Tag Archives: diagnosis

Alone? Frightened? Worried?

“No one knows how to help us.”  This was what I once said to my husband.  It was many years ago.  So many, I no longer remember the year.  Along with that realization was this one – “We are in this alone.”  And while, at the time, that thought terrified me, it was the beginning of finding another way.  It was the moment when I realized all these people we were looking to for guidance, didn’t know what was best for our daughter, even when they believed they did.

In the beginning we were told how fortunate we were, our daughter was “mild” we were told and if we followed their advice – an aggressive implementation of ABA, Speech Therapy and Occupational Therapy – she would be in a regular classroom by the time she entered kindergarten.  She was still two years old when she was diagnosed and we knew nothing about autism.  We did as we were told.  We were assured she would “skyrocket.”  We fought to increase the hours of therapy, we went to the team meetings, we took notes, we learned how to “play” with her using ABA’s techniques, we monitored her and kept charts.  We filled notebooks with our observations and we waited for her to “skyrocket.”

When she turned three we enrolled her in an ABA based pre-school.  By the end of that school year I no longer believed all that I was being told.  The therapists were no longer assuring us she would “skyrocket.”  Now words like “red flag” were being used to describe her behavior.  She had “behaviors” and these were being pinpointed and noted with alarming frequency.  We were getting reports of non-compliance, an inability to “use her words” as though she was being defiant  and then she began to self-injure. No one understood why.  Everyone was baffled.

And now, so many years later, I look back on those years and it all seems so understandable.  They say hind sight is 20/20, that looking back we can easily understand that which was once incomprehensible.  I understand now.  We didn’t appreciate what was going on.  We didn’t think we understood our child, and for the most part we didn’t and we kept looking to others to explain her to us.  The explanations they gave us, we believed.  We thought, since we didn’t understand and they seemed sure that they did, they must be right.  It took several more years for me to realize they didn’t and they didn’t know how to help us or her either.  When the methods they believed in didn’t do what they believed should and would happen, they blamed us and they blamed her.

Emma continues to remind me that “regret is not needed” and she’s right.  I am working hard on that one.  I cannot describe someone else’s experience, I can only write about mine.  This was mine.  As the mother of a daughter who was once believed “mild” and later “moderate” and finally “moderate to severe” on autism’s vast spectrum, we have learned a great deal.  And while many may not derive any solace in what I’m about to say, I would have.  No one can predict what life holds for your two, three, four, five, six or seven-year old child.  No one can predict another’s future, there are too many variables.

That my daughter has some spoken language is, and was, the single biggest red herring for those who meet her.  It never occurred to us that all that speech therapy, focusing on spoken language, would ultimately be unhelpful.  I knew nothing of AAC  (Augmentative and Alternative Communication) devices or methods and as spoken language seemed to me to be the ideal, the idea of her using something else honestly never crossed my mind.  Why would I encourage her to use something else to communicate if she could speak?  When, after years of speech therapy focusing on spoken language, she still couldn’t have a conversation with us, our answer was to try more, push harder and it would come.

So many people ask what we would have done, knowing all we know now.  This is a question that is specific to my daughter, but I know there are other children who are similar as I’ve met so many of them.  I would not have waited so long to begin using other forms of communication.  In fact, this would have been the thing I would have concentrated on right away.  There is no evidence that using an AAC device will have a negative effect on spoken language acquisition, in fact there are studies showing the opposite is likely to be true.  Had my daughter been able to communicate at an earlier age, many things would have changed.  The most important one being that we would have understood much earlier all that she knew and understood.  This may strike some as a little thing, but I can assure you, had we realized this early on, had we believed this right away, it would have changed every single decision we then made.  Not to mention the massive reduction in our stress, anxiety and fear.

There is so much we are learning and still have to learn, but we are no longer alone.  We are surrounded by other parents, professionals, educators and, most importantly, people who share our daughter’s neurology, those who are Autistic and who continue to share their experiences with us so that we might better parent our Autistic daughter.  And of course, our daughter, Emma whose patience, love, wisdom and endless compassion is teaching us more than any.

 

One year after the diagnosis

One year after the diagnosis

Parenting an Autistic Child

One of the most difficult things about being a parent to an Autistic child is the realization that almost everyone we parents come into contact with, when getting the diagnosis, have ideas about autism and what that means for our child, regardless if their ideas are based in fact.  So many people have theories and opinions about what autism is or isn’t.  There are endless charts and check lists meant to be helpful, yet they are all skewed and written from the point of view of a non autistic person or someone who uses spoken language to communicate.

Once you begin the evaluation process you are asked hundreds of questions.  Questions such as, “How many words does your child know?”  We answer these questions to the best of our ability and from the perspective that “knowing” means “speaking”.  Zero, or maybe five, ten, oh perhaps twenty, we say with wavering confidence and this answer is then noted.  “Does your child show interest in others?”  “Does your child engage in imaginative play?” We are asked.  And again, we do our best to answer honestly from what we’ve witnessed or believe we know.

But if we use spoken language, we answer these questions from the perspective of one who speaks, not from the perspective of one who does not.   The idea that someone might be unable to speak, but knows a massive amount and can learn to write to communicate or someone might have a difficult time translating words, whether written or spoken to match their non word thinking, is never brought up. As parents, we do not hear this idea voiced and yet it is crucial to our understanding of our child.  How different we might feel and understand our child if we were told that this may be our child’s experience of the world.  We could be told about the body/mind disconnect and how that might manifest itself.  We could be given the words of non-speaking children, teenagers and adults to help us understand.  Why are parents not being informed of this?

Instead your child is observed, notes are made and a diagnosis is given.  We parents are left with a word, laden with opinions, ideas, but few facts.  People talk about the “science” behind various “treatments” and we are told that the only scientifically proven method is x.  We are told that we must hurry as the window to help our child is quickly closing.  We rush ahead, madly, blindly, we do as we are told.  There’s no time to wait, to find other opinions, we must hurry, hurry.  We feel the guilt and the horror of not doing enough.  We must engage our child in a specific way.  We must urge them to complete puzzles and force them to play with dolls or farm animals, we give them treats so that they’ll comply, we buy play kitchens and a variety of toys and when they finally show an interest in one, we watch to be sure they don’t show too much interest.  Too much interest is a red flag, we are told.

When things do not feel right to us, we begin to do more research, looking for answers and we begin to form our own opinions about what’s really going on.  But for many of us we just feel terror and confusion.  Well meaning people give us advice.  We are sent links and the names of specialists.  Suddenly, many of us are deeply immersed in that surreal world of “alternative” medicine.  Each person we see speaks with the authoritative voice of someone who knows, who understands, who is convinced this will make our child “better”.  Yet few question what that word means.  What is “better” and what does “better” look like for my child?

The sinking feeling that something is terribly “wrong” embeds itself into every fiber of your being. Almost everything you read about autism confirms that sinking feeling.  This is a terrible thing that has happened.  It makes sense that  to you and your family, the focus is on “righting” what is wrong with your child.  A child whose life would be so much easier were they neurologically like the majority of the world.  But they are not neurologically like the rest of the world.   This one fact is overlooked as we continue to pursue all that we are told and advised to do.

How do we conceive of something we do not understand?  How do we see something we’ve not heard of or ever believed possible?  How can we understand a neurology that is so different from our own?  Autism.  What does that mean?  What does it mean for my child?  How do we support our children so that they flourish?  How do we best raise an intensely sensitive being who does not necessarily use words to think?  These are the questions I would like to hear educators, doctors and all those who feel they are experts answer.

The things that are being said, all those recommended check lists and the questions asked by all those autism organizations and experts are encouraging us to teach our children that they are the problem.   We are raising a population of children who are internalizing the awful message given to them…  Our children, who will grow up to be Autistic adults, are getting this message from almost everyone they come into contact with from the moment they are given the diagnosis.  It is a message that is hurting our children and hurts all Autistic people.  Our children, whatever their neurology hear it,and those who have internalized it may go on to deliver it too.  It is up to us to change the message.

