Where a husband and wife blog to: continue the story told in a book called Dancing in Cornmeal: Life with Autism; enhance the conversation about autism; relieve a writer's need to write; inspire (when the stuff here is really good); network; and share - especially recipes that follow the SCD and Paleo diets. See "Welcome" under TOPICS for a better description, then just keep reading along...

Tuesday, June 28, 2011

What I've Learned - Part II of Dancing In Cornmeal: Life with Autism ©2002

“You shall not muzzle an ox while it is treading out the corn . . . because the plowman should plow in hope, and the thresher in hope of receiving a share.”
1 Corinthians 9:9-10

“Drop the stimmy . . .”

“Drop the stimmy and put your hands up!” I don’t know that any one in our family has actually said those words to Lauren, but they convey some feelings we have about staying on top of Lauren’s stim toys lately. We’re constantly on patrol and she knows she’s guilty when she’s caught, as she hands the stimmy right over.

“What in the world is a stimmy?” you may be asking. If so, this chapter is for you. I was at dinner with a friend last night and felt the need to go into a lengthy explanation of self-stimulatory behavior (self-stim). I was trying to express the difficulty of choosing to take away an item or activity that apparently gives my child so much pleasure (and keeps her occupied). I realized my friend wasn’t appreciating why this was such a conundrum, so I helped her to understand. I’m pretty sure she felt quite dragged into the conundrum by the time I was done, as she seemed to appreciate what an assignment it was to stay on top of such behavior while trying to keep a peaceful household.

My explanation of self-stim will, of course, be inaccurate, simply because I don’t have autism. I bother to try to explain it anyway, because I’m tired of trying to explain it from start to finish, like I tried with my friend last night. There are so many angles to look at when trying to understand this behavior that I become a little excited while talking about it. I’m trying to keep my mouth talking about one aspect of the explanation while my brain has jumped to another. It’s exhausting. Perhaps from today on, I can just hand someone this chapter and say, “Here you go, this is the best explanation I can give you.”

It’s not only for my personal relief that I want to dedicate some pages here to self-stim. Self-stimulatory behavior is the aspect of autism that makes it stand out in a crowd. The behavior often, unfortunately, defines a child. Have you ever heard anyone say something like, “Oh yes, that boy had autism, too. He used to rock all the time and wave his hands in front of his face.” Do you hear how this person’s definition of autism is the self-stim behaviors?

Self-stim is the cause of a great deal of misunderstanding about people with autism. Should you let them do it or not let them do it? (Do you always have a choice?) If you’ve consistently told a child that something that stimulates her is off-limits, and she sneaks the item when you’re out of the room, is she simply being defiant? No matter how many times I explain my daughter’s self-stim behaviors, there are still some people who treat her as though she’s a defiant beast when she continues the behavior. I’m all for parents asserting their authority and taking control of situations, but these people are usually the ones who think they should be able to dangle a stim object in front of my child and she should politely ignore it. This is the only test they will accept as proof that she’s made progress.

Then there are the situations where kind people tell you, “Your child did great today! She loved splashing in the tub of water so much that we let her do it all afternoon!” I’m sure these people don’t realize such activity is similar to a child without autism spending hours on end staring at a TV test pattern.

My knowledge of self-stim behavior is simply what I’ve garnered over the years from reading books by people with autism and professionals who work with people with autism; teaching children with autism; picking the brains of professionals I admire; and observing people with autism—particularly my daughter, of course. As I say, some of my assertions may be wrong. Certainly some won’t apply to every child; we know from our discussion about the diagnosis of autism that two people with autism might have no two symptoms alike. But my thoughts have proven beneficial in helping my daughter within our family. At the least, I hope these ideas will further your own thinking about the true nature of the behavior of people with autism.

There are a few assumptions that need to be understood in a discussion of self-stim behaviors in autism.

First: There’s an intelligent brain inside this person.
Second: This intelligent person wants the same basic things that every typical person wants: to be pain free, to be like others, to receive love, to feel good, to be as independent as possible, to be accepted, and to have something interesting to think about.

These first two assumptions are risky for me to make, as there are many professionals (and even parents) who think it quite important to place a number on a child, then treat the child according to that number. I have never seen any use made of an IQ score except to further limit a child’s access to opportunity. For more discussion about IQ testing of people with autism, read the chapter entitled “Respect” in this book.

In case you don’t know a child for whom self-stim is a significant problem, here are some examples of self-stim behaviors, some of which have been a part of our family’s life: rocking; twirling around; flapping hands or arms; chewing or biting on fingers, arms or objects; pulling own hair; squinting eyes almost closed; staring at patterns, such as in busy carpets; passing fingers over objects with patterns, such as fences, chair backs or window blinds; and flicking objects. These are just a few examples of many possible self-stimulating activities. The harm in some of these activities is obvious. Others may just seem like distractions that make the child stand out in a crowd. Each of them is an expression of a need.

We know that in all people with autism, there is sensory dysfunction. Though we can’t yet pinpoint the cause of this dysfunction, we know that, to some extent, the brain’s interpretation of sensory perceptions is inaccurate. In other words, what comes in through the five senses is interpreted differently by this person’s brain than it is by most other people’s brains. For example, certain sound frequencies that are pleasant to most people may sound like fingernails on a chalkboard to a person with autism. Certain textures, such as lotion or sand, may send shivers up an autistic person’s spine the way that sensing a snake circling my feet would send them up mine. (OK, I’d actually bolt if that really happened.) The smell of native foods prepared by a classmate’s Vietnamese mom used to make Lauren unable to sit at the lunch table with this boy. Even if she was very hungry, she was afraid to sit anywhere near it. Of course, it didn’t happen when this boy was absent or when he brought in McDonald’s, so it wasn’t too difficult for an astute teacher to figure out the true problem, even though Lauren was non-verbal.

Not to discredit your elementary school teachers, but when you learn about sensory dysfunction, you learn that there are actually seven senses. Besides vision, hearing, smell, taste and touch, there are the vestibular and proprioceptive senses. The vestibular system has to do with the inner ear and controls your sense of balance. The proprioceptive system is what allows your muscles to know where your body is in space and to react to that information. People with autism often have sensory difficulties with one or both of these two senses. This may have something to do with a child’s rocking and spinning, or with an intense need to know her boundaries. (Even when she was a toddler, Lauren thoroughly familiarized herself with the perimeter of any new place we entered. If there was a door, she had to go through it, apparently to determine if this space continued, so she could completely map it out in her mind.) If a person is confused about her body’s personal boundaries, knowing the physical boundaries of the environment may help bring some order to her chaos.

So now we know that a person with an intelligent mind and with common motivations is experiencing discomfort, perhaps even pain and fear, as a result of her body’s misinterpreted perceptions. What would a non-autistic person do in this case? He would probably seek a place where he could hide out from the world to get some peace. And that’s what people with autism do, too. They hide out. Of course if they found caves to hide out in, people would drag them out and say, “Come on, join this world.” (Though she’s never found a cave to hide in, Lauren loves closets and small spaces. We sometimes even find her just standing behind open doors in the small space between the door and the wall.) Because we insist they physically stay with us, people with autism seek solace hiding out inside their own bodies and their own minds. I’m personally impressed by an autistic person’s ability to keep the world at bay despite the bombardment of color, noise and activity day-in and day-out. I can’t imagine possessing that depth of concentration for any length of time.

When Lauren was a baby, she would stare at her hand for an hour at a time, sometimes seeming to trace the lines on it with her finger, ever so slowly turning it so that she had seen every cranny. Before she was diagnosed, we called her our little philosopher. In between giggling at us and acting like a normally developing child, she simply seemed to have an eye for detail and an intense interest in this appendage—this amazing creation of God. This is an example of a person shutting down to the rest of the world. Lauren especially liked to study her hand while we were traveling in the car, which was a relief to us as she was content for long periods on road trips. As the world raced past her in a blur outside her window, while the radio and car noises muffled conversation in the front seat, she was creating and enjoying her own little world that was probably a lot more peaceful than the one surrounding her at the moment.

This is what intelligent people do when limited by their circumstances. They create a reality to dwell on other than the one that surrounds them, until help arrives. This is what many P.O.W’s do in prison camps. In many ways, autism is very much like a prison—one we’re doing our best to help Lauren escape every moment of every day.

Self-stim is that reality a person with autism creates for herself. It’s not a randomly chosen reality, but a world created out of necessity to meet some very real needs. In search of peace, a child with autism strives to meet her extreme sensory needs with the resources she has available. Perhaps she only feels where her body is in space while she’s getting pressure from jumping or clapping. After a while, jumping and clapping may provide a calming predictability, as well as an outlet for pent up energy and stress, so the child is naturally rewarded and motivated to continue the behavior. This is a vicious cycle. A self-stim behavior can calm, entertain and excite a person—everything that’s needed to replace that outside world that confounds and terrifies—temporarily. Like a drug, it’s soon not enough to keep the outside world at bay. This intelligent person needs more to keep herself interested, while at the same time, the sensory problem is not being addressed. As in any addiction, the causal problems need to be addressed, or the person, seeking more self-stim as a temporary fix, will fall deeper into a pattern and further away from the world in which we want her to live.

