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Strengths and weaknesses in High Functioning Autism

Strengths and weaknesses in High Functioning Autism. Ina van Berckelaer-Onnes University of Leiden Cardiff 10-05-2006. Autism Research levels. Behavioural level cognitive level Neurobiological level. Wing’s triad of ASD. Social interactions Communication

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Strengths and weaknesses in High Functioning Autism

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  1. Strengths and weaknesses in High Functioning Autism Ina van Berckelaer-Onnes University of Leiden Cardiff 10-05-2006

  2. Autism Research levels Behavioural level cognitive level Neurobiological level

  3. Wing’s triad of ASD • Social interactions • Communication • Imagination versus DSM IV stereotyped patterns cognition behaviour

  4. Underlying triad deficit • Limited intentionality • Limited symbol formation

  5. Limited intentionality • Pointing • Imitation • Play

  6. Limited symbol formation • Language • Imagination (play, etc.)

  7. Consequences for: interaction a) Behaviour communication perception b) Cognition attention memory

  8. Cognition HFA • Perception: information processing • Attention: set-shifting (+ inhibition??) • Memory: memory for facts versus functional memory

  9. Perception – Information processing: language Receptive language versus Expressive language

  10. Levels of perception • Sensation • Presentation • Representation • Metarepresentation

  11. Cognitive Deficits (Styles) • Theory of Mind (ToM) • Executive Function (EF) • Central Coherence (CC)

  12. Perception/language: ToM • Pronoun reversal (perspective taking) • Inappropriate questions

  13. Perception/language: Executive Function. • Stereotyped phrases • Perseverations • Inflexibility

  14. Perception language: Weak CC. • Poor context use • Associative language use • Literal language

  15. Attention:WCC and EF • Strong fixations / obsessions Weak lack of interest • Set-shifting versus inhibition

  16. Memory: WCC • Strong facts, encyclopedial knowledge • Weak social coherence

  17. Diagnostic Protocol • Classification and individual assessment • Psychometric Evaluation

  18. Cognition Intelligence IQ Profile Neuropsychological tests (ToM, EF,WCC)

  19. Pitfalls • Generalization • Verbalizing versus Doing

  20. Bridging Assessment to Treatment From Profile to Interventions: Support Strengths and Build up Weaknesses

  21. Treatment strategies 1st grade strategy: environmental coaching (augmentative communication) 2nd grade strategy: individual treatment 3rd grade strategy: individual colouring

  22. Environment; 1st grade strategy • TEACCH principle structure: in space in time in activity in approach

  23. Individual treatment; 2nd grade strategy Focusing on the individual needs - speech therapy - social skill training - job coaching - psychotherapy (mostly cognitive behavioural therapy) - etc.

  24. Individual colouring; 3rd grade strategy • Personal characteristic • Associated features • Comorbid Disorders

  25. HFA: from the cradle to the grave Treatment across the ages!

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