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"Face-Blindness" in Children and Teens with Aspergers and High-Functioning Autism

Many children and teens with High-Functioning Autism (HFA) and Aspergers have difficulty recognizing the faces of those they don’t know well. Prosopagnosia, also known as “facial agnosia” and “face-blindness,” is a neurological disorder that makes facial recognition difficult or impossible. Research suggests that up to two-thirds of children and teens with HFA and Aspergers have difficulty recognizing faces until they have interacted with a particular person on a number of occasions.

Research into Facial Recognition—

Most research into the facial processing abilities of kids and teens with HFA and Aspergers has focused on the ability to read and accurately interpret facial expressions. Research on facial recognition difficulties among children with Aspergers has been sparse, but there have been a few studies conducted. Findings indicate that many of children with Aspergers have difficulty recognizing the faces of people they have only met once or interacted with a few times, but have no trouble recognizing those they know well.



One research study found that some individuals with Aspergers performed well on tests of facial recognition, whereas others showed significant deficits in this area. However, all Aspergers individuals performed better on facial recognition tests than those whose “face-blindness” resulted from other causes (e.g., genetic predisposition, illness, stroke, etc.). The performance of children with Aspergers (who experienced difficulties with facial recognition) fell somewhere in between neurotypical control subjects and typical “face-blind” subjects.

Resultant Social Problems—

Failure to recognize people one has met before can act as a serious social problem. A “face-blind” youngster may meet someone, have an interesting conversation, and then not recognize that individual when he encounters her again, which can lead to social embarrassment and anxiety, and make it more difficult to establish friendships. “Face-blindness” is especially problematic in the workplace when the employee is unable to recognize coworkers and supervisors.

In addition to failing to recognize peers, the "face-blind" individual may also experience false positives, believing that a stranger is a known person because certain memorized features (e.g., hairstyle, glasses, hat, etc.) are the same. This can lead to embarrassing situations whereby the “face-blind” youngster or teenager greets a stranger as though he were an acquaintance.

Theories—

It’s hypothesized that the lack of typical social skills associated with HFA and Aspergers may result from “face-blindness.” However, because some of those with Aspergers have normal facial recognition abilities, it is unlikely that social dysfunction prevents the development of such abilities. No significant differences in social skills have been found between “face-blind” Aspies and those with good facial recognition, which indicates that there is no correlation between social abilities and the ability to recognize faces.

Another hypothesis asserts that the inability to recognize faces may stem from a relatively low social interest in others and the avoidance of eye contact, which may necessitate looking away from faces and thus not developing a clear memory of their characteristics. If such behaviors begin in childhood, perceptual skills for remembering faces and their unique elements may not develop. This hypothesis claims that social skills deficits cause “face-blindness” rather than the other way around.

Yet another hypothesis regarding “face-blindness” in children and teens with HFA and Aspergers has to do with detail orientation. Aspergers create a tendency to fixate on certain characteristics of the face, and so the child may fail to see the face as a whole. Strangely enough, some research studies have found that those with HFA and Aspergers may be better able to recognize faces when they are upside down.

Difficulty Recognizing Peers—

“Face-blind” kids and teens don’t easily commit whole faces to memory in the way that most people do. Rather, they must rely on unusual features and other aspects of the individual to make an identification until they know that person very well. In extreme cases, facial recognition is never achieved, even for family members and close friends, but this is quite rare. Most children with Aspergers can recognize the faces of those they know well and are capable of developing strategies for improving recognition of peers.

Strategies for Coping with Face-Blindness—

Aspergers children and teens with “face-blindness” often rely on hairstyles, clothing, context (e.g., an area of the school where the peer is most commonly seen), and objects (e.g., an person’s car, glasses, cologne, etc.) to identify acquaintances. This is a good initial strategy, but it creates problems when the particular individual gets a haircut, adopts different styles of dress, gets contact lenses, or appears in a different context. Someone who can be recognized in one place (e.g., school) may be difficult to identify during a chance encounter at the Mall.

Tips for Children and Teens with Face-Blindness:

Here are some effective strategies for improving identification and reducing social anxiety...

• Pay close attention to hand gestures and facial expressions the individual makes frequently (e.g., how loudly he speaks, his body postures, other expressive features that could be used to identify him in the future). Focus on features that are u NOT likely to change.

