Estée KlarTo Get To The Other Side

Eustacia Cutler is the mother of Temple Grandin. With the recent HBO program lately on her, I returned to Eustacia’s book, A Thorn In My Pocket: Temple Grandin’s Mother Tells The Family Story.

It’s not all that easy to read in this day and age of watching our words regarding “struggle” and “fight,” so overused and sensationalized in the media to the detriment of autistic individuals. She uses these words more often although the tone of acceptance runs throughout, and this is a point I like to make often about autism acceptance: it doesn’t come without facing our inner doubts. If it were, it would lack real meaning and substance. Acceptance is something we must earn by facing them.

Adam spends some weekends with his father. This particular weekend, I caught the the stomach flu. Alone and sick (thus feeling particularly so…it always happens when we’re not feeling well), I yearned to speak Adam more often and to ask how his day went.  I was yearning for connection and I was also feeling guilty of not being able to take Adam back on Sunday night, when I would typically after a full weekend with his dad.  I wished to explain this to him, but Adam does not love sticking the telephone to his ear. In fact, he is exceptionally averse to it. My mother says Adam lives in the right era with all the technology that can help him. I’m not certain it is as good as we yet want it to be, but one thing’s for sure — thank goodness for Skype.

Skype is a recent life-saver. Adam’s dad and I have begun using it often and Adam holds his attention longer than using a telephone, as the visual is easier for him to understand. I can see him and he can see me and I feel a sense of huge relief. Then I wondered if Adam did too as he had to stay two extra nights with his dad because I did not want him to catch this outrageous flu. He loves his dad, but I wondered if he had natural questions about what was happening to his routine, and his mommy.

It was in Eustacia’s introduction that I tried to seek solace from this weekend. She said, “I’ve learned how the parents of autistic children suffer from a loss of their own sense of self. We all know that a baby needs a mother to know she’s a baby, but, equally true, a mother needs a baby to know she’s a mother.”

My friends and family, even my ex, all assure me that Adam knows I’m his mother during my more vulnerable moments, like this past weekend. I asked his aide today to help him understand that Adam would have to wait one more day to see mommy  — as I was hoping he could come home, but I am still too ill (do you understand how worried I was about this yet?). Adam texted me the following, I’m fairly sure, with a few reminders from his aide:

hi mommy

i like mommy

i like dinosaurs

mommy feeling sick. Feel happy. Feel better

i had chocolate after lunch

bye mommy

love you

Adam

I’ll take it. Yet I wondered today if Adam really missed me. It’s a natural wonder, I think. Even parents of neurotypical children might wonder the same when their children are with another parent, or with friends. We too need to receive love. We need these expressions of love that we have become so used to.

Later on Skype this afternoon and evening, I had a virtual “dinner” with Adam, thanks to his dad who put the camera straight on him.  After he became upset later in the evening, his dad put him in front of the camera. When he saw me, he calmed right down and smiled again. I spoke to him softly in my mother-voice, reminding him that I will see him again tomorrow. Again another smile; crying abated. That is the mother’s reward — her ability to calm her child. I completely understand the angst mothers feel when they do not feel they can appease their child’s pain or distress because I too have been through that.

So I am elated for it’s what I get — not yet the long drawn out conversations about what is happening, what may be confusing him, what he is excited about. Yet I think I can decipher it enough. We are communicating. Indeed, I need to remind myself of this in such times when I think of Adam as a person and his future, and my future as Adam’s mother.

“Think of me as your future,” says Eustacia. “I am where you will be many years from now, when you know how it all played out, when ‘what will be’ has turned into ‘what was,’ and you will have to come to terms with it.

Perhaps not in the way you thought you would, but you’ll no longer feel trapped in a morass of angst and guilt. You will have resolved your child’s future and your own. You’ll know you’ve given full measure, and the measure you’re given has never been pointless.

I offer you my story as a promise of that: an overall insight to carry with you as a talisman. And I promise that, in the future, to your surprise, your dreams will have changed and changed you.

I know that’s not what you want.

What you want is a real talisman, a magic something you think I conjured up to coax Temple into joining life, as you hope your child will. There was no magic; there was just doing the best I could. That’s the point; that’s the talisman.”

I’ve understood my son. Maybe he understands me better than I can know in the obvious, typical way. For certain, love goes deeper.

And it is louder than words.

We are confronted with new challenges in our new home. Adam seemed to transition well at first, but now it is difficult again. As mentioned in the previous post, we do not know if Adam’s spasms are seizures or are spurned by tumultuous transition. On my end, all I want to do is get back on track with Adam. I for certain want my sleep as I function horribly without it. I want him to get over the hump as smoothly as possible until he can have his tests and/or become comfortable in his new home and situation.

But there’s another problem.

It could be me.

I need to re-learn my ABC’s. Remember those: Antecedent, Behaviour, Consequence? We put an autistic child under our neurotypical microscope (as if that doesn’t cause distress), and evaluate the antecedent (or cause) of a behaviour so that we can seek to change (or eliminate) it. The Consequence in behavioural-speak is what happens after the behaviour. I’m not saying that these tools are not useful to us. They can be if we learn how to assist autistic children cope. I’m not a fan of eliminating behaviour. But there’s another side to this story.

When I worry I am studying Adam. I watch for every little sign. Then I realize that I’m not watching myself. How am I feeling? How has my anxiety triggered a course of events? Adam just wants to explore, and yes, he cannot sleep like most autistic people who, as they become adults, learn to cope on very little. In his new home, Adam is very “disorganized” in his body (for those unfamiliar with this language, it means that Adam is moving his body in unfamiliar ways or hyperactive ways and it can appear distressing), and I still do not know for sure if it’s medical.

