Uniquely Human Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

person-first language

A

People-first language (PFL),[1] also called person-first language (PFL), is a type of linguistic prescription which puts a person before a diagnosis, describing what a person “has” rather than asserting what a person “is.” It is intended to avoid marginalization or dehumanization (either consciously or subconsciously) when discussing people with a chronic illness or disability. It can be seen as a type of disability etiquette but person-first language can also be more generally applied to any group that would otherwise be defined or mentally categorized by a condition or trait (for example, race, age, or appearance). IN this book I have chosen to employ what is known as person-first language. Instead of referring to “an autistic person” or “an autistic”—which makes autism a person’s defining quality—I generally use phrases such as “person with autism,” “child who has autism,” or “adult on the autism spectrum.” Loc 75

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2
Q

Why people with autism might reject person-first language.

A

It implies that autism is inherently bad. I am also aware that others, in particular some adults with autism, prefer the label “autistic,” feeling that autism is indeed a defining characteristic and is essential to their identity and that person-first language implies that autism is inherently bad. (In the same way, you wouldn’t call someone “a person with maleness” but rather “male” or “a male.”) While I fully understand and respect that opinion, I have chosen otherwise for this book. I am a male proud, I am a person with maleness

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3
Q

Asperger’s syndrome

A

Although Asperger’s syndrome was dropped as a formal diagnosis in its most recent edition (known as the DSM-5), the term continues to be used commonly to describe people with average or higher cognitive and language ability paired with challenges in the social realm as well as other challenges common in autism. MD - 1. using ass burgers is out of vogue now it’s been dropped from the DSM-5. 2. The high level of fat in the burgers though feeds the brain so people who eat it have higher cognitive and language ability but the same challenges in the social realm as well as other challenges common in autism.

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4
Q

non speaking vs. nonverbal

A

referring to individuals who do not (or do not yet) communicate by speaking, I use the term “nonspeaking” and similar language. Others commonly refer to such people as “nonverbal,” but many such people use words and other symbolic means to communicate through sign language, iPads, and other alternative means. MD verbum - word, people can still use words and other symbolic means to communicate through sign language, Ipads and other alternative means. show a pic of someone with mouth tape, they are not able to speak but they still can use words and other symbolic means ipad button “hellow” sign language “hello”.

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5
Q

terms for people who do not have autism

A

typical, typically developing, and neurotypical.

“I use the terms “typical,” “typically developing,” and “neurotypical” to refer to people who do not have autism.”

MD - so typical of you Todd Baynes. Todd Baynes represents the typical male. Nothing deviant.

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6
Q

developmental psycholinguistics

A

Study of how child and adult learners acquire language from a cognitive perspective.

study of how child and adult learners acquire language from a cognitive perspective and a topic that has direct relevance both to theoretical accounts of language learning and to language education. That initial experience inspired me to study developmental psycholinguistics, and then speech and language pathology and child development, and eventually to go on to earn a doctorate in communication disorders and sciences.

MD

  • developmental -
  • psycho - mental
  • linguisitc - relating to langauge
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7
Q

badger

A

to harass or annoy persistently. BADGER implies pestering so as to drive a person to confusion or frenzy. badgered her father for a car His teachers and parents routinely badgered Michael to dissuade him: “Michael, put your hands down. . . . Michael, stop looking at your hands!” But he

MD - think of the honey badger - it harrasses the beehive. It’s one of the few animals that is able to break into a beehive enduring the stings of the african bees.

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8
Q

linguistic prescription

A

the attempt to establish preferred or correct use of language. They may also include judgments on socially proper and politically correct language use.

MD - the person is being handed a prescription that has the proper language use. better than I not me - preferred or correct. and

Linguistic prescription, or prescriptive grammar, is the attempt to establish rules defining preferred or “correct” use of language.[1][2] These rules may address such linguistic aspects as spelling, pronunciation, vocabulary, syntax, and semantics. Sometimes informed by linguistic purism,[3] such normative practices may suggest that some usages are incorrect, illogical, lack communicative effect, or are of low aesthetic value.[4][5] They may also include judgments on socially proper and politically correct language use.[6]

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9
Q

cognitive

A

involving conscious intellectual activity (such as thinking, reasoning, or remembering) Cognitive skills and knowledge involve the ability to acquire factual information, often the kind of knowledge that can easily be tested. So cognition should be distinguished from social, emotional, and creative development and ability. Cognitive science is a growing field of study that deals with human perception, thinking, and learning. etymology - borrowed from Medieval Latin cognitīvus “concerned with knowing,” from Latin cognitus, past participle of cognōscere “to get to know, acquire knowledge of” + -īvus -IVE — more at COGNITION

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10
Q

developmental disability

A

any of various conditions (such as autism spectrum disorder, cerebral palsy, intellectual disability, blindness, or fragile X syndrome) that usually become apparent during infancy or childhood and are marked by delayed development or functional limitations especially in learning, language, communication, cognition, behavior, socialization, or mobility MD - 1. Various conditions (abcif) 2. when development happens - infancy and childhood development is growth and acquisition of knowledge. MD - 2 picture an umbrella developing, it’s in it’s infancy/childhood stage and represents a term for any of various conditions.