Ask a parent what they want most for their children and most will say, “Happiness.”  Yet so much of what we are told about autism and our Autistic children is ensuring the opposite outcome.

"I don't want to talk about it!"  ~ One of Emma's favorite spoken comments

Your Child’s Been Diagnosed. Now What?

I always think I’ve written something already about any given topic only to realize there is more to add.  So it was the other day when asked about advice for a parent whose child was just diagnosed with autism.  This is a question that comes up often and always when asked I hesitate and here’s why.  For every child that might respond to various “interventions” the way my daughter did, there will be countless others who will not.  The therapy may be worse or better.  The child may have different sensory issues, they may be voracious readers, hyperlexic or they may not be able to see the printed word because of visual issues, the letters may swim on the page until a different background is found or some other tweak is done, which allows everything to stay still.

There may be auditory issues that my daughter does not share, tactile, physical issues and the list goes on.  So what to do?  How does a parent wade through all the opinions?  How do you find a way to quell your fear, respect your child, ignore that list of all that’s wrong and find the things that will help your child flourish?

For me it boils down to two essentials.  The first is to presume my child competent.  I’ve written about this concept a great deal, but here are a few posts which talk about what that means – ‘here‘, ‘here‘, ‘here‘ and ‘here‘.  Presuming competence is very much a work in progress.  What I once presumed as “competent” my daughter has shown me didn’t go nearly far enough.  We do the best we can with the information we have.  But anything intended to “help” my daughter, anyone who is going to be spending time with her, must understand the concept and be committed to putting it into action.  This includes, speaking to her and not about her in her presence.  It means, even if the child shows no sign of understanding, even if the child has no spoken language and has never written a single word, we assume they can understand more than their bodies and gestures and utterances indicate.

Presuming competence has evolved for me and is helped by keeping my fear, judgment and assumptions checked at the door.  I cannot presume my daughter capable if I am simultaneously engaged in a running list of all she’s doing wrong.  I cannot practice a presumption of competence if every interaction I have with her is really an ongoing test where I’m insisting she prove herself to me.  Presuming competence is a life long practice and it is has far-reaching implications for not just my daughter, but all human beings I come into contact with.

Presuming competence is key, without doing this, everything else I do, no matter how great my intentions, will fall flat.  I have to believe in my kid.  It means that I speak to my child the same way I would speak to any child their age.  It means I approach my child believing in their ability to learn.  It means I believe they can and will learn.  It means they will communicate, I just have to find the best way to support them so that they can and it may not be with spoken language.  It means any therapy, no matter how popular, must be based in presuming my child competent, respecting my child’s process and treating them with the same respect I would insist on for anyone coming into contact with my non autistic child.  It means I have to do the inner work regarding what I believe, notions of should and shouldn’t, entitlement, prejudices, and whatever ideas I may have about my child and who they should be.  It means I approach my child with love, consideration, respect and curiosity.

I have come to believe that services, those services that everyone talks about and that are centered on our children, should include services for parents.  Early intervention for parents is crucial and much needed.  We parents are often in greater need of help and support than our children.  Good quality respite care, therapy for us, the parents, designed to help us cope and sort through our messy emotions so that we are in a better position to be there for our children.  I needed support from parents who’ve traveled the path I now found myself on.  No parent should ever feel the kind of fear I once felt.  Which means we have to change the current conversation surrounding autism if we are going to help our children.  No one is helped by having their every flaw (which is completely subjective, by the way,) scrutinized, both publicly and privately.  There are ways to get support and the help we and our kids need without demonizing our children and talking about them in ways we would never allow people to speak about our non autistic children.

Which brings me to the second essential thing – Autistic people.  It is imperative that all parents be given a list of blogs written by Autistic people who are describing their experience of the world.  This has to be essential reading while we figure out a way to put into place advisory programs made up of Autistic adults who are able to help parents understand their children.  These must be paid positions just as all other people involved with early intervention are paid.

We need mentorship programs of Autistic people mentoring our kids AND mentorship programs where our Autistic kids are mentoring younger Autistic and non Autistic kids.  One of the most valuable relationships my daughter currently has is with a little boy who shows no signs of being Autistic himself.  But they enjoy being together and the boy’s parents encourage their relationship. An inclusive society is key as we move forward.

On the Resources page of this blog I’ve put together a fairly extensive list, beginning with non-speaking Autistic people’s blogs.  I am always adding to this list.  I encourage all parents to start clicking on those blogs, find the ones that resonate and speak to you and follow them.  Start commenting on them, reach out to others who share your child’s neurology, develop relationships.  Listen and learn.  You will learn more from doing this than anything I learned in the half-dozen years I spent listening and reading non autistic people’s opinions.

And finally this is a short list of what I consider essential reading/viewing for anyone who has an Autistic child.

Wretches and Jabberers
Ido in Autismland
Intense World Theory of Autism

Emma and Teddy

Emma and Teddy

Emma, Barb Rentenbach and Lois Prislovsky

Emma, Barb Rentenbach and Lois Prislovsky

Emma, Mark Utter and Ibby at the ICI Conference - July, 2013

Emma, Mark Utter and Ibby at the ICI Conference – July, 2013

Emma and Laura

Emma and Laura

Emma and Ibby

Emma and Ibby

Larry Bissonette takes Emma's photograph

Larry Bissonette takes Emma’s photograph

Emma and Henry

Emma and Henry

Early Intervention

Last week I wrote a post,  Autism “Experts” about how I used to attribute any action or sentence uttered by my daughter as evidence that whatever therapy or treatment we were employing at the time was “working.”  It was my way of staving off the persistent fear that if we were not intimately involved in a constant barrage of therapies, she would make no progress or whatever progress she made would be less, than if we devoted every waking hour to constant involvement and interaction.  Suddenly every waking moment became a moment we must engage, interact, teach and push for more.

We were told about the human brain and the small window when the brain’s plasticity is at its most optimal for learning.  From the moment that diagnosis was handed to us, we felt we were in a race against time.  Any time we sat down to read the newspaper or took ten minutes in our daughter’s presence to relax and just be in each other’s company without “working” with her was reason for guilt and the feeling that time was slipping away from us.  The nagging worry, if only we did more than we already were, she would be better served, is one I remember well and can still feel the residual stress of.

I want to clarify a couple of things that perhaps were not entirely clear in last week’s post.  I do not believe an autism diagnosis means we sit and do nothing to help our children, but I believe there must be a balance.  What we did was detrimental to all involved and I do not encourage anyone to follow in our footsteps.  All our hard work, the round the clock therapy, (more than 40 hours a week) the training, the evenings and weekends spent taking over once the therapists had gone home, did not ensure our child’s brain was rewired.  She was not mainstreamed within a few years.

This idea, popularized by the book, Let me Hear Your Voice by Catherine Maurice was NOT our story.  I do NOT recommend that book, in fact I urge parents to avoid it.  It was the first one recommended to me by Emma’s ABA supervisor and it set us on a very painful road of discouragement and disappointment, but perhaps even more importantly and destructive, it put into play the belief that Emma’s neurology could and should be “fixed.” And it pushed us further away from any degree of acceptance and eventually embracing and yes, celebrating our daughter for the amazing, uniquely beautiful being that she is.

That early intervention is so often equated with ABA is worrisome to me.  I hope this is changing.  People suggest it is, but when my daughter was diagnosed it was a given.  It was ABA or nothing.  Agencies offered versions of ABA, but it was still ABA.  My child was not helped by ABA.  I would not have done it could I do it all over again.  I’ve written about ABA before ‘here‘ and ‘here‘.  I know many of you feel it has helped your child, many have written to me and described some version of ABA that bears no resemblance to the method used with my daughter.   Evidently ABA has, in some cases, changed.  The bottom line is this – Does it presume competence?  Does it respect the child as a human being?   Is this a method I would use on a child who was not Autistic?