Yet, I also am thinking he is learning about every nook and cranny of the house as he used to memorize routes on road trips from school to home or from his old house to the park. While he didn’t get upset if we changed the route, he certainly memorized it. I’m thinking of Dawn Prince Hughes, author (and new friend of mine since I met her in Toronto a couple of years ago — little did she know that I was a HUGE fan of her book beforehand) of Songs of A Gorilla Nation: My Journey Through Autism and the excerpt on herself as a child running around in the same circle in her house. Experiencing this first hand, it’s exhausting for a parent who wants their child to “behave” or settle. Then I have to think again.

“The way I said ’siiiilllverrr doooollllaaarrr’ was only the start of a profound pattern I had throughout childhood saying words and phrases in peculiar, experimental ways and having a complete fascination for words. When I was young, my parents and I often stayed at my mother’s new house, and my favorite uncle lived there also. A hallway ran around the perimeter of the house, past the dining room, the bedrooms, the bathroom, the front door, and through the living room back to the dining room, in a big circle. My favorite game (to the exclusion of all others) was to wait in the dining room for the adults to come up with a word — the more difficult the better — and then I would speed off down the hallway, in the same direction every time, either on my tricycle or on foot, repeating the word over and over.” (pp. 17-18).

Hughes describes then running to each of the rooms saying the word “where the word would absorb the comfort of my grandparent’s bed, their clothing, the beauty of the vanity table, and the smell of cedar drawers…” (p. 18)

Not only have I found Adam enclosed in drawers, but under the bed, and in the deep dark crawl space in our new basement. It takes a lot of effort for me to stay awake and keep an eye on him, as his safety always comes first. His body jerks, he lays on his back and holds his legs. He opens every cupboard, closet and drawer and is still absorbing them — and maybe he can do this better when he can enter them.  Save for the things that he knows — books, his computer that still has the same “Alligator King” from Sesame Street on it, and a cupboard full of crackers and goodies he now knows is his own, he is still disorganized here but is working so hard himself on trying to get organized and calm. Indeed, my boy is making gargantuan efforts.

To this Hughes writes, “I also wanted to keep as many of my own accoutrements as possible the same. This meant that I did not want a new toothbrush, new clothes, new shoes…When I went shopping for clothes with my mother [Hughes describes being afraid of mannequins]…My strategy for survival was to hide inside the clothing racks…the lack of light would calm me down. Hiding was yet another thing that later connected me to my gorilla family — when they went behind the hills to sit or seek out the little caves in the underbrush or rock to be by themselves, I would understand.” (p.21). Similarly, Adam has gone to the books that were the same from his old house. He is not interested yet in new things.

Adam’s grandparents have been around a lot to support him. I believe his grandparents are two of his favorite people (and most consistent). Again this relates so closely to Hughes: “When I was young I stayed with my grandparents on the weekends, and those were among my favorite times. I did feel safe there.” (pp. 21-22). Ask my parents and they’ll likely say that their condo is his “turf.” They have been helpful to Adam and I during this time.

Adam craves lemons during this year of transition. To this, Hughes writes, “I craved salt and would eat it straight from the shaker. I craved burnt matchheads and would suck on them whenever I could find them. I craved Alka Seltzer for its taste and feel….A sound like the thrum of a tumbler full of milkshake when is was tapped [Adam does this all the time] by a spoon or the Westminster chime of the clock would fill me with rapture.”

So I give Adam his lemons. Right now, I’ll buy him a bucketfull, although other people will tell him to “stop eating lemons,” or, “stop doing that.” Sure, I worry about his teeth, or of Adam’s safety in potentially dangerous situations. I’m not saying that we have to allow our kids to do everything, but I have to let him do more than usual and I have to change my behaviour to accommodate it right now, for this is an exceptional situation. I’m always trying to stay one step ahead of Adam to figure out how he can explore safely.

“Most autistic people need order and ritual and will find ways to make order where they feel chaos. So much stimulation streams in, rushing into one’s body without ever being processed: the filters that other people have simply aren’t there. Swimming through the din of the fractured and the unexpected, one feels as if one were drowning in an ocean without predictability, without markers, without a shore. It is like being blinded in the brightness of a keener sight. Autistic people will instinctively reach for order and symmetry; they arrange the spoons on the table, they line up matchsticks, or they rock back and forth, cutting a deluge of stimulation into smaller bits with repetition of their bodies’ movements.” (p. 25).

This is quite an overwhelming statement for me on how Adam may be experiencing his new life situation. It is quite a disability and a sensory overload.

My point is, Adam is adapting as naturally as he can in a home that is entirely new to him. He will thrust his body upside down, will spin, will seek those dark tight spaces and not be able to sleep in his new bed precisely because he has not yet created his order. But he is doing what he needs to do. I, on the other hand, despite knowing this, am having difficulties of my own in managing it. Watching my son in distress distresses me. While this may be natural for Adam, it was re-reading some of Dawn’s excerpts this morning that helped me realize what I’ve learned in the past, but am now experiencing first-hand in a larger way.

I realize that I too am adjusting to my new surroundings as I listen to the house and figure out how I’m supposed to live in it. Things break down and I get frustrated because I am not yet calm and oriented, and this is difficult on both Adam and I.  While I feel guilty much of the time that my own anxiety is not helping Adam, I know too that we are not in control of everything that happens to us. Life happens. We are dealing with it. Like Adam, I am human.

So I was thinking about going back to the ABC’s and I thought of using it as a pun on behavioural-speak because what most of us want to try and do is “fix” the situation or behaviour. Today, I am reminding myself that this needs exploration and time — we’ve only been in our new house for a week! Not only does the alphabet, which Adam loves, stay constant in a world that is always changing, but re-reading Dawn’s book has helped me realize what tumultuous change feels like to an autistic child. It may require more effort on my part now to help him adapt by creating safe ways for him to do so. Adam will reach for his ABC books that always stay the same and he’s doing his part, and I am having this feeling he will eventually make lemonade out of lemons.

