Tag Archives: neurology

Autistic Neurology of Visual Thinking is NOT Intentional Behavior

Autism, Autistic Neurology, ,

Autistic people are often visual thinkers. It is not something we decide, but rather the way our brain handles information. We do not know when we are little that most other people think with words rather than with colors and pictures. This makes it difficult in school as delivery of information quickly becomes language based as pictures drop away after the first few years.

This dramatic change in materials in the United States occurs at the third grade level when text based instruction becomes predominant. For me, it was hard to think about or understand ideas that were not concrete ideas.  Basically, if my brain could not translate the words I heard into a concrete picture in a few seconds, as a young child, I would not be able to pick up the meaning of the words being spoken. Even though I did not understand the meaning I was able to repeat the words. For example, when prompted I could repeat the teacher’s instruction to use quiet voices even though I had no idea what the words meant because no picture popped up in my head to equal those words.

      • Is your student a visual thinker?
      • Do you use concrete language along with pictures as needed?

Non-Compliance or Comprehension Constraint?
When autistics are able to recite your instructions or repeat an admonition and then do not follow the instruction or admonition do not assume willful non-compliance. Instead, check for comprehension. If the autistic is a visual thinker ask him what the rule or instructions look like , to draw it, or to show you. If a visual thinker cannot do this, he likely does not comprehend the words you are speaking even though he may be able to repeat them quite accurately. And even when he replies, “yes” to your inquiry of whether he understands please check for comprehension because we learn early on that “yes” is the correct and expected answer to that particular question!

Research Findings
Numerous research findings over the years have shown that autistic children have been shown to basically be normal for age in word decoding, but lower than age expectation in reading comprehension (Minshew, et. al. (1994), Myles, et. al. (2002), Nation, et. al, (2006), Newman, et. al. (2007), Asberg, et. al. (2008), Asberg, et. al. (2010).

  • When your student’s behavior has the appearance of willful noncompliance do you stop to ascertain comprehension before ascribing meaning to the behavior?
  • How will you evaluate your student’s comprehension or lack of comprehension?

Selection from Autistically Thriving: Reading Comprehension, Conversational Engagement,
and Living a Self-Determined Life Based on Autistic Neurology, pgs.46-47.

Note: The author is a mental health therapist and is also autistic. She iintentionally uses identity-first language (rather than person-first language), and invites the reader, if interested, to do further research on the preference of most autistic adults to refer to themselves using identity-first language

BOOKS BY JUDY ENDOW

Endow, J. (2021). Executive Function Assessment. McFarland, WI: Judy Endow.

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2006).  Making Lemonade: Hints for Autism’s Helpers. Cambridge, WI: CBR Press.

Endow, J. (2013).  Painted Words: Aspects of Autism Translated. Cambridge, WI: CBR Press.

Endow, J. (2009b).  Paper Words: Discovering and Living With My Autism. Shawnee Mission, KS: AAPC Publishing.

Myles, B. S., Endow, J., & Mayfield, M. (2013).  The Hidden Curriculum of Getting and Keeping a Job: Navigating the Social Landscape of Employment. Shawnee Mission, KS: AAPC Publishing.

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Autistic Processing of Social Information

Autistic Neurology,

My autistic neurology means that I am not good at picking up typical social cues, understanding complex social situations, automatically picking up meanings of idioms, or understanding the hidden curriculum that most others automatically pick up (Endow 2012). This means I often look naïve and gullible. The fact is I AM naïve and gullible when I try to use the social constructs of neuromajority folks to navigate the world around me.

When I was younger and deemed “in need of help” that “help” largely involved others trying to teach me to think and act as if I had a typically wired brain. I was never very good at it because no matter how many therapeutic social skills situations I availed myself of, because they were taught as if all participants had a neurotypical brain and my brain was not neurotypical, I mostly failed their learning agenda for me. My brain just plain works differently.

Here is an example: I rarely remember the same details about other people that most folks do. I remember the visual perception that came to me during an interaction, whether or not I was personally a part of that interaction. I pick up much information through seeing the sounds and movements of color people generate along with changes in the air space surrounding them as they speak and go about their business.

When I match the colors of others I can carry on a conversation. When our colors don’t match, the conversation usually doesn’t go well. I did not realize this way of perceiving and understanding the essence of people was not shared by others until recent years (Endow, 2013).

All through my life when others have tried to help me it has been minimally helpful to me. They would most often try to get me to understand the world in the way they understand the world. It was helpful information to know how others were thinking because it explained their behavior. Even so, learning how typical people think does not help me to then be able to think in their way.

Now that you have read the above italicized example of one way I think visually by incorporating the sound and movement of colors people generate do you understand it? Probably so. And now that you understand how I think can you stop thinking the way you think and start thinking the way I think? Probably not!

