Aspergers, these skills often have to be taught just as math facts are taught.

Pragmatic Language Instruction—

Pragmatic communication involves the use of language, changing the language based on a situation and following the basic rules of conversation. Some kids with Aspergers can be verbally gifted, yet it is not uncommon to find pragmatic language concerns in these kids.

Pragmatic language is basically the social use of language. Kids with Aspergers who also have pragmatic deficiencies may not understand how to take turns when engaged in a conversation with another youngster or even an adult. Other pragmatic language concerns include standing too close to a person while talking, coordinating facial expressions and eye contact in conversation and even understanding how to speak differently to a young youngster as opposed to an adult. SLPs can work with kids with Aspergers to help them understand the rules of social language.

Speech Articulation Concerns—

Some kids with Aspergers may present with speech articulation errors. This can be a result of low oral-motor muscle tone or perhaps a problem with the motor coordination required to make certain speech sounds. When a youngster with Aspergers doesn’t grow out of typical speech articulation errors, working with an SLP may help reduce these errors. As a result, the youngster is better understood by peers and adults which could possibly decrease social anxieties that the youngster has as a result of his articulation.

Speech therapy is a fixture among those with an autism spectrum disorder, including Aspergers. If you have a youngster with Aspergers and are concerned with one of the above issues, consider contacting your school’s SLP to request an assessment.

Helping Aspergers Students Deal with Anger: Advice for Teachers

Aspergers (high functioning autistic) kid’s anger presents challenges to educators committed to constructive, ethical, and effective youngster guidance. This post explores what we know about the components of Aspergers kid’s anger, factors contributing to understanding and managing anger, and the ways educators can guide kid’s expressions of anger.

Three Components of Anger—

Anger is believed to have three components (Lewis & Michalson, 1983):

The Emotional State of Anger. The first component is the emotion itself, defined as an affective or arousal state, or a feeling experienced when a goal is blocked or needs are frustrated. Fabes and Eisenberg (1992) describe several types of stress-producing anger provocations that young kids face daily in classroom interactions:

• Conflict over possessions, which involves someone taking kid’s property or invading their space.
• Issues of compliance, which often involve asking or insisting that kids do something that they do not want to do--for instance, wash their hands.
• Physical assault, which involves one youngster doing something to another youngster, such as pushing or hitting.
• Rejection, which involves a youngster being ignored or not allowed to play with peers.
• Verbal conflict, for example, a tease or a taunt.

Expression of Anger—

The second component of anger is its expression. Some kids vent or express anger through facial expressions, crying, sulking, or talking, but do little to try to solve a problem or confront the provocateur. Others actively resist by physically or verbally defending their positions, self-esteem, or possessions in non-aggressive ways. Still other kids express anger with aggressive revenge by physically or verbally retaliating against the provocateur. Some kids express dislike by telling the offender that he or she cannot play or is not liked. Other kids express anger through avoidance or attempts to escape from or evade the provocateur. And some kids use adult seeking, looking for comfort or solutions from a teacher, or telling the teacher about an incident.

Educators can use youngster guidance strategies to help Aspergers students express angry feelings in socially constructive ways. Kids develop ideas about how to express emotions (Michalson & Lewis, 1985; Russel, 1989) primarily through social interaction in their families and later by watching television or movies, playing video games, and reading books (Honig & Wittmer, 1992). Some Aspergers students have learned a negative, aggressive approach to expressing anger (Cummings, 1987; Hennessy et al., 1994) and, when confronted with everyday anger conflicts, resort to using aggression in the classroom (Huesmann, 1988). A major challenge for early childhood educators is to encourage Aspergers students to acknowledge angry feelings and to help them learn to express anger in positive and effective ways.

An Understanding of Anger—

The third component of the anger experience is understanding - interpreting and evaluating - the emotion. Because the ability to regulate the expression of anger is linked to an understanding of the emotion (Zeman & Shipman, 1996), and because kid’s ability to reflect on their anger is somewhat limited, Aspergers students need guidance from educators and parents in understanding and managing their feelings of anger.

Understanding and Managing Anger—

The development of basic cognitive processes undergirds kid’s gradual development of the understanding of anger (Lewis & Saarni, 1985).

Self-Referential and Self-Regulatory Behaviors—Self-referential behaviors include viewing the self as separate from others and as an active, independent, causal agent. Self-regulation refers to controlling impulses, tolerating frustration, and postponing immediate gratification. Initial self-regulation in young kids provides a base for early childhood educators who can develop strategies to nurture kid’s emerging ability to regulate the expression of anger.

Memory—Memory improves substantially during early childhood (Perlmutter, 1986), enabling young kids to better remember aspects of anger-arousing interactions. Aspergers students who have developed unhelpful ideas of how to express anger (Miller & Sperry, 1987) may retrieve the early unhelpful strategy even after educators help them gain a more helpful perspective. This finding implies that educators may have to remind some Aspergers students, sometimes more than once or twice, about the less aggressive ways of expressing anger.

