Case Study 3 Question 1: What problems might a multi-generational and multi-cultural family such as this have in understanding Asperger’s syndrome? This multi-cultural family includes a father and grandmother who were born, raised, and speak fluent Korean and a mother who was born and raised in the United States, and is not fluent in Korean. David is bilingual; therefore, he has both Korean and United States influences in his life. The grandmother sees the diagnosis of Asperger’s syndrome as a gift, but the parents view it as a disorder. Korea is a high-context society where nonverbal communication is larger than verbal communication. Therefore, David’s grandmother does not notice the verbal communication problems that David has. The grandmother …show more content…
Our primary concerns would be the insurance problem; Mr. Garcia would have been given oral and written information, in Spanish, of his insurance options. At discharge from the hospital, Mr. Garcia would have been given a translated sheet with exercises or activities to do to improve his physical health because he refused therapy. Explaining to the wife that, in fact, Mr. Garcia’s help around the house would be a good thing and that in doing everything, she is not helping her husband get better. We would look into the treatments Mr. Garcia is receiving from the curandero to see if specific treatments may be harming his recovers; suggesting a diet high in fat may not be the best for his health after a heart attack. If there are any treatments Mr. Garcia is receiving from the curandero that are helpful, it would be important for us to praise these. Showing Mr. Garcia a way of life that limits harmful situations/things which can lead to another heart attack is important. Including his wife in this conversation would also be vital because he comes from a familial culture
The author demonstrates a personal example of how communication became a barrier because of the way Tan had to assist when her mother would speak. Tan would often have to relay the meaning of her mother’s message, because her mother’s “broken English” was difficult for others to comprehend. When Amy was younger, she remembers having to act as her mother on the phone, so that people on the other end would treat her mother with the respect she deserved. On one occasion, when her mother went to the doctor to get her CAT scan results on a benign brain tumor, her mother claimed that “the hospital did not apologize when they said they had lost the CAT scan and she had come for nothing” (Tan, 544 ). It was not until Tan had talked to the doctor that the medical staff seemed to care about any of her mother’s complications. Tan seems to come to the conclusion that a language barrier affects both sides. Not only does it affect Tan, but it also appears to affect the people around her. For instance, this happens when Tan changes her major from the stereotypical “Asian’s become doctors” to an English teacher. She eventually learns to write fiction and other writings that she was constantly told she would never be successful at.
Chang Rae-Lee, author of "Mute in an English-Only World," moved to America from Korea when he was only six or seven years old. He adopted the English language quickly, as most children do, but his mother continued to struggle. "For her, the English language…usually meant trouble and a good dose of shame and sometimes real hurt" (Lee 586). It is obvious, though, that his mother was persistent in her attempt to learn English and deal with her limited culture experience, as Lee accounts of her using English flash cards, phrase books and a pocket workbook illustrated with stick-people figures. Lee sympathetically connects with the audience through his mother, and forces them to make a personal conclusion when he ends the article with a lingering question in the reader’s mind; what if they had seen her struggling? Would they have sat back and watched or stepped up to help?
Autism Spectrum Disorder (ASD) has two main core criteria, according to the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5). The first of the two criteria is ‘Persistent Deficits in Social Communication and Interaction across Multiple Contexts’ under which there are three categories. The first being deficits in social emotional reciprocity which may include atypical social approach and failure of the back and forth exchange of normal conversation. In addition, there may be a failure to respond or initiate social interaction as well as reduced emotions, interest or effect sharing. In the scenario ‘Ben loves Trains’ it is indicated that Ben is content to play alone for hours, he doesn’t interact with his sister in
A Comparison between Christopher Boone and Raymond Babbitt Asperger s disorder is not a disease, but a developmental brain disorder. It is four times more prevalent in boys than in girls and it shows no racial, ethnic or social boundaries. Family income, lifestyle and educational levels do not affect the chance of Asperger s disorder occurrence. According to Hans Asperger: It is important to know that the person with AS perceives the world differently. Therefore, many behaviours that seem odd are due to neurological differences and not the result of intentional rudeness or bad behaviour.
ASD individuals may find it hard to communicate and socialize with others around them. However, because each child is unique, they have their own unique abilities and ways of responding to new experiences. Other issues children with ASD have include; anxiety, sleeping problems, and learning disabilities. Those who are diagnosed with ASD or any other disability are usually judged and bullied. In the documentary Violet’s mother says she is afraid of her child being labeled and underestimated because she is diagnosed with autism. A child’s disability can also affect their family members. Family members may have a difficult time understanding and getting to know the autistic child in order to provide for them. They struggle to find interventions such as treatment and therapy for them, the right medical care, and trying learn to cope with all this. At times parents and caregivers can also feel stressed or irritated knowing they have to fulfill all of the child’s needs. Siblings on the other hand, may find it unfair that the autistic child gets the most attention and
The increase and changing demography in the United State today, with the disparities in the health status of people from different cultural backgrounds has been a challenge for health care professionals to consider cultural diversity as a priority. It is impossible for nurses and other healthcare professionals to learn and understand theses diversity in culture, but using other approaches like an interpreter is very helpful for both nurses and patients. In this paper of a culturally appropriate care planning, I will be discussing on the Hispanic American culture because, I had come across a lot of them in my career as a nurse. The Hispanic are very diverse in terms of communication and communities and include countries like Mexico, Cuba, Puerto Rico, South and Central America, and some of them speak and write English very well, some speaks but can’t write while some can’t communicate in English at all but Spanish.
