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The Coventry Grid Version 2

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12/137. Executive

12/137. Executive functionSymptomsof ASDProblems seenin both ASD &ADTypical presentation in ASD Typical presentation in Attachment Problems7. Problems 7.1 Unusualwith memoryexecutivefunction• Poor short term memory unless well-motivated• Very good long-term memory with recall ofexcessive detail for areas of particular interest tothe child• Fixated on certain events• Recall may be confused• Selective recall7.2 Difficulty withconcept of time –limited intuitivesense of time• Rigid reliance on the using precise times (e.g.uses watch and unable to guess the time)• Waiting irritates child because it affects routine• Time has emotional significance (e.g. waiting along time for dinner is quickly associated withfeeling of emotional neglect and rejection)7.3 Poor centralcoherence• Inclined to consider the immediate context (nottaking into account past experiences andemotional factors)• Emotional bias leads to ignoring some elementsof a situation (attention drawn to elements withemotional significance)Heather Moran–last modified Jan 2015 Please email comments to Heather.Moran@covwarkpt.nhs.uk or heatherjmoran@yahoo.co.uk

13/138. Sensory processingSymptomsof ASDProblems seenin both ASD &ADTypical presentation of in ASD Typical presentation in Attachment Problems8. Problems 8.1 Difficultywith sensory integratingprocessing information fromsenses (e.g. lackof awareness ofheat, cold, pain,thirst, hunger,need tourinate/defecate)and lack ofphysical problemsolving skills(e.g. removingcoat when hot)• May be passive and quiet in acceptance ofdiscomfort or may be distressed but does notcommunicate the source of distress• May be hypersensitive to some light sensationseven when pain threshold is high (e.g. labels inclothes irritate but a bitten arm does not)• Physical discomfort may be accompanied by astrong emotional reaction towards carer (e.g.anger and blame of carer for the discomfort)• Discomfort from basic needs may not bereported to carer (e.g. hunger, thirst) until theyare intense• Discomfort connected with physical needs mayquickly provoke irritability and distress andprovoke the carer to work out and solve theproblems for/with the child8.2 Unusualphysicalproximity• Physical distance is unrelated to intimacy (e.g.they stand too close because they are unaware ofsocial proximity rules)• Shows awareness that physical closeness isrelated to emotional reactions (e.g. increasesdistance to signify rejection; seeks excessivecloseness when anticipating separation)8.3 Selfstimulation• Self-stimulation is likely to be related to ownsensory needs• May show sexualised behaviour or present in asexual way to provoke reactions or to selfsoothe.• Self-harm is connected with emotional stateHeather Moran–last modified Jan 2015 Please email comments to Heather.Moran@covwarkpt.nhs.uk or heatherjmoran@yahoo.co.uk

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