Autism Therapy: smile

definition of smile: not yet defined.

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J Autism Dev Disord, by Scattone, D., published in 2008, summarized Apr 28, 2008

Video modeling therapy with Social Story therapy can result in an increase in social skills in a child with Asperger's Disorder.

This study looked to see if Social Stories could be combined with video modeling to make a good intervention program to teach social skills to a 9-year-old boy with Asperger's Disorder. The therapy program worked, but smiling was the hardest skill for the boy and therefore improved the least. Eye contact improved only slightly. The boy showed a large increase in his ability to start conversations. He also used these improved social skills with his peers at school.


J Autism Dev Disord, by Scattone, D., published in 2008, summarized Mar 17, 2008

Social Stories can be combined with video modeling to help to teach complex social skills to children with Asperger's Disorder.

This study looked to see if 15 weeks of Social Story therapy combined with video models could teach social skills to a boy (9 years old) with Asperger's Disorder. The combined interventions helped to teach eye contact and starting conversations, but they did not help to teach smiling. It was hard for the boy to master smiling and his level of smiling changed a lot throughout the treatment. While his eye contact did improve during therapy, it seemed to go back down once therapy was stopped. While the boy learned to start conversations in the treatment setting, he did not do a good job of transferring the skill to school.


Psychiatrie, by Hracky, DB, published in 2006, summarized Mar 7, 2007

Early psychotherapy can help a child with autism learn to connect with others and then to speak.

This paper was written as an effort to understand the psychology of autism and describe how psychotherapy can be used to help children with autism. The author describes a three year old boy who was diagnosed with autism right before his second birthday. The child was lonely and calm with no speech before therapy began. The treatment lasted for 14 weeks and included five one-hour sessions per week. During this time the boy learned to smile, speak, maintain contact with people, and play with a toy.


Delta Dental of Minnesota and Fraser have collaborated on My Healthy Smile, an app for the iPhone. The app consists of 11 audio and visual social scripts – everything from brushing teeth to getting a cavity filled. Ann Johnson (Delta Dental) and Pat Pulice (Fraser) hope that My Healthy Smile helps kids with autism feel less anxious about visits to their dentist. Johnson says, “Pain and more costly dental treatment will result in the case of not establishing the basic daily and preventive dental care.” Pulice explains that the app works especially well for people with a developmental age of between 3 years and 10 years old.

Read original article: Delta Dental Collaborates with Fraser for iPhone App


After not having much success with applied behavior analysis (ABA) therapy, the Downing family received training in the Son-Rise Program to assist their son with autism. The Son-Rise approach encouraged the Downings and their older son to meet Saxton, their 5-year-old, at his level. With support from their community, the Downings are creating a special playroom for Saxton; it will have an observation window so that observers can watch the Downings or other volunteers work with Saxton. His parents say that they have joined him in stimming and in singing, which he seems to understand better than spoken words. Although they've only just started this program, the Downings see an improvement, “The other day he said, 'I like that song' - a full sentence. His grandfather says that even his smile seems different."

Read original article: An Alternative for Autism


Thomas the Tank Engine, long a favorite toy of children with autism, has found his way into a game to help increase social skills. Autism Spectrum Australia (Aspect) launched the online game following the success the television show about Thomas has had with children. In order to help children learn to recognize emotions, Thomas and his friends "asks players to recognize which engine has a sad face, or which is happy or angry." Tom Punch, with Haven Licensing in Australia comments on the predictability of Thomas, "Children can understand the clear visual messages - the big smile on the front of the engine. The messages it communicates are very concrete, not abstract."

Read original article.


Paige and Renee, two Massachusetts teens with autism, are set to perform their ice skating skills at a benefit for Nashoba Learning Group, Inc., a school for children with autism. Students on the Hudson High School Ice Skating Team are mentoring Paige and Renee - teaching them skating as well as social interaction skills. The girls have increased confidence, new skills, and new friends. Renee's mom said, "The experience has given Renee a lot of confidence and exercise. It's improved her listening and her follow-through, and it has been very social." One of the mentors has said, "I've become very close to Paige and her family." Skating has allowed Paige and Renee to release energy, and it makes them smile and laugh." She said that in 4 months, the girls have learned to turn, jump, and skate backwards.

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Please comment on this autism topic.

Repetition...Here I go again!!!

