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Executive Function Deficit in Children on the Autism Spectrum

Children with High-Functioning Autism (HFA) and Asperger’s (AS) often face challenges related to their ability to interpret certain social cues. A term relating to these challenges is “executive functioning,” which includes skills such as inhibiting inappropriate responses, organizing, planning, and sustaining attention.

Difficulties with executive functioning can manifest themselves in a variety of ways. Some HFA and AS children have difficulty maintaining their attention or organizing their thoughts and actions. Some have difficulty with complex thinking that requires holding more than one train of thought simultaneously. Others pay attention to minor details - but fail to see how these details fit into a bigger picture. Problems with executive functioning can also be associated with poor impulse-control.

Executive function is a set of mental qualities that help the child execute certain skills, specifically (a) regulation (i.e., taking stock of the surroundings and changing behavior in response to it) and (b) organization (i.e., gathering information and structuring it for evaluation). These skills are controlled by an area of the brain called the frontal lobe. Executive function helps the child to avoid saying or doing the wrong thing, do things based on his or her experience, manage time, multitask, pay attention, plan and organize, remember details, and switch focus.



Your HFA or AS child may have significant problems with executive function if he or she: 
  • has to be constantly reminded to do homework or complete chores around the house
  • avoids tasks that require multiple steps or sustained attention
  • forgets to bring home materials for homework
  • completes homework and then forgets to hand it in
  • gets in trouble for talking during class
  • is consistently disruptive when the teacher is talking
  • gets upset when things don’t go his or her way
  • has difficulty when given instructions that have two or more steps
  • has trouble prioritizing homework assignments
  • has trouble organizing and planning long-term assignments
  • is disorganized and messy
  • is easily distracted
  • often blurts out answers and interrupts others when they are talking
  • starts homework assignments, chores, or work on a hobby, but often loses interest before the task is completed
  • tends to put off doing homework, school projects, studying for tests, or completing chores until the last minute
  • gets stuck on one possible solution when faced with a problem
  • has trouble coming up with alternative solutions

Additional warning signs that your youngster may be having problems with executive function include trouble in telling stories (verbally or in writing), starting activities or tasks, remembering, planning projects, memorizing, and estimating how much time a project will take to complete.

==> Preventing Meltdowns and Tantrums in Asperger's and HFA Children

How can parents and teachers manage executive function problems in children with HFA and AS? Here are 20 crucial tips:
 
  1. A posted classroom schedule can be very helpful for students on the autism spectrum (see above).
  2. Allocation of sufficient time for instructions, repetition of instructions, and individual student assistance is crucial.
  3. Assignment checklists can be used to break large, overwhelming tasks into manageable units. Teachers can break long assignments into chunks and assign time frames for completing each one.
  4. Creating pictorial checklists (e.g., cartoon picture of the student opening her Math book) and a visual reminder (e.g., countdown timer) of how long each task will take is another helpful strategy.
  5. Day planners, including PDAs, can help organize the HFA or AS child.
  6. Ask the school for permission to donate a beanbag chair that can be used as a "safe spot" for your child to go to briefly when he or she is feeling over-stimulated. The place should be quiet and peaceful (e.g., next to the secretary's desk, an adjoining room, a corner of the room partially closed off by furniture).
  7. Teachers can create separate work areas with complete sets of supplies for different activities.
  8. It’s important to make a checklist for getting through assignments (e.g., get out pencil and paper, put name on paper, put due date on paper, read directions, etc.).
  9. Have the child create his own visual schedules that he can look at them several times a day.
  10. Parents should meet with their child’s teacher on a regular basis to review work and troubleshoot problems.
  11. Minimizing clutter is vital.
  12. Having an organized work space is also very helpful.
  13. Parents and teachers should plan for transition times and shifts in activities.
  14. Preferential desk placement near the teacher and away from distractions is a good idea for kids on the spectrum.
  15. Have the child schedule a weekly time to clean and organize his or her work space.
  16. Teachers can use a weekly homework log that is sent from school to home and back, keeping all parties informed of work due and progress.
  17. Use calendars to keep track of long-term assignments, due dates, chores, and activities.
  18. Take advantage of tools such as time organizers, computers, or watches with alarms.
  19. Teachers should write the due date on the top of each assignment.
  20. Parents can use visual reminders (e.g., cartoon pictures of certain tasks) to remind their child when it’s time to start homework or complete a chore (see below).

