tag:blogger.com,1999:blog-71640712922477246512024-03-12T21:36:50.443-07:00Almost NormalUnknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-7164071292247724651.post-29545234077855312172019-05-04T16:25:00.000-07:002019-05-04T16:40:13.568-07:00 Anxiety, Fear, and Connection<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">Warning: This is <b>pure speculation</b>. I am kind of thinking out loud here.</span></div>
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<span style="font-family: "verdana" , sans-serif;">But <i>what if the prevalence of smart phones and hand-held screens is directly linked to an increased prevalence of anxiety in early childhood?</i></span></div>
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<span style="font-family: "verdana" , sans-serif;">It seems to me that I am coming across a lot more children displaying anxious behaviour, or disruptive, difficult behaviour that may be based in anxiety ( </span><a href="https://www.heysigmund.com/anxiety-or-aggression-children/">https://www.heysigmund.com/anxiety-or-aggression-children/</a> ) <span style="font-family: "verdana" , sans-serif;">than i ever used to back when i used to work with children. </span></div>
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<span style="font-family: "verdana" , sans-serif;">Of course there are probably multiple reasons that could be behind this - increased financial stress on young families, the social trend towards organised classes and activities leading to over-scheduling, overstimulation, altered nutrition as a result of changes in diet, farming practices, and the effects of a few generations of artificial infant milks, antibiotics, and cesarean births (all life-saving interventions, I will add) on the human biome, maybe even an epigenetic legacy of war? But still, it does seem to me that there has been a steeper increase of anxiety-related behaviour in very young children in very recent years. </span></div>
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<span style="font-family: "verdana" , sans-serif;">I don't have any kind of data to offer to back this up, it is purely an observation. </span></div>
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<span style="font-family: "verdana" , sans-serif;">Because I have spent my life trying to figure out how I am supposed to behave as a human being, and what other humans are doing and why, I tend to pay attention to patterns of behaviour.</span></div>
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<span style="font-family: "verdana" , sans-serif;">If it is true that recent years have seen an increase in young children suffering from anxiety, and other people (preferably more educated than myself) have noticed this also, I would be very curious as to how the increase, if any, tracks with the introduction and rising use of smart phones over time.</span></div>
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<span style="font-family: "verdana" , sans-serif;">Here's why: </span><a href="https://www.youtube.com/watch?v=4TRL1TMwsuA&t=326s">https://www.youtube.com/watch?v=4TRL1TMwsuA&t=326s</a></div>
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<span style="font-family: "verdana" , sans-serif;">In this video, if you go to about 7 minutes 30 seconds in, they are showing pictures of how this study on using play for emotional connection appears to have visibly altered altered brain function towards a less fearful and more socially-connected pattern.</span></div>
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<span style="font-family: "verdana" , sans-serif;">(Please, don't get all up in arms about the mention of rewiring peoples' brains - that's really not what I'm talking about; this is an old clip, it's just the only clear visual representation that I know where to find.) </span></div>
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<span style="font-family: "verdana" , sans-serif;">So I wonder: <b>If play and emotional connection can calm the brain's fear response, is the reverse also true? Can lack of interactive play and lack of face-to-face emotional connection produce a state of heightened anxiety? </b></span></div>
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<span style="font-family: "verdana" , sans-serif;">What if adult use of smart phones is a major factor in blocking babies and young children from getting as much face-to-face interaction and social, communicative play as they might have done in previous generations? What if that wires them for anxiety? </span></div>
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<span style="font-family: "verdana" , sans-serif;">What if the child's own use of screens as they get older is lessening the amount of play they engage in, and that lack of play is directly increasing stress and anxiety?</span></div>
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<span style="font-family: "verdana" , sans-serif;"><i>What if the prevalence of screens is directly increasing anxiety in young children by depriving them of face-to-face, positive, playful interaction in their crucial first years?</i> </span><br />
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<span style="font-family: "verdana" , sans-serif;">I do not want to lay this all at parents' feet - it's everywhere. Babies and little children are coming into a world where the people around them everywhere they go are staring at these little flat things, and not usually with a cheerful, open expression, either. (Still face experiment, anyone??) What percentage of a child's social interactions does that affect? How many smiley, pre-verbal conversations with strangers are missed? How many impromptu games of peepo? How many minutes of widened eyes, smiling faces, and cooing voices are our children missing out on as they move through the world?</span></div>
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<span style="font-family: "verdana" , sans-serif;">I know that people have connected the lack of playtime in childhood with an increase in mental ill-health in children and adolescents. I've read quite a few references to increase in screen usage linked to decrease in language ability in young children. Generally speaking, I think it is fairly clear that lack of positive social interaction is not good for mental health, and I am pretty certain that a state of anxiety affects our ability to interact. My guess would be that these factors could intertwine, along with other factors of modern lifestyle, to the effect that babies and little children these days are growing up in an overwhelming, disconnected, anxiety-inducing world that no longer bears much resemblance to the innocent, carefree childhood world that their grandparents might have been lucky enough to inhabit in their first years.</span></div>
