Peter H Brown Clinical Psychologist

Psychology News & Resources

‘Quirky Yes,Hopeless No’:Making Quirky Cool & Helping Kids With Aspergers Learn Social Skills

By PATRICIA MORRIS BUCKLEY – For the North County Times | Posted: March 17, 2010

Beth Wagner Brust knows there are few things more difficult than watching your child struggle to make friends. Her youngest son, Ben, was diagnosed with ADHD in kindergarten, but by third grade he still didn’t have any friends.

“My pediatrician said he had Asperger’s,” explained Brust, a Carmel Valley resident. Asperger’s is considered a higher form of autism that makes social interaction, among other things, difficult. “Like any parent, I was thrown for a loop. Then I heard about the Friends Club in Carlsbad.”

The Friends Club is a safe, non-threatening and non-stressful environment where kids with Asperger’s get together to learn the “unwritten” social skills. Now it’s inspired Brust and Cynthia La Brie Norall, Ph.D., to write “Quirky, Yes — Hopeless, No: Practical Tips to Help Your Child with Asperger’s Syndrome Be More Socially Accepted” (St. Martin’s Griffin).

Asperger’s children are often the kids who are bullied, sit alone at lunch and rarely get an invitation to a birthday party. But at the club, they learn such skills as making eye contact, greeting people, letting others talk about their interests and being less rigid through games, breaking skills into baby steps and role playing.

By learning the subtle social cues that typical children take for granted, they can begin making friends. And that’s exactly what happened with Ben.

“By the end of the first year, I heard him ask another kid, ‘Am I boring you?’ and I almost fell over,” recalled Brust. “I’d never heard him say that before. It was amazing to see that growth in six months.”

The Friends Club was the brainchild of Norall, an educational behavior psychologist. While working at a preschool in Valley Center in 1992, she first encountered children with autism. That’s around the time that autism diagnoses began to rise dramatically. Today, the Centers for Disease Control and Prevention estimates that 1 out of every 100 8-year-olds is autistic.

“I just found this population fascinating,” Norall said. “I went to every seminar and conference I could on autism. I really wanted to help them.”

In 1999, she opened her own practice, Comprehensive Autism Services and Education (CASE). A year later, she started the Friends Club when her mentor, Dr. B.J. Freeman, a child psychologist who founded the Autism Clinic at UCLA, suggested that she do something to help those higher on the autistic spectrum.

The Friends Club broke the commonly held professional belief that social groups should also contain typical children.

“I got a lot of negative criticism over that decision,” she said. “But these kids know that they are different and if I brought in typical kids, the Aspies (kids with Asperger’s) would stand out. They needed a place to connect.”

Norall likes to tell the story of a teenage girl on her first time at Friends Club who said, “Well, Cynthia, it’s about time you put this together for my species.”

Nine years later, thousands of Aspies have been through the Friends Club. In addition to the branch in Carlsbad, there are Friends Club satellites in Napa, Vancouver, Canada and Oahu, Hawaii, and also a camp during the summer. Twenty-two groups have approximately 150 kids. Groups are broken into age categories; from very young (age 3 to 7), to tweeners, teens and young adults. Norall’s staff now numbers 50, a few of whom are Friends Club graduates. Each group contains six kids and two leaders.

Parents, amazed at the results, kept encouraging Norall to write a book. With that goal in mind, she’d kept extensive summaries of each activity as a report for the parents, but also to remind herself what the kids had taught her. Still, it took Brust, a children’s author herself, to persuade Norall to really get writing.

They decided they wanted the book, originally titled “Decoding Your Asperger’s Children: Lessons Learned at the Friends Club,” to be a practical parenting guide rather than a book on what Asperger’s is or how to “cure it.”

The book is organized alphabetically by topic, such as cooperation, discipline, bullying, perfectionism, anxiety or meltdowns. The lessons teach “people skills,” including how to greet others, how to make eye contact, how to pay compliments, how to cooperate and ask for help and how not to be rude.

Ultimately, Norall and Brust wanted their readers to understand how the Aspie’s brain is wired differently. Then they can not only help the youngsters, but also be less frustrated overall and enjoy the differences these kids bring to the world.

“We wanted a book that had no jargon, but written in a conversational tone like Dr. Spock,” said Brust. “We also wanted readers to be able to skip around in it. There’s always a ‘trouble du jour,’ and you can read just about that. Parents of special needs kids have no time and it doesn’t take a big time commitment to read this book. We’ve made it as accessible as possible.”

