ECIC offers a wide range of cognitive brain exercises. There is no other program for adults and young adults with such comprehensive options. These exercises were developed at Arrowsmith School® in Toronto which has used this program successfully since 1978. These exercises focus on specific brain functions that are responsible for memory, reasoning, planning, organization, processing, listening, social perception and number efficiency (mental math ability). The following is the name for each Arrowsmith Program® brain exercise offered at ECIC and what functions they address in the human brain:
Motor Symbol Sequencing
This capacity is involved in the process of learning and consistently producing a sequential symbolic motor pattern. When there is a weakness in this capacity, all sequential symbolic processes involving input through the eye (e.g. reading), output through the hand (e.g. writing) and mouth (e.g. speaking) are impaired. The following are some features of this problem.
- Words may be misread due to poorly developed patterns of eye fixations. For example, the person reads “step hall” for a road sign that actually says “steep hill”. A truck driver may misread road signs or bills of lading, causing him/her to take a much longer time to perform his job despite having superior intelligence.
- Handwriting is messy and irregular. People with this dysfunction would rather print than handwrite.
- Writing is not automatic. The person has to concentrate on the process of writing and as a result has less attention to focus on the content of what is being written. Slow writing speed also results.
- Copying material from one location to another (i.e. from the whiteboard or a textbook into a notebook) is slow and often inaccurate. People that perform clerical work often find it painful and tedious and as a result, will have a tendency to put it off.
- Spelling is poor. For example, the person may spell the same word several different ways on the same page.
- The person tends to ramble and has difficulty getting to the point. There is a tendency to leave out chunks of information which are necessary for the listener to understand what the person is talking about. The person has this information in his head and thinks he has said it but it does not get expressed in speech. It is difficult to get ideas out in the order of their importance in speech, and the person may go back and forth over several subjects, making his speech difficult for others to follow.
- Mathematics – This problem affects accuracy in mathematical computations. The person makes what appears to be careless errors but which are really motor slips. For example, the person thinks of one number in his head and unintentionally writes down a different number.
Symbol Relations Exercise
This exercise improves the adult or young adults ability to quickly see relationships between ideas or concepts. Problems in this area are displayed in the following ways:
- For most adults and young adults this usually showed up in childhood when learning to tell time on an analog clock. There could be confusion reading the hour hand or misreading the minute hand.
- Also, one could experience difficulty with understanding math concepts. The person can learn math procedures but has no idea of the meaning or “why” of the procedure. Mathematics is mechanical or procedural rather than conceptual.
- It is also apparent that the adult or young adult can have trouble understanding cause and effect relationships or the reasons why events happen. This is another sign that the Symbol Relations exercise could be beneficial for that individual. Trouble understanding cause and effect relationships has implications for learning new skills, working at a job and in understanding social situations.
- It is also evident that some people with weak Symbol Relations often need to read material over and over again, but is never certain as to whether he has understood what is being said. As well, the person has great difficulty figuring out word problems such as “Sally is shorter than Jane who is taller than Mary. Who is tallest?” because he can’t see the relationships.
- In addition, the person sits in on workshops or lectures and is not able to comment on the points being made because he does not fully grasp the meaning at that moment. After he leaves the seminar he plays the ideas over inside his head, comes to understand what was said and then is ready to comment but the situation is no longer available. This is a very frustrating experience. This can also happen in a discussion in a social situation. More importantly, the person can’t grasp the logical inconsistencies in what somebody is saying, which may leave him prey to destructive friendships or con artists.
- There is often personality rigidity or stubbornness associated with this learning weakness because the person has difficulty considering several alternatives logically at the same time in order to plan and make decisions. Once the person has made up his mind it is very hard for it to be changed because he has so much trouble holding two or more alternatives in his head simultaneously while also looking at the advantages and disadvantages of each. He can’t see the relationships between two or more positions.
- The individual often has trouble understanding and communicating his own thoughts and feelings to others due to this problem. This can lead to feelings of anger and frustration on the one hand and helplessness, alienation and depression on the other.
