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1 year ago

The Coventry Grid Version 2

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8/134.4

8/134.4 Problemsdistinguishingbetween fact andfiction• May not realise that cartoons, toys, animationsand science fiction are not real• May not realise that fantasy play is a temporaryrole• May be easily influenced by fantastic claims andadvertising• Lies are often easily discovered and ‘immature’ instyle• Tendency to see self as more powerful and ableto overcome enemies, or as vulnerable andpowerless to offer any challenge• May talk repeatedly of how to overcomecaptors/escape from imprisonment/kill enemieseven when these adversaries are obviouslybigger, stronger and more powerful than thechild• May not be able to judge whether a threat isrealistic and act as if all threats, however minoror unrealistic, need to be defended against• Lies may be elaborate and also may deliberatelybe harmful to others’ reputations and designedto impress the audienceHeather Moran–last modified Jan 2015 Please email comments to Heather.Moran@covwarkpt.nhs.uk or heatherjmoran@yahoo.co.uk

9/135. CommunicationThere are many areas of similarity in the social communication difficulties because they are about the subtleties of communication.Symptomsof ASDProblems seenin both ASD &ADTypical presentation in ASD Typical presentation in Attachment Problems5.5.1 PragmaticCommunicat languageion problems• Poor awareness of the purpose of communication• Lacks awareness of needs of audience• Does not repair communication break down• Poor eye contact (may be fleeting, staring, is notsynchronised with verbal communication)• Proximity does not signal intimacy or desire forcontact• Often does not start conversation by addressingthe person• Conversation is stilted• The burden of communication lies with thelistener/adult• Assumes prior knowledge of listener• Lack of attention to the needs of the listenerthrough poor attention to communication (due topoor modeling)• Eye contact affected by emotional state• May be overly sensitive to voice tone, volumeand stance of speaker (hyper vigilant to potentialemotional rejection)• Better able to initiate conversation• May be overly sensitive to voice tone, volumeand stance of speaker (hyper vigilant to potentialemotional rejection)• Non-verbal communication may be delayed (thisincludes reading of facial expressions &gestures) but progress can be good withintervention. This can vary depending on typeof attachment difficulties.• Can be hyper vigilant; often described asmanipulative because of poor emotionalregulation5.2 Poorunderstanding ofinferredmeaning, jokes,sarcasm andgentle teasing• Poor understanding of idiomatic language • Gentle teasing may provoke extreme distress(self-esteem seems to be too fragile to cope) –internalise/assume it is about them• Poor understanding of idiomatic language (andmay take misunderstandings personally).5.3 Use of noiseinstead ofspeech• Makes noises for personal pleasure (as withfavourite words) e.g. barking• Attention-seeking noises (e.g.screams/screeches/whines under stress) tosignal emotional needs and wishesHeather Moran–last modified Jan 2015 Please email comments to Heather.Moran@covwarkpt.nhs.uk or heatherjmoran@yahoo.co.uk