Here’s a post by Holly Robinson Peete on Huffington Post, Shifting Focus: 8 Facts About Autism the Media is Not Covering that makes some good points.
I like to remind people that when your child with autism hits the teen years, it’s not that their autism is getting worse, it’s that they are now teenagers. Puberty plus autism is a volatile mix!
Auditory Integration Training / Photo Rebecca Sicile-Kira
In my last Psychology Today post I discussed sensory processing disorder, and received comments and questions from readers. I had mentioned an article in The Boston Globe that mentioned that a group of professionals and parents was lobbying to get sensory processing disorder included in the next Diagnostic and Statistical Manual of Mental Disorders. Reader Dr. Joshua Feder wrote in to give us the link where people can provide input: “Remember, the public commenting on the upcoming DSM-V is still in process and the addition of SPDs is in flux, so if you think it is important you can make your voice heard. Go to http://www.spdfoundation.net/dsmv.html to learn more!“
Sensory processing challenges is a hot topic at autism conferences and this provides me the opportunity of asking adults on the autism spectrum what we could do to make the sensory aspects of life easier for them, as well as children who may be unable to discuss what they are sensing. I have written up the answers in my book, 41 Things To Know About Autism, and I am mentioning some of them here. Continue reading »
Self –regulation is a needed life skill not practiced by most teenagers. Often teens on the spectrum need sensory breaks to help them self-regulate, yet some are unable to communicate the need for one. If you are a parent or an educator, you may want to consider teaching the teen to request a break using a “ I need a break” card.
Let’s say you have a student that you work one-on-one with for a one hour slot of time. Every time you sit down to work with him, after about 20 minutes he gets up and leaves the worktable and there is no holding him back. What you need to do is teach him to communicate to you when he needs a break, and allow him to have those needed breaks within reason. Here is one way to do that: Continue reading »
Self –regulation is a needed life skill not practiced by most teenagers. Often teens on the spectrum need sensory breaks to help them self-regulate, yet some are unable to communicate the need for one. If you are a parent or an educator, you may want to consider teaching the teen to request a break using a “ I need a break” card. This may be helpful in preventing meltdowns or compliance issues. Teenagers need to be given more control over their time and need to be able to request necessary breaks in an appropriate manner.
Let’s say you have a student that you work one-on-one with for a one hour slot of time. Every time you sit down to work with him, after about 20 minutes he gets up and leaves the worktable and there is no holding him back. What you need to do is teach him to communicate to you when he needs a break, and allow him to have those needed breaks within reason. Here is one way to do that: Continue reading »
Temple Grandin, a world-renown designer of livestock handling facilities and a professor of animal science at Colorado State University, is arguably the world’s most famous person with autism. Temple has written many books about autism, others about animals, and even more about both. Last week I called Temple (who wrote the forward to my first three books) to get her input on my latest book, 41 Things to Know About Autism. Temple told me that the long-awaited “Temple Grandin” directed by Mick Jackson is finally premiering on HBO on February 6. The screenplay by Christopher Monger and William Merritt Johnson is based on Temple’s book “Thinking in Pictures,” as well as “Emergence” by Temple Grandin and Margaret Sciariano.
For Emily Gerson Saines, Executive Producer, this movie has been a labor of love for nne years. A parent of a child diagnosed at three, she was given Temple’s autobiography, “Thinking in Pictures,” by her own mother. The book became a source of inspiration for her in raising her own child.
Temple is well-known for her ability of thinking in pictures, and I was therefore curious as to how she would react to seeing her life in images created by others, not necessarily the same pictures she has in her mind about her life. Temple discussed her thoughts with me about the movie.
How much input did Temple have on the making of this movie?
“I gave input into the screenwriting, spent a good amount of time, four days, with the writers and two days with the director. I think they did a great job. They built a cattle dipping vat based right on my original, off of my drawings. My drawings are all over the movie; I really liked that. In a scene near the end of the movie, I am selling a job to one of the meat plants, my drawings are out on the conference room table. Well, not my originals, I copied them at Kinko’s! They did really cool animations of the conveyor system for handling cattle at the slaughter plant from those drawings – really cool animations taken form my drawings – they really emphasized my projects. The cattle stuff was very accurate. They showed all the sexual discrimination I had to put up with in the livestock field. Women did not work in the yards back then just the office. It’s a lot better now.”
