Lost in Translation - Communication and Miscommunication

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  1. 1. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication Communication forms the basis of social interactions from birth and throughout life. In order to get to grips with the complexity of communication and miscommunication it will be useful to go back to basics and look at how communication is learned from birth onwards. Early communication is a necessity to enable our survival needs to be met the baby is operating on a sensory level, and the senses cause arousal or relaxation depending on whether baby is experiencing discomfort, stimulation or co-regulation. Baby has no control over its physical environment, and it will take time to establish a fully attuned relationship with a principal carer. In the meantime, baby is unable to perform any task independently, but in order to survive, he has to be able to influence his environment. To this end, Baby has a range of strategies to enable him to ensure his survival needs are met, such as crying, screaming, flailing around, smiling, gurgling, cooing. The idea is to keep your attention focussed on them, and they will do this in whatever way works best for them, because their survival depends on it. To begin with, therefore, it is easy to see that communication is made up of a myriad signals that pass between the baby and their immediate family circle or carer. Baby will rely on sensory input to receive necessary information from them, based on feelings of security, comfort, love, fear, alarm and response by principal carers to distress signals. The early neural pathways that are being created and reinforced give the child their earliest impression of how to approach the world around them. Language will only start to convey meaning very gradually; meanwhile baby communicates his response to us by using his limited ability to control his body turning away from stimulation in distress; reaching for objects; smiling or crying. From the moment of our emergence from the womb we use all five of our senses (Sight, Hearing, Taste, Touch and Smell) to understand and build our individual concept of the world around us. As time goes on, of course, we acquire language (in the majority of cases), and this will change not just the way we communicate, but also the way our cognitive ability develops. Our rational brain is built by our repeated experiences, good or bad, and language gives us the symbology we need to put ideas together, and hold ideas in our head. As time goes on and cognitive skills develop further, sensory communication input is relied on less and less, and sometimes we use reasoning to over-ride sensory information (or gut feelings).
  2. 2. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication The Communication Cycle shown below gives a simplified version of how communication occurs. In this example, it can be seen that the two respondents are of a similar cognitive ability with a common language and shared technology. The only identified barrier is noise. (www.google.co.uk/search? q=communication+cycle&biw=1366&bih=666&site=webhp&tbm=isch&imgil=P0uUXTClKrqwCM %253A%253BN03Cwwy9SzKzAM%2) However, we can easily identify that there are many potential barriers to communication: age or cultural differences, language, cognitive ability, emotional state (of either respondent), environmental factors, access to technology and level of disability to state a few of the most obvious. Sometimes, communication barriers can be solved by meeting face to face, because then we have the additional benefit of sensory information and body language. This is particularly important when we are communicating attitudes and feelings. Albert Mehrabian established that in these cases non-
  3. 3. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication verbal factors (specifically body language and tone of voice) make up 93% of information received. Taking all of the above into account, it is easy to see that communication issues can have a massive impact on a child that has suffered developmental delay, with the resultant attachment, cognitive and emotional challenges experienced by adopted children and their families. Add to this the high incidence of disabilities such as ASD, ADHD or mild, moderate or severe learning difficulties and some of the difficulties and frustrations experienced by children at school, at home, and in the community in listening, learning, comprehension and expression become more understandable. Whether you are a parent, a teacher or any other professional there are strategies which should help to improve communications: Firstly, if you are a professional, take the parents advice. The child may well present very differently to you than to them; do not let that cast doubt on the parental judgement. Secondly, think about the cognitive/emotional development of the child. The best way to assess this in my opinion is to look at overall behaviour, remembering that at times of stress it is usual to behave in ways more appropriate to a much younger child. Adopt a mode of communication suitable to the developmental age, not the chronological age. I have personally cared for a young autistic adult who however was showing clearly by her behaviours that she vacillated between a highly sensory state like a 14 month old rocking in her chair, throwing herself backwards and enjoying the movement, and intensely engaging her carer in her excitement with eye contact and noises, then disengaging to look at her own hand when she felt over stimulated. At other times she was like a cheeky toddler, running off to mischievously steal crisps. By keeping vocabulary at a very early level, using simple words and repeated phrases we were able to help her to build her vocabulary. Of course this is an extreme example, however my own daughter at age 14 is showing understanding more appropriate to a nine year old, but still has difficulty with abstract concept, and needs me to use
