can social skills be taught?

I keep coming across claims that people with Asperger's Syndrome or HFASD can be taught or shown how to overcome social/communication difficulties. 

This seems to be what underpins help given to people on the spectrum in special schools or learning disability support in mainstream. Or all these consultants who offer training in social skills to school age children (for a fee) because what they achieve by a long arduous process that sorts socialising at school will somehow magically resolve socialising as an adult in an adult world.

It also seems to underlie the assumption that you grow out of it. Hence transition isn't a big issue for abler children who will magicly transform into social butterflies by 18 or 21.

Which is again why so little has been done to better understand the needs of adults. Adults with socialising problems it seems were children who didn't learn their social skills lessons at school and are now paying the price for their indolence and ingratitude. Once "taught" how to conquer social interaction its all your fault if you don't magically get over the rest.

I just wonder what research underpins the confidence that this kind of social coaching in school years has any long term value. Because surely for all the claims made, there has to be evidence. If this was medication or cosmetics there would have to be a substantial body of evidence. Where is the substantial body of evidence that people on the spectrum can be taught social skills for life?

I personally, at the abler end, without a diagnosis (as diagnosed late in life) found ways round formal social interaction by finding out why I got into trouble, finding people who were understanding enough to help me, and then learning the right things to say on cue, which took me decades. But it is still hard work and I still make mistakes.

Even so I still lose credibility if there's background noise, where I lose coherence, or there are two many cross-overs in the dialogue, or I'm unwell or flagging, or I blank out.

And that's only with formal conversation. As it gets less formal, less language based more gestures, nods and inflexions based I lose out rapidly. OK I was self-taught, maybe if I had been "coached" when younger I might have been better at it. But I cannot find published evidence that "coaching" of social skills works long term. It might produce short term benefits for young people in their immediate social contexts, but the root causes haven't been resolved, and there needs to be research that substantiates claims it works long term.

As I have already said, if this was medication or cosmetics there would have to be a substantial body of proof. I don't see why autistic spectrum "cures" don't seem to need a body of proof. At the moment there's just a lot of uncorroborated quackery going on.

I do feel NAS has a duty to pursue (or at least demand) scientific evidence for autism "cures".

No-one should be permitted to claim they can coach social skills unless they can provide proof of long term benefit, into adulthood. The impression that someone can be egged on to manage in a few short-lived social settings is not scientific corroboration of efficacy.

I just think it is time we had some science to this, and science we could see.

Parents
  • I can confirm some of your observations Darcy, from my own experience, but we probably need a few more respondents with shared insights. I was hoping for more people querying whether you can be taught social skills, whereas most responses think it possible; or at the present rate I'll be on my own on this!

    Background noise for me is devastating to conversation, but I can tolerate it a great deal more otherwise. Sudden loud noise and bright light is a problem, and also the complexity.

    I instinctively look at people's mouths - its pointless and distracting. I've been trying to make more use of eyes however not getting anywhere productive.

    With competing background, even quite low volume, my comprehension of speech deteriorates, and often it sounds like a foreign language. I'm forever apologising for missing what people are saying, but explaining it as a hearing problem gets me into more trouble, as at other times my hearing is noticeably sharp -"thought you said you had a hearing problem!". Also if I say I have a hearing problem and they enunciate loudly in my ear it makes no odds to understanding. It baffles me that everyone reads hearing problem as deaf.

    Some environments cause me distress but rather than volume it seems to be complexity, both auditory and visual that causes the problems. I've mentioned before on postings that I regularly sit and contemplate environments, to work out what hurts and what I need to avoid, but also to try not to be so affected. So I'll deliberately go into uncomfortable environments on my own terms, to see if I can improve my coping when not.

    For years I found car headlights at dusk or in wet weather extremely unpleasant, but could not understand why nobody else seemed to have any difficulty or showed any appreciation.

    What I have found is that if I'm affected, if I turn and face the sound source for a bit, I can calm down. Walking along a busy road I'll stand back to a wall for a bit.  I stay near the edge of the room in social situations so the sound comes from one direction.

    I just wonder how far these issues are understood by health professionals (particularly given their understanding tends to exclude sensory). Again also its further evidence why I don't think social skills can be taught. The people who advocate these "cures" don't understand the sensory aspects.

Reply
  • I can confirm some of your observations Darcy, from my own experience, but we probably need a few more respondents with shared insights. I was hoping for more people querying whether you can be taught social skills, whereas most responses think it possible; or at the present rate I'll be on my own on this!

    Background noise for me is devastating to conversation, but I can tolerate it a great deal more otherwise. Sudden loud noise and bright light is a problem, and also the complexity.

    I instinctively look at people's mouths - its pointless and distracting. I've been trying to make more use of eyes however not getting anywhere productive.

    With competing background, even quite low volume, my comprehension of speech deteriorates, and often it sounds like a foreign language. I'm forever apologising for missing what people are saying, but explaining it as a hearing problem gets me into more trouble, as at other times my hearing is noticeably sharp -"thought you said you had a hearing problem!". Also if I say I have a hearing problem and they enunciate loudly in my ear it makes no odds to understanding. It baffles me that everyone reads hearing problem as deaf.

    Some environments cause me distress but rather than volume it seems to be complexity, both auditory and visual that causes the problems. I've mentioned before on postings that I regularly sit and contemplate environments, to work out what hurts and what I need to avoid, but also to try not to be so affected. So I'll deliberately go into uncomfortable environments on my own terms, to see if I can improve my coping when not.

    For years I found car headlights at dusk or in wet weather extremely unpleasant, but could not understand why nobody else seemed to have any difficulty or showed any appreciation.

    What I have found is that if I'm affected, if I turn and face the sound source for a bit, I can calm down. Walking along a busy road I'll stand back to a wall for a bit.  I stay near the edge of the room in social situations so the sound comes from one direction.

    I just wonder how far these issues are understood by health professionals (particularly given their understanding tends to exclude sensory). Again also its further evidence why I don't think social skills can be taught. The people who advocate these "cures" don't understand the sensory aspects.

Children
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