- The most salient feature is a sense of uncertainty – of never being able to verify meaning but only guess. There is a general difficulty in interpreting the meaning of any symbolic information whether spoken or written and the person is left with a constant sense of uncertainty as to whether he has correctly grasped the meaning intended.
Symbolic Thinking Exercise
The symbolic thinking capacity is responsible for developing and maintaining plans and strategies for action through the use of language. It is the capacity for mental initiative in symbolic tasks. Problems in this capacity are reflected in the following ways:
- The person has trouble keeping his attention focused on a language related task to completion. The person is easily distracted from a task and frequently labeled as having a short attention span. The person cannot maintain the focus of his attention in a job or social situation. The person cannot work out an active plan to organize himself, resulting in disorganized behaviour. There is a central lack of self-directed organization.
- The student has great difficulty developing strategies for studying. If shown a study method he will follow this but he cannot develop his own study strategies. This applies to other situations as well; if shown a strategy the person may be able to implement it, but could not originate it
- The person is not self-correcting of his mistakes and is frequently unaware that he has made mistakes. The person has difficulty learning from his mistakes due to this lack of awareness. Along with this there is a general lack of worry or concern about his performance.
- At a milder level of impairment the person can worry to some extent about something but does not pull in all the facts and keeps hammering away at one or two things until becoming distracted again. After it has been pointed out, the person becomes aware of the foolishness of his behavior, but can’t work out strategies to prevent it from happening again.
- The person cannot work out long term goals and plans for himself. He tends to respond to the immediate situation in a ‘live for the moment’ fashion. Other people may view him as untrustworthy or flighty because of the lack of stability in long range planning.
- The person’s choice of friends may be based on how ‘fun’ they are with no consideration of the long term consequences of the friendship.
- If a person does not know the answer to a question immediately he will leave the question. There is no process of active probing or searching for the answer, no mental initiative. The person is mentally passive.
- There is a difficulty in seeing the main point or overall idea of a symbolic activity (e.g., a discussion, a story, a movie, a math question) and a tendency to get sidetracked by irrelevant details.
- The person fails to take into account all the existing elements in a situation before acting and therefore behavior is inappropriate to the specific situation; he cannot look before he leaps.
- The person reduces a situation to a stereotype of an already known situation so that there is a lack of differentiation between situations and a response that is appropriate in one situation is applied in another where it is not appropriate. For example, the person may think that a strategy developed by a character in a television program is an appropriate strategy to deal with a real life situation.
This is the capacity to recognize and remember a word or symbol visually that has been seen before. The following problems occur when this capacity is weak:
- The person has to study a word many more times than average before they can visually memorize the word and thus recognize it and say it correctly the next time he sees it. The person literally does not recognize the word “house” as the same word they have seen before. As a result, learning to read and spell words is a slow process. A person with this problem has trouble visually recognizing their spelling errors.
- The person’s word recognition level (i.e., words they can see and say immediately) is low.
- Reading speed is slow because the person has to rely on sounding out words that they should be able to recognize.
- The person has great difficulty visually memorizing symbol patterns in mathematics (e.g., patterns in algebra) or in chemistry (e.g., chemical equations).
Memory for Information and Instructions
This is the capacity for remembering chunks of information such as instructions. A weakness in this capacity results in the following symptoms.
- There is difficulty remembering verbal information or instructions. The person has trouble remembering and therefore following lectures or extended conversations or instructions. Instructions often have to be repeated several times before the person is certain of what he is supposed to do, and this certainty doesn’t last. The person is often aware that he has forgotten and is too embarrassed to ask again, after having had it explained so many times, and may decide to ‘muddle through’. One example is not being able to follow a radio program because the person could not remember enough of the information as he was listening. When he improved on this capacity he was able to follow the radio to the point that he even won a radio contest. This can also happen when watching TV or a movie – the person can’t remember parts of the newscast or movie.
- Parents often think their child is stubborn, irresponsible or lazy because they ask him to do something and it doesn’t get done because the child forgets. If the child is told to do something and then gets distracted, for example by answering the telephone, the instruction will be totally forgotten, to the point where he may insist that the request was never made.
- People with very poor memory for instructions/information tend to smile a great deal and not participate in any conversation or discussion because they can’t remember enough of the information to follow. They also tend to tune out in lectures, conversations and job situations because they get tired due to the extra effort required to retain the information.