I may have sounded, at first, like I was idealizing self-stim because it’s the logical action of an intelligent person in a painful situation who can’t convey a need for help. While I do ponder the process in awe, I also strive to eliminate it entirely from my home. I want my child wholly with me, so I can teach her things that I can’t teach her while she’s preoccupied with stimming. For a long time, Lauren’s most pervasive form of stimming has centered around what I believe is a desire to feel weight pulling against her body. She seeks objects that she can flick or just flop around, that bounce back, such as balloons, plastic soda bottles (preferably with soda or water still in them for the weight) and any toy that has some kind of string or rod attached. She also likes to click many plastic and metal objects against her teeth and feel them on her lips. Lauren can detect a toy or object that will fulfill this desire from across any crowded room. For many years, it was a huge battle to keep, or take away, the object from her; but her family has been perseverant. Today, she usually knows when an object is off limits, and often brings it to us to hand over before we can say, “Lauren, give me the _____.” Even objects that are new to her, such as items she discovers at a friend’s house, she will hand over upon request. I believe this is primarily because she understands more language and has a greater desire to obey than she had before. But I also like to think she has an appreciation for the abyss she’s experienced while stimming. Though the temptation to stim is great, the joy she knows from interacting with her family and friends is greater.

One sensory difference in many people with autism which is important for parents and teachers to recognize is that the person’s peripheral vision may be stronger than her central vision. Central vision is the ability to focus on one piece of visual information while not being distracted by everything else in the visual field. At an early age, normally developing people easily focus on a person’s face, or a picture in a book, directly in front of them. A person with underdeveloped central vision, and stronger peripheral vision, will at the least be distracted by people walking by or the hands holding the book; at the most, she will never even see the person’s face or the book because her focus is to the sides of these things. Many forms of self-stim engage this peripheral vision, thereby strengthening it, to the detriment of central vision. For example, many children with autism love to swing because there is constant, exciting movement to their sides. Many professionals encourage lots of swinging for children with autism because they love it so much, but care should be taken that while trying to engage a child, you’re not actually encouraging her to get lost in a world of movement, wind and color.

OK, so I’m discouraging you from allowing children to swing. No way. Our many indoor and outdoor swings have been some of the greatest blessings in our enjoyment of Lauren. We’ve had swings hanging in our family room which Lauren could relax on (in her own space), or show off in, while friends or new people visited. The swing was her reason to be in the room with us. She wouldn’t have been there without it. It served the purpose of introducing her to this interesting, but stressful, world of socializing just for the fun of it. Activity without obvious purpose can be stressful to many people with autism, and has certainly sometimes been for Lauren. I’ve also used the swing as motivation for speech:
“Lauren swing?” I ask, then wait for a word that sounds like “more” or “swing” or “again” before giving her another push.

I’ve used the swing to give conversation purpose(—that important purpose again):

“How high can you go, Lauren? As high as my hands?” She’s pure excitement when she gets up higher than my hands can reach. “How do you want me to push you?” She becomes quite annoyed as she tries to convey to me exactly how her dad pushes her. You know . . . the “3…2…1…BLASTOFF!” I should have known somehow. I finally got it close enough to make her happy!

Just be careful of all activities that appear to give a child a tremendous amount of pleasure. Maybe it’s not self-stim. Ask yourself: Will she share this activity with someone else? Does she accept variation to the activity introduced by someone else? Can you engage her in an interaction during the activity? Does it seem that the more she gets, the more she seeks?

I’ve known two little boys with autism who enjoyed lining up toy cars in a row. One boy’s mom was pleased that he’d taken to this activity as it was his first interest in anything that others could share. The family began teaching him to count and to name his colors using the rows of cars. They introduced games with the cars by starting a pattern of colors and number of cars and the boy would try to imitate the pattern as quickly as he could figure it out. The other boy’s mom was quite distressed with her son’s new interest. When I asked if maybe she could try to engage him in an interaction using the cars, she said, “Oh, no. We are not allowed near his rows, and if we touch them, he screams as though he’s in pain!” What qualifies as a stim activity for one child with an autism diagnosis isn’t necessarily one for another child. Like everything else in the world of autism, it takes a loving detective to figure out what’s healthy for a child so choices may be made accordingly.

For our family, some stim activities are easy to stop, some are very difficult to stop, and some just go away suddenly without anyone even realizing it right away. The toy stims are easy to stop. We simply take away the toy. As I mentioned, this used to be much more difficult. Even today, a beloved balloon is something I never take away. I just wait until Lauren’s asleep then politely introduce the balloon to the scissors drawer. (Scissors are much gentler than sewing needles.)

A few years ago, Lauren had an intense interest in the heel seams of people’s socks. (We all remember this as one of her cutest stims.) As soon as someone would kick off a shoe, Lauren would be at his or her feet tracing the little curved seam with a finger, practically standing on her head so she could follow the seam to its end. After about a week of this, a friend came to the house. Lauren immediately sat her down and pulled off her shoes so that she could check out her socks. (Granted, they were the first pair of rose colored socks she’d seen, and they had an interesting, deeper rosy red seam.) Though I chuckled at the time, as our friend is dear and kind, I thought, “Enough is enough,” and wondered how we were going to stop this obsession. However, I don’t remember a single sock seam check after the day she pulled our friend’s shoes off. I don’t know if she encountered an aversive natural consequence (pee-yoo!) or if she finally figured out what her inquiring mind wanted to know about sock seams, but this was a stim that mysteriously disappeared as suddenly as it appeared.

The other day, we encountered a stim that was very difficult to stop. We have (I’m almost embarrassed to admit) a plastic Santa Claus that, when plugged in, plays obnoxiously high-pitched Christmas carols while Santa’s arm lowers a bubble wand into some bubble juice, then comes back up again to allow him to blow bubbles (when his blower is working properly). We place this up high so that Lauren can’t touch it, but she can enjoy the bubbles floating all over the place. This year, Lauren loved this Santa Claus. While he was on, she made lots of loud noises, which I believe may have been singing, as she should recognize most of the tunes—a positive. She slapped at and twirled in the bubbles, sometimes trying to get them to pop on her mouth—iffy. She would also allow no one in the room—a definite negative. A greater negative was that when we turned Santa Claus off, she became angry and aggressive, and begged to have him turned on again. When we hid him, she fought to get him back. The rest of the day, Lauren was completely lost to us. The next day, she continued to beg for Santa, but started to bounce back. This Santa Claus episode was the impetus for my conversation about self-stim with my friend, as well as my motivation for beginning this chapter. Autism isn’t just about the stim behaviors, but the behaviors and how we deal with them can make or break many days for people with autism.

Some behaviors associated with autism may not seem to fit my explanation of self-stim. Some behaviors, such as perseverative talking or questioning, closing or opening all the doors or cabinets in the house, or flicking on and off light switches, may seem more like symptoms of OCD (obsessive/compulsive disorder) than a type of self-stim. When I see Lauren doing something that doesn’t obviously meet a sensory need, I ask myself, “What is she getting out of it?” Right now, Lauren requires all doors in our house to be shut. It’s not much of a problem, as she’s more than happy to take the time to do it herself, but we have an old house with two entry doors and a closet door in just about every room. Some days, the sound of doors closing can get to the sanest of minds. Lauren has always needed to precisely know her boundaries in any space, so maybe this is just an updated version of her need to map out and secure the perimeter of her location. As I think about it, she’s taken a step forward by actually changing those boundaries and taking personal control over them. She’s not angry when someone opens a door or leaves it open, but eventually, she’ll realize it’s open and will close it. This activity seems to serve a similar purpose as a self-stim; Lauren is increasing predictability in her surroundings, creating order out of chaos.

I don’t necessarily know why Lauren does something like shutting doors all the time, and she might not know either. This may be something she did once or twice almost accidentally, got caught up in, and doesn’t know how to stop. A typical person would just decide to walk away and go do something else. The ability to start, stop or transition from one activity or topic to the next is a very real physical process called motor planning. Motor planning difficulties are common in people with autism. A person with such difficulties may not have the ability to communicate from her brain to her muscles a desire to stop an activity. It could be that the person doesn’t have the ability to think up or initiate a new activity, so she sticks to what she knows. Appreciating motor planning challenges may help you to help a person through these difficulties.

Sometimes it’s obvious to me that Lauren wants to stop an activity, but just doesn’t know how. She tends to whine and act frustrated despite the fact that she chose the activity in the first place. To help her stop this activity and transition to a new one, I think about what will give her closure. It’s often just a matter of setting an obvious goal, helping her to meet that goal, and giving her motivation to move on to the next activity. In the door-closing example, I might say, “OK, Lauren, let’s close all the doors in the dining room, then we’ll go outside.” I make sure she has whatever visual cues are necessary to our going outside, then I watch her, or help her, close the rest of the doors. I praise her for accomplishing that goal, take her hand, and walk her to where we put our shoes on, enthusiastically talking to her the whole while about going outside. (Enthusiasm is so important. Why should a person be motivated to transition to something new if even you aren’t excited about it?)