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11
Q

cognition

A

the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses.

MD -

1a. think of a car, and ignition C-ignition and a Cog being in that car and it’s trying to do the mental action or process of acquring knowledge - how to turn on a car.
1b. thought - a Cog wants to drive a car, it has the key and has to think about where to put it.
2. experience - once it putis it in the ignition and turns it expreiences the car turning on.
3. it hears the car
1. thought 2. experience 3. the senses

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12
Q

intellectual disability

A

Intellectual Disability means significantly subaverage general intellectual functioning, existing concurrently with deficits in adaptive behavior, and manifested during the developmental period, that adversely affects a child’s educational performance

  • from CALPADS Primary Disability Category Codes

“Intellectual disability (intellectual developmental disorder) is characterized by deficits in general mental abilities, such as reasoning, problem solving, planning, abstract thinking, judgment, academic learning, and learning from experience. The deficits result in impairments of adaptive functioning, such that the individual fails to meet standards of personal independence and social responsibility in one or more aspects of daily life, including communication, social participation, academic or occupational functioning, and personal independence at home or in community settings.” (DSM) “Intellectual disability (intellectual developmental disorder) is a disorder with onset during the developmental period that includes both intellectual and adaptive functioning deficits in conceptual, social, and practical domains. The following three criteria must be met: A. Deficits in intellectual functions, such as reasoning, problem solving, planning, abstract thinking, judgment, academic learning, and learning from experience, confirmed by both clinical assessment and individualized, standardized intelligence testing. B. Deficits in adaptive functioning that result in failure to meet developmental and sociocultural standards for personal independence and social responsibility. Without ongoing support, the adaptive deficits limit functioning in one or more activities of daily life, such as communication, social participation, and independent living, across multiple environments, such as home, school, work, and community. C. Onset of intellectual and adaptive deficits during the developmental period” (DSM)

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13
Q

global developmental delay

A

Global developmental delay is an umbrella term used when children are significantly delayed in their cognitive and physical development. It can be diagnosed when a child is delayed in one or more milestones, categorized into motor skills, speech, cognitive skills, and social and emotional development. “The range of developmental deficits varies from very specific limitations of learning or control of executive functions to global impairments of social skills or intelligence. MD - us a picture of the globe and all kids on the globe and then 2 kids off the globe one crawling and not knowing what 1 + 1 is because they are significantly delayed in their cognitive or physical development.

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14
Q

difference between developmental disability and intellectual disability

A

“Developmental Disabilities” is an umbrella term that includes intellectual disability but also includes other disabilities that are apparent during infancy or childhood like autism, blindness, cerebral palsy, etc. Developmental disabilities are severe chronic disabilities that can be cognitive or physical or both.

MD - Developing umbrella having intellectual disability on it.

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15
Q

fragile x syndrome

A

Fragile X syndrome (FXS) is a genetic disorder characterized by mild-to-moderate intellectual disability. The average IQ in males is under 55, while about two thirds of females are intellectually disabled. Physical features may include a long and narrow face, large ears, flexible fingers, and large testicles. MD 1. Think of mild to moderate intellectual disability think of someone how has fragile taste buds 2. physical features think of x and how its long and narrow with large ears, x as fingers flexible fingers, and xy as sex cells so larger testicles.

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16
Q

functional limitations

A

the restriction or lack of ability to perform an action or activity in the manner or within the range considered normal that results from impairment.”

MD - 1. a fan without a cord has the restrictions

  1. Fan with a cord, but it spins in the wrong direction, hasn’t learned yet how to spin clockwise - lack of ability
  2. spinning fan - perform an action or actity in the manner considered normal that results from impairment (lack of a cord)
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17
Q

adaptive functioning

A

Adaptive functioning refers to those skills that are necessary for us to navigate through the demands that are placed on us by our environments in a way that is effective. It includes such skills as our ability to communicate with one another. for example, being able to express your thoughts to others, comprehend what others say to us and deal with written material. These important skills enable us to live in a safe and socially responsible manner. These skills are collectively referred to as adaptive functioning. 1. conceptual skills - This includes reading, numbers, money, time, and communication skills. 2. social skills - These skills help us to get along well with others. These skills include understanding and following social rules and customs; obeying laws; and detecting the motivations of others in order to avoid victimization and deception. 3. practical life skills - These are the skills needed to perform the activities of daily living. This includes feeding, bathing, dressing, occupational skills, and navigational skills. “The deficits result in impairments of adaptive functioning, such that the individual fails to meet standards of personal independence and social responsibility in one or more aspects of daily life, including communication, social participation, academic or occupational functioning, and personal independence at home or in community settings.” (DSM) MD - adaptive functioning - for a giraffe. Adaptive functioning refers to those skills (using long neck, assessing an opponent, knowing when to fight and when not to fight) that are necessary for us to navigate through the demands that are placed on us by our environments in a way that is effective (needing to eat, needing to compete for food and mating)).