The way we think is important because it is how we make decisions. It is part of everyday life. In my work life I might avoid business interactions with someone because they have ugly colors with sticky tentacles moving sneakily toward me. A typical person, who’s thinking is language-based, may understand that this potential business partner is devious and less than ethical in his practices. In essence, we both understood the same thing, but I had no way to explain it unless I translated my visual thinking into words. Visual is my native language; it is how I interface with the world around me and how I innately understand people.

Just like it would not be helpful for you to adopt my ways which are foreign to you, please understand that it is not helpful for me to always adopt your foreign ways when making decisions about people. We think differently and that is okay with me. I look forward to the day that my way of thinking is okay with the rest of the world.

In the meantime, if you are a parent, teacher or therapist of an autistic person, perhaps you might find it useful to ponder these questions:

    • Do you know how this autistic person remembers people?
    • Do you know what is important to this autistic person about other people?
    • Do you understand how this autistic person decides who to interact with and who not to interact with?
    • Do you honor this, even if you may not understand it?

Many autistic individuals will not be able to explain to you how they think because it is not word based and thus they have no way to explain it. You do not necessarily need to understand how an autistic person thinks in order to honor it.

Selection from Autistically Thriving: Reading 

Selection from Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurology, pgs.39-40.

Note: The author is autistic, intentionally uses identity-first language (rather than person-first language), and invites the reader, if interested, to do further research on the preference of most autistic adults to refer to themselves using identity-first language.

Endow, J. (2019).  Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurol

BOOKS BY JUDY ENDOWEndow, J. (2021). Executive Function Assessment. McFarland, WI: Judy Endow.

Endow, J. (2019).  Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurology. Lancaster, PA: Judy Endow.

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2006).  Making Lemonade: Hints for Autism’s Helpers. Cambridge, WI: CBR Press.

Endow, J. (2013).  Painted Words: Aspects of Autism Translated. Cambridge, WI: CBR Press.

Endow, J. (2009).  Paper Words: Discovering and Living With My Autism. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2009).  Outsmarting Explosive Behavior: A Visual System of Support and Intervention for Individuals With Autism Spectrum Disorders. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2010).  Practical Solutions for Stabilizing Students With Classic Autism to Be Ready to Learn: Getting to Go. Shawnee Mission, KS: AAPC Publishing.

Myles, B. S., Endow, J., & Mayfield, M. (2013).  The Hidden Curriculum of Getting and Keeping a Job: Navigating the Social Landscape of Employment. Shawnee Mission, KS: AAPC Publishing.

Christmas, Autism and Teaching Kindness

Communication, Social Considerations, , , , ,

During the holiday season people are sometimes rushed and frazzled due to the extra activities and expectations of the season. Thus, it is a particularly good time to talk about kindness. Many individuals with autism are literal and concrete thinkers, which can make teaching an abstract concept such as kindness a little tricky. Here are some ways to work with an autistic neurology when teaching the concept of kindness:

Identify Acts of Kindness

Even though kindness is an abstract concept we can start teaching kindness by noticing aloud whenever we see an act of kindness by another. This can include anything from holding a door to returning a stray cart in a store parking lot. We can comment on the behavior and identify it as kind.

Model Acts of Kindness

One way to model kind behavior is to treat others with respect. We can be polite to those waiting on us in stores and restaurants. We can say thank you whenever we appreciate the thoughtfulness of others. Be sure to identify these acts as being kind.

We can even model what to do when we recognize our behavior is less than kind by calling a “do over.” Whenever I find myself acting unkind I call a do over. I then simply go back and do it over, pulling up the kinder behavior I wished I would have exhibited in the first place.

Example: I one time said, “don’t be such a slow poke” when my child was having a hard time choosing between breakfast cereals in the grocery store. I immediately called a do over, apologizing and saying my words were unkind. I thought for a moment and then said he could carry both boxes of cereal, take his time choosing and after deciding, return the rejected box to the shelf.

I like modeling do overs because it is a quick way to repair a less than kind situation – something we all find ourselves in from time to time. This normalizes the fact that we are not always as kind as we would like to be along with giving the remedy of what to do when we find ourselves in the aftermath of being unkind.

Use a Visual To Report Observed Kind Acts

Once the individual has an understanding of kind acts I like to make a visual to support us in looking for and identifying kind acts we see others doing. I have used a variety of visual systems, depending on the interests and abilities of the individual. Here are some things i have implemented:

  • Capture a Kindness a Day: Ben loved taking photos with his phone so his assignment was to snap photos of observed kindnesses. At the following appointment we looked at the photos together while Ben told me the kindness depicted in each one.
  • Count up the Kindnesses: Mari put a handful of pennies into her left pocket each morning. Each time she saw an act of kindness she moved one penny from her left pocket to her right pocket. At the end of the day she recorded the number of pennies in her right pocket.
  • Recall a Kindness: Jose and his mom talked about kindness at dinner each night. They each told the other about one kind act they had observed during the day. While mom cleared the table Jose recorded the kind acts of the day on the Recalling Kindness log.

