Showing posts with label Social Groups. Show all posts
Showing posts with label Social Groups. Show all posts

Sunday, May 22, 2011

Social Skills: Group 3

We have recently started up our third social skills group.  Amy and I are working this group together so that she can learn the curriculum.  We found ourselves EXHAUSTED at the end of the hour sessions with these boys.  We constantly were reminding them to listen, to sit down, to stay on topic.  We addressed Expected vs. Unexpected Behaviors in a group.  We drilled and reviewed these behaviors.  We looked at the Problem Scale, Game Playing, and Emotions and how our behaviors affect others.  We pulled out every trick in the book to get these ideas across to them and to try to make an impact on their impulsive tendencies. 

We were so frustrated with the needs of this group that we finally decided to jump ahead in the curriculum (which, by the way, is an absolutely okay thing to do).  We discussed "good thoughts" vs. "weird thoughts" and how others have these about us.  Expected Behavior results in "good, positive, safe, or neutral" thoughts.  Unexpected Behaviors result in "weird" thoughts about us; others may not feel comfortable with us or may even feel unsafe around us. The kinds of thoughts others have about us affect whether or not they want to spend time with us.

Instead of popsicle sticks (as suggested in Michelle Winner's book), I went to Hobby Lobby and bought some floral marbles: red = weird thoughts / blue = good thoughts.  I prefer the marbles to the sticks since they help teach the idea that negative thoughts can be buried by lots of good thoughts.  So, a few "weird" thoughts do not sink us socially as long as we behave in ways to produce lots of positive feelings among our peers.  I placed clear plastic cups in front of the boys and began dispensing plenty of blue/good thoughts.  I explained what positive behaviors were resulting in the good thoughts.  As the boys began to engage in their disruptive behaviors (grabbing at the the thought cups, talking off topic, or incessantly, laughing inappropriately...) I began to dispense red/weird thought marbles.  The reaction was equal to dousing them with cold water.  Shock, disbelief, trying to remove the marble, and finally calm behavior, increased attentiveness, and decreased unexpected behaviors.

I am constantly amazed at how such a simple technique can have such huge and immediate results.  We are into week 8 of the group, week 3 of the use of marbles.  I must say I have seen a dramatic improvement (not cured, though) in all of the childrens' behaviors. 

We are also finding that this group needs to repeat lessons frequently and camp out on the early concepts.  There is no point in forging ahead.  They must grasp the basic concepts before they can move on.  I am still having fun with this venture in spite of the stressors in my life recently.  I will keep you posted as we move along.

Sunday, May 8, 2011

FRIENDS, INC.

Does your child have difficulty...

Making friends?                                             Playing games?          
                        Taking turns?                                

Understanding personal space: stands too close to others, touches others constantly, or stands too far away from the group?

Reading body-language, understanding intonation, recognizing humor, jokes, and figurative language?


  
Does your child...

                                               Misunderstand the words or intentions of others?

Get picked on or at least think that they are being picked on?

                       Demand his/her own way, refuse to share, obsess over a toy or topic?

  Fail to make eye contact with others and miss subtle
    cues in conversation?

Appreciate that others may enjoy different things or may have a different
    understanding or perspective of certain things. 

                                Send negative signals with his/her own nonverbal cues?



If so, then your child might benefit from these groups

WHAT: Some children have difficulty navigating the social world. They may be unable to establish and maintain peer relationships, have problems understanding social rules, be left out of activities, or feel uncomfortable in groups. It can be heartbreaking to see your child suffer social isolation. At The Speech House we offer Social Skills groups addressing these types of problems. Social skills are a form of communication disorder. As Speech Language Pathologists, we are trained to address these issues. Our classes address the ability to think socially and learn the hidden rules.

These social skills classes are directed toward helping children who have difficulty understanding and following social rules, engaging in conversations with other children, making and keeping friends, and understanding “perspective-taking” or theory of mind.  We do not simply practice social routines and scripts.  We take the children through a curriculum that addresses some of the basic problems causing their social skills difficulties.  We explain what "eye contact" really is and why it is important to others and to them.  We teach the hidden "rules" of socialization.  We teach them how to become a "social detective" and perceive what is appropriate in various social situations. 

We have seen some significant and positive changes in our current social skills groups as a direct result of this curriculum.  We are very excited to have found a tool that is so helpful to these children.

