Social clumsiness

To acquire age-appropriate social skills, certain parts of the brain need to develop normally. Children with ADHD may experience social difficulties and experience what is called a social cognition deficit. This chapter outlines social clumsiness in ADHD. It discusses social cognition as a function of the brain, specific social competence deficits (social blindness, egocentricity, lack of appropriate inhibition, insatiability, insensitivity to style and convention, lack of responsiveness, over-talkativeness, difficulties reading facial expression, aggressive tendencies, lack of judgment, poor understanding of group dynamics, misinterpretation of feedback, poor social prediction, poor social memory, lack of awareness of image, poor behaviour-modification strategies), management of social clumsiness, and autism spectrum disorder.

Unravelling moral cognition in acquired brain injury: a scoping review

Background: Acquired brain injury (ABI) is accompanied by impairments in social, emotional, cognitive and behavioural skills and highly prevalent in the population. Social and emotional skills are crucial for moral cognition, but the extent to which moral cognition contributes to social competence deficits in people with ABI is largely unclear. Method: To provide more insight on this topic, we conducted a scoping review according to the PRISMA guidelines. After screening 1269 articles that we obtained via PubMed and Scopus, we found 27 articles on moral cognition in ABI. Results: We encountered four important topics across these studies which include traumatic brain injury (TBI) versus non-TBI, the influence of the different approaches used to measure moral cognition in ABI, the role of age of onset and the role of location of the injury. Overall, evidence suggests that the earlier the brain damage occurred, the more this leads to impairments in moral cognitive functioning. The location of the injury furthermore seems to differentially affect the way impairments are manifested. Finally, we found that the use of different measurement approaches can heavily influence the interpretation of the impairment. Conclusion: We conclude that impairments in moral cognition in people with ABI are derived from a complex interplay between the age of onset, the location and the approach used to index moral cognition.

Examining the Concurrent Criterion-Related Validity of Direct Behavior Rating–Single Item Scales With Students With Social Competence Deficits

A line of research has supported the development and validation of Direct Behavior Rating–Single Item Scales (DBR-SIS) for use in progress monitoring. Yet, this research was largely conducted within the general education setting with typically developing children. It is unknown whether the tool may be defensibly used with students exhibiting more substantial concerns, including students with social competence difficulties. The purpose of this investigation was to examine the concurrent validity of DBR-SIS in a middle school sample of students exhibiting substantial social competence concerns ( n = 58). Students were assessed using both DBR-SIS and systematic direct observation (SDO) across three target behaviors. Each student was enrolled in one of two interventions: the Social Competence Intervention or a business-as-usual control condition. Students were assessed across three time points, including baseline, mid-intervention, and postintervention. A review of across-time correlations indicated small to moderate correlations between DBR-SIS and SDO data ( r = .25–.45). Results further suggested that the relationships between DBR-SIS and SDO targets were small to large at baseline. Correlations attenuated over time, though differences across time points were not statistically significant. This was with the exception of academic engagement correlations, which remained moderate–high across all time points.

Exploring the Moderating Effects of Cognitive Abilities on Social Competence Intervention Outcomes

Many populations served by special education, including those identified with autism, emotional impairments, or students identified as not ready to learn, experience social competence deficits. The Social Competence Intervention-Adolescents’ (SCI-A) methods, content, and materials were designed to be maximally pertinent and applicable to the social competence needs of early adolescents (i.e., age 11-14 years) identified as having scholastic potential but experiencing significant social competence deficits. Given the importance of establishing intervention efficacy, the current paper highlights the results from a four-year cluster randomized trial (CRT) to examine the efficacy of SCI-A (n = 146 students) relative to Business As Usual (n = 123 students) school-based programming. Educational personnel delivered all programming including both intervention and BAU conditions. Student functioning was assessed across multiple time points, including pre-, mid-, and post-intervention. Outcomes of interest included social competence behaviors, which were assessed via both systematic direct observation and teacher behavior rating scales. Data were analyzed using multilevel models, with students nested within schools. Results suggested after controlling for baseline behavior and student IQ, BAU and SCI students differed to a statistically significant degree across multiple indicators of social performance. Further consideration of standardized mean difference effect sizes revealed these between-group differences to be representative of medium effects (d > .50). Such outcomes pertained to student (a) awareness of social cues and information, and (b) capacity to appropriately interact with teachers and peers. The need for additional power and the investigation of potential moderators and mediators of social competence effectiveness are explored.

Social Acceptance and Facial Behavior in Children with Oral Clefts

Objective To examine and compare social acceptance, social behavior, and facial movements of children with and without oral clefts in an experimental setting. Design Two groups of children (with and without oral clefts) were videotaped in a structured social interaction with a peer confederate, when listening to emotional stories, and when told to pose specific facial expressions. Participants Twenty-four children and adolescents ages 7 to 161/2 years with oral clefts were group matched for gender, grade, and socioeconomic status with 25 noncleft controls. Main Outcome Measures Specific social and facial behaviors coded from videotapes; Harter Self-Perception Profile, Social Acceptance subscale. Results Significant between-group differences were obtained. Children in the cleft group more often displayed “Tongue Out,” “Eye Contact,” “Mimicry,” and “Initiates Conversation.” For the cleft group, “Gaze Avoidance” was significantly negatively correlated with social acceptance scores. The groups were comparable in their ability to pose and spontaneously express facial emotion. Conclusions When comparing children with and without oral clefts in an experimental setting, with a relatively small sample size, behavior analysis identified some significant differences in patterns of social behavior but not in the ability to express facial emotion. Results suggest that many children with oral clefts may have relatively typical social development. However, for those who do have social competence deficits, systematic behavioral observation of atypical social responses may help individualize social skills interventions.