A few years ago, I began noticing that every time Lauren walked through a doorway, she did a little twirl. If she had been taking ballet, I probably would have just brushed it off, but she wasn’t taking ballet and it seemed very much like a self-stim. Concerned that this might grow to be a bigger fetish, I started making a point of announcing when we were going to move into the next room, then took her hand and didn’t allow her to spin as we walked through the doorway together. I only did this when I thought of it, as she certainly moves from room to room more often than when I’m with her, but she almost immediately stopped the twirling. Whatever panic or difficulty existed in transitioning from one room to the next seemed to abate when she was prepared verbally for the transition. She was probably unaware that she even did that little dance when she learned by experience that nothing bad would happen if she didn’t do it.

If you’ve seen the movie Awakenings, with Robin Williams playing Dr. Malcolm Sayer, you may recall the scene where Dr. Sayer is watching a non-verbal institutionalized patient walk across the community room, but she stops partway. Dr. Sayer assumes that her goal is the water fountain at the opposite side of the room, and looks for an explanation for her inability to continue. Suddenly, the doctor realizes something—the floor the woman walked across has a black and white checkerboard pattern. During the night, Dr. Sayer uses some markers to draw a continuation of the checkerboard pattern on the rest of the floor all the way to the wall. The next day, the patient stops for a moment at the same spot on the floor, but then continues all the way to her destination. (To the doctor’s surprise, she walks past the fountain and to the window next to the fountain to gaze out.) Her “purposeless” walking had a purpose. The woman had a goal, but was unable to press on toward it because a visual cue had been perceived as a boundary. Changing the visual cue was a simple remedy, but only possible because someone cared enough to work at seeing the situation from the woman’s perspective.

I often think of this scene when Lauren looks down from the top of the stairs at her speech therapist’s house, but her foot won’t budge to take that first step down. If I try to force her, she struggles, as though I’m trying to throw her into a pit. One day, I spent a few minutes of waiting time during her therapy session trying to see that narrow stairway the way she sees it. I squatted down and squinted a little and Whoa! Those stairs suddenly appeared much steeper than I’d ever seen them. I also looked at the wall across from where Lauren would stand at the top of the stairs. After all, I know to look at the steps and concentrate on where that first foot should land, but that’s not necessarily where she’s looking while standing here. Whoa again! There’s absolutely no floor butting against that wall anywhere in sight! If I didn’t look down at the stairs (which, by the way, are the same shade as the walls, so they don’t catch your eye), it certainly did look like a great abyss. Imagine feeling pushed into this before taking a second to center yourself and realizing, “OK, there’s that first step.”

Today, I’m sometimes smart enough to be pre-emptive about that first step. As she’s walking toward the stairs, I say something like, “OK, Lauren, let’s go down the stairs. Here’s the first step,” while motioning so that her eyes follow my hand downward. That’s usually all it takes to help her make the transition.

I attribute many of Lauren’s difficult-to-explain behaviors to a fear or anxiety that I simply can’t imagine because I’ve never experienced such anxiety. Lauren avoids pointing to or touching an item directly in order to request it. For example, if she wants orange juice, she will hold my arm, guide it to the orange juice carton and set my hand on it. If she wants the television on, she takes someone’s hand, walks up to the television, throws the person’s hand at it, then sits down to await her show. Though Lauren first learned to point with a finger a few years ago, she tends to touch pictures of objects to make requests with other body parts instead, using her forehead to tap a picture, for example. I believe this is a way for Lauren to avoid taking “personal responsibility” for her actions. She seems to have a fear of revealing her “will”—that which makes her who she is as a unique individual. It’s as though Lauren fears physical pain from her mind being revealed—the same type of pain or discomfort she experiences from her unique perceptions of more tangible things, like sights, sounds and physical touch. Donna Williams writes about this phenomenon in her books. I specifically remember her telling about the anxiety of being at a dinner table with people she liked very much. She wanted to be able to interact with them, but the emotions surrounding the fact that they were all gathered together made her virtually speechless. She wanted to reveal herself and her emotions to her friends in conversation, but the anxiety involved prevented her.

Emotions do the same thing to Lauren. She seeks physical touch from people she enjoys, but it usually lasts only a few moments before she’s off in a corner, squinting her eyes to cut down on whatever visual information is adding to the chaos the emotions have produced. Sometimes, after a particularly loving moment, Lauren will turn on me like a cat that has been petted for half a minute too long. It’s as though the emotion involved turns into a monster—a monster frightening enough that Lauren will turn to fight it (me) or she will run away from it to stim in some corner in an attempt to regain a sense of order.

I sometimes have an experience at night that helps me to empathize with Lauren. When I’m very stressed or thinking about many things while trying to go to sleep, my thoughts will suddenly turn into an image that is as much feeling as it is visual. The best I can describe the visual is that there are too many shapes and colors to count and they’re all mangled into a heap, too complexly convoluted to ever be untangled. I know this feeling/picture intimately and when it appears, I startle out of my half-asleep stupor and am afraid to close my eyes again. I must remain fully awake for a minute or so and have my thoughts or emotions calmed or better sorted before I close my eyes again, or the “monster” will soon reappear. I hope revealing her will (her “self”) and her deepest emotions isn’t as disturbing to Lauren as my night-time “monster” is to me. If it is, I don’t blame her in the least for wanting to avoid any revelation of her self—even the part of the self that is just interested in obtaining a cup of orange juice. (But I still insist she use her own finger to point to orange juice, pictures, and other items.)

Though behaviors caused by motor planning and anxiety difficulties may not be self-stim, I include them here because they’re often viewed as just more bizarre behavior. Understanding the purpose of behavior is the key to helping a person change it, if desired. Sometimes the purpose is elusive, so it’s good to have several theories in your pocket as you try to help.

Taking away stim toys is one way to stop a stim that includes an object, but there are many other types of stim that can be much more perplexing to figure out and to replace. We know that the stim expresses a need, so we seek to meet that need in more appropriate ways. For example, if a child is chewing on her hands or other surfaces, she may have an oral pain or other physical need. A trip to the dentist should rule out or address a medical problem, and a consultation with an occupational therapist (O.T.) can give you methods to meet her oral sensory needs. When those needs are met, the behavior should decrease.

There’s one other factor in changing the behavior—the environment. If you don’t rid the environment of stressors, such as loud noises, arguing adults, or whatever else may send the child’s sensory system into a panic, the behavior may still continue, simply because it’s something predictable that she can control. Being surrounded by a peaceful, positive, supportive environment can be the greatest motivation for a person to strive to leave her world of repetition and isolation, to try to join those around her. This has been such an important factor in helping Lauren to join us that I’ve dedicated five other chapters to it!

Self-stim and challenging behaviors may not be huge problems for other families dealing with autism, but you’ve probably guessed that they have been significant aspects of Lauren’s autism. I share the knowledge and the theories I’ve accumulated over the years in hopes that I’m mostly right and that something here is of help to you. However, I may be all wrong. Every birthday and Christmas, when Bryn and Craig ask, “What would you like?” I answer, “A day in Lauren’s brain, so I can know what she’s going through and I can really be of help.” I haven’t received this gift yet, but I’d settle for another. Even if she tells me I had it entirely wrong, I’d settle for sitting down and having a conversation with Lauren.

Positive Environment

I had no idea how I was going to say this in a book without it sounding negative, but here goes: When there’s autism in the family, it encompasses absolutely every aspect of your lives. To test this theory, I asked my family members to say the first word or topic that came to them. I wanted to see if whatever they said, autism would have some bearing on it in our family. Bryn said, “Art.” OK, Art:

• I’ve lost two paintings, a few ceramic pieces, and a variety of other items that might be considered art to “unforeseen autism-related” circumstancs.
• I can remember the day we had to put all art supplies in locked closets because Lauren became enamored of dumping (crayons were a favorite) and “skating” —using pieces of paper as skates on the hardwood floor.
• My hardwood floor is spotted turquoise in one room as the result of a memorable “tie-dye incident.”
• We work at fine motor skills every day by modeling and encouraging Lauren to hold a crayon or marker or paintbrush, while encouraging her to look at what she is doing. She’ll often hold the drawing instrument lately, but it’s a well-celebrated event when she also watches her hand and appreciates what she’s created.

Craig gave me a more difficult topic—“Birds.”

• As soon as she was tall enough, Lauren opened up the birdhouse we had attached to the side of a tree and the nest inside fell to the ground. (Thank you, Lord, that the babies had already flown off by then.) At our house, we’ve learned that a birdhouse can be placed a few inches higher than the ideal height instructed on the label.
• When there are bird droppings on the swing set, Lauren will usually not avoid them, to her sister’s dismay.
• When there’s a hawk gliding and swooping on the side of the freeway, there are only three of us watching in awe.

("Art" and "Birds" may not be the best examples of this experiment, but they were really Bryn and Craig's responses when I asked while writing this chapter, and I promised myself I would use whatever they said. Perhaps the words "vacation" or "shopping" would provide more obvious material, but I'm glad neither said one of those,or my list would be as long as this whole book!)

