Autism & Asperger's Syndrome Expert Forum
Using the toilet
About This Forum:

Questions in the Autism & Asperger's Syndrome forum are answered by researchers at the New England Center for Children. Topics covered include Attention Deficit Hyperactivity Disorder (ADHD), Antisocial Personality Disorder, Asperger Syndrome, Autism, blindness, bullying, clinical depression, deafness, dyslexia, mental retardation, and social alienation.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Using the toilet

Hi,

I teach adult learners with special needs.  One of my learners is on the spectrum.  He's non-verbal but has a good level of understanding.  However, he has never learnt to go to the toilet appropriately and manages to piddle just about everywhere except into the toilet bowl!  He lives with his mother and two sisters.  There are no male role-models around and he does not socialise with anybody.  I am about to create a visual (and simple English) step-by-step laminate to using the toilet.  However, at 21 year's old, is this likely to be effective? Is there an alternative way to solve this?
340676_tn?1383325484
Adults with disabilities certainly can be taught to use the toilet appropriately, and the sort of teaching you would use with a child is often still effective.  A common method of doing this involves blocking out a few hours, giving him lots to drink, and bringing him to the toilet to give him the opportunity to practice.  If the issue is "aim" rather than him having accidents, a way to address that is to arrange differential reinforcement for accuracy on his part.  Having a visual stimulus prompt (as you suggest) along with instruction and reinforcement (i.e., praise) when he hits the right spot all sound like good ideas in this case.
2 Comments
Blank
Avatar_m_tn
Many thanks for your response and tips.  It is very much a 'hold and aim' issue with him, rather than him just having 'accidents'.  Very much appreciated advice and I'll make sure it's also passed onto his family.
Blank
Continue discussion Blank
This Forum's Experts
340676_tn?1383325484
Jason C Bourret, Ph.D., BCBA-DBlank
The New England Center for Children
Southborough, MA
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank