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When is it too young to talk about Sex
When is it too young to talk about Sex
Advanced organizer
Advanced organizer
Schools finally good
Schools finally good
Stimming is down; your child is even speaking more
Stimming is down; your child is even speaking more
Now he or she is making friends are they the right friends
Now he or she is making friends are they the right friends
Youre tired, hes doing pretty well and the sex talk can wait until
Youre tired, hes doing pretty well and the sex talk can wait until
When do you begin talking about sexuality
When do you begin talking about sexuality
For children with ASD
For children with ASD
For children with ASD
For children with ASD
Jimmys story
Jimmys story
Jimmy continued
Jimmy continued
Not a one time story
Not a one time story
Reality is even with a developmental delay the biology moves onward
Reality is even with a developmental delay the biology moves onward
Break down what the child needs to know
Break down what the child needs to know
Progression of skills needed
Progression of skills needed
Whats the problem
Whats the problem
Dont know good idea/bad idea
Dont know good idea/bad idea
Background data
Background data
Think about the thinking process
Think about the thinking process
Problem
Problem
Case studies from the sex offender unit
Case studies from the sex offender unit
Scary statistic
Scary statistic
When its too easy
When its too easy
Unconditional trust in authorities
Unconditional trust in authorities
At adolesence
At adolesence
Misunderstood by those in authority
Misunderstood by those in authority
The rules are the rules
The rules are the rules
Children at the YDC
Children at the YDC
David
David
Davids Story
Davids Story
Rocky Regression and Biting
Rocky Regression and Biting
What are the early problems
What are the early problems
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
Psycho-sexual skill development and problematic Sexual Behaviors
What is being Done
What is being Done
Good Resources
Good Resources
Biological Sexual Education Its Perfectly Normal, Robbie Harris
Biological Sexual Education Its Perfectly Normal, Robbie Harris
Caring for myself Taking Care of Myself, Mary Wrobel
Caring for myself Taking Care of Myself, Mary Wrobel
Caring for myself Taking Care of Myself, Mary Wrobel
Caring for myself Taking Care of Myself, Mary Wrobel
Practical Teaching
Practical Teaching
For females
For females
Circles- James Stanfield Publishers http://www
Circles- James Stanfield Publishers http://www
More Circles
More Circles
Summary
Summary
Finally
Finally

: When is it too young to talk about Sex. : DPWUSERY. : When is it too young to talk about Sex.ppt. zip-: 992 .

When is it too young to talk about Sex

When is it too young to talk about Sex.ppt
1 When is it too young to talk about Sex

When is it too young to talk about Sex

Lawrence Sutton, Ph.D. and Claire Maher Choutka, M.Ed., BCBA

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2 Advanced organizer

Advanced organizer

Objectives Typical development Specifics for ASD Issues when sexual development is not addressed Case studies Psychosexual development Teaching resources/programs Questions?

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3 Schools finally good

Schools finally good

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4 Stimming is down; your child is even speaking more

Stimming is down; your child is even speaking more

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5 Now he or she is making friends are they the right friends

Now he or she is making friends are they the right friends

Friends are nice

You have to do what I say!

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6 Youre tired, hes doing pretty well and the sex talk can wait until

Youre tired, hes doing pretty well and the sex talk can wait until

hes older, right?

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7 When do you begin talking about sexuality

When do you begin talking about sexuality

Typical children learn good touch/bad touch in Kindergarten. They are taught no one but mom, dad, doctor, or nurse touches you where your swimsuit covers. You dont touch others in those places. If a touch feels funny, strange, or uncomfortable, tell someone in charge.

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8 For children with ASD

For children with ASD

Often praise statements are accompanied by tickles, hugs, big squeezes, etc. By school age these are inappropriate in a school setting. Typical peers are not being tickled by staff-- it sets the child up for a problemallows more people to put hands on him/her, and potentially starts feelings. How will they know who is allowed to tickle them and who not? They should not be asking adults for hugs, squeezes, tickles; its a slippery slope.

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9 For children with ASD

For children with ASD

We are thrilled when they spontaneously show affection. We rejoice that they understand others exist in their world. We need to teach our children how to read the signs others give, that a hug to staff would be better as a hand shake or smile. That you ask a girl, May I kiss you?, touch you?, etc.

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10 Jimmys story

Jimmys story

Starts with playing doctor with little sister. On vacation in the south friends set Jimmy up with a date. They tell him what girls expect. Girl and parents freak out and do not press charges. His parents seek a sex therapist to help. At home local girl who once had crush on him becomes object of his fascinationincludes stalking, following, staring, and she cries rape.

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11 Jimmy continued

Jimmy continued

She later recants & both families agreed Jimmy disregarded conventional social boundaries, But never involved in anything overtly sexual with Jen; no intercourse, exposure, or touches. Jimmy was then home schooled full time. Next summer in the South- met a 17 yr old who shows him lots of video porn and porn mags. Jimmy told me, Now I know what sex is, now I know what to expect from a girl.

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12 Not a one time story

Not a one time story

Sadly, this story is not that unusual. Every week we get calls about young men masturbating in school, in the boys room with female aides trying to straighten out the situation. When the exposure occurs in front of other students, now its really problematic and police are often called. This gets a young man a ticket to the YDC.

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13 Reality is even with a developmental delay the biology moves onward

Reality is even with a developmental delay the biology moves onward

As the child grows

Bodies change. Adolescence begins at 8 for girls 10 for boys. Medications may increase or decrease sexual urges. Regardless, the children need to be taught what to do. Bodies react; biology marches on in spite of cognitive delays or social skills issues.

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14 Break down what the child needs to know

Break down what the child needs to know

They need to know who to hug, kiss, approach about dating They need to know when to do this. They need to know how to ask for a date, a kiss, more What rules does the family have for their neuro-typical children? Who will do the coaching? How do you address problems? Think Cyrano de Bergerac

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15 Progression of skills needed

Progression of skills needed

From friendship to dating, to relationship, to sex? What are the boundaries? How do you teach that? How do you keep your child safe from predators and from him/herself? Remember, with frustration comes increased possibility of aggression.

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16 Whats the problem

Whats the problem

Is SEX a Four letter Word? Does it need to be? Supposed to be an expression of love and deep regard between two people? Even adolescents and young adults with ASD that can discuss their feelings have discussions of sex accompanied by fear and anxiety, surprises, and sometimes ugliness?

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17 Dont know good idea/bad idea

Dont know good idea/bad idea

Adolescents with ASD are sometimes convinced or coerced/duped by peers to commit criminal offenses and then are left to face the consequences of the criminal act by themselves. Teach this young. Use sample worksheets, role plays. Teach Me Language by Freeman, has a format.

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18 Background data

Background data

In data from treatment facilities for sexually related crimes, children and adolescents with ASD may have been the victim of a sexual assault and may be re-enacting a sexual act on someone else the way they were taught.

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19 Think about the thinking process

Think about the thinking process

To learn need to see appropriate models of behavior Typical situations and peers to practice skills in vivo in order to change what may be really, downright challenging behavior.

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20 Problem

Problem

Often individuals now in difficulty learned about sex by being sexually assaulted as children. Often by loved ones or by important authority figures in their lives. Despite the fact that the sex may have hurt they perceive the acts in a concrete and matter-of-fact wayas in this is what a person does to someone elsevery matter of factly, to meet sexual needs.

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21 Case studies from the sex offender unit

Case studies from the sex offender unit

Learning a treatment program inside does not mean that the skills will generalize and transfer. Tom has said I dont know that I will not go out and sexually offend. if placed in a situation where he is attracted to someone and denied access.

