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Saturday, 21 May 2011

Music, Musicians, Audience: Investigating Autistic Spectrum Disorders in Mainstream School with a Focus on Music

Abstract
To conduct an interview with a primary school aged child required the questions to use simple wording and, because the children in question were Autistic, the questions had to be unambiguous and could be answered in a short sentence if necessary. When asking the questions, more detail went into what their favourite subjects and hobbies were to give them a chance to talk about their favourite activities (a subject which, for most who are Autistic, is one thing which they find easier to talk about and will want to talk about).
Aims
The aim of this project was to investigate Autistic Spectrum Disorders in mainstream school with a focus on music. The area of Autistic Spectrum Disorders in education interests me and for once I wanted to get the views of those who lived with an Autistic Spectrum Disorder rather than those who worked with it.
Literature
There have been various studies carried out on Autistic Spectrum Disorders in education and several programmes have been created to aid those who are Autistic overcome difficulties which may arise while in education. The following 2 books and internet source highlight several aspects of programmes and characteristics of Autistic Spectrum Disorders which were important to my research.
1. Autism and Asperger’s Syndrome: Preparing for Adulthood (Howling, 2004)
From this book, many programmes were highlighted which were relevant to this research the most notable being the TEACCH (Treatment and Education of Autistic and related Communication handicapped Children) programme which involves the use of “visual cues to circumvent communication difficulties.” (pg. 57 Howling, 2004) and individual learning in a suitable environment. The TEACCH programme also involves using a highly structured teaching and a quite area where the pupil may go to establish self-control.
2. Asperger’s Syndrome: A Guide for Parents and Professionals (Attwood, 1998)
Attwood’s guide to Asperger’s Syndrome outlines the circumstances which lead to a diagnosis of Asperger’s Syndrome such as a secondary psychiatric disorder, such as depression, having not being diagnosed before because of not showing signs which would lead to a referral for assessment other than seeming to be reclusive.
3.  National Autistic Society (NAS, 2010)
Finally, from the National Autistic Society’s online guide to “How can I help a child with autism at my school?”, the use of visual aids such a timetables and having activities shown using simple images is outlined, backing up the use of the TEACCH programme mentioned in Howling’s book.



Design of the Methodology
For this study, the participants involved were 4 primary school aged children (aged 6-10) consisting of 3 boys and 1 girl. 2 of the children had Autism and the other 2 children had Asperger’s Syndrome. Because of their age, the children all had appropriate adults being their class teacher who were also asked questions or, in one case, answered the questions instead of the child because of the communication issues caused by the Autism. The participants came from 3 primary schools, 2 participants coming from the same school, situated within York and the surrounding villages.
The tool used in this study was having a structured interview (see Fig. 1) asking the children their views on various aspects of home and school life in particular what they thought about music in school. The interview comprised of 18 questions ranging from what they liked about various subjects to what was their name and what disorder did they have. Overall, the interview was not likely to be longer than 20 minutes (on average the questionnaire would take 10 minutes) to account for the attention span of a primary school aged child especially one with an Autistic Spectrum Disorder.
The questions were sent out in advanced to the heads of the participating schools for the children to look at before our meeting and so the parents could see what would be asked. This gave the children a chance to pre-prepare for the meeting and have sentences ready. Also giving the advanced notice meant that the children knew I was coming and did not find that there was a sudden, unplanned interruption in their daily routine. The interview was conducted in an area familiar to the child (usually in the same room as the rest of the class but at the back of the room) and their teacher was nearby meaning that they had someone they knew in the room and were not being left to talk to a stranger alone.
To conduct an interview with a primary school aged child required the questions to use simple wording and, because the children in question were Autistic, the questions had to be unambiguous and could be answered in a short sentence if necessary. When asking the questions, more detail went into what their favourite subjects and hobbies were to give them a chance to talk about their favourite activities (a subject which, for most who are Autistic, is one thing which they find easier to talk about and will want to talk about).
The children were also given the chance again, at the end of the interview, to talk about their favourite topics since they would likely be more comfortable talking to me than at the start of the interview.
Schools Questionnaire
Hi,
I’m Mia and I’m a student from one of the universities in York.
1.    What’s your name?
___________________________________________________________________________
If you want to stop at any time or don’t want to answer the question just say.
So…
2.    What do you really like to do at home?
___________________________________________________________________________
3.    What do you like to do at school?
___________________________________________________________________________
4.    What is your favourite subject?
___________________________________________________________________________
5.    What do you like about it?
___________________________________________________________________________
6.    What is your least favourite subject?
___________________________________________________________________________
7.    What don’t you like about it?
___________________________________________________________________________
8.    What do you like about music?
___________________________________________________________________________
9.    What do you not like about music?
___________________________________________________________________________
10.  Do you play any instruments?
___________________________________________________________________________
11.  What do you find easy in music?
___________________________________________________________________________
12.  What do you find hard in music?
___________________________________________________________________________
13.  What do you find easy when you are at school?
___________________________________________________________________________
14.  What do you find hard when you are at school?
___________________________________________________________________________
15.  I have Asperger’s Syndrome which is a type of Autism, which one do you have?
___________________________________________________________________________
16.  Do you like to work with others or by yourself?
___________________________________________________________________________
17.  Anything you want to say?
___________________________________________________________________________
18.  If you don’t mind me asking, what support is given to….?
___________________________________________________________________________

