Planning, Sequencing, Organising

-
" Nora and i were discussing her messy bedroom.  She said she would like it to be cleaner and neater. I asked her to picture her room and tell me what it would take to be the way she wanted it. She ticked off on her dingers, "I'd have to make the bed, and pick up all the clothes off the floor, and clear off the top of the desk, and vacuum, and throw away the newspapers and junk mail." I remarked that she knew what to do to clean the room, but she answered that she wouldn't know where to begin. So I asked her to tell me again the things that had to be done. Again she ticked them off on her fingers, in the same order. I said, 'So now you know what to do." Her list amounted ot a very competent analysis of the necessary steps to clean the room. But she looked at me with a completeley blank stare and said, again, that she had no idea how to clean the room. For Nora, a description of the room that she could picture in her mind bore no relation to knowing how to go about cleaning the room.

The example above illustrates the way in which the executive functions cannot be separate. Part of Nora's problem was an initiation issue: she couldn't begin the project. But she couldn't begin because she couldn't organize the project in her mind. she couldn't think of sequential steps even though she created a list when asked. She didn't even realize that a list is a sequence. Most importantly for understanding this deficit, she could answer questions about cleaning her room, but she couldn't ask herself the same questions as a way of getting started an analyzing the problem. The brain deficit is largely in not realizing there is an analysis to be done.

......

Asking the clients, in a logical manner, what it would take to have the things they want stimulates good, reasonable answers. This is because they are generally not impaired in intellectual ability. But because they aren't organized in their analytical an thinking skills, they fail to ask the same questions of themselves. An, amazingly, after such a conversation, they return to the wishful thinking and failure to analyze their circumstances, as if the conversation ahd never happened. "

- "Adults on the Autism Spectrum: Leave the Nest, Achieving Supported Independence" by Nancy Perry

Comments

Post a Comment

Popular posts from this blog

Fell Seal: Arbiter's Mark - character build (Part 1)

-
Here are the character builds for my current run (with the help of Ban): Kyrie Fellblade/Marked Counter: Slow Secondary passives: Execute, Life Font Fellblade itself is a good class because of the various conditions it can inflict and most importantly they can inflict Sleep. Iirc, the only other human class that can do this is Gadgeteer. Their passive Malice increases the chance of landing it by 10%. Fellblade pairs well with Marked because both use ATK and MND in their offensive abilities. Also, Fellblade's abilities are mostly short range whereas Marked has some long range abilities. Execute for more damage. Life Font is for suvivability. Ban opined that with two healers, there's no need for Life Font but I discover that it enables Kyrie to survive just enough for a healer to heal her up, after having received massive damage. Ban advocated for Marked/Fellblade for superior Speed (1.00 vs 0.92) and defense (heavy armor). I resisted this for a long time because I ...
Read more

Fell Seal: Arbiter's Mark - character build (Part 2)

-
(continue from Part 1 ) Yates Anatomist/Wizard Counter: Cripple Secondary passives: Blessed One, Smart Casting Anatomist is the best healer in game due to the passive Legendary Healer, which also then boost the amount of self-healing by Blessed One. Although Ban thinks Anatomist's Dark spells are sufficient in dealing damage and so he suggests Alchemyst as Yate's secondary class, I choose Wizard for the following reasons: Quite often, demonic creatures have Dark immunity and other creatures have immunity to other elements. So having Dark, Water, Fire, Earth and Thunder spells enable Yates to cast the most suitable spell, especially when the enemies are vulnerable to certain elements. Flexible casting :) Smart Casting is useful so that I don't need to worry much about the positioning of the enemies relative to my other characters when using Mass Healing and the area effect damage spells. As stated in previous post , there "are so many devastating Skill ba...
Read more

Sudden lower body pain

-
About two weeks ago, my mum developed pain in her pelvic bone, much more on the right side, and squeezing pain in her legs, with occassional spike in pain. She was managing it with paracetamols, 2 tabs three times daily.  Since we didn't know any particular orthopedist in private hospitals (it was only recently that I remember Dr Prashant ), I targeted one at KPJ Penang Specialist Hospital since it's in mainland Penang (instead of on the island). I made appointment for my mum with Dr Joehaimey since he has the earliest suitable date. The moment she walked through his door, he immediately asked her whether the pain from her right side. We were both quite impressed. He was in turn impressed with mum's prepared list of medication that she presented to him on a piece of paper. The key information seems to be the surgery she had back in 2011 to insert titanium plate and screws in her lower spine. He guessed that there's accumalated wear and tear due to aging. So to confirm i...
Read more