Diagnosing and Caring for the Child with Autism Spectrum Disorder by Tina Iyama-Kurtycz

Author:Tina Iyama-Kurtycz
Language: eng
Format: epub
ISBN: 9783030265311
Publisher: Springer International Publishing

I also talk about the “No orifice” rule . Adults do not control any orifices: eating, peeing, or pooping. The child controls whether one is open or closed. If we insist that a child will “Eat that!” or “Use the potty!” we set ourselves up to fail. I want parents to set themselves and their children up for success. Don’t fight over orifices.

You no doubt have positive parenting resources you recommend to parents. The one I gave to residents is “Positive Parenting: Tips on Discipline” from the Children’s Trust Fund, but there are many others.

The most powerful tool available to parents is the “if/then” statement. Neurotypical children start to get “If you do this, you can have” or “If you do this, this (reward or more unpleasant thing) will happen” around 18 months. One cannot predict when the child with ASD will start to understand consequences, secondary to language comprehension or other developmental delays. I have cared for children who do not ever reach this cognitive stage, and forever need to be watched 24/7, redirected, and kept safe because they do not understand that their actions lead to different consequences.

Most children will get there. Once they have this skill, then parents can use this forever. “If you do this, I can help you with that.” This is the most powerful parenting and teaching tool that exists. If the word “if” is challenging, then parents can say, “First do this, then you can do that.” Intensive behavioral programs for children with ASD frequently use contingency as a main teaching tool to start with.

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