WHO: Children ages 6-15 years. 3-6 children per group (grouped by age/developmental levels). Children who have these types of problems may (or may not) be diagnosed with any of the following disorders:
  • ADHD
  • Learning Disabilities
  • PDD-NOS
  • Semantic Pragmatic Disability
  • High Functioning Autism
  • Asperger’s Syndrome
  • Language Disorders
These classes are best for children with average to above average cognitive abilities. Children with mild mental retardation or low cognitive skills may be unable to grasp the ideas being presented.

WHERE: Groups will meet at our office.
                                                                      The Speech House
                                                                      2117 S. Fleishel Ave.
                                                                      Tyler, TX 75701

WHEN: One hour per week - Times to be set based on needs of groups and available time slots.

COST: Contact us for further information.

   Contact us at  903-581-5421 to get more info or register.

Friday, February 11, 2011

Social Group Stories: A "Wallace & Gromit" Skit Making Experience

I have only recently embarked on my adventures in holding social skills groups.  I mainly use the Social Thinking material developed by Michelle Garcia Winner (MGW... because I am too lazy to type it over and over).  She suggests "Wallace & Gromit" programs to help teach a number of the key ideas for thinking with our eyes, what's my plan/intentions, perspective/point of view.  She also suggests video taping and group projects to emphasize learning to work together.  So about three months into my work with one particular group of boys, I decided "why not combine all of that into one scenario".  The result was an interesting experience for all of us. 

This group of teenage boys ranges from 12-15 years old.  They have various diagnoses including Aspergers, FAS, ADHD, and non-specific developmental disorders.  Some are too talkative while others need lots of prodding to speak up.  All of them enjoy video games and movies.  We have had a number of discussions about Star Wars and Narnia.  The basic scenario of most kids like this is that look essentially neurotypical (average) but they do not view or process the social world the way most do.  For neurotypical people social skills develop naturally.  We don't have to think very hard about how to interact, it just happens, it is intuitive for us.  There are varying degrees of social development among neurotypicals with some of us more socially savvy than others, however we all function relatively well.  For kids with SPD, Social Pragmatic Disorders,(ASD, ADHD, LD, FAS, NVLD....), their lack of social understanding creates a significant problem for them.  They don't look disabled, SPD, so no one is patient or understanding with their mis-steps (not saying they should not be expected to follow rules, just that they need more clarification of the rules and more teaching & guidance).  So these are the kids who get into trouble all of the time in school for talking out, for getting into conflicts with others because they misunderstand the situations, other kids ostracize them because they seem "weird"... this happens everywhere including school, youth groups, scouts, small groups,etc.  These kids are generally cognitively typical: smart kids.  They know they are being ignored or singled out.  They get frustrated, angry, depressed, give up....  These kids are perfect candidates for Social Thinking programming.  Many social groups only script behaviors and role play.  This curriculum delves into why the child misses the cues and helps teach them the basics that most of us develop as toddlers:  using our eyes to read a situation, understanding the perspective of other people, and thinking about the environment and the communication partner.

So, one day we watched "Wallace & Gromit and the Wrong Trousers" as suggested in Social Thinking by MGW.  They really enjoyed discovering these characters.  Next we completed some worksheets I made up that were mini character studies of the three main characters: 
Wallace
1.  Physicial:  How he looks:
       - bold, big ears, neatly dressed with a tie,
2.  Emotional/Mental: How does the character often "feel"/ his emotional or mental state of being:
       - intelligent/inventor, creative, jolly, trusting/naive, socially unaware/not really thoughtful of Gromit
         with the birthday present:  Social Perspective Impaired to some degree.
3.  Behavioral:  Mannerisms, facial expressions, etc.:
       - Often seemed surprised, depends a lot on Gromit for help
4.  Communication:  How does he communicate? List some phrases or gestures he often uses:
       -  Obviously speaks with a British accent, Lots of surprised phrases:  "O, My!",  "GROMIT!"
Gromit
1. Physicial: How he looks:
     -Yellow Dog, big floppy ears, big head, wears a collar, big eyes
2. Emotional/Mental: How does the character often "feel"/ his emotional or mental state of being:
      - smart, observant, helpful, trustworthy, protective:  Great Social Perspective Taker
3. Behavioral: Mannerisms, facial expressions, etc:
      -Does human jobs (makes breafast), walks on two legs often, takes control of situations,
        keeps Wallace out of trouble
4. Communication: How does he communicate? List some phrases or gestures he often uses:
     -Does not talk, uses gestures, lots of facial expression involving eyes and eyebrows.