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<span style="font-family: "verdana" , sans-serif;">I'm not suggesting we blame modern technology for everything; i think it is seldom wise to go hunting for one sole cause of any complex issue. </span></div>
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<span style="font-family: "verdana" , sans-serif;">But what if all we have to do to make a change for the better is to put down the phone and <i>play</i>?</span></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-7164071292247724651.post-70692460720398013992018-12-19T14:02:00.000-08:002018-12-19T14:02:12.393-08:00That Time I Saved Christmas<span style="font-family: "Trebuchet MS", sans-serif;">Christmas came early for us last year. More than once. In fact, we had Christmas every day for about a week. </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">I can hear that sharp intake of breath from certain corners now. "What?! We didn't make our children wait for the Big Day? How will they ever learn delayed gratification? Whatever happened to 'Do not open until Christmas'? Where is the magic of Christmas morning??" </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">Trust me, it didn't lose any of its magic! We hear all the time about how Christmas is supposed to be for the children, right? Well, my children were finding Christmas incredibly stressful, to the point that one of them was beating their own head until purple bruises appeared. Just picture that, please, and let that sink in. My baby was so distressed by all the inescapable "magic of Christmas" that he was hitting himself hard enough to leave bruises. Over and over again. And in spite of our efforts to hold him and keep him calm. </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">At the same time, we were getting remarks from some people about how our children must be missing out because we weren't taking them to tree-lighting events and grottos and cinemas and parties. And then from others we had suggestions that maybe we were expecting too much, and we should not force our children into Christmas plays, and should stop dragging them out to parties and grottos and tree-lighting events and accept that we need to have a quiet holiday for their sakes. Either case was quite hurtful. It is hard enough having to give up one tradition or one outing or event after another that you had looked forward to sharing with your loved ones, and still just not be able to modify Christmas enough to make it enjoyable for them, without having judgement thrown at you from both sides. </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">The fact is, we already have a very, very quiet Christmas. Because we homeschool, we don't have Christmas plays or concerts to prep for, we don't have multiple parties, and we try to avoid crowded places during December. But it's still not enough. The anticipation is inescapable.</span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">So I decided enough was enough. One morning when all the children were either in meltdown or in full-blown demand avoidance, I announced that it was bedtime, closed the curtains, and put them to bed at 10am. Pyjamas, kisses, bedtime story - the whole night-time ritual. I left them there for half an hour, just long enough to get the presents ready and fill the stockings, and then roused them again for Christmas morning. And it worked! Christmas had come at last. </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">They were so happy, they asked me to wake them up for Christmas morning again the next day. So each evening, we put everything back under the tree (we don't do paper wrapping anyway), and then found them again each morning. It was magical. They were happy. The tension was broken and they could relax again. I had to cancel our few plans for the week, but thankfully our friends were understanding. </span><br />
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<span style="font-family: "Trebuchet MS", sans-serif;">The thing is, if it's supposed to be a celebration, why stick to other people's traditions if they don't work for you? Standard Christmas doesn't work for us, but that doesn't mean we "don't do Christmas". It just means we do it our way.</span><br />
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-7164071292247724651.post-4224850113701917702016-09-10T16:07:00.000-07:002018-12-22T12:19:47.924-08:00Why I'm Not Worried About My Child's Development (More on the CTFD Approach to Autism)<span style="font-family: "verdana" , sans-serif;">I was writing before about how we, in the general sort of 'we', can </span><a href="http://weebitsomething.blogspot.co.uk/2015/07/the-ctfd-approach-to-autism.html" target="_blank"><span style="font-family: "verdana" , sans-serif;">calm the f*** down about autism.</span></a><span style="font-family: "verdana" , sans-serif;"> This idea is based on adapting the </span><a href="http://www.huffingtonpost.com/david-vienna/latest-parenting-trend-ctfd-method_b_3588031.html" target="_blank"><span style="font-family: "verdana" , sans-serif;">CTFD</span></a><span style="font-family: "verdana" , sans-serif;"> Parenting method. </span><br />
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<span style="font-family: "verdana" , sans-serif;">I wanted to expand a little more on the topic of worrying about our kids.</span><br />
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<span style="font-family: "verdana" , sans-serif;">My 3rd child has already flagged up some early autism markers on the development screening check. Not responding to his name, not holding out his arms to be lifted, no two-way turn-taking in play or conversation, no imitated speech sounds, in fact no imitation of us at all. These are some fairly definite delays in communication development in an otherwise bright and fast-growing baby. But I'm not actually worried about it.</span><br />
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<span style="font-family: "verdana";">Why not?? Here's the thing: There's a difference between tracking and supporting development, and being worried. So he has some early autism markers. So did my second child. Oh no. Panic, panic. My children might have some autistic traits. Oh, wait, so do I.</span><br />