We’ve had some encouraging messages lately, haven’t we? The HBO production of Temple Grandin played by Claire Danes shows that while (and many of us have read Temple’s books already) the world caused her anxiety, she could “see details other people are blind to,” she says. “I have a gift.”

Certainly the idea of giftedness, which happens in non autistic and autistic persons, can be yet another stereotype in assessing autistic people. Perception, on the other hand, is something to think about deeply.

When Adam was very young, we had these water blocks that were dyed different colours. Adam was mesmerized by these blocks watching the water swish and swoosh. Then all of a sudden, my wobbly toddler took them up to the window and peered through them. Ah, I thought. If only we could all stare at the world through coloured water blocks. How beautiful it would be. I know was also in part a cooing mother of a young autistic boy, so anything he did like this made me hyper-aware. But still.

When he got his “legs” and we began walking around the neighbourhood, Adam memorized his routes. To this day, if we take him to his old house and walk from there or the park nearby, he will remember how to get to that park or get back through the old “secret pathway” to the old house — which has even since been torn down and rebuilt! Remember, that was his two-three year old brain. In April, he will be eight-years-old.

Coming out soon will be a new version of Lewis Carroll’s Alice in Wonderland, directed by Tim Burton. Many people suspect that Carrol was himself autistic with his different perceptual abilities. He is often cited as a person who “suffered” from micropsia and macropsia, which is a neurological condition that changes the way the brain perceives the size of objects. When Alice falls down that rabbit hole, we get a look into Carroll’s mind.

Scientific American Mind published Extraordinary Perception by Wray Herbert this month. It discusses how psychologists at University College London “think that it might be a mistake to consider [autistic] distractability as simply a deficit. To the contrary, Anna Remington and John Swettenham and their colleagues speculate that people with ASD might have greater than normal capacity for perception, so that what appears as irrelevant distraction is really a cognitive bonus.” I added autistic to distractability as many therapies for autism as well as medications are geared at lessening it.

The test, the article shows, was for subjects to “rapidly determine if the letters N or X were present in the ring” on a computer screen. Participants had to then “hit the corresponding key on the keyboard. Some of the circles — those with more letters — were more difficult to process than others. There were also other letters floating outside the circle, but the subjects were specifically instructed to ignore those letters. Those floating letters were the laboratory equivalent of an irrelevant distraction in the real world.” In measuring perceptual capacity, researchers saw that “everyone was slower at the task when the ring contained more letters. The researchers were also measuring distractibility. When a letter outside the ring was one of the target letters (N or X), the subjects often took a longer time finding the N or X in the ring — indicating they were distracted by the presence of a target letter in the location that they were supposed to ignore.”

The researchers reasoned “that as long as the subjects’ total perceptual capacity was not exhausted, they would also process the irrelevant, distracting letters within their visual field. Once they had surpassed their perceptual capacity — once the ring of letters was sufficiently complex — irrelevant processing would stop [bold mine]. So if ASD subjects in fact have greater processing capacity, then they should process more distracting information even as the main task becomes increasingly complex.”

In conclusion, “although there was no difference among subjects in either reaction time or accuracy on the main task, those with ASD processed the irrelevant letters while solving much more complex problems...Put another way, they weren’t ignoring the main task, nor were they distracted away from it. Instead they were completing their work and moving on, using their untapped capacity” [bold mine].

This article also concludes that while this is a benefit, it also does have “real-life consequences.” They begin and end the article citing Tim Page, an author with Aspergers from his book, Parallel Play: Growing Up With Undiagnosed Asperger’s. Page recounts his time in school who failed an essay about his field trip which was quite detailed in terms of his way of perceiving it, and how he was scolded for writing in that particular way. “I had noticed the wrong things,” he writes.

As a parent of an autistic child who has difficulties with verbal communication, I have to ask the question: “whose problem is this anyway?” Certainly I have been dealing with issues, at least issues for me as Adam cannot comment here yet, so I am fully aware that I need to be fair. He has very real sensory and perceptual differences, so I set up a basement full of equipment for him to self-soothe. He has even learned to “self-regulate” by going to read his own books, and I never had to teach him that. His body will completely quiet as he flips through pages of encyclopedias, dictionaries, cookbooks, among many other subjects. He may even appear to layperson as not really paying attention and just flipping pages, but I know it’s more than that. His body-jerking almost always stops, which is how I conclude that he is soothed by his books. I am imagining him looking at those books over and over again, and what he may be gleaning from them. Still, when it comes to getting the responses WE need, he using a “special” reading program at school. Indeed it is really helping with his expressive reading ability, and maybe even with his vocabulary. So I need to let him do both. He needs to learn to respond in a world that doesn’t yet understand the way he learns. He also needs to flip through pages and pages on his own. I can sit beside him sometimes also and talk about the books he is reading. We can type about what he is reading, we can draw stories and make more conclusions or assumptions about what he is reading. When we do things together calmly, we are having lots of fun.

When we teach him a new communication device, it may appear to the person who is teaching that Adam is not focused enough — indeed he appears to be “highly distracted.” On an AAC device (we are still awaiting one from a service-provider here in Toronto) his finger will go to the right picture, letter, or answer, and then he will quickly go to another one to check out what it will do. A keyguard helps him direct his finger more quickly to the correct response. He may have trouble finishing sentences (when he types) and then be reminded to “stay on task.” This is in large part what Facilitated Communication attempts to assist with if done correctly — to remind and assist with the focus. To a person who cannot detect that Adam was about to give the “right” answer (or rather the answer that was requested of him), he would receive a failing grade. Adam is very young and I believe he is not given the benefit of the doubt enough, although his team members are good with this.