In the 1940’s two doctors in different countries observed children displaying similar behaviors and deficits. One of the doctors was Viennese pediatrician Dr. Hans Asperger and the other was a child psychiatrist named Leo Kanner. Dr. Kanner was the first of the two doctors to report his observations. What he described were behaviors similar to those seen in children with what we call Autistic disorder. The behaviors affected the children’s communication, social interaction and interests. Dr. Asperger later published an article discussing what he dubbed “Autistische Psychpathen im Kindesalter” which translates to “Autistic Psychopathy”. Although some behaviors overlapped, there were differences leading to the belief that these doctors were documenting two different disorders. The two most prevalent were the differences in motor and language abilities (Miller, Ozonoff). Another was Asperger’s belief that his patients were of normal or above average intelligence. It was not until 1994 that Asperger Syndrome was entered into the Diagnostics and Statistics Manual of Mental Disorders Fourth Edition (DSM IV), finally becoming an official diagnosis. At the time, Asperger Syndrome (AS) was labeled as a subcategory of autism along with autistic disorder, childhood disintegrative disorder and pervasive development disorder. Since then, the community of people with Asperger Syndrome has grown to love and better understand the disorder that they live with every day. Some of them have even affectionately named themselves “Aspies”.
Tan was born to a pair of Chinese immigrants. Her mother understood English extremely well, but the English she spoke was “broken.”(36) Many people not familiar with her way of speaking found it very difficult to understand her. As a result of this, Tan would have to pretend to be her mother, and she called people up to yell at them while her mother stood behind her and prompted her. This caused Tan to be ashamed of her mother throughout her youth, but as she grew, she realized that the language she shares with her mother is a “language of intimacy” (36) that she even uses when speaking with her husband.
The case study analyzed is about Korean boy, David, who is five years and ten months old with Asperger’s syndrome and lives with his family in the United States. His grandmother, Mrs. Soon, is the main caregiver and she is in denial as she does not want to accept the fact that her grandson has developmental issue. According to her, David is just a very talented boy and he does not need any help. David’s parents have a different point of view and want to find ways to persuade Mrs. Soon to allow their son to have services advised by
Autism is a neurodevelopmental disorder that effects the brains development. It is characterized by affecting communication, cognition and social interaction. The spectrum of the disorders ranges from a mild condition called Asperger’s syndrome to a more severe form, which severely impairer’s development. The Office of Communications and Public Liaison states that the disorder affects one and eighty-eight children, however ASD effects boys more frequently than girls (Office of Communications and Public Liaison, 2013). ASD emerges in all age, ethnic and socioeconomic groups. The significant varied character and severity of the disorder is why ASD is considered a spectrum that poses a broad range of symptoms.
The problem started with her mother because she spoke broken English. She had a hard time during her life when she moved to the US because she couldn’t speak English well. The first reason was mixed the English with Chinese, and they used code. The family didn’t practice the language. On one day Amy Tan 's mother exposed to a lot of attitude and that’s bothering her because when she spoke to the native speaker some people understood 50% and the other did not understand her. Since she wants to order something they didn’t give her a nice service, or tried to ignore her, but Amy Tan always tried to fix the problem for her mother because she can speak the English clearly. Amy Tan 's mother felt depressing and Her daughter decided to make her mother glad, so she made a huge deal for her mother because she made her mother tried to speak English by explaining the English words to Chinese, and that’s made the English for her mother more easily just to be in touched with the American people. Even Amy Tan 's mother was struggling with English, but she plain in her life goal that’s mean nothing impossible to do it, and everything from learning could be possible. If anyone would something they
Pervasive Developmental Disorders are characterized by “severe and pervasive impairment in several areas of development” (Tsai, 1998). In the 1994 edition of the Diagnostic Statistic Manuel version IV, three new categories were introduced under Pervasive Developmental Disorders. These include: Childhood Disintegrative Disorder, Asperger's Disorder, and Rett's Syndrome (Volkmar, 2005). All these disorders occur in early childhood and are often not noticed by a parent or primary caregiver until it is noticed that the child is not achieving normal developmental milestones.
Many people across the world are unfamiliar with disorders associated with autism. Some people do not even know what autism actually is. Asperger’s Syndrome is one perplexing disorder, of countless, that needs to be acknowledged. Although it is one of the more well-known disorders, an understanding of Asperger’s is far from common knowledge. There is an abundance of misconceptions and people unaware of what Asperger Syndrome actually is. Being uncertain about the characteristics of a person with Asperger’s allows people to go through life not understanding the disorder itself and people who have it.
This paper was reprinted with permission of Susan Moreno on the O.A.S.I.S. (Online Asperger's Syndrome Information and Support)
tried giving him a drink or some food in the hope that she had guessed