Language—Talking about emotions helps young Aspergers students understand their feelings (Brown & Dunn, 1996). The understanding of emotion in preschool kids is predicted by overall language ability (Denham, Zoller, & Couchoud, 1994). Educators can expect individual differences in the ability to identify and label angry feelings because kid’s families model a variety of approaches in talking about emotions.

Guiding Kid’s Expressions of Anger—

Educators can help Aspergers students deal with anger by guiding their understanding and management of this emotion. The practices described here can help Aspergers students understand and manage angry feelings in a direct and non-aggressive way.

Communicate with Moms and Dads—Some of the same strategies employed to talk with moms and dads about other areas of the curriculum can be used to enlist their assistance in helping Aspergers students learn to express emotions. For example, articles about learning to use words to label anger can be included in a newsletter to moms and dads.

Create a Safe Emotional Climate—A healthy early childhood setting permits kids to acknowledge all feelings, pleasant and unpleasant, and does not shame anger. Healthy classroom systems have clear, firm, and flexible boundaries.

Encourage Kids to Label Feelings of Anger—Educators and parents can help young Aspergers students produce a label for their anger by teaching them that they are having a feeling and that they can use a word to describe their angry feeling. A permanent record (a book or chart) can be made of lists of labels for anger (e.g., mad, irritated, annoyed), and the class can refer to it when discussing angry feelings.

Encourage Kids to Talk About Anger-Arousing Interactions—Preschool kids better understand anger and other emotions when adults explain emotions (Denham, Zoller, &Couchoud, 1994). When Aspergers students are embroiled in an anger-arousing interaction, educators can help by listening without judging, evaluating, or ordering them to feel differently.

Help Kids Develop Self-Regulatory Skills—Educators of infants and toddlers do a lot of self-regulation "work," realizing that the Aspergers students in their care have a very limited ability to regulate their own emotions. As Aspergers students get older, adults can gradually transfer control of the self to kids, so that they can develop self-regulatory skills.

Model Responsible Anger Management—Aspergers students have an impaired ability to understand emotion when adults show a lot of anger (Denham, Zoller, & Couchoud, 1994). Adults who are most effective in helping Aspergers students manage anger model responsible management by acknowledging, accepting, and taking responsibility for their own angry feelings and by expressing anger in direct and non-aggressive ways.

Use Books and Stories about Anger to Help Kids Understand and Manage Anger—Well-presented stories about anger and other emotions validate kid’s feelings and give information about anger (Jalongo, 1986; Marion, 1995). It is important to preview all books about anger because some stories teach irresponsible anger management.

Aspergers students guided toward responsible anger management are more likely to understand and manage angry feelings directly and non aggressively and to avoid the stress often accompanying poor anger management (Eisenberg et al., 1991). Educators can take some of the bumps out of understanding and managing anger by adopting positive guidance strategies.

More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism

He loses his temper frequently...

Question

My son is 10 years old and awaiting an Aspergers diagnosis. He frequently misinterprets the actions of others and becomes quite angry. He loses his temper frequently. How can we help him?

Answer

Your son is experiencing a great deal of stress due to the symptoms of Asperger’s (high-functioning autism).

Some kids react by becoming depressed, some become anxious, and others become angry and experience rage against the frustrating events that occur in their day.

Some kids externalize their feelings and blame others, while some internalize their feelings and have a difficult time controlling their anger.

Their may be no particular event to his anger – just an aggressive mood or reaction to a frustrating experience.

Encourage self-control and teach your child to consider alternative behaviors.

Self-control can be strengthened by teaching your child to stop and count to ten, taking a deep breath and reminding themselves to keep calm.

Or for some children it is helpful that they have an agreed room or particular space that they take themselves too when they feel that they are getting anxious/angry.

Specific relaxation techniques can be practiced and your child can be taught the cues when they must calm down and relax. Explain the alternative to your child and in specific terms.

There are three stages to help your child when he/she is losing his temper:

1. Make a list of signals – Construct a list of the signals that indicate the person is becoming increasingly stressed (e.g. rocking, reddened face, pacing, shouting etc.).

2. Draw attention to the signals – Once these sign are recognized, the person’s attention must be drawn to their actions and behavior. The angry individual is usually the last to recognize the change in their behavior.

3. Find calming alternatives – Then construct a list of activities which will calm them and encourage them to participate in those behaviors.

Keep in mind that your son will most likely have difficulty expressing what is making him angry.

You will need to assess the situation to determine what may be provoking him.

Another alternative is to keep him engaged in activities that burn off energy and reduce his need to express the anger that he is feeling.