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<span style="font-family: "verdana";">It only recently occurred to me that professionals who evaluate my children will, in their minds, be looking for something<em> wrong </em>with them. I don't see my children as being broken. They are different, not wrong or damaged or broken. Different can be hard, but it's ok. They don't need to be fixed.</span><br />
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<span style="font-family: "verdana";">So why would I seek a diagnosis or evaluation at all, then? Well, that's a good question, and one worth writing about in more depth some other day. The short answer, though, is that I want to know more about their strengths and challenges, and I want to know as soon as possible so that we can support their development as bets we can, and try to avoid any missed steps in their development that will be harder to make up for later on. But I see that as proactive parenting, not as worrying.</span><br />
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<span style="font-family: "verdana";">Everyone is so quick to reassure us. "There's no need to be worried." "Some children just pick these things up later. " (Really? That's a fairly significant chunk of typical development to 'just pick up'.) "Maybe it's just an atypical development pattern." (Yeah, like autism.) "We'll see what happens when he/she starts school." (Right. Because early intervention isn't really that big a deal. - Oh, wait, what about all that research and the 'earlier the better' stuff?)</span><br />
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<span style="font-family: "verdana";">The thing is, all those people are talking from the point of view that I must be afraid that there is something wrong with my child. I really don't think fear-based language has a place on child development screening questionnaires, and I don't think it has a place in conversation between parents and professionals or para-professionals unless a potentially life-threatening medical condition is involved. I've never yet heard of anyone who had a fatal case of autism. </span><br />
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<span style="font-family: "verdana";">Granted, I might be less casual if one of my children was not connecting or communicating with us at all, or was really severely impaired in some way, or was self-injurious or violent. And there are plenty of parents out there who do have every right to worry about those things. Even the more everyday worries about "Will he be ok at school?" "Will she make friends?" "Will his teacher understand him?" "Will she ever hold down a good job?" are perfectly valid, and I don't mean to belittle them. It's the contagious fear that there might be something <em>wrong</em> that I don't think fits.</span><br />
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<span style="font-family: "verdana";">I know some fantastic, intelligent, empathic, autistic adults. They are some of the most deeply vibrant people I know. Some of the people I love best in the world are on the autism spectrum. I'm not afraid of my children being like them. </span><br />
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<span style="font-family: "verdana";">So, this little child of mine is showing signs of autism. I'm not going to sit back and see how things pan out, as those people who apparently believe that autism is to be feared would have me do. Just like I'm not going to drop toilet learning and see if he one day starts using the toilet. Or let him watch television all day and see if he learns to read by school age. And it's not because I am <em>worried </em>about toilet learning, or <em>worried</em> about him being illiterate. It's because I am a parent. I do parenting. I watch over my children's growth with delight, and notice when they seem to need help getting something, or when they need a little encouragement to go on to the next stage, or when they are ready for a bigger challenge or more independence. That's parenting. Maybe he would pick up communication skills without intervention. Maybe he would teach himself to read while watching Paw Patrol with the subtitles turned on. But reading him stories and playing letter games is not going to do him any harm, and neither will playing more face-to-face social games. You could call it early intervention, but I would just call it parenting.</span><br />
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<span style="font-family: "verdana";">I won't do my child any harm by playing with him more, so why not do it? I can't quite get my head around why people who are supposed to be helping parents do their job would not suggest simple interventions to support social development through play and parent-child connection, and instead tell them "Don't worry". Unless it's that they see autism as some kind of incurable disease that nobody would want to have, and not just a different way of being. And that is actually something that I think is worth being scared about.</span><br />
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<em> </em>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-7164071292247724651.post-77860263952229374562015-07-12T08:42:00.001-07:002019-01-21T03:03:32.897-08:00The CTFD Approach to Autism<div style="text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">Heard of the new trendy parenting method known as </span><a href="http://www.huffingtonpost.com/david-vienna/latest-parenting-trend-ctfd-method_b_3588031.html" target="_blank"><span style="font-family: "verdana" , sans-serif;">CFTD</span></a><span style="font-family: "verdana" , sans-serif;">? I find it works quite well applied to Autism, too.</span></div>
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<span style="font-family: "verdana" , sans-serif;">Here's how I got into it.</span></div>
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<span style="font-family: "verdana" , sans-serif;">It started with a couple of phone calls to some local charities. They offer support for services and families, so I wanted to know more about what is available in the area that might suit the Offspring. Mostly what I found is that there are a few different organizations, and they tend to each suggest you ring the others, at least if you have any very specific questions. </span></div>
