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Autism and My Sensory
Based World 4th Edition
Temple Grandin
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e p e G a d
A good teacher is gently insistent
Early intervention essential
Minimum 20 hours weekly of
one-to-one teaching
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Sensory processing disorder occurs
with many other disorders (co-morbid)
Autism spectrum
Dyslexia
Learning problemsADHD
Asperger
Head injury
Oppositional defiant
Many others
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Sounds are better tolerated when
the child initiates them.
Little Rainman by Karen Simmons
Child blocks ears because
certain sounds hurt
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Auditory Threshold Normal
Hearing auditory detail is impaired
Stretch out and enunciate consonants
Hearing may be like a bad mobile
phone connection
Occurs with many disorders
Hearing may fade in and outlike a poor mobile phone
connection
Echolalia increases as receptivelanguage becomes worse.
Jacqueline Roberts, 1997
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Attention shifting slowness
occurs with many disorders
Takes longer to shift backand forth between
two different things
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Ami Klin
Viewer with Autism (Red Line)
Normal Comparison Viewer
(Yellow Line)
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Oliver Sacks
Visual images break up
and fragment
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Signs of Visual Processing Problems
Finger flicking near eyes
Tilts head when looking at things
Hates escalators
Hates fluorescent lights and
sees flicker
Difficulty catching a ball
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Words vibrate and jiggle on page
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Interventions for Visual Processing Problems
Incandescent lamp by desk
Block fluorescent lights with a hat
Laptop or tablet computer
Gray, tan, or pastel paper
Irlen lenses or pale colored glasses
Balancing games - sit on ball
Prism glasses - Developmental Optometrist
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Severe Sensory Problems
Extreme effort required to screen out
background noise and visual distractions
Needs frequent breaks to prevent sensory
overload
Mono-channel
Body boundary problemsOften an auditory thinker
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Best Books to Understand
Severe Sensory Problems
How Can I Talk if my Lips Dont Move
by Tito Rajarish Muhopadhyay*
Carlys Voice by Arthur Fleischmann
with Carly Fleischmann*
* Nonverbal and types independently
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Heller, W., and Nitsch, J.B. 1997, Cognition and Emotion, 11:637-661.
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Structural MRI Connection
s
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VisualRepresentation
SpeechProduction
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Auditory
Walt Schneider, Univ. of Pittsburgh
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Develop the Child
s Strengths
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My mind works like
Google for Images
Little Rainman by Karen Simmons
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Little Rainman by Karen Simmons
Sensorythinkers sort specific
pictures, sounds, touches, and
smells into categories
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Most people see in
their imagination ageneralized generic
steeple
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I see only specific pictures ofsteeples I have observed
They flash into my memory like a
series of still Googled pictures
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My childhood church
First category under steeples
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Local churches in Fort Collins
Secondary category under steeples
F St l
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Famous SteeplesMormon Temple, Washington, D.C.
Third category under steeples
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Famous Steeples
Old North Church - Boston
Third category under steeples
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Famous Steeples
Notre Dame
Third category under steeples
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Famous Steeples
Westminster Abbey
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Brain Scans
T. GrandinControl
Humphreys, Minshew, Behrmann, and Cibu, 2006
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Brain Scans
T. Grandin Control
Humphreys, Minshew, Behrmann, and Cibu, 2006
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Abnormalities in Left
Hemisphere
University of Utah, 2010
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Develop Talents in the
Individuals Specialist Brain
1. Photo Realistic Visual Thinking Poor at algebra
2. Pattern Thinker Music and Math Poor in reading
3. Verbal Facts Language Translation Poor at drawing
4. Auditory Thinker Visual perception fragmented
There can be mixtures of these thinking types
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Two Categories of
Mathematicians
Algebraists
a2+ b2= c2
Geometers See this figure
Masha Gessen Perfect Rigor, 2009
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Is autistic learning just memorization? It is
memorization and scripting, but as moreinformation is memorized, it can be assembledinto more and more categories which will help
thinking to become more flexible.
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Teach Number Concept
Generalization
Count a variety of different kinds of objects
Addition and Subtraction - Teach with many
objects
Fractions Teach by cutting up fruit and paper
circles
T h W d C t ith
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Teach Word Concepts with
Specific Examples
Walk downthe stairs
A plane goes downand lands
Put a cup down
Lie downon the bed
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Objects are More Interesting than Faces
T. Grandin Control
Blue = objects Red = faces
Humphreys, Minshew, Behrmann, and Cibu, 2006
S i l I t ti Th h
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Social Interaction Through
Shared Interests
School Clubs and Activities
Organizations such as Scouting,
FFA and 4-H
Maker Community Groups
Careers
Classes that really interest
an individual
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Categorize Behavior Problems
Is it biological?
