Monday 11 November 2013

Auditory Processing Problem

這個問題困擾媽媽很久.媽媽一直想不到有什麼方法,也找不到誰(專業)、怎麼樣、...才能解決你這個問題.

各種讓你說話的方法,媽媽都有試著去做.媽媽挫敗、媽媽失落、然後媽媽也洩氣.

沉澱了好些時候,似乎媽媽已經不再為說不說話而著急、煩惱、...媽媽想著其他生活上的技能更重要吧!媽媽就在這方面跟你一起學習著成長.最近媽媽看到了你在生活自理上應該算失及格過關了. 那麼溝通呢?

媽媽回到怎麼讓你開口說話、怎麼讓你好好說話這件事.

Auditory Processing Problem,這是媽媽認為目前是你最大的問題.

突然想到上網搜尋有沒有如何幫助類似的個案.媽媽找到了這個.一個APD媽媽的分享.
全文在這: Helping Children with Auditory Processing Disorder, by Bonzlee

抽了這一段落,媽媽要細讀
 

Accommodations at home are similar to school 

1. Reduce Background Noise
If you are trying to have a conversation with your child, quiet is the best way to do this. If you are unable to have quiet environment, then understand that the child may not be able to hear what you have said. Being patient, and even using sign language, will assist in communication. This is particular true in situations like parties, shopping malls or places where there are multiple noises occurring at once. Also, turning off the TV while talking is a must for kids with APD.

2. Consider your distance
How far away you are makes a huge difference in the ability to hear. Being within 3 feet helps defer extraneous noise. Don't shout information or request across the room, and definitely don't shout them from another room. Again, if your child doesn't do what you ask, remember there is a good change he did not understand what you said.

3. Obtain visual attention
This one helps my son so much. I get eye contact from him by tapping him on the shoulder and asking him to look at me. This really improves our communication. I believe he may have learned to read lips a bit, and so he uses that when looking at my face. Note that looking at lips instead of the face is a symptom of autism, which is probably why my son was sometimes considered to be autistic.

4. Slow down speech
This doesn't mean super slow. It just means to talk at a consistent pace and pause between ideas.

5. Make the child responsible for understanding
Ask your child to repeat back what you said so you can confirm he understood you correctly. So often we just assume the child got it, and you would be surprised how often he mishears things.

6. Create a homework space
Auditory distractions are so huge for kids with APD. Homework is very difficult if there are even small noises like a fan or lawnmower outside. Consider this when creating your child's homework space. If there are noisy siblings, keep them in other areas of the house, or arrange for them to participate in activities outside the house. Most importantly, your child may need to do homework in several small 5-10 minutes sessions because the energy required to focus is intense. Give your child leeway and don't expect them to sit for 30-60 minutes if they are really struggling with it.

7. Think before criticizing
When your child does not respond, or the response is not what you wanted, please remember that it's highly likely your child did not hear you correctly. Before getting angry and punishing, remember this, and try to clarify instructions before jumping to conclusions.

8. Simplify requests
Break multi-step directions into one or two parts before continuing on to the next piece. Children with APD need time to take in and process what is said, and often exhibit short-term memory issues. A child with APD will struggle to process was you said 10 seconds ago and isn't always able to continue listening and taken in more information. Space out directions for better understanding and comprehension.

9. Consider sensory issues
Many children with APD have additional sensory issues that complicate that cause them to get overstimulated. In this state their APD is aggravating and listening and focusing are even harder. Be aware of this at home. Our son cannot deal with a lot of loud noise. If his brother is being too rambunctious, he will seek out the quiet of his room. While we live in a small house, we made a point of making a space that was his so he could retreat to it whenever he felt overwhelmed.

10. The end of the day will be the hardest
After a full day of focused processing your child is going to be very tired. Take this into consideration when planning evening activities. Don't expect your child to be able to do homework late, and be accommodating if he would rather just spend some time alone or doing quiet activities.

11. Create a signal for important information
All children have some degree of challenges when it comes to paying attention and listening. The child with APD has this even more so. An effective tool is to have some sort of signal that indicates to the child that you have to talk to him about something important. For example, perhaps you have to go over the morning schedule because something about it has changed. Consider the following signals that can indicate to your child that they should listen, then repeat back what you said so you know they have understood:
  • The sign for "stop".
  • Laying a hand on his shoulder
  • Count 1, 2, 3 with your fingers.
  • Ask your child what signal he/she would like to use
12. Rephrase what you are saying
Sometimes the combination of sounds in a sentence are difficult to process for an APD child. If they cannot understand what you are saying, try using different words. For Example, if the child does not understand when you say, "Please brush your teeth and wash up so you can get ready for bed." then try rephrasing it. Instead maybe say, "It's time for bed. Use your toothbrush and clean your hands and face." Simple rephrasing may eliminate specific phonic sounds the child has greater difficult with.

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