In general, students with Williams syndrome learn best with consistency, structured instructional routines, clear and realistic expectations, social stories, scripts and visual schedules, and technology. In particular, students with WS are often very effective users of computers and iPads/tablets. They also benefit from “chunking” of material into manageable parts, audio and dynamic visual supports, rhyme, rhythm and cadence, music and/or performing, finding materials that they have an emotional connection with, and specific praise. Above all, it is important to provide the material in a variety of ways. Adapting strategies to pre-teach, teach, and then re-teach, in order to enforce concepts, can be very helpful.
Educators face unique challenges teaching children with Williams syndrome, but with knowledge of their learning style, students with WS can experience success in the classroom. The Educational Profile for Students with Williams Syndrome (also available in Spanish) is highly informative for both teachers and parents.
- Sociable nature
- Expressive vocabulary
- Long term memory for information
- Short term and long term auditory memory
- Hyperacusis (both positives and negatives - helps with phonics, hurts when child becomes excessively worried about noises)
Areas of Concern
- Attending difficulties (often distractible & impulsive but not necessarily hyperactive)
- Visual-spatial & visual-motor integration difficulties
- Visual memory deficits
- Difficulty with abstract concepts and abstract reasoning
- Perseveration on "favorite" topics.
Children with Williams syndrome have more difficulty processing nonverbal information than verbal information. When administered the WISC-III (or the earlier edition WISC-R) they score significantly lower on the nonverbal (performance) subtests than the verbal subtests.
The scatter of scores across all of the WISC subtests is quite varied, which tends to negate the predictive value of any sort of an average IQ score. Hence the WSA does not recommend the use of the WISC as an indicator of IQ. It does, however, show the discrepancy between nonverbal ability and verbal ability in the WS cognitive profile.
There is a generic field of study known as nonverbal learning disorders. Within that arena, educators and clinical psychologists see many different subtypes, which present overlapping characteristics. There is general agreement that in order to have a nonverbal learning disorder, there should be a significant discrepancy between verbal and performance subtests on the WISC.
Children with Williams syndrome share several key characteristics with children who have been diagnosed as having a nonverbal learning disorder. They both exhibit spatial relationship difficulties resulting, in the classroom, in handwriting problems. They share difficulty with math, which also has spatial roots, as well as being associated with the abstract reasoning deficit. They do best at reading in general, which is linked to their verbal strengths. They do better at the lower level reading sub-skills such as word identification and phonics than they do at comprehension, which requires more abstract reasoning and, in general, the ability to go from parts to a whole. Comprehension also requires the reader to be able to understand implicit semantic relationships among words and be able to make inferences.
An area of difference appears to be in personalities. As we well know, children with WS are very sociable and outgoing. Children with nonverbal learning disorders tend to be shy and withdrawn, although they too are reported to be very verbal and friendly as very young children. Both, however, have some difficulty making and sustaining friendships. The common factor seems to be that both have difficulty reading nonverbal cues, and therefore are often inappropriate in their social interactions.
Nonverbal function, in a cognitive sense, involves visual processing and the harder to describe idea of perception. The affected individual does not form visual images easily and does not re-visualize well (i.e. from memory). He or she also perceives the world differently than someone whose perceptual ability is seen to be intact. In a way, perception is the more spatial aspect of cognition, e.g. going from parts to whole, understanding cause and effect, etc. So a child with a deficit in this area would tend to focus on the details (and even perseverate on them) but fail to grasp the complete picture.
CONNECTING THE WS COGNITIVE PROFILE TO EDUCATIONAL STRATEGIES
Direct instruction can be helpful. As the name implies, it involves directly teaching each aspect of a skill. It also engages the student orally, to ensure that they become an active part of the process. Direct instruction programs are very sequential in nature, progressing in a building block way until the target skills are acquired and mastered.
The most common element of all of the remedial interventions described in the literature on nonverbal learning disorders is the use of verbal mediation and verbal self-direction, both for analyzing information and for organizing to perform a task. This means the child must be taught, through direct instruction, how to talk himself/herself through various steps, to successful completion of the process or task.
This concept can be used to improve verbal reasoning, vocabulary development, reading comprehension, and social skills. Because writing involves cognitively difficult processes requiring idea development, organization, and the ability to go from parts to a whole, it lends itself well to a verbal mediation approach. Handwriting can also be taught this way to young children.
Following are some specific strategies which have been recommended for teaching children with nonverbal learning disorders. Because individuals with Williams syndrome exhibit characteristic overlap, these approaches can be considered in the IEP planning process:
By following these principals, educators will utilize the student's verbal strengths to remediate difficulty they have processing nonverbal information. Ultimately, the goal is to have the student internalize the process and become totally self-directed in his/her evaluation and self-correction if so required.