“What To Do During An Autism Cataclysm”
Good
afternoon. Today we will be talking about autism. My name is James Williams,
and I have a type of autism that is called high-functioning, or Asperger's
syndrome.
What is
autism?
If this was a
spelling lesson, I would proceed with this answer.
Autism. A U
T I S M. Autism.
But here’s
another way to answer that question.
Briefly, it
refers to a series of abnormal mental perceptions and abilities that cause
behaviors and outward responses that seem abnormal but are actually quite
normal in the context of those perceptions and abilities. Autistic individuals
also process information differently from normal people. Therefore, autistic
individuals often make decisions and judgments that are hard for normal people
to understand.
All autism
involves a certain level of disability, difference, and sometimes giftedness.
Otherwise, the individual would not have been diagnosed. However, there is
often a wide range between those disabilities and abilities. This is why autism
is called a “spectrum” disorder. Some autistic individuals have a photographic
memory; others don't seem to remember anything. Some autistic individuals can
talk; others are nonverbal. Some can talk but do not have useful language--that
is, they quote from movies, rattle off lists of Pokemon characters or street
names, but cannot engage in a conversation or state an original thought. Others
have a grasp of language that is superior to the average individual. Obviously,
speech is a prerequisite for a speaker; I couldn't come here and talk to you if
I hadn't learned any useful language.
A person
with autism may not be able to make proper eye contact with someone else.
Others might make eye contact very well. In the sensory field, you have autistic
individuals who crave sensory stimulation to the point where they want what
some autistic people call “deep pressure.” An autistic man walked up to another
autistic man at a conference and jumped on top of him, asking for deep
pressure. Others can't stand the slightest touch from another person; it feels
as if you've attacked them, or even stabbed them with a sword.
But what do
all autistic individuals have in common? Three things.
One, they
typically have a wide disparity in their abilities. They will excel beyond
normal expectations in certain fields, but will be lacking the ability to do
other things. The famous autistic animal psychologist Temple Grandin said that
when her abilities were tested a few years ago, she scored in the highest
categories in visual areas but scored at the second-grade level in auditory
processing.
Two,
autistic individuals will have at least some inability to do everyday things
that normal individuals do easily; as I have said earlier, otherwise the
autistic person would not have been diagnosed.
And three,
they all have a perception of the world that is different from yours, mentally
and physically, and their different experience of the world shapes their
worldview. It is also this perception that is the underlying cause for all of
their autistic symptoms, behaviors, and ways.
The third
point is also important as it exposes a myth in certain beliefs toward autistic
teaching that I'll explain later.
Recently,
several theories have been proposed to explain the causes of autism. I could
now continue to talk to you about the theory that states it is a novel form of
heavy metal poisoning. Or that it is the result of a gluten and casein allergy.
But I'm not going to do that, because I'm here to talk about the psychological aspects
of autism, and how daily life affects the autistic individual.
Let me
remind you that what I have said above, I didn't always believe.
But my
beliefs toward autism were not the result of scientific experiments. They were the
result of me sitting down and thinking. Sitting and thinking was also something
that Einstein was famous for doing.
If you asked
me what I thought autism was when I was nine, you would have gotten the
response that it was a way of understanding things that was different from the
understanding normal people have and having special needs that normal people do
not have. This was based on what my mother had explained to me while we wrote The
Self-Help Guide For Special Kids and their Parents, together. That book is
available on Amazon.
If you asked
me what I thought autism was when I was twelve, you would have gotten the
response that it was a defense against an illogical world; not a disorder at
all. This was based on stories I had heard about autistic children who, in
feelings of frustration, pretended to be autistic in order to receive
recognition of their disorder.
When I look
back at my theories of the past, I see that they are both correct in their own
contexts. Those theories fit the things I had been discussing back then, and
still fit those things today.
Now, just as
there are many ways one can explain autism, there are currently many ways one
can treat autism. One could talk about the physiological cures of autism, such
as chelation to get rid of the heavy metals, or perhaps a
gluten-free/casein-free diet to help change the behaviors. One could talk about
the wonder drugs that have been scientifically proven to suppress autistic
symptoms overnight. And one could talk about why other experimental therapies
like theraplay, which helped me a lot, by the way, are not yet proven
scientifically using a double-blind placebo-controlled peer-reviewed study, and
therefore should be avoided at all costs.
However,
you’ve probably tried many therapies, and although many of them have helped,
autism is still a presence in your child’s life and in your household or
classroom.
As
parents, and as teachers, the knowledge that you need the most
is not the latest discoveries made about how autism is a digestive disorder, or
a disorder of the brain--but to learn about what to do in the event of a
cataclysm. In other words, when something happens with those children you
work with or live with, and you have to respond, and when you might not
necessarily know why that autistic child is acting the way he or she is.
You are living and/or working with
autistic people daily, in your house or in your classroom, or both.
