You are currently browsing the archives for August 2009

Teaching Self-Advocacy

  • Posted on August 27, 2009 at 8:09 PM

According to Dictionary.com, advocacy is the act of pleading for, supporting, or recommending; an advocate is an intercessor who pleads on the behalf of another or a cause.  Advocates have worked hard to reshape the way societies view disadvantaged minority groups.  Individuals within those groups have also stood up to fight for themselves and their right to be treated with respect and dignity as human beings.  Individuals with developmental disabilities are no different.  Except, for them, we’ve had to coin a new word before we could accept the validity their actions.

Thus, the concept of self-advocacy was born.  Self-advocacy is a civil rights movement that advocates for the right of people with developmental disabilities to speak for themselves on their own behalf.  For typically developing people, the act of self-advocacy would simply be called standing up for their rights or self-defense.  Yet, society feels we need another word or phrase to describe this same behavior in individuals with developmental disabilities.  Our society still clings to the belief that people we label as developmentally disabled cannot decide how to live for themselves, and we find it rather remarkable when they try to do so.

As much as this need for a separate term offends me, I have a responsibility to teach my children to advocate for themselves and for each other.  Growing up, I knew I could rely on my brother in this capacity.  I didn’t have the need for advocacy my children have, but my brother stuck up for me and defended me when I lacked the power to do so for myself.  He saw value in me that I often couldn’t find in myself, but I learned to stick up for myself by watching him.  I want my children to have the same close relationship and the same desire to stand with each other.  I want my children to grow into strong individuals who will stand up for themselves and the people and causes that matter to them.  I want them all to be advocates and self-advocates.

How do you teach children who struggle to socialize to grow and wield their influence on behalf of their own interests and the causes they believe in?  As I’ve learned with my stepson, this is a difficult thing to instill in young minds even when communication is relatively easy.  My stepson Brandon faces many challenges uniquely his own.  Many people in his life either refuse or are unable to see his potential.  He struggles to believe in himself and his abilities.  He’s starting to understand that he has a right to stand up for himself, for what he believes, and what he can do.  At the tender age of twelve, he risks seeing many doors close to him if he doesn’t stand up to those who would hold him down.  His father and I, and others who believe in his potential, can help.  But, in the end, he must believe in himself, speak for himself, and act on his own behalf.  This is a regular part of growing up.

The same will be true for my other children, Willy, Alex and Ben.  They will face even greater challenges, because more people will see them as limited with little or no potential to grow and develop, to do and be.  Now they are still young enough that my husband and I can shelter them from most of the doubters.  Alex and Ben are mostly unaware that there are those who would limit their potential.  Willy is becoming aware of this, though, as he gets older and interacts more fully with his peers.  Many of his fellow students have grown up with him since pre-school.  They accept Willy, but they also regard him as less capable than themselves, even in areas where he excels.

I attended one of Willy’s field trips to one of this city’s many parks.  When they were playing on the playground equipment, Willy wanted to climb up the biggest slide with the rest of his playmates.  One of his classmates said, “No, no Willy.  This slide is too big for you.  You might get hurt.”  The child meant well, but he was wrong.  This activity was no more dangerous for Willy than it was for the other children.  Willy struggles with the intricacies of language and socialization and processes sensory stimuli different than his peers.   Willy excels as an athlete, but struggles with sportsmanship.  So, I took the child aside and talked to him.  The idea that Willy, who struggled with things he and their other classmates did so well, could play their game and climb the big slide just like them was novel to him.  “But he might fall.”  I nodded.  “He might.  But you might fall, too.  Any of you might fall.  Willy is autistic, which means he can’t do some things as well as you do.  But he can do this.”  So, we watched as Willy climbed up the big slide.  His foot slipped once, but he made it to the top.  There was a new look in his friend’s eyes as he watched Willy slide down – a look of wonder and pride, but also incredulity.