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<span style="font-family: "verdana" , sans-serif;">The next thing that struck me was the tone of voice. </span></div>
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<span style="font-family: "verdana" , sans-serif;">"Are you receiving any support?" </span></div>
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<span style="font-family: "verdana" , sans-serif;">Said like that. </span></div>
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<span style="font-family: "verdana" , sans-serif;">Well, obviously I can't type tone of voice, but if you have a child with an autism diagnosis you've probably heard the voice. Concerned. Empathic. Not quite offering condolences, but almost. I'm sure they mean well, and maybe lots of parents really find it shocking to be told they have a child who is always going to be different.</span></div>
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<span style="font-family: "verdana" , sans-serif;">I do get it. I've read articles like </span><a href="http://themighty.com/2015/04/the-unique-grief-of-special-needs-parents/?utm_campaign=site_fb&utm_source=facebook&utm_medium=social&fb_ref=Default" target="_blank"><span style="font-family: "verdana" , sans-serif;">this one</span></a><span style="font-family: "verdana" , sans-serif;">. And I did struggle with the Tourettes diagnosis at first, because I didn't want my child to be judged. In fact, I wanted her to be able to pass for normal*, but I have found my attitude changing about that, too. But really, I have always hoped that I would never be disappointed about any child who is given to me. How could I possibly want my child to be any different than she is? </span></div>
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<span style="font-family: "verdana" , sans-serif;">I heard a story once about a mother who had a hard time bonding with her baby because she had been expecting a girl, and told the baby was a girl, and when he was born, well, they realised they'd missed a little something on the ultrasound. I kept that in mind when I found I was expecting my first child. I made sure I wasn't harbouring my own ideas about who the child would be, what they would be like - I know that is perfectly natural, but seriously, it is a little selfish, isn't it? Right from the moment that little speck of life took up residence in my womb, I was offering hospitality, not creating my own person. A child is a person, and a person doesn't belong to anyone but themselves, so who am I to decide what that person should be like? Quite frankly, my daughter is a little spark of awesomeness in this universe, and I happen to have the job of looking after her while she is small and vulnerable, but who she is is not up to me. How could I be disappointed? </span><br />
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<span style="font-family: "verdana";">So that tone of voice irritated me. It seemed to suggest that there was something too bad about the fact that I have an autistic child, like it's something to be sorry about. On the other hand, the irritation did make me start to think about it, and examine just how I saw my daughter's diagnosis. </span><br />
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<span style="font-family: "verdana";">Then kind of about the same time I started to think about that, I had some other conversations, with various medical and peri-medical professionals, about my other two children. And the one common theme to all the discussions was the "don't worry" platitudes. That <em>really</em> irritated me. </span><br />
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<span style="font-family: "verdana";">First of all, the suggestion that my children's development is not something for me to worry my little head over, that I should leave that to their future teachers. </span><br />
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<span style="font-family: "verdana";">There's a <em>whole</em> lotta things wrong with that attitude right there.</span><br />
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<span style="font-family: "verdana";">But then there is also the assumption that if I am asking a question about development, I must therefore be really worried about it. Parents get a lot of "Of course it's only natural to be worried" lines. Really, it's hard to get more patronizing than that. But think about this: If it's ok to be different, if all abilities are accepted in our society, then why do people assume I would be worried? In fact, the assumption that I am worrying about it suggests that I should be worried. Humans are social creatures, we pick up on unspoken expectations and adjust our reactions accordingly, without ever even realizing it. The implication is that if "there is anything there" then I would be right to be worried about it.</span><br />
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<span style="font-family: "verdana";">I'm going to be really honest here. I think people who are into 'following' - but not playing - professional sports are weirdos*. So how would you feel about it if you told me your kid was really into football, and had a favourite team and knew all the players, and I gave you that concerned half-smile with furrowed brows, and said with all the empathy I could muster: "That must be really hard. Are you getting any support with that?"</span><br />
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<span style="font-family: "verdana"; font-size: x-small;"><em>*(Just kidding. But it is true that I don't understand the attraction of spectator sports. And isn't it a little narrow-minded, after all, to think that if you don't understand it, there must be something wrong with it? See the connection?)</em></span><br />
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<span style="font-family: "verdana";">So my kid is autistic. She's going to need extra time and little more help learning certain things, and it's going to be tough. Life is tough. If she were more typical in her development, she'd have to take extra time and work extra hard to learn other things, and maybe she never would. And maybe life would be easier, but maybe it would be less rich for her. Autism comes with an intense awareness that most of us just never experience, and so can't even know what we're missing. I'm not going to pretend it's all positives, but is anybody's life all just good and easy? Is life about getting through as smoothly as possible, and making sure we hit all the milestones our peers do? Or is it about growing fully into the person we are, and living our (as in, our own life, as who we actually are in essence, not some cultural construct of what a person of our age/race/status ought to be) life fully? </span><br />
