Thoughts on symbol support and picture support

People with certain kinds of disabilities often need more than words in order to be able to communicate. One thing that can be helpful is the use of symbols or pictures.

Using symbols can expand and support someone’s expressive vocabulary. (For instance, picture symbols on a communication device can enable someone to use words they couldn’t use by typing or speaking).

Symbols can also expand and support someone’s receptive vocabulary. For instance, symbols can be used to illustrate materials, or to explain something to someone. They can also be used in things like powerpoint presentations in various ways.

Symbol support can do a lot of other things that make communication more possible for people with a wide range of disabilities. It’s not just about literacy; literacy-related things are just the easiest to explain.

Something I’ve been realizing matters is that everyone who uses symbols to communicate is a symbol support user. Even people who normally communicate in words; even people who only use symbols to communicate when they are talking to people with disabilities or listening to people with disabilities.

It’s important to remember that communication in symbols is happening on both sides of the interaction.

If someone is communicating with you by showing you symbols, then you are using symbols for receptive communication.

If you are using symbols to explain something to someone, then you are using symbols for expressive communication.

It’s important to keep this in mind.

If you’re using symbols, the symbols are part of the communication. Even if every symbol is attached to one word and only one word. The symbols don’t just tell people what the words are. They also have content, and it’s important to pay attention to what you’re saying with the symbols. They might not mean the same thing to the person you’re talking to that they mean to you. Particularly if they understand picture-concepts more readily than they understand word-concepts.

For example:

Sometimes people might select symbols on communication devices based on what the symbols mean rather than what the words they’re associated with them mean:

  • If someone is putting together phrases that don’t make obvious sense to you, they might mean something by it
  • It might *not* be stimming, random exploration, or that kind of thing
  • It might be intentional communication based on what the pictures mean to them
  • I think it is important to take that possibility seriously (even for someone who also speaks, or also uses words)
  • And *especially* important to take seriously if they’re indicating with body language that they want you to look at the screen)
  • (This is also true if someone is using PECS symbols in a way that doesn’t appear to make literal sense. It might be because the pictures mean something different to them than they mean to you)

Similarly:

  • If you’re using symbols to explain something to someone who needs symbols, the symbols matter
  • It’s not always enough to just pick words, then pick symbols that go with those words one-by-one
  • The content of the symbols can matter beyond literal word-by-word meaning
  • The way the symbols combine can also matter. (ie: the fact that a sentence makes sense in words and each symbol corresponds well with a word does *not* necessarily mean that the symbol-sentance makes sense)
  • The symbols also might not mean the same thing to the person you’re communicating with that they mean to you
  • If someone finds symbols easier to understand than words, they may derive more meaning from the symbols and your tone of voice and body language than they do from the words themselves
  • It’s important to pay attention to what you’re communicating with the symbols you choose as well as the words that you choose

Some considerations for symbol use:

  • Consistency between symbols matters. Symbols combine in ways that make more sense when there’s an underlying logic to the symbol system.
  • Symbols should not be childish or cutesy, even for young children.
  • Because nobody, not even young children, wants to be forced to communicate in cute ways.
  • And some really important topics (eg: abuse, boundaries, sexuality) are decidedly un-cute. People with disabilities need and deserve respectful communication about things that aren’t cute or shiny-happy.
  • Symbols should be comprehensible at a variety of sizes. (Eg: overly complex symbols don’t work well for small buttons on a communication device).
  • Symbols should be respectful, especially when they are symbols of people doing or thinking or being things (eg: protestors should look powerful rather than cute; adults should look like adults; symbols for “choice” should either be abstract or be age-neutral)
  • Symbols should be accurate. (eg: the symbol for anger should not be a smiling person; the symbol for diabetes should not be the same as the symbol for “no sugar”; wheelchair users should have the kind of wheelchairs that individuals own than hospital wheelchairs; the symbol for intellectual disability should not be the same as the symbol for the special olympics)
  • In all of these ways and other ways I’m not sure how to explain yet, I think that SymbolStix is the best existing symbol set.