Jun 7, 2009 by Anonymous

                This week was much like many others in the respect that I was going through a period of feeling totally overwhelmed with life in general and my emotional pendulum was yet again swinging from one extreme to the other, a phenomenon my family have long since chalked up to mom having “one of her days.”  Nothing extremely out of the ordinary actually.   I had been asked to submit again further documentation to my insurance company to substantiate the need for my son’s ongoing speech therapy.   I had requested and received home work material for the expressed purpose of practicing hard won skills so as to ward off the ever present monster in the closet; regression.   I had intended yet again to organize files, stow away winter clothes, check the fit of summer clothes, etc., etc.   And then it hit me.    As I checked emails, twitter accounts, my space pages and face book…it hit.   This emotion that was at once akin to emotional vertigo and short of a panic attack.  The overwhelming enormity of all that goes with caring for a child with ASD.   It was a feeling that I could not quite place the night before as I watched my son struggle to perform math problems that we had been working on all year and still seemed to just escape his grasp.   It was the feeling of clawing your way up a mudslide.  It was the feeling of being stuck in one place while the world seemed to move around you.   The repetition of it all in an effort to gain some minuscule ground and trying to find contentment in that.   When that realization came, with it came the self-loathing.   How could I possible feel tired of it, resentful, angry…and if I did, what must he feel?

                In reading submissions from others on line and parents that I have personally connected with, I have come to one conclusion; the drive to protect, nurture, and see that our children flourish is all consuming.   I have met some truly awe inspiring parents with children on the spectrum and have found evidenced in them immeasurable strength.   But almost universally I have found that the same strength that drives us alternatively burns us out.   We are called upon to wear so many hats that we find ourselves filled to overflowing.    I have sought alternative ways to deal with this sense of feeling overwhelmed…therapy, exercise, prayer and mostly that works.  I have learned to reprioritize my life.  No longer is it most important that my house be spotless.    There are days when I feel it would pass inspection by the Board of Health…barely.    No longer are my finances handled with the precision of a calculator wielding accountant…thank goodness for online payments!   The laundry may not be done to Martha Stewart’s standards…(ok, did that pile in the corner just move by itself…it’s small, I think I can take it!).  Point is I am doing the best I can.   Today.    And maybe tonight in the solace of my beloved shower I will cry, long, shoulder wracking, hiccup inducing, eye swelling cries that will leave my eyes red and puffy as only my favorite shampoo can.   I will toss and turn and watch another episode of Law & Order with one eye on the clock, and then sleep the sleep of a parent whose mind will not be still.   Tomorrow is a new day, a new fight, a new challenge.    A bus pulls into my driveway and his voice sing-songs on its way out through the closing door…”bye mom, love you” as it has every school day this year.   I smile and realize repetition ain’t that bad.


Scheduling conflict

Mar 31, 2009 by Anonymous

Our uneventful Spring Break is over and the kids started back to school yesterday.  I’ve always wondered why schools in our area have such an early Spring Break…the weather is almost never decent and this past week was no exception.  If it wasn’t cold, it was rainy.  Thursday was probably the nicest day of the bunch so we went to the zoo.  It was a little cool but the sun was shining and oddly, the zoo wasn’t packed with other Spring Breakers.  I guess most people go out of town, but we’re saving that for the stifling heat and humidity of August in Florida.  You never know…it could be an unseasonably cool eighty-five degrees in Orlando in August.  That’s what we’re hoping for.

                The transition back to school went okay for Thomas yesterday but his teacher wanted to speak with me about some trouble he had today.  The teacher lets the kids pick jobs every Monday such as line leader, book helper, weather helper and so on.  One of the jobs is “schedule helper” and though Thomas always vies for this job in particular, it is one of the more popular ones and he seldom gets it.  The schedule helper tends to the picture schedule up on the wall of the classroom.  When the kids have completed one of the schedule items, the helper flips that item over to indicate that it’s all done.  Thomas has been using a schedule like this since he was three and started developmental preschool.  The problem is that he is somewhat obsessed with it. If the schedule helper is less-than-diligent about flipping completed items over, Thomas goes to the schedule to do it himself.  I’m a little disappointed because I thought that the goal was to get Thomas away from a picture schedule altogether, but the teacher says that a lot of the other kids in class benefit from it as well.