What I would have done when my daughter was first diagnosed was OT.  I would have enrolled her in gymnastics, trapeze school, swimming and I would have introduced her to a stencil board and AAC (Augmentative and Alternative Communication) devices.  I would have begun using Proloquo2go and many of the terrific Grasshopper apps had we had iPads when Emma was diagnosed.  And I would have begun working with Soma Mukhopadhyay.  In an ideal world all of these things would be a given.  All of these things would fall under “early intervention.”  All of these things would be available to ALL families despite their level of income.  These are the things that have proven to help my daughter.  All children may not respond to the things she has responded to.  But in an ideal world “services” would include an evaluation determining what things would help and a plan would be made.

In last week’s post I questioned those who are not Autistic and have little or no contact outside of a professional setting to those who are and yet call themselves “experts.”  I was not referring to the many professionals who are intimately involved in the autism community (and by that I mean the community of people who are Autistic) who have dedicated themselves to helping our kids and us so that we can be, not only the best parents we can be, but also equipped with information that will help us help our children flourish.  There are a great many of you out there, and to you I am incredibly grateful.  To all those professionals in the field of autism who are not familiar with Autistic blogs, books or do not have have any Autistic people in your life who are friends and colleagues, please become familiar with Autistic people’s work so you can tell parents.  Many parent’s first contact with anyone involved with autism, outside of their child, will be a therapist.

Please make sure parents know there is a growing population of adults who share our child’s neurology.  Even if that means just giving us a list of blogs and books written by Autistic people.  Ideally there would be programs in place that employed Autistic people, just as social workers, therapists, parent liaisons are employed. Autistic people who are interested in interacting with new parents and their newly diagnosed children would become a part of “Early Intervention.”

Ideally we would live in a society where we did not segregate those who were more profoundly affected by physical impairments and do not speak, so that all of us came into daily contact with those whose neurology was similar to our child’s as well as those with an array of impairments.  Perhaps families with older kids who are farther along in the process would volunteer to reach out and be available to other families new to all of this.   The point is that we could help each other more than is being currently done.

No family should feel they are alone, or feel the fear we felt or the terror and worry that dogged us every waking moment of those first years after my daughter’s diagnosis.  Years we spent in a state of almost constant panic that we should be doing more, that if we didn’t we were losing time, that our daughter’s life depended on it and that anything less meant we were failing her.

No one, who is given a diagnosis of autism, should feel they are alone.  None should feel less than or believe they are damaged or broken.  No child should feel ostracized or that the way they process and view the world is “wrong” or “bad.”  None should feel that because they are Autistic, they need to hide or feel abandoned by society. No one should be made to feel ashamed for the way they were born.  No one.  This is what I want to see change.  This is why I keep writing.  All of us can work together to create a world that embraces one another and encourages, rather than condemns.  Each of us can play a small part in making this happen, by increasing our awareness, by accepting difference, by working together.

**Em

A Radical Notion

As I fantasize about a world in which autism is not consider a “bad” thing, but instead is seen as yet another type of neurology with its pluses and minuses, I continue to rewrite the “ideal introduction to autism” with the hope that one day this may actually be a parent’s experience.  I can’t imagine what that would be like, but I know for a fact, it would be a hell of a lot better than the very real, very upsetting, confusing and painful introduction to autism that I was given almost ten years ago.

First off, the literature regarding autism…  more and more there are books and blogs (!) written by Autistic people introducing the idea of autism as another kind of neurology with both innate challenges and wonders.  I’ve listed many of them on the Resources page on this blog.  As there were no blogs (written by Autistic people) that I knew of in the fall of 2004 I went to Barnes & Noble and bought pretty much every single book written on Autism.  Some would say that was my first mistake, as I was greeted with nothing but gloom and doom.  Other than Donna Williams and Temple Grandin, all the books were written by non autistic people about the dire, horrors of autism and what that meant for your child. (And none of it was good.)  Autism was most definitely not something to celebrate.

The idea that autism could be seen as anything but terrible was not even a radical notion, it was a thought that hadn’t made it into the public sphere.  When Emma was diagnosed the big names associated with autism were Andrew Wakefield, Jenny McCarthy and Bernard Rimland.  It was impossible to read anything about autism without those three names coming up.  Parents new to all of this, fumbled around trying to make sense of the various thoughts about cause, was it really an epidemic and how to best serve our children who were said to have been snatched from our protective arms.  I’ve written about the depth of my fear during those first few months that turned quickly into years in numerous posts on this blog.

My fantasy is nothing short of radical, but perhaps one day it will not be seen as such, but instead, will be commonplace.  My fantasy introduction to autism begins with the evaluation.  At least one of the therapists who came to our home in September of 2004 would have been Autistic.  Once it was thought my daughter might occupy a place on the Autism spectrum, more Autistic therapists, social workers and psychologists would have come to conduct the evaluation and talk to us.  This, then, would have been our introduction to autism…  meeting actual Autistic people, who are able to articulate what the challenges are and what the joys are!  People who could offer a balanced view of a neurology that I would be able to identify with and see there was overlap with my own.  People who would gently encourage me to review my own neurology and see that my daughter’s experience and processing of the world, while different from mine, has many similarities.  People who could help me so that I was in a better position to be the mother my daughter needed me to be.

After the evaluation and diagnosis had been made, we would then be given support in finding at least a few Autistic people who were in the profession of working with families with Autistic children.  In my fantasy, Autistic people would be among those creating schools, designing curriculums, teaching academics, conducting seminars for us, the parents of Autistic children, to attend so that we might better help our kids.  It seems to me a radical shift in all aspects of autism, what is said about what it is to be Autistic and what is being told to those who are non autistic, needs to occur.  My dream team would include Autistic and non autistic alike, but it would be a blend of those who presume my child competent, who treat my child with respect, who are interested in my child’s well being and want to work towards her strengths, encouraging her to be all she can be and cheering her on.  photo

Walk Toward the Light

First there was the evaluation.  The therapists, the psychologist, the questions. Everyone arrived with their little bag of toys that remained untouched by session’s end.  Some tried to interact, others just observed, but all, eventually, turned to us to ask pointed questions.  Questions meant to gather information, but that felt like tiny daggers, cloaked in kindness, laced with concern.  They jotted down things we could not see, little bits of information they would, no doubt, refer to later, once back in the safety of their office.

Meanwhile we were in the midst of it, with our child who behaved in ways we couldn’t anticipate and often did not understand.  None helped us with that. Their reports finished, their conclusions made, their notes and jottings summarized into a single word – autism.  Delivered to us by phone, we were told, like a psychic delivering a premonition, the cold, hard “truth”.  Our daughter’s life, suddenly bled of joy, like so many leeches placed on a feverish body, draining her of all vibrancy.  Her bright future no longer bright, she was categorized.   Her deficits itemized and highlighted, her strengths dismissed or ignored, the solution, the remedy, the therapeutic interventions, the “behavior modification” programs could now begin.  If we were lucky she could be trained.  She could be “modified”.  She was young, we were reassured.  There was still time.  We were congratulated for having caught “it” so early.  Early intervention was key, we were told.  Intervention…

That was the beginning.  That was the beginning.  Instead of reassurances, we were given dire statistics, useless advice, asides about inner strength, courage, even “god” was evoked with alarming frequency.  People learned of our news. Carried along on the same wave of terror, they tried their best to conceal what they really thought.  Some were more successful than others.  Some, couldn’t help themselves, in an ill-conceived attempt to prop up, they said things like, “I don’t think I’m strong enough to have such a child…” or “I wouldn’t be able to handle it if…” or simply “How do you do it?”  and with each, the darkness crept closer, enveloping us in arms of sadness and pity.  The darkness became familiar, soon, without realizing it, I had embraced it and found others who felt similarly.

