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You can download a document that includes all content from the module, with the exception of videos. This resource can support your learning while completing the module or be saved for future reference.


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Reflection Questions

The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.


Discussion Questions

The Discussion Questions provided below can supplement and extend your individual learning and be used by facilitators or coaches to prompt meaningful discussions.

  1. Share a time that you were surprised to discover that a female that you know had been diagnosed with autism. Now that you know more about autism in girls and women, what characteristics of ASD do you recognize?

    Answers will vary.

    Example: A teenager who is very fashionable and has excellent manners is blending in with her peers in many ways. After observing her for some time, the following characteristics are noted: tends to be on the periphery of interactions; makes comments that do not quite fit the conversation; does not understand much of the humor used by her peers; is distressed by changes in plans that other girls take in stride.

    Example: A third-grade girl is making straight A's and plays with other children on the playground. She is not disruptive in school. After observing her for some time, the following characteristics are noted: often talks about Dora the Explorer and keeps talking about her even after other children walk away; other students get her to buy them ice cream at lunch and she does not seem to be aware that they are abusing her trust and never return the favor; facial expressions tend to be flat; covers her ears when the bells at school ring; every day asks the teacher when the next fire drill will happen.

  2. What are the positive and negative effects of camouflaging?

    Camouflaging can help a girl to fit into her social world. It can also be exhausting and lead to increased risk for depression. Camouflaging can keep people in helping roles from seeing the needs related to ASD.

  3. What are the characteristics of females with autism that sometimes makes assessment a challenge?

    Females hide their characteristics of autism more often (camouflage). They have better superficial social skills and better verbal skills. Their special interests tend to be common among their peers but of much greater intensity.

  4. How do we become better listeners as we assess or work with females on the spectrum?

    Answer:

    • Trust parents, teachers, the individual and other informants

    • Remember that our own observations are a small sample of time

    • Use self-report measures

Activities on this page are provided at both the introductory and advanced level and can be copied and used within existing professional development or university coursework.

Introductory Activities

  1. Autism and Girls Video Activity

    Watch one of the videos in Part A, then make the list described in Part B.

    Part A: Watch one of the following recommended videos from YouTube of a woman who has been identified with autism.  

    • Invisible Diversity: A Story Of Undiagnosed Autism | Carrie Beckwith-Fellows

    https://www.youtube.com/watch?v=cF2dhWWUyQ4

    • My Inner Life with Asperger's | Alix Generous | TED Talks

    https://www.youtube.com/watch?v=3yfFwDq4R5M

    • "Copy & Paste" - Hidden Asperger's-- Girls with Aspergers | Niamh McCann | TEDxDunLaoghaire

    https://www.youtube.com/watch?v=QY2ctCuTWPw&t=117s

    • Autism: A Quick Trip To My Home Planet | Monique Botha | TEDxSurreyUniversity

    https://www.youtube.com/watch?v=NCAErePScO0

    Part B: List 3 reasons that people might find it difficult to recognize the autism that has been diagnosed for the woman in the video.

    1.

    2.

    3.

  2. Get to Know a Girl on the Spectrum

    Talk to a girl or woman on the spectrum and ask her:

    • Do you have some very strong interests? If so, what are they?
    • Do you know other girls or women your age who have the same interests? 
    • How much time do you spend engaged in your interest?

    Document the answers. Note: Be careful to respect confidentiality and to follow the guidelines regarding assessment used in your setting.

Advanced Activities

  1. Case Study: Amada

    After reviewing the case study about Amada below: 

    1. List characteristics or behaviors described in the study that might be related to autism. Remember that autism is made up of a pattern of characteristics, not isolated factors. Hint: There are at least nine possible indicators included in the case study.

    2. Answer the following:

    • Why do you think that Amada says that she does not want to grow up?
    • Do you think that the fact that Amada is a female made it more difficult for Amada's teachers and pediatrician to see that she has autism? Discuss.

    Case Study: Amada

    Amada is in the 9th grade. She makes good grades. She always has. She began to read early and continues to read every chance that she gets, especially science fiction fantasy. Recently, she has begun to have difficulty with completing long-term projects and identifying the themes and character traits in the novels her 9th grade English teacher has assigned. 

    Every now and then, Amada has gotten into trouble for "tattling" too often. Other than that, her teachers have not expressed any concerns to her parents. Amada has never had a "best friend." She tends to be on the "periphery" of a group of peers. She used to be invited to their birthday parties, but that has slowed down in the past couple of years. Every day after school, she tells her mother that she is lonely and that she has no friends. She is beginning to seem depressed.

    Amada hates birthdays. She says she doesn't want to grow up and expresses no interest in things like make-up or learning to drive. Amada does not brush her teeth or wash her hair without reminders. Her parents often find her reading when she is supposed to be getting ready for school or working on school projects.  

    For a long time, Amada's mother has suspected that Amada may be on the autism spectrum. In many ways, Amada reminds her of Amada's older brother who was diagnosed with autism when he was three years old. When she mentioned the possibility to the pediatrician, she was told to relax. The exact words were something like, "Amada smiles and she looks me right in the eyes. Kids with autism don't do that. She is a little shy. You're just worried because of her brother. She'll be fine."  

    As the social isolation and depression increased, Amada's mother decided that she had to pursue the issue one more time. She found a psychologist who works with an Occupational Therapist and a Speech Pathologist all of whom have a lot of experience in working with females on the spectrum. After an evaluation, the team confirmed what the mother had guessed, Amada is on the spectrum.

  2. Case Study: Amber

    After reviewing the case study about Amber below, answer the following questions:

    • Why was this new phase of development so catastrophic for the friendship between Amber and Bentlee? How does this situation relate to autism?
    • What are two skills that might help Amber to cope with conflict as it arises in her friendships?

    Case Study: Amber

    Amber is a 13-year-old girl on the spectrum. She and Bentlee had been friends since they were 7 years old. They played on the same soccer team together and had regular play dates. They would dress up like Harry Potter characters or make slime or other concoctions. As best friends, Amber and Bentlee promised that they "would always be there" for each other.  

    When they entered middle school, Amber remained interested in reading fantasy novels and creating costumes. Bentlee began to make new friends and develop new interests.    Two weeks in a row, Bentlee turned down an invitation to go to Amber's house. Amber told her mother that Bentlee had lied to her. "She is not always there for me." After that, Amber did not accept invitations from or offer invitations to Bentlee. Amber became despondent. Her rigid expectations prevented her from adjusting to a new phase of friendship.  

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