You are
working with children who fall apart because they can't stand the noise of the
school bell or perhaps even the sound of a fluorescent light or an eyeblink.
You might be living with a child who bites pieces off his shirt for oral
stimulation or who purposely crashes into walls because he has no sense of
where he is standing in a room. The five senses in an autistic person tend to
be hyperacute--the person hears, sees, tastes, feels, or smells things too
strongly, and therefore, avoids strong sensory experiences--or hypoacute--one
or more of his senses is underdeveloped and therefore he craves strong experiences
that stimulate the underdeveloped sense or senses.
The first
thing that you should do whenever an autistic child is acting mysteriously is
to try to understand that child. But instead of trying to understand it from
your point of view, try to understand that child from his or her point of view.
Obviously, this is easier said than done. But it is worth it because when you
understand a situation from the viewpoint of the child you are working with or
raising, you can find a solution that benefits not just yourself but the
autistic child as well.
So, I'm now
going to tell you several stories of illogical behavior, performed by autistic
and non-autistic kids. When you hear these stories, try to consider why it is
that those children behaved that way from an autistic perspective.
Our first
case is an example of someone who has limited language abilities, and does
something that drives her sister crazy.
A
four-year-old girl named Judy is sitting on the couch with her sister Samantha.
It's Samantha's birthday and she’s going to have a birthday party in their
house in 2 hours.
Samantha is
reading the fairy tale Hansel and Gretel to Judy. After she finishes reading,
Samantha goes off to her room and prepares for her party. Meanwhile, Judy starts
to engage in imaginative play. When Samantha walks back into the living room,
she sees that Judy has taken slices of bread, broken them into pieces, and
thrown them on the floor.
After Judy
is asked to stop throwing bread crumbs on the floor, she decides to do
something else. She goes into her room, takes her rubber doll, and throws it
inside the stove in the kitchen. Unfortunately, Samantha's cake was cooking
inside the stove at the same time, so both the cake and the doll are destroyed.
Now, Judy is
not autistic. But change Judy's age--make her eleven instead of four--and many
people would think that Judy was autistic.
And now you
can ask yourself, what do you do in this situation, as a parent? You could
actually do several things.
You can tell
Judy to go to her room for ten minutes for a time-out for bad behavior.
You could
say, "Judy, that's one," after she throws the bread on the floor, and
"That's two" after she burns up the doll, then give a punishment if
there is a "three."
You could
also do what a lot of parents do without necessarily admitting it: You could
scream and yell and shout, "How could you be so stupid???"
But in my
opinion, you should ask yourself--Why did Judy throw her doll into the oven and
throw bread on the floor in the first place?
Does anybody
know?
Judy was
re-enacting Hansel and Gretel. That’s what the imaginative play was all about.
The bread on the floor represented the bread crumbs that Hansel threw to make a
trail, and the doll represented the witch that Gretel threw into the oven.
Although
Judy was incapable of understanding the consequences of her actions, doesn't
her behavior seem logical when it is regarded as imaginative play prompted by a
story she had just heard, rather than the hopeless act of a hopelessly
disordered brat?
So what do
you do about this? You try to find a way to allow her to engage in imaginative
play safely and under the direct supervision of someone who is more mature.
Now here's
another example. An autistic child, Mike, has a bad habit. He's taking his
earlobe and putting it inside his ear over and over again. He's screaming and
moaning once every several minutes. Sometimes he gets very groggy and nods off
to sleep.
During group
time, Mike's aide forces him to listen to a recording of the alphabet song in
order to teach him the alphabet. He screams through the whole thing and tries
to hide under the table. Mike's aide pulls him up by the shoulders to get him
back in his seat, but he lets his body go limp and lifeless. As a result, he
does not learn about the alphabet.
Put yourself
in the aide's shoes. You have no idea how to deal with this child. His IEP
states that he is to participate appropriately in group time with 80 percent accuracy.
Yet it is
impossible to get him to follow basic social skills. How are you going to get
him to do what is expected of him on his IEP?
First, you
should ask yourself what I’m going to ask this audience. Does anyone know why Mike
is acting this way?
The child
suffers from severe sound sensitivities and he puts his earlobes in his ear to
reduce the noise and to soothe himself. He screams every minute because he
cannot stand the pain of a loud noise every minute. He suffers from terrible
insomnia, and cannot sleep at night because the sounds cause his nervous system
to remain in a chronic state of vigilance which prevents sleep. This is what
makes him very tired every waking moment. And that's why he uncontrollably
falls asleep during the day. And he can't stand the sound of the alphabet song
so he hides under the table because it is not as loud down there.
See how one
thing leads to another?
Now let's
add another element to this story. The child was punished and learned he couldn't
put his earlobe in his ear. That's why he started hiding under the table. One
coping mechanism was taken away, so he was forced to make do with another.