What was it like for Temple to see Claire Danes playing her?
“Weird. It was weird to see me on the screen. It was like going in a weird time machine, going back in a time machine into the 60’s. They put a wig on Claire and dressed her up in clothes and she had to wear these ugly false teeth apparatus. She looked like me, except she was shorter than me and we couldn’t do anything about that, but she sounds and moves just like me. She does accurately portray how I would act in the 60s and 70s. Claire did a great job.”
How did Temple help Claire prepare for the role?
“We met in New York for a half a day and I gave her all my tapes of me, of old lectures from the late 80’s, early 90’s and an old Larry King show I did. I only had still photos from childhood; they didn’t take video in our house then. Claire had a voice and movement coach.
Did the film attempt to portray how Temple’s mind thinks in pictures; and if so how did they do that?
“The movie is great. They really showed how my mind works. They have a neat scene where they show how I think in pictures, very effective. I love how they showed that. They showed sequentially pictures of ‘shoes’ that is exactly how I think – like snapshots of different types of shoes: high heels, flats, all different types and shapes and colors.”
What was Temple’s favorite aspect of the movie?
“The visualizations and they way they used my drawings. They showed the optical illusion I built, the science teacher challenged me to do that, the Amesʼ “Distorted Room. They built a working squeeze machine I designed and the gate at my aunt’s ranch.”
What was it life for Temple being on the movie set, watching them put her life story into pictures?
“I only watched a small part of it being filmed. I watched it through a monitor because I didn’t want to make Claire nervous. What really interested me was the number of people on the set that had Asperger’s Syndrome. Smart people. Let’s just say they weren’t sweeping the floor. They are all part timers. There are a lot of technical jobs in production and it was like a big construction project.”
What message does Temple want people to take away from seeing this movie?
“I hope one of the things they get from it is the importance of a good teacher and mentors. Mr. Carlock (David Strathairn) saw that I had some areas of strength and he developed that. He spotted my ability with science; mentors are attracted to ability. Sometimes you find the mentors in the oddest places. In fact, the first meat plant I ever went to, I got in because I met the wife of their insurance agent, because she liked my hand embroidered shirt.
People are going to hire you because of your skill not your personality. You need to have a portfolio to show them what you can do. When I first went into the American Society of Agricultural Engineers, they thought I was weird, they didn’t even want to talk to me. Then I whipped out the cow dip vat drawing and that made them respect me.
Also, it’s important for people with Asperger’s to understand they need to make things that people want in order to make a living. Like the opening gate at my aunt’s farm – I would get upset at my aunt, but I ended up building the gate my aunt (Catherine O’Hara) wanted. I figured out how to open the gate without getting out of the car. This gate – it solved other’s people’s problems. That’s something you can make money from. The gate was an early project at age 16 before I made the squeeze machine. I hope this movie inspires a lot of parents.”
What is it like for Temple to know that there is a movie of her life out there?
“Well, I’ll never get a fat head. I’ll go on the movie tour, and go on my book tours, and then I’ll come back here. I never forget what my real job is, which is my livestock stuff. Today, I’m having lunch with one of my students to discuss a project we are working on together. That’s my real job.”
A few days after talking to Temple about the movie, I was given the opportunity to see it. I have to agree with Temple. It’s a great movie and not just for people interested in autism or cattle, because It’s a wonderful, inspirational, and entertaining story. The messages that Temple hopes people will take away are true for everyone, not just those with Asperger’s, especially in this economy. As a friend of Temple’s I was impressed with Claire’s interpretation of her: she really sounds and moves like Temple. As a former production professional, I appreciated the effort and care with which they took words on a page and translated them into sounds and images that accurately portrayed a person who is a hero to many of us – not an easy thing to do. As a parent of a child with autism, I could not help but relate to Temple’s mother, Eustacia Cutler (Julia Ormond), and was moved to tears during the final scene. Watch this movie, you’ll be glad you did.
