C. Guilbert & F. Josse - Autism without verbal communication and sexuality скачать в хорошем качестве

C. Guilbert & F. Josse - Autism without verbal communication and sexuality

Presentation given by Cécile Guilbert and Florent Josse from the AIDERA VAR, Toulon 83000 (France) at the Autism-Europe's 12th International Congress 2019: "A New Dynamic for Change and Inclusion", held the 13-15th September 2019 in Nice, France. Introduction Adolescence is the transition from childhood to adulthood. There are physical, physiological, psychological and social changes. They have a significant impact on severe non-verbal autistic teenagers who develop new behaviors related to emotional, intimate and sexual life. We developed the project to address their needs and rights to sexual health.The observable and unobservable manifestations are:- Unability to understand the changes - Misunderstanding of collective rules of life (ie:masturbation in public)- Difficulty to have an adapted self-centered sexuality- Self-aggression, heteroagressivity, psychomotor agitations, impulsivity- Vulnerability linked to disability- Questioning of the entourage (family ...) with problematic behaviors. Methods Started four years ago, the action is carried by a psychologist and a nurse in pairs under the supervision of child psychiatrist and developed by a multidisciplinary team. It concerned 15 teens.The steps were : Observe the new physical, biological, and social manifestations Involve families in the project with respect of the legal and cultural framework and create a convention. Psychological and educational evaluation and a sensory integration test Develop appropriate individual tools (objects, photos, pictograms or videos). Accompany teenagers over a long period of time in the context of individual, group, and ecological specialist consultations to generalize learning. Results This approach is highly positive for adolescents, for teams and entourage It introduces the dimension of emotional and intimate life through individualized projects.We observe : - Improved understanding of the changes related to adolescence- More adapted social behaviors, better understanding of the intimate rules of life. -Relief of sexual tensions, adapted masturbation and reduction or elimination of risky practices (ie: self-harm) Significant decrease of problem behaviors Reduction of vulnerability and assertiveness- Ease for professionals and the entourage with this topic. The process is established in parallel with the chronological evolution of the person and requires permanent readjustments. Discussion Regular and individualized information with familiesAn educational booklet for autistic teenagersStandardization of the approach and formalization of the learning of the emotional and intimate life for adolescents with severe nonverbal autism.