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Echolalia in Children with Aspergers & High-Functioning Autism

"Our son (high functioning) will memorize a line from a movie that he really was captivated by, and repeat that line over and over all day long. Is this a trait of autism? another one our son does is constantly tell us what's happening in whatever he's watching on the TV, even if we're actually watching it ourselves! We think it's his way of processing what he see's to help him understand it."

A common symptom of Aspergers and High-Functioning Autism includes repetition of words and phrases. In many cases, these phrases are related to something the youngster has been exposed to (e.g., a movie, book, song, etc.). The youngster may continue to say the word or phrase throughout the day or even throughout the following week.

If you're the mother or father of a verbal youngster diagnosed with Aspergers or HFA, you may have heard him or her repeat bits and pieces from videos or other sources. This type of communication is called "echolalia." It's a unique form of speech, and although it's thought of as a "symptom," it can also be a great place to start working with your youngster.

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

Echolalia is literally the repetition of words and sounds the child has heard either recently or quite a while ago. Verbal kids on the autism spectrum are often "echolalic" (i.e., they do use words, and sometimes even use those words appropriately, but their word choice is based on a memorized pattern).

Sometimes, echolalia is immediate (e.g., dad says, "Michael, do you want a sandwich?" …and Michael responds, "You want a sandwich"). Just as often, echolalia is delayed (e.g., a youngster hears a line on television such as "got milk?" …and later when he's thirsty, he may say "got milk?" in exactly the same tone and accent as the ad on television). In both of these cases, the echolalia may sound odd, but in fact it's a method the autistic youngster has developed for communicating his/her wants and needs. The fact that the child has done so means that he/she is able to do much more with the help of a speech therapist.



In some cases, echolalia is less functional, but it's usually a good starting point for speech and/or play therapy. For example, a youngster might memorize entire segments of a favorite movie and recite them over and over. The youngster's purpose in reciting may be to calm down or reduce stress, but the recitation may also indicate a real fascination for aspects of the movie.

Children on the spectrum do interact and communicate; however, they do so in different ways. They are truly more normal than abnormal. Even echolalia is a normal way to learn language. Most kids use echolalia to learn language. The majority of kids babble in a rhythmic way, which is actually mimicking the cadence of language. Later, they copy sounds, words, and eventually phrases and sentences that they hear grown-ups use in specific, repetitive contexts. Echolalia peaks at around age 30 months in “typical” kids, and then decreases.

Echolalia was once thought of as just another inappropriate behavior to eliminate in a child with Aspergers or HFA; however, researchers currently see it as a developmental phenomenon that occurs within the youngster's normal cognitive and linguistic maturation. Echolalia appears to be a "normal" step in the child's cognitive and language maturation, and is intrinsically rewarding to the youngster. The reinforcer is actually the youngster being able to match what others say.

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

Many kids on the spectrum become experts at echoing the content of what is said by others, as well as the voice, inflexion, and manner in which the words were originally spoken. The value of echolalia for the child may be that the echoed words and contextual cues become stored information for him or her to refer to later as an internal rehearsal of the event.

The presence of echolalia has actually been identified as a positive sign in children with Aspergers and HFA. The presence of echolalia is an important prognostic indicator for future language growth. It appears that echolalia provides the "raw material" for further language growth. Kids on the spectrum who are echolalic developed good phrase speech later in life whether or not they received intensive language training.



If echolalia is one of the phases of normal language development, it would appear that continued echolalia indicates that the child is "stuck" at that level of development for a time, but then seems to overcome it and develop more normal speech patterns.

Regardless of the utility of echolalia for the child, the habit can interfere with social interaction and learning. Therefore, most therapists focus on helping the child move to a more creative form of language. A child with Aspergers or HFA is more likely to use echolalia when he or she had not learned an appropriate response to a particular question or request.


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

==> 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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

==> Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.