Though he speaks, Willy still has a hard time getting others to listen when he tries to stick up for himself.  However, he’s learning to advocate for his little brothers.  Neither Alex nor Ben have an effective means of communication with those outside their circle.  Willy often acts as their intercessor.  “My brother won’t ask for it, because he doesn’t talk, but he wants a drink.”  Or, “You can’t make fun of him.  It’s not nice.  He can’t help it if he can’t talk.”  Brandon, too, is learning to stick up for his younger brothers.  Still, self-advocacy eludes us.  Perhaps it will come in time.  But, perhaps, you must learn to stick up for others and appreciate them for all their differences, before you can truly stick up for yourself.

Highlight It

Witty Whitterer

  • Posted on August 27, 2009 at 12:00 PM

Maddy is an old blogging friend of mine who made it really easy to get back in touch.  She blogs several places, including Whitterer on Autism, Alien in a Foreign Field, Sandwiched Genes, The Semi Naked Chef, and View from a Broad.  I have to wonder where she finds the time – or to be more accurate how she makes the time.  Cordial, entertaining, quirky and kind – those words come to mind readily when I think of Maddy.

Whitterer on Autism is the blog I visit the most – or am starting to visit the most, since I still haven’t gotten into full blogging mode.  On this blog you’ll find a light-hearted look into the lives of a family with both NT and autistic children.  A fun romp to be sure, especially through Maddy’s eyes.  Often funny, sometimes poignant, always genuine.  She does a great job capturing idiosyncratic dialogue that brings people to life on the screen.  Her stories are truly a pleasure to read, though difficult to describe.

In studying the craft of writing, one of the things that always puzzled me was the slice of life vignettes.  What were they and what’s the point?  I remember, when I first found Maddy’s blog, thinking – oh!  Maddy’s stories are often slice of life vignettes.  They have many of the elements of story, including a point; but they don’t follow the typical form with a beginning, middle, and ending.  She does this form very well, and makes it feel very tangible.  And she always makes me smile.  So, go, read, smile!

Highlight It

OAR’s Telemedicine Research

  • Posted on August 25, 2009 at 12:00 PM

I had the very special pleasure of talking to Dr. Peter Gerhardt, President & Chair of the Scientific Council of OAR (Organization for Autism Research), for an article that is still under consideration.  In our conversation he mentioned OAR-funded research on Telemedicine.  So, when this popped up in my e-mail box, I had to check it out.

“The two-year project will measure the effect of telemedicine support on parents’ ability to provide PRT to improve functional verbal communication in their children with ASD.”  It compares parent treatment with and without telemedicine support after the same initial training program.  If telemedicine support proves effective it may provide a cost-effective means of helping families provide effective learning environments for their autistic children that facilitate the development of readily recognized social communication skills.  In many areas, cost and shortage of services result in long waiting lists and limited service options, therefore if this procedure proves effective it will increase access to timely treatment options.

As a side note:  “PRT is an evidence-based model that uses both a developmental approach and the science of applied behavior analysis (ABA) procedures to target areas that underlie the core symptoms of autism, including impairments in social interaction, communications, and repetitive/ restrictive behaviors.”  The value of the “evidence-based model” may seem questionable after reading Michelle’s post.  However, OAR states:  “Among the myriad interventions that claim some degree of effectiveness with individuals with autism, interventions based upon the principles of applied behavior analysis (ABA) have the most comprehensive and sophisticated research base by far.”  That, admittedly, offers little reassurance in the face Michelle’s report.

Highlight It

Making the Connection

  • Posted on August 23, 2009 at 5:15 PM

When Willy was diagnosed, we were told Willy would never say “I love you.”  The doctor wasn’t just talking about the verbal expression of love, but implied my son lacked the ability to feel love.  Now, seven years later, Willy says “I love you” at least a dozen times a day.  He expresses love through hugs, kisses, and quiet acts of compassion.  It is easy to see and to hear and to feel Willy’s love.  He has deep connections with the important people in his life – both adults and children, whether they are family, friends, or service providers.  He loves and he shows it in a way that’s easy for others to recognize.

Alex, on the other hand, is predominantly non-verbal.  He’s said “wuv oo” maybe a dozen times in his entire life.  Like all his words, these are rare precious.  Yet, even for Alex, the implication that he does not love or cannot show his love is entirely wrong.  Alex loves the same way he does most everything else – passionately, loudly, and deeply.  Alex is sparse with hugs and kisses most of the time, then has sporadic outbursts of affectionate touching where he wants to be hugged and kissed for long periods of time all at once.