So what is
the solution here? First, realize that this child needs help, and give him that
help. Don't impose behavior plans on him in an attempt to make him behave
normally while the inner terror remains. Change his environment. See if he can
wear earplugs. Give him headphones. And try to get his parents to give him a
noiseless environment so he can feel safe enough to fall asleep at home.
You could
hold him in his seat and restrain his arms so that he can't put his hands over
his ears or fall out of his chair.
You could
call his parents and recommend that he be put on medication, if he isn't on one,
or several, already.
Or you can
find out why this child is falling apart and create a situation for him that he
does not resist and that is actually educational for him.
These kinds
of adjustments might seem easy and straightforward. Yet not all parents and
educators who work with autism are willing to adapt the environment for a
special need.
And we need to remember that what might be
causing Mike’s problems is not necessarily going to be the reason why another
child might have a similar problem. For example, Mike’s problems of insomnia
are caused by his sensitive hearing. But there have been studies published that
suggest that autistic people internally have a body clock that is pushed back
later than non-autistic people, thus keeping them wide awake at night and
preventing them from sleeping at a conventional bedtime. According to this
theory, autistic people are night owls who just cannot get to sleep when we ask
them to.
This could be what causes insomnia in other
autistic kids. And in that case, the solution is different. What determines
whether or not the solution to a problem will be effective is knowing why an
autistic child behaved the way he behaved, not just knowing the behavior. There
are numerous reasons why an autistic person could be performing a single
behavior. And the right solution is different depending on that specific
reason.
But even
today, many parents and educators are urged to extinguish all autistic
behaviors, no matter how logical they are in the context of the child's experience.
And yet, many problems can be handled with simple flexibility rather than rigid
rules and goals.
I'm now
going to tell you a true story in which an autistic child was acting rationally
but got in trouble because the professional was unwilling to violate the rigid
goals of an IEP, and was unable to think outside the box of normalcy.
The scene is
a self-contained classroom in a very affluent suburban elementary school. The room
has six autistic children and seven adults present—the classroom teacher and a
one-on-one aide for each student. In this room, the highest-functioning student
is a fifth-grader named Kit, and because she is so high-functioning, her IEP
states that she is to be given tasks to complete independently. This is to
prepare her to be mainstreamed the following year.
One day her
one-on-one aide is at a meeting, and a visitor, who is getting her special
education type 10 certificate, is observing in the room. The classroom teacher
asks the visitor to be Kit's substitute aide.
The first
thing Kit does is to go and get her favorite puzzle, then she presents it to
the guest, whom I'll call Jane.
"You
play with Kit?" Kit asks Jane.
"Fine,"
Jane says, touched by this show of social interest.
"We
gonna have fun!" Kit says.
And so they
do. Kit hands Jane a piece of the puzzle, which Jane puts into place, then Jane
hands Kit a piece of the puzzle, which the girl puts into place. Each time a
piece is correctly placed, both student and visitor laugh and smile.
Suddenly
Kit's regular aide bustles into the classroom, frowns, and scolds Kit.
"You're supposed to put the puzzle together by yourself, Kit. You know
that."
Then she
says to Jane, "I'm so sorry if she inconvenienced you. It's states on her
IEP that she is to complete her work, including puzzles, independently."
The aide
turns to Kit and says very sternly, "Kit, now take out your schedule and
tell me what you're supposed to do next."
Kit takes
out her schedule, but suddenly becomes nonverbal and noncompliant.
She babbles
and grunts, and refuses to read the schedule. The aide asks the visitor to
please sit over by the wall. When Kit tries to follow her, the aide tells Kit
to sit down or she will lose a point. When Kit still doesn't comply, the
teacher and the aide surround Kit's chair with six-foot-high portable room
dividers to prevent her from seeing the visitor. Throughout the day, every time
Kit tries to interact with the visitor, she is reprimanded and has a point
deducted. By the end of the day, which is a Friday, all the points are counted
up, and students who have earned a certain number of points are allowed to go
to a classroom party.
For the
first time in the entire school year, Kit does not have enough points to attend
the party, and so she is forced to sit behind another partition with the four
other students who were also forbidden from attending the party. The one boy in
the class who did have enough points spent the entire time under his desk,
refusing to eat the party food (a corn dog) and refusing the watch the movie
that was shown during the party. The visitor was chided for disrupting Kit's
schedule and for making her lose points during the day.
Now, how
many of you think that the professional--that is, Kit's aide--was rational in
her attempt to make sure the rules were strictly followed?
This is an
example of something that, in my opinion, a teacher should not do. In this
case, the autistic individual did nothing wrong. She was responding in a normal
fashion to the attention of an adult. It was the educational system that
insisted that a student behave in a certain way when the circumstances
warranted an entirely different response.
It is ironic,
after all, that an IEP would try to foster independence in an autistic child.
