Encouraging Appropriate Behavior for Children on the Autism Spectrum bythesameauthor RaisingaChildwithAutism AGuidetoAppliedBehaviorAnalysisforParents ShiraRichman ISBN1853029106 of relatedinterest UnderstandingAutismSpectrumDisorders FrequentlyAskedQuestions DianeYapko ISBN1843107562 Asperger’sSyndrome AGuideforParentsandProfessionals TonyAttwood ForewordbyLornaWing ISBN1853025771 ParentingaChildwithAspergerSyndrome 200TipsandStrategies BrendaBoyd ISBN1843101378 AddressingtheChallengingBehavior ofChildrenwithHigh-FunctioningAutism/Asperger SyndromeintheClassroom AGuideforTeachersandParents RebeccaA.Moyes ISBN1843107198 AppliedBehaviourAnalysisandAutism BuildingAFutureTogether EditedbyMickeyKeenan,MaryHenderson,KenP.KerrandKarolaDillenburger ForewordbyProfessorGinaGreen ISBN1843103109 Parents’EducationasAutismTherapists AppliedBehaviourAnalysisinContext EditedbyMickeyKeenan,KenP.KerrandKarolaDillenburger ForewordbyBobbyNewman ISBN1853027782 Encouraging Appropriate Behavior for Children on the Autism Spectrum Frequently Asked Questions Shira Richman Jessica Kingsley Publishers London and Philadelphia Firstpublishedin2006 byJessicaKingsleyPublishers 116PentonvilleRoad LondonN19JB,UK and 400MarketStreet,Suite400 Philadelphia,PA19106,USA www.jkp.com Copyright©ShiraRichman2006 TherightofShiraRichmantobeidentifiedasauthorofthisworkhasbeenassertedby herinaccordancewiththeCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproducedinanymaterialform (includingphotocopyingorstoringitinanymediumbyelectronicmeansandwhetheror nottransientlyorincidentallytosomeotheruseofthispublication)withoutthewritten permissionofthecopyrightownerexceptinaccordancewiththeprovisionsofthe Copyright,DesignsandPatentsAct1988orunderthetermsofalicenceissuedbythe CopyrightLicensingAgencyLtd,90TottenhamCourtRoad,London,EnglandW1T4LP. Applicationsforthecopyrightowner’swrittenpermissiontoreproduceanypartofthis publicationshouldbeaddressedtothepublisher. Warning:Thedoingofanunauthorisedactinrelationtoacopyrightworkmayresultin bothacivilclaimfordamagesandcriminalprosecution. LibraryofCongressCataloginginPublicationData Richman,Shira,1972- Encouragingappropriatebehaviorforchildrenontheautismspectrum:frequently askedquestions/ShiraRichman. p.cm. ISBN-13:978-1-84310-825-2(pbk.:alk.paper) ISBN-10: 1-84310-825-9 (pbk. : alk. paper) 1. Autistic children--Behavior modification.2. Autisticchildren--Familyrelationships.3. Parentsofautisticchildren.4. Parentandchild. I.Title. RJ506.A9R5342006 618.92'85882--dc22 2006002043 BritishLibraryCataloguinginPublicationData ACIPcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN-13:9781843108252 ISBN-10:1843108259 ISBNpdfeBook:1846420857 PrintedandboundinGreatBritainby AthenaeumPress,Gateshead,TyneandWear In loving memory of my grandmother, Yetta Verbit, a role model of independence and calm. To my mother, Esther Lantz Verbit, for showing me how to take full advantage of everything beautiful in this world. For reminding me, at times, to be patient with my own children, and for her unconditional, dedicated love. To my father, Mervin Verbit, for enveloping us with his relaxed, positive outlook on life, and for always taking children seriously. Thank you Acknowledgements I want to thank my husband for his help and encouragement in completingthisproject.Iwanttothankmysiblings(especiallymy brother and his computer skills) for their advice and for their time spenthelpingmewiththis,aswellasotherprojects.Iespeciallywant to thank themfor theexperiencesand love thattheyshowerupon mychildren.Iwanttothankmysonforhispatienceinwaitingfor histurnonthecomputer.Hewrotesomeheart-warmingandcreative books himself. I would like to thank my daughter for playing “nicely-nicely”whileIwasworking.Iamproudof youboth. Contents INTRODUCTION 17 Part 1: Behavioral Theory and Application 1. Maladaptivebehaviors:wheredotheycomefrom? 22 2. HowdoIknowthecauseof aspecificbehavior? Orwhatisafunctionalanalysis? 24 3. HowdoIknowwhenitisrighttotrytochangemy child’sbehavior? 27 4. Dotime-outsreallywork? 28 5. IfindthatIamconstantlystrugglingwithmychild (diagnosedwithPervasiveDevelopmentDisorderNot OtherwiseSpecified)intime-outsandthreateninghim withpunishments.Althoughthisseemstowork,isthere anotherwaytokeephisbehaviorundercontrol? 30 6. Mychildactsoutforattention.HowcanIstophis behaviorwhenthebehaviorrequirestheattentionIgiveit? 