Alex shows his love in other ways that become easy to read if you make the effort.  His face lights up when his Noni (grandma) comes over and he bounces up to her, holding onto her, and trailing behind her like a loud, wiggly shadow.  He grabs people he loves as if he’s literally trying to pull them into his experience.  He jumps at them and presses himself against them like he’s trying to occupy the same space as they are.  His touches can be gentle, but usually he uses the same pressure on others that he likes for himself – deep, rich pressure that reaches to the bone.  When he greets those he loves his vocalizations reach an excited pitch that has a different tenor and tone than any other time.  He loves with his whole being, every fiber and sinew, and expresses it the best way he knows how.  Yet, many people outside the chaos of autism would not see or interpret his love accurately.

* * *

Some people assume that “normal” people can communicate with each other and autistic people cannot or cannot do so easily; thus, there is either no communication or faulty communication coming from the autistic people.  Those who have studied communication, however, know that communication is a difficult process.  Even “normal” people rarely communicate effectively.  What I say, you may hear, but you’re likely to interpret it differently than what I mean – if you’re listening at all.  Truly effective communication is rare.  People hear, but they don’t listen; people read, but they don’t seek to understand.  We talk, but that doesn’t mean we communicate.

When an autistic person is trying to communicate, this problem may be exacerbated by the different ways some autistic people use to communicate.  For example, Willy is heard more often than Alex, because he communicates in a way that neurotypical people are familiar with; whereas, Alex communicates in a way that is all his own, and most people have no experience listening to him and assume he’s not communicating anything.

In this sense, it is true that some autistics do not communicate effectively.  In order to effectively communicate, the hearer has to listen and try to understand.  That does not mean it’s true to say that autistics do not express themselves or their emotions.  Whether they use words or not autistics do express themselves.   Some use a set of verbal and body languages very different from our own.  Others learn the set of verbal and body languages we use daily, but it is as if these means of communication are foreign to them, like French or Spanish is foreign to a native English speaker.  Even if they become fluent in the ways we communicate it will still be more challenging for many autistics to communicate unless we learn their verbal and body language as well.  Communication is a two-way street, and we shouldn’t expect them to do all the work.

* * *

A while back my brother came to visit.  He can rarely afford to make such a trip, so it’s always something of a shock when he’s here (for him, not us).  He loves his nephews dearly and tries very hard to communicate with them, but it requires a period of adjustment, especially with Alex.  Willy is verbal and very physical and adores his Uncle Pat to no end.  It requires very little work for them to re-establish their connection.  Benjamin Patrick, my brother’s namesake, loves to be lifted high and tossed around.  That and an unconscious sense of trust (that’s doled out selectively, but uncanny wisdom) is enough for Ben to build a bond with someone.  Alex is more puzzling for most people.  It’s not that he adores his Uncle Pat any less, or that he doesn’t appreciate the physical play that my brother is so good at, but Alex communicates in a way uniquely his own.  Understanding Alex can be difficult even for those of us with a lot of practice.  For someone without that practice, sometimes it’s simply impossible; often an interpreter is necessary.  Alex is also more wary than his brothers.  He likes to stay back and observe before he joins in any action.  He’s also adapts more slowly to major changes, but handles minor ones more easily.  So, when my brother came Alex held back at the first.  But once Alex regained his sense of equilibrium while having Patrick in the mix he was able to interact with Uncle Pat as well as he can, but it still was difficult for Patrick to understand him.  It wasn’t that Alex didn’t express his love or his enthusiasm in having Uncle Pat around, but that it was more challenging for Patrick to understand him.  Patrick knew this, accepted it, and did the best he could to understand.  Most people don’t bother.

In order to connect with people socially, communication is required.  In order to have communication, there needs to be an expression, a “listening” period, and comprehension.  To say autistics do not express love or that they do not try to make connections with others is wrong.  The expression is there, but may come in different forms than most of us are familiar with.  The questions becomes:  “Are you listening?  If you are, are you trying to understand?”  From what I’ve seen, the answer is often no.  We hear, but we do not listen.  We talk, but we do not communicate.  When communication fails, we blame others because they didn’t speak to us.  Most of us don’t stop to ask, “Did I listen?”