• Spend time with an outgoing buddy or family member and arrange to have him greet others by name until you know them well enough to recognize them on your own.

• Choose a pleasant spot to sit and watch people, identifying characteristics of movement, facial expression, and other aspects that could be useful for identification purposes.

• Tell teachers and peers about the problem on first contact so that they will not feel insulted if you don’t recognize them at a future time. In some situations it can be helpful to tell a funny story about a time when you didn’t recognize someone. Having a laugh together can ease the tension of talking about the problem.

• When meeting someone for the first time, silently describe the face in your mind to commit features to memory (e.g., a full lower lip, a short nose, arched eyebrows, etc.). Note particularly any unusual or interesting features that will help make quicker identification in the future.

Parents can teach these recognition skills and strategies to their child and practice them together. It can also be helpful to tell the youngster's teachers about the problem and ask them to identify other students by name whenever possible, particularly early on in the school year.
 
Resources for parents of children and teens on the autism spectrum:
 

Children with High-Functioning Autism: "Gifted" or Hyperlexic?

Parents who have discovered that their young child is "gifted" because he/she may be able to recite the alphabet at 18 months of age, or can read words by the age of 2, may want to reassess the situation. Hyperlexia often coexists with High-Functioning Autism and Aspergers. Hyperlexia is not seen as a separate diagnosis; however, with current fMRI research revealing that hyperlexia affects the brain in a way completely opposite to that of dyslexia, a separate diagnosis may be on the horizon.

==> Click here for full article...

Repetitive Routines and Rituals in Aspergers Kids

Confusion about coping in a world that is overwhelming influences this behavior, so the youngster with AS responds to this uncertainty by being in control of their immediate environment, the objects in that environment, and the people in it. Repetitive motor mannerisms may occur when some kids are excited, anxious, or worried. For others, sensory sensitivities and physical enjoyment may drive repetitive jumping, arm flapping, twiddling of fingers in front of their eyes and covering ears and eyes with their hands.  

CLICK HERE for full article...

Aspergers Children and Poor Concentration

Why children with Aspergers and High-Functioning Autism have difficulty concentrating -- and what parents and teachers can do about it:



Teaching Students with Aspergers and HFA

Helping Aspergers Children Alleviate School-Related Stress

Research suggests that up to 80% of students with Aspergers and High-Functioning Autism experience school-related anxiety at some point during their school career. Anxiety Disorders such as OCD, Social Anxiety and Generalized Anxiety Disorder commonly co-occur with Aspergers.

When anxiety symptoms are untreated, they can further interfere with a child's quality of education. Kids with both Aspergers and Anxiety Disorders experience a more limited social world than kids with only one disorder. They may have difficulty in adapting at school by avoiding opportunities to make friends, join social activities, and break their usual rituals to try something new.



Although little is known about what anxiety symptoms look like in Aspergers students, the following symptoms (which overlap with Anxiety Disorders) indicate school-related anxiety:
  • Avoidance of new situations
  • Becoming "silly"
  • Becoming explosive easily (e.g., anger outbursts)
  • Increased insistence on routines and sameness
  • Increased preference for rules and rigidity
  • Increased repetitive behavior
  • Increased special interest
  • Irritability
  • Somatic complaints
  • Withdrawal from social situations

So, what can parents do to alleviate their Aspergers child’s school-related anxiety? Here are some tips:

1. Encourage sleep, exercise, and family mealtimes. It's not unusual for 30% - 40% of Aspergers children to get 6 hours of sleep or less (due to Aspergers-related sleep difficulties). Very few are getting the required hours that a child needs (which is 9 ½ hours). Adequate sleep alone will make a big difference in the child’s stress levels.

Exercise to help cope with stress is also an important step toward alleviating school-related anxiety. If all a child has is academics during the day and computer games during the evening, stress due to the lack of exercise is going to build up – and it's got to go somewhere. It's going to help if Aspergers kids are being physically active.

Family time is also crucial for cushioning stress. Having meals together is a good way to connect with your youngster (i.e., a minimum of 20 minutes sitting down together at least 4 to 5 times a week). Listen to your kid, and communicate with him.

2. Keep the fun in childhood. Kids often have too little unstructured time to relax and play, from a leisurely bike ride with friends to a Sunday hanging out at the park. School is their job, and you know how stressful jobs can be. If you don't go and have fun and forget about it for a little while, you're just going to take it with you the next day. And you’re not going to perform as well.