The finished manuscript quickly sold to mainstream publisher St. Martin’s Griffin. “Quirky, Yes — Hopeless, No” hit stores in August. Alyse Diamond, the book’s editor, believes there’s nothing like it in a market filled with technical books by doctors or memoirs by mothers.

“What gripped me was that this wasn’t just another book written by a doctor,” said Diamond. “The co-writer is a mom and she’s been in the trenches with her son, so together they bring a unique perspective that you don’t normally see. More and more kids are being diagnosed with autism every year. It’s not going away. That’s why it’s important to us to get a book like this in the hands of people who need it.”

Reaction to the book has been highly positive. Publisher’s Weekly said, “Although a dozen or more experts are cited, the book is conversational in tone, full of insights and will help and encourage parents and their Aspie or high-functioning autistic kids alike.”

Temple Grandin, the author of “Unwritten Rules of Social Relationships” and “Thinking in Pictures,” and perhaps the most famous person with autism, said in her review, “This is a fantastic book for helping people on the autism spectrum learn social skills. Great for individuals on the spectrum, teachers, and social skills training specialists.”

While good reviews from major publications and notable names in the autism field are welcome, the ones that mean the most to Norall and Brust are those from parents and professionals who work with the children.

“I want everyone to read this book so that the teasing will stop,” said Brust. “These kids can be creative and fun. I love being around Ben because he thinks differently. But that can also be frustrating because we don’t understand how they think.”

The good news is that Ben, now a senior at Canyon Crest High School, is doing so well that he plans to attend community college soon. While he just stopped going to Friends Club, Brust sees the lasting value of what he learned there and hopes that people who read their book will experience some of the same social connections he’s had.

“This book is about helping Aspie kids navigate the world better,” Brust said. “Every chapter has something specific and concrete that parents can do to make a difference. Our goal is to help as many of these kids as possible.”

Share/Save/Bookmark

March 18, 2010 Posted by | Aspergers, Aspergers Syndrome, Autism, Bullying, Child Behavior, Education, Parenting, Resilience, Social Justice, therapy | , , , , , , , , , , | 1 Comment

Pay It Forward: Research Proves That Acts Of Kindness From A Few Cascade On To Dozens

Read The Original Research Paper HERE (Free PDF)

ScienceDaily (Mar. 10, 2010) — For all those dismayed by scenes of looting in disaster-struck zones, whether Haiti or Chile or elsewhere, take heart: Good acts — acts of kindness, generosity and cooperation — spread just as easily as bad. And it takes only a handful of individuals to really make a difference.

This diagram illustrates how a single act of kindness can spread between individuals and across time. Cooperative behavior spreads three degrees of separation

In a study published in the March 8 early online edition of the Proceedings of the National Academy of Sciences, researchers from the University of California, San Diego and Harvard provide the first laboratory evidence that cooperative behavior is contagious and that it spreads from person to person to person. When people benefit from kindness they “pay it forward” by helping others who were not originally involved, and this creates a cascade of cooperation that influences dozens more in a social network.

The research was conducted by James Fowler, associate professor at UC San Diego in the Department of Political Science and Calit2’s Center for Wireless and Population Health Systems, and Nicholas Christakis of Harvard, who is professor of sociology in the Faculty of Arts and Sciences and professor of medicine and medical sociology at Harvard Medical School. Fowler and Christakis are coauthors of the recently published book Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives.

In the current study, Fowler and Christakis show that when one person gives money to help others in a “public-goods game,” where people have the opportunity to cooperate with each other, the recipients are more likely to give their own money away to other people in future games. This creates a domino effect in which one person’s generosity spreads first to three people and then to the nine people that those three people interact with in the future, and then to still other individuals in subsequent waves of the experiment.

The effect persists, Fowler said: “You don’t go back to being your ‘old selfish self.”’ As a result, the money a person gives in the first round of the experiment is ultimately tripled by others who are subsequently (directly or indirectly) influenced to give more. “The network functions like a matching grant,” Christakis said.

“Though the multiplier in the real world may be higher or lower than what we’ve found in the lab,” Fowler said, “personally it’s very exciting to learn that kindness spreads to people I don’t know or have never met. We have direct experience of giving and seeing people’s immediate reactions, but we don’t typically see how our generosity cascades through the social network to affect the lives of dozens or maybe hundreds of other people.”

The study participants were strangers to each other and never played twice with the same person, a study design that eliminates direct reciprocity and reputation management as possible causes.

In previous work demonstrating the contagious spread of behaviors, emotions and ideas — including obesity, happiness, smoking cessation and loneliness — Fowler and Christakis examined social networks re-created from the records of the Framingham Heart Study. But like all observational studies, those findings could also have partially reflected the fact that people were choosing to interact with people like themselves or that people were exposed to the same environment. The experimental method used here eliminates such factors.