Sensory over sensitivity
Hidden painful medical problem
Difficulty processing rapid information
Is it behavioral?
Frustration because cannot communicate
Get attention
Escape from a task
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Sensory and Neurological Problems
Accommodations are Essential
!
Screams when the fire alarm rings
! Tantrums in a supermarket due to sensory overload
!
Cannot tolerate scratchy clothes
! Poor handwriting Let the student type
! Tantrums or hyperactive under fluorescent lights
! Difficulty multitasking
! Difficulty with long verbal directions provide written
directions
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Examples of BAD Accommodations That
Cause a Handicapped Mentality
!A shy boy who was allowed to do
public speaking on a computer
!
A kid who was allowed to stay in hisroom day after day
!A teenage girl who had all her
shopping done for her
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My 1950
s upbringing taught me many important
social and job skills. Everything was learned by
categorizing specific examples into these
concepts:
! Turn taking in conversation and activities such asboard games
! Being on time
! Doing family activities I disliked
! Doing things that pleased other people
! Sayingpleaseand thank you
! Social mistakes were instantly corrected by telling mewhat to do
B d B h i W N t
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Bad Behavior Was Not
Tolerated When I was a Child
! Being rude
! Bad table manners
! Manipulating a teacher by having a tantrum constant
rules at both home and school
! Poor grooming and sloppy clothes
! Laughing at an overweight woman
! Swearing
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Kids doing projects and playing
games where the rules and
duties are negotiated teachesvaluable social skills
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Sitting on a ball and wearing a weighted vest
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Sitting on a ball and wearing a weighted vest
helps concentration. Use for 20 minutes
then take off for 20 minutes.
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Preparing for Employment
1.
Jobs for teenagers
2.
Mentors
3.
Visit work place4. Trade journals
5.
Wall Street Journal
Make portfolio - people respect talent6. Sell your skill, not yourself
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Jobs for Middle School
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Jobs for Middle School
and High School Kids Walking dogs
Maintaining computers
Making PowerPoint presentations
Selling artwork or crafts
Working on church or neighborhoodwebsite
Working in a farmers market
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LEGOMINDSTORMS
& LEGO Technic
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Educational Resources
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Educational Resources
Community Colleges Technical Schools
Free On-line Learning University Courses
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Sh Kid I t ti Thi
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Show Kids Interesting Things
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Jobs for Music and
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Math Thinkers
Math teacher
Scientific researcher
Electronics technicianMusic teacher
ChemistComputer programmer
Engineer
PhysicistMusician/composer
Statistician
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Jobs for People with Poor
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p
Verbal Skills or Non-Verbal
Shelve Library Books
Factory Assembly Work
Fast Food Restaurant Work
Running Copies and Mail Room
Lawn and Garden Work
Recycling Plant/Warehouse
Stocking Shelves
Inventory Control
Handcrafts
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It Takes a Village to Raise a Child
"Parents, teachers, therapists,
businesses, law enforcement, and
religious organizations need to worktogether
"All members of the family need help
to handle the stress of severe autism
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SSRI S Antidepressants
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SSRIS AntidepressantsWork really well for anxiety and panic attacks
Prozac (fluoxetine)
Zoloft (sertraline)
Celexa (citalopram)
Lexapro (escitalopram)
Paxil (paroxetine)
Atypical Anti-Psychotics
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Atypical Anti PsychoticsMay have severe side effects
Risperdal (rhisperdone)
Geodon (ziprasidone)
Zyprexa (olanzapine)
Abilify (aripiprazole)
Seroquel (quetiapine)
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Blood Pressure Medications Reduce
Anxiety and Are Used as Sleep AidsMuch Safer than Atypicals
Beta blocker propranolol
Clonidine
Anti Convulsant Drugs for
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Anti-Convulsant Drugs for
Aggression and Mood Stabilization
Depakote
Lamitel (lamotrigine)
Topamax (topiramate)
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Einsteinhad many
autistictraits
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Autism.org
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800-3-AUTISM
TempleGrandin.com
Future Horizons
http://www.fhautism.com/
Autism Asperger Publishing
Books by Temple Grandin
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oo s by e p e G a d
Thinking in Pictures
Developing Talents
Animals in Translation
Unwritten Social RulesEmergence Labeled Autistic
The Way I See It, 2ndEdition
Animals Make Us HumanThe Autistic Brain
TEMPLE
GRANDINand RICHARD PANEK
TheAutistic Brain