What I would have given to have had my Autistic friends there with me during that period when everything was so scary and the unknown loomed before us like a dark  impenetrable wall.  What I would have given, for someone to say, “You are frightened now, but they do not know, they do not understand, they may mean well, but they cannot help you.   You see, they are coming at all of this from the perspective of their own limited neurology.  They cannot see beyond what they believe to be true.  But there is another “truth” and it is one they are unable to tell.  The words they use will only lead you down a path you must reject.  It is a path that will descend into more fear, more terror.  It will not lead you and your child to anywhere you want to go.  Come with me, instead.  Walk with me.  Walk toward the light.

In my ever evolving fantasy of – What if? – I imagine all my friends… my friends who are Autistic, some of whom do not speak, some who do, some have similar interests as my daughter, others do not, but all… all share her neurology… and it is towards them that I walk.  It is with them that I surround myself.  It is with them that I choose to be among, because they know.  They know what it is to be Autistic.  They put beauty in the word “autism”.  It is their faces, their words that I think of when I think about autism and my fear is vanquished.  Fear, now replaced with pride and hope and joy that my daughter is part of such a caring, loving group of people; I am relieved.   A community who has come together to care for each other in a world that continues to ostracize, segregate and criticize, this is the community that stands with their arms open wide, in acceptance, in celebration of all that my daughter is and will become.

Walk with me… walk toward the light…

Rainbow Clouds

We Are in This Together

It is in our best interest to remember that we are all the same.” ~ Barb Rentenbach in her book, I Might Be You.

One of the most insidious and destructive messages parents are given about their Autistic child is “the list.”  I am referring to that list of deficits we are given.  The list that enumerates all the reasons why our child has earned the “autism” diagnosis.   It is a list that divides.  It sets us a part from our child.  It makes us question our maternal instincts.  It makes us wonder what we did wrong.  It is the list that becomes our to-do list.  A list of things we now set out to “fix”.  Or so this was my experience when my daughter, Emma was first diagnosed.

That list, filled with judgment, a critique of my not-yet-three-year-old child, the same child that just moments before, I knew was different from what I expected, different than my son, yet still was a part of, was now branded with “other”.  If we are going to make such lists, I think it only fair the “evaluator” and all members of the human race be given similar critiques.  I would be curious to see how each of us stands up under such scrutiny.  Let us be evaluated by someone who does not share our particular neurology.  Let us each be judged by another – another who deems themselves superior.  Let’s see how well that plays out.

Loneliness is the most predominant side effect of our unique design. Many times, autistics revert to isolation by default rather than preference. It is infinitely easier to back away and not try to be included instead of oafishly stepping in and attempting to convey you intend to be a part.” ~ Barb Rentenbach in I Might Be You.

Have you ever felt like a fraud?  Have you ever said something to someone only to realize you said the wrong thing?  Have you ever been in a social situation and left, wondering why you feel uneasy, upset or just sad?  Have you ever spent time in the presence of a group, yet felt lonelier than had you been alone?  Have you ever had the thought that if people really knew you, they wouldn’t like what they found?  Have you ever felt separate from, less than, not good enough?  Have you ever felt critical of the way you look, the shape of your body, the size of a particular body part and wished it were different?  Have you ever thought if only that part was smaller, larger, different, if only the number on the scale was less, if only your hair was lighter, darker, straight, curly, your skin was a different shade, your height…  Have you ever thought if only X was different, I wouldn’t feel this way?

Remember a time, no matter how brief, when you felt that magical euphoria of connecting with another human being?  That moment when you felt the wonder and bliss that only comes with friendship and love, the beauty of connecting with another?  Remember what that felt like?  Wasn’t it beautiful?  Wasn’t it unlike anything you’ve ever felt?  A kind of anything-is-possible feeling?  A feeling of all being right with the world, that joy of knowing we belong.  Who among us has not experienced both?  Who among us has not felt the horror of feeling separate from, the worry that we are somehow damaged, not right?  Who among us has not felt the inextricable sadness that comes from feeling we are all alone?  Now add an entire society, a whole group of people, all of whom have decided we are “less than”.  Feel what that feels like.

Go back to the memory of bliss, of joy, of connection.  Feel the vibrancy, the exuberance that comes with that.  Which do you choose?  Would any choose differently?  We are all served by remembering we are more alike than not.

Reach out and connect with those who may be struggling with separation. It takes just one person to care to change a life for the positive. Be that for someone.” ~ Barb Rentenbach in I Might Be You.

Emma, Barb & Lois the week we recorded the audiobook of I Might Be You

Em, Barb & Lois

What I Wish I’d Been Made Aware of When My Daughter Was Diagnosed With Autism

What follows are some of the things I wish I’d been told (and given) when we learned Emma was Autistic.  These are the things, in retrospect, I wish all those doctors, specialists, pediatricians, therapists and people who dedicate their lives and careers to autism had told me, but did not.  I believe our lives would have changed dramatically had we been told even a few of these things.  It is my hope that for those of you who may be at the beginning of your journey with an Autistic child, this list might help you avoid some of the many, many mistakes we made and a great deal of unnecessary pain.

1.  Seek out the work of Autistic people ~ most of the work I’ve listed was not available when my daughter was diagnosed, but it is now.  Take advantage of all that is out there, these people are leading the way.  If I had to choose just one thing that has had the single greatest impact on my life and the life of my daughter, it is these people.  My gratitude to all of them doesn’t come close to covering how I feel.  I have compiled an extensive list of blogs and books written by Autistic people as well as a couple of documentaries that are a MUST WATCH!   on the “Resources” page on this blog.  Please go take a look.

2. Autism is not a disease.  Read Don’t mourn for us by Jim Sinclair.  This may take some time for you to understand.  It’s okay.  Get the help and support you need so you can better help your child.  Try to think of autism in the same way you think about any groupings, a Mac and a PC, fiction, non-fiction, memoir and young adult, a shirt, a pair of pants, shoes and socks, a microwave and a gas heated oven.  Autistic, Neurotypical, Allistic, (or my personal favorite, coined by a friend) NT-NOS, we are all human beings.   Try not to judge one over another.  Judgment will not help you help your child.

3.  Presume Competence.  (This ‘post‘ helps explain what presuming competence means.)  If a therapy and/or professional does not approach your child with a presumption of competence, please consider finding one who does.  Tremendous long-term damage can come from not presuming competence.  Rethink how you view communication.  Listen to your child, not just to words, but to body language, facial expressions.  You may be surprised by the ways your child is communicating despite not being able to do so verbally.  Teach her to point with her index finger, first with support if needed and as time goes on, fade the support. Give her the appropriate tools and support so that she can learn to type or communicate by pointing to a letter board.    There are many wonderful iPad apps that can help with this.  Begin with sequencing games and colored tiles, or if she’s musical, notes.  Join them together to make patterns.  Show her first, have her mimic.

4.  Do not speak of or about your child as though they cannot and do not understand or hear you  (read Barb Rentenbach’s book for more on this).  This is something we did without thinking for years.  Sadly it is not the only regret I have, but one of many.  Still it is worth repeating.  Chances are your child can and does understand what you’re saying even if they do not show any signs that you recognize.

5.  Throw out everything you think you know and question everything.  There is a massive amount of misinformation/myths disguised as truth and fact regarding autism.  You may hear people say things like “They are in their own little world,” or “they are imprisoned behind their autism” these phrases are perhaps an accurate reflection of what non-Autistic people feel about the Autistic person in their life, but they serve to divide rather than unite and ultimately serve none of us. Be suspicious of anyone who says they know what causes autism or how to “treat” it.  Disregard any organization that describes autism and your child as tragic, an epidemic, a burden or any other word generally reserved for warfare.  If you read or hear something that causes you to feel fear, walk away, it is most likely inaccurate and intended to make you afraid.  None of us are able to help our children when we are terrified.  Fear can cause us to make decisions we will later regret.

6.  Set your child up to succeed.  My daughter is extremely sensitive to criticism.  Saying “No!” or criticizing her does not help her learn, but instead makes her feel badly about herself.  Encourage her with smiles and by asking her to try again.

7. Do not try to make your Autistic child behave like a non Autistic child, instead encourage your Autistic child to be the very best ______ (fill in your child’s name) they can be.  For more, read ‘this‘.