Use a System To Record Kind Acts Engaged In

Once kindness has been identified and able to be seen in others it is time to encourage individuals to engage in their own kind acts. Remember, with autistic neurology, in addition to supporting a concrete, visual and literal style of thinking the neurology often looks for the system. This means we can support this strength by developing a system to highlight kind behavior. Some systematic successes include:

  • The Christmas Kindness Can: A coffee can was covered in bright Christmas paper and labeled the Kindness Can. Slips of paper with prompts of kind acts were placed inside the can. Each morning one slip of paper was pulled out and an opportunity to engage in that kindness was watched for and implemented during the day. This idea can be used for one person, a family, a group or a classroom. One alternative is to create a story about a person engaged in the act of kindness described on the slip of paper drawn. Another alternative is to tell about a time you employed the kindness described on your slip of paper.
  • The Kindness Calendar: Using a monthly calendar, write a specific kind act on each square. The idea is to engage in the act of kindness written on the day’s calendar square.
  • The Kindness Cup: An unpopped popcorn kernel was taken from the jar and put into the candy cane decorated coffee cup after each kind act. This was a classroom project with students and staff contributing. When the coffee mug was full of popcorn kernels the class had a popcorn and candy cane treat.

Reminder

Remember, we are highlighting kindness. It is important that the kind act or deed we engage in, when directed toward another person, is perceived as kind by that person. If in doubt you can ask the person first. This is because a helpful act of kindness is only helpful and kind if wanted or welcome by the other person.

Conclusion
The abstract concept of kindness can be taught to anyone. Start by identifying and modeling acts of kindness. When it comes to a person with autism neurology, it is often helpful to use visuals and to employ a system for engaging in or in observing acts of kindness.

cupp

BOOKS  BY JUDY ENDOW

Endow, J. (2019).  Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurology. Lancaster, PA: Judy Endow.

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2006).  Making Lemonade: Hints for Autism’s Helpers. Cambridge, WI: CBR Press.

Endow, J. (2013).  Painted Words: Aspects of Autism Translated. Cambridge, WI: CBR Press.

Endow, J. (2009).  Paper Words: Discovering and Living With My Autism. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2009).  Outsmarting Explosive Behavior: A Visual System of Support and Intervention for Individuals With Autism Spectrum Disorders. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2010).  Practical Solutions for Stabilizing Students With Classic Autism to Be Ready to Learn: Getting to Go. Shawnee Mission, KS: AAPC Publishing.

Myles, B. S., Endow, J., & Mayfield, M. (2013).  The Hidden Curriculum of Getting and Keeping a Job: Navigating the Social Landscape of Employment. Shawnee Mission, KS: AAPC Publishing.

Originally written for and published by Ollibean on Dec. 9, 2016
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Autism and Thinking in Layers

Autism, Autistic Neurology, Visual Supports, , , , ,

As a little girl, there was a single movie screen in my mind where I created one still life picture at a time. There was only room for one picture at a time. Pictures were created by the words people said. It was never a problem to add something more to the current picture.

For example, if plans were made to go to the park I would see myself swinging on a swing. Then, if it started to rain, I would add raindrops to the picture. Raindrops would not change anything at all about swinging on a swing at the park. I couldn’t understand why anyone would say that we could not go to the park because it was raining. It certainly didn’t look that way to me!

I had no idea that others were experiencing the world in a different way.

When I was a teenager I was institutionalized. One day, some girls in the dayroom were busy writing a story. As they talked, their words went up on my screen producing a picture. Then, all of a sudden, the girls changed part of their story. One girl tipped her pencil upside down, erased a few lines, and wrote in a new version.

Normally, this would mean I’d have to destroy the picture on the screen in my head if I wanted to continue to listen to the conversation. I had not yet developed a way to erase my pictures. But that day all of a sudden I realized if my pictures were created in layers, rather than on one page, I would be able to keep up when the story changed. I could trade in an old layer for a new one! It would be my way of erasing and changing something. And, the changing picture would still fit on that one screen I could see in my mind.

I am many years older now and continue to work with these ideas. Over the years I’ve trained myself to create pictures in layers. Learning this skill became my foundation for beginning to live successfully in the world of words. Once I was a teenager who lived in a mental institution. Today, I function quite well in the world both in my personal life and in my professional life having accomplished many things.

Over the past decades, many students I’ve worked with in public schools and clients I’ve worked with in therapy settings have experienced benefit when their autistic way of thinking is understood.