The 7 executive functions include: emotional self-regulation, inhibition, non-verbal working memory, planning and problem solving, self-awareness, self-motivation, and verbal working memory. If your HFA or AS youngster can only remember two or three things at a time, often feels overwhelmed at school, has trouble getting started on tasks, and struggles with problem solving, he or she might have an executive function deficit.




==> More crucial information on how your child thinks can be found here...

 
 
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Meltdowns are not a pretty sight. They are somewhat like overblown temper tantrums, but unlike tantrums, meltdowns can last anywhere from ten minutes to over an hour. When it starts, the Asperger's or HFA child is totally out-of-control. When it ends, both you and your child are totally exhausted. But... don’t breathe a sigh of relief yet. At the least provocation, for the remainder of that day -- and sometimes into the next - the meltdown can return in full force.

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Although Aspergers [high-functioning autism] is at the milder end of the autism spectrum, the challenges parents face when disciplining a teenager on the spectrum are more difficult than they would be with an average teen. Complicated by defiant behavior, the teen is at risk for even greater difficulties on multiple levels – unless the parents’ disciplinary techniques are tailored to their child's special needs.

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Two traits often found in kids with High-Functioning Autism are “mind-blindness” (i.e., the inability to predict the beliefs and intentions of others) and “alexithymia” (i.e., the inability to identify and interpret emotional signals in others). These two traits reduce the youngster’s ability to empathize with peers. As a result, he or she may be perceived by adults and other children as selfish, insensitive and uncaring.

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The Social Traits of Students with Asperger's and HFA: Tips for Teachers




==> More information on the specific traits associated with AS and HFA can be found here...


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
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Support and Education for Parents of Children with Asperger's and HFA



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How to Make a Dentist Trip Less Stressful for Kids on the Spectrum



 
==> More parenting strategies for dealing with your child's stress and anxiety can be found here...

 
Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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The Family Contract: How to Set Effective Boundaries for Kids on the Autism Spectrum

“How do I set clear boundaries that I can enforce - and my child with high functioning autism will obey?”

The key to setting effective boundaries is to involve the entire family in the process. Get everyone on the same page. This is accomplished by implementing a “family contract” in which the house rules - and the consequences for violating those rules - are clearly explained and written on an actual contract.

In a family contract, parents agree to do certain things, for example:
  • encourage the child to achieve in all areas of life
  • hold the child accountable for the choices he makes, and ensure that he experiences privileges and unfortunate consequences that go with each choice
  • listen, and not overreact or judge the child for things that don't make sense to her
  • love the child for who she is
  • make themselves available to the child whenever he or she needs them – even when they are “busy”
  • never view the child as a failure, even when she makes mistakes
  • provide a comfortable, safe and mutually respectful place to talk honestly
  • provide the child with housing, food and clothing



In exchange, the AS or HFA child agrees to do certain things, for example:
  • apply himself in school and other activities
  • avoid threatening to do harm to self or others
  • avoid the use of drugs and alcohol
  • be honest, even when he or she doesn’t feel like it
  • be respectful towards everyone in this home
  • keep her promises and strive to be trustworthy
  • talk to parents when he is angry, upset or confused

All of these stipulations are written into the family contract, which is then placed in a visible area of the house to be reviewed and revised as often as needed.