8.  Avoid comparing your child to any other child, Autistic or otherwise.  I have struggled with this one and continue to.  All I can say is, this is a work in progress. I hope one day to “know” this and refrain from doing it as it gets me into “compare and despair” thinking faster than anything else.  Emma is Emma.  She is best served when I remember this fact.

9. We parents are fallible.  We will make mistakes.  I’ve made dozens.  I wish I hadn’t made quite so many.  But I have.  If there is one thing I know without a doubt it is this – I will make mistakes, I am human.  I can admit my mistakes, tell my daughter how sorry I am, make a living amends to her by doing everything in my power not to repeat the mistake and continue to move forward without beating myself or anyone else up.  As my wise mother once said, “Show and tell your children over and over how much you love them, and one day they will forgive you.”

10. Get to know Autistic adults.  One of the single biggest misperceptions surrounding autism is that autism is only seen in children.  Autistic adults are often our best teachers and  many of them are leading the way so that our children’s lives might be better than their own.  These people are courageously and tirelessly pushing back against the deeply ingrained prejudices, biases and misperceptions that are rampant within our society.  (See #1)  It is my goal to honor these people who have beaten a path ahead of my daughter so that she may more easily live in this world that so often will not and does not accommodate her or give her what she needs to flourish.  They are speaking out, let’s all get behind them and give them the microphone so that more can hear what they are saying.  One day, the person holding that microphone might just be your child!

The year after Emma was diagnosed ~ 2005

Em - 2005

Embracing Change

When Em turned two, I said, “I’d give a limb to have her ask for something.”

When Em was three, I said, “If only she could tell me what was wrong.”

When Em was four, I said,  “If only she was able to understand.”

When Em was five, I said, “If only she would sleep through the night.”

When Em was six, I said, “If only she would learn to use the bathroom during the night too.”

When Em was seven, I said, “If only I understood what she was thinking.”

When Em was eight, I said, “I just want her to be safe.”

When Em was nine, I said, “I want her to have choices in her life.”

When Em was ten, I said, “I think I’m beginning to understand.”

When Em turned eleven, I said, “Thank you.  Just thank you.”

Things continue to change.  We adjust.  I continue to change and my life gets bigger and fuller.  Em continues to change and her life gets bigger and fuller.  I didn’t fully appreciate or understand this when Em was first diagnosed, but I do now.

Everything changes.  I’m learning to embrace it.

sc000a5075

“The Signs Of Autism”

When my daughter was diagnosed I heard all the autism statistics.  I read a great deal and I learned a lot.  But what I learned was not so much about autism as it was about non-Autistic perceptions of autism and what that meant to those who are not Autistic.  Non Autistic people tend to view autism with tremendous fear.  There’s so much we don’t know.   Non Autistic parents are left trying to sift through the opposing opinions about a child they may have a difficult time understanding.  Most parents deeply love their children and want what they believe is best for their child.  So when they see literature describing the “signs of autism” it looks scary.  The various “signs of Autism” do not bring them any closer to understanding their child, rather they serve as a critique.  Right away parents are shown how to view their child as less than, as not good enough, as “wrong”.

From the Mayo Clinic the first sentence under the heading “Symptoms” reads, “Children with autism generally have problems in three crucial areas of development – social interaction, language and behavior.”

If I had read this sentence upon receiving my daughter’s diagnosis I would have thought, okay, so how do we fix these problems, because  problems are to be fixed, right?   And though I did not read this exact sentence in 2004 when my daughter was diagnosed, I read a great many just like it.  I never once thought about the sentence and who was writing it.  I never once questioned it’s validity or examined the words being used.  It never occurred to me to read this sentence with skepticism and doubt.  It didn’t occur to me to wonder how my two-year old daughter might feel growing up in a society that believes the ways in which she interacts, speaks and behaves are viewed as problematic.  But I think about all of this now.  Not because my daughter is reading a sentence like this or because we are discussing things of this nature, but because I see everything regarding autism and those who are Autistic differently.  I am hyper aware of the judgmental and critical tone in almost everything to do with autism because I now know a great many people who are Autistic and they explain it to me.  I now know how offensive this language is and I understand why.

So let me ask all of you who are not Autistic this – how would you feel if you were described from the moment you were born as problematic?  How would you feel if you were taken from one doctor to the next, examined and criticized?  How would it affect you if you were told, “Stop looking at me when I speak to you!”  And then when you found that impossible, the person physically reached down and turned your head away so that you could not make eye contact.   How would you feel if you were paying attention and suddenly two hands grabbed your wrists and shook them so that  your hands flapped rapidly on either side of your face.  When you tried to pull away, you were told, “Move your hands!”  How would you feel if you were happily playing with your dolls and your parent demanded, “What are doing? Why are you making them interact that way?  Why are you trying to feed it?   You understand this is a piece of plastic and not real, don’t you?”

The point I’m trying to make, (probably poorly) is that almost all the literature about Autism is written by NON Autistic people and negatively compares Autism to a different neurology.  Is it any wonder parents feel so confused?  How is this thinking helping our kids?  How is it helping parents?

Presents

Performer, Singer, Mother, Wife, Friend & Autistic – An Interview With Chou Chou

I met Chou Chou last spring when she left a comment on this blog.  She wrote, “I love your writing, and find your darling Emma startlingly like me as a child.  I am a happy, successful, 58 year old autistic woman.  I just wanted to say you and your husband are wonderful parents, and Emma will be fine. She will be wonderful. She is wonderful.” 

 I read her comment a dozen times. I felt indescribable joy and I wept.  I was just beginning to read the writings of Autistic adults and had started, very tentatively, to reach out to a few of them.  Then out of nowhere there was Chou Chou reaching out to me!  I was so excited!  I doubt she could know how much her kind words of encouragement meant to me.  We’ve been in touch ever since.

Chou Chou performing with Doc Scantlin and His Imperial Orchestra

 Tell me about you as a child? 

Boy! Where does one start? I was a very passive baby, and did not react to people, or reach for toys. My mother said I appeared content and able enough, but it was as if she would lose me if she wasn’t careful, as if I would slip away into my own world, forever. Baths seemed to perk me up, so I was given five baths a day, and then played with after baths. My toys were put on strings, so I could look at them, since I wouldn’t play. I would cry for hours, but could also be in total bliss. I was very late talking, almost five, except a few words, and had trouble throughout my youth speaking. I was a toe walker, head banger, and would bite myself. I had a faulty immune system, and was sick constantly. Ear aches, flu, tonsillitis, all the respiratory stuff. My gut was a mess. All one has to do is read your posts on Emma, and that describes what I went through. I did not play with other children, although I would play beside them. I was hypersensitive, and needed much time alone to recharge. I loved nature, art, swimming, especially underwater, and performing. Performing was just like plugging me into an electric socket! I would come alive! My mother realized she could make me connect better by giving me a character to play, and a small script. It has served me well.

When were you diagnosed?

Age three. My mother was the business administrator of a small, prestigious rehabilitative home, named Idylease, in northern New Jersey and the doctor in charge became our family doctor. This was the mid fifties, and he very cutting edge, because of his position at the home. He diagnosed me, much to my mother’s horror and shame. At the time, autism was considered caused by cold mothering, and children were often institutionalized, to protect them from their bad mothers. My mother hid the diagnosis, and began a masterful strategy, that not only got me through school, but made me grow into a competent, happy (if a bit odd) woman. She was a brilliant, wonderful mother.

The word autism was never used. I was called slow, or special, or a late bloomer. It was not until the late 90’s that I was told of this early diagnosis, which was confirmed by my doctor.

Can you talk a bit more about your mothers horror and shame?  Did she believe her parenting caused your Autism?