Highlight It

Estee Klar’s Joy of Autism

  • Posted on August 19, 2009 at 12:00 PM

Back when I was blogging at Hazardous Pastimes, I used to converse regularly with Estee Klar at The Joy of Autism.  Estee is also the founder and executive director of The Autism Acceptance Project, where she works to advocate the acceptance and accommodation of autistic individuals and where she also promotes the work of autistic artists.

You can read more about Estee’s personal journey with autism.  In this article, Dr. Baum describes Estee as, “really a fighter; she has lots of energy to push forward the cause of children with autism. She is a huge advocate for people with autism to have the right to be who they are and that society must accept them.”  Estee has done her research and comes clearly on the side of rights, dignity, and quality of life for autistic individuals.

I have great respect for Estee and look forward to a renewed and on-going friendship with her.  The work she does is very important for the autism community as she seeks to fight misinformation, prejudices, and discrimination where she finds it.

Highlight It

Health Effects of Activity Limitations

  • Posted on August 17, 2009 at 12:00 PM

Dr. Whitney P. Witt recently published a paper, “The Impact of Childhood Activity Limitations on Parental Health, Mental Health, and Workdays Lost in the United States,” concerning her research determining whether children with activity limitations (i.e., children whose activities are limited in comparison to their age-appropriate peers) affects the physical and mental health of parents.  Not surprising, Dr. Witt found, “Parents of children with any activity limitation were significantly more likely to experience subsequent poor health and mental health.”  If the activity limitations were on-going and/or multiple children lived with activity limitations in the same family, then the odds of poor mental health were significantly increased.

The results are not surprising.  She concludes:  “These findings indicate that child health can importantly influence the health and work behavior of the family and that health care providers should consider a family-centered approach to care.”

I don’t disagree.  Family-centered health care is important.  But, and this is a BIG but, there is a time-tested method of assisting these families.  Witt touches on that as well:  “Employers should consider offering respite care or additional support services for families whose children have activity limitations. This could enable the parents to miss less work and may improve workplace productivity.”

Neither my husband nor I have ever worked for an employer that offered such a benefit, though our work history has suffered due to the special needs of our children.  However, Wisconsin has an excellent (read here: expensive!) autism program that provides respite care to our family.  It is a sanity-saver!  Respite care is vital when you’re raising children with special needs.  Unfortunately, it seems funds for these programs are too few, spread too thin, and too limited to benefit as many people as need it.  For example, though these services are widely available to Wisconsin families with children with autism, families with children experiencing other special needs and activity limitations do not share in these same benefits.

There is a cost to raising children with special needs.  The cost is real, whether it’s spent preventatively or on treatment.  Our families are worth the cost.  Our productivity is worth the cost.  Our health is worth the cost.

“There are substantial health, mental health, and work implications for parents caring for children with activity limitations.  Addressing the needs of these parents could help improve the health and well-being of the whole family,” Dr. Witt said.  And she’s right.  It would also make for better employees, better citizens, and a better nation.

Highlight It

Why Chaos?

  • Posted on August 15, 2009 at 1:32 AM

As a person of faith, I believe in the existence of an underlying order that spans the entire universe and our individual, daily lives.  I believe this order is designed by a loving God, set in place to fulfill eternal purposes.  And yet, I say I embrace the chaos of autism.  How can this be?

Life generally appears chaotic.  Life with three active, autistic boys seems even more chaotic than the usual American family.  My boys do crazy things.  And we live a crazy life keeping up with them.  However, in embracing this apparent chaos, we can find the order that lies beneath the unpredictable surface.  From catching the “joos” that’s surrounded by babbled syllables to know that my son wants a drink of juice to finding my son who refuses to use the potty changing his own diaper.  I look for the meaning and the order that is uniquely theirs.

There’s order to the spinning, the lining up, and the sporadic skills that seem to come and go with the changing breeze.  To find the order, you must embrace the chaos.  Otherwise, you’re trying to change the underlying order of these little people in your care to your own pre-determined expectations – and that is when you create genuine chaos in their young lives.

Highlight It