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New Zealand Autism Spectrum Disorder Guideline - Ministry of Health

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Part 3: Education for learners with ASD<br />

with change, reduced forward planning and<br />

ineffective problem-solving skills (a lack <strong>of</strong><br />

coordinated reasoning and difficulties adjusting<br />

to feedback). There is a general lack <strong>of</strong> flexibility<br />

in thinking 55 96 .<br />

Limitations and emerging areas <strong>of</strong> study<br />

As mentioned previously, neuro-biological<br />

research suggests that there is involvement<br />

with broader interrelated systems which is not<br />

consistent with the notion <strong>of</strong> a ‘core deficit’ as<br />

suggested by each <strong>of</strong> the psychological theories<br />

outlined above 55 .<br />

A theory that is currently re-emerging suggests<br />

that a derailment <strong>of</strong> social motivation is a core<br />

deficit. This means that the young child is not<br />

motivated to observe and imitate other people in<br />

their environment. This has huge implications for<br />

the child’s early learning and explains difficulties<br />

with joint attention and imitation. This lack <strong>of</strong><br />

social motivation is seen as the basis for the<br />

difficulties described in the above theories 55 .<br />

An emerging area <strong>of</strong> study, made possible<br />

by new techniques, focuses on the cognitive<br />

processes used by individuals with ASD<br />

rather than just the results obtained. There is<br />

early evidence that individuals with ASD may<br />

achieve higher than expected results on a given<br />

task, but use cognitive processes that contrast<br />

markedly from their typical peers. This work<br />

has useful future implications for understanding<br />

how individuals with ASD think and learn,<br />

and consequent lessons about appropriate<br />

educational interventions and strategies 55 .<br />

Assessment<br />

The cognitive ability <strong>of</strong> children with ASD<br />

has been assessed traditionally using IQ tests.<br />

The information about IQ in populations <strong>of</strong><br />

individuals with ASD has changed. Up to 70%<br />

were considered to be intellectually disabled,<br />

whereas current estimates suggest that fewer<br />

than half <strong>of</strong> children with ASD have non-verbal<br />

IQs less than 70 55 96 . This change may be due to<br />

more extensive identification <strong>of</strong> children who<br />

are not intellectually disabled and a broader<br />

definition <strong>of</strong> ASD, as well as greater educational<br />

opportunities for children 96 . IQ scores have been<br />

found to be relatively stable with older children,<br />

but problematic with very young children and<br />

those who are more severely impaired 96 .<br />

There is debate about the role <strong>of</strong> IQ testing<br />

for this population 245 . There are difficulties in<br />

assessing children with ASD which include:<br />

• the amount <strong>of</strong> verbal understanding and the<br />

verbal responses required<br />

• slower responses, particularly related to<br />

auditory processing, which can affect scores<br />

on timed tasks<br />

• difficulties related to the child’s motivation<br />

and subsequent compliance<br />

• difficulties in establishing a ceiling and<br />

baseline because the usual test norms may<br />

not be appropriate<br />

• difficulties in following standard procedure<br />

• scoring protocols which may be<br />

inappropriate 11 .<br />

Part 3<br />

Implications for pr<strong>of</strong>essional practice<br />

The way in which cognitive abilities and deficits<br />

are interwoven with social and communication<br />

difficulties for each child means that no<br />

educational intervention can assume a typical<br />

sequence <strong>of</strong> learning. A careful assessment<br />

is required <strong>of</strong> each child and young person’s<br />

abilities and approaches to learning.<br />

There are also challenges in interpreting the<br />

results. The scatter <strong>of</strong> abilities which <strong>of</strong>ten<br />

appears in the pr<strong>of</strong>ile <strong>of</strong> children with ASD<br />

means that composite scores are misleading 96 .<br />

Children’s responses during testing may provide<br />

valuable information on their ability to tackle an<br />

unfamiliar task. Data on the following may be<br />

collected:<br />

• reactions to challenging stimuli<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>Guideline</strong> 115

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