She did until the day she died. We would have long talks about it, and I would explain, over and over, what a wonderful mother she was, and all the ways she helped me, and I sometimes thought she would “get it”, but she never did. She was a career woman, in an age when that was controversial enough, and had many symptoms of what I now recognize as Aspergers, although she was never diagnosed. She was a mathematical, logical, brilliant, woman, who was loving, but not often in an emotional way, nor was she social. Unfortunately, she interpreted that as her being the “cold mother” that was considered the cause of a child being autistic. This made sense to her, and I was never able to sway her completely, and have her forgive herself for this false accusation. I know she hid my diagnosis for her own sake, as much as mine. She feared the world would see how terrible she was. So, so sad. I adored her, and she did so much right!

How did the diagnosis affect you?

 It did not effect me as much as those around me, once I opened up about it. Yes, it was nice to pinpoint what I was dealing with and to put a stop to years of misdiagnosis, but I already knew who I was, and, like most autist adults, had created a multitude of strategy for getting by in life. The biggest thing was that I could be honest: about why I wouldn’t come to a party, why I had trouble following a conversation, why I would stop mid sentence sometimes, or covered my ears, or twisted my fingers, or had a peculiar way of speaking. It was obvious I was under much stress, and that made people uncomfortable, and made them think I didn’t like them much, I think. Now, I simple speak up when I need to, and politely explain my challenges. Everyone relaxes, and tend to be helpful and kind. Sometimes, it makes people talk to me as if I am a child, but I can quickly nip that in the bud! I often say that what I am dealing with is neurological, not psychological. Don’t get me wrong, I’m as neurotic as anyone else, but my neurological makeup is far different from the vast majority of people. I am no better or worst than any one of the unique people roaming this planet. However, I am, it appears, of a certain somewhat predictable, if varied, ilk. I am an autist, and a happy one, and am coming to realize that there may be others rather like me, younger ones, who could benefit a bit from my becoming part of the conversation. After a lifetime of hiding my differentness, this does not come easy, but I believe there is a responsibility that is mine to accept.

I am an autistic woman. Other than that, I am perfectly normal. Aren’t we all a little strange?

What do you remember of school?  Did you go to a nursery school? 

No. Since nursery and kindergarten were mostly playing, which was hard for me, my mother kept me home until first grade. This was the peak years of the baby boom, and the schools were very, very crowded. I went to parochial school, along with my older sister, brother, and, eventually, my younger sister. I think it is hard for anyone to imagine how overwhelmed the schools were by the boom. There were 72 children in my first grade classroom alone, and there were three first grade classes. It was easy to get lost in the shuffle. School was a horrible, overwhelming blur, and I mostly sat quietly and obey the rules. I am very big on rules! I was always the “slowest” child, never finishing tests, had difficulty speaking, and was pinching and biting myself. During recess, I did not play with others. I would find some detail to focus on, like an ant, or the links in the fence. I had great anxiety and fear at school. Sometimes I wasn’t able to contain it, and I would cry inconsolably. I would be sent to the nurses office, and cry it out, or be sent home. Throughout school, my mother would watch for signs that I was getting overwhelmed, and keep me home, so I could be quiet and recharge. It was easy for her to make excuses, since I was sickly anyway. Usually she would write a note saying I had a gastrointestinal virus. I missed a lot of days at school, either really ill, or with these fictitious viruses.

Were you treated differently?   

Yes. There were no special education classes, but there were groups within the class. I was in the slow group, and given special reading skill projects and tasks. This confused me, because I was a voracious reader at home, beyond my age level. I just couldn’t communicate it, so they thought I couldn’t read. I was protected. My big sister or brother knew they needed to have me tag along, so I didn’t get lost or hurt. It was not considered safe for me to be alone, unless I was in our home or yard. We all just accepted that. I was in my own world, and wouldn’t watch for signs of danger. I was never punished, like the other children, as it would totally destroy me, and I would harm myself. Sometimes my brother and sisters resented that. They would be punished, but my errors would be quietly explained to me. That was all that was necessary. I loved to know the rules.

Did people talk about you in front of you? 

Constantly. I didn’t mind, because, it was easier to listen to the conversation than converse myself. Sometimes, of course, it was frustrating to not be able to express myself. I remember hating cooked carrots. When they were on my dinner plate, I would force myself to eat them first, so they wouldn’t “contaminate” the rest of my meal. My father thought it meant I loved them, and would pile on more. I would burst into tears, wondering why he was torturing me with carrots. Poor guy.

There were, and still are, many times I have difficulty following a conversation. Particularly “small talk”. When I listened to other children, it made no sense to me, but I never felt it was because I was less intelligent. Their bickering and constant competition sounded unintelligent to me. My interests were quiet, and beautiful, to me. Their playing was constant battle.

Do you remember any particular instances when you felt people or other children didnt understand you?

It was a great conspiracy of mine, along with my mother, that I was intelligent, and even talented, but was considered so deficient. I felt that my world, the one I played in alone, was beautiful, and that the other children struggled in meanness and chaos. I did not feel less than them. Because I was quiet and never mean, and most of the neighborhood kids went to our Catholic school, it was decided I was somehow blessed, that I would grow up and be a saint. Perhaps my mother started that rumor. She was awfully clever at protecting me. It kept them from picking on me, as it would be unheard of to harm this holy creature. I was left alone, but guided and protected, and even included. They always tried to involve me in games, but I didn’t do well with them. They were illogical. Sometimes they would invent special roles, so I would be included. If they were playing “war”, they would put me on top of the swing set, like a princess needing rescue, and I would cry, ” Help, save me” over and over, while they wrestled and battled. I would also have some terrible hours of crying, but these I don’t remember well at all, and always forgot they even happened once I recovered. They were not discussed.

Did you have other sensory issues that you were aware of? 

My sensory challenges, without a doubt, were and are, the major issue for me to contend with. I now speak, write, and socialize well, but I experience the world in a much different way, sensorily, than is in the average range. I understand this now, and have devised many way of protecting myself, but I did not understand this when I was younger. I thought everyone experienced life the way I did, but that I was some kind of weak character because I “couldn’t take it”. Sights, sound, smells, emotions, all were overwhelming. My clothes scratched, and I thought digestion, and sometimes even breathing, was a painful process for everyone. I had a headache all my life that I didn’t even know I had, until I had some pain medication as an adult that made it go away. I would bang my head, and had to bounce and rock to fall asleep. I would cry on trips home from anywhere, because being out was overwhelming. I hurt, and the stimulation of the world hurt me. Why was everyone acting just fine? I would pray, and ask for forgiveness, since I somewhat bought the story that I was holy. Wasn’t I supposed to suffer as a saint? Surely, I would die young, after much torture!

Were you able to read and write at the same age as your peers? 

I loved reading, and don’t remember ever not reading, but had great trouble writing, and could not read aloud. There were a lot of monthly magazines in our house, and encyclopedias. I poured through them, and my mother got a subscription for me to a book of the month club. I liked learning a lot, and self education. In school, though, no one knew I could do this, and I lived my role of being a remedial student. The only difference was if I was given something to memorize and perform or recite. It was like a magical trick. I would come alive, so much so, that often I would be taken from class to class, to do my performance over and over, to much applause.

I come from a very intelligent family. My mother was a mathematical genius, and member of Mensa. My brother had a photographic memory, but had a head injury, and was kept back a year in school. From then on, we were in the same grade, but he was considered the smartest kid in class, and I was the slowest. In eight grade, we were given IQ tests, for placement in the high school’s track system. Test was easy, because it involved little writing, and was logical, and solving puzzles, which I was really good at. The  answers were not written, if I remember right. They were just filling in the dots, or one word. I scored the highest in the whole eight grade, even higher than my brother. It was decided I was a bored, shy genius, and I was put in track one, with the brightest students, taking advanced courses in math, Latin, and biology. That was a big mistake. I couldn’t keep up at all! I was “demoted” to track three, out of seven, where the bright, average, most popular student mostly were, and was a terrible student. My brother was made class president, and all the girls wanted to date him, so they were VERY nice to me. I got pretty, so the boys started being VERY nice to me, too, although my big brother kept vigilant guard on the advances of those New Jersey boys.

