Using qualitative methods, this study is about the attitudes and daily practices of parents who genuinely want the best for their children who have been diagnosed with autism. The study examined the everyday realities of living with autism from a parent's perspective. The purpose of this study was to describe the range of specific behaviors, practices, attitudes, and ways of being that families adopt when they engage in the world of autism. Three families were interviewed in these case studies. A content analysis of the interviews identified five thematic clusters that are described and examined in close detail. The five thematic clusters include (1) managing the diagnostic process, (2) child's behavior and educational needs, (3) impact on parent's well-being, (4) impact on the family as a whole, and (5) full integration into mainstream society. These themes were further categorized according to the "challenges" facing the families and the specific "strategies" families used to face these challenges. Parents shared their stories with the researcher with the hopes that their life experiences could be beneficial to other families facing the same challenges as they navigate complex educational, health, and social systems. The research presents a set of recommendations that were embedded in the participants' stories. These recommendations represent advice from the parents in the study to other parents with children diagnosed with autism. Their recommendations are based on what the participants have learned as they raised their own child with autism.

名古屋大学博士学位論文 学位の種類 : 博士(医学)(課程) 学位授与年月日:平成25年3月30日 川上ちひろ氏の博士論文として提出された

Children and adolescents with autism commonly struggle with social interactions. In particular, it has been found that children and adolescents with autism struggle with verbal irony in face-to-face interactions where there are many competing cues that require their attention (i.e., body language, facial expressions, intonation). This study made use of Bubble Dialogue (Cunningham et al., 1992), a form of computer-mediated communication, to examine how children and adolescents with high-functioning autism and Asperger’s syndrome (HFA/AS) comprehended verbal irony when these competing cues were removed from social interactions. Speaker attribute information has been shown to be beneficial in aiding typically developing children with successful verbal irony comprehension. In this study, participants with HFA/AS and matched typically developing participants were presented with Bubble Dialogue scenarios where speaker attribute was manipulated such that speakers were labelled as a peer, an adult, or without a speaker attribute label. Participants were presented with scenarios where the speaker made either an ironic criticism or a literal compliment in order to assess whether or not the information about the speaker influenced their comprehension and interpretation of speaker belief, speaker intent and speaker humour. Participants with HFA/AS provided responses along similar themes to their typically developing counterparts for both literal compliments and ironic criticisms in each speaker attribute condition. Participants with HFA/AS performed similarly to typically developing participants on their interpretations of speaker belief, speaker intent, and speaker humour. These findings suggest that, within the context of computer-mediated communication, children with HFA/AS are able to perform as well as typically developing participants on measures of verbal irony comprehension.

Children and adolescents with autism commonly struggle with social interactions. In particular, it has been found that children and adolescents with autism struggle with verbal irony in face-to-face interactions where there are many competing cues that require their attention (i.e., body language, facial expressions, intonation). This study made use of Bubble Dialogue (Cunningham et al., 1992), a form of computer-mediated communication, to examine how children and adolescents with high-functioning autism and Asperger’s syndrome (HFA/AS) comprehended verbal irony when these competing cues were removed from social interactions. Speaker attribute information has been shown to be beneficial in aiding typically developing children with successful verbal irony comprehension. In this study, participants with HFA/AS and matched typically developing participants were presented with Bubble Dialogue scenarios where speaker attribute was manipulated such that speakers were labelled as a peer, an adult, or without a speaker attribute label. Participants were presented with scenarios where the speaker made either an ironic criticism or a literal compliment in order to assess whether or not the information about the speaker influenced their comprehension and interpretation of speaker belief, speaker intent and speaker humour. Participants with HFA/AS provided responses along similar themes to their typically developing counterparts for both literal compliments and ironic criticisms in each speaker attribute condition. Participants with HFA/AS performed similarly to typically developing participants on their interpretations of speaker belief, speaker intent, and speaker humour. These findings suggest that, within the context of computer-mediated communication, children with HFA/AS are able to perform as well as typically developing participants on measures of verbal irony comprehension.