As my mother often says, autistic children are born independent. They need to
become socially connected and interdependent, as Kit was instinctively trying
to do. They need to learn reciprocal play, as Kit was attempting to do.
But the
autistic student was considered wrong, because she did something on her own,
and because she was autistic. And unfortunately, the aide was bound to a set of
rigid rules that lost sight of the child she was supposed to be helping.
This is an
example of what I call "regulas gratia regulatis," in other words,
"rules for rules' sake."
When
I presented this speech to a group of educators in Chicago, I told them, “As
an educator working with autistic people, you need to think of rules not as
laws to be obeyed because they exist or because they come from scientifically
tested studies, but as logical conditions that exist for logical reasons. You
can't run a red light because that might hurt somebody. That's a logical reason
for a rule.
However, if
the logical reason that the rule was made for doesn't exist in a given
situation, you have to be willing to bend or suspend the rule temporarily if it
is being used in an illogical fashion. In this case, there's nothing wrong with
encouraging Kit to do a puzzle by herself. But there was also nothing wrong
with allowing her to work on it with another person. The social interaction
that she tried to achieve with the visitor was as valuable as the educational
experience of completing the puzzle by herself.
This
advice can apply to parents at home with their autistic children. As parents,
you need to stay flexible. Don’t automatically take a star off the behavior
chart or take away a privilege or start counting your child down when he
exhibits a behavior that is considered unacceptable according to the home
behavior plan you got from the local therapist. Try to see if his behavior is
actually logical in the first place. These kinds of punishments, which are supposed
to modify behavior and lead to wise choices, often precipitate the defiance and
the breakdowns you are trying to avoid.
Now,
consider another story. It’s your job to tell me what's the right thing to do.
You are
helping out at a daycare facility at an autism conference, and it's located
inside one large room. It's against the rules for a child to leave that room.
However, there's this child named Pete who’s got severe sound sensitivities. He
cannot stand the noise in the room and tries to leave. His sensitivities are
easy to detect--he's got his hands over his ears every minute he can.
What do you
do?
If you can,
take the child out of the room for a walk. You acknowledge that the rule about not
leaving exists for the child's safety, but since you will be supervising him,
you will protect him from danger, and so it is all right.
My mother
and I have been asked to arrange the daycare facilities at several autism
conferences, and when this happened in a real daycare facility, the staff
refused to let her take the child out of the room. It was against the rules.
Period. And so the child spent most of the day moaning, crying, covering his
ears, and falling apart. Many other children had horrible fits that day. One
child, Jennifer, lay down on her stomach and started kicking and screaming.
When
my mother complained to the staff, they told her that they were not able to
cater to every child’s needs. The kids needed to stay in one place so they
could maintain control over the group.
Then, when
my mother spoke to Pete's mother, the mom said, "Oh, he puts his hands
over his ears all day. He’s not sensitive to noise; it’s just a bad habit. Just
ignore him and he'll be fine."
However, he
wasn’t fine. He was miserable the next day as well, every single minute. When
it was finally time to go home, Pete was in a state of nervous collapse. If the
rules had been only a little bit more flexible, Pete wouldn’t have had to
suffer so much while his mother was off learning about how to improve his life.
Another area
of inflexibility that causes autistic cataclysms revolves around expectations.
Normal children tend to develop skills at certain times in their life. This, in
turn, conditions the minds of parents and professionals into thinking that by a
certain age, a child will be able to do something.
Expecting
something because it is normal--even taking for granted that it will happen--is
not a crime. It is human nature, and, as was shown by Ivan Pavlov with his
famous salivating dogs, the nature of animals as well. Parents and
professionals--particularly behaviorists—expect children to develop in a
specific way.
It
eventually becomes hard-wired in the neurotypical adult mind that a child will
walk by the time he is two, start to talk by the time he is two-and-a-half, and
so forth.
And so,
parents have strong expectations that they impose on their children. And
somehow, if they are normal, they meet the expectations of their parents.
But if they
are autistic, they will be unable to meet some of a parent's or a school's or a
therapist's expectations. And thus, people gets angry at them. My parents
wondered why I as a nine-year-old could not tie my shoes; in fact, when I was
five years old, my Montessori school teacher made me walk through heavy snow
with my boot laces untied to "teach me a lesson. She felt that I was not
trying hard enough to learn how to tie my shoes. To this day, I still wear
Velcro shoes for everyday activities.
More
problems arise with certain treatments that parents try to do to get their
children to meet that expectation. Some parents will just do nothing, and think
that if they just enforce the skill in the child’s head, the child will somehow
magically be able to meet their expectation. But other parents will put their
child into some sort of behavior modification plan so we can punish and reward
him into doing the desired skill. If he displays other behaviors that are his
own attempts to develop skills—for example, become obsessed with printed words
as a form of communication because his speech centers don't function—many
therapists would advise parents to forbid reading and force him to verbalize
because that is the "normal" thing to do.