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

How To Implement a Token Economy System for Aspergers Kids

“I want to implement a Token Economy system with my 12 year old Aspie.  Can you give me detailed instructions on how to do this?”

Actually, a token (or economy) system is quite easy to set up. Here’s how:

1. Identify the behaviors for which your child can earn credits. An example of a good behavior would be if he took it upon himself to start and complete his homework without having to be asked twice to do so. Then you would award him a token.

2. Decide the "currency" used. Every time your "Aspie" (i.e., high functioning autistic child) does something positive, then he would earn a token (e.g., a sticker, points, poker chips, monopoly money, etc.). You can even offer bonus points for doing certain chores.

3. Determine the value of the currency (i.e., how many tokens your child should receive for each good behavior – and how many he should lose for each bad behavior). For example, he could earn 5 tokens for every time he takes the trash out without having to be asked twice, and he could lose 3 tokens for every time he picks on his sister. (Caution: If you subtract too many tokens, he will feel like there is no way to win in this game – and he will quit. In this case, you could subtract tokens for every third time he picks on his sister.)



4. Decide what type of privileges your child should receive for his tokens (e.g., a few extra minutes of computer time, a later bedtime, coloring book, favorite snack, etc.). Be sure to pick the rewards that he is truly interested in. Also, whenever you give your child a token, be sure to praise him and explain why he is receiving the token. In this way, he will know what behaviors to repeat in the future. Praise in itself is a reward, motivator – and it builds self-esteem. All kids like to hear how well they are doing.

5. Give the reward items a cost so that your child can turn in his tokens for the different rewards (e.g., 30 minutes extra time on the computer costs 10 tokens, going out for pizza costs 20 tokens, etc.). Also, be sure to have rewards with a higher value to motivate your child to maintain good behavior, but also have items at a lower value since they will be easier for him to obtain.


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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

==> Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.


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

What I Like About Having Aspergers

These kids will tell you why they like having Aspergers:





Primary Comorbid Conditions Associated with Asperger's and High-Functioning Autism



In 1987, I started doing music therapy with children who had High-Functioning Autism (HFA). Although we didn't call it HFA at that time, we knew that some autistic children were higher functioning than others. I have always said - and continue to believe - that if you have an undiagnosed HFA child WITHOUT any comordid conditions, you have a child who may go his or her entire life without ever being diagnosed with HFA.

The child might be viewed as a little weird by peers, but without any comorbid conditions, few - if any - adults (e.g., parents, teachers, etc.) would ever suspect that the child had HFA. This is because HFA has few problematic symptoms in-and-of itself. Most often, it is the conditions associated with HFA that indicate something is not quite right. For example, an alarming number of children who were eventually diagnosed with Asperger's were first diagnosed with ADHD years earlier.

Unfortunately, in my 25+ years of experience, I have never met a child with HFA or Asperger's that did NOT have at least one comorbid condition. But, the good news is that most comorbid conditions are very treatable.


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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

==> Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.


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

Behavioral Support for Students with Autism Spectrum Disorder

Effective behavioral support for a student with special needs requires highly individualized strategies that address the primary areas of difficulty in managing anxiety, communication, preferences for sameness and rules, ritualistic behaviors, social understanding and interactions, and sensory sensitivities.

While the specific components of a positive behavioral support plan will vary from child to child, the following tips will assist teachers as they work towards achieving the best outcomes on behalf of their special needs student:

1. Students with special needs experience communication difficulties. While they are able to use language quite effectively to discuss topics of interest, they may have great difficulty expressing sadness, anger, frustration and other important messages. As a result, behavior may be the most effective means to communicate when words fail.

2. Since behaviors are influenced by the quality of relationships with teachers, teachers should monitor their own behavior when working with special needs kids. Each time a teacher reprimands a child for misbehavior, an opportunity may be lost to "reframe" the moment in terms of the child’s need to develop alternative skills.



3. Schools that focus on suspension and expulsion as their primary disciplinary approach (rather than on teaching social skills and conflict resolution) are typically less effective.

