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What is Sensory Processing Disorder? PDF Print E-mail

 

Submitted by Hartley Steiner

Recently I have seen a rise in the number of articles, Facebook posts, and even tweets claiming to define what Sensory Processing Disorder is. This should be good news, and it is -- mostly.  But, some of them are full of misinformation.

HartleyAlthough I am thankful that anyone wants to help spread awareness, it frustrates me personally that these people could very well be doing more harm than good. I have dedicated such a large portion of my life to spreading awareness that will hopefully benefit kids like mine all over our country and arguably the world, that I would really like to see people get good, solid and accurate information. Wouldn’t you?

It is with that goal in mind – the goal to educate and help – that I am taking my personal stab at answering the increasingly popular question, “What is Sensory Processing Disorder?”  My answer, and this article, will be specifically geared towards helping parents with SPD kids prepare a response for the dozens of strangers (and even family members) who might stare or judge us every day.  We are on the front lines of this disorder, and I believe have the highest stake in making sure that the message being sent about Sensory Processing Disorder is complete and accurate.

Now, I’d like to start with a few myth busting points before we go any deeper so we can all start fresh.

“SPD is on the Autism Spectrum” or “SPD is a mild form of Autism” – FALSE. Although a significant portion of kids with ASD do have sensory issues (estimates range as high as 85%), the opposite is not true. Many children with SPD do not have ASD. So, to recap, SPD is NOT on the Autism Spectrum.

“They are trying to get SPD added to the Autism Spectrum in the DSM” -- FALSE. The work being spearheaded by the SPD Foundation and Dr. Lucy Jane Miler is to get SPD recognized as a ‘stand alone disorder’ in the DSM-IV. You can find more info on their site by clicking here.

“SPD just means that a child doesn’t like loud noises” – FALSE. SPD is not just a single symptom, nor is it about 'sensory preferences'.  Children with SPD have sensory differences severe enough to affect their social and academic development.  It is much more complex than 'not liking loud noises'.  And, although children with SPD can avoid sensory input, they can also seek sensory input.

“SPD is the new ADD” – FALSE. I am not going to combat the theory that we as a country (or society in general) have become increasingly consumed by labels, because I agree.  However, I would like to say for the record, Sensory Processing Disorder is real.  Just ask any of the thousands of families that read my blog every month, this is a true health issue that needs to be recognized so that these children and families can get the help they need.

“SPD affects all 5 senses” -- INACCURATE. This is probably my biggest pet peeve. We have 7 senses – SEVEN SENSES!! Touch, Taste, Smell, Hearing, Sight, Vestibular and Proprioception. If you are reading anything (blog, tweet, Facebook, article, newspaper, etc) and they say that SPD affects 5 senses – STOP reading. If they do not know at a minimum that there are 7 senses, this person is not an expert.

Now, let’s get to a real and workable definition.

The Sensory Processing Disorder Foundation’s website says the following:

“Sensory processing (sometimes called "sensory integration" or SI) is a term that refers to the way the nervous system receives messages from the senses and turns them into appropriate motor and behavioral responses.”

Let’s break that down so that we can get to a simple, easy to remember and crazy-easy to understand definition.

“…the way the nervous system receives messages…” -- this is referring to the messages received from all seven senses and how they are conveyed to the brain through the nervous system. The brain is the key component to the nervous system, as that is where the ‘processing’ occurs. By ‘processing’, we are in very basic terms referring to whether or not the brain ‘understands’ those signals. When the brain misinterprets the meaning of those signals, and can’t process them appropriately, it leads to an inability to turn them into appropriate motor and behavior responses.

“…appropriate motor and behavior responses…” – 'appropriate' here refers to the assumed way that a child should respond – if something is too loud, they should pull their ear back, if something is quiet, they shouldn't scream it is too loud. The word ‘motor’ refers to a physical response – how your body moves as a result of the information from the brain, and then ‘behavior’ how the child continues to respond (over or under reactions). Example: Loud unexpected BOOM! Kid cringes and covers his ears (motor), then screams and runs away (behavior).

I want to pause here to be sure that everyone knows there are three types of Sensory Processing Difficulties: Type I; Sensory Modulation Disorder, Type II; Sensory Based Motor Disorder and Type III; Sensory Discrimination Disorder. For the purpose of this post, which is simple understanding of SPD and increased ability to communicate what SPD is as a way to help spread awareness and understanding for our children, I am not going to go into them. You can find their definitions here.

Now that we all are on the same page with the formal information, let’s move on to the analogy that I find most helpful when discussing SPD with others, from the SPDF’s website:

“A. Jean Ayres, PhD likened SPD to a neurological ‘traffic jam’ that prevents certain parts of the brain from receiving the information needed to interpret sensory information correctly.”

Are you familiar with A. Jean Ayres? She is credited as being the pioneer for Sensory Processing dating back to the 1960’s. Her work is the foundation for current research and the modern understanding of SPD.

Now, on to how you and I can actually use these definitions for something useful: A 30 second sound bite.

This is what I use most often when talking to those around me who really don’t have the attention span to hear more, or when I have a time limit like when I am being interviewed (Radio/TV where my total spot might be 2-3 minutes, click here for an example).