                Today, the schedule was messed up somehow.  “Exercise” was before “Calendar” or something and Thomas wanted to change it.  Mrs. H. told him that she knew the schedule was wrong but that it wasn’t his job to change it.  He kept trying to tell her that it was wrong and I guess (sigh and extreme embarrassment…) he yelled at her that she wasn’t listening to him.  She was stern with him and told him to sit down.  She also warned him that if he touched the schedule again, he would be moving his card to yellow.  This whole green-yellow-red thing is an amazing motivator for Thomas.  Once she warned him about the card, he sat down and started crying.  He did recover and was able to go on with his day (which is great) but I feel bad that he had a rough time.  After school, I explained that I wasn’t angry with him and tried to tell him that everyone has bad days sometime.  Thomas argued about this with me and told me that I should be mad at him and that I should make a mad face!  I told him that I had a bad day at work on Sunday (and that my general manager would probably holler at me today as a result of it) and that it would be okay and maybe the next day would be better…that if every day was great and exactly the same, life would be boring.  Remarkably, this line of reasoning made more of an impression on Thomas than anything else I said.  He’s recovered from school nicely and is eating noodles dipped in pizza sauce now, so all appears to be well.  Another factor that might have had something to do with his trouble today was that Hayley said she wasn’t feeling well this morning so we didn’t go in to help like we normally do on Tuesdays.  Ah, well.  I shouldn’t let his trouble get me down either.  I should listen to my own advice.

                Don’t worry about my bad day at work, either.  One mistake I made was relying too heavily on the technology the restaurant uses (and which normally works perfectly) and the other mistake was that I didn’t card a gentleman who appeared to be every bit of thirty-five years-old but was really twenty-two.  Okay…lesson learned.  I’m carding anyone who appears to possibly be under fifty and that should take care of that.  They might write me up or something.  I think I’ll live to fight another day.  The other assistant manager definitely didn’t think I’d be fired, but can you imagine?  I’ve never been fired from a job (or even officially reprimanded) in my life and to have to deal with this while waiting tables…honestly.  The upside is, of course that I’ve gotten a good start on our Disney nest-egg and every time I have to go into the restaurant kitchen to make yet another “fresher” pot of decaf for the persnickety old ladies at table such-and-such, or fetch a whole plate of lemons for the people in the corner booth who are apparently intent on making their own lemonade out of the free water, lemons and Splenda packets we keep on the tables, I just think of my kids and my husband at Disney World, smiling from mouse-ear to mouse-ear.

                I wonder what “happy place” I’ll find after Disney is over to keep me going with this restaurant gig.  The kids are fine with me working but I think that the adjustment is getting to Jonathan a bit.  He’s exhausted most nights when I get home and I picked up a shift for tomorrow night – normally a night off – and I’ll be staying past closing so everyone will be in bed when I get home.  I can tell that it’s rough for him to come home and play tag-team with me.  One day Jonathan was late getting home from work and I stood in the doorway, waiting to see his truck come around the bend.  When I spotted him, I got into my car and we blew kisses to one another as he pulled in and I pulled out of the driveway.

                Like two Chevy Silverados, passing in the night.


Happy tears and tooth fears

Feb 20, 2009 by Anonymous

So much has been happening lately that it’s been hard to find time to write.  The GFCF diet will have to be put on hold for now, at least.  The good news – an improvement that could help us avoid that kind of major dietary inconvenience indefinitely – is that the Strattera seems to be working really well for Thomas.  He’s been more attentive, making more eye-contact and telling me loads about things that have happened at school.  Last Thursday, Thomas told me that there were three “stations” in gym class:  a running station, a hopping station and a beach ball station.  I asked him which one was his favorite and he said that he like the beach balls the best.  I said, “Beach balls?  That must have been a little crazy, with beach balls flying all over they gym.”  Thomas said, “No.  Mr. M. put up a little blue fence around the beach ball station.”  All I could say was “Wow!”  He’s never given me so much information about school before.  Granted, gym does seem to be his favorite subject. 

            One unfortunate side effect of Strattera is having difficulty sleeping and Thomas seemed to not sleep at all for three nights running last week.  I made an alternately frantic and comatose call to the neurologist who decided to add another half Clonidine around 3 or 4 p.m. to help ease Thomas into the evening.  Jonathan and I were really skeptical about that.  I kept wondering how much Clonidine his little body could take, for one thing.  For another thing, I wondered if the Clonidine patch would be a better solution.  The neuro still wants to use the pills and surprisingly, it did seem to help.  The problem was that Thomas would get up around 1 or 2 a.m. and get into our bed which is his usual routine.  The bad thing was that he’d get into bed with us and not go to sleep.  He’d flop around like a suffocating fish, kicking us and waking us up.  We’d send him back to his bed and hear his TV click on.  Then Hayley would get up and come into our room.  She said that Thomas came into her room and woke her up - I guess to play with him.  So there was that one awful Sunday night where nobody got any sleep and it affected everyone negatively.  Thomas didn’t think anything of it, but the rest of us were dead on our feet all day.  With the extra half-pill in the afternoon now, he still comes into our room at some point but he sleeps peacefully at least.  Hayley has been sleeping very well, in her bed all night until she sees Jonathan get up for work and then she comes in for a snuggle.  Since the Strattera dose seems to be working well for now, we’re not going to increase it.  Thomas hasn’t had any tics, so that’s great.  It’s what we were afraid of.  Luckily, the one that he developed while on Focalin went away as soon as we stopped the medication.  I’ve heard that they can develop tics that never go away, even if the medicine is discontinued.

