WEEK 5 READING GUIDE Flashcards
One importance safety issue that therapists must ask families about during an evaluation and if needed, address in intervention is
escapism
Children with autism often play in a way that lacks
novelty, flexibility, and pretense
A child is having difficulty tolerating wearing various fabrics, and refuses to allow his hair to be brushed, washed, or cut. He reports that these type of touches are painful. This child is describing symptoms of
sensory defensiveness (tactile defensiveness specifically)
The brain’s response to environmental enrichment that is active, novel, challenging and meaningful is
plasticity, or change & growth of synapses, dendrites
A child who is experiencing gravitational insecurity will exhibit
extreme fear when moving, especially with heights or being off the ground
An examination of a child’s praxis means looking for three areas of ability. These three areas are
the ability to conceptualize or come up with an idea, then plan it, and execute it
Which of the senses did Ayres focus on primarily in her work on the theory of sensory integration?
tactile, vestibular, proprioception
Because of the language and behavioral issues of children with ASD, occupational therapists often use ___________ methods of assessment for evaluation.
1) observational
2) altered or adapted
primary areas of difficulty for families of autistic children
access to care issues, significant & lengthy child-rearing needs, problem behaviors, needing highly structured/regular routines, elopement, escapism
safety concerns of autistic children
escapism (running away from home), self injury or injury to others with sharp kitchen objects, burning themselves with stove, removing themselves from seatbelts or car seats in a moving vehicle
DSM current dx recommendations for ASD
recommendations are inconsistent, considerable variability, limited evidence supporting specific recommendations regarding practices & personnel
what would an OT do/ask about in an eval for ASD
occupational profile, assessment of occupational performance (adaptations to standardized assessments, observation), focus on function, determine potential cause for difficulties, collaborate w/family to determine priority issues
applied behavioral analysis (ABA)
rewards desired behaviors while ignoring undesirable behaviors or providing undesirable consequences for undesired behaviors
- how behavior is affected by environmental/external stimuli
cognitive orientation to daily occupational performance approach (CO-OP)
intervention approach designed by OTs to assist children in mastering skills to achieve the performance goals they have set for themselves in collaboration with the OT; effective for high-functioning children
- uses cognitive behavioral & motivation theories to guide intervention principles
- objectives are learning of new skills & generalization or transfer of these skills into everyday life
most commonly used model for coping is the
transactional model- coping is a dynamic process, following parent appraisal that an event is stressful; parent’s coping is influenced by their personality, resources available, situation in relation to additional stressors, availability of coping resources
- coping is not inherently good or bad or useful
- effectiveness of coping response depends on match between actual stress & response chosen to address it