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<span style="font-family: "verdana";">I don't want to make light of the difficulties and struggles of autism or of the problems that go along with it, but...</span><br />
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<span style="font-family: "verdana";"><em><strong>Is disability inherent in a person, or do they become disabled by the refusal of their community to accommodate and cherish them as essential members?</strong></em></span><br />
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<span style="font-family: "verdana";">If we're going to talk like differences in ability really are just that - differences - shouldn't we drop the sorry attitude?</span><br />
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<span style="font-family: "verdana" , sans-serif;">I'm not saying parents are wrong if they are upset by a diagnosis of autism. It means a steep learning curve, altered expectations, and will likely call for a number of lifestyle changes - that's a lot of stuff to get your head around. And there may be other difficulties that come along with it, and of course all parents do worry about their children being ok in life, and autism does give you extra of that sort of worries. How to be the parent of a child who experiences the world in a way you do not may not have been something you ever thought about, and it does take a lot of work that probably falls outside of what you imagined your job description would be when you signed up for having kids.</span><br />
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<span style="font-family: "verdana";">I'm just saying that <em>maybe as a wider community</em> we should try calming the f*** down about autism.</span><br />
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<span style="font-family: "verdana";">This person doesn't talk? No problem! They aren't any less of a person for it - ask how they prefer to communicate. And don't make the mistake of judging intelligence by verbal communication. Or depth of humanity by intelligence, for that matter.</span><br />
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<span style="font-family: "verdana";">This person likes to flap their hands and shriek when they like something? How beautiful is it to be able to enjoy something like that! Find a way to show them you share their happiness.</span><br />
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<span style="font-family: "verdana" , sans-serif;">This person needs to rock back and forth and make odd noises when they concentrate? No worries! Respect their work and give them the space and time they need, like anyone else. It's they way they are.</span><br />
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<span style="font-family: "verdana";">Kind of like how somebody might be stuck with a lifelong condition of having a Geordi accent. Sometimes you might have to ask them to repeat something, and certain habits of speech might make you uncomfortable, or cause you to feel like they are not your kind of person, but they are no less a person, and with practice you can get to know what they mean.</span><br />
<span style="font-family: "verdana";">(I'm not picking on this accent in particular, I just picked one to illustrate the absurdity of saying we accept everyone, but then acting like it's a tragedy that they're actually going to be like that forever.)</span><br />
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<span style="font-family: "verdana";">My child is always going to be autistic. She is never going to be like me. There are a lot of things she is never going to do. But you know what? She was never going to be just like me anyway. (That's kind of the point of bringing new people into the world, IMO; you never know who they will turn out to be, but they're guaranteed to be unique and amazing. If we let them.) And there are many, many things she would never experience anyway. Just like everyone else in the world. But her life will be her own. I'm not going to grieve over her being who she is.</span><br />
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<span style="font-family: "verdana";"></span><br />
<span style="font-family: "verdana";">*Edit: <em>When I wrote "pass for normal", I meant it as in: Be able to walk down the street without attracting negative attention. As in not getting mocked and laughed at by other kids in the playground or scolded by strangers for just being. Gradually I came instead to wish that we will find the strength to hold her space and speak up to the ignorance and rudeness of others until the world catches up to the point where those people will be the ones who face public ostracism - for the choices they make, not for who they are.</em></span><br />
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<br />Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-7164071292247724651.post-65532359405716394822015-02-28T03:12:00.000-08:002015-05-10T03:58:02.878-07:00A New Excuse for Parenting Failure?<div align="justify">
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<span style="font-family: Verdana, sans-serif;">Pathological Demand Avoidance. Sounds like a "diagnosis" for "my kid won't do what he/she is told", right? Like that "Attention Deficit Disorder" thing, that means "my kid can only pay attention to video games".</span></div>
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<span style="font-family: Verdana;">I'm betting we're going to start hearing a lot more about Pathological Demand Avoidance in the next few years. I'm also betting we're going to hear a lot of snide remarks and outright sneers. Probably for every mainstream article that gets published, there are going to be all kinds of comments about how things were "in my day", "before PDA", "when bad behaviour didn't have fancy labels". Probably there will be all kinds of accusations about parents being let off the hook by getting a diagnosis that means their child can't help it. A lot of people will suggest that PDA can be cured by "a good a$$ whooping". And a lot of people are going to speculate and offer their best guess as to what used to happen to these kids with PDA before there was PDA.</span></div>