This article was first published on HuffingtonPost.com, January 13, 2010.
If you are like me, you’re happy to see the back end of this year and are looking forward with renewed hope to the New Year just round the corner.
Here are some tips for a more livable New Year that don’t need to cost you money, and if practiced regularly may even save you som, because you will feel less stressed, and require less self-medication or visits to the doctor. These tips are useful for everyone, not just for people with autism in their lives either as parents or professionals, so feel free to pass them around. I hope you will adopt one or two of them as your New Year’s Resolutions:
· Practice self-care. Even if it is just for 15 minutes a day, take a breather. Just like the flight attendants on airplanes instruct you to put the oxygen mask on you before helping a child, you need to take care of yourself first to be able to take care of others.
· Acknowledge what you have accomplished. Too often, at the end of the day, people think about all the things on their to-do list that they have not gotten done. Do yourself credit – think about all that you did accomplish that day. You will be amazed at how long that list is, and you will sleep better at night.
· Focus on the positive. Nothing in life is perfect. Every situation has appositive and a negative aspect to it. Focusing on the negative will leave you spinning your wheels. Focusing on the positive will give you the energy you need to move forward.
· Remain true to your life goals and values. If you know what you want, keep your eye on the ball. Evaluate the opportunities that present themselves and ask yourself, “Is this is line with my plan for myself, my family, my community? Is this in line with my values? ” If yes, accept. If not, decline.
· Forgive yourself. We’ve all done something or said something we’ve later regretted, or perhaps not behaved or worked up to our usual high standards. Learn from the experience, but don’t dwell on your mistakes.
· Forgive others. No-one is perfect, and as you wish to be forgiven by others, you must forgive those around you.
· Practice wisdom, serenity, and courage. A wise man once prayed: “God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.” No matter your religious beliefs, we all need that kind of wisdom.
Best wishes to you and your family for a happy, healthy, and wealthy New Year.
First posted on Examiner.com December 30, 2009
If you’ve ever wondered what it is like going through the wonderful adolescent years for a teen with autism, I recommend you read this new memoir, Episodes: My Life as I See It. Blaze Ginsberg, who has high functioning autism, tells us what life from his perspective looks and feels like. But Blaze doesn’t just tell us about his life, he presents his world to readers in a highly unusual format inspired by the movie-based Web site IMDb.com.
I love this book. Disclaimer: I have known Blaze Ginsberg for many years. In fact, he used to ride the special education school bus with my son, Jeremy. Blaze has always had a special place in my heart because of his unique personality, and because of my friendship with his mom, best-selling author Debra Ginsberg, (she chronicled Blaze’s early years in Raising Blaze).
But it is not just because of our friendship that I love this book. I love it because I have seen where Blaze was before, and how he has grown to be the wonderful, thoughtful, constructive person he is today. His memoir not only offers his unique perspective, but is an inspirational testimony to the necessity of advocating for your child and the importance of a close-knit group of extended family members and friends. More importantly, Blaze’s memoir offers a unique insight into what life and school is like for a teen on the spectrum, and we rarely get to hear that perspective. Watching Blaze as he matures through all his episodes, I feel hopeful that my teenager – and the rest of the family – will survive at least one pilot season.
Episodes has received excellent reviews by actress Jamie Lee Curtis and esteemed authors such as Daniel Handler (A Series of Unfortunate Events), as well as by Publisher’s Weekly and the School Library Journal . Suzanne Crowley writes that “…Ginsberg gives readers a unique glimpse into an adolescent mind that is simply wired differently. He says, “At times being autistic is not easy; it is known for getting in the way of things. Sometimes it stops you from doing things like everyone else because you don’t understand something or it’s difficult to figure out what people mean. Also you think about things differently from other people and that can be difficult.”
Blaze’s life is still in syndication, with no predictable end; I can only wish him the best and hope to see more episodes.
