Please enable JavaScript.

Coggle requires JavaScript to display documents.

Joe (References ((Cole, M., Tufano, R. (2008). Applied Theories in…

- - - - Motor skills are typical
      - Process Skills are typical
      - Social interaction
        
        Joe has difficulty with looking at others and making eye contact, conversational turn-taking, and using video games to avoid social interaction and conversations with other people
        
        Joe perseverates on technology and is unable to regulate social interaction skills
  - - - Group treatment: learning to be social with other members
      - Social aspects of video gaming
    - - Video game "world"
    - - Previously lived in the woods for 5 years alone
      - Currently: lives in 1 bedroom/1 bath apartment by himself
  - - - Habitually plays video games and perseverates on technology which is interfering with his performance in occupations
    - - Goes to the library weekly
      - Routine of playing video games throughout the day
      - Motivated to start good hygiene routine with OT
    - - Neighbor
      - Group member of mental health treatment
      - Hopes to be employee in future
- - - - Avoids eye contact, prefer to play and be alone, does not share interests with others, only interacts to achieve a goal, flat or inappropriate facial expressions, does not understand personal space, avoids or resists physical contact, cannot be comforted during distress, difficulty understanding others (Centers for Disease Control and Prevention, 2019).
    - - Delayed speech, repeat words or phrases over and over, reverses pronouns, unrelated answers to questions, uses few or no gestures, flat/robot-like/sing-songy voice, does not understand jokes, sarcasm or teasing (Centers for Disease Control and Prevention, 2019).
    - - Lines up objects, plays w/ objects same way over and over, likes parts of objects, very organized, upset by minor changes, obsessive interests, must follow certain routines, hand flapping, body rocking, spinning in circles (Centers for Disease Control and Prevention, 2019).
    - - Hyperactivity, impulsive, short attention space, aggressive behavior, self-injury, temper tantrums, unusual eating, mood problems, unusual sleeping patterns, lack of fear, more fear than expected, unusual reactions to the way things sound, taste, smell etc (Centers for Disease Control and Prevention, 2019).
- - - - Teach hygiene skills and include 6 month follow up to establish generalization of skills (Byra, White, Temple, & Cameron, 2018).
    - - Routines are incredibly vital for occupational success for adults with autism spectrum disorder. Deviations from routine can cause extreme anxiety thus importance to establish routine prior to holding job (Applied Behavior Analysis EDU, 2019).
  - - - Study by Hesselmark, Plenty, & Bejerot (2013) showed that group cognitive behavioral therapy significantly increased quality of life, increased understanding of self and expressing needs, and with less drop out rates as well compared to a recreational therapy group.
    - - Study by Strickland, Coles, & Southern (2013) showed that adolescents who completed job skills training had significantly better verbal content skills during interviews than those who did not.
    - - Study showed correlation between social dysfunction and hyper-responsiveness to touch.”even in adulthood, the somatosensory system is foundational for social functioning” (Lundqvist, 2014, pg. 18).
  - - - A study by Krieger et al. (2018) showed that the environment can have a securing or intimidating effect on adolescents with autism spectrum disorder. Thus it is important to modify the environment and ensure it is securing or promoting occupational performance in ADL’s, IADL’s, and social participation for Joe.
- - - - Application: Sensory integration techniques can be used for the client to be more likely to participate in showering and hygiene due to hypersensitivity to touch, as well as social communication. According to an article by Lundqvist (2014), touch plays an important role in social emotional communication, especially intimacy, such as feelings of love and sympathy; this study showed correlation between social dysfunction and hyper-responsiveness to touch.”even in adulthood, the somatosensory system is foundational for social functioning” (Lundqvist, 2014, pg. 18).
    - - Application: Cognitive Behavioral Therapy conducted to change distorted thinking and behavioral patterns used in a group setting can influence gain of social interaction skills, improve overall quality of life and psychological well-being. (Hesselmark et al., 2014). CBT treatment approaches used in group OT therapy will provide a safe space for him to face fears and give opportunity to build trusting relationships while gaining social interaction skills needed to interview for jobs and interact with people within his community.