3. Over-scheduling is a big source of school stress. For example, many high-school students enroll in more Honors or Advanced Placement courses than they can handle, and then pile extracurricular activities on top.

If parents filled their kids' schedules with more sleep, down time, and family time, they would notice such a big difference in their children’s stress level. It would be that dramatic of a change. There are so many things to do now. It's not like you just go outside and play. Now there are clubs, sports, ballet, gym – plus you're trying to squeeze homework in there.

As a society, we're just in a whirlwind. For some Aspergers kids, this hurried lifestyle is a source of stress and anxiety that often leads to depression. The challenge is to strike a balance between work and play. If your youngster feels overly stressed and overwhelmed, look for ways to cut back on school work and extra activities (though that's not easy for overachieving parents to hear).

4. Teach kids time-management skills. With today's heavy homework loads, time-management and organizational skills are crucial weapons against stress. Teach your Aspergers kid to budget his time wisely with homework. For example, he should try to do something every night instead of cramming at the last moment.

5. Watch for signs of school-related stress. With Aspergers teens, parents should watch for stress-related behaviors, like purposely cutting themselves, or expressions of despair or hopelessness, however casual the comments may sound. Those are off-hand remarks that you need to take seriously. Younger kids may have more subtle signs of school stress (e.g., headaches, stomachaches, reluctance to go to school, etc.).

6. Watch the parental pressure. Some parents may not realize they're making school stress worse by pressuring their Aspergers kid to excel. But moms and dads who want to ease their youngster’s stress must shift their perspective.

Really think about how you're defining success in your family. If the first question out of your mouth when your child walks through the door is, “How did you do on that Math test today?” …then you're sending a message that you value grades more than anything else. Instead, ask: "What's the best thing that happened to you today?" "Did you learn anything exciting or new?" At first, the conversations may be awkward. It's going to take some practice. But just asking the questions in that way is starting to send the right message.

It's not easy for some parents to lighten up. Even moms and dads who wish to take a lower-key approach to child-rearing fear slowing down when they perceive everyone else is on the fast track. Try to keep in mind that a few low test grades won't torpedo your youngster's lifelong plans.

7. Use some stress-relieving homework tips:
  • Ask the school about resources if your Aspergers youngster is struggling academically. Many schools now have homework clubs, math clubs, and tutoring programs after school.
  • Give your youngster a quiet place to study, free of distractions, away from TV and video games.
  • If your youngster struggles with tracking his homework, help him by following along with homework if his school posts assignments online.
  • If possible, have your youngster study earlier rather than later in the day. The later it is for most children, the shorter their attention span.
  • Teach your youngster to use a planner to keep track of assignments. When he finishes each assignment, he can check them off for a feeling of accomplishment.

==> Parenting Children and Teens with High-Functioning Autism


 COMMENTS:

•    Anonymous said... Definitely applies to my anxious, perfectionistic, Aspie. I try to ask her more about the fun stuff after school every day.
•    Anonymous said... I have aspergers, GAD, OCD, and SPD and I hated school. I home school my kids I would never torture them with public schools. I was bullied even by my so called friends also one teacher. I am indifferent and easily annoyed by faux social BS. I do not require friends, however if I meet a person with similar interests I will engage and try to remember to ask them questions and I tell them that I have aspergers and I wont ever call them or anything so if they want to meet up to just call me and a couple do. (play dates which I normally hate) I like to limit my stress, noise blocking head phones, sunglasses so I can make sure I take my kids out to do lots of fun things. I do not handle schedules or appointments well at all. School is one big schedule! Im guessing parents of aspie kids make them shower every day. Big mistake! you just exhausted half their energy for the day. You can stay clean and not shower daily. Its like you dont take a hungry baby that hasnt napped out to the grocery store! Make them feel comfortable and if they are not figure out a way to make them comfortable, comfort is key to me and that includes my routine, how my clothing feel, list of things I require to function etc I shut down more then I melt down becuase I have a very understanding family that are so thoughtful to help not contribute to over stimulation. Comfort = peace, for me anyway
•    Anonymous said... This is totally my son, but he doesnt see it. He refuses to go to therapy and has missed 8 appointments due to refusal, he doesnt see anything is wrong. He now rarely goes to school. Has anyone else found luck getting treatment for teen who refuses to cooperate?

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