The study is the first work to document experimentally Fowler and Christakis’s earlier findings that social contagion travels in networks up to three degrees of separation, and the first to corroborate evidence from others’ observational studies on the spread of cooperation.

The contagious effect in the study was symmetric; uncooperative behavior also spread, but there was nothing to suggest that it spread any more or any less robustly than cooperative behavior, Fowler said.

From a scientific perspective, Fowler added, these findings suggest the fascinating possibility that the process of contagion may have contributed to the evolution of cooperation: Groups with altruists in them will be more altruistic as a whole and more likely to survive than selfish groups.

“Our work over the past few years, examining the function of human social networks and their genetic origins, has led us to conclude that there is a deep and fundamental connection between social networks and goodness,” said Christakis. “The flow of good and desirable properties like ideas, love and kindness is required for human social networks to endure, and, in turn, networks are required for such properties to spread. Humans form social networks because the benefits of a connected life outweigh the costs.”

The research was funded by the National Institute on Aging, the John Templeton Foundation, and a Pioneer Grant from the Robert Wood Johnson Foundation.

Read The Original Research Paper HERE (Free PDF)

Share/Save/Bookmark

Reblog this post [with Zemanta]

March 16, 2010 Posted by | General, Health Psychology, Internet, Positive Psychology, Resilience, Social Justice, Social Psychology | , , , , , , , , , , , , , , , , , , , | Leave a comment

Aspergers in the News: “Temple Grandin” & “House Rules”

An HBO biopic about Temple Grandin starring Claire Danes, and a new Jodi Picoult novel bring the issues and experiences of people with ASD to the general public this month. Reviews below:

Temple Grandin

By ALESSANDRA STANLEY     http://www.nytimes.com    Published: February 4, 2010

In her autobiography, “Thinking in Pictures: My Life With Autism,” Temple Grandin explains that she values “positive, measurable results more than emotion.” The HBO movie “Temple Grandin” honors its heroine’s priorities, stressing deeds over tearful setbacks and joyous breakthroughs.

That restraint, unusual in a portrait of a person who heroically overcomes a handicap, is oddly captivating and makes the story all the more touching. “Temple Grandin,” which has its debut on Saturday and stars Claire Danes in the title role, is a made-for-television biopic that avoids the mawkish clichés of the genre without draining the narrative of color and feeling.

Ms. Grandin was born in 1947 in Boston, and her autism was diagnosed when she was a child. At that time most psychiatrists considered it a mental disorder caused by cold, withholding “refrigerator mothers.” Helped by a mother who was anything but, Ms. Grandin was nurtured at home and by a few farsighted teachers who helped her unlock her talents. Most comfortable around animals, she grew up to become a sought after animal behaviorist and livestock consultant, world famous for designing humane slaughterhouses.

In some ways her story is harder to tell than other, similar tales of valor, be they “The Miracle Worker,” “My Left Foot” or “The Diving Bell and the Butterfly,” in which success is so intimately linked to disability. Helen Keller, Christy Brown and Jean-Dominique Bauby, the subjects of those movies, became famous because of their extraordinary personal histories; in all three cases their most lasting work is autobiographical.

Ms. Grandin credits autism for her achievements, arguing that she would never have been so attuned to animal sensibilities or the fine points of agricultural engineering without the distinctive vision and hypersensitivity that comes with autism.

But to the outside world her eminence and inner workings are incongruent. Ranchers don’t commission her stockyard designs because they are moved by her life story; parents and teachers of autistic children don’t care about her theories on curved cattle chutes, but view her accomplishments as a yardstick for their own hopes.

“Temple Grandin” fuses the two with a wonderstruck look at feedlots and loading ramps and a practical, pragmatic view of autism.

Viewers are thrown into the mindset of the teenage Temple with little introduction or fanfare, experiencing the world as she does: in blisteringly vivid images that pop into her head faster than a Google search and that she describes in her book as “full-color movies, complete with sound, which run like a VCR tape in my head.” In that sense, at least, her condition is ideally suited to moviemaking.

In an early scene in which Temple goes to visit her aunt on a ranch in Arizona, she gets off the airplane as startled and fearful as a feral animal. Sounds and sights are heightened — the screeching whirr of the propeller, shouted greetings, the flaming desert heat — to capture how overwhelming and unbearable they are to an autistic girl who flinches at the squeak of a felt-tip marker and cannot bear to be touched.