- When a person with this dysfunction tries to learn something new there is a gradual degradation of the information he is trying to memorize. The person may memorize information for a job, finding it hard initially, and he may have to go over it 10 times, but he feels that he knows a fair amount of the information by the end of studying. An hour later he’s got 3/4 of it, a couple of hours later he’s got about 1/2 and by the time he writes the exam for his job he is in trouble.
- Another sign for this problem is difficulty remembering lyrics in a song.
- One man who flies an airplane has trouble remembering the information from the tower (fortunately it is repeated several times) and reported some near misses due to this problem. This same man would be sent out to the grocery store with a verbal list of 4 or more items and would invariably forget several items.
- People with this problem tend to compensate by taking notes in order to help them remember information or by developing rigid habits without which their lives would fall apart.
This is the capacity for the sense of how symbols (words and numbers) interconnect sequentially into fluent sentences and procedures. This occurs in thinking, speech and writing. The following are examples of problems caused by weaker functioning in this capacity.
- The ability to rehearse and recode information and actions through speech inside one’s head (internal speech) is impaired. In any learning situation this impairs the person from being able to actively recode information through internal speech in order to retain the information solidly in memory. Thus the information that can be memorized immediately breaks down over time with a significant loss in long term retention due to an inability to recode the information. In other words, the person may show an inability to recapitulate or ‘put things in his own words’.
- The person tends to have stereotypic speech (e.g., a store of memorized or cliched phrases) because he has trouble elaborating or extending speech. The person tends to speak in short sentences. Written expression is similar. The person does not have a sense of the appropriateness of where words go positionally in a sentence. The sentences used often are incomplete and do not make sense even when complete, e.g., “I would ask a loan for the bank.”
- There is difficulty in following long sentences.
- The person lacks tact in what he says and may appear to be rude because there is a failure of active internal mental rehearsal of what he is going to say and what the consequences of this would be. An example: a girl receives a cassette of a rock group for a birthday present and hands the tape back to the giver saying “I don’t like this group”.
- Procedures in mathematics can be learned with some extra effort but there is a breakdown of the steps of the procedure over a relatively short time. A common example is that the steps in a long division question fall apart.
- . The person does not work out inside his head using internal speech the significance and consequences of doing something before acting so behavior can appear impulsive or ill considered.
- The person has very limited ability to say things to himself inside his head to control his behavior. He cannot go through a process of active internal rehearsal of what he should do in various situations. He may feel ‘parachuted’ into an experience and not be able to develop an effective response to his environment.
- The “ASK BEFORE YOU DO” syndrome: Loved ones report that their family member tries to be helpful and goes ahead and does something without asking before he does it. The person is not capable of thinking out the possible consequences of the action beforehand.
This capacity is necessary for the coordination, modulation and interpretation of emotions. The following problems occur when this capacity is impaired:
- The person has difficulty registering and interpreting his own emotions. The person’s emotions are less refined and less differentiated. The person’s capacity for being emotionally reactive or responsive is impaired.
- The person cannot interpret non-verbal information such as facial expressions and body language and as a result he can’t change his behavior according to the signals people are sending him. For example, the person cannot read his boss so he is unaware of whether the boss thinks he is doing a good job or not. Similarly, the person is unable to interpret a teacher’s reactions which can interfere with the learning process. Also the person does not always act appropriately in social situations because he does not perceive the significance of the non-verbal information.
- The person tends to talk about something excessively, and does not pick up the cues that other people are not interested in listening and want him to stop.
- The person has trouble resisting impulses and can become dominated by them. One example is excessive impulse buying.
- There is a lack of anticipatory planning and of developing long term strategies to deal with situations.
- The person does not get worried in situations when he should.
- There is a failure of active surveying of visual details to get the overall picture of a situation. The person prematurely stops looking before taking in all the visual information and hence comes to the wrong conclusion about the situation.
This is the capacity for recognizing and remembering the details of visual objects. A weakness in this capacity is indicated by the following characteristics:
- A person with this problem takes longer to visually recognize and locate objects that he is looking for. There is difficulty finding items when shopping. The person walks by an item several times before he recognizes it. The person also has trouble locating something in a refrigerator.
