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Can Probiotics Help With Asperger's or Not?

One clinical review published in 2015 in the Pediatric Health, Medicine and Therapeutics journal looked at the overlap between digestive health and autism spectrum disorders like Asperger's. 

A meta-analysis found that for every 4 children with autism spectrum disorders at least 1 was found to have some sort of gastrointestinal symptom and this was lower in children without ASD.  


The most common symptoms were increased gas at 60% Bloating, diarrhea, acid reflux under 50%, and constipation the least common symptom found in 10% of participants. It's thought that through the gut & brain axis, gut health could affect Asperger's. 


The Microbiome of Autistic Children 

 

Through stool & urine samples it is possible to test the bacteria makeup of the microbiome and see if there is dysbiosis or not. This first study from 2010 found that children with Autism had a higher concentration of Clostridium genus pathogenic bacteria in their gut. 


A second 2012 study started by saying that gastrointestinal disturbances were more common in children with autism possibly due to changes in microbiome flora. The researcher's previous work found more pathogenic Alcaligenaceae bacteria in autistic children and none in non-autistic control children. 


In further testing, they found Sutterella bacteria in 12 children with autism and none of these same bacteria in a testing group of 9 children who did not have autism. The specific strains found were Sutterella wadsworthensis and Sutterella stercoricanis. It's thought that because these bacteria were found in over 50% of children there could be some significance. 


Can Probiotics Help with Asperger's or Not? 

 

To help answer the question of whether probiotic supplements can help with Asperger's and autism spectrum disorder we will take a look at this incredible study carried out by Professor Glenn Gibson, published in 2007.  


The study started by once again confirming that the intestines of autistic children were likely to have higher amounts of Clostridium histolyticum bacteria compared to non-autistic children and that autistic children were also more likely to experience gastrointestinal symptoms like bloating and gas. 


Researchers from the Food Microbiology Sciences Unit at Reading University created a probiotic containing Lactobacillus Plantarum probiotic bacteria and their theory was that this specific strain could potentially destroy clostridia pathogenic bacteria by making it a hostile environment for the bad bacteria to grow.

 

To test this theory a straightforward placebo trial was set up with 40 children 4 to 8 years old recruited. At random, half were asked to take the L. Plantarum probiotic once per day in powdered form for 3-weeks. The other 20 were given a placebo probiotic that contained NO bacteria. 


The results were so clear in that when the time came for the 20 children to switch from real probiotics to fake, the parents refused to do it because of the benefits they had noticed in their children. The parents wanted their children to continue taking a probiotic supplement. 


The study was lacking details and the results were not definitive because many of the parents refused to continue with the placebo but some interesting effects were shared. The parents noted that their children had fewer IBS symptoms, better-formed stools, improved concentration, more calmness, and less stress. When they stopped taking the L. Plantarum probiotic it was noted that these symptoms all returned. 


Dr. Qinrui Li's Thoughts on Probiotics for Autism & Asperger's 

 

This huge 2017 review looked at over 100 papers on probiotics and autism, we got some valuable insight from one Bejing Doctor called Qinrui Li and some other Doctors from Sacramento California. 


In her conclusion, she said that abnormal gut flora was linked to ASD and that modulating the gut flora with probiotics, prebiotics and a gluten-free diet could potentially be cheap safe therapy. 


She did also however claim that more "well designed" studies with "more participants" were needed to make any sure gone conclusions on the role between gut microbiota & autism spectrum disorders. 


Closing Thoughts: More High-Quality Studies are Needed 

 

It's clear through numerous studies that the microbiome seems to be altered in children with Asperger's because of Dysbiosis which leads to an imbalance in good and bad bacteria. It seems that this contributes to digestive symptoms similar to IBS that negatively impact the lives of children with Asperger's. 


Studies into whether probiotics can help with Asperger's are inconclusive and there is no definitive study that proves probiotics can treat, cure or help all children with ASD. Different probiotic strains have different effects and every child has their unique microbiome regardless if they have Asperger's or not. More studies like the one Professor Gibson conducted are needed to prove whether or not probiotic supplements can help or not. 

