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Behavioral, emotional and social aspects of the Learning Disabled. Dr. Kersi Chavda Psychiatrist, P .D. Hinduja National Hospital.

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behavioral emotional and social aspects of the learning disabled

Behavioral, emotional and social aspects of the Learning Disabled

Dr. Kersi Chavda

Psychiatrist,

P .D. Hinduja National Hospital

slide2
After the 1980’s there has been a change in focus from only looking at academics of the LD child to evaluating his social, emotional and behavioural aspects
slide3
We know that the majority of preschoolers with dyslexia are happy and well-adjusted. However emotional problems seem to begin when early reading instruction does not match their learning styles
slide4
Frustration centres on their inability to meet expectations of others as well as inability to achieve their own goals
slide5
The emotions of bewilderment, shame and guilt of being “inadequate” deals a crippling blow to confidence and self-esteem

Early on in life starts a feeling of inadequacy and impotence… a feeling that he would not be able to manage things and will NEVER get them right

slide6
This feeling tends to persist in adulthood…one often avoids challenges, refuses promotions, etc.

Often the feeling…: “Am I good enough”?

a child is likely to be having bes difficulties if his behaviour
A child is likely to be having BES difficulties if his behaviour
  • Is not age- appropriate
  • Results in isolation from his peers
  • Negatively affects the learning environment
  • Places unreasonable demands on the teaching staff
  • Leads to negative self-concept and a low self-esteem
  • Creates dangerous situations
slide8
Pupils with BES behaviours are troubled individuals whose emotional state leads them to negative behaviours. They may seek attention, even the negative kind, or “lash-out” at a world wherein they feel that everyone is against them.

This results in a serious lack of positive feedback in a downward spiralling of self-esteem

The child becomes his worst enemy

social competence
Social Competence

This refers to the social, emotional and cognitive skills and behaviours that children need for successful social adaptation

slide10
This depends on a number of factors including social skills, social awareness and self-confidence
slide11
Whereas parents are the primary source of social and emotional support for children during the first years of life, in later years peers play a significant complimentary or unique role in promoting child social-emotional development.

With increasing age, peers rather than parents become preferred companions

slide12
Children learn to take another persons perspective and develop an understanding of the social rules and conventions of their culture. There is more give and take between them than with adults.. thus providing an opportunity for the development of social competencies such as cooperation and negotiation. These skills are associated with effective interpersonal relationships in adult life, including with co-workers and romantic partners
social skills
Social skills

This is the knowledge and ability to use a variety of social behaviours that are appropriate to a given inter-personal situation and are pleasing to others

It is the capacity to inhibit egocentric, impulsive and negative social behaviours

slide14
A child’s social effectiveness is an ability to establish and maintain high quality and mutually satisfying relationships and to avoid negative treatment or victimization from others
why are youth with ld less accepted by their peers
Why are youth with LD less accepted by their peers?

# Poorly developed social-emotional skills may be responsible (Bryan 2002)

# Poor language and communication skills

# Difficulty recognizing and understanding others emotions

# Co-morbid psychiatric disorders e.g.. ADHD and depression

# Educational isolation

# Repeated failure and low self-esteem

slide16
The possibility of bidirectional pathways

between both disorders has also been

proposed (Hinshaw 1992)

Thus :

Anxiety Cognition

Failure

slide17
There appear to be five main ways in which emotional concerns and Learning Disabilities interact:
slide18
* LD leads to emotional distress

* LD raises or exacerbates existing emotional concerns

* Emotional issues may mask a child’s LD

* Emotional issues may exacerbate an LD

* Positive emotional health may enhance the performance of children with LD

ld may lead to emotional stress
LD may lead to emotional stress

# There are increasing levels of depression, loneliness and low self-esteem (Livingston.1985).

# It is unclear as to whether depression worsens LD or LD puts children to increasing risk of depression, or whether an overreacting brain dysfunction increases the likelihood of both

slide20
# There is often increased victimization

# There is increased anxiety {Margalit and Zak 1984} …the LD child feels more often that events happening to them are beyond their control

# Bender and Wall (1997) :There is an increased co-morbidity of LD and depression

slide21
Forness and Karale (1999): Nearly I out of every 4 depressed children seemed to have an LD
slide22
There are attempts to cope with a difficult learning process and the resultant failure, frustration and feelings of incompetence that these feelings cause
slide23
# Impulsivity and low self esteem and a cognitive weakness in relating cause and effect may increase suicide risk above the risk of depression alone.

# Thus, some of the very characteristics of LD may predispose them to suicide (Rouke 1996)

ld exacerbates existing emotional concerns
LD exacerbates existing emotional concerns:

# The disability influences the child’s ability to develop positive interpersonal relationships

# There are more problems with social incompetence

# There is increased sadness, confusion and anxiety

slide25
The incidence of anxiety and depression in LD children seems to cause Oppositional Defiant Disorders , Conduct Disorders and Adjustment Disorders of Adolescent much more than in the normal population
slide26
Behavioural problems in LD are not necessarily an indication of emotional disturbances but may be part of the neuro-developmental delays associated with this condition
slide27
# There is an increased vulnerability to drug and alcohol abuse
  • # The is an increased likelihood of being a school drop-out
emotional issues may mask ld
Emotional issues may mask LD

# There may be a focus on a child’s demeanor or actions with no realization that LDs are present

# There may be an increase in somatic complaints

# There may be acting –out behaviours: a turning of hatred onto self…provoking reproach from others

emotional health may intensify ld
Emotional health may intensify LD

# Abrams(1986): Constant failure and frustration may lead to strong feelings of inferiority which in turn may intensify the initial LD