Short version: Symbols can be really helpful for supporting communication and comprehension. If you’re using symbols to help someone else communicate or understand, it’s important to keep in mind that the symbols and the words both matter. Pay attention to what you’re communicating in symbols and what they’re communicating in symbols. Sometimes there are things going on beyond the literal meanings of the words that someone decided to associate with the symbols.

7 second rule

If you’re leading a group discussion or teaching a class, it’s important to pause for questions periodically. Part of pausing for questions is giving people time to react before moving on. People can’t respond instantaneously; they need time to react. If you don’t give them time to react, it can give you an inaccurate impression of their level of interest or engagement.

Eg:

  • Leader: Does anyone have any questions?
  • Group: …
  • Leader: Ok, moving on. 

When this happens, it’s not usually because no students had questions. It’s usually because the teacher didn’t give them enough time to process before moving on. It doesn’t actually take a huge amount of time, but there has to be some. A good amount of time to wait is seven seconds. If you wait seven seconds before moving on, someone will usually say something.

Seven seconds can feel like a really long time when you are teaching. It can feel like an awkward empty space that, as the teacher, you’re supposed to be filling. That can lead to interactions like this:

  • Leader: I just said a controversial thing. What do you think of the thing?
  • Group: …
  • Leader (immediately):… none of you have opinions about this?
  • Group: …
  • Leader: (immediately):… Really? No one?

When this happens, it’s usually not that no one had anything to say. It’s usually that the leader or teacher kept interrupting them while they were trying to get words together and respond. It’s easy to inadvertently do this, because it feels like you’re supposed to be doing something to get your students to respond. But, often, the best thing you can do to get them to respond is to wait and give them space to do it in.

It helps to remember that as the teacher or leader, you shouldn’t actually be taking up all of the space. You should also be offering your students some space and listening to them, and allowing them to ask you questions so they can understand. It’s ok if that space isn’t immediately filled; no one can react instantaneously. 

Short version: If you wait seven seconds every time you pause for questions/responses, it gives people time to process, and some people will become capable of participating who weren’t before.

Making reading assignments clear to students who use electronic formats

When reading assignments are assigned in the form “Read pages 75-100 in the Book of Subject Relevance”, it creates a problem for students who use electronic formats such as Kindle or Bookshare. Those formats often do not include page numbers, and it can be difficult-to-impossible to know what to read just by seeing page numbers.

There’s a simple solution that allows students to do the assignment:

  • If you’re assigning a whole chapter, tell students which chapter you mean.
  • eg: “Read Chapter 3 in the Book of Subject Relevance (pages 75-100).
  • If you’re not assigning whole chapters, include the first and last sentence in the assignment.
  • This allows students to use the search function to find the place you’re talking about.
  • eg: “Read pages 75-100 in the Book of Subject Relevance. (From “I have a slightly plausible theory.” through “In conclusion, I have shown that I am definitely right.”)

It’s good to also include the page numbers, because that’s better for students who use the print edition, and it gives all students a sense of how much reading there is.

Short version: Giving reading assignments in page numbers causes a problem for students who aren’t reading the print edition. There’s a simple solution to this. Scroll up for details.

Tell students whether they will be expected to share writing

Students write very differently based on different expectations about whether they will have to share it. For instance, these are all different kinds of writing:

  • Writing that is just for their own processing
  • Writing that only the instructor will read
  • Writing that will be shared with peers, but not seen by the instructor
  • Writing that will be shared with both the instructor and peers
  • Writing that will be graded
  • Writing that will not be graded

When students have to show work to people they weren’t expecting to show it to, that can be embarassing. It can be embarassing because it contains information they’d rather not share widely, or because it isn’t yet polished to an extent that makes them comfortable showing it to others.