The Six Characteristics of Aspergers

1. Cognitive Issues—

Mindblindness, or the inability to make inferences about what another person is thinking, is a core disability for those with Aspergers. Because of this, they have difficulty empathizing with others, and will often say what they think without considering another's feelings. The youngster will often assume that everyone is thinking the same thing he is. For him, the world exists not in shades of gray, but only in black and white. This rigidity in thought (lack of cognitive flexibility) interferes with problem solving, mental planning, impulse control, flexibility in thoughts and actions, and the ability to stay focused on a task until completion. The rigidity also makes it difficult for an Asperger youngster to engage in imaginative play. His interest in play materials, themes, and choices will be narrow, and he will attempt to control the play situation.

2. Difficulty with Reciprocal Social Interactions—

Those with Aspergers display varying difficulties when interacting with others. Some kids and adolescents have no desire to interact, while others simply do not know how. More specifically, they do not comprehend the give-and-take nature of social interactions. They may want to lecture you about the Titanic or they may leave the room in the midst of playing with another youngster. They do not comprehend the verbal and nonverbal cues used to further our understanding in typical social interactions. These include eye contact, facial expressions, body language, conversational turn-taking, perspective taking, and matching conversational and nonverbal responses to the interaction.

3. Impairments in Language Skills—

Those with Aspergers have very specific problems with language, especially with pragmatic use of language, which is the social aspect. That is, they see language as a way to share facts and information (especially about special interests), not as a way to share thoughts, feelings, and emotions. The youngster will display difficulty in many areas of a conversation processing verbal information, initiation, maintenance, ending, topic appropriateness, sustaining attention, and turn taking. The youngster's prosody (pitch, stress, rhythm, or melody of speech) can also be impaired. Conversations may often appear scripted or ritualistic. That is, it may be dialogue from a TV show or a movie. They may also have difficulty problem solving, analyzing or synthesizing information, and understanding language beyond the literal level.

4. Motor Clumsiness—

Many children with Aspergers have difficulty with both gross and fine motor skills. The difficulty is often not just the task itself, but the motor planning involved in completing the task. Typical difficulties include handwriting, riding a bike, and ball skills.

5. Narrow Range of Interests and Insistence on Set Routines—

Due to the Asperger youngster's anxiety, his interactions will be ruled by rigidity, obsessions, and perseverations (repetitious behaviors or language) transitions and changes can cause. Generally, he will have few interests, but those interests will often dominate. The need for structure and routine will be most important. He may develop his own rules to live by that barely coincide with the rest of society.

6. Sensory Sensitivities—

Many Asperger kids have sensory issues. These can occur in one or all of the senses (sight, sound, smell, touch, or taste). The degree of difficulty varies from one individual to another. Most frequently, the youngster will perceive ordinary sensations as quite intense or may even be under-reactive to a sensation. Often, the challenge in this area will be to determine if the youngster's response to a sensation is actually a sensory reaction or if it is a learned behavior, driven mainly by rigidity and anxiety.

Quiz: Does your child have Aspergers?

1. Does your youngster tend to focus on one subject, to the exclusion of all others?

Yes - she latches onto one topic of interest and learns everything there is to know about it. She won't even think about something else!
No - she has some favorite topics, but displays a wide range of interests.

2. Does your youngster have difficulty interacting socially, particularly when it comes to nonverbal communication?

Yes - she seems unable to pick up cues in people's body language and vocal inflection.
No - she seems to be able to read the mood of a room pretty well, and understands what is and isn't appropriate in a conversation.

3. Does your youngster vary her vocal inflections, volume, or pitch?

No - she speaks in a monotone, regardless of the subject or the environment.
Yes - she shouts, whispers, laughs, whimpers, and more.

4. Does your youngster adhere to rigid, repetitive routines when it comes to everyday tasks?

Yes - everything has to be just so, from where we sit for breakfast to her bedtime routines.
No - she's pretty free and easy with her daily routine.

5. How are your youngster's motor skills developing?

A. She's a little behind other kids her age.
B. She's right where she should be.

6. Does your youngster understand idiomatic expressions, such as slang terms and figures of speech?

No - she takes everything literally.
Yes - if she doesn't know them right away, she easily learns their meanings.

7. Does your youngster show an interest in playing with others?

Yes - she's always engaging with other kids.
No - sometimes it's as though she doesn't realize there are other kids present.

8. How does your youngster's IQ compare to those of her peers?

A. She exhibits median intelligence, or is even smarter than her peers.
B. She has a lower IQ than most of her peers.

9. How old was your youngster when you first suspected she might have Aspergers?

A. Three years old or younger.
B. Older than three years.

10. Are there any cases of Aspergers in your family history?

Yes.
No.

Scoring—

If at least 6 of your answers coincide with the answers below, your youngster may have Aspergers:

1. Yes
2. Yes
3. No
4. Yes
5. A.
6. No
7. No
8. A.
9. A.
10. Yes