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<span style="font-family: Verdana;">Well, let me tell you what used to happen to "these kids". </span></div>
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<span style="font-family: Verdana;">They got misdiagnosed. They got treated as though they had something else wrong with them, usually several things, because none of the labels quite fit. Only the management that usually worked for kids with those diagnoses didn't work, because they didn't have those things, but nobody knew what to do with them. </span></div>
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<span style="font-family: Verdana;">They got put into residential schools for children with challenging behaviour. Or taken from their families by social services because their siblings were at risk of harm from their violent outbursts. Their families were torn apart. Their parents' marriages fell apart under the constant strain of having a child that nobody knew what to do with.</span></div>
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<span style="font-family: Verdana;">Or they got excluded from school after school until they had nowhere to go, and one of their parents had to give up work and stay home to look after them. </span></div>
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<span style="font-family: Verdana;">They became isolated, depressed, maybe suicidal, because they couldn't fit in and didn't know why. They turned to self-harm. They regressed and retreated into stereotyped behaviours more commonly seen in Autism. </span></div>
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<span style="font-family: Verdana;">Some of them got a diagnosis of Atypical Autism, which at least meant they could get some support, but still meant nobody understood them. They had what kind of looked like autism, but "atypical", as in, they didn't even fit in with other people diagnosed with autism. Others (probably depending on where they lived) got diagnoses of PDD-NOS - Pervasive Developmental Disorder Not Otherwise Specified. One parent I knew had a paediatrician explain that diagnosis as being a medical term for "there's definitely something wrong but we have no idea what". Diagnoses like that aren't very enlightening. They don't really do much to help others understand how to help someone.</span></div>
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<span style="font-family: Verdana;">Undoubtedly some of those kids who had PDA before it was 'a thing' have a milder presentation. They were able to live at home without damaging themselves, their home, or their family members too much, but couldn't handle school. Failed, got kicked out or dropped out, or maybe held it together most of the time and got through, but with a heavy branding as the Bad Kid, the Troublemaker, the one that parents and teachers alike simply didn't know what to do with. </span></div>
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<span style="font-family: Verdana;">You know what tends to happen to kids with milder learning and developmental disorders that go undiagnosed? They tend to develop mental illness. It's probably pretty hard not to get really severely depressed when you are always wrong, always bad, always unable to meet anyone's expectations, even your own, and you don't know why. It's not surprising that people with untreated mental illness often turn to drugs to ease the very real pain. It's also not really surprising that a majority of people in jails are thought to have learning disabilities. Or that many of them end up being exploited in one way or another because their real vulnerability has been underestimated. How do you think those people on the fringes, the ones you might mentally write off as 'losers', get to where you see them as adults? I'm not saying that everyone who can't hold down a job or maintain a relationship has PDA, but I bet some do. </span></div>
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<span style="font-family: Verdana;">Other kids with PDA ended up in institutions, because nobody could believe that someone who could talk so well could have so little understanding of how the world works. </span></div>
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<span style="font-family: Verdana;">It's hard to believe that someone who appears to be social and highly verbal can be autistic, and not necessarily mildly autistic.</span></div>
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<span style="font-family: Verdana;">PDA is a form of autism. It is an Autism Spectrum Disorder. It is real. It always has been, even when it had no name.</span></div>
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<span style="font-family: Verdana;">Those sceptics will be right, in a way. "These kids" have always existed. Not in huge numbers, and not in the places those sceptics are thinking. These aren't children who play up a bit to get attention, or who just can't get their homework done. They're not the ones who miraculously no longer qualify for a diagnosis after their parents have done a parenting course. </span></div>
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<span style="font-family: Verdana;">There always have been a subset of children - in special schools, residential placements, foster care, juvenile detention centres, or at home with a family who can't understand why their dream of happy family life turned out this way - who act like there is something very wrong with them, but who nobody can figure out. I didn't spend a huge amount of time working before I had a family of my own, and don't have heaps of experience, but looking back, I can think of children I have known who very probably had PDA. They would be teens and young adults now, still with PDA, but with less chance now of being integrated into the world around them. We hear all the time how early intervention is the key.</span></div>
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<span style="font-family: Verdana;">All those grown-up kids with ruined lives that I have been describing started out somewhere. Once upon a time, they were somebody's baby. Probably a much-loved baby with besotted parents who looked and looked at their little sleeping faces with so much hope. Bright little toddlers who walked early or late, who showed puzzling behaviour but also so much promise. Preschoolers who ran excitedly into their classroom only to be handed back to their parents at going-home time with tales of injured playmates, broken toys, out-of-control behaviour. Children who sat waiting for their friends to come to their birthday party only to have no-one come, driving home the dawning realization that no matter how much they want to be a part of the world around them, they just don't fit.</span></div>
