3/6/2017. Social Development Sexual Development Similarities and Differences if a person has Autism Top 5 things to teach!!

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Staci Carr, PhD Developmental Psychology

Differences if a person has Autism Top 5

1 Staci Carr, PhD Developmental Psychology Virginia Commonwealth University Autism Center for Excellence Social Development Sexual Development Similarities and Differences if a person has Autism Top 5 things to teach!! Social- Ecological Model of Development Bronfenbrenner 1

the way they are touched by others the way their bodies feel to them (sensory) what your family believes is okay and not okay to do the words that family members use (and don t use) to refer to parts

2 the way they are touched by others the way their bodies feel to them (sensory) what your family believes is okay and not okay to do the words that family members use (and don t use) to refer to parts of the body watching the relationships around them observing male/female roles watching television listening to music talking with their friends Social development leads to appropriate sexual development Physical Growth Sexual Growth Social Development 2

Social judgment Decision making skills/everyday

Difficulty with social cues and interactions--

behaviors Cognitively, the world is perceived

accurately Delay in self-awareness Poor planning

3 Social judgment Decision making skills/everyday memory problems/planning Emotional regulation Difficulty with social cues and interactions-- which is the root of most inappropriate behaviors Cognitively, the world is perceived differently Not able to read non-verbal cues accurately Delay in self-awareness Poor planning Unaware of consequences of behaviors Lack of choice making skills 3

4 Children with autism may develop later or earlier due to their disability or medical condition--- BUT THEY STILL DEVELOP!!! Prepare children for changes to their body it may be confusing or upsetting Teach skills and routines to promote hygiene Use multiple teaching strategies Be prepared to answer questions Be clear and specific about the information you want to share Break big tasks (e.g. personal care during menstruation) into small steps -- task analysis Provide practice for your children DON T WAIT TO TEACH UNTIL THE BEHAVIOR HAS OCCURRED! Start Early Teach body parts with correct terms (hips, breasts, penis, testicles, pubic area) REMEMBER They will hear slang terms too! Identify similarities and differences Consider using anatomically correct dolls, a skeleton, anatomically correct pictures, books 4

Common social mistakes on part of person with a disability Public-private errors Sexual self-stimulation Saying something inappropriate in public Stranger-friend errors Hugging or

Teaching behaviors appropriate to the public & private place encourages responsible social and sexual behavior Many inappropriate actions and activities reflect confusion, lack of

Discouraged from public engaging in activities such as: Exposing private parts of the anatomy by undressing, pulling down or lifting up clothing Scratching or touching genitals Fixing

5 Common social mistakes on part of person with a disability Public-private errors Sexual self-stimulation Saying something inappropriate in public Stranger-friend errors Hugging or kissing a stranger Being overly familiar with an acquaintance Both types of mistakes can put people with disabilities at risk for sexual exploitation or breaking the law perpetrators Teaching behaviors appropriate to the public & private place encourages responsible social and sexual behavior Many inappropriate actions and activities reflect confusion, lack of awareness and limited judgment Many social problems indicate a limited understanding about public and private places, private parts of the anatomy and public and private behaviors. Discouraged from public engaging in activities such as: Exposing private parts of the anatomy by undressing, pulling down or lifting up clothing Scratching or touching genitals Fixing or adjusting underclothing Self-stimulation House Rules Clothing (or not) Touching (rules, when and where) Private areas of the house Public areas (community, school) Rules about other s privacy 5

6 Develop a routine Video modeling Checklist Don t forget DEODORANT, face cleaner, and clean clothes Hygiene around menstrual cycle 6

7 Knowing the difference of these categories of people Social Skills targeting each type of encounter What to say What to do Circles (Adapted) 7

8 Patients People in the waiting room People at the store People you have never seen before Someone you meet for the first time The cashier The bagger at the store A waiter or waitress Patients People in the waiting room People at the store People you have never seen before Someone you meet for the first time The cashier The bagger at the store A waiter or waitress 8

9 Parents Brothers or sisters Your personal doctor Best friend A person you are Dating Parents Brothers or sisters Your personal doctor Best friend A person you are Dating Other people can feel uncomfortable when you Touch them and they do not want to be touched Hug them and they do not want a hug When you say things to them that are too personal When you touch your self in public 9

Take them to their bedroom 2. Explain what they are doing is called masturbating 3.

10 If someone that you do not know asks you personal information If someone touches you and you don t want to be touched If someone tries to hug you and you don t know them Family values and beliefs Most important Time Place process Steps: If you see them in the process 1. Take them to their bedroom 2. Explain what they are doing is called masturbating 3. Acknowledge that it is Okay to want to masturbate but it is a private activity 4. Explain what will happen when they have an orgasm 5. Teach how to clean up (a specific towel next to the hamper 10

If in a romantic relationship, teach to ASK before DOING If the person says NO or STOP you

Know what your answers to these questions are RATING WHAT THIS LOOKS LIKE 5 Not Cool Hey you

4 Weird Serenade love from across a room 3 Different/ Confusing Fluttering eyelashes at girl

11 If in a romantic relationship, teach to ASK before DOING If the person says NO or STOP you need to comply. Know what your answers to these questions are RATING WHAT THIS LOOKS LIKE 5 Not Cool Hey you have a sexy body! 4 Weird Serenade love from across a room 3 Different/ Confusing Fluttering eyelashes at girl 2 Right idea but accept If it doesn t work out Join club to meet girls 1 Simple and effective Sit next to a girl in class and introduce self WHAT GIRL MIGHT THINK creepy embarrassed confused Ok to talk but not interested Expected behavior ok 11

Knowledge about sexuality safety social skills when and where with whom how to develop friendships and intimate relationships health (doctor s visits, safe behavior, hygiene) Sexuality education

with disabilities - Kempton James Stanfield Co. - http://www.stanfield.com/about.html Janet got her period - James Stanfield Co. Date/Smart -James Stanfield Co.

12 Knowledge about sexuality safety social skills when and where with whom how to develop friendships and intimate relationships health (doctor s visits, safe behavior, hygiene) Sexuality education should be proactive Meet with your child s school staff to develop an education plan around sexuality Stay focused on your long term goals (health, happiness, independence) Sex education for persons with disabilities - Kempton James Stanfield Co. - Janet got her period - James Stanfield Co. Date/Smart -James Stanfield Co. The gyn exam handbook and video tape - James Stanfield Co. Hand Made Love: a Guide for Teaching about Male Masturbation. Dave Hingsburger, $73.95 (DVD format) Finger Tips: a Guide for Teaching about Female Masturbation. Dave Hingsburger & Sandra Haar, $73.95 (DVD format) 12

Sex Education: Issues for the Person with Autism - Detmer Socialization and Sexuality: A Comprehensive

Hingsburger Hand Made Love: a Guide for Teaching about Male Masturbation.

edu/aging/idd/docs.htm (sex ED for children and adolescents with DD) EMAIL ME!

13 Sex Education: Issues for the Person with Autism - Detmer Socialization and Sexuality: A Comprehensive Training Guide - Kempton Managing Inappropriate Sexual Behavior - Ward Just say Know! Hingsburger Hand Made Love: a Guide for Teaching about Male Masturbation Hingsburger The Circles Program -- James Stanfield (Or Staci s relationship targets) (sex ED for children and adolescents with DD) ME!!! I have several resources in PDF format!!! Staci Carr, PhD Virginia Commonwealth University Autism Center for Excellence 1314 West Main Street Richmond, VA secarr@vcu.edu

The Bad News and the Good News: Sexual Abuse, Sexual Education, and Positive Sexuality

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