- A manager of a drugstore with this problem had great difficulty learning to recognize his products and to remember their locations in the store.
- The person has trouble remembering visual cues (such as landmarks) that help in the process of remembering the location of places
- The person has trouble recognizing and remembering faces and will miss details in facial expressions, both of which cause social and interpersonal problems.
- The person has trouble remembering the visual details of pictures.
A problem in this area impairs a person from carrying out internal sequential mental operations such as doing mathematics inside his head.
- The person can be so impaired that simple counting processes break down.
- The person has difficulty calculating change at a store.
- The person has trouble adding up the numbers in a series of playing cards for games such as Bridge.
- If this dysfunction is at a moderate level of severity it means that the person is unable to sufficiently hold numbers inside his head to stably learn the addition and multiplication tables. The person cannot make progress in mathematics beyond a grade 4 level. The person resorts to finger or stick counting when solving math questions.
- If the problem is less severe the person may be able to eventually learn his math tables but since he cannot do even relatively simple mental operations he cannot carry out the more difficult aspects of dealing with fractions at a grade 4 to 6 level.
- Anyone interested in a career involving mathematics requires the supplementary motor capacity for mental operations at an above average level to succeed.
This is the capacity for perception of where both sides of the body are in space.
- The person has limited awareness of where one or both sides of his body are in space. He has a tendency to bump into objects, doorways, etc. with the affected side of the body.
- When driving a car, the person is not equally aware of both sides of the car. This can result in scratching the car more frequently on one side, taking corners too wide and/or driving too close to either the right or left side of the road.
- The person is less aware of where his/her hands and fingers are when cutting with a knife or using tools; consequently, injuries may result more often than normal.
- If the problem is severe the person may hurt himself/herself on the impaired side and be less aware of where the pain is coming from.
- If the problem occurs in the writing hand uneven pressure results, causing the person to wander on and off the line when writing.
- In more severe cases there is an inability to recognize objects through the sense of touch. A person cannot distinguish between keys or anything lighter when feeling his/her pocket.
- There may be some degree of awkwardness in body movement.
- There is also less articulated mouth movement which can result in speech slurring.
Broca's Speech Pronunciation
This is the ability to learn how to pronounce syllables and then to learn how to integrate the syllables into the stabilized and consistent pronunciation of a word. A weakness in this capacity leads to the following difficulties.
- The person feels uncertain as to how a word is pronounced. The pronunciation of words does not achieve stability or consistency hence the person thinks of several ways to say the same word not being certain which is correct. The person mispronounces words or may avoid using words he knows and understands because of this uncertainty about pronunciation. This may restrict the spoken vocabulary to simpler words.
- It is difficult to learn and enlist phonics skills in the reading process. The person’s silent reading vocabulary is often several grades higher than his oral vocabulary because he recognizes the meanings of words that he can’t pronounce.
- The speech process requires more concentration than normal so the person has trouble thinking and talking at the same time. The person must concentrate on pronouncing the words and as a result can lose his train of thought. This results in shyness (quietness) in new situations involving talking with people, and a tendency to get drowned out by people who find it easier to speak.
- There is great difficulty in public speaking unless working from prepared text.
- The speech tends to be flat and monotonous with a lack of rhythm and musical intonation. There is a tendency to mumble.
- This impairment also interferes with the ability to learn the spoken aspect of a foreign language.
Auditory Speech Discrimination
This is the ability to discriminate between similar sounding speech sounds (e.g., fear – hear, doom – tomb). A problem in this area results in the following difficulties.
- The person mishears words in a conversation, discussion, lecture, TV program or series of instructions and therefore misinterprets some of the information he hears. He also has to use active attention in order to discriminate some of the words he hears which can result in his becoming fatigued due to extra effort required to listen and this can lead to his tuning out the conversation. It can also lead to serious misunderstandings if the person interprets what he hears as an insult.
- While taking notes the person mishears some words and writes down the wrong words. When he tries to study from these notes he is unable to because the notes do not make sense.