Kids with ASD Who Worry Excessively: Crucial Tips for Parents

"I need some advice on how to help a very anxious son (with ASD) to deal with his strong emotions. He is very unsure of himself, needing constant reassurance and last minute accommodations."
 
Some kids with ASD [High-Functioning Autism] worry excessively and are often overly tense and uptight.  Some may seek a lot of reassurance, and their fears may interfere with activities. Moms and dads should not discount their youngster’s concerns – even when they seem unrealistic. 

Because fretful kids on the autism spectrum may also be quiet, compliant and eager to please, their difficulties may be missed.  The parent should be alert to the signs of excessive worrying so he/she can intervene early to prevent complications.

There are 3 different types of worries in these young people:
  1. fretting about being separated from the parent (e.g., being overly clingy, constant thoughts about the safety of parents, extreme worries about sleeping away from home, frequent stomachaches and other physical complaints, panic or tantrums at times of separation from the mother or father, refusing to go to school, trouble sleeping or nightmares, etc.)
  2. fretting about getting physically hurt (e.g., extreme apprehension about a specific thing or situation like getting bit by a dog, stung by a bee, stuck with a needle, etc.)
  3. fretting about being around people who are not familiar (e.g., avoidance of social situations, worries of meeting or talking to new people, few friends outside the family, etc.)
 
Other symptoms of excessive worrying in kids on the spectrum may include:
  • constant concerns about family, school, friends, or activities
  • fear of making mistakes
  • low self-esteem
  • lack of self-confidence
  • fears about things before they happen
  • repetitive, unwanted thoughts (obsessions) or actions (compulsions)

Moms and dads can help their child develop the skills and confidence to overcome excessive worrying so that he/she doesn't develop phobic reactions to certain stimuli.





To help your youngster deal with worries and anxieties, consider the follow tips:

1. Don't cater to your child’s fears. If your youngster doesn't like dogs, don't cross the street deliberately to avoid one. This will just reinforce that dogs should be feared and avoided. Provide support and gentle care as you approach the feared object or situation with your youngster.

2. Never belittle your child’s concerns as a way of forcing him to overcome them. Saying, "Don't be ridiculous! There are no monsters in your closet!" may get your youngster to go to bed, but it won't make the related anxiety go away.

3. Recognize that your child’s worries are real. As trivial as it may seem to you, it feels real to her – and it's causing her to feel nervous and afraid. Being able to talk about these feelings helps. Words often take some of the power out of the negative feeling. If you talk about it, it can become less powerful.

4. Teach coping strategies. Using you as "home base," your youngster can venture out toward the feared object, and then return to you for safety before venturing out again.

5. The youngster can learn some positive self-statements, such as, "I can do this" and "I will be OK" …to say to herself when feeling out of sorts.


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


6. Relaxation techniques are helpful, including visualization (e.g., floating on a cloud, lying on a beach, etc.) and deep breathing (e.g., imagining that the lungs are balloons and letting them slowly deflate).

7. Teach your child to rate his level of worry. A youngster who can visualize the intensity of his fears on a scale of 1 to 10, with 10 being the strongest, may be able to "see" the anxiety as less intense than first imagined. The child can think about how "full of fear" I am, with being full "up to my knees" as not so afraid, "up to my stomach" as more frightened, and "up to my head" as truly petrified.

8. If your youngster's apprehension consistently seems out of proportion to the cause of the stress, this may signal the need to seek outside help (e.g., counselor, psychiatrist, psychologist). Moms and dads should look for patterns. If an isolated incident is resolved, don't make it more significant than it is. But if a pattern emerges that's persistent or pervasive, you should take action. Contact your doctor and/or a mental health professional that has expertise in working with children and teens on the autism spectrum.

The key to resolving excessive worries and anxieties is to overcome them. Using the suggestions above, you can help your youngster better cope with life's situations.


Preparing Your ASD Child for Transition to Middle-School

Parents who have children that will attend middle-school for the first time later this year need to initiate preparations pronto!

Another school year has ended, summer is here, and for some students, this was their last year of elementary school. This is not necessarily good news for children with ASD [High-Functioning Autism]. Why?