xiv, 115 p. : ill. (some col.) / This dissertation presents the findings of a Type 2 translational research study to develop and test the feasibility and social validity of a social skills intervention for middle/secondary students with Asperger's Syndrome (AS) / High Functioning Autism (HFA). Utilizing a technology adoption model (TAM), this dissertation project sought to develop and test the feasibility of a three-tiered social skills curriculum/training program to promote social competency in teens with AS/HFA across multiple settings: school, home, and community. The TAM was developed in 2004 by Gardner and Amoroso to provide a more rigorous methodology by which to assess the acceptance of the technology by consumers. The development of an intervention that includes parental input in a repeated measurement of social validity and efficiency over time, together with the inclusion of a unique population parameter (parental groups) within a repeated measure, reinforced the appropriateness of the decision to use a Type 2 translational research model. This study consisted of two distinct phases. Phase 1 of the development process was conducted using separate focus participant groups: Group A (students with AS/HFA), Group B (parents/caregivers of students with AS/HFA), and Group C (educators of teens with AS/HFA). Phase 2, a small pilot study utilizing the newly created curriculum, was conducted using complete triads. This triad consisted of a student with AS/HFA, the student's parent/caregiver, and an educator of said student. These groups (ultimately triads) developed and refined a school-facilitated social skills intervention that utilized the goals and objectives of the student and her/his family in conjunction with existing opportunities within the community to design, implement, track, and modify a social skills program that was functional for the unique needs of the student. Findings suggest the Social Skills Triad curriculum may be a viable alternative method for teens with AS/HFA to develop and master social skills across settings over time that are meaningful to students, their families, and the home/school communities in which they function. / Committee in charge: Dr. Jeffrey Sprague, Chair; Dr. Kenneth Merrell, Member; Dr. Debra Eisert, Member; Dr. Gordon Hall, Outside Member

Autism Spectrum Disorders (ASD) are a complex array of neurological disorders with a diverse presentation, multiple etiologies, and long-term ramifications. Prevalence of ASD in the United States is about 1 in 50 children as of 2013, making it a significant public health problem. The etiology is not understood, and it is widely accepted that it is multicausal, with genetic and environmental influences. Prior research suggests an association between water source and ASD. Contaminants such as lead, arsenic, mercury, pharmaceuticals and pesticides found in water are associated with developmental disorders suggesting that a systematic review focused on water source was warranted. Following the integrative model of environmental health (IMEH), this study explored the relationship of water source and ASD prevalence among children in Lane County, Oregon. This cross-sectional study utilized retrospective data of 91 open cases in April 2014. The study used chi square and geographical information systems (GIS) aided by cluster analysis to generate risk maps. Investigation of sociodemographic variables allowed comparisons to national data by zip code. Findings indicated no significant relationships or clusters of ASD populations by zip code, and no significant relationships to comorbidities between private or municipal water supplies. The IMEH framework enabled an in-depth data characterization of ASD and underscored the need for additional environmental data and universally standardized comorbidity definitions. Implication for positive social change include recognizing the importance of using social services data in the search for ASD risk factors.

Leaders often lack strategies to create supportive and accommodating workplaces that capitalize on the unique skillset of autistic employees. Research has shown that employers benefit from creating supports; however, there is a lack of research on how or why organization leaders provide support and accommodations. The purpose of this descriptive case study was to identify leaders' strategies for supporting autistic employees. The research question centered on managements' support and accommodations for employees while capitalizing on their strengths. The conceptual framework included labor process to address management extracting benefits from labor, and resource-based theory to examine gaining a competitive advantage by using rare resources. Purposive sampling was used to select 11 leaders, managers, or frontline supervisors for in-person semistructured interviews from a northern Illinois organization that recruits and hires employees with autism. Other data sources for triangulation included communications, manuals, observations, photos, artifacts, and field notes following Yin's 5-step analytic model. Eight themes emerged: (a) advocating for self and others; (b) mission, vision, values, and social responsibility; (c) autism challenges; (d) nonphysical support; (e) physical accommodations; (f) policies, procedures, and funding; (g) support personnel; and (h) unique skillset. The results encompass a mission-driven approach to support and accommodation. This study contributes to social change by demonstrating how managers can use disabled employees and assist them in becoming productive members in the workplace and society, while gaining a feeling of self-worth, dignity, and independence. This reduces the burden on taxpayers for care.

University of the Pacific 2023 This study was an attempt to better understand important mechanisms that may moderate the relationship between Autism Spectrum Disorder (ASD) and negative outcomes such as anxiety and depression in females as they are diagnosed at a much lower rate and represent an underserved population. Using archival data from the National Institute of Mental Health this study investigated whether parental warmth and social competence were associated with decreased levels of anxiety and depression in 8-year-old females with ASD with average cognitive abilities. It was found that social competence was a significant factor in decreasing anxiety and depression. Surprisingly, parental warmth was not found to be significant. This research adds to the paucity of data relevant to autistic females with average and higher cognitive functioning. Potential interventions, as well as implications for future research are discussed.

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