Thank you very much for your help
Fig. 1 Questionnaire sheet used in the interviews
Results / Analysis
The results gathered from the interviews have been sectioned into the following categories; part 1,general, where the results from questions such as favourite activities and subjects are examined; part 2 ,music, where questions such as the likes and dislikes of music are analysed; and finally part 3, teaching, where the strategies which are in place for the pupils explored.
Part 1: General
From the interview, several favourite subjects were noted; these included Maths, P.E., Music, History and English. Some of these favourite subjects were unexpected such as the P.E, English and History but the Music and Maths were expected as what most people with an Autistic Spectrum Disorder are naturally good at. As you can see in figure 2, P.E. and music were the most popular subjects.
As expected, most of the hobbies which the children preferred were solitary activities such as playing on the computer, video games, watching television and playing on a trampoline but there were also hobbies such as swimming and going on walks which, while not being expected, can also be solitary activities but also activities which, considering the age of the participants, would be undertaken with others.
 
Part 2: Music
The areas which the children found positive with music, their likes and what they found easy, involved “not having to write too much” and being “able to play the drums” while finding the rhythms easy to follow and were able to pick the music up quite easily.
Aspects which they found negative, their dislikes and what they found difficult, were having to work in groups, taking turns especially with loads of other children and the loud, sudden noises which could happen in the class.
Part 3: Teaching
The support and adaption’s which teachers made to help the children, who were Autistic, cope in the classroom involved using visual aids and prompts with a large timetable, even having an individual one separate for the child. Some schools had an Autistic specialist adviser who they could ask for advice. At best there were one to one lessons for the child with many visual aids, not just timetables but for the alphabet, numbers and many topics which could be covered in class. A key ring had been provided with cards which could be used to help the child communicate and ear defenders were available for the child if loud sounds got too overwhelming. A quite room was also provided in one case where the pupil could go to when they were overwhelmed and a clear routine of getting lunch and playing was employed by a teacher. A clear system was in place for what work would be done and in what order with a reward system that, if all work was completed, the pupil could then pick a subject to work on. Most of the schools visited just used the visual aspect of the TEACCH programme such as the visual aids for timetables and cue signs.
Discussion
Most of the children showed the characteristics of Autism quite clearly either in what they did or said in the interview.  The use of the TEACCH programme by the schools was helping to included the children and the teachers reported that it was also helpful for non Autistic pupils as well. As said in Attwood’s guide, children are not diagnosed unless they show clear signs of being Autistic. Clear signs however in many cases are there, just from someone who knows little about Autistic Spectrum Disorders, if there is not a major issue then a referral in not put in. It was also mentioned on a visit that sometimes the issue is convincing the parents to get the child assessed, both of these factors would contribute strongly as to why so few schools replied and why many believed that they had no pupils with Autism in their school.
What worked well in this project was the by visiting the schools I was able to go into more detail on some of the questions, particularly the ones which the children showed the most interest in answering or that I felt they would have more to say if I phrased it differently. I was also able to find out more about the pupils from the teachers when talking to them afterwards and was able to find out some of the problems which the teachers had been having such as group work and not knowing if they were doing the right thing, this tended to be asked by the teachers who were making an extra effort to include the children in their lessons.
As mentioned, during the visit many teachers asked me about my point of view on their work to include the pupils and what it was that the children found most difficult. This was especially important for one school whose pupil would barely talk so they were unable to ask her. I found that more work towards inclusion was done by talking to the teachers than what I managed to get out of the pupils. This would have been because I was a stranger, in many cases and unplanned stranger, who they would have not wanted to talk to for long.
If I were to re-do this research I would make the interview electronic so more schools could fill out the form rather than waiting for them to reply and decide a date which I could visit. This would also save time by not visiting so many school though a few schools would still be visited to get more in depth answers. I would also liked to have ensured that the pupils had seen the questionnaire beforehand because in all cases I believed that the headteachers had not run through the questionniare with the pupils giving them a chance to pre-prepare what they were going to say.
Bibliography
Attwood, Tony(1998)  Asperger’s Syndrome: A Guide for Parents and Professionals
Howlin, Patricia (2004) Autism and Asperger’s Syndrome: preparing for adulthood
National Autistic Society (2010) How can I help a child with autism at my school?