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18
Q

SCERTS Model

A

The underlying philosophy, values, and practices I share in this book are consistent with and in some cases derived from the SCERTS® Model (2006), an educational and treatment framework developed with my colleagues. The SCERTS Model prioritizes social communication, emotional regulation, and transactional support as the most important domains to focus on with individuals with autism. Schools and school districts across the United States and in more than a dozen countries have implemented SCERTS.

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19
Q

Autism isn’t an ___________. It’s a different way of being __________. Children with autism aren’t ____________; they are progressing through developmental stages as we all do. To help them, we don’t need to change them or ____________ them. We need to work to understand them, and then change what _________ do.

A

Autism isn’t an illness. It’s a different way of being human. Children with autism aren’t sick; they are progressing through developmental stages as we all do. To help them, we don’t need to change them or fix them. We need to work to understand them, and then change what we do.

Influenced by some professionals, they see certain behaviors as “autistic” and undesirable and perceive their goal as eliminating these behaviors and somehow fixing the child. I have come to believe that this is a flawed understanding—and the wrong approach. Here is my central message: The behavior of people with autism isn’t random, deviant, or bizarre, as many professionals have called it for decades. These children don’t come from Mars. The things they say aren’t—as many professionals still maintain—meaningless or “nonfunctional.” Autism isn’t an illness. It’s a different way of being human. Children with autism aren’t sick; they are progressing through developmental stages as we all do. To help them, we don’t need to change them or fix them. We need to work to understand them, and then change what we do.

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20
Q

Too often the ultimate goal of professionals and parents is to reduce or eliminate these behaviors—to stop the spinning, stop the arm flapping, stop the repeating—without asking, “________?”

A

Why?

Concerned parents share the same kinds of questions: Why does he rock his body? Why won’t he stop talking about trains? Why does she repeat lines from movies over and over? Why does he obsessively adjust the miniblinds? Why is he terrified of butterflies? Why does she stare at the ceiling fan? Some professionals simply categorize these as “autistic behaviors.” Too often the ultimate goal of professionals and parents is to reduce or eliminate these behaviors—to stop the spinning, stop the arm flapping, stop the repeating—without asking, “Why?”

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21
Q

It’s not helpful to dismiss what children do as “autistic behavior” or “aberrant behavior” or “noncompliant behavior” (a phrase used by many therapists). Instead of dismissing it, it’s better to ask: What is __________ it? What ___________ does it serve? Does it actually _____________ the person, even though it looks different?

Good Question to ask.

A

It’s not helpful to dismiss what children do as “autistic behavior” or “aberrant behavior” or “noncompliant behavior” (a phrase used by many therapists). Instead of dismissing it, it’s better to ask: What is motivating it? What purpose does it serve? Does it actually help the person, even though it looks different?

MD Alex Mari rocking

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22
Q

echolalia

A

the often pathological repetition of what is said by other people as if echoing them

We say a child has autism if he displays a combination of traits and behaviors that are deemed to be problematic: difficulty in communicating, trouble developing relationships, and a restricted repertoire of interests and behaviors, including repetitive speech—known as echolalia—and actions, such as rocking, arm flapping, and spinning. Professionals observe these “autistic behaviors” and then assess the people who display them by using a sort of circular reasoning: Why does Rachel flap her hands? Because she has autism. Why has she been diagnosed with autism? Because she flaps.

MD - Think of Eric Clapton echoing Laila….it’s often pathological because often he can’t stop thinking about her, it’s often patholgical for his fans becasue they often can’t stop repeating what he says as if echoing him. The tendency to re

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23
Q

begging the question a form of circular reasoning

A

Essentially, one makes a claim based on evidence that requires one to already accept that the claim is true.

Why does Rachel flap her hands? Because she has autism. Why has she been diagnosed with autism? Because she flaps.

More literally, this should have been translated as “assuming the initial point” or “assuming the conclusion.”

More literally, this should have been translated as “assuming the initial point” or “assuming the conclusion.” The term was subsequently translated to English some time in the 16th century as “begging the question.”

Technically speaking, to beg the question is not a logical fallacy. This is because it is logically valid, in the strictest sense, but it is utterly unpersuasive. The thing that you are trying to prove is already assumed to be true, so you are not actually adding anything to the argument. It would be like saying a product is the most expensive because it has the highest price.

