Nonverbal Learning Disabilities



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Nonverbal Learning Disabilities Classroom Challenges & Instructional Strategies Ellen Engstrom, M.A. Groves Academy Agenda NLD overview Subtype Model of NLD Strengths & challenges for students with NLD The middle school student with NLD Three affected areas: Social Skills, Executive Functioning, Visual- Spatial Academic areas affected Best practices for instruction and the school setting Nonverbal Learning Disability Impaired processing of nonverbal cues (facial, vocal, body) Impaired visual-spatial processing Difficulty seeing part-to-whole relationships Thinks verbally, not pictorially/ spatially Impaired executive functions/ active working memory Bottom-up processing/ focusing on details Impaired ability to deal with novel situations 1

The Brain & NLD Left Hemisphere Logical Mathematical Rational/Reasoning Verbal/Language g Analytical Precise and Accurate Objective Sees Parts Planning Routine/Structure Sequencing Right Hemisphere Artistic/Creative Emotion & Humor Intuitive Simultaneous Visual (Spatial Imagery) Insightful Holistic Subjective Sees Wholes Athletic Ability Works Well with Questions Interpretation of Communication Subtype Model of NVLD All Social Academic Core Visual Spatial and Executive Executive Functions Executive functions (work together in various combinations) Activation Focus Effort Emotion Memory Action Organizing, prioritizing, and activating to work Focusing, sustaining, and shifting attention to tasks Regulating alertness, sustaining effort, and processing speed Managing frustration and modulating emotions Utilizing working memory and accessing recall Monitoring and selfregulating action Brown, T.E. (2001). Manual for Attention Deficit Disorder Scales for Children and Adolescents. 2

Executive Functioning Organizing, prioritizing Focus and attention Sustaining effort Regulating emotions managing frustration Memory and recall Self-regulation Executive Function Challenges Difficulty working independently Difficulty solving problems, organizing, planning Difficulty maintaining concentration and inhibiting impulsive behaviors Deficits in sustained attention and visual memory Appears forgetful and disorganized Visual Spatial Is she happy? Bristow, D. (2007). The upside-down world of illusions. Downloaded on February 18, 2008, from: http://www.telegraph.co.uk/connected/main.jhtml?&xml=/connected/2007/01/02/dlillusion0 2.xml&page=2#5 3

Visual - Spatial Visual details Visual perception Visual memory Spatial orientation Visual-Spatial Processing August 15, 2008 7 * 4 8 27 1 6 2 612 5 + 5 4 5 7 3 + 5, or 33 x 3, or 5 vs. 3 5 x 207 = approx. 1,000 or approx. 10,000 11 What would you call this? 4

Social Skills Nonverbal communication Adjusting to novel situations Poor perspective-taking Limited problem-solving Sensitive to rejection Social Skills Perceptual cues (traffic lights) Facial expressions Literal translations Concrete Nonverbal Information Processing Happiness Desire Surprise Jealousy Disgust Pride Sadness Love Fear Disappointment Anger Relief Excitement Concern Sympathy Frustration Hate 5

Strengths for Students Rote memory skills Auditory attention & short-term memory Verbal V b l expression Factual Knowledge Logical, sequential thinker Research Institute for Learning and Development Judith Stein, Ph.D & Joan Steinberg, M.Ed Lexington, MA Challenges for Students Nonverbal, nonlinguistic information Perceiving visual spatial relationships (part-to-whole) Mathematical reasoning Big picture thinking Poor organization skills Research Institute for Learning and Development Judith Stein, Ph.D & Joan Steinberg, M.Ed Lexington, MA Challenges for Students Excessively verbal; use words rigidly Social interaction Cognitive flexibility Organization of writing Coordination and balance Fine motor skills Research Institute for Learning and Development Judith Stein, Ph.D & Joan Steinberg, M.Ed Lexington, MA 6

Middle School Student (11-14) Often excluded, teased, and persecuted at school Very literal and concrete; misunderstood by teachers and peers Difficulty meeting age-appropriate appropriate behavioral expectations Problems with work and study habits; may be misattributed to motivational issues Difficulty using a locker, can t find his way around the school, is often lost or tardy Middle School Student (11-14) Pressure to conform and adolescent hormonal changes can result in secondary emotional problems: Depression Anxiety Difficulty with abstract concepts, especially if related by means of analogies, idioms, multiple meanings or figurative speech Grades drop in middle school compared to elementary school NLD & Asperger s Syndrome NLD Poor visual-spatial processing Desperate for friends Empathetic; caring Displays emotion Asperger s Early language delays Cognitive delays Indifferent to peers Indifferent to feelings of others Narrow, exclusive, abnormal interests Idiosyncratic use of words 7