            Thomas’ IEP meeting was on lucky Friday, February 13.  It was a great meeting; very positive and everyone, as per usual, just LOVES my boy.  Thomas has so far this year met or very nearly met all of the goals his service team set for him last May.  His meeting last year was at the end of the school year, so he still has a couple of months to meet his goals and there’s no reason to suppose that he won’t.  Thomas’ teacher, whom shall now be called “Mrs. H.” because I’m getting tired of calling her “The Teacher,” actually cried twice during the meeting, thus making me cry.  The last time I cried at an IEP for Thomas was what I like to call “The Worst Day of My Life,” the meeting when autism was brought up.  Thomas has come such a long way since then that now I can look forward to crying tears of joy.  And watching his teachers do the same, I guess.  Mrs. H. has become very fond of and attached to Thomas.  He manages to endear himself so to all of his therapists and teachers.  I understand why Mrs. H. was so emotionally moved; she is educated in early childhood development and therefore recognizes immediately when Thomas makes a breakthrough or reaches an educational milestone.  She sees it for the huge leap that it is.  At the beginning of most days, Mrs. H. has the kids draw a picture and then encourages them to write a few words about it.  Most of the time, Thomas scribbles and makes up some story about it but won’t write.  The Monday before his IEP, he drew a picture of an orange “race car,” colored it in and started writing that it was “An orange race car, going very fast.”  I mean, this thing really looked like a car!  It had wheels and everything!  Mrs. H. told me that when I saw it, I would cry, but I didn’t.  (That is, until she did in the meeting.)  I was excited; I said, “Wow, that’s cool!”  I think I just don’t understand the gravity of such things the way that Mrs. H. and the OT understand them.  Either way, Jonathan and I are very touched by the tender and loving way teachers speak about Thomas.  I found myself having to reassure Mrs. H. that she would see us plenty next year, because she’ll have Hayley and Thomas will be in first grade and I see no reason why I can’t volunteer in Hayley’s kindergarten classes too.  She felt better after that.  But Thomas is showing pre-reading skills; better than many of his classmates in some cases, continues to improve his writing and recognizing letter sounds and shocks us all from time to time with his amazing memory.

            My job search continues, and I feel I’m very close to landing that perfect foodservice job I’ve been wanting.  I have a second interview at a restaurant tomorrow and I papered all eateries within a five mile radius yesterday afternoon with applications and a winning smile.  I’m hoping to be able to wait tables two or three nights during the work week and two shifts of various hours on the weekends.  There are so many good reasons for me to find a part-time evening and weekend out-of-the-house job, the more I ponder it.  One big reason (cash is numero uno, of course, but…) is that the kids will begin to see their father as more of a caregiver.  One thing that happens frequently and always fries my cookies is that I’ll be deeply engrossed in some chore or activity like running on the treadmill, folding laundry or even taking a shower.  Jonathan will be sitting on the couch in the living room, watching TV.  Hayley will come in and ask for a snack.  My immediate question is, “What’s Daddy doing?”  She tells me so I send her to ask Daddy to get her the snack.  Fifteen seconds later, she’s back and she says, “Daddy wants to know if it’s okay if I have a snack.”  See, Hayley went and asked Jonathan if she could HAVE a snack, she didn’t tell him that I asked HIM to get HER the snack.  “Yes!  For the love of God, child, you may have a snack!”  Now I’m getting irritated.  Fifteen seconds later, Jonathan comes into the room.  “Did you say it was okay for Hayley to have a snack?”  He thinks she’s trying to pull a fast one.  By then, I’m so frustrated that I start raving like a madwoman and nobody understands why.  So maybe – maybe – if I’m completely out of the house, Jonathan can decide for himself if the children are worthy of our pantry full of snack foods.  And the kids won’t even be able to consider asking me in the first place.