First, THE most difficult transition for most students (ASD or not) is that of going on to middle-school. This is largely due to the fact that, for the first time in the student’s life, he/she will have several teachers AND a much larger school population to contend with. Gone are the days where the child enjoyed having only one familiar teacher and only one relatively small classroom.

Second, children with ASD have difficulty with transitions in general – especially one this dramatic.

In general, a child’s intrinsic motivation toward school (i.e., the desire to do schoolwork for its own sake rather than for an external reward) has been found to decrease with age. Intrinsic motivation especially drops during transitions between schools (e.g., from elementary school to middle-school). In other words, children may get a great deal of pleasure from doing science projects in the 5th grade but feel like they are doing a project "just to do it" in the 7th or 8th grade.
 

After entering middle-school, children tend to get lower grades than they did in elementary school. This drop does not seem to occur because of any cognitive or intellectual changes. In fact, children perform just as well on standardized tests after entering middle-school as they did before. It also does not seem that grading becomes more difficult after the transition to middle-school. Therefore, a child’s lower grades seem to reflect an actual change in how he is performing during middle-school as compared to elementary school; he appears to place academics at a lower importance than he did earlier in his life.

Also, children perceive themselves to be less academically competent in middle-school than they did in elementary school. Over the course of just one year, many kids on the spectrum begin to lose belief in their own academic abilities, and a sense of low self-esteem kicks-in. This finding is important because children who think that they can do well in school are more likely to actually perform well. Oddly enough, the strongest children seem to experience the biggest drop in belief about their abilities over the middle-school transition.

Research has shown that students with ASD are less interested in school, perform more poorly in their classes, and see themselves as less academically capable during middle-school than during elementary school. Figuring out why these negative changes occur is not easy and is the subject of ongoing research. 
 
There are probably many developmental reasons for the changes (e.g., shifting interests, the beginning of distracting bodily changes, bullying, sensory sensitivities, a larger building to navigate, more peers to try to relate to, being ostracized from "the peer-group" if you can't "fit-in" or be "cool," etc.). In addition, there seem to be increasing demands from educators and parents for kids to get good grades rather than to simply enjoy the learning process. But exactly how much each factor affects children remains unclear.

Many of the factors that affect ASD children during the middle-school transition are beyond the parent’s control. Still, the parent can play a role in keeping the child engaged in school. For one, parents can continue to emphasize the importance of "love of learning" during the middle-school years. Parents do this naturally during elementary school when grades are less prominent and important, thus they should keep up a similar attitude after the transition. 
 

Second, parents can encourage their youngster to realistically assess her academic abilities. As mentioned earlier, strong children tend to stop believing in themselves most of all after the transition. Parents’ supportive words can help children remember that they are competent.

Lastly, simply keep these findings in mind. Recognize that the middle-school transition is difficult and that your child may show signs of less school engagement after the transition. Try to be understanding of the challenging changes he/she is facing, and know that with some time and support, his/her passion for learning will hopefully reignite.

To help your youngster adjust, begin discussing the types of changes he can expect long before that first day of class. Take your time and be there to answer any questions your youngster might have. 

Here are a few tips parents can take to prepare their youngster for the challenges and benefits of middle-school:

1. Many kids with ASD may worry about finding their classes, opening their lockers, or dressing for gym class. Address the youngster's fears one by one, and point out that everyone in her class is new to the school and the school rules. Also, point out that many of her fears will be addressed at an open house or school orientation. In the meantime, spend a little time showing your child how to use a locker combination and offer tips on getting to her classes on time.

2. There are a number of books on the market that can prepare your youngster for the adjustments of middle-school. Some are very specific, written exclusively for ASD boys and girls. It's not a bad idea to make an investment in one of these resources. They may even help you better understand some of the challenges your youngster will face, and that can help you help your child. A good eBook on the market is Teaching Social Skills and Emotion Management.

3. You may want to begin giving your child a little independence once she starts middle-school. For many families, it's during the middle-school years when kids may be left home alone for the first time. This milestone should be approached carefully and with much consideration and preparation. Take time to transition your child from constant supervision - to home alone, and check-up on her periodically to make sure she's using her time alone wisely.