It is also super helpful at the grocery store when my son’s need to touch everything on the aisle results in a virtual disaster or when he insists on swinging from the railings at the checkout counter. Or, at the playground when he seems to be consumed with pushing down some sweet and small little girl simply because she is too close to him, or even at my home while celebrating some holiday where my son is wound up like a top and crashing into everyone - head first into their butt -- while giggling nonstop.  Like me, I trust you will find many uses for the 30 second sound bite.  Here it is:

Sensory Processing Disorder is a neurological disorder that is like a virtual traffic jam in the brain. The information from all seven senses is misinterpreted which causes my child to often act inappropriately.”

Obviously you don’t need to memorize my version – and it can be shorter or longer as necessary -- and said in many different ways.

The key points that are important to communicate when talking to someone about SPD are:

1. SPD is a neurological condition (not a behavior issue)

2. There are 7 senses

3. Information gets misinterpreted

4. Sensory issues cause my child to act the way he/she does

I feel when I cover these four areas I am most likely to accomplish my two main goals when talking to anyone:

1. Help them understand my child and his behavior

2. Spread SPD awareness

I hope that you find this information helpful for both your practical understanding of what Sensory Processing Disorder is and so I can add you as another person who can help me combat the intensely mis-informed, however well-intentioned, people out there.

Our kids need understanding – which starts with making sure we are providing solid accurate information people can use.

So, here’s to all of you raising a SPD kiddo and spreading the word!

For more information on Sensory Processing Disorder I recommend the following books:

  1. The Ultimate Guide to Sensory Processing Disorder by Dr. Roya Ostovar  
  2. Sensational Kids:  Hope and Help for Kids with Sensory Processing Disorder, by Lucy Jane Miller Ph.D
  3. The Out of Sync Child by Carol Kranowitz

 

ABOUT the Author:

Hartley Steiner lives in the Seattle area with her husband and their three sons, two of which are on the spectrum. Hartley is the award winning author of the SPD Children’s book This is Gabriel Making Sense of School, a contributing writer for the SPD Foundation's blog, S.I. Focus Magazine and Autism Spectrum Quarterly.  Hartley chronicles the never ending chaos that is her life on the blog Hartley’s Life With 3 Boys. When she isn’t writing, or dealing with a meltdown, she enjoys spending time in the company of other adults preferably with good food and even better wine.

 

Comments  

 
# Guest 2011-01-12 17:52
Im writing because this sounds so much like my three year old son, alot of people just think that he is a naughty hyper three year old. Alot of people think that he has ADHD, but i think there's more then that. He is constanly in to everything having to touch everything running into people or headbutting them hates to wear cloths if he even spills a drop of anything on it and has to change immeditly. He is going to see a pediatric nueropyhcatrist in a couple of weeks some days he is so much we just don't know where to turn. But we also have a four year old who has autisum, which i know is differnt from spd but i belive our four year old my also have spd along with the autisum he has severe sensory issues and seeks alot of sensory input.
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# Guest 2011-01-14 15:59
Hi Becky,

Thank you for your comment! It does sound like your kiddo has some sensory issues going on - glad to see you are getting an evaluation. :)

Let me know how it goes!
Hartley
www.hartleysboys.com
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# Guest 2011-03-13 22:47
My son was this way and I was told repeatedly "Oh he's just a boy" when describing it, especially to daycares. After being banned from a few, we finally got the help we needed when he was referred from a child psychologist at age 3 (after pummeling a smaller child who also has special needs) to an Occupational Therapist. If you have not already, please check out Sensational Kids by Lucy Jane Miller and The Out of Sync Child by Carol Kranowitz. Each book outlines red flags of SPD... The first time I read each book was devistating for me having struggled so much with my son and even being told it was my fault only to find the answer right there.
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# Guest 2011-01-18 06:40
Well said, Hartley (as usual). My concerns for what is oft written online have to do with the 'treatments' for problems identified as having a sensory source. Protocols for 'brushing' are particularly harmful. At the other end of the treatment scale is a 'shotgun' approach - throw every sensation at the child and hope something changes. Mis-identification promotes treatment errors so your post is very useful. Despite separating sensory problems from autism the co-morbity should be acknowledged. I also see parents claiming a 'sensory' meltdown that may in fact be representative of other neurological diagnoses like PSTD, OCD, a seizure disorder and intellectual disability (behaving much younger or delayed, a tantrum).

Thank you for this post.
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# Guest 2011-01-23 09:35
Here are some activity suggestions to help with Sensory processing regulation...this blog post and many others!
http://tinyurl.com/3ygyc8c
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# Me 2011-04-12 18:11
Wonderful. Who diagnoses., I want an appointment for son.
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# Sensory processing d 2011-05-11 23:23
Sensory processing disorder is called the neurological disorder. In this condition children are confused and they can not understand exactly, what they wants to do. Because brain can not detect the messages properly. Occupational therapy is the best treatment for this disorder.
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# myra 2011-11-06 09:00
Thank you for being out there spreading awareness. My 8 year old has sensory processing disorder and a few other things as well. When I try to explain my son to other people, even family, they look at me like I'm from the moon. I decided to blog about him (http://www.sensoryandmore.com)and share what works for us to try and help other parents.
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# brooke 2012-03-04 00:54
my son also has a sensory processing deletion.. he has no auditory as in loud noises or bright lights but he's main gravity space is extreme he hates going on swings hes clumsy on he's feet which constantly throws him off balance my son was diagnoised with a sensory deletion along with a chromosome deletion which with those 2 he also has a devolpmental delay he is the only child in the world 2 have it as it's very rare...
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