Was there anything or anyone in particular that helped you when you were young?

Without a doubt, my mother. She always believed in me, and told me I could do anything I set my mind to. When I was sick or struggled, she never for a moment treated me like I was damaged goods in any way. She would treat me with astounding respect for how I tried, and told me I was “tough as a turtle”, and a “late bloomer”. When other family members got frustrated with me, she would say, “You just wait and see. One day she’s going to show everyone what she’s made of”. She taught me to learn on my own, and gave me access to anything that I had interest in, and could do in a quiet, solitary way. She made sure I was included, but allowed me to be separate, and somehow spun it to everyone that it was a positive thing. I never had to be like anyone else. She made me feel I was wonderful as I was, and only had to be the best me, and she convinced everyone else of the same. She had a talk with the toughest bullies in the neighborhood, and made them my, and my brother, when he was injured and small, special bodyguards, to make sure no one bullied us. I don’t know if she paid them, but I wouldn’t be surprised. I remember them swaggering, “Don’t worry, Mrs. Downs, nothin’ gonna happen to them. We’ll make sure of that!”

My mother found that if she dressed me pretty, and gave me small scripts, I could become a character, and connect much better. She told me, in order to get by, to just be quiet, smile, and use my little scripts. I learned to ask questions back, by repeating questions asked to me, and, even though I couldn’t always follow the answer, just respond by saying, “that’s nice”. Usually it worked, but, sometimes they said something sad, and I wouldn’t catch it, and my response would be inappropriate. That still happens sometimes, much to my embarrassment.

My older sister changed my life, in the most astounding way. I didn’t appreciate it at all at the time, but now I do. In high school, she signed me up for drama club, because I performed so well, and was always putting on shows. I was horrified! It was a group activity. I was really scare, but more scared of my big sister, so I did it. I soared, and had the lead in many shows, and I won awards. Through playing characters, I learned to speak, and how to present myself. I went on to become a professional actress and singer, and continue to perform as my livelihood to this day.

Did you ever internalize some of the messages you received from school or others and feel shame?

The internalized negativity I feel has more to do with feeling bad that I am not able to do some things most people find easy. Feeling bad that I let others down, and can’t socialize in a more normal way. I get very frustrated that society keeps adding more sensory challenges that make things LESS accessible all the time! More noise, more flashing lights, more dependence on the value of being socially savvy, and living in a constantly socially connected way. I can no longer watch the news, because there is just so much constantly being added to help keep people’s attention, in the way of sound, visuals and speed. Many places and things are now inaccessible to me, because of the heightened stimuli.

Weve spoken of this privately, but can you talk about feelings of shame or feeling ashamed?

I go through unbearable bouts of illogical shame, although I no longer injure myself. It has nothing to do with self-esteem. I know I am capable, and that I have a great capacity for making people happy. I am a well received entertainer, with many supportive friends and fans. I’m a rather mediocre singer, I’m afraid, but a good entertainer, and can put over a song. I am loved deeply by my husband. The shame shows up most if I’m tired. I will walk onstage, and look at the audience and think, ” who are these wonderful, beautiful, people, and why am I bothering them? It makes me want to apologize for being there. I have to remind myself that they are paying good money to see me, and I need to give them my best. It is not stage fright, which I don’t have in the least. It is shame. I wake up the next morning, drained from giving my all, and am totally ashamed. It is not a feeling like I did a bad job. I can tell that the crowd was happy, and the cheering loud. It is just a horrible, illogical feeling of fright and shame, and this tough turtle pulls into her shell! I then need to hide, for surely I will die of shame, if not allowed to recover quietly. I’m fine in a few hours, and Doc is great at understanding, and can make a joke out of anything. He will squeeze me and say, ” Oh! Are you sooo ashamed? Oh no! Oh, shame on you! Oh, it is so terrible! Oh, SHAME!” We will laugh at how silly it is that I experience this, but we both know it happens, and the best choice is to roll with the punches and laugh at this crazy crossed signal I get. I think we all have our little illogical demons. This is mine. I am not sure if this is an exclusively autistic trait. I do think it should be considered when dealing with problematic self-injury. It is no small thing. There are times in my life I would do just about anything to stop the shame, or punish myself for it, without it having anything at all to do with how things are going. I have learned to make a priority of taking care of myself, and getting enough down time.

The overwhelming shame I feel has nothing to do with internalizing what others did to me. It is just one of those odd signals that come with my particular neurological makeup, like feeling punched by flashing lights, or seeing patterns and colors when I hear music.  We all tend to react to being overextended. I get bowled over by shame that has nothing to do with anything but being in a weakened state. No one causes this. I also can get in euphoric states. That can be a problem because I want to kiss and hug everyone in sight! It’s not sexual, but I just ooze with love, but you can’t go around kissing and hugging everyone who says hello to you at the grocery store!

I am pretty good at recognizing and conquering my internal baggage, and separating it from what is a more neurological manifestation, and I feel this crazy intense shame is more neurological than psychological. If there is any psychological tie-in at all, it would be that at times I am humbled, and may not feel worthy, of all the applause and special treatment I get! As I have said, I am no better or worst than anyone else, and that, above all, must be the message in conquering ableism. We are equal, and not all of us view ourselves as victims. Some of us have had wonderful people helping us, throughout our lives.

From those early days of acting in school plays, did you have a sense of what you wanted to be when you grew up?

There were certainly times when I was growing up when I wanted a life on stage, particularly because I was good at it, and people liked when I did it. I knew I would probably always perform, in some way, but never desired to be a star. It would have destroyed me! When I was a young woman, my faraway, vulnerable, nature was compared quite often to Judy Garland and Marilyn Monroe. As flattering as that was I thought they obviously did not fare too well. What I really wanted was to be an artist, a wife, and a mother, and to someday live in a little cottage by the sea. Life has certainly taken some strange twists and turns, but I have achieved all those things.

I understand I need protection in certain areas of my life, but I also have skills and desirable traits, that can enhance, and even offer a different kind of protection, in trade. I am a good, protective wife, to a good, protective husband. That said, performing is my stock and trade, and a way of making a living that is highly enjoyable, if exhausting! I’ve walked away from it many times, but always find it in my path once again. The more spiritual part of me, for what it’s worth, had to at some point say, “Okay, I’ll do it, as long as you want me to do it.”

Because social connection can be difficult, performing is a way I can connect to a group of people in a structured, rehearsed, really fun way. I adore the spotlight! It blocks so much of the sensory challenges in a room, and allows me to feel, more than see, the audience. It is a way I can party and play with everyone, without small talk, and without that nebulous ” unwritten script”, whatever-the-heck THAT is! I always wind up falling in love with those in attendance, and I adore that! It is not about showing how wonderful I am. It is a way I can remind everyone how wonderful they are and the best part is that Doc and I get to do it together. I am grateful, beyond anyone’s imagination. My mother said I would bloom, and, since I believed it, I did somehow. I am still autistic, but one in full, frenzied, exuberant, ridiculous bloom!

Chou Chou can be seen and heard performing with her husband, Doc Scantlin and his Imperial Palms Orchestra

It Begins With My Father

Emma – This morning

 

Yesterday’s post inspired more thought.  I have often asked myself why?

Why did I believe all those specialists, doctors and “Autism experts,” particularly as I have always been so wary of authority figures?  Why didn’t I question the specialists, why did I engage in a war for so long?  Why wasn’t I one of the parents who saw through the autism = tragedy model?  I have always been somewhat of a rebel, what happened to that rebellious streak?

The answer begins with my father.

My father had a horse back riding accident when I was nine years old.  He was just shy of his 50th birthday.   It was a Wednesday.  I was home sick with the flu.  For years afterward I blamed myself for his accident.  If I had put up a bigger fuss, maybe he wouldn’t have left.  If only I’d been sicker he would have stayed home with me.  If only I had begged him to read another chapter from the incomprehensible book he’d been reading to me, if only, if only…  But that wasn’t what happened.  He left.  He did not come back as promised.