-from Autistically Thriving: Reading Comprehension, Conversational Engagement and Living a Self Determined Life Based on Autistic Neurology

This book also has an appendix that contains templates to trace to make your own thinking in layers visual system. I hope you find it helpful. Click HERE to order book.

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BOOKS  BY JUDY ENDOW

Endow, J. (2019).  Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurology. Lancaster, PA: Judy Endow.

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2006).  Making Lemonade: Hints for Autism’s Helpers. Cambridge, WI: CBR Press.

Endow, J. (2013).  Painted Words: Aspects of Autism Translated. Cambridge, WI: CBR Press.

Endow, J. (2009).  Paper Words: Discovering and Living With My Autism. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2009).  Outsmarting Explosive Behavior: A Visual System of Support and Intervention for Individuals With Autism Spectrum Disorders. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2010).  Practical Solutions for Stabilizing Students With Classic Autism to Be Ready to Learn: Getting to Go. Shawnee Mission, KS: AAPC Publishing.

Myles, B. S., Endow, J., & Mayfield, M. (2013).  The Hidden Curriculum of Getting and Keeping a Job: Navigating the Social Landscape of Employment. Shawnee Mission, KS: AAPC Publishing.

Introduction to Newest Book: Autistically Thriving

Autism, Autistic Neurology, , , , , , , , , , , ,

This blog is actually the introduction that appears in my newest book (Endow, 2019, pp. xiii-xiv) available as of last week.

MOST ANYTHING ABOUT AUTISM and learning typically start out with the deficits of autism responsible for the problem experienced by the autistic. Then, it is followed up with ideas on how to address the deficits so as to impact the problem. If I were to start this book that way I would next talk about the diagnostic criteria. Here is what the DSM-5 says:

ASD Diagnostic Criteria

Persistent deficits in social communication and social interaction across multiple con-texts (current or history)

1. Deficits in social-emotional reciprocity…
2. Deficits in nonverbal communicative behaviors…
3. Deficits in developing, maintaining and understanding relationships…

Restricted, repetitive patterns of behavior, interests or activities… motor movement, sensory, sameness, routine, xated interests in objects or topics
– Diagnostic and Statistical Manual of Mental Disorders, 5th ed., 2013

In case you don’t know how the DSM diagnosing works I can fill you in. We have our everyday people on the face of the earth. They make up most of the population. Because this group makes up the majority we have decided their behaviors are typical and we label them normal. Then, everyone else is measured according to how far away from normal they land. And if they land far enough away from normal in enough areas they get a diagnostic label.

By design, DSM labels are framed in deficit terms. And in terms of diagnostics this deficit language is helpful. However, it isn’t very often helpful when we take this deficit-based language out of the diagnostic arena and use it to describe who and what autistic people are in this world.

We are ever so much more than the sum total of our diagnostic deficits. So, let’s begin with

autistic people – who are they? how do they think? what are their strengths? their skills? their way of understanding the world? How do they understand other people?

All of my life, until very recently, I have only known what I am not. It is because autism is largely measured by absence of neurotypicality. My hope for the future is that autistics coming up behind me will grow up with a more positive sense of self – learning who they are in this world rather than who they are not.

In that spirit I write from a perspective shift. A self-determined life is empowered through comprehension of the context in which we live. Let’s start with autistic people and comprehension – reading comprehension and life comprehension. How does it work? How do we empower autistics, based on their neurology, to comprehend what they read and to better understand the foreign land in which they find themselves living?

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BOOKS  BY JUDY ENDOW

Endow, J. (2019).  Autistically Thriving: Reading Comprehension, Conversational Engagement, and Living a Self-Determined Life Based on Autistic Neurology. Lancaster, PA: Judy Endow.

Endow, J. (2012). Learning the Hidden Curriculum: The Odyssey of One Autistic Adult. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2006).  Making Lemonade: Hints for Autism’s Helpers. Cambridge, WI: CBR Press.

Endow, J. (2013).  Painted Words: Aspects of Autism Translated. Cambridge, WI: CBR Press.

Endow, J. (2009).  Paper Words: Discovering and Living With My Autism. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2009).  Outsmarting Explosive Behavior: A Visual System of Support and Intervention for Individuals With Autism Spectrum Disorders. Shawnee Mission, KS: AAPC Publishing.

Endow, J. (2010).  Practical Solutions for Stabilizing Students With Classic Autism to Be Ready to Learn: Getting to Go. Shawnee Mission, KS: AAPC Publishing.

Myles, B. S., Endow, J., & Mayfield, M. (2013).  The Hidden Curriculum of Getting and Keeping a Job: Navigating the Social Landscape of Employment. Shawnee Mission, KS: AAPC Publishing.