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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

    Eye exams may be normal

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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