A

We say a child has autism if he displays a combination of traits and behaviors that are deemed to be problematic: difficulty in communicating, trouble developing relationships, and a restricted repertoire of interests and behaviors, including repetitive speech—known as echolalia—and actions, such as rocking, arm flapping, and spinning. Professionals observe these “autistic behaviors” and then assess the people who display them by using a sort of circular reasoning: Why does Rachel flap her hands? Because she has autism. Why has she been diagnosed with autism? Because she flaps.

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24
Q

emotional dysregulation

A

Dysregulation, also known as emotional dysregulation, refers to a poor ability to manage emotional responses or to keep them within an acceptable range of typical emotional reactions. This can refer to a wide range of emotions including sadness, anger, irritability, and frustration.

While emotional dysregulation is typically thought of as a childhood problem that usually resolves itself as a child learns proper emotional regulation skills and strategies, emotional dysregulation may continue into adulthood.

“Usually the answer is that the person is experiencing some degree of emotional dysregulation. When we are well regulated emotionally, we are most available for learning and engaging with others. We all strive to be alert, focused, and prepared to participate in activities in our daily lives.”

MD - regulation is someone’s ability to control. Picture regula who is being dissed by his subjects. they are ignoring him. this creates anger and the ruler has no coping mechanism, he reacts violently becasue he has a poor ability to manage emotional responses or keep them within the range of typical emotional reactions. he cuts somebody’s head off, the swigning ax flies outside the range of typical emotional reactions. sigh, feelings of sadness, betrayal etc.

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25
Q

Our neurological systems help by filtering out excessive stimulation, telling us when we’re hungry or tired or when to protect ourselves from danger. People with autism, primarily due to underlying neurology (the way the brain’s wiring works), are unusually vulnerable to everyday emotional and physiological challenges. So they experience more feelings of discomfort, anxiety, and ________________ than others. They also have more difficulty learning how to ________________ with these feelings and challenges.

A

Our neurological systems help by filtering out excessive stimulation, telling us when we’re hungry or tired or when to protect ourselves from danger. People with autism, primarily due to underlying neurology (the way the brain’s wiring works), are unusually vulnerable to everyday emotional and physiological challenges. So they experience more feelings of discomfort, anxiety, and confusion than others. They also have more difficulty learning how to cope with these feelings and challenges.

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26
Q

What should be a core defining feature of autism?

A

Difficulty staying well regulated emotionally and physiologically

“To be clear: Difficulty staying well regulated emotionally and physiologically should be a core, defining feature of autism. Unfortunately professionals have long overlooked this, focusing on the resulting behaviors instead of the underlying causes.”

27
Q

What might make people with autism less able to stay well regulated.

A

People who are confusing because they talk or move too quickly, unexpected change, excessive worry about things that are uncertain. Sensory sensitivities to touch and sound. Motor and movement disturbances. Sleep depirvation, allergies, and gastrointestinal issues.

If you know a person with autism, consider what makes this person less able to stay well regulated: problems in communicating, environments that are chaotic, people who are confusing because they talk or move too quickly, unexpected change, excessive worry about things that are uncertain. Then there are associated challenges, such as sensory sensitivities to touch and sound, motor and movement disturbances, sleep deprivation, allergies, and gastrointestinal issues.

28
Q

Sensory sensitivities to touch and sound. (why people with atusism?)

A

Motor and movement disturbances. Sleep depirvation, allergies, and gastrointestinal issues.

29
Q

sleep deprivation (why people with autism?)

A
30
Q

allergies, and gastrointestinal issues. (why people with autism?

A

The gut and behavior seem tied together in some kind of way. GI issues that come with ASD might be due to 2 factors. 1. inappropriate immune activation causing inflammation of the tract

Interestingly, behavioral issues are found alongside other conditions that impact the gut. For instance, people with celiac disease are more likelyTrusted Source to have autism-like traits and other psychological symptoms. The gut and behavior seem tied together in some way.

According to many researchers, the GI issues that come with ASD might be due to two factors: firstly, inappropriate immune activation causing inflammation of the tract; and, secondly, differences in the types of gut bacteria Trusted Sourcethat are present.

31
Q

is dysregulation common in just people with autism?

A

No, we all feel emotionally dysregulated. People with autism just are ill equipped to deal with them because of their neurology.

“Of course people with autism aren’t alone in experiencing these challenges. We all feel dysregulated from time to time. Speaking in front of a large audience, you might feel sweat collecting on your brow, your hands might quiver, your heart might race. Wearing a scratchy wool sweater might be so irritating that you can’t focus. When your normal morning routine—coffee, newspaper, shower—is thrown off by an unexpected intrusion, you might feel out of sorts for the rest of the morning. When these factors accumulate—you miss sleep, you’re under a deadline, you skip lunch, and then your computer crashes—it’s easy to become extremely agitated.”