Ms. Danes is completely at ease in her subject’s lumbering gait and unmodulated voice. She makes Temple’s anxiety as immediate and contagious as her rarer bursts of merriment, laughing too loudly and over and over, as she re-enacts a scene from a favorite television show, “The Man From U.N.C.L.E.” And as the character ages and learns more social graces, Ms. Danes seamlessly captures Temple’s progress.

Julia Ormond looms surprisingly large in the small role of Eustacia, Temple’s mother, a fighter who insists that people treat her daughter as “different, but not less.” Ms. Grandin’s autobiography didn’t go into the family background — proper Bostonians with old money. Eustacia Cutler gives an account of it in her own, highly emotive autobiography, “A Thorn in My Pocket,” which has all the makings of a more lurid Lifetime movie and is perhaps wisely left out of the HBO film. But Ms. Ormond conveys the back story elliptically, adding a slight upper class inflection to her voice and showing Yankee stubbornness just beneath her sorrowed beauty. When a psychiatrist patronizingly tells Eustacia that her child has infantile schizophrenia brought on by maternal coldness, she snaps, “I’m supposed to have done this, well then, I can undo it.”

She sends Temple, who loves horseback riding, to Arizona for a summer, which introduces her to her life’s work, as well as a device to relieve her panic and anxiety: seeing how cows appear to calm down in squeeze chutes — metal stalls that press against the sides of animals to still them for inoculation — Temple tries it on herself, and finds comfort in the pressure. She designs a squeeze chute for herself, and that plywood contraption is just one of the many eccentricities that set her apart.

Temple finds a mentor, her high school science teacher, Dr. Carlock (David Strathairn), one of the first to train Temple to expand her intellect rather than merely control her impulses.

Students and other teachers were less kind. So were many of the ranchers and meat growers who stood in Temple’s way — and threw bull testicles at her car — when she began her studies in animal husbandry.

Hers is a tale that could be easily be played up for drama, intrigue and weepy reconciliations, but this narrative is loyal to Ms. Grandin’s credo: emotions are secondary to tangible results. And the result is a movie that is funny, instructive and also intangibly charming.

HBO, Saturday night at 8, Eastern and Pacific times; 7, Central time.

Directed by Mick Jackson; written by Christopher Monger and William Merritt Johnson; based on the books “Emergence” by Temple Grandin and Margaret Scariano, and “Thinking in Pictures” by Ms. Grandin; Emily Gerson Saines, Gil Bellows, Anthony Edwards, Dante Di Loreto, Paul Lister and Alison Owen, executive producers; Scott Ferguson, producer. Produced by Ruby Films and Gerson Saines Productions.

WITH: Claire Danes (Temple Grandin), Catherine O’Hara (Aunt Ann), Julia Ormond (Eustacia) and David Strathairn (Dr. Carlock).

House Rules

by Jodi Picoult
Review by Karen Campbell March 4, 2010  Boston Globe (excerpted)
http://boston.com/ae/books

Jacob Hunt is startlingly verbal and blisteringly intelligent. The 18-year-old has an uncanny ability to retain facts and figures and can take apart a broken microwave and fix it inside of an hour. He can also analyze a crime scene with remarkable accuracy and speed. What he can’t do is read social cues, make eye contact, and sense what another person is feeling. He lives in a literal world, unable to read between the lines, and he thrives on rules and closely monitored routines, becoming easily over-stimulated by touch, lights, sounds, smells, even textures.
Jacob has Asperger’s syndrome, a neurological disorder on the autism spectrum, and as the main character of Jodi Picoult’s new novel, “House Rules,’’ he offers a fascinating and informative glimpse into a condition that has become common – affecting as many as 1.5 million Americans – yet is little understood.
However, the beauty of Picoult’s book, as in most of her topical bestsellers, is that it brings to vivid life not just Jacob’s condition, but the impact it has on those around him. “House Rules’’ is told through the alternating voices of Jacob; his mother, Emma; his 15-year-old brother, Theo; and two characters pulled into their world when Jacob’s social-skills tutor Jess is found dead and Jacob becomes the primary suspect. Oliver is the inexperienced but passionate young attorney Emma hires to defend her son. Rich is the arresting officer, who initially assumes Jacob’s odd behavior, including his fascination with crime scenes, must be a sign of guilt.
When Jacob is charged with Jess’s murder, “House Rules’’ begins to unfold as a compelling and suspenseful whodunit, as the trial slowly uncovers what really happened. But along the way, Picoult beautifully evokes the tribulations of living with Asperger’s. Emma’s entries chart the exhausting daily struggles of a single mother dealing with the overwhelming demands of a child with special needs who can never connect emotionally: “A son who tries to be like everyone else but truly doesn’t know how.’’ She also deftly addresses the controversy over vaccines as a possible cause, presenting findings on both sides of the issue as well as her own carefully reasoned conclusion.
But the most engaging and heartbreaking voice in the novel is little brother Theo, who perennially feels like a freak by association. Though he loves and supports his brother, he admits to secretly hoping that Jacob will wander off and never be found so he can get on with his life, and Theo’s penchant for risky behavior adds an extra layer of ambiguity to the story …]
[… “House Rules’’ is a page-turner.[..,] well-paced and thoughtful. And it certainly leaves readers with more compassion and understanding for sufferers of a condition that puts them always on the outside without a way in.
Karen Campbell is a freelance writer based in Brookline