4. Homework during the middle-school years tends to increase, and moms and dads can often find themselves unable to help with specific subjects. But they can still do quite a lot to help their kids tackle homework assignments and complete class projects (e.g., setting up an environment that helps your middle-schooler concentrate on homework in order to complete it quickly; keeping a family calendar in order to track special assignments and projects and keep your middle-schooler organized, etc.).

5. Many changes take place during the pre-teen years, and your youngster probably has questions or concerns about all of them. Discuss some of the changes your child will likely encounter, and role-play how to deal with some of the more difficult challenges. For example, your child will likely encounter new school-rules when she begins middle-school. What should she do if she breaks one of them accidentally? How should she respond?

6. Touring your youngster's new school is a wonderful way to answer any questions your child might have about middle-school and ease any anxieties. A tour will show her where she can find all the places she'll have to go in the course of the day (e.g., gym, cafeteria, locker, etc.), and that will give her a sense of confidence on her first day.

7. Bullying tends to peak in the 7th and 8th grade and diminish slightly every year after. Unfortunately, most kids on the spectrum will encounter bullying at some point during middle-school. The best way to protect your youngster is to sit down and discuss behaviors common in middle-school (e.g., bullying, experimenting with tobacco, etc.). These young people who are being bullied may try to hide the fact from family members or educators, so be sure you know the signs of bullying in order to take quick action.

8. The idea of moving up to middle-school can be scary for some kids. But it's important that children understand that middle-school offers many benefits and opportunities. Talk to your child about all the organizations and clubs she'll be able to join, as well as the independence that comes with being older and more mature. Point out all the opportunities your youngster's school offers, and encourage her to become involved right away, when everyone in her class is just as new to the school as she is.

ASD: Tantrums, Rage, and Meltdowns - What Parents Need to Know

Question

My eldest boy J___ who is now 5-years-old was diagnosed with ASD (level 1) last July. We did 6 months of intense therapy with a child psychologist and a speech therapist before we moved over to Ghana. J___ has settled in well. He has adjusted to school very well and the teachers who are also expats from England are also dealing with him extremely well.

My current issue is his anger. At the moment if the situations are not done exactly his way he has a meltdown. Symptoms are: Extreme ear piercing screaming, intense crying, to falling down on the floor saying he is going to die. I have tried to tell him to breathe but his meltdown is so intense that his body just can't listen to words. I then have asked him to go to his room to calm down. He sometimes (very rarely) throws things across the room, but does not physically hurt anyone. As I have two younger boys (ages 1 and 3) I still need to be aware of their safety. I then managed to put J___ in his room with the help of a nanny. He throws all blankets off the bed (which doesn't bother me) and then hides under them. Today I waited 10 minutes then went upstairs to talk to him, but he then started again with the extreme crying and screaming at me. It took him over an hour to calm down fully. The situation arose as the nanny and I were helping him to make muffins and the nanny put a spoonful of the mixture into the muffin tin.

I am requesting your help on ways to calm him down in a manner that is acceptable. He is getting too old to be put in the "thinking corner/naughty corner" and I am a petite person so I'm not going to physically put him there. I am finding his resistance at the moment is a lot with me and his father.

I have structures in place by visual laminated pictures of how the morning is run and the structure before bed. This works fine, but like I said when things aren't done exactly his way, he can have an outburst in a flash. Please give me some strategies on how I can better manage these meltdowns.

FYI - he was diagnosed on the border on the CARS model. I have found a qualified speech therapist who is from England which we go to once a week (but as it is summer break we don't go back to August) to assist with his pragmatic language.


Answer

Problems related to stress and anxiety are common in kids with ASD (high-functioning autism). In fact, this combination has been shown to be one of the most frequently observed comorbid symptoms in these children. They are often triggered by or result directly from environmental stressors, such as:
  • a sense of loss of control
  • an inherent emotional vulnerability
  • difficulty in predicting outcomes
  • having to face challenging social situations with inadequate social awareness
  • misperception of social events
  • rigidity in moral judgment that results from a concrete sense of social justice violations.
  • social problem-solving skills
  • social understanding

The stress experienced by kids with ASD may manifest as withdrawal, reliance on obsessions related to circumscribed interests or unhelpful rumination of thoughts, inattention, and hyperactivity, although it may also trigger aggressive or oppositional defiant behavior, often captured by therapists as tantrums, rage, and “meltdowns”.
 