To give an example:

  • Teacher: Ok, everyone, take 40 minutes and write a short story about a childhood pet.
  • (40 minutes later)
  • Teacher: Ok, pass your story to the person sitting next to you. Everyone check everyone else’s grammar.
  • This makes several students very uncomfortable, for these reasons:
  • Bob is terrible at grammar and insecure about it. He focused on getting a draft of the story first, not expecting that someone would be taking a red pen to his grammar mistakes. He would have focused on grammar if he’d known it would be a grammar exercise.
  • Susan’s story is about a time her dog ripped up her favorite doll and made her cry. She doesn’t want all of her peers to know that story because some of them will tease her about it. She would have written something less private if she’d known peers would see it.
  • James couldn’t think of a story about his pets and spent the whole time writing how frustrated he was that he couldn’t do the assignment. He doesn’t want his classmate to see that he failed at the assignment.
  • Val didn’t have a real pet and so she wrote about an imaginary robot. She doesn’t know if that counts or not, and is afraid that another student will think she did it wrong.
  • Bruce decided to write a story in a style he’d never tried before, and isn’t happy with the result. He doesn’t want to show his first attempt to a peer. He would have done something he was more familiar with if he’d known.

Short version: When you assign writing assignments to your students, tell them who will be reading them. In particular, if students will be expected to show their work to peers, warn them ahead of time so that they can make an informed choice about what to write.

Doing right by victims of bullying

Hello! I’m in my first year of teaching and I have a couple of students who are being bullied verbally everyday by a group of older boys. Of course, I’ve been working on putting an end to it, but instead of helping my bullied students, the boys have just added me and another new teacher to their list of targets. They are not my students so I can’t directly punish them and their own teacher wouldn’t do anything about it. And their parents are busy rich people who couldn’t be bothered. Any advice?

There’s a book you need to read. The Are Word by Dave Hingsbuger is an amazing practical guide to helping victims of bullying. It’s short, easy to read, and has practical techniques that actually help people. (He wrote it for those who work with people with intellectual disabilities, but what he says is broadly applicable to everyone.)

Some things I think it’s important to acknowledge about this kind of situation (and this is part of what Dave Hingsburger discusses in his book):

  • You might not be powerful enough to make the bullies stop
  • The victims are almost certainly not powerful enough to make the victims stop
  • There are a lot of things you can do for your students, whether or not you can stop the bullies
  • Your students need you, and it’s important to be there for them

Be careful about your ego:

  • You probably want to see yourself as someone who stops bullying
  • Most teachers decent enough to care about vulnerable kids feel that way
  • This can lead to some bad consequences when there are bad things going on that you can’t stop
  • Sometimes teachers who want to believe that they are solving bullying end up talking themselves out of acknowledging bullying when they can’t fix it
  • Or worse, sometimes they convince themselves that teaching victims social skills or other responses will fix bullying
  • That ends up hurting victims really badly, and making them feel like it’s their fault and/or that no adults care very much about what’s happening to them.
  • Don’t do that to their students
  • Acknowledge what’s happening to your students, even when it hurts to admit to yourself that something bad is happening that neither you nor they can fix

Even when you are not powerful enough to control the behavior of bullies, there are a lot of other things you can and should do to help your students. I’ve written before about things adults can often do to help victims of bullying.

Short version: Teachers can’t always stop bullying; they can always do things that are at least somewhat helpful to victims of bullying. One of the most important things you can do is to be honest with yourself and your students about the situation. _The Are Word_ by Dave Hingsburger is an incredibly helpful book for anyone who wants to support victims of bullying.

Including people who get talked over

Often, in class conversations, some students will talk over other students and not let them get a word in edgewise. (This happens a lot between male and female students. It’s not always gendered that way but that’s a common dynamic.), eg:

  • Brenda: I thought the colors were too bright because they made the background more prominent than the…
  • Bob: Actually, the colors were too bright. They made the background more prominent than the foreground. That’s a problem because you have to be able to pay attention to the foreground.

When Bob is allowed to do this, it effectively cuts Brenda out of the conversation. Eg, this is one continuation I’ve seen a lot:

  • Bob: Actually, the colors were too bright. They made the background more prominent than the foreground. That’s a problem because you have to be able to pay attention to the foreground.
  • Teacher: Yes, distracting background colors detract from the most important parts of the scenes.