Yet many of
these “weird” things are, in fact, his way of developing, because he is not
normal, and will not develop normally, and you are doing more harm than good by
getting rid of his own behaviors.
I can give a
speech and I can answer questions from an audience—things that normal
seventeen-year-olds do not do—but frequently I cannot determine when people are
done talking in the middle of a conversation, and so I interrupt. At my age,
I'm expected to wait my turn to speak and to know not to interrupt, but I cannot
tell when someone is done. Some people think of me as being rude, but the fact
is, I can't figure out when it's my turn, regardless of whether the rest of the
sixteen-year-olds in the world are able to tell when it's their turn. The
problem is not with my manners but with hearing, auditory processing, and
perception.
Expectations
become even more problematic with autistic individuals who show great gifts and
talents in a few narrow areas while being backward and almost retarded in every
other area. As I mentioned above, I can write a speech or structure a novel,
but I find it difficult to keep track of my things at home.
Normal
individuals can also get angry about expectations in situations unrelated to
autism. When my father and I traveled to London, we asked for water when we ate
dinner at a restaurant. We expected that water will be given for free, as it is
typically in restaurants in America.
Wrong. We're
given a 1-liter bottle of Evian water to share, and it costs 3 pounds. At
current exchange values, that was 6 dollars. The grocery store across the
street sold the same water for 50 pence, or 1 dollar. When things happened
contrary to his expectations, my father was furious.
But why did
we expect water to be free in the first place? There we were, three thousand
miles away from home, in another country. We should have been open to the
possibility that things would be different, and we should have asked before
ordering.
I
am now going to demonstrate something that is not autistic-friendly. If you are
autistic with sensitive hearing, you should leave the room now, or close your
ears.
Now I am
going to discuss another aspect of autism. And that is the importance of
understanding.
Most people,
even normal people, have a need to understand what is going on around them at
all times and in all places. Many fights and misunderstandings, especially with
autistic children, boil down to the fact that the child does not understand
what you want him to do, and he instinctively fights and resists you.
This might
seem crazy to some of you. When you were children, you obeyed your parents
without needing to ask why. But the fact is that you basically understood what
they wanted you to do, at least on some level, and so you obeyed them. And you
trusted them as well. So even if you didn’t understand what they wanted you to
do, you still knew that whatever they said was the right thing for you to do.
There are
times and situations when you understand what a person wants you to do, but you
openly defy them because you don't agree--for example, a rebellious teenager
may understand that it is necessary to get eight hours of sleep but refuses to
get to bed at a decent hour. Antiwar demonstrators may understand why their
government invaded another country but do not accept or agree with the
government's reasoning, so they take to the streets.
Although
there are many times an autistic person will defy you out of terror due to a
sensory issue, autistic individuals will also defy you frequently on the basis
of not understanding why you want him to do something. I remember refusing to
do things not because I had noise problems or couldn't stand the lights in the
building, but because I couldn't understand why I had to be there and why I had
to do the thing my parents or teacher wanted me to do.
Understanding
is also important in a second way. It is not only important for the autistic
child to understand why he has to do something, but also for the normal person
to understand what the autistic person is feeling--generally, confusion and
terror.
It is thus
important to remember the basic law of understanding: Most people who do not
understand why he must do something, or have a basic connection to the person
who is asking him to do that thing, will fear or resist, regardless of whether
he is normal or autistic.
I am going
to tell a true story in which there isn't necessarily a solution to the
problem, but the problem would have been fixed if there was understanding.
I was nine
years old and traveling on an airplane with my father to Denver. We were
assigned an aisle and a window seat, and another man was sitting in the middle
seat. This was a change for me, and changes are difficult for autistic
individuals.
I had been
on other airplanes with my father, but there had never been another person
assigned to our row. So I thought this man had stolen one of our seats.
I wondered,
who is he to sit next to us? Why is he taking our seats? So I said, "Do we
have to sit next to that jerk?"
I was
obviously reprimanded by my father, who thought I was acting like a spoiled
brat. But I thought the other passenger was a thief and therefore did not
deserve to be treated with courtesy.
One could
say that I was acting spoiled. But I really didn't know what the rules were.
When someone
is behaving according to their needs, expectations, or experiences, then they
cannot be termed spoiled. Someone who is fed a lobster tail for dinner every
night is going to expect lobster every night. He's not going to think of
himself as spoiled if he asks for lobster again. Thus we have the saying
"spoiled by the parents." But he can't be held accountable if his
parents feed him lobster; it's the parent's fault. But if he knows that his
parents are poor and can only afford macaroni and cheese, then asking for
lobster would be a problem, and you could legitimately call him spoiled.
Based on my
experiences, the guy was a jerk. He was stealing our seat.