I’ve played this random naming game with myself in the past to try to discern if I’m crazy, or if there really isn’t one area of my life that is not the least bit affected by autism. I’ve realized each time that I’m not crazy, but that, in fact, this is a disorder that challenges our family in every possible big and small way. Somehow, acknowledging this head-on is a relief every time. I can stop comparing my life with other families. I can stop wondering about when it might end and what “normalcy” might feel like. I can put all my thoughts and effort back into creating a positive environment where my unique and challenged family has the most opportunity for joy and success.

This chapter is actually about that positive environment my husband and I work so hard to create. A positive environment sounds like a pretty simplistic idea. It should be something everyone is striving to create in every situation of their lives. However, I rarely see that. I see people primarily using negative means, such as punishment and rejection, to bring about a desired end. Though positive methods sound nice, negative methods seem more effective short term, and are more natural to human nature. When a child is misbehaving, for example, it’s human nature for an adult to react negatively with ridicule or punishment. This reaction gives the child nothing to help him behave the next time he’s in a similar situation. You will likely have to up the ante each new incident. If Craig and I reacted negatively every time Lauren’s actions were less than desirable, we would have run out of punishment for her years ago and then felt at a loss as to how to raise this child.

Thanks to some wonderful therapists, as well as lots of reading and listening, we have many positive methods up our sleeves. Over the years, these methods have become more than just a way to deal with behavior. The positive environment we’ve created has proven to be the strongest means of teaching Lauren new skills and keeping her in our world. To Craig and me, this isn’t just a preferable form of discipline. It’s a plan to be implemented. We simply can’t afford to slip out of it as most people do a New Year’s resolution.

Autism is an all-encompassing disorder and has the potential for destroying families. Creating a positive environment has been a means of saving our family. To us, being positive is equivalent to living our Christianity. It may also sound a lot like mere common sense with a little bit of the golden rule thrown in.

Craig and I look back at our personal histories and see how we were shaped and made ready (as ready as can be) for this vocation we were meant to share as husband and wife. Just today, I asked Craig, “Does the time we spent dating and falling in love seem like a distant memory that maybe didn’t even happen? To me, it seems like that time was a surreal formality necessary to get to the marriage and the real stuff.” Craig looked at me and nodded ever so slowly as though he had just had the same thought yesterday. (I can never shock this man with a bizarre thought anymore!)

What I’m trying to convey is this: Craig and I didn’t one day rise out of despair because of some great discovery. We were already positive people working on creating a positive environment in our home before autism ever entered the picture.

My definition of a positive environment is one where unexpected moments of love and joy naturally occur, and occur pretty frequently—at least frequently enough to make up for the very difficult moments. A positive environment is a place a child (or any person) wants to be. A positive environment is also the best atmosphere for successful discipline.

I can remember, as a teenager, having a conversation with my mother about what hell was like. (For my family, such topics were common dinner-table “small” talk.) After a few suppositions were presented, I recall my mother saying, “I imagine hell to be knowing that you are dead forever and will never, ever see Heaven or the face of God. Can you imagine the anguish of that?” Now, I won’t even pretend that my home is anywhere near Heaven (particularly if neatness counts up there) but this is a good example, albeit a grand one, of how a positive environment can be quite motivational.

“Time-out” is popular among parents as a form of discipline, and it can be beneficial. If the environment from which the child is removed is one she enjoys, she will probably use that time away to do what’s required to regain access. However, if the environment itself is the source of anguish that led to the misbehavior, the time away may be seen as a reprieve. For some children with autism, time-out is counterproductive as the child seeks to be alone, away from the stress that hinders her self-control. In this case, time-out is a reward for the child’s behavior.

I’m reminded of this in my dealings with Lauren and her shoes. Lauren typically does not like to wear shoes. She puts them on, with our help, to go to the car and to go outside to play. She takes them off as soon as she gets into the car. Every now and then, she will also take them off outside while she’s playing. Because we have so little grass and the dirt is frequently wet in our yard, I don’t approve. One afternoon, after a few rounds of putting Lauren’s shoes on again and again, I announced a consequence, “Take your shoes off again and you’ll go inside.” Lauren lasted a little while with her shoes on, but after a while, the shoes came off again, so I made her go inside. This became the normal routine outside. The shoes came off, the threat of inside was announced and the next time they came off, we went inside.

Eventually, Lauren needed a new pair of shoes. Though we hadn’t been in the yard in a long while because of cold and wet weather, the new pair came off much less frequently in stores and in therapy. When we were finally headed out to the yard to play, I was thrilled to think that Lauren would keep her shoes on, and she did for awhile. But then they came off again, and we went inside. One day, Craig went outside with the girls and after a little while, I joined him. As I walked up to him, the frustration on his face and Lauren’s shoes in his hands helped me to see the situation in a new light.

“Why did she suddenly take off her shoes?” he asked.

“That’s how I trained her to tell me she wants to go inside,” I answered. Craig looked at me and we both laughed. Since that day, I’ve begun asking Lauren earlier in our outdoor play sessions if she’s ready to go inside. She regularly accepts the invitation before the shoes come off. Lately, Lauren will also, occasionally, just open the back door and walk into the house all by herself when she’s ready to come in. I’m not sure whether it was motor planning difficulties that prevented her from making the transition on her own before, or something else, but I’ll always have this reminder (and probably many more if I stop to think about it) of my ability to inadvertently motivate my child to “misbehave.”

This story is one illustration of all the things that are needed to create a positive environment: empathy, respect, empowerment, and laughter. I must admit that I have never before categorized the qualities that make up a positive environment and the list looks simple and sparse. However, in the next four chapters, I’ll share my thoughts on what makes up each of these categories, and the words simple and sparse will most likely not occur to you again.


Have you ever spent time with someone as an adult whom you were friends with as a child? Even if you’re president of a bank or the highest paid speaker in the world, this person may still treat you like the kid who couldn’t throw or catch a ball for anything. He may constantly remind you that you failed third grade, perhaps to reintroduce a more familiar pecking order. No matter what new information is presented during your time together, this old friend may turn out to be simply uninterested in the person you are today. Such a lack of respect probably would encourage you to avoid this person in the future.

Now imagine that you’re a child with autism in a new classroom on the first day of school. All that the teachers know of you is from parental report and test scores. When it’s time for the children to write their names on the board, a teacher says, “Oh, she can’t write her name, so let’s just have her press the button with her picture on it.” When it’s time for the morning announcements, the intercom buzzes and the new sound sends you into a fearful frenzy. “Now be quiet, the announcements are coming,” says a teacher, then turns to the assistant and says, “She’s known for throwing tantrums for no apparent reason and I’m just not going to put up with it in my class.” In this classroom, there’s no respect for the person you are today. Instead, you’re the sum of reports and test scores. When you’re non-verbal, that perception may be very difficult to change in a negative environment.

Showing respect for a person is not just a matter of manners and civility. It’s a framework for addressing that person and making assumptions about that person. If you assume, without definitive proof, that a person possesses limited intelligence or capability, you are actually the one casting her in the role. You’re no better than a coach at try-outs who sees a little guy and says, “You can be our water boy,” rather than giving him the chance to prove he can throw, run and catch. Parents do this all the time. When a mom finds cookie crumbs on the counter and yells at a child, “I told you no cookies until after dinner!” she’s assuming disobedience in her child with absolutely no proof. (It’s whether she apologizes when her husband walks in with a cookie in his hand that determines if she’s a lost cause.)

In the chapter about self-stimulatory behaviors, I mentioned some assumptions we should make when addressing children with autism.

First: There’s an intelligent brain inside this person.
Second: This intelligent person wants the same basic things that every typical person wants: to be pain free, to be like others, to receive love, to feel good, to be as independent as possible, to be accepted, and to have something interesting to think about.

In other words, we assume a person is intelligent, that she’s motivated by the same things that motivate us, and that she has good intentions, until there’s proof to the contrary. It’s the basis of the United States legal system: innocent until proven guilty. It’s a simple matter of respect. It’s also a guarantee that a person who can’t easily express her needs won’t have her voice silenced before it’s ever found.

One evening, while our family was staying with relatives, the lady of the house was preparing dinner when I heard her say to Lauren, “No, no!” I walked into the kitchen as Lauren ran out and I asked, “What was she doing?” “She had the refrigerator door open,” was the response. When people address Lauren in a situation, I often think about how they would address a speaking child in the same situation. For example, if Bryn were holding the fridge door open, would anyone come along and say, “No, no”? They would probably assume that she was looking for something to eat and would ask her what she wanted or tell her, “Dinner is almost ready, so let’s not snack right now.”

I asked how much longer dinner would be, then called Lauren back into the kitchen. I opened the refrigerator and pulled two snack options forward for her to see clearly. “Would you like pickles or grapes?” I asked. Lauren pointed to the pickles, walked over to the table, pulled a chair out and sat down to patiently await a plate of sliced pickles. When I assumed Lauren’s behavior was prompted by needs and motivations customary of any eight-year-old, a communicative interaction was gained, she felt respected and her hunger was abated. When her behavior was dismissed as symptomatic of her autism, she was scolded, in effect, for having no voice.