When the teacher says something like that, they’re responding to Bob and ignoring Brenda. If Brenda was making the same point, then she deserves to be acknowledged. If she was making a different point, then she deserves to be heard. It’s important to listen to all the students who participate sincerely, not just those who talk over others.

You don’t have to put up with this. You can turn your attention back to the student who was talking before they got interrupted. This is one way to do that:

  • You (ignoring Bob): Brenda, what do you mean about the background being more prominent? Can you say more?
  • This lets Brenda know that you value what she’s saying.
  • And it allows her to be heard even though Bob doesn’t value what she’s saying.
  • This also sends the message to other students that you will listen to them, take them seriously, and not allow them to be talked over.

This usually works better than directly addressing Bob in the moment. If you call Bob on it directly, that can lead to derailing the conversation into an argument about Bob, eg:

  • Teacher: Bob, please don’t talk over Brenda
  • Bob: I wasn’t talking over Brenda.
  • Teacher: She was saying something, and you interrupted her.

This can backfire because it keeps the focus on Bob rather than the person he was talking over. It’s also less powerful. You don’t need Bob’s permission to pay attention to the student he interrupted. You can just pay attention to her.

Another possibility:

  • Teacher: Bob, let Brenda finish then you can make your point. Brenda, what were you saying about the background colors?

This can work sometimes because it’s not directly accusing Bob of anything, and it immediately shifts the focus back to the person he interrupted.

People with disabilities learn and think

People with disabilities are capable of learning things on purpose, because they’re interested in what they’re learning. That’s true of people with all kinds and degrees of disability. Everyone cares about things, everyone thinks, any everyone learns.

And yet, education for people with disabilities often starts from the assumption that disabled folks have no intrinsic motivation to learn. That, before you can start to teach anything, you have to identify a reinforcer for the target behavior. And that it should be the same across subjects, and that it needn’t have any relation to what you’re trying to teach.

So, instead of starting by teaching reading, you might start by identifying an effective reinforcer, and using it to reinforce reading behavior. For example, stickers. Or giving a jellybean each time someone reads a page. Or high fives. 

In a technical sense, finding a book that someone enjoys is also, according to behaviorist theory, finding an effective reinforcer for reading behavior. But it’s not at all the same as using an unrelated reinforcer to teach reading.

Finding a book that interests a person you’re teaching to read communicates why reading is worthwhile. Using an unrelated reinforcer to get them to cooperate with reading lessons may work, but it doesn’t communicate the value of reading. In fact, it actively demonstrates that you’re assuming that they will not value reading and that it’s not worth trying to convince them that reading is worthwhile. 

The same is true of communication lessons. Identifying a reinforcer and using it to reinforce speaking behavior can get someone to cooperate with rote speech lessons, but it can’t teach them what symbolic communication is. Figuring out what someone wants to say, and giving them a reliable way to say it, can. So can making sure that you listen to communication someone already has, and making it clear that you respect them. (If you refuse to learn their language, you’re teaching them that their communication doesn’t matter. Which is the opposite of helpful.) Behaviorist approaches something accomplish that, but only as a side effect. You can teach communication better if you teach it directly, rather than as a side effect of reinforcing speaking or pointing behavior. 

People with disabilities care about things, and want to learn. The assumption that we don’t is deeply degrading. 

More on therapy referrals

whirling-ghost replied to your post “About making therapy referrals”

Make sure it’s the appropriate type too. Like I got referred for group, despite the fact I was terrified of being in a room with people I didn’t know. Obviously that wasn’t going to work

realsocialskills said:

