adult social skills

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ADULT SOCIAL SKILLS MERLIN L TAYLOR JR | PHD | CCC-SLP | BCBA-D | Aspie A Learning Process

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ADULT SOCIAL SKILLS. MERLIN L TAYLOR JR | PHD | CCC-SLP | BCBA-D | Aspie A Learning Process. The Agenda. To discuss the development of social skills in individuals with autism spectrum disorder (ASD) - PowerPoint PPT Presentation

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Page 1: ADULT SOCIAL SKILLS

ADULT SOCIAL SKILLS

MERLIN L TAYLOR JR | PHD | CCC-SLP | BCBA-D | Aspie

A Learning Process

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The AgendaTo discuss the development of social skills in individuals with autism spectrum disorder (ASD) To talk about a work currently in progress at the Transformations Autism Treatment Center (TATC)To engage in an exercise intended to simulate some of what an adult (or adolescent) individual with ASD can encounter in social situations.

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Speech Words

SoundProduction

MeaningfulSegments

BuildingPhrases

Social Adaptation

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Social Adaptatio

n

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Social Adaptati

on

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A.K.A. PRAGMATICS

What does it involve?

Social Adaptati

on

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Social Adaptati

onCognitive

Development

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SIMPLY:Ability to learn, problem solve, etc.

BUT IT’S COMPLICATED—Not synonymous with level of function

For an individual with ASD, level of function will in large part reflect social success!

Cognitive Developme

nt

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Social Adaptation

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BUT IT’S COMPLICATED—You want me to retrieve a bunch of words from memory, use these to formulate coherent and meaningful phrases, then produce these accurately and intelligibly—oh, and also guarantee that nobody is confused or offended? Sure.

Mental

Energy

SIMPLY:(kind of self-explanatory)

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Social Adaptation

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BUT IT’S COMPLICATED—Can vary across cultures, between individuals, and at different times.“Body language” can be very difficult to read.

Boundary

Awareness

(Spatial)

SIMPLY:Respecting “personal space,” etc.

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Social Adaptation

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BUT IT’S COMPLICATED—Invisible, intangible, sometimes irrational, rarely explicit and often poorly defined.

Boundary

Awareness

(Social)

SIMPLY:Respecting social roles and rankings

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Social Adaptation

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Boundary

Awareness

(Situational)

BUT IT’S COMPLICATED—No two occasions are exactly alike.

SIMPLY:Knowing what occasions warrant certain words and behaviors

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Social Adaptation

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SIMPLY:(kind of self-explanatory)

Self-Insight

BUT IT’S COMPLICATED—Proprioception—awareness of the physical self—is a key deficit in cases of ASD. Without body awareness, awareness of one’s own thoughts and emotions is highly problematic.

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Social Adaptation

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REALLY NOT SIMPLE AT ALL Inter

personal

InsightAnother word for

interpersonal insight is…

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EMPATHY

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Social Adaptation

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Social Adaptation

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Social Adaptation

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Social Adaptation

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Social Adaptation

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Social Adaptation

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Social Adaptation

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Social Adaptation

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FEAR

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In anyone, fear can displace empathy.

FEAR

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(For example:

Have any of you ever known a

clinician...

FEAR

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…who cut himself off

from feeling anything for

his patients…

FEAR

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…because he feared having to

grieve—and losing the respect ofhis fellow

professionals?)

FEAR

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While profoundly affecting behavior,

fear itself is not a

behavior.

FEAR

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Intensive drilling cannot actually

eliminate fear.

FEAR

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This is well known

within the military.

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We who live “on the

spectrum” experience the same fears as

everyone else…

FEAR

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…only more so. FE

AR

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In most—if not all—social situations

We fear failure (e.g.: failure to be understood)We fear ridiculeWe fear ostracismWe fear attackWe fear feelings we might not be able to controlWe fear being wrong when everyone else is rightIn short, we fear others and we fear ourselves.

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Moreover

FEAR

Having a longer history of negative social experiences that give rise to and validate fears…

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Moreover

FEAR

…having had more time to develop cognitive awareness of things to be feared (a significant reason why cognitive development is not a consistent predictor of social success)…

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Moreover

FEAR

..and still having atypical sensory processing problems that put us at a disadvantage in many social environments (e.g.: crowded walkways;noisy workplaces; stores with old fluorescent lighting)…

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FEAR

… we expend a considerable portion of whatever cognitive capacity and mental energy we possess just trying to control fear!

