Transcript What is problem behavior?

“Problem”
In relation with
behaviour
autism
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Rini Blankers:
nurse, manager, trainer, coach
Blankers-Hage v.o.f.
The Netherlands
Topics:
Problem behavior
Team processes/conflicts
Elderly people
Efficiency in the healthcare
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What is problem behavior?
In a general way
We talk about problem behavior when the
behaviour of one person or a group
persons disturb an activity, and the
behavior is difficult to change
But there is more…
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Trias of Wing in combination
with problem behaviour
We can talk about 3 groups:
• Aloof
• Passive
• Active-but-odd
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Individual differences
• Intellect
• Speaking
• Level of being active (passive of active)
• Personality and temperament
• Age
• Fluctuation of autism
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Courses of problem behaviour
• Fear
• Physical pain
• Overestimating (of themselves)
• Unexpected changes
• Boredom
• Threatening
• Hypersensitive (hearing/feeling)
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Visible behaviour
• Compulsive
• Aggression
-To other ones
-To themselves (automutilation)
• Doing the same thing (stereotype)
• Withdrawn (aloof)
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Non visual behaviour
• Don’t understand the
surrounding/environment
• Problems with communication
• Problems with social contacts
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Why?
• Contact and communication problems
• Fears because of changes in the surrounding
• Context blindness
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Problem behaviour is used
for:
• Making something clear (communication)
• Showing the feelings of
-fear
-Angriness
-Panic
• Showing the feelings of autism
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Autistic clients have problems with
sense information
Making combinations is difficult, and
sometimes they make wrong
combinations
Context blindness
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Specific and non specific
problem behaviour
• Specific: (in the autist)
Direct related to autism for example:
Resistance of changes and close
themselves for stimuli
• Non specific (surrounding)
not direct related to autism but related to
how an autistic is standing in life.
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Attitude guider/parent
• Consequent
• Prepare (pro-active)
• Prevent problem behavior: use simple
languish
• Don’t think its manipulative behavior
• Don’t go to far into the situation (carry
away)
• Be creative in the structure!
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Treatment
• Look to the surrounding: is there
structure, good communication?
• Is there specific problem behavior?
• Obsessive compulsive behavior:
-Rules
-Alternatives
-Use as a reward
-give them borders
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Structure
• Stimuli reduction (protection of stimuli)
• Stimuli selection (witch stimuli you give
and witch not)
• Stimuli regulation (making the stimuli
predictable: a drill makes a lot of noise)
• Stimuli intensity (bigger photo’s,
visualization)
• Stimuli expand (to learn new things in a
right way)
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The best long term effect
you can have, is when you
have investigate the
function of problem
behavior!
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Questions?
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Thank you very much for your
attention!
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