Yes, this too. Therapy isn’t just one thing. It’s a lot of different things.  It also matters who is involved; therapists are not interchangeable. Even when someone unquestionably needs therapy, the wrong therapist can still make matters worse.
Generically telling someone “get therapy” is not likely to be a helpful suggestion. Everyone knows that therapy exists; everyone will have had others tell them to get therapy.
A useful referral has to be more specific and based on something. It also needs to involve respecting the person you’re working with, listening to what they think of your suggestion, and recognizing it as their decision.
Eg:
  • “It sounds like you’re struggling with your sexual identity. I know a therapist who has a good track record of helping men think through that. Would you like their name?”
  • “Some people who find that talk therapy doesn’t help them have found that CBT does, since it is concrete and based on learning skills and changing your thinking. What do you think about trying that?”
  • “A lot of students who have come to me with similar problems around finals have found the counseling center helpful. Is that something you feel comfortable trying?”
  • “It’s hard to go through that kind of loss when none of your friends can relate; I think that peer support might help you. There’s a grief support group; would you like to try that?”
  • “The problems you’re describing are often caused by clinical depression, which is often treatable. I think it might be a good idea to get evaluated in case that’s the problem. There is a doctor we recommend who is respectful and listens to patients. What do you think about that?”

Supporting kids who are below grade level

A reader asked:

I’m a reading tutor for kids who are below grade level. This is a Title 1 school, which means poverty and the parents don’t speak English. The kids in my program do. I have a lot of discipline problems, ie, kids refuse to come in from recess to come to the program, kids being disruptive in group sessions. We don’t get the kids who are DIAGNOSED severely disabled. They’re all in grades 2-5.

So, what should I  be doing to get kids who don’t want to come in from recess to come in? So far, a sticker/star reward system is helping the group sessions, but some kids still call out, interrupt me and other kids, and won’t write answers unless I tell them what to write.

Any suggestions?

realsocialskills said:

Someone I know who does remedial reading has had success with some of these things:

Using computer or iPad reading games

  • Some kids who associate books with humiliation and failure don’t have the same association with computer-based things
  • But if you’re going to do this, make sure the games you pick are actually fun
  • It doesn’t work if it’s exactly like the thing that’s miserable for them off the computer
  • Particularly if it’s just a simulated standardized test

Having kids read plays together

  • This can work well as a group activity,
  • Particularly since all the kids are involved even when it’s not their turn to read
  • Some kids who don’t like taking turns reading stuff *do* like taking turns reading parts in a play
  • Also, again, it’s something they’re much less likely to associate with failure and humiliation
  • You can get books of kids plays that are designed for various reading levels

Use books with positive representation of kids like them:

  • Far, far too many kids books are about rich white kids
  • If all of your books are about rich white kids, you can end up inadvertently sending the message that you don’t respect your students (especially if you are white, but even if you are not)
  • Or that reading is rich and white
  • Having books that have poor kids, disabled kids, and kids of color can make a big difference
  • Particularly if they are good books
  • Particularly if they are books written by people from the same culture as the kids you teach
  • Immigrant kids come under *tremendous* pressure to assimilate and reject the cultures they came from
  • And it’s worth making an effort to make sure that what you do isn’t part of that

Do what you can to make it a safe space for kids who are struggling:

  • Do not let kids make fun of other kids
  • Do not have competitions between kids
  • Do not laugh at mistakes, even if they’re funny
  • (But do let kids laugh at *your* mistakes, even if they’re not funny)
  • Praise people for trying, not just succeeding
  • Because being willing to try over and over until you do something successfully is important
  • And for kids who have been humiliated for failing, it can be really important that you explicitly respect their efforts

Sometimes it helps to modify things in a way that work with rather than against kids’ behavior:

  • If kids are calling out, make a lesson where that’s *supposed* to happen
  • Have some time where you tell kids what to write and that’s ok
  • (And where if kids decide to not write what you tell them and to write something else, that’s also ok)
  • I can’t think of more examples offhand, but I know that this is something that people do successfully
  • Remember that the point is getting kids to learn, not getting them to obey you
  • (You do have to control the classroom to an extent – but it’s worth avoiding avoidable power struggles, and modifying your approach when kids refuse to cooperate with your initial plan isn’t a failure )

But also, are kids being pulled out of recess in order to go to extra lessons? That strikes me as inherently likely to end poorly. If that’s what’s happening, is there any way you can pull the kids out of something else instead?