Interestingly, the people whose house we were visiting ask us frequently about Lauren’s IQ and what “measurable” success she’s shown. I think we could list one hundred successes Lauren’s had in the last month, and their next question would be, “So, is she testing better than she was?” It’s very important for some people to place a number on our child to determine . . . I’m not sure what they’re trying to determine. Her value? What we should be doing with her? How they will address her? Many professionals also place a significant value on IQ scores. As I have said before, I have never seen any use made of an IQ score except to further limit a child’s access to opportunity.

A few years ago, I listened to a renowned pediatric neurologist at an autism conference talk for most of his allotted time about how to perform different types of tests to assess the IQ of a child with autism. After his lecture, I stopped him and asked, “How can you get an accurate IQ on a person whose language you don’t understand? Isn’t it actually a measure of the degree of OUR misunderstanding of this person?” He said, “Oh, there are ways . . . true professionals have training so they can account for a person’s difficulties.” So, I asked, “What do you do to account for a child who completely shuts down when presented with a stressful situation, such as a testing situation?” He again assured me that professionals would know how to address such issues. I couldn’t let him go so easily, so my last question was, “What are your thoughts on how much a person’s IQ score should limit the opportunity offered him or her?” He looked at me like I had three heads and became distracted by another person, who, I listened long enough to ascertain, happened to be an admirer.

How could a purported expert on IQ not have thoughts on how the scores should be used? I believe he hasn’t thought deeply on the issue, because he accepts the assumption that a person who appears of little brain is of little brain. Only his assumption is more educated: A person who tests of little brain is of little brain. (I wonder if he’s ever thought about the fact that before IQ tests existed, phrenologists were considered the experts on who was of little brain. Phrenologists were "scientists" in the 1800's who determined a person's intelligence by the size and shape of the skull. Of course, most men's skulls are larger than women's and all phrenologists were men.)

I know a mom whose daughter has a lengthy diagnosis with autism referenced in there somewhere. This girl had been successfully communicating in private therapy with a communication device and it was time to extend this skill to the classroom, so a request for funding by the schools was made by the speech therapist, mom, and whomever else was necessary. Of course, this device was expensive, so teachers went to administrators and the matter was to be considered using proper channels. One day, an administrator called the mother and said her daughter had been re-tested. (She was not due for such testing for another six months.) The new tests showed her IQ to be lower than previously tested, and at this IQ level, such communication devices are not warranted. When the mother said she wanted to question this IQ score and this decision, she was told that, in fact, at this new IQ level, her daughter really didn’t qualify to be in the class she currently attended (in which her daughter was very happy), so she might want to reconsider before drawing attention to this IQ score.

I was furious upon hearing this. Obvious questions popped into my head, like, “If she’s been in this school for a length of time, wouldn’t they feel responsible for a decreased test score? How does an IQ go down? Did someone bop her on the head and damage her brain even further? What does an IQ score have to do with this when the child has exhibited ability?” I lost contact with this mom after this conversation, but she’s a bright enough lady that I’m sure the matter didn’t end there. This wasn’t the first time I’d heard of IQ scores being purposefully used to limit opportunity, which, in some cases, is done to save money.

I have lost count over the years of the number of parents I’ve met in books, articles and in waiting rooms who had professionals advise them to put their babies into institutional care because they foresaw a grim future of severe retardation, no hope for improvement and no redeeming value. The advice always goes something like, “Go on and live your life. This child will never walk” or “never talk.” Of course, I wouldn’t hear these stories if the child weren’t exceeding all expectations—walking with braces at four years old, saying her first complete sentence at eight years old, or performing on stage at twelve years old.

Autism is a disorder for which there is no test, and is a label which is applied based on observable behaviors only. To ascertain mental retardation using those same behaviors (lack of speech, lack of eye contact) is quite circular. It reminds me of the question/answer game I’ve played with doctors in the past. It always goes something like this:

Q: “What is autism?” A: “A cluster of behaviors/symptoms.”
Q: “What causes these behaviors?” A: “Autism”

For a test to be applicable, the person being tested must be able to respond in the format in which the test was written, or the difficulties surrounding the response must be fully understood and accounted for. This may happen in two ways. The person with autism communicates well enough to fully express her difficulties, so that the test may be adjusted accordingly. Or new research shows exactly what’s happening in the brain to cause the difficulties, so that they may be accounted for. This research is not yet available.

If I tell Lauren to put on her shirt and she fails to, that doesn’t indicate that she’s unable to dress herself. It doesn’t indicate that she’s unable to understand one-step directions. It doesn’t indicate that her arms have range-of-motion difficulties. (It may signify that she prefers to be naked, thank you very much.) The only thing it definitely proves is that she reacts to this particular instruction in a fashion uncharacteristic of normally developing children. It is another sign of autism, though it doesn’t show she has autism. It certainly doesn’t signify that she’s mentally retarded; particularly not when I can say, “Put on your shirt Lauren, then we’ll have ice cream,” and her shirt is over her head in a flash. (But that ice cream question probably isn’t on the test, so she’s out of luck.)

Autism is a disorder marked by inappropriate responses resulting from inaccurate perceptions. Until the reasons for these inaccurate perceptions are understood and accounted for (either by the autistic person being able to explain where the difficulties lie or research increasing our understanding) no test is valid. To say it is, and to use such a test to diagnose mental retardation or assign a low IQ score is completely disrespectful of the individual, as well as foolish. It’s the same thing as going to a grocery store at 1:00A.M., discovering that it’s closed and the doors are locked, and proclaiming, “They must not have any apples in there.”

I know my child can stack, suck through a straw and bring me an item upon verbal request. I’ve seen her do each of these things time and time again. She interacts with the world and with people all the time. However, in a testing situation, she will do nothing upon command, nor with a physical prompt. In fact, whenever someone is “waiting for her to perform,” she may rock (though she never rocks in any other circumstance), squint her eyes and wiggle her fingers in front of her eyes. This is my daughter at her lowest level of ability to interact with her environment. This is also my daughter in a traditional testing situation.

The most respectful testing situation I have sat through with Lauren was in my home, which took away the first stressful factor affecting outcome—an unfamiliar environment. The psychologist asked me whether Lauren could perform certain tasks. She wrote down two scores next to each question. One was a measure of Lauren’s performance during the testing situation. The other was her known ability according to parental report. The psychologist told me it was obvious that my daughter was very intelligent by the extent and type of eye contact she made, as well as her level of interaction with her mother. Though this psychologist wrote down scores for Lauren that were inaccurate, such as “three months” or “nine months” for developmental age levels, she qualified those numbers throughout her report, stating that Lauren’s cognitive levels are much higher than she tested.

I’m not suggesting we shouldn’t gauge where our children stand developmentally. It’s valuable to know in what areas they are most behind so we can concentrate on these and measure improvement. However, having developmental age levels of “three months,” “nine months” or even “twelve months” listed throughout a report on a child who is eight or ten years old serves only to alarm parents; it doesn’t at all convey a child’s strengths or where to start working with her. It’s also simply bizarre to have “three months” listed anywhere as a developmental level when this child recognizes grandparents she sees once a year, remembers details of places she hasn’t visited in two years, and can request videos and food using photographs.

The educational program we are currently using with Lauren has developmental levels numbered 1 through 6 under different developmental categories. Once levels are established, the goal is to move from one level to the next. The criteria for the next level are laid out for the parent, so goals are obvious. The organization provides a detailed individualized plan of action to help the child progress through the levels. This system is different from anything I have experienced before because the organization’s theories on development differ from the mainstream. Though the lowest level in each category is a 1, and parents know exactly what level their child is in, the number isn’t as frightening and unbelievable as a “mental age” like “three months.” Though there are many benefits and reasons to the system, just this one is remarkable.

One day, one of Lauren’s therapists, whom I’ll call Angel, (because she is one) was a little upset about a situation she shared with me. Because most of her clients see many other therapists and teachers, Angel often works with those professionals to ensure consistency among treatment plans, and to help the child’s successes cross into other areas of life. Angel told me about a meeting she had been asked to attend by a client’s psychologist. This young boy hadn’t been performing certain tasks that were requested of him by the psychologist. Angel attended a session with plans to observe and hopes to offer suggestions. While Angel was observing, the boy performed every task that was requested of him. Angel was thrilled with his accomplishment and assumed the other professionals in the room were as pleased.

Afterward, the psychologist said to Angel in disgust, “He did that well only because you were here.” (As though that was a bad thing and nothing was learned from the experience.)

After telling me the story, Angel said, “How about looking at it as ‘Now we know he can do it, as well as what motivates him. How can we duplicate this success without me there? What’s missing in this situation that this boy needs to be successful?’” Of course, what Angel provided to the educational setting is what she provides to this little boy, and all her clients—a positive environment and a loving relationship. If it’s the loving relationship which motivates the child (and it usually is) then the psychologist now knows what he or she needs to work on to help this client be successful. Most normally developing children will work harder for people whom they respect and from whom they receive respect. I know that as a “normal” child I performed well for teachers I liked and performed horribly for those I disliked. As a “normal” adult, I strive to please those whom I respect and admire. How frustrating that some professionals expect children with disabilities to be motivated by different things than normally developing children. I don’t know if developing a relationship with the child isn’t specified in any textbook, or if some professionals are so focused on results they’re afraid of investing time getting to know the child—time that may look unproductive on the books. Ironically, it’s the relationship building that can bring the biggest pay-off in the long run.