Now I'm
going to tell you about something else that happened that's going to involve a
lack of understanding. But it’s a little more basic.
An autistic
kid lives in an apartment. His parents have invited guests to come over to
their apartment. The parents know these guests very well. But when the guests walk
into the house, the autistic kid runs into a nearby closet.
Why did the
autistic child do that?
The autistic
child did not understand why the person was there.
So then the
autistic child walks out of the closet and tries to push the guest out of the
apartment.
Why does the
autistic child do that?
Because he
does not understand why the person is there, and is thus resisting his company.
Well, that
is exactly what I did when I was three years old. I was an obstinate autistic little
boy living in New York City--I was not an adolescent giving speeches.
Now think of
another story.
An autistic
individual is in school and during gym he is asked to go and play a game of
coordination with a partner. He and his partner will walk together on two
pieces of wood which requires two people to walk on. He clams up or refuses.
Why?
Because he
doesn't understand why he has to do this, and is thus terrified.
This example
is different from the other example in that it talks about fear, whereas the
other example talked about resistance. Resistance is conscious refusal because
you don't understand why you have to do something. Fear is when you are afraid
of something because you don't understand why you have to do it, because it
hurts you, or because you think it might hurt you.
But in both
situations, it's always better to try to understand what is going on.
So what do
you do about this? If the autistic child is terrified of playing coordination,
the teacher can ask herself: Is this a necessity? Does he have to play this
game of coordination? Or could he do something else?
The same is
true with anything that terrifies an autistic child. Before simply forcing him
to do it or threatening him with punishments, or saying “That’s one…that’s two,”
etc., you should stop and ask yourself: Is it really necessary for him to do
this thing?
Some things
are necessary—such as eating regularly, learning how to take turns and not to fight
with people. But joining the girl scouts and taking ballet lessons are not
unless you want to do those things.
That is
another key point—drawing the fine line between necessity and non-necessity.
Things that terrify the autistic child that are not essential shouldn't be
forced on him. You are setting yourself up for resistance, then combat, and
eventually an autism cataclysm, in which your child totally breaks down or goes
into a shutdown state, which I once dubbed “playing frozen.”
And now I'm
going to talk about another symptom of autism that links many autistic
individuals together. It is the autistic tendency to have a fixation on a
specific subject. The autistic individual sometimes spends so much of his time
pursuing that fixation that he starts to ignore other things.
And if he is
verbal, he'll talk his family's ear off about his fixation unless he is
stopped.
There are
many non-autistic individuals who also have fixations. The Internet has made it
possible for many fixated people to link together more easily. As is one
example out of a million, there are over a dozen fan sites for a ten-year-old
child actress named Dakota Fanning. One of those sites even says, "This is
a fixation site for actress Dakota Fanning," and even has a page titled,
"What is a fixation?" I have no idea whether the person who made that
site is autistic, but he or she is obviously obsessed.
I'm not here
to comment on that person, but I am going to give you the answer to another
question from the autistic standpoint. What is the cause of a fixation? In my
view, it is to create a small spot of safety within a large realm of danger.
Autistic individuals live in a constant fear of danger. They know that trouble
may be just around the corner. Just as deer are always observant of their
environments to protect themselves from a nearby cougar, autistic individuals
must always be on the lookout for someone who's going to hurt them. But they
know that they'll never be hurt by their fixation. They turn to it for
protection, for trust, for safety. And what do the normal adults do? They use
their power and their control to take the fixation away.
Now let us
consider one fixation in particular, an addiction to movies and/or TV shows.
Some autistic individuals, myself included, watch certain movies over and over
again. I went to an autistic individual's house, and all we did was sit next to
each other, not saying a word, and watched his favorite movie, which he had
already seen over a hundred times. Meanwhile, I fell asleep while watching that
movie.
When I was
much younger and couldn’t generate a lot of original speech, I sometimes would
quote a line from a movie to convey a thought in words I myself could not have
generated. For example, when I was eight, my mother forced me to participate in
an Easter egg hunt with my cousins in my backyard, I stood with my basket
quoting from the English sailor in the kids’ film, “Grandpa’s Magical Toys.”
Somewhere there’s a home video of me standing there repeating with a perfect
British accent, “I’m so confused. I don’t understand why I can’t get it right.”
The movie
obsession goes farther because you have some autistic individuals who use those
movies as a way of learning about life and social interaction. Unfortunately,
movies often tell stories that are unusual or unreal--and humor typically
involves individuals doing things that are socially inappropriate.
But the
movie obsession does have a positive side to it. My father and I have watched
many movies together, and it has helped me learn how to interpret facial
expressions. I’ve also learned how to detect nonverbal messages through the
close-ups and exaggerated facial expressions that directors include in movies
for the express purpose of conveying nonverbal information.