It is only fair to say that we do not KNOW everything he knows. We do not fully understand how he takes all this knowledge in and we are the ones that deem his versions of knowledge as irrelevant. We have not developed sufficient ways to measure his responses or his way of learning and seeing, except for the ways we measure responses and knowledge from people who are not autistic. This brings me back to the old ABA adage, “if we can measure it, we can deal with it.” Unfortunately, the way we have historically dealt with autism is by eliminating the behaviours and learning patterns that are essential to an autistic person’s existence. Perhaps continuing to fund this research more heavily is important because as we understand how autistic people learn, we can not only develop better learning tools, but come to better appreciate our children.

Trying to understand this is a first step. As Adam’s parent, I see many of the so-called “issues” being mine, and yes, I become just as frustrated as many other parents out there. It’s really hard to see Adam in distress and it’s even harder to always be guessing what may be causing anxiety or body-jerking (Lack of calcium? Trouble at school? New self-awareness of difference? Trouble with transitioning from task to task? Lack of sleep? Seizures? A very long winter? Lack of exercise? Another neurological issue?…The guess work list is too long). Since Adam appears to be in discomfort since late last fall, I am really working hard at figuring this out (wait-lists are long here in Toronto). Sleep issues, anxiety issues — I know when I have a level head, there is more that I can do for him to ease the situation. We need science now to figure out many of our questions.

Sometimes it feels that makeshift solutions only lead to more issues. Sure, we all want things to be a little easier, but Adam requires more consideration in order to achieve that balance between helping him through discomfort as well as accommodating his needs. As I have been through a difficult year, like many of you out there, I completely understand the reasoning, but I have to keep a level head and look at what Adam has also gone through with a “broken” family. I have needed my sleep, but if Adam cannot, I have to find safe ways of letting him stay up until his body will sleep naturally. I know what I’m saying isn’t easy and there are still days I will resort to the Melatonin, even though, because of the guesswork involved, it pains me to do so. Yet I also know it’s important to stop and slow down and think about how Adam feels and perceives. When I do, everything seems a little easier. As a parent, I can even become proud of myself (it’s important) that I’ve not only managed well, but have helped Adam out too. We are still on that path to finding out if we can help Adam, but I am always wondering excessively about how I perceive the “problem.”

I’m interested in what people in science think about this Perception study. I think we have to spend a lot more time imagining what it feels like to be in Wonderland.

——-

Excerpts from:

“Extraordinary Perception” by Wray Herbert in March/April 2010 issue of Scientific American Mind, pp. 68-69.

Further Reading:

Selective Attention and Perceptual Load in Autism Spectrum Disorder, Anna Remington, John Swettenham, Ruth Campbell and Mike Coleman in Psychological Science (in press). Published online October 14, 2009. www3.interscience.wiley.com

I’m clicking my heels this morning. Adam is so happy in his new home that it seems he likes it better than his old one! So all that worry has turned into joy, joy, joy.

This isn’t much of a post except that I had this song in my head this morning and I dedicate it to my Adam:

I’m not talking about relationships. I’m talking about Adam’s third night at his new home. After letting him explore, be tense, be happy and then settle, he spent his third night in his own bed.

The past two days when I’ve picked Adam up from school he has been running into my arms with a huge grin on his face. I have to admit that his hugs and grins are like Valium — the moment he does that my entire body relaxes. As his mother, I am happy when Adam is happy. Adam is happy when I am happy.

One thing is for sure as I watched his face searching mine this morning and on his way out the door to school is that for Adam, I am home. This is home because I am here. For all the worrying I’ve been doing, it dawns that I am the most important person in Adam’s life. I am the most constant, the most present, although, of course he has many people who also love and support him.

Below is a little snapshot of Adam when he came home from school as I let him relax. It doesn’t show the exuberance that came afterward — and the searching for mommy in order that he could snuggle in the crook of my arm for me to read him his favorite books (Little Ms. Shy and Mr. Quiet, no less). As I watch what Adam does and how he does it; as I pay attention to the books he brings me, he is telling me a whole lot. I say this as I am also skeptically reading about a cuddle drug for autism (Adam is the best cuddler and most affectionate child). It can be frustrating when I am worried about Adam and he cannot communicate everything that’s on his mind. Considering all the issues with autism and communication, it is those moments when I step back and pay attention that I can really appreciate Adam and the many things he has to say. Thank goodness for autistic behaviours for they are telling me so much! Adam is telling me how much he needs me and my support. He is telling me how much he loves me!

We are home.

Here’s the little after-school video:

VID 00039

I just want to report that little Adam came to his new home. He was quiet. Grandma, grandpa and mommy all gathered around him and ate dinner and he just looked and looked. He hadn’t been to the house in the evening before. The lights cast a gentle glow. Evening is a time when everything feels strange. The day is ending and dusk is uncertain.

“Raindrop,” he said of my lamp that hangs like that in the corner of our living room. “Bubble lamp -” we named our chandelier over the table. His eyes were focused on the light.

We all snuggled around him after dinner on the couch and watched a quiet video of photos of Adam’s family and this past year that grandpa had made with classical music. Adam enjoyed it and was also content to read the books and look at the toys I had placed in the room. We went gently upstairs and he climbed into the “snuggle chair” I bought so that the two of us can read together. With very little struggle, he then fell asleep.

He knows everything has changed. Yet I’ve done my absolute best to make all the time leading up to this transition as smooth and as positive as possible. As you readers know, I was quite worried about all this, and even though I’m somewhat relieved, we still have some days ahead of us that I cannot predict.

But now the first night is done. And it seems we’re off to a good start.

