ART THERAPY INTERVENTIONS FOR AUTISTIC CHILDREN Presentation title INTRODUCTION Autism, a developmental disability, is a part of life that affects many people from all backgrounds. It is not an uncommon diagnosis, and there are even more autistic people who are undiagnosed. There has been a positive focus in the autistic community away from trying to find the cure or cause of autism, but rather learning to listen to autistic people in what would help support a happy, healthy life. Autism is early onset, in childhood, and as such support at these stages is vital for successful development. Art therapy can be a fulfilling way to promote expression, which can be difficult for autistic individuals, especially children. It can be utilized to improve self-perception, expression, and reaction to sensory stimuli. 2 OVERVIEW OF AUTISM DSM-5 and ASAN Descriptions 4 DIAGNOSTIC CRITERIA SOCIAL COMMUNICATION I. DEFICITS IN SOCIAL-EMOTIONAL RECIPROCITY II. DEFICITS IN NONVERBAL COMMUNICATION III. DEFICITS IN RELATIONAL SKILLS RESTRICTED OR REPETITIVE PATTERNS OF BEHAVIOR I. USE OF REPETITIVE MOVEMENTS II. ADHERENCE TO CONSISTENCY III. ABNORMAL PERVASIVE INTERESTS/FIXATIONS IV. HYPO- OR HYPERREACTIVITY TO SENSORY STIMULI Presentation title EXPERIENCE 5 The way in which autistic people process their thoughts is different from neurotypical individuals. For autistic people, some stimuli are overwhelming because they are sensitive to these changes. The way that autistic people move is different including how they speak. Speech requires coordination. These previous factors culminate to affect communication which is also different for autistic people. COGNITION SENSATION COORDINATION COMMUNICATION Socialization is different for autistic people because, often, rules of socialization are made for neurotypical people. “It can take a lot of energy to live in a society built for non-autistic people” SOCIALIZATION ASSISTANCE IDENTITYFIRST LANGUAGE There is a resounding opposition towards language that implies that one suffers from the condition or the differences or disabilities that it brings. Both person-first and identity-first are reactions to this. Likewise, there is an effort to emphasize the value and worth of the person. Supporters of person-first language assert that this is done by literally putting the word person in front of their disability. While this may be applicable to some communities (for instance, people with cancer), identity-first supporters believe it is not for those whose condition has shaped their identity. In this case, person-first language separates the person from their autism. "[Autism] is an edifying and meaningful component of a person's identity”. The term autistic person validates and affirms their identity as an autistic person and sees the values in their differences (L. Brown, 2011). AUTISTIC CHILDREN Autistic children require advocacy because not only does their disability often leave them out of control and at a disadvantage but so does their age. Deficits in social understanding leave many autistic children feeling confused and as a result vulnerable. Recently research has moved in the direction of understanding the bi-directionality of social relationships between neurotypical people and autistic people. Presentation title ACTION FORMS Action forms are the distinct forms our actions take according to our mood or affect. Casartrelli (2020a)found that autistic children did indeed perform their actions with less understanding or awareness of how they were moving. By asking neurotypical adults to observe different actions in different vitality forms (gentle or rude) in a mix of both neurotypical and neurodivergent children, Casartrelli (2020b) studied their ability to interpret either child's expressive style. They found that just as hypothesized the neurotypical participants were less accurate or timely in their recognition of ASD children's vitality forms in comparison to the typically developing children. 