            As I said, the money will be great.  If I can make a couple hundred a week, we’re going to go ahead a book a trip to Disney World in August, I think.  We have some money coming to us that we didn’t even know we were supposed to get (it was really our money anyway; the county assessor was just “borrowing” it from us until we noticed, it seems) and that coupled with the extra income I hope to earn will make it possible for us to finally take our children to see The Mouse.  We’ve been dreaming of it ever since we went to Disney World for our honeymoon and saw happy families riding the teacups and Flying Dumbos.  “Wow, won’t it be great to take our hypothetical children here some day,” we’d say to each other.  Actually, I can remember several times while we were there that I thought it would be nice if we had a kid or two with us for this show or that ride.  It appears to be within reach.  I know, it’ll be hotter than hell in Florida in August (ninety-two degrees is the average daily high), but we don’t want to take the kids out of school to go.  We have two immediate family weddings in November, one of them over Thanksgiving weekend, we don’t want to go over Christmas and miss that with our families and I wouldn’t touch Spring Break with a ten-foot pole.  So that leaves summer vacation, and we’ll need more time to save dough than a vacation in June would give us.  That’s our decision.  Now I just need to get hired and make a dazzling impression.  Shouldn’t be too hard.

            Jonathan took the kids to the Monster Truck Jam last weekend on Valentine’s Day, also our eleventh wedding anniversary.  Hayley pretty much hated it; it was way too loud for her (Jonathan remembered to bring earplugs, but even so, it was too loud) but Thomas loved it.  His favorite part was the motorcycle tricks.  So Thomas would go again, but we’ll have to find some Mommy-and-Hayley activity the next time the Monster Trucks are in town. 

            The last bit of drama I’m going to share this evening is that Thomas has reached a physiological milestone:  he has two loose teeth.  The bottom two in the middle, the two that popped through right on schedule on his six-month birthday, are preparing to leave on a high-note.  Thomas wants nothing to do with this whole process.  We’ve mentioned it to him before, always with negative results so we’ve been kind of hoping that we had a little more time.  Nothing doing, says Mother Nature.  He spent most of today whining and complaining and actually crying at times.  At one point, he asked me for some tape so that he could “fix” the ones that were loose.  We tried everything we could think of to put him at ease.  I drew him pictures like I used to in the old days.  It only upset him more because I drew smiley faces on the kids who had lost teeth and he said that they should have had sad faces.  I tried showing him Sophie the Dog’s puppy teeth which I saved (no idea, don’t ask), but he wanted to put them back in her mouth.  At dance class, one of Hayley’s friends was missing both of her bottom middle teeth and she gleefully obliged when we asked to have a look, but Thomas didn’t really care.  He is threatening that when one finally falls out, he’s going to “cram it back in.”  Those are his words, not mine.  He actually said “cram.”  Losing teeth is fine for everyone else, but Thomas is completely against it.  For one thing, he knows that the new teeth are called “adult teeth” and he wants to never be grown-up.  We’ve started calling them “big-boy teeth,” but he doesn’t really want to be a big boy, either.  Of course, all of this represents change, which Thomas is firmly dead-set against in all forms.  Unfortunately, nothing can be done to stop baby teeth falling out, so we’re going to have to weather the storm.

            Although very resistant to change, Thomas did show a great deal of enthusiasm for flying in an airplane to go to Walt Disney World.  Go figure.


Have you taken a STAB at a GREAT opportunity to negotiate your child's IEP?

 

How many times have you heard "it's our policy" from a school employee? Teachers and Administration - how many times have you stated it's our policy? Have you ever seen the policy?

This issue of policy is brought to the table many times during IEP meetings and parent teacher conferences. The top three reasons I hear about policy is in regards to:

1. School cannot provide a 1:1 aide.
2. Parents cannot visit the classroom.
3. Teachers cannot adapt grading procedures.

Here are some strategies to remember what to do and what not to do when you here about "policy".

DO NOT STAB.
S- shout
T- threaten
A- accuse
B- blame

You first instinct may be to do one or more of the above actions to combat the policy.
Trust me - they don't work!

When Confronted with a Policy or Issue, YOU CAN BE GREAT!

G- greet with a smile
R- reflect on the true issue, not the policy, keep the team focused
E- evaluate solutions, keep the child in the center of the solution for long-term success
A- agree on a plan of action
T- timeline for success, put in writing who is responsible for a solution and by when, the written plan can be casual between individual team members and yourself of may be formalized within the IEP.

At the end of the day if a school system is stating their hands are tied due to policy, ask for the policy! Teachers beware - don't start quoting policy because an administrator has rules. Staff rules and assumptions are different than policy and you will lose the trust of parents if you make claims without substance.

Parents and teachers, you have a choice. You can STAB or be GREAT when working with each other. I can guarantee the children involved will be thankful and benefit tremendously if the adults in their life can take the time out and put forth the strong effort it takes to be GREAT!

Copyright 2008 Precision Education

Catherine Whitcher, M.Ed.

 



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