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<span style="font-family: Verdana;">When a child's life is ruined, so is his family's. How would it feel to be told that you child is ruined and it's all your fault? That you had this one important job that almost everyone else in the world manages to at least scrape a passing grade on, and you failed? How do you think it feels to be the mother of "that child"? Or the father, with little outlet for expressing how it feels to see all your hopes for your child slipping away, being smashed by their outbursts? To spend years with the isolation that comes with having a child who is not like anyone else's child. Many families have other children who are developmentally normal, but even that doesn't spare parents from being blamed for their child's behaviour. Blamed by schools, other parents, family members, social workers, and broadly by society at large. By ignorant people who comment anonymously on internet articles.</span></div>
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<span style="font-family: Verdana;">PDA is very real. So is the damage that it wreaks on real peoples' lives when left unrecognized. What's changing now is not "how kids these days are being raised". What's changing is that now we have a name for something that has been crushing the lives of children and families, unseen by the world in general. We can name it. We can call it what it is. In old stories there is often this belief that knowing a name gives power over that thing. There can be some deep truths hidden in old stories. When we give a thing like this a name, we have a handle on it. We can begin to define its boundaries. We can start to unravel the layers of where one diagnosis overlaps another. And we can tell the person to whom the label is applied "it's ok, it's not you, it's This".</span></div>
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<span style="font-family: Verdana;">It's not a Get Out of Jail Free card. Children with PDA still have to learn how to behave in a way that does not impinge on the rights of those around them, as we all do. What having a diagnosis does for them is signpost how to help them achieve that. Knowledge is power. These children have a right to know why they struggle where others around them do not, and to learn to have power over their reactions to the world around them - in other words, to learn self-control. </span></div>
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<span style="font-family: Verdana;">In giving them the label of Pathological Demand Avoidance Syndrome, we are not giving them or their parents an excuse. Nor are we making up something that isn't there. The problem is very real, and is already there. What we are doing is validating their experience of that problem and giving them a framework for understanding it. Diagnosing a common core of behaviour draws an outline around the behaviour and allows us to separate the behaviour from the person, and thus begin to understand the difficulties that underlie the behaviour. Once we pinpoint the skills that are not developing as they normally do, we can address those skills, and begin handing that person the tools they need to get by in the world. </span></div>
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<span style="font-family: Verdana;">Of course, there is the risk that when it is still new (to public awareness), a diagnostic label will be slapped all over anything that loosely resembles it. Probably a few, very few, parents might reach for it when in fact it isn't there. But is it worth pooh-poohing the diagnosis on their account? I'm not great with expressions, but I kind of think "throwing the baby out with the bathwater" might apply here. </span></div>
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<span style="font-family: Verdana;">Right now there are sweet, fresh little babes (probably already being labelled as 'colicky' or 'high-needs'), and beloved, perplexing little toddlers, and bright, intriguing, already-struggling young children who can be spared the sort of things that happened to kids like them in your day. Isn't it great to think that these little ones now have hope? If we can get them recognized and diagnosed sooner rather than later, we can help them find their step in the world.</span></div>
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Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-7164071292247724651.post-67069354238251493212015-02-01T06:34:00.003-08:002015-02-01T06:34:40.601-08:00Extreme Parenting<div style="text-align: justify;">
<span style="font-family: Verdana, sans-serif;">I did a guest post, of sorts, the other day here on </span><a href="http://www.stephstwogirls.co.uk/2015/01/this-is-our-pda-story-week-2.html" rel="nofollow" target="_blank"><span style="font-family: Verdana, sans-serif;">Steph's Two Girls</span></a><span style="font-family: Verdana, sans-serif;">. A couple of people commented on my use of the phrase 'extreme parenting', and when I began to think of how to reply, I decided I might as well put it in a blog post. So here you go.</span></div>
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<span style="font-family: Verdana, sans-serif;">Yes, calling what I do "extreme parenting" kind of makes it sound like more fun than it is. But sometimes it's all about spin. And sometimes you have to doctor that spin.</span></div>
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<span style="font-family: Verdana;">I have a choice. </span></div>
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<span style="font-family: Verdana;">I can think things like "poor me, poor us, my poor little girl. who can help us? we deserve help. other people have it better. somebody ought to do something. this is hard. this isn't fair" etcetera and so forth. I'd probably dress up the sentiments to sound more grown-up and rational, but the underlying theme would still be the same. </span></div>
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<span style="font-family: Verdana;">Or I can hold onto my outlook on life as being one great adventure, and tell myself "We can do this."</span></div>