We all have these challenges, but people with autism are unusually ill equipped to deal with them because of their neurology. That makes them far more vulnerable than others—that is, their threshold can be much lower— and they have fewer innate coping strategies. In many cases, they also have sensory-processing differences: they are either highly sensitive or undersensitive to sound, light, touch, and other sensations and therefore less able to manage. In addition many people with autism are innately unaware of how others might interpret their actions when they are dysregulated.”

32
Q

why might people with autism act out in p

A

In addition many people with autism are innately unaware of how others might interpret their actions when they are dysregulated.”

33
Q

why people with autism easily feel emotionally dysregulated

A

they have fewer innate coping mechanisms to deal with challeges.

We all have these challenges, but people with autism are unusually ill equipped to deal with them because of their neurology. That makes them far more vulnerable than others—that is, their threshold can be much lower— and they have fewer innate coping strategies. In many cases, they also have sensory-processing differences: they are either highly sensitive or undersensitive to sound, light, touch, and other sensations and therefore less able to manage.

34
Q

coping mechanisms

A

an adaptation to environmental stress that is based on conscious or unconscious choice and that enhances control over behavior or gives psychological comfort.

“We all have these challenges, but people with autism are unusually ill equipped to deal with them because of their neurology. That makes them far more vulnerable than others—that is, their threshold can be much lower— and they have fewer innate coping strategies. In many cases, they also have sensory-processing differences: they are either highly sensitive or undersensitive to sound, light, touch, and other sensations and therefore less able to manage.”

MD - 1. Think of MECCA - holy place, meditation - this an adaptation to 2. PING pong ball boucning off of someone’s head - environmental stress that is based on 3. MECHANISM - machine advances in AI - can be conscious or unconscious choice and that

  1. speech bubble - I’m not going to lose it - enhances control over behavior
  2. speech bubble - or gives psychological comfort I have reached nirvana.
35
Q

Behaviros labeled “aren’t” defecits, they are strategies the person uses to feel better _____________ emotionally.

A

They’re strategies the person uses to feel better regulated emotionally

Here is the important irony: Most of the behaviors commonly labeled “autistic behaviors” aren’t actually deficits at all. They’re strategies the person uses to feel better regulated emotionally

36
Q

modulate

A

to adjust to or keep in proper measure or proportion : TEMPER

“Just as infants are comforted and soothed by being rocked, and toddlers run in circles to stay awake, we all use movement to modulate our emotional and physiological arousal. If people with autism feel underaroused, they increase their alertness by spinning, bouncing, or swinging. If they’re overstimulated, they might calm themselves by pacing, snapping their fingers, or staring at a fan.”

MD -

mod - means meaure - think of someone using a clock to adjust (you need to be earlier) or keep in proper measure (you need to do this activit longer) or proportion (you need more recreation): TEMPER

37
Q

stim or stimming

A

refers to self-stimulating behaviors, usually involving repetitive movements or sounds.

Many people call these simply “behaviors.” Again and again I have heard parents or educators describe children as having “behaviors.” Don’t we all? It’s only in the field of autism that the word behavior—without any modifier—has a negative connotation. “Our new student, Sally, has really got a lot of behaviors,” a teacher will say. Or “We’re working on getting rid of Scott’s behaviors.” Others use the term stim or stimming (for repetitive, self-stimulatory behavior), terms that also have negative connotations. In earlier decades many researchers aimed to rid children of stims, some employing punishment and even shock as a means to eliminate “autistic behaviors.” We should not view these merely as behaviors, however. They are most often strategies to cope with dysregulation.

MD - stim short for stimulating. self-stimulating behavior. repetitive movements or sounds.

38
Q

Obsessive-Compulsive Disorder

A

is a disorder in which people have recurring, unwanted thoughts, ideas or sensations (obsessions) that make them feel driven to do something repetitively (compulsions).

Are rituals like Clayton’s indications of Obsessive-Compulsive Disorder? Actually their impact is quite different. True OCD behavior is disruptive and rarely serves to make the person feel better. In other words, the need to repeatedly wash one’s hands or to touch every chair before leaving a room can interfere with everyday activities. But when a child with autism seeks out the same clothing or music or creates visual order by organizing items, it’s because the child has learned that these things help him to emotionally regulate himself so he can function.

MD - obsessions are often negative, so we can think of them as recurring, unwanted thoughts ideas or sensations.

examples of obsessions - Fear of losing control of yourself by acting on thoughts or impulses, such as harming someone, stealing, blurting out swear words, or becoming violent

compulsions - that make them feel driven to do something repetively.

ex. of compulsion - individuals with OCD have to check their neighborhood to make sure they have not hit someone with their car or assaulted someone

39
Q

sometimes ______ help people with Autism self-regulate.