Share/Save/Bookmark

March 5, 2010 Posted by | Adolescence, Aspergers, Aspergers Syndrome, Autism, Biography, Education, Resilience, Resources, Social Justice | , , , , , , , , , , | 2 Comments

Landmark US study finds Australia’s Triple P-Positive Parenting program lowers child abuse injuries and fosters placements

This news article  from the University Of Queensland News pages is very exciting, as I was involved in the original research of the efficacy of Triple P as a graduate student in the early ’90’s!

A landmark US study has found that The University of Queensland’s Triple P – Positive Parenting Program can significantly lower rates of child abuse injuries and foster care placements when offered to parents community-wide.

Results of the five-year study, which was funded by the prestigious Center for Disease Control and Prevention and led by Dr Ron Prinz at the University of South Carolina, were published today in the online edition of the Prevention Science journal.

Professor Matthew Sanders

Professor Matthew Sanders

It is the first large-scale study to show that providing all families – not just families at risk – with access to proven parenting information and support can reduce rates of child maltreatment.

The study found that making Triple P available to all parents led to significantly lower rates of confirmed child abuse, fewer out-of-home placements and fewer hospitalisations from child abuse injuries, when compared to communities without access to Triple P.

Researchers estimate for every 100,000 children under the age of eight, the results could translate annually into 688 fewer cases of child maltreatment, 240 fewer children in care and 60 fewer children being admitted to hospital or emergency departments with abuse injuries.

Study co-author, UQ’s Professor Matt Sanders said the research added to the already-strong evidence base of Triple P.

“We already know Triple P can alleviate parents’ stress and depression and help prevent and reduce child emotional and behavioural problems,” said Professor Sanders, who is the founder of Triple P and director of the Parenting and Family Support Centre at The University of Queensland.

“But this research shows that by providing all parents – not just those at risk – with parenting support through evidence-based programs, we can have a major impact on child maltreatment.

“We can hold back the growth in child abuse, keep kids out of foster care and in their own homes and see fewer injured children in hospitals.”

The US study was conducted in 18 counties in South Carolina, nine of which were chosen randomly to receive Triple P. Parents of children from birth to 12 years could easily access Triple P information through a variety of methods, include mainstream media, brief public seminars and trained counsellors at clinics, schools, churches and community centres.

“We would expect similar results in Australia if all families here were offered easy access to Triple P.

“Parents are looking for practical solutions to parenting problems that work,” Professor Sanders said.

The CDC chose Triple P as its preferred parenting method for the study because of its solid evidence base and its flexibility for parents seeking support.

Triple P was developed at The University of Queensland by Professor Sanders and colleagues and is based on 30 years’ clinical research. The program is now used by governments and health authorities in 17 countries – The United States, England, Scotland, Ireland, Canada, Sweden, New Zealand, Hong Kong, Iran, Japan, Germany, Belgium, Singapore, Switzerland, The Netherlands, Curacao and Australia

(Sourced from http://www.uq.edu.au/news/)

Share/Save/Bookmark

Reblog this post [with Zemanta]

July 18, 2009 Posted by | Parenting, Resilience, Social Justice | , , , , , , , , , , , , , , , , | 2 Comments

The Psychology of the Good Deed

So you have a goal in life, a mission, and a strategy. Then you execute it and sail toward complete success. Right? Probably not. At some point stress, exhaustion, and even burnout can bring your project down. But, you can reel it in. In Her book  The Lifelong Activist: How to Change the World Without Losing Your Way Hillary Rettig argues that what prevents ambitious and idealistic people from achieving their goals are fears not of failure, but of success and change, which can lead to procrastination and life compromises. Read her solutions to these common problems. A fascinating read! Recommended. (Added to Highly Recommended Reads)

296510587_8839df38a9

Share/Save/Bookmark//

July 11, 2009 Posted by | Social Justice | , , , , | Leave a comment