Emotional Well-Being Depression Withdrawal Panic attacks Anxiety Suicide risk Nonverbal Learning Disability Nonverbal Learning Disability: Characteristics Behaviors and Misinterpretations Behavior Talks loudly, excessively/ interrupts Stands too close Laughs inappropriately or not at all Appears stoic or anxious Misinterprets readings & sarcasm Clumsy or jumbled writing on unlined surfaces Struggles with building models, drawing diagrams, visual-spatial tasks Interpretation Rude or disrespectful Gullible / naïve Messy Nervous Inattentive Careless Wise guy Overly serious 23 NLD & AD/HD NLD Avoids new situations Hypoactive Can t anticipate consequences Rule-bound Slow processor & producer Benefits from verbal explanations Inattentive to visual details AD/HD Seeks novel input Hyperactive Doesn t consider consequences Resists rules Rushes through work Responds best to minimal verbal input Inattentive to all details 8

Organizing Time/Memory Daily agenda Homework board Master notebook Electronic planners Breaks during lesson Assignments in chunks Calendar Advanced organizers Regular monitoring MASTER NOTEBOOK Homework to do Note taking Semester Calendar Daily Calendar of Assignments & Appointments summarizing completed homework handouts Academics Challenge Areas 9

Beneficial Instructional Practices Clear and concise instruction Instruction broken down and expressed verbally in simple steps Assignments g broken down into steps Practice new concepts in a controlled setting with guidance and encouragement Constructive/positive feedback Comprehension strategies taught explicitly Sensory-Motor Graphomotor and pencil grip problems (early on) Difficulty remembering the shapes of letters (visual memory) and using the correct sequence of strokes to form letters (visual-sequential memory) Difficulty with concept of visual form constancy; the ability to perceive that an object possesses unchanging properties, such as specific shape, position, and size Most Challenging Writing Big picture thinking Math Generalization Organization of ideas Self-monitoring Fine motor Visual-spatial processing Visual-tactile manipulatives Graphomotor skills 10

Effects on Writing Challenge Big picture thinking Organization of ideas Self-monitoring Fine motor Strategies Parts to whole Writing strategies, tools, and templates Break down into steps Use of computer General Writing Strategies Allow extra time for written assignments Teach a strategic writing process Break down all written assignments into component parts Allow use of word processor or computer for lengthy written assignments in class Effects on Math Challenges Generalizations Visual-spatial processing Visual-tactile manipulatives Graphomotor skills Strategies Step-by-step, structured, sequential approach Verbal mediation and description Reduce use of manipulatives Reduce manipulatives, use computer programs 11

General Math Strategies Ask students for feedback, Does this help you? (metacognition) Math roadmaps for problem-solving Re-check problems Text with a lot of color and visuals can be overwhelming General Math Strategies (cont d) Leave out irrelevant information in word problems Provide additional time for tests General Classroom Strategies Timed assignments produce stress Bring closure before moving on Previewing and supplemental aids (outlines, study guides, audiocassettes) help Monitor organizational skills (assignment notebook) 12

General Classroom Strategies Don t isolate student; he/she learns through discussion Communicate and collaborate daily Minimize the number of adults working with the student Direct Instruction & Guided Practice Be clear and direct addressing difficulties The more novel or complex the more difficult the task Rely on the student s verbal and analytical strengths Use words to describe and analyze a scene or situation (model verbal mediation of nonverbal info) Direct Instruction & Guided Practice Provide specific sequenced instructions, teaching the learner to verbally self-direct Encourage multisensory integration (read, see, hear it, touch it, say it, write it, do it) receptively and expressively Teach in a sequential, step-by-step manner Collaborate with the learner in discussing areas of need and awareness to improve 13

School Settings Classes should be near each other Classes should occur in as few classrooms as possible Small,, structured classes Environment should be free of distractions Environment is safe, tolerant, and consistent Environment has no tolerance for bullying School provides supervised, social experiences 14