This first was posted on Examiner.com on October 3, 2009
My first contact with autism – 30 years ago – was at Fairview State Hospital in Orange County, California. I worked there two years, preparing young adults for de-institutionalization, teaching them self-help and community living skills using behavioral methods. I learned about discrete trials, prompting, rewarding and taking data. Little did I know years later I would be using these same techniques to teach my own son, Jeremy.
To this day I vividly remember my first contact with a young adult with autism. It was my first day at work, and I was waiting in the recreation therapy office for my boss. Gregg walked in. “Hi my name is Gregg Doe. I used to be a sports newscaster. Do you like baseball? Ask me about any World Series and I can tell you who won and what the score was.” I was thinking how dedicated this man was to leave a job in television to work at a state hospital, until I looked at my clipboard and saw his name included in the list of people I was supposed to teach. Gregg could tell you all about sports, but couldn’t tie his own shoelaces.
Fast forward to today: I know a lot more about autism, and so does the general public. Then, I would take Gregg and his peers into the community to practice crossing the street or ordering food in a restaurant, people would stare and avoid getting too close. Now, when my son – who at 20 is about the same age as most of my Fairview patients back then – is out in public, people are more accepting, even when Jeremy is not on his best behavior. People smile at us, some stop to talk and ask questions when he has his assistance dog with him. People’s attitudes towards autism – and people with autism – have changed, in a good way. Services for kids have improved. Teachers are more knowledgeable about autism.
What has not changed over the years, however, is the devastation a parent feels when hearing the diagnosis of autism for the first time. Difficult then; just as difficult now. No matter how deeply inside you realize something is wrong, suspect it might be autism, the professional pronouncement still kicks you in the stomach and sends your head reeling. Today there are many different treatments and therapies, a good thing. However, there is still no know way of knowing which therapy or biomedical treatment will be helpful to your child. Then and now: we grieve, we live amidst uncertainty, we lie awake night after night searching for answers.
When Jeremy was born in Paris in 1989, autism was still fairly rare: The estimated diagnosis rate was 1 in 10,000. It’s still painful to think back to Jeremy’s early years. It was almost impossible to get any help for him at the time. I knew he was not developing normally, and I wanted to know why. I wanted somebody to tell me what to do to help him. Most of the medical professionals I consulted told me to take him to see a psychoanalyst – This was the treatment of choice in Paris at the time. When Jeremy finally was diagnosed, at age three, the specialist handed me a box of pencils and said, “If you are lucky, you will find a good institution for your son. He will eventually learn to package pencils into a box. That’s where these came from.” That was then. This is now: I have found an institution for my son: it’s called “college.” Jeremy is headed there after he graduates from high school in June 2010 – with a full academic diploma. He passed the California High School Exit Exam (one of the requirements), without modifications, only accommodations. He now needs to take and pass one year of algebra and one semester of science to earn his diploma.
My son’s success is not a miracle, rather the result of years of blood, sweat and tears (on his part and mine), and the hard work of many educators, home tutors, Jeremy and myself. I’m not especially talented, but I am very stubborn. I never asked the school for anything I had not first tried with Jeremy myself, experienced success and results, and had the data to prove it.
When Jeremy was 14, I took him to see Soma Mukhopadhyay, now Educational Director of HALO (Helping Autism through Learning and Outreach). I met Soma while doing research for my first book, Autism Spectrum Disorders. It was then I realized Jeremy was an auditory learner. All the years of using visual strategies, myself and educators thinking he was not “getting it,” finally made sense. Fifteen years ago visual strategies were the new kid on the block. Today a huge assumption exists in our community that all or the majority of students with autism are visual learners. It is simply not true. How many kids who “don’t get it” with visual strategies are really auditory learners, making marginal success because we’re not teaching to their learning style?
Soma started to teach Jeremy using the Rapid Prompting Method. It involved a lot of work, but slowly he began to make progress. That year I also realized how much he was “stuck” in his body. He could spell out and describe the steps needed to complete a sequence, but he could not move his body to do it without physical prompting.
Jeremy’s challenges (see sidebar) were, more often than not, a result of sensory processing issues and movement disorder. When I interviewed adults on the spectrum for my third book Autism Life Skills, I asked each what was important to them growing up. It surprised me to learn the great impact sensory processing challenges had, even on those with Asperger’s Syndrome.