It is Valentines Day. Aside from the red commercial hearts and roses we will buy only because the storefront displays will beckon, I wonder if people will remember fragility. The red hearts may be plastic but the real human ones bear no resemblance.

Today is my official final day in my old home — the home I built with Adam’s father. I did move from it a few days ago — I don’t think leaving precisely on Valentine’s Day would have been easy because my mind tends to brood over such Hallmark things, despite my keen awareness of plasticity. As I said I would in a previous post, I ritualized in my own way. I said goodbye to the rooms, picked out a stone from the backyard. But I couldn’t stay long. It was just too painful once all of my things were gone. My memories are still too recent — Adam and I there snuggling just a few days earlier.

“Someone else lives in the house I thought I’d never leave. And the life I’ve lived in that house, I now speak of in the past tense….The keys now belong to someone else. I can’t open that door anymore, and the place beyond it is now as inaccessible to me as all the life I’ve lived there, retrievable only in photographs, story and memory. Still, while I lived in that house it seemed that my life would continue there forever, that it was as substantial as the sofa I settled into in my study with a cup of tea at the end of each day.” (Excerpted from Louise DeSalvo’s On Moving: a Writer’s Meditation on New Houses, Old Haunts And Finding Home Again.)

I created The Autism Acceptance Project in that study. Now, I’ve created a new study where you see me sitting now. I am moving on. Aside from organizing a few things, I am trying to settle in my new home. I feel like maybe I can get back to deadlines, TAAProject and my writing. This evening, my friends and family will gather in my new dining room to help me toast a another new journey in another new home. Again, I believe rituals are so important.

I await Adam to return on Monday afternoon from his mid-winter break so I can help him adjust here. We saw the neurologist last week who believes his spasms have more to do with transitions than anything else. Yet, to be prudent, he must still have the EEG to ensure this isn’t something biological. My suspicion, however, is that Adam has been just as stressed as I have been. According to that infamous “top-life stresses” list, moving and divorce are right up there. Dash in a few other things over the past two years and the plate, as they say, has been pretty full. Being in the new house and taking it in for a few days on my own helps me calm with it, and I need to be calm for Adam. He feels and takes on every emotion I have. As his mother, it’s hard not to feel guilty, but I try to fend that off as it is such a waste of precious energy. I have to teach Adam many things two of which; 1) I am human and, 2) that the only reason we are here is to make the best of what we have. I believe these are good things to teach autistic children — the children we so often say need consistency and structure. While I believe that to be so true, it’s not always the way life goes.

Saying that, I’ve also learned an important lesson on the fragility of the heart and of the roots we think we build. In fact, I think the lesson I was meant to learn was that of impermanence. We all want our children to feel stable as it is an important factor in healthy growth, but I’m beginning to believe that an important gift we can give to our children is to also teach about how things change. “Paint peels, plaster cracks, and gardens, of course, are the most ephemeral constructions of all.” (Louse DeSalvo p. 149). I know we are supposed to keep structure in our children’s lives — particularly autistic children who are so prone to anxiety — but the fact of the matter is that all of life is outside of our control. We take what we are given and polish it. And it’s definitely okay to cherish it too.

“The gleam of a loved house lasts only as long as he who loves it can keep polishing.” (p.149) This goes for all the people we love too.

Happy Valentines Day.

Adam is almost eight years old. I can hardly believe how the time keeps marching by; how the year of separation from Adam’s father has also gone by. Soon, Adam and I will be living in our new house and rebuilding our lives.

Adam is changing and I reminisce from the early days — when he was diagnosed at 19 months of age, how I started this blog back in 2005. He is becoming more curious, more adept, stronger. He is always learning. He gets frustrated. He still cannot communicate with words very well. He must use a device. He does not understand, I believe, inherent dangers as he explores his new exciting world. Laundry chutes, small dark corners are inviting spaces for all little children. I teach as best I can with a firm “no,” a new rule that he can easily comprehend, and a stop sign posted to various areas of the house. It may not be “designer” but style makes no sense where safety is concerned.

Adam is also heading out into the world. Yes, he has his aides. But as a newly separated person who now must share time with Adam’s father with regards to Adam, I find myself during lonely nights thinking about how life is always about letting go: of fear, of things, of little children growing into bigger independent children (or quasi independent in our case). As Adam grows, I must learn to let him out into the world with others so he can learn more. It is a great challenge for any parent, and perhaps even more punctuated when one is a single parent. And as all things with our children as we watch them grow, it’s (delightfully) bittersweet. Adam would grow up resenting me if I held him back and did not let him explore. I have to let him do it in safe ways, in stages. When he grabs that sharp knife to cut a piece of fruit, I have to teach him with a dull knife (and with supervision of course). I have to let him explore dark spaces by creating safer dark spaces. I have to let him jump around the house, not on furniture where he may hurt his head, but on equipment set up for the task of jumping. In the case of Adam and his neurological needs, I also have to LET him be who he is and get the feedback he needs.

He needs to run, he needs to jump, explore, and yes, eat lemons. I would never be able to hold him back to change these activities because they don’t look like typical play. I need to provide him safe avenues to explore these things. Instead of viewing these things as “overwhelming” because they are not what all typical children necessarily do, I must learn new ways of helping him explore. While there are not as many programs and “how-to” books out there, common sense, time, and a deep breath help me figure it out.

It’s the same at school and we are lucky right now to have a school that allows Adam to explore safely, that allows aides, that allows us to bring in adaptive technologies and programs that help Adam learn in the way he can. But when people first meet him, I am starkly aware of how they will measure him — what “competency tests” to assess what he does and does not know that are delivered in a way that we take for granted, and perhaps that Adam would not be able to respond to. Far less effort (and money) is paid to adapting those tests so that he could respond — like visual options for answers, multiple choice. Adam is extremely visual and “performs” well when given this option. And I write this because I saw the movie NELL last night with Jodie Foster. I have been calling Adam — among many nicknames like boo boo bear, moo moo, Adiboo, Adamame… and Chickabee — the nickname Nell uses in the film. I must have picked it up a few years ago when I first saw it. I love the movie Nell because it reminds us that humans can create languages that perhaps not everyone understand easily and in the way we are used to, but how we create meaning.