A

objects

“Sometimes what helps a child self-regulate is an object. One boy would keep a particular stone—small, black, and polished—with him at all times, the way babies hold security blankets or stuffed animals. It calmed him; it regulated him. When he lost it, his father was anguished. “We’ve tried all kinds of other black rocks,” he told me, “but he knew they weren’t that rock.” Eventually the boy found a replacement, a ring of plastic keys. Often children with autism mouth, chew, or lick things to regulate themselves, just as many people habitually chew gum or suck on hard candy. Glen would pick up twigs on his kindergarten playground, lick them, and often chew them. He constantly gnawed on pencils in the classroom, and his mother said that he chewed on his sleeves and collars so frequently that the family’s clothing bills were rapidly mounting. When I observed Glen in class, it was clear that he would seek things to mouth or chew at the times he felt most dysregulated: during unstructured times (such as recess), transitions, or when noise increased. Working with his occupational therapist, I suggested better ways to provide the sensory input he craved: offering crunchy snacks (carrots, pretzel nuggets) and a rubber toy or tube to chew on. We also provided a variety of supports to decrease his level of anxiety and confusion.”

40
Q

Why speaking incessantly on a familiar topic might be a sign of dysregulation.

A

For a person with a poor grasp of social cues who finds the unpredictability of typical conversation stressful, speaking incessantly on a familiar and beloved topic might provide a sense of control.

Information about a favorite topic (say, geography or trains) without considering the other person’s thoughts, feelings, or interests. This too can be a sign of dysregulation. For a person with a poor grasp of social cues who finds the unpredictability of typical conversation stressful, speaking incessantly on a familiar and beloved topic might provide a sense of control.

41
Q

Why Alex had people guess his age.

A

May have been an effort to exert control, to increase predictability and sameness in the face of the anxiety triggered by social conversation. At the same time, it shows the child’s desire to connect and stay engaged socially.

I often see children go an extra step, trying to control both sides of the conversation. Some feed their parents lines: “Ask me, ‘Do you want Cheerios or Frosted Flakes?’ Ask me!” Many children repeatedly ask questions when they already know the answers: “What’s your favorite baseball team?” “What color is your car?” “Where do you live?” If I intentionally and playfully give the wrong answer, they immediately correct me. So why did they ask? Doing so might be yet another effort to exert control, to increase predictability and sameness in the face of the anxiety triggered by social conversation. At the same time, it shows the child’s desire to connect and stay engaged socially. The

42
Q

Why eliminating behaviors without understanding their motivations is harmful.

A

Seeking to eliminate behavior without fully understanding its purpose is not only unhelpful; it also shows a lack of respect for the individual. Worse, it can make life more difficult for the person with autism.

43
Q

How people with autism are like people with ASMR

A

Think of the time I heard two girls on the subway talking about habachi. I loved the pleasure they felt in preparing for their outing. They were talking about what to wear. One said she had her favorite pair of sweatpants ready and flipflops. The other asked about whether they cook it at the table. The other one was saying that the spicy shrimp was really good. I got such a sensation from this conversation. Someone with autism might get the same sensation from feeling touching and saying the word “fuzz”

“That’s a piece of fuzz.” “That’s a piece of fuzz, fuzz, fuzz,” he repeated. I listened as he delighted in playing with the tiny ball of wool, and then in playing with the word itself, seeming to enjoy the sensation as it crossed his lips: “That’s a piece of fuzz, fuzz, fuzz! That’s a piece of fuzz!”

44
Q
A

Consider this: What if a visitor had happened into the classroom that day to observe the children? Imagine such a person watching this little boy coming into the room, full of energy, and then performing a little dance and babbling on about a sponge. The visitor might easily have dismissed the behavior as absurd. Or silly. Or random. The visitor might have questioned David’s grip on reality—or at least his understanding of the word sponge. But if you had been in the room the previous day, if you had shared the conversation with David that I did, if you knew about his enthusiasm for new textures, then you would have understood exactly what was going on. This little boy was recounting his experience of the previous day—not only the facts of the experience (the materials used in the art project) but, more important, his own feelings of excitement about it. He was telling a story.

45
Q

ad infinitum

A

without end or limit

Anyone who has spent time with a verbal person with autism is familiar with this tendency to repeat words, phrases, or whole sentences, often ad infinitum. Indeed echolalia is one of autism’s defining characteristics. In children who can speak it is often among the first indications to parents that something is amiss in a child, when, instead of responding or initiating with the child’s own language, the child echoes words or phrases borrowed from others. Mother: Honey, you want to go outside? Daughter: You want to go outside? Those initial exchanges take many forms: the child repeats snippets from videos she’s watched, announcements on the subway, greetings from teachers, or even select phrases from an argument her parents had at home. Anything can become an echo. Utterances children hear at moments of great excitement, pain, anxiety, or joy seem to take on a life of their own, becoming the source of echoes, with the child seeming to relive the moment and the emotion that accompanied it.