My views about autism and autism treatments have changed over the years. Then, I was a die-hard behaviorist; I only used treatments scientifically proven to be effective. Now, I embrace different types of therapy as adjuncts to using behavior-based strategies (shaping, prompting, rewards, etc.). After witnessing Jeremy’s success with RPM and pointing to letters, having it validated in different ways by different educators, I believe parents should try a therapy or educational strategy that makes sense for the child and family. See if it works; there are ways of validating on an individual level.
While working with young adults at Fairview State Hospital before I had Jeremy, and even while he was little, my face scrunched up in disbelief when nonverbal people severely impacted by autism were described as “locked up” in their body, with no way of reaching us. Now I know exactly what they mean; this is Jeremy. I strongly believe there are different types of autism. I believe that for some, like my son, autism is a movement disorder. They cannot always control their movements or use their muscles (needed for speech and other important skills). Many, like my son, have problems initiating and stopping movement yet are capable of learning nonetheless.
Then and now, autism remains a multi-layered condition with no clear answers to guide parents and professionals. Then, treatment options were limited…so very limited. Now, options range from behavioral to biomedical, from sensory to social skills, and everything in between. Then, parents were told to expect the worst, to institutionalize their child, move on with the lives. Now, thankfully, we hold a brighter vision for our children’s future. Then and now: our children are gifts in our lives and our love endures. That will never change.
SIDEBAR:
By Jeremy Sicile-Kira
Jeremy tells us…
When I was little, I had no real way of knowing what was going on around me. My body would not move even when I tried. Life was just chaos with light and sound but with no meaning. Then a physical therapist helped me learn to use my body. My mom helped me make sense of what I was seeing and hearing. I had tutors my mom hired that taught me with ABA. Then I had hearing therapy and lenses to help me see. It took a lot of effort on my part and the tutors to help me learn. Then my mom found Soma and RPM. This changed my life. I did not believe I could be so kindly taught by such a tiny woman. It is still lots of work and it is still difficult when I meet new people.
Having a way to communicate only makes life livable, but I need some nice relationships, which are not easy when you are like me. I plan to continue to learn, and to tell people to never give up.
This article originally appeared in Examiner.com’s Autism &Adolescence Column
It is extremely important that teenagers understand the different behaviors and conversations that are appropriate in public, and the kind that are meant to be private. For example, touching certain parts of your body in public is inappropriate, and can even get the eighteen and over adolescents in trouble with the law. Having conversations at school that are appropriate to have at the family breakfast table but are inappropriate in a peer lunchroom setting, can get a teen labeled weird at school and prevent friendships from developing.
One way of teaching the concept of “private” and “public” that can be used with different ability levels is to use two picture icons, one of a fully-clothed figure labeled with the word “public,” and one of a figure clothed only with underwear labeled “private.” A good time to start teaching this is when your tween is attempting to have “private time” (the euphemism in our house for masturbation) in the living room, or is still insisting on running around the house with no clothes on.
Show your tween the icons, and explain which behaviors are private and should be done in his room only, and which are public and OK everywhere in the house. For those more impacted by autism, putting the private icon inside his or her bedroom door, and the public one outside his bedroom door is helpful. Then, you can remind your tween when inappropriate private behaviors are occurring outside his room, ‘That is a private behavior you do in the privacy of your room,” and take him to his bedroom and show him the icons. Same with appropriate and inappropriate conversations. An adolescent female may need to be reminded that is OK to discuss her menstrual cycle at the breakfast table at home (private conversation), but not at the school cafeteria at lunchtime (public place).
Teaching the concept of private and public is crucial to helping your teen understand what is appropriate and what is inappropriate behavior in public – a concept that will be invaluable as he or she becomes more independent.
Transitions are usually difficult for many on the spectrum, and traveling is really a series of transitions. Preparing the person – child, teenager or adult – as much as possible will make any trip a more enjoyable experience for all involved. Some advance planning of specific steps of the trip can be made ahead of time. Below are tips for both preparing the person (1), and preparing the environment for a better travel experience (2).