- There is difficulty discriminating foreign language speech sounds which makes learning a foreign language through hearing difficult.
- A person with this problem has more trouble understanding someone who speaks with an accent. One girl with a severe auditory speech discrimination problem dropped out of grade 13 because she became embarrassed with having to ask the teacher to repeat himself so frequently.
- A person with this problem tires in speech listening situations because he has to use extra attention and energy to interpret the words that he cannot clearly hear, even though his hearing for loudness and pitch is normal.
This is the capacity necessary for remembering several words in a series.
- A person with this problem has trouble remembering more than three unrelated words in a series.
- Auditory acquisition of new words is impaired. The person has to hear the word associated with its meaning several times before he remembers it. The person has trouble recognizing and remembering that one word is a synonym for another. This significantly impairs the reading process.
- The person has trouble following oral information due to the limited holding capacity of his memory.
This is a lack of awareness of the position of the lips and tongue. It results in slurred speech. A person with this problem will have difficulty with rapidly repeating such tongue twisters as “which wristwatch” or “one runway”.
Narrow Visual Span
This is the capacity responsible for the number of symbols or objects a person can see in one visual fixation. When the span is restricted to below four symbols the following problems occur.
- The person cannot see whole words in a single visual fixation. He must make three to ten times the normal number of fixations to read a line of printed material. This causes severe eye fatigue when reading and in severe cases can result in temporary blindness from overworking the eyes. People with this problem report that they cannot read for more than 30 to 60 minutes without taking a break to rest their eyes. The eyes become bloodshot as the eye muscles are overworked from making visual fixations.
- Reading is experienced as jerky and errors occur when the eyes become fatigued and miss fixations. These types of errors also occur in clerical work.
- Reading speed is slowed down due to the extra time required to make the increased number of visual fixations.
- Navigating in the dark is difficult, e.g., finding a seat in a darkened movie theater or driving in the dark.
Spatial reasoning is the capacity to imagine a series of moves through space inside your head before executing them. The following are examples of weak functioning of this capacity.
- The person has difficulty visualizing a pathway of movements inside his head. This would result in some difficulty in finding his way through space because the person cannot work out a map inside his head of how to get from one place to another. As a result the person frequently gets lost or takes much longer to get from one place to another. In some cases the person becomes phobic and avoids going anyplace new because of a fear of getting lost. This difficulty applies even to small spaces like tracing out pathways on circuit boards.
- When map reading the person has to rotate the map to orient towards the direction he is going. He cannot rotate the map inside his head.
- The person does not have a map of how space works inside his head. Several people with this problem report that they cannot imagine how streets connect with one another.
- The person forgets spatially where he has left objects resulting in loss of the object or spending extra time trying to find objects.
- The person’s workspace tends to be messy and disorganized with material stacked in various piles within line of sight. This is because the person cannot imagine how to organize his space. If he puts something away in a filing cabinet or drawer he later has trouble imagining in his head where it is.
- The person has more trouble navigating in crowded space because he cannot map a plan of how to get around obstacles ahead of time.
- In driving a car the person has trouble planning his moves ahead of time and also has difficulty anticipating the future movements of other cars on the road.
- A person with this problem is poor at imagining moves ahead in a game such as checkers or chess. They tend to react to the other person’s moves as they happen rather than developing a series of planned moves.
- In any sports activity requiring a spatial plan of movements (e.g., planning how you are going to ski from the top of the hill to the bottom, anticipating the movement of the tennis ball and planning where to place yourself on the court to hit it) the person is at a disadvantage.
- There is difficulty imagining inside the head different ways to arrange furniture in a room. The person has to physically move the furniture in order to find the best arrangement.
- There is difficulty in constructing geometric figures.
A person with a mechanical reasoning problem has difficulty in imagining how machines operate and in effectively handling and using tools.
A person with an abstract reasoning problem would be impaired in being able to carry out in proper sequence a series of steps in a task such as in computer programming, using tools or in cooking. The person does not understand the sequences as they need to be set up to get the correct outcome.
This problem interferes with the speed, strength and control of muscle movements on one side of body or the other. This results in some degree of awkwardness of body movement and some degree of less articulated movement on the affected side of the body.