Educators, therapists, and moms/dads often report that kids on the spectrum exhibit a sudden onset of aggressive or oppositional behavior. This escalating sequence is similar to what has been described in children on the spectrum, and seems to follow a three-stage cycle as described below. Although non-autistic kids may recognize and react to the potential for behavioral outbursts early in the cycle, many kids and teenagers with the disorder often endure the entire cycle, unaware that they are under stress (i.e., they do not perceive themselves as having problems of conduct, aggression, hyperactivity, withdrawal, etc.).

Because of the combination of innate stress and anxiety and the difficulty of kids with ASD to understand how they feel, it is important that those who work and live with them understand the cycle of tantrums, rage, and meltdowns, and the interventions that can be used to promote self-calming, self-management, and self-awareness as a means of preventing or decreasing the severity of behavior problems.

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The Cycle of Meltdowns

Meltdowns typically occur in three stages that can be of variable length. These stages are (1) the “acting-in” stage, (2) the “acting-out” stage, and (3) the recuperation stage.

The “Acting-In” Stage

The “acting-in” stage is the initial stage of a tantrum, rage, or meltdown. During this stage, kids and teenagers on the autism spectrum exhibit specific behavior changes that may not seem to be related directly to a meltdown. The behaviors may seem minor. That is, children with ASD may clear their throats, lower their voices, tense their muscles, tap their foot, grimace, or otherwise indicate general discontent. Furthermore, somatic complaints also may occur during the “acting-in” stage. Kids also may engage in behaviors that are more obvious, including emotionally or physically withdrawing, or verbally or physically affecting someone else. For example, the youngster may challenge the classroom structure or authority by attempting to engage in a power struggle.

During this stage, it is imperative that a mother/father or educator intervene without becoming part of a struggle. The following interventions can be effective in stopping the cycle of tantrums, rage, and meltdowns – and they are invaluable in that they can help the youngster regain control with minimal adult support:

1. Intervention #1 involves displaying a chart or visual schedule of expectations and events, which can provide security to kids and teenagers with ASD who typically need predictability. This technique also can be used as advance preparation for a change in routine. Informing kids of schedule changes can prevent anxiety and reduce the likelihood of tantrums, rage, and meltdowns (e.g., the youngster who is signaling frustration by tapping his foot may be directed to his schedule to make him aware that after he completes two more problems he gets to work on a topic of special interest with a peer). While running errands, moms and dads can use support from routine by alerting the youngster in the “acting-in” stage that their next stop will be at a store the youngster enjoys.

2. Intervention #2 involves helping the youngster to focus on something other than the task or activity that seems to be upsetting. One type of redirection that often works well when the source of the behavior is a lack of understanding is telling the youngster that he can “cartoon” the situation to figure out what to do. Sometimes cartooning can be postponed briefly. At other times, the youngster may need to cartoon immediately.

3. Intervention #3 involves making the autistic child’s school environment as stress-free as possible by providing him/her with a “home-base.”. A home-base is a place in the school where the child can “escape.” The home-base should be quiet with few visual or activity distractions, and activities should be selected carefully to ensure that they are calming rather than alerting. In school, resource rooms or counselors' offices can serve as a home-base. The structure of the room supersedes its location. At home, the home-base may be the youngster's room or an isolated area in the house. Regardless of its location, however, it is essential that the home-base is viewed as a positive environment. Home-base is not “timeout” or an escape from classroom tasks or chores. The youngster takes class work to home-base, and at home, chores are completed after a brief respite in the home-base. Home-base may be used at times other than during the “acting-in” stage (e.g., at the beginning of the day, a home base can serve to preview the day's schedule, introduce changes in the typical routine, and ensure that the youngster's materials are organized or prime for specific subjects). At other times, home-base can be used to help the youngster gain control after a meltdown.

