Pragmatics in Individuals with Autism
Introduction
Children with autism struggle with pragmatics, or social interactions. Pragmatics extend past simply providing social closeness, it also enables social etiquette. Issues of pragmatics can be etiologically tied to issues with expressive or receptive language skills. Social interaction skills and communication skills that are functional to the individual necessitate an intervention approach that treats individuals holistically. The intervention techniques need to treat an array of separate and discrete behaviors. There are different approaches to addressing these behaviors including Applied Behavioral Analysis or Gentle Therapy while having an emphasis on family-centered care.
Literature Review
Applied Behavioral Analysis
Applied Behavioral Analysis uses behavior plans which use reinforces for target behaviors, or time out or restraint to reduce behaviors. These behavior plans may be limited in their utility because of three important factors: (1) they often assume a certain level of cognitive function that may not be present: (2) they often ignore comorbid psychiatric or neurological conditions: and (3) they often employ data collection procedures that are far too demanding for staff to implement (Polirstok, Dana, Buono, Mongelli, & Trubia, 2003). When recording the data of the implemented plan takes more time and conscientious effort than the implementation of the plan itself, it is not effective. The focus should be
There are many different obstacles autism spectrum individuals have to overcome in their daily lives; social insecurities, eye contact, appropriate spatial awareness etc. But in most cases, their biggest hurdle is mostly their communication skills; it’s been shown that communication impairment is at the heart of autism spectrum disorder (ASD) and that children with ASD can show a wide range of communication skills as discussed by Agius and Vance (2015). According to Agius and Vance, there is up to a 30% positive diagnosis of children with ASD who will forever remain nonverbal (no consistent verbal communication). With such a high percentage of ASD children it is recommended that their communication and learning needs are to be addressed by using the Picture Exchange Communication System (PECS), it has been shown as an effective intervention that addresses individuals with ASD and their learning and communication needs (Ogletree, Morrow-Odom, & Westling, 2015). PECS has helped children and young adults with ASD communicate with those around them; their teachers, peers, parents etc.
Autism is a developmental disorder, which is characterized by a dyad of difficulties in a) communication and social interaction and b) restricted interests and imagination (American Psychiatric Association, 2013). Individuals on the Autism Spectrum might find it challenging to understand what other people think or what the reasons for their behaviours are, as their ‘theory of mind’ may not be well developed (Schuwerk, Vuori & Sodian, 2015). It is possible that this is why they might behave in socially inappropriate ways, being unable to differentiate between different contexts, while they might also find it difficult to make friends. Moreover, it is likely that they are fond of routines, repetition and structure (Carnahan, Musti-Rao, & Bailey, 2009), as they might be nervous with unknown, new situations. In addition, some of them might not do eye contact with other people, whereas some others might not endure to be touched and might have a difficulty developing speech (Jordan, 2005). Individuals on the Autism Spectrum might sometimes be prohibited to initiate conversations and might struggle with finding different ways to play and behave, due to the possible deficit of imagination, which in some cases might result in them having a narrow sphere of interests. Nevertheless, it should be noted that this group of people is rather heterogeneous, as characteristics of autism may differ from one individual to another (Gwynette, 2013). Another point is that people with Autism
Autism is a form of neurodevelopment disorder in the autism spectrum disorders. It is characterized by impaired development in social interactions and communication, both verbal and non-verbal. There is an observed lack of spontaneous acts of communication; both receptive and expressed, as well as speech impairments. A person diagnosed with Autism will also show a limited range of activities and interests, as well as forming and maintain peer relationships. The individuals will display limited interests, which are often very focused and repetitive. He or she is likely to be very routine oriented and may show behavioral symptoms such as hyperactivity, impulsivity, aggressiveness, and self-injurious behaviors.
Autism spectrum disorder has become the most common neurological and developmental disorder diagnosed in children today. The United States Centers for Disease Control and Prevention (2012) estimate that 1 out of every 88 American children have been properly diagnosed. There is no known cure for autism, and the inconsistencies of the symptoms of autism in each case make it difficult to target a particular set of effective treatments. However some behavior management therapies, specifically physical therapy, may help to significantly control the unwanted symptoms in young children with autism spectrum disorder.
Autism is a developmental disability that affects all areas of behavior and perception. Approximately 10 out of every 10,000 children are diagnosed with autism and four out of five are males. Autism is the third most common developmental disability, more common than Down Syndrome. Children with Autism are characterized by impairment in several areas of development such as: Cognitive, Language, Play/Socialization skills and exhibit many challenging behaviors. Behavior Patterns of Autism:
Before doing the research on autism spectrum disorder I thought it was a disease, but not I know it’s a disorder. Autism has actually become a very common disorder and has also became well known. After my speech I hope to have given you guys a better understanding about this disorder so when you guys see the puzzled ribbon you have a clue of what it is.