==> Preventing Meltdowns and Tantrums in Asperger's and HFA Children

Regardless of the developmental stage of the AS or HFA youngster, some basic principles can help guide the process of developing an effective family contract: 
  • An effective family contract does not instill a loss of trust, shame, negative guilt, or a sense of abandonment; rather, it instills a sense of greater trust between the youngster and the parents.
  • The purpose of the contract is to help the child internalize rules, organize himself, and acquire appropriate behavior patterns.
  • The temperaments of the youngster and the parent require flexibility. Kids with “special needs” and developmental delays need additional accommodations.

Kids raised without reasonable limits will have difficulty adjusting socially out in the real world. In a family contract, rules are established so that the AS or HFA child can learn to live cooperatively with other people in the family. This is a crucial skill for kids on the autism spectrum because (a) they already have social skills deficits by virtue of the disorder, and (b) we are all social creatures by nature, and therefore must learn to get along (e.g., at home, school, work, and the community at large).

Here are a few tips that will help promote an effective family contract:
  1. Just concentrate on two or three rules at first.
  2. Allow for your youngster’s temperament and individuality.
  3. Apply consequences as soon as possible.
  4. In general, it is more effective to anticipate and prevent undesirable behavior than to punish it. Thus, when possible, deal with the difficult behavior in advance - or away from - the actual misbehavior, not in the heat of the moment. An “away-from-the-moment” discussion can help prevent undesirable behavior by giving you the opportunity to teach your youngster the desirable behavior in advance. 
  5. Apply rules consistently.
  6. Avoid nagging and making threats without consequences.
  7. Do not enter into arguments with your youngster during the correction process.
  8. Ensure that your youngster knows the correction is directed against the behavior and not him or her as a person. 
  9. Always guard against humiliating your youngster during the corrective process. 
  10. Model forgiveness and avoid bringing up past mistakes.
  11. Ignore unimportant and irrelevant behavior (e.g., swinging legs while sitting at the dinner table).
  12. Know and accept age-appropriate behavior (e.g., spilling a glass of milk is not willful defiance for a 4-year-old, whereas refusing to wear a bicycle helmet after repeated warnings is willful defiance in a 6-year-old).
  13. Make the consequences brief (e.g., time-outs should last one minute per year of the youngster’s age, to a maximum of five minutes).
  14. Mean what you say – but say it without yelling at your youngster. 
  15. Be sure to prioritize. Safety always comes first, correcting behavior that harms people and property comes second, and unwanted behaviors (e.g., whining, tantrums, interrupting etc.) comes third. 
  16. Reinforce desirable behavior (e.g., praise positive behavior and “catch” your child being good).
  17. Make consequences realistic (e.g., grounding for two weeks may not be feasible).

 ==> Preventing Meltdowns and Tantrums in Asperger's and HFA Children

How do you know whether or not you have an effective family contract in place? It’s effective if you are accomplishing most of the following:
  • your child can tolerate discomfort when necessary
  • discipline is applied with mutual respect in a firm, fair, reasonable and consistent way
  • your child is assertive without being aggressive or hostile
  • it fosters the development of your youngster’s own self-discipline
  • your youngster always knows that you love and support him or her
  • it helps the youngster to develop a healthy conscience and an internal sense of responsibility and control
  • it helps your youngster fit into the real world happily and effectively
  • it teaches and guides the child, and doesn’t just force him or her to obey
  • your child is considerate of the needs of others
  • it protects the youngster from danger
  • your child is able to postpone pleasure
  • he or she is able to respect your authority - and also the rights of others

The bottom line is this: Social skills deficits are what give children on the autism spectrum the most problems in life. This is why it’s so terribly important for them to get acquainted with social order as soon as possible. And the best way to accomplish this goal is through the ongoing use of a formal family contract. In this way, when the child begins school life and encounters the list of “school rules” to abide by, the idea of following established rules - and receiving consequences for violating those rules - will not be a foreign concept to the child.

==> Methods for dealing with meltdowns, shutdowns, and tantrums in these "special needs" young people can be found here...

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