# Escaping school

# Trouble at home

emotional health may enhance performance of students with ld
Emotional health may enhance performance of students with LD

Bryan (1996): Positive “affective states” increase performance of memory, computation and discrimination

# Learning about their own LD seems to help

# Cognitive therapy : helps “can-do” attitude

slide31
There are clear indications that understanding the different mechanisms of interaction can be helpful in selecting priorities and strategies for interventions
slide32
Helma Myklebust et al (Chicago, Ilinois,2005) : 394 public school children: explored the relationship between emotional disturbance and LD

226 III and IV graders, 170 boys/156 girls with clearly diagnosed LD were compared to a control group of 168 kids

slide33
Factorial analyses of variance disclosed that children with LD exhibited greater emotional stress on only 4 out of 14 scores of the Children's Personality Questionnaire.

Despite marked differences in verbal learning and cognitive functioning, they were comparable to normal children in emotional status

slide34
It is suggested that deficits in social (non-verbal} perception may be more critical to the onset of autism
another perspective
Another perspective:

Kids with LD often land up experiencing /exhibiting a number of characteristic features:

shame
SHAME

For some kids who are diagnosed…there is a sense of relief. For others, this causes further stigmatization.

This often causes the individual to hide the difficulty rather than risk being labelled.

slide37
Internalized negative labels of stupidity and incompetence usually result in a poor self-concept and lack of confidence (Gerber and Ginsberg,1992)
slide38
FEAR

This is often masked by anger and anxiety

Fear:….of being found out

They develop coping strategies to hide their disability

Fear of failure:…..

They reason that since they failed before, they will fail again…so they perceive themselves to be failures

slide39
Fear of ridicule:

Adults internalize the negative criticisms and view themselves as dumb, lazy and incompetent

Fear of rejection:

…..if not seen as capable by others

environmental and emotional sensitivity
Environmental and Emotional Sensitivity

Adults are often overwhelmed by too much environmental stimuli e.g.. background music, side-conversations, etc.

They are often believed to be highly sensitive…often unable to cope with the onslaught of the emotions that they feel

emotional regulation
Emotional regulation

LD’s shift easily from one emotion to the next. Others may experience difficulty regulating impulses or actions

change
CHANGE

There is often difficulty adjusting to change

They are less prepared for the unexpected!

what can be done
What can be done?

The negative behaviours often seen in a child with LD and ADHD often seem to turn into positive attributes in adulthood. List carefully the irritating negative behaviours in your students and imagine which ones may eventually contribute to adult success

slide44
What happens in childhood as a refusal to do things the same way that others do them is really an inability to perform the same way. The child has to find a way to solve the problems…in his own original manner, an original way
slide45
Students who are rigid and work with great intensity as children are committed and dedicated with highly focused thinking…e.g. researchers
slide46
Kids who are highly ego-centric and self-absorbed…often translate into creative and highly successful activity…the artist, the novel thinker and the popular critic
slide47
A number of LD’s who tend to be friendless and isolated from groups…land up working for the homeless, elderly or ill…populations which desperately need assistance
slide48
Harvard psychologist, Dr. Howard Gardner, says most schools rely on linguistic intelligence, the world of words, or mathematical logical intelligence, the world of numbers and logic.
slide49
Alternative learners frequently use their visual intelligence (artists, film makers0, or musical intelligence (musicians), or kinesthetic intelligence (dancers and athletes)
slide50
Gardner also describes those who have interpersonal intelligence (great leaders and entrepreneurs) or intrapersonal intelligences (psychologists and social workers). Some learn through nature (zoo keepers and explorers)….and many more.

Parents and teachers need to look for these routes and bring them to schools

slide51
Remediation must find a way to reverse the cycle of failure and to experience success, build feelings of self-worth and increase confidence
slide52
Individual therapy could be effective when introduced in conjunction with special ed. provisions. However, group therapy may be more effective as peers are a better source of support and insight, specially peers who have the same problems. While insight is gained in individual therapy, it can be exercised in the safe environment of a supportive small group
slide53
Testing the negative thought, and often realizing it is wrong. e.g. “I’ am dyslexic – it must be my fault again” or “I never get anything right”.
slide56
Helping a child develop a sense of commitment, control and challenge may be useful while coping with the stressful circumstance.
commitment
Commitment

The committed find the learning situation more meaningful…ideally they are actively involved in building their special educational programme.

control
Control

They behave and act as if they can influence the course of events. They perceive many stressful life events as predictable consequences of their own activity, and thereby, as subject to their own direction and manipulation

challenge
Challenge

This is a belief that change, rather than stability, is normal. Stress then is anticipated as an opportunity and incentive for growth

slide60
Mother Theresa:

We will never know till we go to heaven how much we owe the poor for allowing us to help them. The truth she spoke lies in the basic need of human beings to do something useful and helpful to others if one is to be truly fulfilled and happy.

slide61
As the LD student acquires the skills of helping others, they discover more of their own resources, and feel more related to the world because others need them. They are empowered by giving.
do not give up hope
Do not give up hope

There is outstanding resilience in many unlikely students and there are numbers of good people who help them with their difficult journeys to adulthood.

do not discount the impossible
Do not discount the impossible

Some very irritating negative behaviours that have worn out parents and teachers and lead to school failure, have helped youngsters with LD demonstrate astonishing creativity and awesome talent in adult life.

slide64
Different is not bad.

Different is the world.