46
Q

How is echolalia a manner of communication for people with autism.

A

“Anything can become an echo. Utterances children hear at moments of great excitement, pain, anxiety, or joy seem to take on a life of their own, becoming the source of echoes, with the child seeming to relive the moment and the emotion that accompanied it.”

“That seemed to calm her, but it only made me wonder what feelings Eliza was experiencing and what was going through her mind to make her say “Got a splinter!” What was she talking about? Did it have anything to do with me? Was it just random? And why had the teacher responded in that way? When I asked the teacher later, she explained that Eliza had suffered a painful splinter on the playground two years earlier. Since then she had used the phrase “Got a splinter!” whenever she felt anxious or scared.”

47
Q

how typically developing children pick up langauge.

A

Most typically developing children add a word at a time to their vocabulary (mommy, daddy, baby), and then build short sentences (“Mommy hug.” “Daddy eat cookie.”).

Aidan, for example, was an adorable three-year-old whose ability to speak wasn’t developing as expected but who showed a knack for picking up whole chunks of language. Most typically developing children add a word at a time to their vocabulary (mommy, daddy, baby), and then build short sentences (“Mommy hug.” “Daddy eat cookie.”).

48
Q

echolalia from movies

A

Can also be a method for communicating.

“He would cock his head to the side, squint his sparkly eyes, and ask, “Are you a good witch or a bad witch?” Of course that is how Glinda, the Witch of the North, greets Dorothy in the famous scene from The Wizard of Oz. It’s a dramatic moment. Dorothy has just landed in Oz when a tiny glowing bubble shows up, gradually growing in size as it nears, then suddenly bursts, and Glinda appears, looking like a fairy princess in a gown and holding a wand. She approaches Dorothy and says those immortal words: “Are you a good witch or a bad witch?” What more powerful example could there be of one person greeting another? This boy wasn’t speaking gibberish; he was capturing the essence of what it means for one human being to encounter another. (Later his teachers and therapist taught him to use the more conventional “Hi, my name is Aidan.” As much as his mother appreciated that, she missed her son’s more distinctive greeting.)”

49
Q

How echolalia helps children with autism learn.

A

In fact echolalia serves an even more vital purpose for many children with autism: it’s a path to acquiring language. In the simplest terms, it works like this: Children with autism struggle with communication, but they tend to have a very strong memory. So they learn language by hearing it and repeating it back, either immediately or with some delay. As the child continues to grow socially, cognitively, and linguistically, she begins to discern the rules of language, but she does so, in part, through the use of echolalia, breaking down the memorized chunks of speech.

50
Q

ways of transitioning people with autism from echolalia to more convenitonal ways of communicating.

A

Parents and others can help a child learn to use more creative language—instead of echoing—through various strategies, including simplifying the language they use with the child, breaking down echolalic chunks into words and smaller phrases, adding gestures, and introducing visual supports and written language. For example, a father might say to his daughter, “Please go over to the refrigerator and get some milk and cookies.” The child might fill her “turn” in the conversation by merely echoing the sentence, or part of it, but not really respond. Then the father might simplify the complex sentence by dividing it into segments: “Go to the refrigerator (while pointing). Get milk. Open the cabinet. Get cookies.” Another strategy is to introduce photographs, pictures, or written words instead of exclusively using spoken language. This can help a child understand more readily and rapidly, making it less necessary to use echolalia as a strategy to understand. For some children it’s helpful for the child to write or type what he wants to say. This can improve his ability to formulate language rather than relying on retrieving memorized chunks. Most people with autism are stronger using visual ways to express and understand language than communicating purely by hearing and speaking. While it’s crucial to acknowledge and understand the intentions and functions of echolalia, it’s equally important to help the child move to more creative language and more conventional ways of communicating.

51
Q

Why do cartoon movies of all kinds hold a particular fascination for children with autism?

A

Many children find the predictability and consistency of animated characters (as well as the music) comforting, a welcome contrast to the unpredictable nature of real people in everyday situations.

That’s a common theme in the children with whom I have worked. Animated movies of all kinds hold a particular fascination for children on the autism spectrum, capturing their attention like almost nothing else. Why? Many children find the predictability and consistency of animated characters (as well as the music) comforting, a welcome contrast to the unpredictable nature of real people in everyday situations. In Monsters,

52
Q

(SCERTS) What is transactional support

A

The term transactional support (TS) means the development and implementation of supports to help partners respond to the child’s needs and interests, modify and adapt the environment, and provide tools to enhance learning

In other words, TS covers anything used to help others understand and respond to the child’s needs better. Transactional supports are for families, teachers, therapists, etc.

This includes all forms of picture communication, written schedules, and sensory supports. Specific plans are also developed to provide educational and emotional support to families, and to foster teamwork among professionals.

So if this 13 part series has helped you better understand your child’s behavior and how to respond and help them – then this series provided transactional support for you.