The next few weeks are a blur of images and sensations.  Sounds of my mother crying behind her bedroom door.   My grandmother arriving in a dramatic swirl of lavender and rose perfume and silk, her hair perfectly brushed, the grey curls delicately framing her beautiful features, her gnarled, arthritic, fingers turning the pages to one of my school books as she helped me with my homework.  The afternoon I yelled, “I hate you” to my mother who dropped the rolls of toilet paper she was carrying to the floor.  Her receding figure disappearing behind the door to her bedroom, their bedroom, now half empty.  The rolls of toilet paper, partially unfurled, lay in disarray at my feet.  My fury, shame, and horror, tangled and confused, waiting for an acknowledgment I was incapable of giving, instead I stormed into my bedroom and kicked the drawers of my bureau, leaving the mess on the floor in the hallway for someone else to pick up.  My feelings, I learned much later, were not as easily left behind.

Visits to the hospital.  Doctors in white coats, clipboards, a red light next to my father’s bed, the beeping emanating from a monitor overhead, his life reduced to one thin jagged line on a screen.  The needles inserted into his veins, pumping clear liquid contained in bags held by poles and hooks into his damaged, broken body.   The nurse who crackled as she moved, her shoes squeaked as she approached.  The smell.  That horrible, unmistakable, antiseptic smell that burned my nostrils and pulled at my stomach, making me worry I might vomit.  The emotionless, grave, tones used by the doctors, carefully offering opinions as though they were a given, as though fact.  The statements, each a warning, a flag being hoisted up the mast of hopelessness –  “He may not make it.”  “He may be paralyzed for the rest of his life.”  “He will never walk again.”  Each pronouncement proven wrong.  Each learned statement shown up for what it really was, nothing more than a thought.

My father confounded them all.  He, alone, it seemed to me at the time, had risen up from the dead, shown them their stupidity.  He was underestimated time and time again.  For decades, through sheer force of will, determination and hard work, he showed the medical profession, and me, what was possible.   And yet, even my father eventually succumbed to a wheelchair the final decade of his life.  I saw first hand the prejudices, the attitudes of people who came into contact with him. And while his was also a disability, it was of a very different kind from autism.  He and by extension, I, never “accepted” it.  His neurology was unaffected as his legs gave out.  He needed support, yet proudly refused help.  When he died, “his” doctor refused to come to the house, saying my father was no longer under his care because he hadn’t been to see him in so many years.  We were forced to call 911.  My father had no respect for the medical profession.  He had proven them wrong.  His life was a testament to that.  He believed in self reliance.  He believed in himself.

When we were given Emma’s diagnosis, without thinking, I knew what I had to do.  I, too, would confound all the naysayers, those who said, nothing could be done.  Those who grimly wrote evaluations, itemizing my daughters deficits with matter of fact, clinical words.  Her vibrant personality reduced to a critique, her intelligence, not applicable, not even a number as she was deemed impossible to test.  I would show them, just as my father had.  It was the beginning.  I didn’t know it at the time.  I didn’t realize I had chosen the wrong road to go down.  I didn’t see that my initial, knee jerk reaction to her diagnosis was correct after all.  The word “autism” wasn’t what was wrong.  It was the information and interpretation of what that word meant that was wrong.   If you’d told me this at the time, I would have responded in rage.  I would have told you, you were wrong.  I would have told you I could save her from the diagnosis, when what I needed to do was save her from the misperceptions surrounding the diagnosis.

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A Call to Listen

I’m reposting Ariane’s recent Huffington post below. I think it’s one of her most eloquent, powerful and important posts. Whoever is in charge of Huff Post Posting apparently didn’t agree with that assessment since he/she buried it in the Huffington morgue and  now it’s been wheeled away for cremation. Ariane wanted the piece to generate some excitement about her intention to post the writings of autistics on Huff (and here) in an effort to make people more AWARE of what life is like on the inside of ASD. Reading the blogs of autistics has completely changed our perception of ASD, our children, our goals, our life together. Hopefully Ariane’s “call to listen” will spread (hint, hint) and more people will hear the joy, laughter, hopes, fears and frustrations of autistics who have been discriminated against, marginalized, disenfranchised, bullied, or simply ignored by ‘normals’ who can’t bear to look, listen or care. So without further ado:

A Call to Listen

The beginning of my “awareness” regarding autism came in the form of an apologetic voice over the phone.  “I’m sorry to be the one to tell you,” she began.  I don’t remember the exact wording of the rest of the sentence as I was too distracted by her apologetic tone and sadness.  I remember fighting the urge to make her feel better.  Responses like – “It’s okay”, or “it’s not your fault” or “don’t feel sad,” went through my head as she continued telling me that my daughter Emma had been diagnosed at the age of two with PDD-NOS.   Then she asked, “Do you understand what that means?” I wanted to say, “No, actually.  I have no idea what that means.”  Not wanting to appear rude, I said nothing.

I knew very little about PDD-NOS (Pervasive, Developmental Disorder – Not Otherwise Specified.)  Did it mean she’d become an independent adult?  Would she be able to live a happy life, filled with things and people she loved?  These were some of the questions ricocheting around in my mind.  When I didn’t answer, the voice said, “Do you agree with the diagnosis?”  Was this a rhetorical question?  How could I answer that?  If I disagreed, would it somehow change the diagnosis?  I remained silent.  “Are you there?” she finally asked.  And suddenly all I wanted was to be home with my husband, Richard, my son, Nic and my daughter, Emma.

Two years ago I began a blog out of pure laziness because I hated writing emails updating those members of my family and friends who were asking about Emma.  I figured I’d write a blog, relieving myself of the more cumbersome mass emails I felt obliged to send.  I have documented everything from Emma’s initial diagnosis of PDD-NOS to her diagnosis two years later of “autism” to our (successful) attempts at getting her out of diapers, to the evolution of my perceptions, regarding Emma and autism.  The blog began as a way to document Emma’s journey, but it became a document of our journey too.

I have never stopped researching and trying to find ways to help Emma with her GI issues, her articulation and language processing, her discomfort with transitions and her need for routine and rules.  But it wasn’t until recently and because of a comment left on my blog that everything changed.  I discovered a world I didn’t know about – blogs written by autistic adults who were more than capable of speaking for themselves.  My views and “awareness” have dramatically changed as a direct result of reading and listening to those voices.

What if, instead of receiving the phone call I did when Emma was first diagnosed, I received a call that went something like this:

“Your daughter has been diagnosed with autism.”

“Excuse me?”

“Let me give you a list of blogs and people you can call who have been where you are now.  I think you’ll find them invaluable.  These are parents whose children are autistic and autistic adults who are happy to speak with you.  They will help you help your child.”

“Really?”

“Yes!  Your child is not broken or damaged.  In fact, your child is simply different. There are ways to help her.  Don’t worry.   Even if she is non-verbal, there are methods that will help her communicate.  There are countless things you can do that will mitigate some of the stress neuro-typical parents sometimes have in trying to understand their autistic child.”

“Oh thank you.  That’s wonderful.  I so appreciate your help.”

“It’s my pleasure.  I’m sending you some links and contact information to get you started.”

“Thank you so much.”

“Remember, this diagnosis is not a death sentence.  It is a starting point.  Don’t be frightened by it.  Don’t ever underestimate her potential.  You are not alone and neither is your child.”

What if autism awareness began with listening to adult autists describing what their lives were like?  What if those same autists were on the boards of every autism group?  What if all of us, whether we had an autistic child or not were aware of autistic adults living happy, fulfilled lives?  How would that change our “awareness?” I am profoundly grateful to each and every one of the autists who are speaking out and expressing their opinions on their blogs and through other forms of media.  If we want autism awareness, these are the voices that need to be heard.  It is up to us to listen.

Throughout the month of April in commemoration of “Autism Awareness” I will be posting the writings of several autistic adults in a series of posts entitled:

Autism Awareness = Listening to Autists