Several of the characteristics of individuals with ASD described by Ashcroft, Argiro, and Keohane (2010) are helpful in understanding more about children with ASD and why children on the spectrum have difficulty with social interactions. Considering these characteristics helps us understand some of the challenges children with ASD have in learning the social skills needed to interact effectively and comfortably with others.
CHARACTERISTIC
Individuals With ASD Often Have Difficulty Communicating With Others, Both in Conveying Information and in Understanding What Others Say
The exchange of information is important to social interaction and many children with ASD have trouble with both sides of the exchange. They may have delayed (or even absent) verbal language, interfering with their ability to convey information. In addition, they often have difficulty understanding what others say to them. This is especially true of abstract concepts, but may even include limited ability in following simple directions.
Interacting with others is more effective when children use words to explain what they want to do. Obviously, it is more acceptable to use words to make polite requests than it is to scream and point. Relating to others is also enhanced when children have the vocabulary needed to make comments, express feelings, give information or directions, and to show interest in or care for others.
Understanding language is also critical to interacting with others and to the development of appropriate social skills. Early on, being able to follow directions allows children to learn to follow social conventions (sitting when itâs appropriate to sit, waiting for desired things and attention, speaking with an appropriate volume, or even staying quiet in a place such as a library or classroom). In addition, if children understand language, it can be used to explain social expectations such as taking turns in conversations, not standing close to another person in an elevator, and not talking to strangers.
Consider this example of the power of language to help teach social skills. Alyse arrived in the parking lot of the community swimming pool with her two young children. Before they got out of the car, Alyse explained that they would need to hold her hand while walking into the building, wait while she signed in, put their clothes in the locker, and stand still while she put on sunscreen. All this, Alyse said, needed to be done before they got into the pool. Before unlocking the car doors, Alyse reviewed this twice and asked her children to list the steps themselves. As they followed this process, she labeled the steps and praised the children for following her directions. Their ability to understand the language and her ability to explain things clearly contributed to a highly successful transition from the car to the pool, resulting in an excellent demonstration of socially acceptable behavior.
In a contrary example, with children unable to understand her language, Alyse might be racing after the children to grab their hands for the walk into the building. She would be struggling to keep them in place while she signed in and to hold them still while putting on sunscreen. In most cases, impatient children demonstrate socially annoying behaviors such as whining, crying, wiggling, or even bolting away. The children, with practice, may eventually learn the routine; however, the ability to speak and understand language contributes greatly to socially appropriate behavior.
Many children with ASD have difficulty processing information when it is presented verbally. This is sometimes because they have difficulty distinguishing what is being said from background noise or distractions. Other times, children hear the words but canât remember them long enough to act on the information they heard. This can be immediate such as when they canât remember the first step of a two- or three-step set of directions. It can also be delayed such as when they can repeat it back, but canât remember it when they later try to carry out the directions. Sometimes, children cannot distinguish sounds or words that sound the same. For example, rhyming words or phrases (like âtake itâ and âmake itâ) or sounds that are similar (like âchâ and âshâ) may sound the same. In addition, some children do not attend long enough or carefully enough to hear all of the words and to retain the information so it can be used.
Consider the case of Riley who, at school, goes to recess daily. On most days, Riley plays with the small stones on the surface of the playground. He makes piles, digs holes, and scoops up stones to let them fall through his fingers to the ground. On many occasions, he would throw stones into the air, letting them rain down on himself and others. His teachers frequently tell him âno playing with rocksâ and to âstop throwing those stones, youâll hurt someone.â They often follow these verbal commands with explanations about hurting people and playing with others the right way. Not only did Riley probably not hear the negation in those sentences, but he also most likely did not attend long enough to understand the explanations. The knowledge that he might be hearing only the portion âplaying with rocksâ and âthrowing those stonesâ helps us understand why the behavior would continue.
CHARACTERISTIC
Individuals With ASD Often Struggle to Understand the Perspective of Others, May Have an Impaired Ability to Read and Interpret the Emotions of Others, and Might Have Difficulty Understanding Social Cues
Children with ASD often have difficulty with social reciprocity (the back and forth of social interactions). Sometimes, they do not notice the reactions of others, thus allowing them to continue on in spite of those reactions. For example, in some cases, they may persist in talking about a subject of their own interest, even if the person is backing away or looking bored. In other cases, they may not show any interest in what others talk about, making the interaction equally unsatisfactory. Other times, they may notice some reaction and misinterpret it, once again continuing on without adjusting to the response of their social partner.
In addition, some children with ASD donât find social interaction pleasant or rewarding. They may not understand any value in smiles, nods, or even high fives. To complicate things, they may find those behaviors puzzling or even aversive.
Many children with ASD have difficulty understanding emotions. They may have difficulty labeling their own emotions to explain how they are feeling. In addition, they may not notice behaviors of others that might give clues to how those others are feeling. For example, while many typically developing children see the relationship between another personâs tears and the word âsad,â some children with ASD donât make that connection.
Children with ASD may not understand the perspective of others. For example, they might believe that if they know something, everyone should know itâor, if they can see it, everyone can see it. They may say something that sounds rude and insensitive and not understand why someone would take offense.
Children with ASD are often so focused on their own interests, needs, and wants that they donât notice or understand the desires of others. Consider Camdenâs situation as he played with Emily at school. At first, Emily sought out Camden in center time play activities, and Camden responded consistently to her guidance. For example, while playing in the housekeeping center, Emily told Camden to fix her lunch. Over the next few days, she directed him in building with blocks and playing with trains. Soon, Camden began to seek Emily out in all activities of the day. Every day, he wanted to sit by her at circle time, do all center activities with her, and eat his lunch beside her. Eventually, Camden became upset if Emily chose to play with anyone else. His agitation increased to the point that he pushed other children to get near Emily or cried when he could not play with her. Eventually, Emily asked her teacher to place her in centers without Camden and find her another place to sit during circle time and lunch. Camden could not understand why Emily did not want to be with him all of the time during the...