4. Intervention #4 involves paying attention to cues from the child. When the youngster with begins to exhibit a precursor behavior (e.g., throat clearing, pacing), the educator uses a nonverbal signal to let the youngster know that she is aware of the situation (e.g., the educator can place herself in a position where eye contact with the youngster can be achieved, or an agreed-upon “secret” signal, such as tapping on a desk, may be used to alert the youngster that he is under stress). A “signal” may be followed by a stress relief strategy (e.g., squeezing a stress ball). In the home or community, moms and dads may develop a signal (i.e., a slight hand movement) that the mother/father uses with their youngster is in the “acting-in” stage. 
 

5. Intervention #5 involves removing a youngster, in a non-punitive fashion, from the environment in which he is experiencing difficulty. At school, the youngster may be sent on an errand. At home, the youngster may be asked to retrieve an object for a mother/father. During this time the youngster has an opportunity to regain a sense of calm. When he returns, the problem has typically diminished in magnitude and the grown-up is on hand for support, if needed.

6. Intervention #6 is a strategy where the educator moves near the youngster who is engaged in the target behavior. Moms/dads and teachers move near the autistic youngster. Often something as simple as standing next to the youngster is calming. This can easily be accomplished without interrupting an ongoing activity (e.g., the educator who circulates through the classroom during a lesson).

7. Intervention #7 is a technique in which the mother/father or educator merely walks with the youngster without talking. Silence on the part of the grown-up is important, because a youngster with ASD in the “acting-in” stage will likely react emotionally to any adult statement, misinterpreting it or rephrasing it beyond recognition. On this walk the youngster can say whatever he wishes without fear of discipline or reprimand. In the meantime, the grown-up should be calm, show as little reaction as possible, and never be confrontational.

8. Intervention #8 is a technique that is effective when the youngster is in the midst of the “acting-in” stage because of a difficult task, and the mother/father or educator thinks that the youngster can complete the activity with support. The mother/father or educator offers a brief acknowledgement that supports the verbalizations of the youngster and helps him complete his task. For instance, when working on a math problem the youngster begins to say, “This is too hard.” Knowing the youngster can complete the problem, the educator refocuses the youngster's attention by saying, “Yes, the problem is difficult. Let's start with number one.” This brief direction and support may prevent the youngster from moving past the “acting-in” stage.

When selecting an intervention during the “acting-in” stage, it is important to know the youngster, as the wrong technique can escalate rather than deescalate a behavior problem. Further, although interventions at this stage do not require extensive time, it is advisable that grown-ups understand the events that precipitate the target behaviors so that they can (1) be ready to intervene early, or (2) teach kids and teenagers strategies to maintain behavior control during these times. Interventions at this stage are merely calming. They do not teach kids to recognize their own frustration or provide a means of handling it. Techniques to accomplish these goals are discussed later.

The “Acting-Out” Stage

If behavior is not diffused during the “acting-in” stage, the youngster or adolescent may move to the “acting-out” stage. At this point, the youngster is dis-inhibited and acts impulsively, emotionally, and sometimes explosively. These behaviors may be externalized (i.e., screaming, biting, hitting, kicking, destroying property, or self-injury) or internalized (i.e., withdrawal). Meltdowns are not purposeful, and once the “acting-out” stage begins, most often it must run its course.

During this stage, emphasis should be placed on youngster, peer, and adult safety, and protection of school, home, or personal property. The best way to cope with a tantrum, rage, or meltdown is to get the youngster to home base. As mentioned, this room is not viewed as a reward or disciplinary room, but is seen as a place where the youngster can regain self-control.

Of importance here is helping the individual with ASD regain control and preserve dignity. To that end, grown-ups should have developed plans for (1) obtaining assistance from educators, such as a crisis educator or principal, (2) removing other kids from the area, or (3) providing therapeutic restraint, if necessary. 

The Recuperation Stage

Following a meltdown, the youngster has contrite feelings and often cannot fully remember what occurred during the “acting-out” stage. Some may become sullen, withdraw, or deny that inappropriate behavior occurred; others are so physically exhausted that they need to sleep.