I was sitting in the waiting room of a children’s therapy center one day, when one of the regular clients arrived for her appointment. She’s an adorable little girl who is tiny for her age and has a smile on her face every time I see her. She walked in slowly holding her mother’s hand. When her physical therapist walked into the room, she said to the mom, “I’ll take over from here,” and put the little girl in a walker. (She never greeted the child.) It took that little girl at least fifteen minutes to slowly make her way down the hallway to the therapy room (as walking in the walker is part of her therapy, apparently). During that time, I couldn’t help but notice that the therapist said nothing to the child except for an occasional, “C’mon.”

I put myself in the girl’s shoes and thought, “Why? I wouldn’t want to go with you anywhere.” At one end of the hallway is loving Mom in the waiting room, and at the other is this unexpressive, loveless therapist telling me to do things for no reason other than that we are scheduled to be together for an hour. I wouldn’t have blamed the child if she had struggled to turn that walker around in the direction of the waiting room.

Of course, this therapist is not representative of the profession. There are other physical therapists in the same practice who obviously enjoy their work and their clients. Lauren has had a few therapists who have been warm and loving and have offered many suggestions and examples on how to create a positive environment for her. I’ve even shed tears at having to say goodbye to two of them. (She’s also had a few who were mostly interested in how we would pay them each week, but I forget their names, since each of those relationships was short-lived.) It astounds me when anyone in the field of disabilities seems good at the paperwork and bad at smiling and showing basic care and respect. If it’s not about the people, why go into the field?

One day a few years ago, Bryn, Lauren and I were in our local Wal-Mart with a friend and we were ready to leave. There were two exits and as I headed toward the exit further from us, I simply explained, “Lauren needs to go out this door.” My friend seemed frustrated, and I sensed that she thought I was being silly and that “door preference” had to be the most bizarre symptom of autism she had heard of yet.

When we were all settled into the car and on our way home, I revealed something very personal to my friend. “Sometimes, when I start my clothes dryer, I immediately have to go through my house and count my cats before I do anything else,” I said. My friend looked at me like she was suddenly concerned that I was the one in the driver’s seat. “Do you think that’s weird,” I asked her, “that I turn on my dryer then go and count my cats?”

“Well, why do you do it?” she had the presence of mind to ask before answering.

I told her this story. Not too long after we adopted Katie, one of our four cats, I was putting a load of dark clothes into the dryer and saw that Katie was making herself comfortable in there. (It took me a minute to notice her eyes among the clothes because she’s entirely black.) I pulled her out, scolded her (for all that’s worth), set her on the floor, then finished putting clothes into the dryer. My dryer was in the kitchen at the time, so I may have done a few things at the sink before finishing at the dryer, and I was also talking to Craig, who had walked into the room to tell me something during the process. I finally pushed the button to turn the dryer on and Craig and I stood there talking for a few minutes, when he suddenly laughed and said, “It sounds like there’s a cat in the dryer.”

I instantly heard what he was hearing. Along with the regular “rrrrrrrrrrr” sound of the dryer was a rhythmical noise that sounded like this: “mrah, (thud), mrah, (thud), mrah . . . ” Craig tells me that as soon as he said that, my eyes grew huge and I said something like “Oh, no!” then ran to open the dryer door. My newest baby, my Katie, pulled herself up from the pile of steamy, warm clothes, and squinted her very dry eyes as I pulled her out while screaming something like, “My poor baby! I’m so sorry!” I was in tears and Craig was laughing hysterically. I was so worried that my kitten’s legs were broken or that her eyes were cooked that my body was shaking. I hugged her for as long as she let me before she ran away to clean herself and pretend it never happened.

This incident left me so shaken that for a while, every time I turned on the dryer, I checked the whereabouts of my cats. When we adopted our third cat, Stella, who is also black, she jumped into the dryer with the clothes a few times. Even after pulling her out and making a visual check, I still had to check the whereabouts of all cats after pressing the start button. Right now, I’m not as frantic and I usually trust a visual check of the clothes when it’s a light-colored load. But every now and then, I’ll turn on the dryer at night and go to bed, only to get up a few minutes later, turn on the lights in every room of the house to find each cat in her sleeping nook before being able to lie down again and sleep.

“So, now do you think that’s weird that I often count my cats after starting my dryer?” I asked my friend again. “No, that’s pretty understandable after that,” she said.

“Let me tell you another story,” I said. And I told her about the time I was checking out at Wal-Mart and Craig decided to take Lauren to the car while waiting. Our Wal-Mart is across the street from the runway of a Naval Air Base and they are often doing maneuvers in the immediate area. The fighter jets and cargo planes that fly past are often deafening. (To better illustrate: I’ve been in a parking lot during maneuvers where the sound and vibration of the jets set off the alarms of every car in the parking lot.) That day, Lauren and Craig had taken a few steps out the automatic exit door, when a frighteningly loud jet suddenly screamed past overhead. Lauren immediately turned around and ran back into the store, gripping her dad’s hand and dragging him with her. They met me back at the checkout, where Craig, respecting Lauren’s fright, tried not to chuckle as he told me the story. When I was finished, we headed toward the door again, but as we neared it, Lauren stopped and began pulling us in the opposite direction. Despite our reassurances, there was no way she was going out that super loud door again! Thankfully, there was another exit, so we agreed to turn around and she happily walked out the “quiet door.”

“To this day,” I told my friend, “Lauren remembers what door in what store made that frighteningly loud noise when it opened and refuses to go through it. We’re pretty impressed that she remembers it so well and we respect that she still has fear associated with it. So, just as Craig doesn’t tell me I’m stupid, or laugh at me, or force me to lie down and not check the cats at night, we don’t force her to go through a door that’s given her such a fright.”

“Oh, I see,” said my friend. Then she talked to Lauren in the back seat about what a fright that must have been, with a respect I’d never heard in her voice, certainly not when speaking to Lauren.

Since that day in the car with my friend, Lauren has realized the nearer door in Wal-Mart doesn’t always make that sound and she’ll walk through it happily. I credit her understanding to the time I took advantage of a peaceful shopping trip, when I knew Lauren was in good form as we were leaving Wal-Mart. I told her, as we neared the door and it opened for someone else, “Oh, that door is quiet today. I think we can go through it.” Then I “firmly” escorted her through. That’s all it took for a thorough healing. Now, I wish someone could do that for my cat-in-the-dryer phobia.

So many people today operate according to the theory: “If I don’t understand you, you’re wrong or weird.” Craig and I try to maintain a better approach: “If I don’t understand you, I need to try looking from a new angle, preferably from the position you’re standing in.” I’d like to believe we’ve been this enlightened for a very long time, but it’s more likely that Lauren has taught us the better approach. It seems that when you consistently show respect for someone, the next natural step is to develop empathy for that person.


I should have known better. I had been cleaning the tops of my kitchen cabinets where I kept many tins and see-through storage containers. The tins held matches, keys, cookie cutters, etc. The glass containers held staples such as rice, beans, pasta and cornmeal. These containers were covered with dust and so were now scattered across my kitchen counters awaiting their turn in the sink. As is always the case with these stories (as one story runs into another), I have no idea what diverted my attention and took me away from the task. Most likely I had checked on Lauren, found a mess she’d created and shooed her away from the room as I cleaned it up. (Most disasters in our house come in threes, thanks to this predictable cycle.)

As I walked to the kitchen to get back to the original job, I stopped short in the doorway at the sight before me. My little four-year-old was sitting in the middle of the floor covered with cornmeal. The floor around her was covered with cornmeal. The counters were covered with cornmeal. And I fully appreciated in an instant, as mothers do, that there was cornmeal in the stovetop burners and in every unreachable nook and crevice in every appliance and in between cupboards and appliances. My ire instantly rose as the picture of how I would spend the next few hours solidified itself in my brain.

“Lauren Therese!” I screamed. Lauren looked up. I could see her pale green eyes flash open at me, then look down, a nervous head bob and body rock beginning. I also recalled, mercifully, that just that morning her occupational therapist told me how much Lauren had enjoyed playing in the rice bin. Here I had left a container of cornmeal (with no lid on it) at about the eye level of a little girl who was being encouraged to run her hands through a bucket of rice just four hours earlier.

“Well, I see you found the cornmeal,” I changed my tone, and Lauren looked up at me again for an instant. I looked at the large container (which had once held much more cornmeal than we would ever use in one year) and I saw that there was about an inch left in the bottom. I tiptoed across the slippery floor and over Lauren, picked up the container, and poured the yellow sandy stuff over my fingers so that it rained down in front of her face. Lauren squinted at the yellow coming down, lifted her hand so she could feel it through her fingers too, and laughed. I scooped as much cornmeal off the counters as I could find to continue the game while Lauren played in what fell in her lap and in front of her. Then I took Lauren by the hands, pulled her to her feet and we danced. As we slid across that floor, I was supporting her, humming a song and leading in the messiest but most memorable dance I’ve ever had with my daughter, or anyone, to date. Lauren may have thought I’d gone nuts, but she stayed with me, smiling and chuckling, until it was finally time to face the reality of a bath and the broom.