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<span style="font-family: Verdana;">My children are watching me live, and I need to make sure I model how I want them to approach life. It's going to be hard, and it's going to be long, and I hope they will let it be awesome.</span></div>
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<span style="font-family: Verdana;">So I doctor the spin. I need that spin. My Dad used to tell me "Non illegitimus carborundum - Don't let the bastards grind you down." If I wasn't allergic to tattoo ink, I'd get that inked on so I wouldn't forget. (Yes, I know it's not real Latin.) Sometimes those 'bastards' are just the impartial, indiscriminate, unavoidable circumstances of life. I won't let them grind me down.</span></div>
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<span style="font-family: Verdana;">Right now our life is pretty good. Sheer tiredness is my main foe at present, but I am slowly winning against it with some well-played strategy.</span> <span style="font-family: Verdana, sans-serif;">But in any good adventure there is always the part where it looks like the hero/heroine might not get up again, might not get out alive, like the odds are stacked too high. We've been there. I hope we never go there again, but probably the path of our adventure will one day lead us to some new challenge that seems unsurmountable, or through some deep, dark passage that we have to blindly feel our way through. Life just is like that. </span></div>
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<span style="font-family: Verdana, sans-serif;">But adventure without the hard bits wouldn't be an adventure, would it? </span><span style="font-family: Verdana;">Just like extreme sports wouldn't be extreme without the risk.</span></div>
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<span style="font-family: Verdana;">Sometimes any kind of parenting is kind of like an extreme sport, in that once you've started, there's no turning back. Once you've jumped out of the airplane, there's no climbing back in. You can pull the 'chute sooner or later, but you're still going to have to ride out the landing. Once you get up the mountain, you've got to get back down again, one way or another. </span></div>
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<span style="font-family: Verdana;">In almost any kind of sport, you can hit that point where you'd really rather quit. It might feel, just for a moment, like it would be easier to admit defeat, tell yourself you've done a pretty good job, maybe even done more than you thought you could, and go for a much-needed hot shower. Only you don't, because you would know that you hadn't really given it your all.</span></div>
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<span style="font-family: Verdana;">We can reach that point in any relationship. Relationships take work, and parenting is, at its heart, a relationship. One we not only can't back out of, but one that we don't cut corners on. So we parents push through the uncertainty, the lack of support, the tiredness, and we research, we advocate, we teach ourselves new skills and new strategies and new ways of being so that we can be the heroes and heroines our children need as they learn to be the heroes and heroines of their own stories.</span></div>
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<span style="font-family: Verdana;">Sometimes I lack confidence in myself. Sometimes I lack resources or support. But sometimes putting a brave face on things can make us feel brave. </span></div>
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<span style="font-family: Verdana;">I've jumped out of airplanes. I've strapped a slippery board to my feet and thrown myself down a mountainside. I've defied gravity with two wheels and I've risked my neck at high speed on four legs. I've jumped off of cliffs and slid down guy-wires and other things my mother shouldn't know about. I've even faced bears and hypothermia just for fun. </span></div>
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<span style="font-family: Verdana;">Sometimes I need to remind myself that I have done these things; that I can do these things. I can do hard things. I can do it afraid. Life can be hard, but I can do it. </span> </div>
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<span style="font-family: Verdana;">Why do people do this stuff? It does sound a little crazy to seek out danger just for fun. I guess it's for the rush that comes with not dying or being horribly maimed. For myself, doing those things was more about the discipline of doing hard things, and also to keep myself in mind of the fact that actually, life on this world is fraught with danger and therefore doubly precious. But still there is always that rush when the bear doesn't eat you and you don't die. </span></div>
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<span style="font-family: Verdana;">Back when I used to work with other people's children (some of them grown-up children), I used to jump out of bed every morning filled with excitement for the day. Apart from the joy of getting to spend time with my students, it was such a privilege to be a part of their stories. There was always the possibility of some exciting victory, and I would get to see it! It was like the rush of facing danger and being still alive: She was afraid, and she did it! He said a word! - Twice!! Doctors said he wouldn't see his 3rd birthday, and there he is, doing what he dreams of! And I was there! It was so amazing to get to be a part of such stories. </span></div>
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<span style="font-family: Verdana;">Now I get to do that with my own children. I admit, I more often crawl out of bed toward my cup of tea and pry my eyes open with my fingers than jump out of bed with excitement, but that's just down to pure physical tiredness. It is such a privilege to be a part of their stories every day, and to be on hand to witness their victories. </span></div>
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<span style="font-family: Verdana;">Yes, it is hard to be the parent of a child with additional needs. It's hard, and it's full-on, and it's full-time. But it still is an awesome adventure.</span></div>
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<span style="font-family: Verdana, sans-serif;"></span>Unknownnoreply@blogger.com0