And Adam communicates, indeed. He has a language that I’ve learned to, believe it or not, take for granted! But as he goes out into the world not everyone will know his language. He would be given those “competency tests,” and maybe even fail because they don’t measure in a way that addresses how he can express what he knows. So yes, my Adam now goes out further into the world. And yes, we have to teach him to communicate within it and learn the more common way of communicating. But I still believe he will and should always keep his mother tongue.

I am moonstruck in Miami. I kid you not that while this is an Internet image I’ve just found, it just about looks what I saw this evening rising at sunset. My dad, the photographer, got some real shots of it which I may post tomorrow.

It’s a quiet New Year’s for Adam and I, my parents having spent the last week with us here. Yet it’s been really lovely. A year of significant change has settled gently now in the warm arms of family. After we’ve run along the beach,had our haircuts with our favorite girl, swum endless hours in the pool and broken bread together, we have snuggled in our beds… contented.

Adam needed to end his year just like this after being so wrung before he left for Florida. He spent time here first with his dad, and now, of course with his mom. And while we have become a family of a different sort this past year, Adam, I believe, has still found it full of love.

It is well before midnight and Adam went to sleep about an hour ago simply exhausted from sun and sand. We will not watch the crystal ball drop but we have watched the rare Blue Moon rise in the sky tonight — the moon that will only come out in another 19 years. I can barely imagine what life will be like 19 years from now.

A year ago we were in a tougher place as I struggled with separation among Mayan temples during a trip to Mexico. But as I listen to the ocean one last evening before our flight home tomorrow with Adam sleeping beside me as I write this, and take one last peek at that magnificent moon, I can’t help but notice how much difference a year can make. The year 2010 is going to be a good year — I can feel it.

Thanks to everyone who made their comments, who sent me emails and those who stay in touch in all the other ways we can stay in touch these days. I’ve appreciated it. I wish everyone a happy and healthy new year!

All of us have encountered ongoing misunderstandings about our autistic children. Adam, going through something at the moment, could also very well be going through stress. Perhaps delayed, perhaps not, what really worries me is the assumption that just because he appears happy, that he must be happy and as such, because of his autism he is neither affected by nor registers the new people in his life and the separation itself. To borrow a recent post by A Life Less Ordinary, Emily writes of this regarding the autistic child and school and it resonated with me in these days of Adam’s apparent stress levels:

–An autistic child can often be”low arousal” in certain ways. That means that even a brutal and ill-intended pummeling may not elicit a visible or detectable response. Never assume that such behavior is being taken in good part just because the autistic child isn’t crying or complaining about it.

–An autistic child may not tell an adult about physical and emotional bullying unless they are very close to and comfortable with that adult.

–An autistic child may not respond to repeated insults until some unclear breaking point is reached. The autistic child may then respond. Just because the autistic child made no previous mention of the bullying doesn’t somehow make the bullying OK or negate the fact that the child’s response was provoked.

–An autistic child may not express the emotion you expect. An autistic child in great pain–emotional or physical–may smile or even laugh right through it. I can assure you that the laughter does not mean the autistic child is actually having a good time.

–An autistic child does not express himself or herself the way a neurotypical child or adult might. Try not to judge an autistic child’s facial or emotional expressions through a neurotypical filter or from a neurotypical viewpoint. You’ll never have the correct understanding of the autistic child if you do.

–An autistic child may look like s/he is having a great time. If that child is, however, in the midst of a scrum of running, pushing, verbally sparring children, that child likely has no idea what is really going on. And that child is also likely a target of under-the-radar bullying that you’ll never hear about.

–An autistic child in an unstructured, chaotic social situation is a child who is likely completely at sea and who is likely the target of bullying, both subtle and overt, both physical and emotional. Don’t ever lapse into thinking otherwise.

–An autistic child in the midst of more than a couple of neurotypical peers in an unstructured situation is never fully armed, never as completely socially able, never truly interacting on a level playing field as the neurotypical peers. Never.

To assume otherwise is not to understand the autistic child.

Like everyone, Adam responds well to a good vacation and in addition to some upcoming necessary tests, I’m glad he will have one soon and hope for a resolution so that I really know what I’m dealing with. He appears to be doing well in school, and accompanied by an aide, I am assured he is not being bullied. Yet I also wonder how he views himself now that he is maturing, next to his “typical” peers and indeed, we are in a completely new phase of our lives.

So a vacation is needed and mom needs to think. Unlike previous years, he will first go with his dad and then be rejoined with his mom in Florida.  I am definitely concerned as his mom with all the transitions he has had to endure (as an autistic person they are far more stressful than for an average child) and the assumption that this separation has not effected him deeply, even though as parents, we are doing the best we can.

I always knew Adam was a tough little egg. As I had written earlier today, he defied the sleep aid in the hospital that would knock, likely, a typical kid on their back. Not my Adam; he was fighting this sleep. Maybe he was determined to defy any hospital hand after the weekend. No electrode would be placed on his adorable little autie head this morning.

I have to admit, this single mom is pooped. A couple of canceled events — of course I was going to cancel them and do everything and anything for the little man — all the worry, sleepless nights and all that social deprivation! We met with unknowledgable Emergency Room staff (Did I say that? I really wanted to use the word graceless), I slept beside him in the pediatric ward for the first time since he was born, I orchestrated (felt more like moving mountains) to get this EEG this week, instead of in February. And NADA. Anyone have a Grey Goose on ice?