Thursday, 11 November 2010

Making Music Inclusive in Higher Education (booklet)

Autism Spectrum Disorders
Contents
Types of Autism Spectrum Disorders…………………………2
Arrival……………………………………………………………………………3
Timetables……………………………………………………………………3
Lectures and Tutorials…………………………………………………3
Listening……………………………….………………………………………4
Contemporary and Experimental Music………………………4
Group work and Ensembles…………………………………………5
Performance…………………………………………………………………5
Composition…………………………………………………………………5
Essays …………………………………………………………………………6
Dissertation and Research……………………………………….…6
Useful Information………………………………………………………7



Autism Spectrum Disorders
Autism Spectrum Disorders (ASD) are developmental disorders which effect individuals socially. They tend to prefer their own company which can isolate them from everyone else. In higher education individuals with autism are more likely to be at the ‘high-functioning’ end of the spectrum.

High-Functioning Autism and Asperger’s Syndrome
Individuals with autism are affected in three ways:
·         Social interaction
·         Social imagination
·         Communication

They also tend to:
·         Love routines
·         Be very clever
·         Have an obsessive interest (hobby)
·         Enjoy repetitive movements
·         Be very literal
·         Have over or under stimulated senses
 
         
Arrival
Arriving for most new students is stressful but to those with an Autism Spectrum Disorder it is ten times worse. Giving more time to settle in or having a booklet where basic things are like shops will help speed up them settling in but it still can take around 6 months for a student to really settle down in their new accommodation.

Timetables
Having a set a regular timetable is essential to those with ASD because of their love for routines. If a lecture has to be changed then make sure that plenty of notice is given and that it’s not being changed for a flimsy reason like – to get a longer lie in.

Lectures and Tutorials
Having the room set out the same for each lecture helps although for different subjects in different rooms the layout can be different. Just aim to ensure that one module has one layout so that the student with ASD can always sit in the same place each time.
Making sure that the student is clear about where the room is helps to prevent any unnecessary panic before a lecture. Where times are more flexible in tutorials try to keep plan tutorials ahead rather than just for one week and try to keep them on the same day of the week and even better if it can be kept at the same time.
Having a module handbook which explains what will be happening in each lecture and tutorial helps for the student to plan ahead and gives them a chance to tell you if there is going to be a problem with any part of the lecture.

Listening
Those with ASD are hypersensitive to many things especially to sounds so what may seem loud and high to you will be deafening and piercing to them. This can cause severe distress and pain.

Contemporary and Experimental Music
Contemporary and Experimental music are two areas within music which can be the hardest for those with ASD as these involve repetitive rhythms, non melodic pieces and sounds which can affect them badly. For this the student should be told that they can leave the class when they want and even have them sitting at the back for these modules. Putting all sensory offensive pieces in one lecture and having the student miss this lecture or assigning a different task will help to overcome any issues in these modules. The same goes if a composition or performance is required for this module.


Group work and Ensembles
Working in groups is exceptionally hard because of the tendency for others to exclude them and being in large groups can be very frightening especially if they don’t know many people there.
Finding out who the individual gets on with beforehand and making up the group before the rest are placed into groups helps to reduce the chance of being excluded. Also being in ensembles which are run by tutors rather than students ensures that many of these measures can be put in place and the student will be more comfortable in these types of groups. If possible then offer a solo task especially when a group would need to meet more than 2 times for this task.

Performance
Some of the most important things to tell a student with ASD is how long they have to perform, what style of music it should be and what grade standard or what features get a higher mark. Also it is important to tell them if they are to contact the accompanist by themselves in which case a few suggestions of who is available should be given and to give them the exact date, time and location they are performing in. it might be an idea to put them first on the list to make sure that they don’t panic when things start running late.

Composition
Firstly give a length the piece should be, tell them what recourses are available, like computer software, and give an outline of when each section should ideally be completed.
Having a practice composition task will help you see which areas they struggle with more and will make them more comfortable with composing.


Essays
Expanding on information is exceptionally hard as it can be difficult for someone with ASD to want to write more than the bare basics.
Creating a structure for the essay, for example introduction, point 1, point 2 and conclusion helps the student put the information in the correct order. Also assigning a specific word count for each section makes sure that the student sufficiently covers each point rather than writing out a basic description. Decoding what the essay title means as soon as they are told what it will be ensures that the student understands what is being asked of them and gives you a chance to see where they will have difficulty with it.