However, one
thing in particular that can become problematic is the autistic tendency to
inappropriately quote specific lines from movies in public. The autistic person
wonders why saying something gets him in trouble in real life if it worked in a
movie. To show you my point, I’ll give you an example. How many of you are
familiar with the movie About A Boy? Raise your hand if you are.
Set in
London, there’s a scene in which Marcus, a boy who’s frequently bullied in
school, is on his way to the house of a man named Will. He’s being chased by
three bullies from school. Will sees him being chased by the bullies outside of
his house and decides to do something. When Marcus rings the bell and Will
opens it, potato chips are being thrown at him. “Oy! Oy! What are you doing?”
he asks the bullies. “Who are you?” one of the bullies asks. “Who am I? Bugger
off, that’s who I am,” Will replies. The bullies don’t, so he walks toward
them. “Go on, piss off!” he cries, and the bullies run away laughing.
Now let’s
say an autistic individual becomes obsessed with this movie. Many autistic
individuals, after all, have to deal with bullies at some time in their life.
When he sees that Will succeeded in getting rid of the bullies, he might think
that that was because of what he said. And then he’ll get the idea that if he
says those same things in front of the bullies he has to deal with, he’ll get
rid of them too. So the next time the bullies come and tease him, he quotes,
“Who am I? Bugger off, that’s who I am.” And if he’s even more obsessed, he’ll
say it with a fake British accent. But we obviously know what happens next—it’s
a total disaster, and the bullies do not go away. The autistic individual
missed two key points from the movie—the story was set in London, and that Will
was an adult, not a child.
So what do
you do in a situation like that, when you have a child who his obsessed with
something that’s causing him trouble? It's not always going to be quoting
something from a movie. It might just be something else. Do not try to get rid
of the obsession. Find a safe way to allow that child to pursue his fixation.
Teach him that there’s a time and place where he can be obsessed and a time and
place where he cannot be obsessed, and when those times and places are, if you
can. A child who has an obsession with something has an advantage over someone
who does not--as that could mean a career opportunity for him in the future.
There was once a child who could remember what everyone said at the checkout
line of the grocery store, and then repeat it back to you with the exact accent
each person was speaking. Was that child autistic? Maybe he was, but that child
also grew up to be a world-famous comedian--Robin Williams.
And now I'm going
to talk about another issue— social skills in the school environment.
Social
skills are a key issue in the school environment. In the public school, the
autistic child is often the victim of relentless teasing by his or her
classmates. I can tell you that I myself was teased by virtually every student
in my class except the physically handicapped ones.
Social
skills are a particular problem in a classroom setting because one of the
universal priorities is to force the autistic child to socialize with other
children. This is supposedly an essential part of development.
On many
IEP's, it is stated that an autistic child must make a friend. Some of you may
remember Simon in Mercury Rising, and how even at his school for severely
autistic children, he was only able to look at his puzzle book after he had sat
with the group for a while. In my own brief second grade experience, the
teacher forced me to stand in front of the class and recite all the names of
the kids. She then forced me to pick a child and publicly ask him a question. I
was given a list of all the kids, and after I had questioned someone, I got to
cross his name off the list. After my mother found the list and asked me what
it was, it didn't take her long to pull me out of that class for good. My
teacher protested, however, saying that I had refused to interact with the kids
and this public humiliation was going to teach me social skills.
However,
social skills aren't always a necessity, and not always in the way that they
are taught. I once attended an autism conference in which two teachers talked
about the importance of teaching play. This seemed crazy to me. How do you
teach play?
They also
stressed the importance of ABA methods to teach play, how if a child wants to
be himself with a toy he likes, you say he can do it for a specific, limited
period of time only if he interacts with someone else using the toy first for
ten minutes.
I do not
believe that this teaches play. All it teaches autistic individuals is how to
hate play. How do you teach play? First, a person cannot play unless they are
interested in playing. So, you have to find a way to create interest, such as
the approach used in Integrated Play Groups.
Also, play
is not something you can sit down and break up into steps the way you can break
up how to make a model airplane. That's why you hear stories of autistic
individuals that are able to build complex model airplanes and ships. Play is
based on spontaneous decisions in the children who are involved that are
instinctively made. If you lack that instinct, you're not going to be able to
play. It's just organized socializing. In the words of Mark Twain, "Work
consists of what a body is obliged to do, and play consists of something a body
is not obliged to do."
In that
light, teaching play becomes work, as the autistic person is
"obliged" to play. Play becomes one more thing the autistic person is
forced to do in the course of a day. When I was four, my mom used the star
system to get me to work toward various goals. If I got ten stars for doing
something correctly ten times, then I could get a brass house number from the
hardware store. That Easter she very carefully hid plastic Easter eggs in the
backyard and told me that the Easter Bunny had hidden them for me to find. (Note
that this was a different Easter egg hunt from the one I had to engage in with
my cousins when I eight, as told above.) I stood there gazing out at the
backyard, not knowing why I had to go look for hidden eggs in the grass, so she
encouraged me. "Go...go and find the eggs," she said, smiling. Then
she tells me that I looked at her with fear in my eyes and said, "How many
eggs do I have to find to get a star?"