  4. 4. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication very clear and unambiguous language . I also avoid giving her too much information as this can cause additional confusion. It is also useful to check understanding, using open questions. Many children and young people will want to please an adult (or shut them up!) so asking if something is understood, the child will say yes. However if instead you ask the child an open question to check understanding you could get a very different response. Our emotional state also plays a huge part in our ability to communicate and this is true for us all. It is not helpful to try and communicate with a child that is in a state of overwhelm, frustration or anger. At these times they need co-regulation. Talking will have to wait. By the same token, it is useful for us to recognise our own emotional state and be regulated before we attempt to communicate ourselves - clearly this is in an ideal world where there is support on hand to take over! However, if you do feel you have lost the plot and responded inappropriately, then remember that rupture and repair is a vital developmental process; dont be too hard on yourself; use the incident to explain what happened, how it felt for you, apologise if appropriate and reassure. These incidents give the child a template that they can use, and an understanding that we can all make mistakes. Classroom language can be particularly difficult for children, especially as they progress through school. To begin with, instructions are verbal and maybe there are pictorial reminders. In addition, learning is based in practical activities. So far, so good. As we progress through school, instructions get longer and more complicated, additional specific vocabulary is introduced, and classrooms become more talk and chalk orientated. There may be several problems that then begin to show up, from inability to retain instructions (leading to accusations of not listening, not focussing etc) to confusion over vocabulary. These kinds of issues can be addressed by writing step by step instructions on the board, and giving a glossary of new vocabulary on the board or in a handout to the class. This avoids singling out any one child. Where children are facing more significant difficulties, pictorial reminders, visual timetables, and step by step task sheets can be used. These can also be introduced at home. Also, if there is a set time to complete an activity, use of a sand timer could be a helpful reminder of this, and can be used at home as well as school. (We use a five minute timer for my grandson to let him know it is time to draw an activity to a close best 3.00 ever spent!).
  5. 5. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication I also like to say a word about children who take a very literal view of language. This is common in all younger children (when it is expected, and rather cute) and children on the autistic spectrum, and can result in some interesting misunderstandings. I have in mind an example of a child who was invited to paint his face (meaning a self portrait). Needless to say, the child applied paint to his face, and when asked what he was doing said you told me to paint my face! Whereupon he was sent to the head teacher for being rude. He on the other hand felt extremely angry as he had simply followed instructions! Classroom language can also be misleading when using more technical terms as the child gets older. My daughter was participating well in a science class investigating solids, liquids and gases until she was asked a question about the nature of matter. She had not accommodated this language and was unable to answer the question. The teacher that phoned me clearly found this very frustrating, but for my daughter nature=tree, grass, outdoors etc; and matter=emotional state as in whats the matter? So the question made no sense. Literal thinkers have clear cut attitudes and respond well to rules and structure. Conversations with them need to be uncluttered sticking to single topics; and very clear and jargon free. Obviously, many communications are brief and stress free, however for important conversations and to avoid misunderstandings, here are my top tips: Communication Top Tips Identify a quiet space to talk (if face to face) Give your full attention (Easier if point one has been achieved!) Listen carefully, do not interrupt Be aware of Developmental age, use appropriate language Check that you have understood the communication/request correctly
  6. 6. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication Check that the other person has understood your response Keep the conversation focussed Have a clear resolution and ensure everyone knows the outcome Use empathy when discussing feelings or emotive subjects When communicating by email or text read before you send check that the content is clear and not subject to misinterpretation! Supporting communication in classrooms Have clear instructions on the board Use posters to give a visible reminder of routines, eg when coming in or leaving the classroom Use pictures to illustrate Keep language simple Address Developmental age Give out a clear glossary of new vocabulary and go through this with the class Have task sheets breaking down instructions into simple steps for learners with working memory difficult Finally, you may have noticed there is no specific information here about adolescents. I believe that this sphere of communication and management merits a whole article to itself, so watch this space!
  7. 7. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication
  8. 8. Jane Mitchell April 2015 Lost In Translation Communication and Miscommunication