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22 Scary statistic

Scary statistic

Children with autism are now entering the criminal justice system in surprising and yet unknown numbers. In an unpublished account at the New Castle Youth Development Center in May, 2005 it was estimated that 40% of the adolescents in the sexual offenders unit had an autism spectrum disorder.

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23 When its too easy

When its too easy

Child with ASD will meet new friends who explain that it is ok to do something to a girl or another boy. Or meet a peer who may site a popular television program as an authority Rick meets Courtney at the start of a 30 minute sitcom and by the end of the program, they are lovers in bed together.

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24 Unconditional trust in authorities

Unconditional trust in authorities

Black and white thinking also concrete thinking in the way they interpret things. If for example one is told that if they have a problem it is important to go to a person in authority to get help with the problem. What happens if the authority does not help? What might happen to that child/adolescent?

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25 At adolesence

At adolesence

Combine significant deficits in social skills Rage over bullying, inability to understand or control many things Inappropriate information about sex/boy-girl relationships No peer group to use to find out information They go on incorrect/ half-correct info No sleepovers a friends home to gain info, no sleepover camp, sometimes no bus ride which is where many learn about sex.

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26 Misunderstood by those in authority

Misunderstood by those in authority

Bobby was being bullied by peers. Brought a knife to school to show he was not to be messed with that day. Rethought it and went immediately to the guidance counselor to tell her of his troubles. Counselor then called the principal and the policezero tolerance rulesor does it?

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27 The rules are the rules

The rules are the rules

An additional problem exists with scripted and canned programs when attempting to rehabilitate adolescent sexual offenders is that many of these individuals are concrete thinkers. Once taught that what they did was something they should not have done (not necessarily wrong), then in some cases it is all or none. Robbie is a young man who learned that sexual thoughts, interest or even attraction to someone in a sexual way is wrong.

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28 Children at the YDC

Children at the YDC

David Lacks the Social Sense to LIE Rocky Institutional Stress and Biting (self and others) Robbie - concrete understanding leads to concrete thinking and self-mutilation Bobby The Thought Police Coping with Bullying and Sexual fantasies Jimmy you can see the problem coming, but cant stop it (sexual urges leading to sexual abuse)

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29 David

David

Aspergers Syndrome senior project Understand his touching, exposing and attack of mother Concrete thinking which requires real-life modeling to develop new methods to courtship ACT 21

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30 Davids Story

Davids Story

Eventual Arrest Treatment Now Fear of not testing prior to potential Discharge Lack of the Social Sense to Lie

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31 Rocky Regression and Biting

Rocky Regression and Biting

History of institutionalization ASD issues with rigidity, black and white thinking, social skills problems Experienced stress and perception of attack Lacks the language to communicate issues Biting- self & others leading to more charges and more time, and more biting and the Chewing Gum Solution used at YDS

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32 What are the early problems

What are the early problems

Staring Touching others Smelling someone Looking different (stimming) Missing social cues Misinterpreting social cues Becoming seduced by the dark side (designing others)

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33 Psycho-sexual skill development and problematic Sexual Behaviors

Psycho-sexual skill development and problematic Sexual Behaviors

Courtship Touching Staring Obsessing- blind infatuations Wishful thinking Understanding wants and needs Love and Friendship Sexual emotions and adolescence Communication and Sexuality

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34 Psycho-sexual skill development and problematic Sexual Behaviors

Psycho-sexual skill development and problematic Sexual Behaviors

Love and Friendship What is a friend? Not just someone in your class. What is a close friend? To whom do you tell your secrets? How does friendship turn into love? Are the rules different for being a friend than for being in love? These are taught in Circles Curriculum

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35 Psycho-sexual skill development and problematic Sexual Behaviors

Psycho-sexual skill development and problematic Sexual Behaviors

Sexual Emotions and Adolescence Sexual Emotions and Hormones Sexual needs and desires Labiality of sexual emotions Sexual Response Cycle-- Henault book Healthy sexual encounters; what do they look like?