And she
realized that, for me, finding hidden Easter eggs was just as much a chore as
dressing myself. At that point, she told me to go in the house, that I didn't
have to collect any eggs.
Another
flawed method of teaching play is by scripting a child. A child learns what to
say and what not to say when playing with a friend. This often leads to a disaster,
as the normal child simply laughs at the autistic child.
Interest in
play must come before learning how to play. When I attended a conference last
fall by myself a woman came up to me and told me, "I want you to teach my
autistic daughter how to socialize."
The daughter
openly argued with her mother, went on and on about how I talked too much and
made her nervous, even though I was standing there listening to all of it, and
finally the daughter melted down, again in public. I feel as if her mother made
her more resistant to socializing than before she came to the conference.
And finally,
I am going to talk about several myths that are sometimes stated regarding
teaching autistic children.
The first myth
is that autism is a behavior problem, and that the solution lies in getting rid
of the behaviors. You're autistic because you bang your head on a wall. And in
your IEP, it says that in one month, your goal is to only be banging your head
on a wall twice a day, with 80% success, then after that goal is met, the goal
should be only once a day, and finally not at all. But after your outward
behavior has been modified by rewards and punishments so that you no longer
bang your head, does that make you less autistic inside? And what if the child,
to compensate for having one behavior taken away, starts shaking his hands or
pulling out his hair or wiggling his foot or rocking, do you then devise
behavior plans to get rid of all these behaviors and pray that he doesn't start
slashing his wrists? And even if you make him incapable of doing anything but
sitting like a zombie in a chair, does that make him less autistic?
The autism
is not any less there because he stopped head-banging any more than a professional
American actor becomes an Scotsman when he starts to speak in a Scottish
accent.
What if that
was the autistic child's coping mechanism, and now he's under more stress
because he cannot bang his head? What if he had a disabled nervous system, and
these shocks to the head foster neural development? In fact, there are certain
therapies that involve intense sensory stimulation that mimic what autistic
children do for themselves. For example, autistic children often love to shine
flashlights directly into their eyes or flick electric lights on and off
rapidly.
These are
termed stims, and children are often punished for self-stimming behavior.
However, the late Keith Pennock, who helped plan therapy programs for
brain-injured children, frequently asked parents to flash bright lights
directly into the eyes of children who had partially lost their sight.
The second
myth is the notion of a universal hunger for social interaction and for
friendship. We often think that friendship is something that everybody wants,
and that is why we teach play. There are many autistic individuals who have
friends, and many who have successful relationships. But that does not mean
that all autistic people want friends or need friends.
Let me tell
you something: Many autistic individuals do not like being forced to interact
with other people. And the desire for friends is not universal; it is certainly
not as universal as the need for understanding. While I do have some friends
that I talk to over the phone and by e-mail, that does not mean everyone else
would like doing that.
The third
myth is that there is such a thing as a universal solution to any aspect of
autism. If we all gave autistic individuals the same wonder drug, or put them
in the same behavior modification plan, their symptoms would be gone. But
autism is a diverse disorder. It's not one of those things you can just cure
with a single treatment. What works with one child is likely to be a disaster
for another child. To quote Buddhist scripture, “Nothing is pure, nothing is
defiled.”
Consider--Dr.
Temple Grandin, an autistic speaker, talks about how she thinks in pictures.
But I do not think in pictures.
The final
myth is that autism is a disease to the core and we have to get rid of it at
all costs. But autism is not a disease. It is a condition that causes many
problems, but there are also many gifts of autism.
You cannot
cure autism in a literal sense. But you can ameliorate its effects, and
certainly make it better for the autistic individual. You should try not only
to understand an autistic child but work with an autistic child as much as you
can. Because autism can also give gifts, just as Dumbo's big ears in the end
became an asset, not a liability. An autistic individual once stated, "I
do not want to become more normal. I just want to become more functional."
It is
important to stop thinking of autism as something as inherently flawed. We have
to remember that while autism causes serious problems, there are always reasons
behind them. We should never forget those reasons. And we have to remember that
if those reasons disappear, so do the problems.
As the
parent or teacher of an autistic individual, you are going to face many
challenges. And you are making decisions that can either mess up your child's
life, or make a great and positive difference in a child's life. Remember that
you are not always right because you're the adult and he is the child. Think of
him as an equal, not in his judgment, but in the way you listen to him as you
would listen to another person. Remember your confusion about how he thinks is
matched by the confusion your child will feel about how you think.
Thank you
for listening. I will now answer your questions.