53
Q

DIR Floortime

A

This therapy technique was developed by Dr. Stanley Greenspan as a way to connect with the child while using their interests and passions to develop engagement skills, symbolic thinking, increase logical thinking, and improve interaction.

54
Q

Floortime

A

Floortime’ is a series of interactive exercises that are designed to help the child master key developmental milestones. As the name suggests, most of the exercises take place on the floor.

The carer follows the child’s lead and plays at whatever captures his interest but does so in way that encourages the child to interact with the carer. The role of the carer is to be a constructive helper and, when necessary, provocateur by doing whatever it takes to turn the child’s activity into a two-person interaction.

For example, if the child wants to roll cars, the carer rolls cars with him, offering him a faster car or a competitive race or, if necessary, crashing his car with the carer’s – whatever it takes to create an interaction.

By creating these interactions, over and over again, the carer builds on and develops the child’s interests and capabilities until the child is enticed into the world of ideas and logical thinking.

55
Q

DIR Model - The D (Developmental)

A

Developmental Ladder: Children progress through a developmental ladder from self regulation to abstract thinking and communicating reasoning. Sometimes there are barriers to moving up the ladder.

56
Q

DIR Model - The I (Individual Diffrences)

A

Children differ in regards to their physical development, health, sensory needs, and family surroundings. Intervention mst be tailored to the individual diferences of the child..

57
Q

DIR Model - The R

A

Relationships - Relationships are key to human development. The emotional aspect of these relationships can be used during floortime to promote cognitive development.

58
Q

How memorizing phrases from disney can benefit a child with autism.

A

The child can use the phrases for dialogues in their appropriate social contexts.

In time his play progressed. He showed increasing understanding of what he was saying. He was still using the phrases he had picked up from Peter Pan, but he found ways to use the Disney dialogues in their appropriate social context. Like Aidan, the boy who employed The Wizard of Oz line to greet people, Namir began integrating the snippets of speech spinning in his head as a way to connect with other people.

59
Q

Why do children with autism specialize in one topic?

A

Perhaps focusing on one topic gives the child a sense of control, of predictability and security in a world that can be unpredictable and feel scary. Also, perhaps since connecting with others socially is a challenge, people with autism direct their energies even more into the one topic.

“Children with autism develop all kinds of enthusiasms, talking nonstop about or focusing endlessly on subjects like skyscrapers, animal species, geography, particular kinds of music, sunrise and sunset times, or turnpike exits. Perhaps focusing on one topic gives the child a sense of control, of predictability and security in a world that can be unpredictable and feel scary.”

“Why, though, do people with autism display a far greater tendency than others to have these strong passions? Why do their enthusiasms often seem exponentially more powerful than other people’s interests? As with any kind of hobby or pastime, it often begins with an emotional response. An experience feeds a basic neurological need to be engaged, to appreciate beauty, and to experience positive emotion. When a person with autism develops an interest, we must assume that the particular subject of the interest is a good match for that person’s neurophysiology and serves an important function. An adult with Asperger’s syndrome explained to me that because connecting socially is challenging, many people with autism direct their energies into their areas of interest, leading, in some cases, to stronger and more focused passions.”

MD -

60
Q

savant skills

A

As many as 15 percent of those with autism demonstrate these high-level natural talents or gifts, known as savant skills, but most do not.

61
Q

visual-spacial judgement

A
62
Q

sensory input

A

Children are often drawn to certain toys because of the sensory input they provide.

63
Q

functional levels

A

Communication – a way to make wants and needs known though language, pictures, signs, etc., including how to say “NO”

Choice-making – choosing a preferred item or activity

Safety – knowing what to do to keep oneself safe in a dangerous situation, such as in an accident, or in case of a fire, or when encountering a stranger

Self-care – taking care of toileting, bathing, and other health and hygiene issues

Leisure and recreation – relaxation and having fun

Vocational skills – work skills

“appreciate that, especially with the functional levels we have.”

  • Schweitzer
64
Q

physiology

A

a branch of biology that deals with the functions and activities of life or of living matter (such as organs, tissues, or cells) and of the physical and chemical phenomena involved

etymology -

The Latin root physio- generally means “physical”, so human physiology deals with just about everything that keeps us alive and working, and other physiology specialties do the same for other animals and for plants. To do anything serious in the field of health, you’ve obviously got to know how the body’s organs and cells function normally. Physiology used to be considered separately from anatomy, which focuses on the body’s structures; however, it’s now known that structure and function can’t easily be separated in a scientific way, so “anatomy and physiology” are often spoken of in the same breath.

MD - anatomy is the structure and physiology is the function

Picture phis going up a nose, the hair follicles are stimulated creating a sneeze. The sneeze is the function of the hair follicles physiology and the structure of the follicles that catch the fizz is anatomy.