The boys expressed a good understanding of the character qualities and discussed how those qualities affected their perspectives of Penguin.

Then I suggested we create our own video based on the characters.  Here are the steps we followed
(mostly by trial and error) along with the lessons we learned along the way:

1.  Brainstorm ideas:  We decided on "Wallace and Gromit discover a Caveman".   This got the creative juices flowing and showed me some of the creativity or lack thereof (those who simply stated things from other cartoons, etc.) among the group.  We then narrowed down the ideas to 3, then 2, then 1.  This process required that all 3 agree rather than "majority rule".  This meant they had to learn to negotiate and compromise to arrive at mutual agreement.

2.  Brainstorm what might happen if a caveman came to life.   Once again, creativity.  But also perspective taking:  How would a caveman feel?  What do we know about cavemen?  Would this world be the same as the one he came from?  How would he react?  What might he think about....?
Added a character study of a caveman: 
Caveman:
A.Physicial: How he looks:
     - Caveman-like:  hairy, dirty, barefoot, animal hide clothes, carried a club.
B. Emotional/Mental: How does the character often "feel"/ his emotional or mental state of being:   
     - Not so smart, confused, easily distracted, clumsy, aggressive, destructive, hungry.
C. Behavioral: Mannerisms, facial expressions, etc:
     -  walks awkwardly, bumps into things, ape-like: swings arms and hunched over walking
D. Communication: How does he communicate? List some phrases or gestures he often uses:
     - grunt, jabber, pointing, banging with club.

3.  Choose 4 ideas and discuss the general plot for the story.  Compromise & negotiate as a group to have mutual agreement. 

4.  Break the plot into four segments and assign each boy a scene: Some degree of negotiation when two boys wanted the same scenes.
     a.  W & G are digging a garden.  They dig too deep and discover a frozen caveman.  They drag him inside to their kitchen where Gromit accidentally knocks over salt onto the caveman as they are leaving to run an errand. 
     b. The warm kitchen and salt thaw out the caveman who awakens and explores this modern era home.  W & G return to find an anxious caveman who crashes things with his club. 
     c. The caveman runs away into the town and gets into trouble at a bakery when he sees a cake through the window and cannot figure out why he cannot touch it... until he finally crashes the window.
     d. He then steals a limousine and tries to drive it but accidentally backs into a zoo crashing through the wall and allowing animals to escape the zoo.
     e.  Captions and epilogue were written by me (Wallace, an inventor, invented a device to make the caveman smart and educated. The cavemen became a curator in the local natural history museum. However, his penchant for clubbing things when he became excited still surfaced at times, but now he just uses a rolled up newspaper).

5.  The boys then were in charge of writing out their scenes.  Since some of the boys have significant difficulties in written language, this step was not detailed.  They were simply to elaborate on the general idea of the scene taking into consideration what we knew about the characters.  This activity addressed language skills, written expression skills, perspective taking (view points, some dialogue, and actions of the characters based on our character analysis).

6.  We gathered some minimal props:  Tie for Wallace, Cap with Dog Ears for Gromit, a Dreadlocks wig for Caveman along with a rolled up foam sheet for the club.  Just fun; okay, maybe also some observation of physical characteristics).

7.  Each boy had the opportunity to "direct" the other boys in the scene he had written.  Each boy had a turn to play each character rotating from scene to scene.  This was probably one of the best perspective taking experiences. Since each boy got to be the "director" and the "actor" in various scenes, he learned the importance of giving adequate amounts of information, cooperation, and following directions.  Since they played each character, each boy had a chance to take on three different personas and three different perspectives.

8.  I filmed, edited, captioned, and copied to DVD's.  This was no award winning production so lots of editing (not great editing at that, since this therapist is technologically challenged), some well placed captioning to fill in for insufficient dialog, and epilogue to wrap up the story

9.  We had a group viewing and invited the parents and siblings in to watch.  Each boy took home a copy of the DVD.

The entire process took about 4 sessions with the boys working on their written scripts at home.  As is to be expected, scripts were forgotten, lost, etc.  But the boys had at least spent time thinking about them so I had them dictate their ideas to me and quickly wrote them down.  The scripts were simple; perhaps a paragraph long.  Much of the dialogue development happened during direction and filming.  All in all it was both fun and productive.  In a few months we will do another one.  It should be interesting to see how their cooperative and perspective skills change a few months into Social Group training.