It is imperative that interventions are implemented at a time when the youngster can accept them and in a manner the youngster can understand and accept. Otherwise, the intervention may simply resume the cycle in a more accelerated pattern, leading more quickly to the “acting-out” stage. During the recuperation stage, kids often are not ready to learn. Thus, it is important that grown-ups work with them to help them once again become a part of the routine. This is often best accomplished by directing the youth to a highly motivating task that can be easily accomplished, such as activity related to a special interest.

Preventing Tantrums, Rage, and Meltdowns

Kids and teenagers with autism spectrum disorder generally do not want to engage in meltdowns. Rather, the “acting-out” cycle is the only way they know of expressing stress, coping with problems, and a host of other emotions to which they see no other solution. Most want to learn methods to manage their behavior, including calming themselves in the face of problems and increasing self-awareness of their emotions. The best intervention for tantrums, rage, and meltdowns is prevention. Prevention occurs best as a multifaceted approach consisting of instruction in (1) strategies that increase social understanding and problem solving, (2) techniques that facilitate self-understanding, and (3) methods of self-calming.
 

Increasing Social Understanding and Problem Solving

Enhancement of social understanding includes providing direct assistance. Although instructional strategies are beneficial, it is almost impossible to teach all the social skills that are needed in day-to-day life. Instead, these skills often are taught in an interpretive manner after the youngster has engaged in an unsuccessful or otherwise problematic encounter. Interpretation skills are used in recognition that, no matter how well developed the skills of a person with ASD, situations will arise that he or she does not understand. As a result, someone in the person's environment must serve as a social management interpreter.

The following interpretative strategies can help turn seemingly random actions into meaningful interactions for young people on the spectrum:

1. Analyzing a social skills problem is a good interpretative strategy. Following a social error, the youngster who committed the error works with an adult to (1) identify the error, (2) determine who was harmed by the error, (3) decide how to correct the error, and (4) develop a plan to prevent the error from occurring again. A social skills analysis is not “punishment.” Rather, it is a supportive and constructive problem-solving strategy. The analyzing process is particularly effective in enabling the youngster to see the cause/effect relationship between her social behavior and the reactions of others in her environment. The success of the strategy lies in its structure of practice, immediate feedback, and positive reinforcement. Every grown-up with whom the youngster with ASD has regular contact, such as moms and dads, educators, and therapists, should know how to do social skills analysis fostering skill acquisition and generalization. Originally designed to be verbally based, the strategy has been modified to include a visual format to enhance child learning.

2. Visual symbols such as “cartooning” have been found to enhance the processing abilities of persons in the autism spectrum, to enhance their understanding of the environment, and to reduce tantrums, rage, and meltdowns. One type of visual support is cartooning. Used as a generic term, this technique has been implemented by speech and language pathologists for many years to enhance understanding in their clients. Cartoon figures play an integral role in several intervention techniques: pragmaticism, mind-reading, and comic strip conversations. Cartooning techniques, such as comic strip conversations, allow the youngster to analyze and understand the range of messages and meanings that are a natural part of conversation and play. Many kids with ASD are confused and upset by teasing or sarcasm. The speech and thought bubble as well as choice of colors can illustrate the hidden messages.

Conclusion—

Although many kids and teenagers on the spectrum exhibit anxiety that may lead to challenging behaviors, stress and subsequent behaviors should be viewed as an integral part of the disorder. As such, it is important to understand the cycle of behaviors to prevent seemingly minor events from escalating. Although understanding the cycle of tantrums, rage, and meltdowns is important, behavior changes will not occur unless the function of the behavior is understood and the youngster is provided instruction and support in using (1) strategies that increase social understanding and problem solving, (2) techniques that facilitate self-understanding, and (3) methods of self-calming.

Children experiencing stress may react by having a tantrum, rage, or meltdown. Behaviors do not occur in isolation or randomly; they are associated most often with a reason or cause. The youngster who engages in an inappropriate behavior is attempting to communicate. Before selecting an intervention to be used during the “acting-out” cycle or to prevent the cycle from occurring, it is important to understand the function or role the target behavior plays.

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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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 ...