Asperger's

[carlosllopez]

I have recently begun treatment for an adolescent with Asperger's that had been treated in a residential facility for his sexual behavior.

I have worked with autistic kids before but not with sexual behavioral problems.

Does anyone have thoughts, input, articles that would help in working with this young man?

[PMH]

I've not worked directly with an Asperger's person in treatment. I found this reference that might be a helpful jumping off place:

Violent crime in Asperger syndrome: The role of psychiatric comorbidity.
Newman, Stewart S.; Ghaziuddin, Mohammad
Journal of Autism and Developmental Disorders. Vol 38(10), Nov 2008, 1848-1852.

From the abstract:

Although several studies have suggested an association between violent crime and Asperger syndrome (AS), few have examined the underlying reasons. The aim of this review is to determine to what extent psychiatric factors contribute to offending behavior in this population. Online databases were used to identify relevant articles which were then cross-referenced with keyword searches for "violence," "crime," "murder," "assault," "rape," and "sex offenses."

It looks like the journal itself might be worth looking into.

www.springerlink.com/content/x2m4t5816555q17m/

PMH

[PMH]

I found some more references:

Addressing the sexuality and sex education of individuals with autism spectrum disorders.
Sullivan, Amanda; Caterino, Linda C.
Education & Treatment of Children. Vol 31(3), Aug 2008, 381-394.

This paper addresses the need for sexuality education for individuals with autism spectrum disorders. It provides a brief overview of autism and Asperger's Syndrome as well as a summary of the existing literature regarding the sexuality of this population. The existing research suggests that there is a high frequency of sexual behaviors among individuals with these disorders. A number of these behaviors may become problematic for caregivers and service providers because they violate societal norms regarding appropriate interpersonal behavior and may jeopardize the inclusion of this group in educational and community settings.

Developmental theory and developmental deficits: the treatment of sex offenders with Asperger's Syndrome. Sex, mind, and emotion: Innovation in Psychological Theory and Practice.
Bolton, Winifred
Hiller, Janice (Ed); Wood, Heather (Ed); Bolton, Winfred (Ed). (2006). Sex, mind, and emotion: Innovation in Psychological Theory and Practice. (pp. 41-61). London, England: Karnac Books. xix, 300 pp.

In this chapter, I describe my observations and experiences in individual and group therapy with a small group of six young men that led me to theorize that the core deficit in Asperger's Syndrome is a failure in non-verbal communication, specifically the interpretation of facial expression, and that this deficit gives rise developmentally to the abnormalities in social interaction, cognition, speech, and use of language, which are the defining features of the syndrome.

And ...

Challenges to Treating Adolescents with Asperger's Syndrome Who are Sexually Abusive.
Ray, Frances; Marks, Christina; Bray-Garretson, Helen
Sexual Addiction & Compulsivity. Vol 11(4), Dec 2004, 265-285.

For the clinician, the convergence of the neurobiological impairment of AS and the social confusion of adolescence provides unique challenges for untangling the relative contributions of each factor and for developing treatment interventions that are effective. This challenge is magnified when sexual behavior problems surface in the young person with Asperger's Syndrome. These individuals are faced with an uneven social playing field in which they are constantly trying to catch up with everyone else.

PMH

[terrib]

Oct 21, 2009 7:42:26 GMT -6 carlosllopez said:

I have recently begun treatment for an adolescent with Asperger's that had been treated in a residential facility for his sexual behavior.

I have worked with autistic kids before but not with sexual behavioral problems.

Does anyone have thoughts, input, articles that would help in working with this young man?

I have been working with kids with sexual behavior problems for 15 years now and have worked with many of these kids...there are several things i focus on when working with them..first of all, their mom's seem to be very very protective and without trying, they proctect them too much...work hard with the parent and child to find out how he has been assimilating this protectiveness, if it's inhibited his abilityt to feel good about himself...i really have them focus on their quirks and how to use those quirks to create a part of their personality that they adore rather than loathe....we know that these kids commit offenses because they dont feel good about themselves, not because they are attracted to children....they tend to be not comfy with peers so it restricts their naturally occurring sexual development and ability to discover sexual things with peers....just a start...i love working with these kids...they are fun, smart and usually painfully honest....lol...

[brian]

I go along with the mention of AS people not understanding nonverbal communication. That would mean emphasizing the need for verbal communication in order to establish true consent for sexual behavior- plus intensive coaching- maybe couples counseling, if the client is in a relationship- in the nonverbal language of affection and lovemaking. The client also needs insight about their own need for affection and attachment, and help in decision making about wise choices of sexual partners. I hope I am not asking too much of the person with AS. Aside from that, I'd recommend a film, Mozart and the Whale, which tells the true love story of a couple with AS- it is funny, poignant and compassionate. It might also be good grist for the therapy mill.

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