Yet, just as it always goes when life seems to feel a little dark (it is December after all), I decide tonight that Adam, who has of late not been sitting very still or sleeping very much, will watch E.T. with me this evening. Movie watching can be a little precarious with Adam. He has been known to leave dark, hushed theatres mid-performance. I think the movies he has sat through from start-to-finish, so far, have been Happy Feet, WALL-E, surprisingly, Charlotte’s Web and that silly one with the hamsters playing 007 in 3-D, whatever that was. At home where he is allowed to roam freely to the kitchen, get his toys, his books, movie-watching can be next to impossible. So sleep deprived? Too bad. There is usually no rest in this house even when we are weary.

I am happy to report that tonight, I managed to keep him with me on the couch — many a wriggle and a wrestle, a salty cracker or two. Okay, maybe three. When he saw E.T. and that typing device, I told him to look. He was, even though he would also wriggle, look at a book, eat a cracker, a banana, a glass of water, and peek often in between. “Look at Elliot,” I would urge, pointing my finger hoping for that good old joint attention. “Look, look at E.T.! Isn’t he cute,” Adam looked at me with a smile, which, if you really had seen Adam’s pain the past few days was lovely, relieving and made me appreciate every moment like this we’ve EVER had. His cheeks seemed fuller, maybe because his colour came back. As he rubbed his soft head into my face, I could still detect the whiff of medicinal smell from the gel they had placed on his scalp. He rubbed his cheeks back and forth against mine for the feel of it, like Eskimo kisses and I laughed. It felt like a bucket of soft feathers pouring over me, but really, it was love. He seemed to enjoy my antics more than the movie, or maybe he just liked it when mom sat there with him on the couch, eating crackers, drinking water, and fun-wrestling in my arms.

“Home, home, home,” he said at that point in the movie when the music billows, the volume rises, and the story ends. Home indeed. There’s no place like it.

Well, we attempted the EEG with zero success. Adam is an antsy kind of guy and even chlorohydrate does not put him to sleep as hospital staff had hoped. From past dental surgeries, I knew it would not, but I was hoping it would make him drowsy enough to stay still. It has, as I have seen in previous dental surgeries, lessened Adam’s fight, but as I’ve learned from doing an EEG, one cannot move… AT ALL. Every movement records and Adam, even with sedation, is up and down on the gurney like a yo-yo, sort of drunk but not inebriated enough by medication to have a happy drunkard’s sleep. It’s sort of like watching a person who wants to rest, but his body won’t allow it. And I’m wondering if he needs to move more, now that we live in a city where children don’t really go out to play much, but are over-scheduled instead with instruction and programs. It makes me want to say, fly little bird fly, and in about an hour, that’s just what I’m going to let him do at the park. He needs exercise, some sun, yes, that might do some good too. I’ve done about everything I can do now. Now we have to wait to see the neurologist and for other subsequent appointments I’ve lined up to, hopefully, cross all more serious suspicions off the list.

We did had a good day yesterday and so far so good today (Adam did not get upset by going back to the hospital and was back to his funny, affable self). And I’m hoping that after we do what we must to rule out or find some facts, Adam might just have his issues resolved when he heads down to Florida to his favorite spot — the beach.

In the meantime, this mom is still clutching to her anxiety, which is sort of the aftershock of being in hospital and orchestrating many people to have made this EEG happen today. It should be understandable why I’m disappointed and still concerned. I certainly do relate to many of you out there these past few days when times have been tougher for you too. When all is said and done, I will have amassed a checklist that I must hopefully remember to share.

When I wrote The Joy of Autism blog, I wrote a mantra with one line that said “because joy doesn’t come without struggle.” I don’t know if it’s part of the way I think about things, something about me, but my friends certainly share the struggle part. I am lucky to be able support some friends in some difficult times right now as my friends are supporting me. I have to think long and hard these days about joy and struggle and still, I am so convinced that if people understood autism a little more, we would not have necessarily had insult added to injury in the emergency ward.

Adam and I returned from the hospital yesterday after observation Friday night. We did not go to our usual hospital, and the benefits of not going to it may have been some extra attention in the end. But attending emergency was a bit of a nightmare as everyone who registered after us, got admitted before us, even though they didn’t look that ill at all (and consequently they all got discharged while we were still sitting in emerg). After having asked the triage nurse “how much longer, can’t you see he’s in pain writhing over there,” in a relative calm voice, she told me not to yell at her (are they trained in saying that even though someone is not yelling?). I had to do my part in managing her the way she was, I suppose, trained in managing me. It took some, let’s just say, urging after that to get Adam in (she had been lying about the crowds in the hallways inside because once we got in, it was relatively empty) or else we would have likely spent another three hours just sitting there without any help or attention. There was absolutely no visibly known/obvious reason for this after we were admitted.

Many families can imagine a child screaming so much til they are red in the face. In addition to whatever is happening with Adam, going to the hospital and waiting is one of his number one stressors. “Can he at least have a sedative?” I asked after waiting six hours like this, Adam’s face apple red, his lips quivering, his whole body shaking and contorting into a letter C. Nothing.

Thankfully, from my trip to Paris, my bag was full of goodies. I found melatonin strips buried deep at the bottom and after six hours of waiting for any kind of help, gave him a strip. By the time Adam’s dad and grandfather arrived, the edge was gone and Adam was lying on top of me on a gurney.

The doctor was prudent enough to want to observe Adam overnight and I got to sleep with him in the pediatric ward. Later arrived his bag from home with DVD’s, some food, his P.J’s so I could try an emulate the comforts of home. Bloodwork was then taken with little trouble due to the melatonin and the hours of previous crying which had completely exhausted Adam.

