Teaching Nonverbal and Less Verbal People - Adam paints a self portrait

"Live as if you were to die tomorrow. Learn as if you were to live forever." 

~ Mahatma Gandhi

Adam writes and draws about our portrait painting class

Adam is an intelligent young adult on the autism spectrum who is less verbal and uses drawing and other art forms for communication. I first met Adam when he was just 3 years old and profoundly nonverbal. My job as a speech-language pathologist was to help him learn to connect and communicate with the world around him. What actually happened over the next couple of decades was more interesting - as much as I taught him, he taught me more. So at this point, I'll say that together Adam and I have discovered some effective ways to get around the barrier of imperfect verbal communication and give voice to the intellect and creative soul within. With Adam's permission, we now share some of what we've learned.


In the Art Studio:

Portrait teaching setup (Adam's easel on the left, my instructional model on the right, iPad photo reference and painting materials in the center)

You need a space that is friendly and comfortable for the student. The art studio we are working in is one that Adam's dad set up for Adam and his mom (who is also learning to paint). We have a generous work surface so that materials can be visually set out in an organized way. There is room for Adam (a tall guy) to step back and move around. Also important to consider lighting (need to see clearly, but not aggravate sensory sensitivies), sound environment (reduce background noise) and air quality (allergies, eg. free from mold & mildew).


Below are links to the two instructional videos that we made from our recent portrait painting sessions (posted on our YouTube channel AUTISMartCOMMUNICATE). These videos highlight and demonstrate some effective teaching strategies when working with less verbal individuals, including:

• use of visual demonstrations
• working from visual models
• effective use of the iPad as a visual tool (takes & displays photos, allows zooming in on specific details)
• verbal language should be clear, slow-paced and match demonstrated actions
• back up verbal language with visual supports (to improve comprehension)
• allow time for processing of verbal questions and instructions
• repetition and rephrasing (of key information) can be helpful
• resist "chattering" (remind yourself to leave quiet spaces)
• SHOW more than TELL
• gentle "hand over hand" can sometimes be useful when teaching a new motor skill
• simplify language without "talking down"
• allow the student to work at their own pace (don't rush)
• student should be mostly calm, relaxed and enjoying the experience
• okay for students to talk to themselves as they work
• specific to portrait painting, be aware that autism can affect the individual's ability to process the human face
• balance direct instruction with developing the student's artistic expression & style
• art activities are a good context for language learning 
• assume competence (and that all of your words are received and understood)

Part 1 (from the first hour-long painting session):

(if the video won't play click this link: Adam paints a self portrait - part 1 )

And Part 2 (from our second one-hour portrait painting session):

(if the video won't play click this link: Adam paints a self portrait - part 2 )

We hope you find these videos helpful and that you try out some of the methods in your own classes and studios. There is a lot of untapped artistic potential in the autism population, and many new artists waiting to learn new ways to express themselves. We would love to hear about your experiences.

We'll end this post by sharing Adam's completed self portrait. He has a bold and expressive artistic style that comes through in all of his art work, and is all his own. I love it:

Self Portrait by the artist, Adam V

ASD Adults and Life-long Language Learning

One of my strong interests when I went through graduate school for speech pathology was the connection between the brain (neurology) and language learning.

At that time (early 1980's), conventional wisdom in the field of neurolinguistics was that there was a defined window for language acquisition. Scientific studies of people who lost language skills because of acquired brain damage (resulting from something like a head injury or stroke) showed patients had a different capacity for language learning, depending on their age - pre-puberty the brain was plastic and had a good ability to relearn language skills, but post-puberty that learning window seemed to close.

I never really questioned this until several years later when I started working with adolescents and young adults on the autism spectrum. Everyone was post-puberty and many had severely limited verbal language skills, with some completely non-verbal. I found myself mixing my clinical experience with stroke victims (including the use of non-conventional communication means like drawing) into my language development therapy techniques. And I learned an interesting thing: the neuroplasticity necessary for new language learning that was not supposed to exist in this population, did exist. Many of the students desperately wanted to crack the code of conventional communication, and their brains were capable. The limiting factor was more me than them - I could see the potential, but was only beginning to discover the tools that might be effective to bridge that communication gap.

Fast forward a couple of decades and I have more tools in my therapy toolbox - my ASD students have been my teachers, and working with the same individuals over time has taught me some very important things about language learning and ASD:

1. The early years may not be optimal for language learning because neural pathways are developing in a different way at a different pace - if the world is a screaming wall of sound, you can't pick out the words.

2. Written words can help to sort out the string of sounds at the ear, so the person can begin to make sense out of auditory language.

3. Drawing can be a clarifying communication tool that helps therapists/teachers/parents to explain and highlight important information about everyday life, and that can help ASD individuals to explain their perspective and experience of the world.

4. Most importantly, language learning is a life-long process and significant language learning can happen in the adult years, so don't give up trying to reach and teach.

And so for today, an illustration of point #4: 

Adam (age 23) has started writing complex sentences in the past couple of months. We begin with a picture (one of his favourite topics is animals):

Adam then uses Word Mover (iPad app) to write a sentence about what he sees (I love this app because it lets you create sentences like a puzzle). After that, he writes the sentence out and illustrates it with a cartoon drawing:

In this instance, he has spontaneously and purposefully made a lengthy compound sentence (using a clause introduced by a preposition "under ....") to express a complex thought. His picture is a projection of his thoughts about the animals and their feelings - he gives the animals personality and connection (it's not copied, it's "inspired by").

I love to see errors in the sentence construction - they show me that I'm looking at meaningful language learning rather repetition of memorized language "chunks".The spelling error in "hideing" indicates that he's using his own grammatical rules to change verb tenses (add "ing" to the verb for present tense), and the missing word "of" in "family (of) elephants" shows me that he's using a rule he's made about modifying nouns with adjectives (he's used the same structure as "baby elephant").

And that's what gets this speech pathologist excited! Especially when this level of language development was not predictable from his language level in his childhood or early teens. It means that I don't know the ceiling on his learning potential.

.... here's a few more recent sentences and pictures from Adam for your enjoyment:

I'm a big believer in life-long learning. My best advice to parents, educators and therapists would be to let go of any preconceptions about how and when things are usually learned, continually modify your teaching methods to match  the individual's learning profile, and never underestimate the power and plasticity of an intelligent brain ... SB




Note: Recently, someone asked me if there were any neurolinguistic studies connected to the type of therapy I do (using drawing/art to teach communication and language skills). I am not aware of any, but I think it would be an interesting thing to study. If anyone reading this blog knows of related research (or is connected to an academic institution and has an interest in this area), please feel free to contact me via e-mail.