31 7. HowcanIavoidunwantedbehaviorsbefore theyspiraloutofcontrolandneedintervention? 32 8. HowmuchshouldIpushmychildtolearnnewthings andnewwaysofbehavingbeforeIampushingtoohard? 36 Part 2: Encouraging Independence and Teaching Self-help Skills 9. HowdoIfindthefinelinebetweenhelpingmy developmentallydelayedchildwithdailylivingskills andholdinghimbackbyhelpinghimtoomuch? 43 10. HowdoIgetmydaughtertosleepinherownbed? 44 11. Howcanwegetourdaughtertosleeppast4:00A.M.? 46 12. Mydaughter,whowasrecentlydiagnosedwithPervasive DevelopmentDisorder,refusestogetdressedinthe morning.Thisrefusalisconstantlymakingherlatefor school.Iamtiredoffightingwithher.WhatelsecanIdo? 49 13. Mychildrefusestogetdressedbyhimself.Heisnownine yearsold,andInolongerfeelitappropriateformetohave todresshimwhenheiscapableofdoingso.HowcanI coaxhimtodresshimselfinthemorning? 50 14. WhichshouldIworkonfirst:food-selectivityor toilet-training? 52 15. Isthereawayformetogetmychildtoeatgreenfoods? 54 16. Mysonisafairlygoodeater,sowhydoeshereturnhome fromschooleverydaywithhislunchalmostuntouched? 55 17. HowcanIgetmysix-year-oldtousehisfork? 57 18. Ifmysondoesnotmind,orevennotice,whenheiswet, howcanItoilet-trainhim? 58 19. Mydaughterhasbeentoilet-trainedfortwoyearsbut isstillinapull-upatnight.Shewakesupweteveryday. HowdoIhelpherthroughthislaststepoftoilet-training? 60 20. Mychildisfineinunderwearalldayatschoolbuthas anaccidenteverydayassoonashegetshome.Whydoes hedothisandhowcanIstopit? 61 21. Mydaughterwillhappilygotothebathroomwhentaken butdoesnotrequestitonherown.Ihavebeentaking hertothebathroomfourtofivetimesaday,butifImiss takingherjustonce,shehasanaccident.HowcanIget hertousethebathroomwithoutbeingprompted? 62 22. Mysonistoilet-trained,butIalwayshavetoremindhim topullhispantsup,flush,andwashhishands.Howcan Igethimtobemoreindependent? 64 23. Mysonisscaredoftheshower.HowcanIgethimtowash? 65 24. My12-year-oldsonstillneedshelpintheshower.Howcan Ihelphimgainmoreindependence? 67 25. Myautisticdaughterisattheagewhenshewillsoonget herperiod.HowdoIteachheraboutcaringforherself? 68 26. HowdoIhelpmyson,whohasAsperger’ssyndrome, throughpuberty? 70 27. HowcanIimprovemychild’sgrossmotorskills? 73 28. WhatmorecanIdoathometohelpmychildworkon finemotorskills? 74 Part 3: Encouraging Healthy Communication 29. Whatarethepreciselinguisticobstaclesthatmychild isfacingduetohisdisorder? 81 30. Myson’slanguageissoatypical,howdoIknowwhat aspectoflanguagetofocusonteachinghimfirst? 82 31. Mysonisconstantlyrepeatingeverythingwesay.Heeven repeatsthingshehearsontelevision.Peersthinkheis funny,butIworryaboutthisbehavior.HowcanIexpand hisexpressivevocabulary? 83 32. Mydaughterhasanadvancedvocabularyyetisunableto useherwordstoaskforfoodwhensheishungry.Instead, Ihavetoguesswhatshewantswhilesheiscryingonthe kitchenfloor.HowcanIteachhertoexpressherneedsin words? 86 33. Myson’stongueisconstantlystickingoutofhismouth. WhatcanIdotohelphimremembertokeepitin? 87 34. Mychildmakeshimselfthrowupwhenheisupset.How canIbreakthismessy,unpleasant,anddangeroushabit? 89 35. Whydoesn’tmydaughterfollowwithhereyeswhenI pointtosomethingthatIwishhertosee? 90 36. HowcanIteachoursontorespondtohisname? 92 37. HowcanIteachmydaughtertheproperuseofpronouns? 94 38. Mychildhaswonderfulcommunicationskills,butwhatcan wedotoincreasehiseyecontact? 95 39. MysonhasAsperger’ssyndrome.Hecommunicatesnicely butspeakswithfewandunusualfacialexpressions.Can properfacialexpressionsduringconversationbetaught? 97 40. Mychild’sspeechhasverylittleintonation,makinghim difficulttofollow.Isthereanywaytoshowhimhowto varyhistoneappropriatelyduringconversation? 99 41. Mychildhasbeenexaminedmedically,andalthough nothinghasbeenfoundtopreventhimfromtalking, tomeethimyouwouldthinkthatheismute.Isthereany waytogethimtolearnhowtotalk? 100 42. Isthereawaytoteachtheartofchit-chat? 101 43. Ourdaughterspeaksclearlywhensheisaddressed,butis thereanywaythatIcanteachhertoinitiateaconversation? 104 Part 4: Encouraging Appropriate Activities and Interests 44. Mysonalwaysseemsverydistant.HowcanIgethim moreinvolved? 111 45. Icannotgetmychildtositinachair.Hisinabilitytosit stillisaffectinghimatmealtime,duringplaytime,and atpreschool.Asidefromgivinghimmedication,what canIdo? 112 46. HowcanIencouragemychildtoshowinterestinplaying? 113 47. Mysonspendshisfreetimeliningupobjectsandtoys. HowcanIgethimtoplaymoreappropriately? 115
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