My mother went to the nurses station. “You are the talk of the station,” she said. “They didn’t know melatonin worked for autistic kids.”

YIKES, I thought. Melatonin may not work for all autistic kids. In fact, some families have told me melatonin stops working. While I am grateful for the female doctor (not from Canada), for her soft bedside manner and her prudence with regards to his body jerks and spasms, I am still very concerned that hospitals do not understand the needs of autistic people and the stress levels that going to hospitals can create. I mean, as Adam was screaming, one staff in emerg said “Oh you mean he isn’t always like this?”

And readers of this blog and my Facebook will know that uh, no, he is not “always like this.” Adam does not always spasm, contort, and melt-down. He has some anxiety but he is a very happy little guy. In addition, what would have happened if I did not have that melatonin on me?  I mean, his heart was beating so fast I was concerned he’d go into cardiac arrest. When they witnessed the calming effect they said, “Can you give him another 3 mg before we give him his bloodwork?” Folks, as “autism parents” we have to advocate for our children, and carry our “bag of goodies,” every day. Some days it seems that there is no one out there to help us when the times get tough. When there is one good person, they shine like the rays of light in an otherwise dark day. It is a universal truth, I believe, that every single one of us finds the “advocacy” part exhausting as our children our lumped into the autism stereotype. And it’s not helping, that stereotype, and this is what I hope to stress here in this post. It just seems to mean that Adam gets ignored because of it. Well, at least in the emergency ward (which needs a complete systemic overhaul in my opinion).

While we await an EEG this week to hopefully rule out epilepsy, I am rudely awakened, despite all exhaustion today, that we still have lots of work to do. There is joy, there is struggle. There is paradox. As my grandfather always told me, “that’s life.”

My friend Leda sent me this piece of music today (see below). It calms me after the “storm.” I think Adam will love it because it is calm. It’s sad and beautiful and just a piece of music for the moment because I am worried and a little “spent.” Yet, even in this struggle, Adam is my joy and my life. He is the joy in our autism and for and because of him, we keep on going despite all with which we must deal.

In the words of Goethe: “Der Zweck des Lebens ist das Leben selbst,” I believe life is not just how “good” we live it (that has been filtered down in our society to mean something quite trite) but in accepting and living with its struggles. Afterall, we just don’t seem to have a choice.

I’ve decided to use this post for community feedback. We are at a new point in our autism journey that we have not yet figured out. Adam is in a state of pain that seems uncontrollable.

It began over a month ago, longer perhaps, when Adam began jaw clenching which moved into whole body spasms. Usually, when Adam is ill, or is getting a cold, he can’t stop moving his body and manifests his physical discomfort in body jerks and movement so much so, I feel his pain. If his ears hurt, or his mouth hurts, he has come to tell me so. But not this time.

So I’ve reached out to a few of my autistic friends to ask about myclonic seizures or other types of seizures that appear like body spasms and occur while a person is still conscious. It’s the kind of thing that I can’t tell is a bladder infection, growing pains, stress, or something more serious. Yesterday we began a whole new exploration and as I write this, Adam is uncomfortable upstairs and I can understand the moments when parents are beside themselves with worry.

Thanks for input but please make it kind and productive.

As a curator of art I have a special interest in “self-taught” art, otherwise known as “Outsider Art” or “Naive Art.” I find these latter terms unfortunate if not unnecessary and, noting my bias, degrading as terms to describe the work, typically, of challenged individuals. In the Art World, the term was used to create a category of art because it did not seek a point of reference from within the “higher” art world.

This post for me is thrilling. Today’s Parent magazine in an article called “Is It A Learning Disability?” , suggested that children with learning disabilities (LD’s) ..” don’t draw,” the caption said, “they scribble.” They is used as yet another “outsider” term, using the “they” as a foreign connotation. I retorted at how important any human marking is, a scribble or a sun. Adam’s motor planning issues makes holding a pen or pencil very difficult. He could draw letters lightly when he was very young and his first “picture” was a happy face with long hair when he was six years old. When I asked him who it was he said “mommy.” Of course that stays in my treasure chest forever.

I like to draw and I’m quite average at it. This past summer, I spent a few hours with Adam drawing what was around us at the cottage we rented, and I tried to teach him how to paint by numbers with a watercolour set — to “stay within the lines.” So counterintuitive is the paint-by-numbers set to me, but I noticed Adam’s willingness and effort to gently use a small watercolour brush, and his keen interest in painting. It also doesn’t hurt that one of his grandmother’s is a painter, his grandfather is a photographer, and his half-brother, a master at etch-a-sketch, not to mention his other artistic pursuits. Adam is interested in all of their work and I’m certain they have all imparted their own abilities to him.

I was not expecting these drawings passed to me from school the other day because I guess we can never know if or when we can expect things to happen, and it wouldn’t be anything I’d force upon him. Adam draws, as of this week, by his own motivation. He suddenly copied pictures from books and I’m utterly breathless at his line and his attention to detail. He told his aide what the pictures depicted and you can see her handwriting — a verbatim record of what he said. From a developmental perspective, I suppose you could say he is seeing the “whole picture.” His attention to detail, bearing in mind his motor challenges, seem remarkable particularly when one’s child has not been able to express themselves easily.

Art can tell us a lot about what a person sees, how they see it, and how they can express it with certain challenges. As I was always certain that Adam could “see the whole picture,” I post here, I suppose, what society needs and what it likes to chew on, which is the sad part of being a part of such an achievement-oriented society. But let’s for a few wonderful moments just savour how beautiful his lines are — how delicate and careful.

Maybe we all need to be as delicate and careful when discussing the abilities and challenges of all people. We may not all become artists, we may not all talk, but it certainly does not mean that we do not understand or have anything to say.