Autism according to Merriam-Webster Dictionary is defined as “a variable developmental disorder that appears by age three and is characterized by impairment of the ability to form normal social relationships, to commutate with others, and by stereotyped behavior patterns.” Autism was believed to be a psychiatric or emotional illness, and doctors told mothers that they were the cause. They were wrong. The cause for autism is still a mystery, however, the facts remain that autism in children is on the rise. Erin Allday of the San Francisco Chronicle writes, “Environmental factors play a more important role in causing autism than previously assumed and, surprisingly, an even larger role than genetic.” There are theories based on that
Scientifically, autism and autism spectrum disorder, also known as ASD, are commonly used names for difficult disorders that have to do with brain development. Disorders like these are grouped by someone’s difficulty in social interaction, repetitive behaviors, and nonverbal communication. To the people who are diagnosed with this disorder and the families it affects; it is so much more than just science.
Children With Autism Children with autism have the possibility to improve greatly, and some even overcome the effects of autism if appropriate therapies are begun early enough. A multifaceted disorder, autism has long baffled professionals and parents alike. At a point in time, doctors gave parents absolutely no hope for the recovery of their children. But recently, new treatments and therapies have shown that improvement is possible. With early intervention, intensive care, some children have if not fully recovered, improved, and have been integrated into schools, indistinguishable from their peers.
Autistic infants often show little or no interest in other people and lack typical social behaviors. For example, they may not smile at their mother's voice or make eye contact with caregivers. Autistic children fail to develop normal relationships with their parents, brothers or sisters, and other children. Often they seem unaware of the needs and feelings of other people, and may not respond if another person is hurt or in distress. They also fail to make friends.
Neurological disorders are complex in nature and often the least understood. Given the recent boom in imaging technology and other diagnostic methods, it is now possible to see more clearly into the scope of neurological development and accurately determine the etiology of these diseases. One of such disorders is Autism; a multifactorial condition impairing normal brain development. It affects many aspects of development, including social behavior, cognitive ability and communication skills1 and is commonly diagnosed in children before the age of three1. The symptoms of this condition can vary greatly between individuals; hence its classification as a spectrum disorder. Asperger syndrome, Rett syndrome and pervasive
Is there a drug out there that can help autistic children, especially ones with serious behavioral disorders, concentrate and think better? In 2008, Aman, et al., performed a study on autistic children with irritable behavior to evaluate the drug Risperidone on their cognitive abilities. Risperidone is an atypical antipsychotic that often causes somnolence during the first two weeks but usually resolves spontaneously within the first sixteen days of treatment (Janseen Pharmaceuticals Inc, 2016). Aman, et al., ( 2008) performed this research study to determine if this somnolence impairs the cognitive abilities of said children. Furthermore, Aman et al., (2008) stated the null hypothesis as, “There would be no difference between the risperidone and the placebo” (P. 228, Para. 7). However, the difference was documented and said hypothesis rejected with a p s Version (VLT-C) and Modified VLT-C”, which “Measures verbal memory over brief and intermediate periods of time-measuring immediate free recall”, long-delay free recall, and recognition trial to see if the subject recalls hearing the word being stated earlier in the test (Aman, et al., 2008, P. 229, Para. 3). The dependent measures included recollection of words correctly recalled, and recognized, after a ten minute delay, as well as immediately (Aman, et al., 2008). This measures the subjects’ short and long-term memory word recollection.
There has been an increase in the number of children diagnosed with autism or other autism spectrum disorders. It is likely as an educator that you will have at least one child with this diagnosis in your classroom. This paper explores some of the methods used to teach autistic children.
Some children with autism experience delayed speech and communication skills while others may use no language at all. It should be noted that most of these children use spoken language, but in most cases they don’t integrate these skills to communal interactions in their daily life. More often, it has been revealed that children with autism may miss to attain functional speech and some are said to be totally non-verbal. Failure to communicate in a purposeful way may be the most disturbing symptom of this disorder. Deficits in communication and language abilities have been cited as the major behavioral variation for young children with autistic disorders. Poor communication is seen to
People with Autism are presented with difficulties with social interactions, in particular, establishing and maintaining relationships. There is a lack of responsiveness to non-verbal forms of communications, like facial expressions, physical gestures and eye contact. Often, they are unable to fully express needs due to being unable to interpret and understand others needs. These lack of social interactions effect their ability to share others interests and activities, which gives the appearance that they are socially distant. The cause of their inability to understand non-verbal forms of communication which causes them to become withdrawn socially; is due to a delay in speech.