0.3 CME

Bagaimana mengatasi tantangan perilaku pada anak autis?

Pembicara: Dr. Vanitha Rao.S

Alumni- Sekolah Tinggi Kedokteran St. Johns

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Keterangan

Autistic children may exhibit challenging behaviors due to difficulty in communication and social interaction. They may struggle with expressing their needs and emotions in a way that others can understand, leading to frustration and anxiety. Changes in routine or environment can be particularly challenging for autistic children, leading to disruptive behaviors such as meltdowns or aggression. Some autistic children may engage in repetitive behaviors, such as rocking or hand-flapping, that can be disruptive in certain situations. Lack of sleep can also contribute to challenging behaviors in autistic children.

Ringkasan

  • **Cognitive Theories Associated with Autism:** Autism is associated with three main cognitive theories: executive function difficulties (challenges in planning, sequencing, and executing tasks), weak central coherence (difficulty seeing the big picture and a tendency to focus on details), and theory of mind (inability to understand that others have different thoughts and feelings). These cognitive challenges can affect behavior and social interactions.
  • **Sensory Processing Difficulties:** Individuals with autism often experience sensory processing difficulties, being either hyposensitive (under-responsive) or hypersensitive (over-responsive) to auditory, visual, tactile, olfactory, vestibular, or proprioceptive stimuli. These sensitivities can lead to distraction, discomfort, and difficulty focusing, resulting in challenging behaviors.
  • **Understanding Difficult Behaviors:** Difficult behaviors in autism, such as poor attention, delayed task completion, screaming, and self-stimulatory behaviors, often stem from underlying neurological challenges rather than intentional defiance. Understanding these underlying causes is crucial for developing effective support strategies.
  • **Positive Behavioral Support (PBS):** PBS emphasizes a proactive approach to addressing behavioral challenges by focusing on understanding and accepting the child's difficulties, then adapting the environment and communication to support their needs. This approach involves acknowledging difficulties, understanding their origin, and accepting the child.
  • **Environmental Adaptations:** Structuring the environment is essential for minimizing behavioral difficulties. This includes establishing predictable routines, avoiding clutter, informing the child about changes in advance, using visuals to aid understanding, and employing social stories to explain social expectations.
  • **Language and Communication Strategies:** Clear and concise communication is vital. Minimize verbal commands, use shorter sentences, and allow sufficient response time. Silence can be more effective than words during a tantrum. Be mindful of the language used around the child.
  • **Importance of Small Steps:** Addressing behavioral challenges requires patience and a gradual approach. Break down tasks into smaller steps, celebrate progress, and avoid overwhelming the child. Focus on skill development to reduce the need for self-stimulatory behaviors.

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