4. Parents, teachers, and other school staff should collaborate on a behavior support plan that is clear and easily implemented. Once developed, the plan should be monitored across settings and regularly reviewed for its strengths and weaknesses. Inconsistencies in expectations and behaviors will only heighten the challenges demonstrated by a child with special needs.

5. Never assume that special needs students know appropriate social behaviors. While these kids are quite gifted in many ways, they will need to be taught social and communication skills as carefully as academic skills.

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


6. “Antecedents” are events that happen immediately before the student’s difficult behavior. “Setting events” are conditions that can enhance the possibility that a child may engage in difficult behavior (e.g., if a child is sick, hungry or tired, she may be less tolerant of schedule changes). By understanding settings events that can set the stage for difficult behaviors, changes can be made on those days when a child may not be performing at her best to (a) reduce the likelihood of difficult situations and (b) set the stage for learning more adaptive skills. In the classroom, many antecedents may spark behavioral incidents (e.g., many children with special needs have difficulty with noisy, crowded environments).

Therefore, the special needs student who becomes physically aggressive in the hallway during passing periods may need to leave class a minute or two early to avoid the congestion which provokes this behavior. Over time, the child may learn to negotiate the hallways simply by being more accustomed to the situation, or by being given specific instruction or support.

7. A major issue is fitting special needs children into typical disciplinary practices. Many of these kids become highly anxious by loss of privileges, time outs or reprimands, and often can’t regroup following their application.

8. Behavior serves a purpose. The purpose or function of the behavior may be highly idiosyncratic and understood only from the perspective of the child. Students with special needs generally do not have a behavioral intent to disrupt the classroom, but instead difficult behaviors may arise from other needs (e.g., self-protection in stressful situations).

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

9. Children with special needs need to be taught acceptable behaviors that replace difficult behaviors, but that serve the same purpose as the difficult behaviors. For instance, the child may have trouble entering into a basketball game and instead inserts himself into the game, thus offending the other players and risking exclusion. Instead, the child can be coached on how and when to enter into a game.

10. Lastly, it is important to understand the idiosyncratic nature of special needs students and to consider difficult behaviors in light of characteristics associated with their disorder. Here are some general traits of the special needs student:
  • Academic difficulties: restricted problem solving skills, literal thinking, deficiencies with abstract reasoning.
  • Behavior serves a function, is related to context, and is a form of communication.
  • Emotional vulnerability: low self-esteem, easily overwhelmed, poor coping with stressors, self-critical.
  • Impairment in social interactions: difficulty understanding the “rules” of interaction, poor comprehension of jokes and metaphor, pedantic speaking style.
  • Inattention: poor organizational skills, easily distracted, focused on irrelevant stimuli, difficulty learning in group contexts.
  • Insistence on sameness: easily overwhelmed by minimal changes in routines, sensitive to environmental stressors, preference for rituals.
  • Poor motor coordination: slow clerical speed, clumsy gait, unsuccessful in games involving motor skills.
  • Restricted range of social competence: preoccupation with singular topics, asking repetitive questions, obsessively collecting items.



Too often, the focus of a behavior management plan is on discipline (i.e., strategies that focus exclusively on eliminating problematic behavior). Plans like this don’t focus on long-term behavioral change. An effective plan should expand beyond issuing consequences (e.g., time outs, loss of privileges, suspensions, etc.) and focus on preventing the problem behavior by teaching socially acceptable alternatives and creating a positive learning environment.

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

==> 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

==> Highly Effective Research-Based Parenting Strategies for Children with Asperger's and High-Functioning Autism

==> Do you need the advice of a professional who specializes in parenting children and teens with Autism Spectrum Disorders?  Sign-up for Online Parent Coaching today.


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

Crucial Strategies for Parents of Challenging Kids on the Autism Spectrum

    Resources for parents of children and teens on the autism spectrum :   ==> How to Prevent Meltdowns and Tantrums in Children ...