This is just one incident which reminds me daily that I can’t expect my child to be successful if I’ve set her up for failure. I know my daughter has extreme tactile sensory needs and she seeks to meet them with harsh sensations, such as sand and pinecones. She also seeks the visual stimulation of many small shapes moving past her eyes. At the time this happened, she hadn’t yet reached a level of understanding that some things are off limits. The situation I had left in the kitchen was an invitation to disaster. I might as well have asked an alcoholic to pour me a glass of wine.

Another of Lauren’s tactile needs which has required quite a bit of empathy from me is her desire to strip or to be naked. (There’s a big difference. Sometimes I think it’s the throwing off of the clothes that gives her satisfaction. Other times she just seems to enjoy the feel and freedom of nudity.) This has been one of the most challenging aspects of Lauren’s autism. It made toilet-training messier and more difficult. It also makes visiting (particularly with priests and friends with sons) frequently awkward. As she grows older and taller, even Lauren’s favorite spot—standing in front of the living room picture window—is a difficulty. Besides being concerned about Lauren’s dignity, I’m afraid some neighbors may eventually report the free peep show they’re getting from the road.

Not long after Lauren was diagnosed, I heard a story about an autistic woman who tended to strip, very quickly and unexpectedly, in public. One day, after this woman stripped naked in a grocery store aisle, the person with her asked, “Why did you do that?!” I don’t recall if the woman responded verbally or through an alternate communication system, but she expressed something to the effect of, “I just feel yucky in here and I had to get it off me.” The woman later conveyed that the feeling she wanted to get off her was the stress she was undergoing in that situation at the moment. Years later, when Lauren started stripping, I remembered this lady and looked for patterns in Lauren’s stripping. One reason Lauren strips is definitely to get attention. I’m sure the stripping came first, as she had to learn that she would get attention by doing it; but when she quickly strips in one room, then immediately streaks through another (more populated) room with a big grin on her face, the intent is obvious.

The second pattern, which took me longer to see, was Lauren’s stripping off her clothes pretty quickly upon coming into the house after an outing. Lauren’s stress during many outings is palpable, so the theory that she was reacting to her inward stress in an outward way like the lady in the previous story seemed very likely. However, I didn’t recall any solution to the problem. (Empathy is great for lending understanding, but it’s priceless when it also leads to a solution.) I came up with my own solution. If the stress she felt was linked to her clothing, Lauren’s reason for stripping in these instances seemed quite appropriate, so I didn’t want to teach her it was wrong. In fact, I was proud of her for keeping her clothes on the entire time she was in public. So, to this day, whenever we come home from an outing, we bring new clothes with us into the bathroom, attend to any toileting needs, then I help her completely change her outfit. I talk about her being all done with the place of the outing and changing into fresh clothes. Though she may still leave the bathroom and strip, she more often keeps her new outfit on.

I become frustrated when I hear people say things like, “Keep your clothes on.” Or “No, we don’t get naked.” There is nothing inherently wrong with being naked. The wrong comes in when the issue of where people may be naked comes up. What must Lauren think when, within the same hour of hearing she shouldn’t strip, someone tells her, “OK, let’s take your clothes off and hop into the bath.” I think she’s now well aware of the many times and places where nudity is unacceptable and the very few times and places where it is acceptable. But when a child’s comprehension level is unknown or she is in an early learning stage, confusion reigns when absolutes are used. There are so few times when the words always and never are applicable. Phrases specific to the situation, like “Right now, we need to keep our clothes on” or “We keep our clothes on in the store” ensure a rule won’t appear useless soon after being taught.

In order to provide Lauren every opportunity to be successful, I need to address her many sensory needs—those of which I’m aware—then be as empathetic as possible to the needs I don’t yet understand. There are many things that send Lauren into a state of panic or stress. Sometimes, despite our best efforts, she’s allowed to stim long enough to work herself into a frenzy. This is often hard to address because we can’t see what’s going on inside of her until her outward reaction turns into a full-blown tantrum. Other times, the source of panic comes from outside of her. No matter how peaceful and healthy she’s feeling on the inside, Lauren’s guaranteed to go to pieces if she’s forced into a chaotic or negative environment for any length of time. For those who don’t understand what I mean by a chaotic environment, step inside a Chuck E Cheese restaurant sometime. (Though, if you’ve heard of them and think you can imagine it without a trip, spare yourself. I’ve never set foot in one. Craig’s colorful description is enough for me.)

A negative environment is a little more difficult to predict, as it’s less obvious and can sneak up on you. We don’t take Lauren into stores that play a variety of music at the same time, or have an assortment of strong scents that greet you as you walk in, such as candle or bath supply stores. If something in a new environment challenges our own healthy nervous systems, we imagine that her unhealthy system will have a harder time coping. (She’s proven this theory many times.)

Our own house can be a negative environment when disagreements or too many commitments are causing a lot of stress or tension between family members. No matter how much pretending we do, Lauren is gifted when it comes to being in tune with the truth. She can tolerate only so much of her parents being mentally preoccupied or agitated before the stress it creates in her boils over into behavior. Even strangers in public can create a negative environment by casting glares at Lauren for her misunderstood behavior. I’m not sure if Lauren picks up on the disdain of the reproaching people or the stress it induces in her parents; whatever the cause, she quickly becomes upset.

Many years ago, when Lauren was just a toddler or slightly older, a friend and I met at a local McDonald’s for lunch with our children. This had become a weekly outing for my family because Lauren’s therapy was scheduled around lunchtime and this particular McDonald’s had a very nice playland with things other than the usual tube slides. (We’ve always avoided those tubes. I figure that if Lauren ever enters one, she’ll never come out of her own free will, and I am not going in after her.) We almost always sat at the same table in the playland and the children always ate the same thing—chicken nuggets and french fries.

This particular day, we decided that my friend would get the food inside and I would take her daughter and my two out to the playland to situate them at the table. When I walked out the door, I saw that where we ordinarily sat was empty of people, but there were five little meals of chicken and french fries all laid out on wrappers around the table. “Oh, no!” I thought, as I approached the table and quickly surveyed the area for another empty table big enough for five. But a hungry Lauren had already seated herself at “her” table, ready to dig into her customary order, which was placed right in front of her where her mommy always put it. I was heartbroken for her, since I knew my explanation about this being someone else’s food at someone else’s table would make no sense to her. When she refused to budge and I began struggling to drag her away from the table, I grew angry. I knew no one had malevolent intent when they placed Lauren’s usual lunch at Lauren’s usual table with no bodies there to give my story about someone else’s lunch a shred of proof. Yet, I still may have had a hint of anger in my voice as I attempted to shout above Lauren’s screams in the direction of the play equipment, “Is this somebody’s lunch sitting here unclaimed?!” Two moms quickly gathered three little boys from the play equipment and ushered them to their table. I never made eye contact with them, mostly because I was still dragging my screaming daughter (who can make herself as solid as a sack of potatoes and as unwieldy as an octopus all at the same time) across the ground to another table.

When I finally pulled Lauren up to a seat at the new table, she had stopped struggling, but was now sobbing, with an occasional scream and hitting of the table thrown in. She wasn’t hurting anyone and had accepted that she couldn’t go back to that other table, despite the fact that, yes, all indicators declared it hers. So I rubbed her back and repeated over and over to her in as peaceful a voice as I could muster, “Your chicken’s coming, Lauren. You’re doing such good waiting.” While saying this, I caught the eye of an elderly man who was sitting nearby and staring at me in disgust. All I could think of to say to him was, “You’re the one who chose to sit in the kids’ playland!” and worse, so I kept my mouth shut.

When my friend finally arrived with the food, you can imagine her surprise and distress at what she found. After food was in front of everyone and Lauren was calm enough to chew in between pitiful little gasps of air, I told my friend the story. Then she said something that is one of many reasons this friend is so dear to me. She said ever so lovingly, “Lauren, I’m so proud of you. You did such good waiting.”

When a negative environment is unavoidable, the best defense is a good offense. Children with sensory processing disorders, such as autism, can’t learn to cope with sensory challenges while being hurt by them. They need to be supported and taught in a positive environment surrounded by loving people. In a positive environment, a child is respected, her ability to understand and relate to the world is always taken into consideration and her needs are honored. This encourages her to interact with the world without fear of unexpected reproach for doing only what she knows how to do.

For Lauren, and for most children with autism, an environment of peace and predictability is the best learning environment. It provides them the opportunity to explore their world without fear of the unexpected around every corner. That’s not to say that these kids like things to remain stagnant and forever the same. In fact, once Lauren has shown me or a therapist that she can do something, she usually has no inclination to do it again. We believe she operates under the theory, “I’ve done that once for you. This isn’t a recurring carnival act for your amusement. If you weren’t quick enough to catch it the first time, that’s your loss.”

The type of predictability of which I speak is the same kind you would want if you were asked to make a speech to a large audience. (Many of the day-to-day demands we place on Lauren are as challenging to her as such a speaking engagement would be to me.) If travel is involved, you would want to know the airline’s schedule and to have the plane be on time. You would want to know the layout of the room, whom you will follow on the dais, and what sort of people will be in attendance. All this information helps you to plan a proper speech (act appropriately) and reduce your stress. Things may still not go as planned (the venue could change or the sound system could malfunction as you step up to the microphone), but your preparations give you an overall understanding of the situation. This understanding enables you to address individual problems as they arise, rather than lose all confidence and capability at the first complication.

