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Communication is a social act and unless one is conducting a monologue with one’s self, it involves at least one other person. Communication within a social situation can be more challenging than just understanding the words of others. There are unwritten rules that govern interactions and these may change depending on the circumstances and whom one is talking to. The individual with an autism spectrum disorder may:

• Have difficulty seeing another person’s perspective; tendency to interpret from own point of view. This impacts social interaction and the understanding of perspective in narratives whether in text, movies or TV format.
• Have difficulty understanding that other people have unique thoughts, ideas and personal motivation.
• Give no or minimal eye contact during an interaction; eye contact may be distracting or provide more sensory information that can be useful or processed by the person with ASD.
• Speak too loudly or too fast unless taught about the needs of his or her communication partner.
• Talk aloud to self in public situations and be unaware that others can hear the content of the self talk and will make judgments about them based on what was heard.
• Have difficulty attending to an auditory message if stressed, agitated or highly stimulated.
• Make statements that are factually true but socially inappropriate because of lack of awareness of the impact of his or her statement on others.
• Not know strategies to initiate, terminate or facilitate a conversation.
• Have difficulty understanding the significance of another’s role and the need to adjust topic, the vocabulary, grammar and tone of conversation accordingly. May address an authority figure in the same fashion as a peer or as a TV/video character might do.
• Have difficulty knowing that he or she has the responsibility to give the communication partner sufficient information to understand the message. In addition, he or she may have difficulty surmising what information the partner already has and what new information is needed.
• Not monitor his or her own comprehension of incoming messages and therefore does not seek clarification, when needed.
• Seek to promote an inflated or positive self image by using pseudo-sophisticated language; sometimes this strategy is used to mask the degree of underlying comprehension problems that the person really experiences during daily living situations or within school activities.
• Lie with the intent of getting people to leave him or her alone rather than with intent to deceive or manipulate. In general, is not effective at deception.
• Exhibit good recall of people’s names, facts and/or trivial information; often the depth of knowledge about a topic may be superficial.
• Utilize, on occasion, old behavior or communication patterns for more appropriate verbal social communication. This might include nonverbal means of communication such as aggression, passivity, pacing, self stimulation, self abusive behavior or echolalia.
• Be nonselective about appropriateness of time, place and person with whom to discuss certain topics.
• Be perseverative or bothersome on limited topics. May ask repetitive questions.
• Desire social interaction, but has difficulty knowing how to initiate and maintain a friendship.
• Experience difficulty recognizing the lies, deceptions and mischief of others.
• Miss nonverbal cues of others and nuances in social situations; may be taught to recognize some instances.
• Lack a repertoire or have difficulty selecting /applying appropriate social communication strategies in everyday situations.
• Recognizes and identifies basic emotions of others and self (mad, happy, and sad) but has more difficulty with recognizing more subtle expressions of these feelings or emotions.
• Have difficulty recognizing, identifying and understanding various other states of emotion expressed by others and knowing what to say in that situation.
• Have difficulty recognizing, identifying and understanding various other states of emotion expressed by others and knowing what to say in that situation.
• Have difficulty making predictions about the consequences of a situation and understanding the motivation of others; will usually be very concrete and socially naïve.
• Have difficulty multi-tasking, i.e., talking or listening while doing something else at the same time; may need to do one thing at a time.

AUTISM SOCIAL NEURO ACUPUNCTURE

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