Dissertation and Research
Like with essays making a structure for the dissertation is essential even more so because it involves a larger word count. Breaking each part down into sections around 100-200 words each and working through a time plan of when each bit could be done should be the main focus of the first tutorial as well as a to do list of what is to be done that week although it is best to suggest ideas to the student because they know what they are capable of rather than making a list for them.

Useful Information
National Autistic Society: http://www.autism.org.uk/
Autism Helpline: 08450704004
          Monday – Friday 10am – 4pm
NAS self-advocacy booklet for adults of the autism spectrum available for download:

University Support Worker
Name: ______________________________
Email: ______________________________
Phone: _____________________________

Individual’s Support Worker
Name: ______________________________
Email: ______________________________
Phone: _____________________________

Making Music Inclusive in the Secondary School (booklet)

Autism Spectrum Disorders (2011)


Contents


Types of Autism Spectrum Disorders…………………………2
Changes………………………………………………………………………3

Visiting Musicians…………………………………………………………3

Structure………………………………………………………………………3

Clarity…………………………………………………………………………3

Group Work…………………………………………………………………4

Describing Emotions / Images……………………………………4

Sounds…………………………………………………………………………4

Behaviour……………………………………………………………………5

Evaluating……………………………………………………………………5

Useful Information………………………………………………………6



Autism Spectrum Disorders
Autism Spectrum Disorders (ASD) are developmental disorders which effect the child socially. They tend to prefer their own company which can isolate them from everyone else.

Autism
Children with autism are affected in three ways:
·         Social interaction
·         Social imagination
·         Communication
·        
They may:
·         Be less verbal than other children
·         Enjoy repetition
·         Prefer clear routines
·         Appear unresponsive
·         Lack awareness of dangers (i.e. running across roads without looking)

High-Functioning Autism and Asperger’s Syndrome
Children with high-functioning autism or Asperger’s Syndrome are also affected by social interaction, social imagination and communication.

They also tend to:
·         Love routines
·         Be very clever
·         Have an obsessive interest (hobby)
·         Enjoy repetitive movements
·         Take comments and jokes literally


Changes
Changes can upset children with ASD so tell the class if there is a change:
·         Of room
·         In the layout of the room
·         Of time
·         In how they are to enter the room
·         If there will be another adult in the class

Visiting Musicians
Meeting new people is hard for children with ASD and they may take a while to trust them.
The child may not like the visitor because they are new so it is important to have someone they know in the room and possibly working alongside the visitor.

Structure
Children with ASD love structures and plans. It also can help them understand why something is being done.
To help them understand the lesson more:
·         Write the structure of the whole lesson on the board
·         Give time slots for each section

Clarity
Make sure the class knows:
·         What they are doing in the lesson
·         What they need to do to complete the task

Break the information down and make sure that everyone understands it.
Give a chance during the lesson for students to ask again if necessary.
Check what they are doing to make sure they understand.

Group Work
To make sure the child is not excluded in the group set ground rules like:
Everyone gets a chance to talk
Each person must come up with their own part
No shouting

These rules can be applied for all types of group work.
Doing a short version of the task as a whole class can help get ideas going.

Describing Emotions / Imagery
Describing emotions or creating images from sounds is very difficult for children with ASD.
To make this easier:
·         Use a symbol sheet instead of writing (like circles to draw faces in)
·         Give a few suggestions beforehand
·         Work in groups to come up with ideas

Sounds
Children with ASD can be sensitive to sounds and dislike sounds which are:
Loud
Sudden
High-pitched
Vibrating (like amps and speakers)

There may be others not on this list which may upset the child. Also the child may be upset by other senses such as strong smells, rough surfaces etc.

Behaviour
The child might show challenging behaviour if:
·         The work is too easy
·         The work is too hard
·         There is an unpredicted change
·         The social interaction is too much
·         There are unbearable noises (i.e. too loud)
·         They cannot understand something
·         They are upset

Challenging behaviour is a way of communicating. There can be a number of reasons for this, some examples are listed above. Liaising with staff who know the pupil well can be helpful to identify any behaviour triggers. Managing these triggers should help reduce any challenging behaviour and making a note of what effects the child most will be a useful reference for yourself and other members of staff in the future.

Evaluating
Evaluating is very hard for anyone with ASD so:
·         Break the question down into smaller, easier questions
·         Ask the obvious because not everyone thinks the same

Useful Information

National Autistic Society: www.autism.org.uk
Autism Helpline: 08450704004
          Monday – Friday 10am – 4pm
Autism Education Trust: www.autismeducationtrust.org.uk

Support Worker
Name: ________________________________
Email: ________________________________
Phone: ________________________________