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36 Psycho-sexual skill development and problematic Sexual Behaviors

Psycho-sexual skill development and problematic Sexual Behaviors

Communication and Sexuality? Communication and Honesty between partners What does no really mean? Between friends When in courtship When married Saying what it is you want to say Saying what you really mean without offending

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37 What is being Done

What is being Done

Models for intervention, education and treatment Its Perfectly Normal Taking Care of Myself Circles Curriculum Aspergers Syndrome and Sexuality Positive Approaches

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38 Good Resources

Good Resources

ASD and Sexual Education Educational-based Parental-based Video-based Should be: Peer referenced Systematic Need comprehension checks Practiced skills

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39 Biological Sexual Education Its Perfectly Normal, Robbie Harris

Biological Sexual Education Its Perfectly Normal, Robbie Harris

Sexual Education A. Sex defined B. Our Bodies C. Puberty- puberty problems --masturbation D. Relationships E.- SEX How babies are made Feelings and Love

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40 Caring for myself Taking Care of Myself, Mary Wrobel

Caring for myself Taking Care of Myself, Mary Wrobel

Self Care Taking care of myself A. Hygiene B. Living Healthy C. Modesty D. Touching E. Masturbation

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41 Caring for myself Taking Care of Myself, Mary Wrobel

Caring for myself Taking Care of Myself, Mary Wrobel

Basics of self-care Erections- how to deal with these (before and after puberty)? Masturbation- where? Only in persons own bedroom or bathroom Touching myself- only in private Male and female masturbation- in private Appliances Human rights issues- cannot deny a person sexual expression or tell them first work; then sex Clean-up

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42 Practical Teaching

Practical Teaching

Hand Made Love: A Guide For Teaching About Male Masturbation By Dave Hingsburger Book and video set discusses privacy, pleasure and the realities of sharing living spaces with others. The narrator of the video talks about myths and suggests that masturbation can be a way of learning about sex, while the book discusses masturbation from the point of view of both health and pleasure.

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43 For females

For females

Finger Tips: A guide for teaching about female masturbation By Dave Hingsburger and Sandra Haar Book and video set is aimed at teaching women with developmental disabilities about masturbation. Confronts typical myths about female sexuality. A gentle, positive film that is clear, graphic and dignified. The book includes a step by step photographic essay about masturbation, and the joy of private time.

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44 Circles- James Stanfield Publishers http://www

Circles- James Stanfield Publishers http://www

stanfield.com/sexed.html#B

Not autism specific but very visual. Videos show dating situations and work through teaching skills Part I: Social Distance- 11 video programs students "see" social and sexual distance. It explains the levels of intimacy & TOUCH, TALK to and TRUST. Teaches "relationship boundaries" and relationship specific behaviors, i.e., it's okay to hug your mother, it's not okay to hug the mailman, or a stranger at the mall.

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45 More Circles

More Circles

Part 2: Relationship Building, six video programs demonstrate how intimacy levels change as relationships change. The role of mutual choice among individuals is emphasized, a critical concept for protecting students from exploitation. Authors- Leslie Walker-Hirsch, MED Marklyn P. Champagne, RN MSW

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46 Summary

Summary

We need to break down the steps to appropriate sexual behavior and think about it from the moment the child enters Kindergarten. If you would not allow the behavior in a typical child do not allow it in a child with ASD. Be careful of inappropriate touching/behaviors. Teach another way to get the need met, high five, praise, teach the sexual bits early.

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47 Finally

Finally

Erections be prepared to respond to children who have discovered/experienced erections for the first time at home, in school, in public places and have a plan on how to respond before and after puberty. Masturbation in school will get you arrested. Make it more difficult for the person- use pants with a belt; teach where its allowed- not the bathroomthe bathroom in their home. Inappropriate comments to another will get you a harassment charge- teach what to say and what to keep in your head. Teach and prepare for relationships. As with everything else with our children it wont happen quickly.

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When is it too young to talk about Sex
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