8 9 VITALITY FORMS ARE CRITICALLY INVOLVED IN EXPRESSING AND RECOGNIZING OUR OWN MOOD AND EFFECTIVE STATES. MOST OF OUR ACTIONS ARE CHARACTERIZED BY SPECIFIC VITALITY FORMS IN THE ABILITY TO IDENTIFY THESE FORMS TAKES A FUNDAMENTAL ROLE IN SUCCESSFULLY INTERACTING WITH OTHERS Casartrelli (2020) Presentation title ART THERAPY FOR AUTISTIC CHILDREN Schweizer et al. combined tactic knowledge of art therapy practitioners who work with autistic children as well as a literature review and yielded a framework for typical elements involved in successful art therapy for ASD, known as the COAT model. it is made up of four components, art therapy materials, and expressions, therapeutic behavior, context, and outcomes. • • 10 AT Materials and Expressions. Refers to handling materials(Schweizer et al., 2017). Common elements related to ASD are described as difficulties talking about problems during art making at the beginning of treatment, and by the end of treatment, they are more open to working with a great variety of materials. Therapeutic Behavior. Refers to the role of the practitioner to stay attuned to the needs of the client as it pertains to support, stimulating more experiences, and sharing (Schweizer et al., 2017). Presentation title ART THERAPY FOR AUTISTIC CHILDREN • Context. Refers to both the context in which a child is referred for art therapy as well as different treatment goals typical of their treatment (Schweizer et al., 2017). Often children are referred for insecurity, selfimage, or difficulty focusing. • 11 Outcomes. Refers to commonly yielded results from art therapy (Schweizer et al., 2017). It is reported by art therapists that the children end up making more personal art. They also described improved self-esteem and finally more flexible behavior, for instance, making choices more easily or bettering planning skills. Importantly, these outcomes are also reported by others in many areas of life, home, school, etc (Schweizer et al., 2019). Presentation title 12 ART THERAPY INTERVENTIONS BUILD-A-FACE (BAF) • Using pre-made facial features made out of clay, children were asked to create expressions by attaching them to a blank mannequin head. PORTRAIT DRAWING ASSESSMENT (PDA) • Portrait drawing between autistic children and art therapy practitioners has been found to be an effective means of engaging the child in some settings. AUGMENTED REALITY COLORING BOOK (ARCB) • A case study by Lee (2019) on three young boys showed significant increases in their ability to understand the meaning and importance of greetings and how to respond to them through their ARCB system. Presentation title SUMMARY There has been a resounding need for research in the field of autism. Expressive therapies, such as art therapy can provide a much-needed form of expression without the pressure of verbal communication, which can be exhausting for many autistic children. As we’ve seen, many of the interventions being studied are only in their infancy, with many more opportunities for research to be discovered. Furthermore, advocacy should be at the forefront of any therapist, especially those working with an autistic client. Resources like ASAN provide insight into the lived experiences of autistic people. Their message of “Nothing About Us, Without Us” serves as a powerful reminder of the importance of their voice. 13 THANK YOU American Psychiatric Association. (2017). Neurodevelopmental Disorders. In Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5, pp. 50–59). essay. Retrieved December 6, 2022, from chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://cdn.websiteeditor.net/30f11123991548a0af708722d458e476/files/uploaded/DSM%2520V.pdf. Autism Self Advocacy Network. (2022). About autism. About Autism. Retrieved December 6, 2022, from https://autisticadvocacy.org/about-asan/about-autism/ Autism Self Advocacy Network. (2022). What we believe. What We Believe. Retrieved December 6, 2022, from https://autisticadvocacy.org/about-asan/what-we-believe/ Autism. (2022, March 30). Retrieved December 6, 2022, from https://www.who.int/news-room/factsheets/detail/autism-spectrum-disorders Brown, L. (2011, August 4). The significance of semantics: Person-first language: Why it matters. Autistic Hoya - A blog by Lydia X. Z. Brown. Retrieved November 8, 2022, from https://www.autistichoya.com/2011/08/significance-of-semantics-person-first.html Brown, M., Matson, J., Callahan, M., & Tevis, C. (2022). Examining the relationship between social functioning and daily living skills in children with and without autism spectrum disorder. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-022-09865-6 Casartelli, L., Cesareo, A., Biffi, E., Campione, G. C., Villa, L., Molteni, M., & Sinigaglia, C. (2020). Vitality form expression in autism. 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