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Nonetheless…..those who work with us—even (and especially) in clinical settings—so often expect us to surmount our fears in stride.Our experiences tell us otherwise: that often we surmount one figurative hurdle…

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…only to land in another cold, painful mess:

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another friendship that ends in enmity

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another acquaintanceship that leads to victimization

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another relationship that ends in broken hearts—or broken bones—or rape

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another workplace in which to blunder along until asked (or forced) to leave

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another school setting with majors in isolation and conflict, and field trips to the main office

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another treatment setting—mainly its room that locks from the outside

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another community setting that mainly offers a courtroom, juvenile hall, and jail*

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*especially if one has economic or ethnic minority status in addition to having autism

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WHOSE DISORDER IS THIS ANYWAY?

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CAASPCommunityAdults withAutismServiceProgram

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The CAASP ApproachMotto:

"By growing comfortable within ourselves, we grow comfortable with

others"

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The CAASP ApproachCAASP is committed to ensuring that social maladaptation will never cause the confinement of any participant to a social, occupational, or academic situation beneath his or her level of cognitive ability.

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The CAASP ApproachThis commitment sometimes may require providing participants with assistance in the form of advocacy; one of the objectives of CAASP, however, is to develop self-advocacy skills in its participants.

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The CAASP ApproachIn any case, the underlying philosophy of CAASP insists that if a participant is able reach a certain level of self-actualization, then s/he be allowed to live and work at that level.

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Apprehension regarding a new experience with new people, and the lack of a rigidly structured classroom format

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Surprise regarding their own ability to function in such a novel environment

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Struggle to find words and phrases adequate to discuss matters that they might not ever have discussed elsewhere

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

A natural mix of feelings with regard to fellow participants (including TATC staff)

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Release in self-expression

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Affirmation of what they have to say

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Dismay and disbelief as they recognize ways wherein they have socially sabotaged themselves in the past

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Anger and resentment as they recognize ways wherein others have socially sabotaged them in the past

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Reassurance and relief as they reconsider and roleplay past experiences and engage in creative post hoc problem-solving

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Hope as they increasingly recognize their own potential for successful social engagement

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The CAASP ApproachDuring the first few months of participation, CAASP participants are allowed and enabled to experience

Empowerment as they fulfill that potential in structured and unstructured experiences.

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The CAASP ApproachMethods

1. Discussiona) Personal interactionb) Mutual educationc) Exploring trustd) Adjusting sensitivities

2. Roleplaying exercisesa) Individual expressionb) Joint expressionc) Rehearsal and

preparation

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The CAASP Approach

Personal interactionMutual education

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From “Autistic Manifesto”I, often called a problemI have quite a problem:

How to raise a flower in asphaltOr a melon in mortarOr fish in a furnace

Or a mind in a rut of rote readingsSo you who would train

Please do train--your dogBut teach me you may--

If I may teach you

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Taught not trained.

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The CAASP Approach

Exploring trust

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Self and Others: Degrees of Understanding and Readiness to Connect

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Self and Others: Degrees of Understanding and Readiness to Connect

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Self and Others: Degrees of Understanding and Readiness to Connect

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Self and Others: Degrees of Understanding and Readiness to Connect

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Self and Others: Degrees of Understanding and Readiness to Connect

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Self and Others: Degrees of Understanding and Readiness to Connect

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And now a public healthmessage for my fellow

BCBAs

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Attention BCBAs!!!AUTISM MAY BE CONTAGIOUS! h

Are you emotionally withdrawn—exhibiting no human feeling toward your clients?Are you compulsive—inflexibly following very specific therapeutic routines?Do you habitually speak in obscure jargon (e.g.: Using such words as “manding” for “asking”)?

If you have answered “yes” to two or more of the above questions, then you might be an Easpie.

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EASPElectiveAutism ofSocialPersona

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When an Easpie leads an Aspie, both fall short of empathy.

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SeriouslyDo behavior analysts, speech pathologists, and other professionals model effective social skills for an adult or adolescent on the autism spectrum by

Speaking in the presence of that individual as if s/he were not in the room?

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SeriouslyDo behavior analysts, speech pathologists, and other professionals model effective social skills for an adult or adolescent on the autism spectrum by

Perseverating on a topic well after that individual has signified understanding and is ready to move on to another topic?

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SeriouslyDo behavior analysts, speech pathologists, and other professionals model effective social skills for an adult or adolescent on the autism spectrum by

Getting right up into the individual’s face?

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SeriouslyDo behavior analysts, speech pathologists, and other professionals model effective social skills for an adult or adolescent on the autism spectrum by

Consistently interrupting instead of listening to the individual?

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SeriouslyDo behavior analysts, speech pathologists, and other professionals model effective social skills for an adult or adolescent on the autism spectrum by

Addressing the individual using flat, choppy, condescending, or even singsong intonation?

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SeriouslyNO—they instead unwittingly imitate autistic verbal behavior (maladaptive behavior at that)—and OFTEN THIS IS DUE TO THEIR OWN FEAR.

(Clinicians, what do we fear?)

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Ultimately

It is the courage to connect that is contagious.

Thank you.