We create order out of chaos for ourselves all the time. This is why people live out of their daily planners and Palm Pilots: so they’ll avoid scheduling bumps in the road, but will have the tools available to address those bumps when they’re unavoidable. Providing our children with similar tools on a daily basis will help them in the same way—by giving them the means to create order out of chaos when chaos is unavoidable.

The McDonald’s story illustrates a situation in which all the rules Lauren operated by at the time were broken. In an environment in which she was normally peaceful and successful, there were so many unexpected changes that she was left with no applicable rules with which to recreate order. If I had said, “Behave!” and she had understood me, her thoughts would have correctly looked something like this: “But I’ve been following every rule you’ve ever taught me about McDonald’s and you’re telling me I’m wrong!”

Using a schedule is just one way to help create order. Even when Lauren wouldn’t look at a schedule, having it posted and announcing what was coming next helped me to stay on track and made me less likely to throw her a curve ball without warning. Even without a schedule, telling a person what’s coming next (or showing pictures if that’s more meaningful) helps her to prepare in whatever way is necessary for the next event. I keep photographs in my pocketbook of all the stores, restaurants and people we tend to visit, so that if we decide while on the road to go somewhere, I can help Lauren plan for this unexpected turn of events. If there’s a choice we can allow her to make, we show her two or three photos. She points to one and is thrilled to have a say in the plans. (We’re even more thrilled when she says the name of the place—a rare but precious occurrence.) If it’s a new place we tell her it’s new, as well as everything about it that we think may help her. We’ve even found that if we know nothing about the new place, expressing our excitement about it in an excited voice helps Lauren to prepare her body for the excitement (or stress) she may soon feel. Lauren always seems to appreciate whatever kind of heads-up we can offer.

When Lauren was a toddler, we realized that the sounds of vacuum cleaners and train whistles frightened her, so we began announcing the approach of both. “Vacuum cleaner, Lauren!” I still announce in a pitch and volume closer to that of the vacuum cleaner than my own, readying her ears for the next step up. “I see a train coming! Whoo whoo!” I call to the backseat upon hearing a rumble up the tracks parallel to the road. Of course, the sudden surprise of the loud noises is probably what most startled and upset her, as it does many people. For quite a while now, Lauren hasn’t become upset when an unexpected train whistles past or when a vacuum cleaner is turned on unannounced. She’s learned to read the signs as we all did as children: When I hear Mom roll the heavy Electrolux across the floor, I know that loud nasty whir is coming next. But I still make the announcement. Her sensitive body probably feels the rumble of a train in the distance long before I do, so when I call out that it’s coming, I wonder if she’s a little concerned about my delayed reaction.

Many children and adults, including myself, require a sense of order before they can move on to higher business. For Lauren, this higher business includes social interaction, communication and many other skills used daily by most people who don’t give them a single thought. Helping someone to predict and plan is one means of creating order. Another way is to designate and maintain boundaries.

Some physical boundaries are obvious. When Lauren was younger, she needed to explore the entire periphery of each new environment before she could feel comfortable enough to explore the other things and people there. Once she decided on the circumference of a new place, she would continue to walk in circles, allowing the circles to shrink and change shape. After a while, she would include short stops to pick up objects and to touch and smile at people. One hazard related to Lauren’s need to know her boundaries is that when she finds that a boundary has expanded (i.e. she finds an open door or window) she goes through it to continue her exploration until she once again comes to a barrier.

We’ve experienced losing Lauren out an open door two different times at friends’ houses. Each time, there was a party in progress, and Craig and I both thought the other one was with Lauren at the moment. One time, we saw each other at the same time and asked, “Do you have Lauren?” Almost in the same instant, someone came walking through the front door announcing that some little girl just ran out. I thought afterward, “Why didn’t you think to stop her? We’re about twenty-five feet from a busy street!” But at that moment, Craig bolted out the front door and I bolted out the side. Craig reached Lauren first at the end of the sidewalk, grabbing her just as she was about to turn toward the street. The possibility of losing an exploring Lauren to an on-coming car or other tragedy often haunts me in dreams.

Though today Lauren is much better at turning around and coming back when she’s called, we still actively practice staying within boundaries that are only visual, such as the edge of our front yard, which is marked by driveways. Lauren’s desire to keep running across the driveway to explore new terrain is obvious, as she often just stands on the driveway’s edge, inching closer and closer to it. Sometimes she gives in to temptation and actually runs across the driveway and into the neighbor’s yard. The consequence of crossing that boundary is to lose the privilege of playing in the front yard. She has to go inside or into the fenced back yard. Lauren’s need to explore must be pretty strong since she seems to be willing to risk her front yard adventure every time.

Boundaries aren’t just unsurpassable physical barriers. Anything which provides a framework for understanding is a boundary. When we say “Eat at the table, Lauren” or “Sit to eat” then take her food away when she stands up to leave, we’re creating boundaries surrounding eating. The table itself provides physical boundaries for her body while she eats, and visual boundaries for her food and place setting. When we are consistent with these boundaries, they provide a predictable framework in which Lauren can explore many new things in the world of food and in social interaction.

I remember the first time Lauren ever just “hung out” with anyone outside our home. I was sitting with a friend at her dining room table just enjoying after-dinner conversation. The food and dishes had been cleared, so Lauren’s customary motivation wasn’t present when she sat in the chair across from me and smiled from one of us to another. Every now and then she would mumble a sound or two, look back and forth between us, then chuckle. She was either mimicking us or doing a fine job of joining in the conversation, or perhaps a little of both. Lauren has never joined in this way for living room conversation. The rules and arrangement of people and furniture may be too complicated to give her a comfortable framework for understanding her part in this environment. When we have people over, we often have what we call “table parties.” We spend most of our visiting time at the table because that is where Lauren is most likely to join us. I haven’t heard any complaints about this arrangement, probably because all family members and most friends are big fans of dessert.

Some people say that children who work best within firm boundaries will have a hard time in the real world because they won’t be able to generalize their knowledge to other social situations. Most of these people haven’t met my daughter, because her home and family are her real world. There’s not a great chance she’ll be asked out to a dance and have that table-socializing thing stand in the way of her success. (If she does get asked, that means we’ve come a long way fast, so she probably would be able to learn “ballroom etiquette” quicker than we could find a dress.) It’s when children have a firm grasp of foundational information, and have had opportunities to be successful and to feel successful that they are ready to tackle more worldly assignments.

A common occurrence in many households is for families to eat popcorn while watching a movie. In our family, that didn’t happen for years. We had been so consistent with the boundary, “Keep food at the table, Lauren,” that she ripped snacks out of our hands and took them to the dining room table when we dared to sit on the sofa or recliner with them. When my daughters were young, I remember explaining to visitors that there could be no eating in the family room because it upset Lauren. One guest’s response wasn’t a happy one. She suggested that Lauren’s problem with snacks in the family room had something to do with a lack of discipline instead of a lack of understanding. But both guests obliged my request.

Recently, I made some popcorn while we were watching a kids’ movie we had rented. At first, Lauren became very upset. She took her popcorn to the dining room, sat down, and whined and cried over the insubordination in the living room. I decided to try something. Our small kitchen table was in the living room at the time, as the base for a four-foot Christmas tree during the holidays. I carefully took the tree and skirt off the table and set them in the corner of the room. Then I pulled a kitchen-table chair up to the table and went to get Lauren’s popcorn and drink. “Look, Lauren,” I said as I brought her popcorn bowl to the living room table and set it down. “Eat your popcorn at this table.” Lauren slipped into the chair and began eating her popcorn once again, keeping her eyes on the movie all the while. The table and chair were behind the upholstered furniture in the room, so one of us would look back at her from time to time and ask, “Hey, how are you doing in the balcony, Sweetie?”

It was a memorable moment for us all, sharing popcorn in front of a movie, as well as Lauren’s company. I thought about the slow but steady transition process that had finally brought us to this day. Within about five years, Lauren went from not tolerating utensils or dishes of any kind to eating out of bowls and off plates with a spoon or fork. She went from spending meal times screaming in her bedroom (because she had hit us and pushed us out of our chairs at the table) to being interactive at meals and enjoying them thoroughly. She also went from hiding out when people visited to sitting at the table with company for the sole purpose of being together. I think I’m glad I didn’t just say “Too bad for you, Lauren” all those years ago instead of denying my guests popcorn in the comfortable chairs. I’ll bet they’ve had plenty of opportunities to eat popcorn in front of their TV over the years. And this past month, our whole family did, too.


Helping a person to predict and plan is one way to create order out of potential chaos. Providing boundaries is another way. A story I told previously about Lauren circling our backyard (then coming out of her shell to include us in her circle) is one example of a predictable boundary providing an atmosphere for success. Another example is an event I’ll always vividly remember in which another naturally-occurring boundary provided an atmosphere of success.

One June day, we were still housing three of six rescued kittens in a large cage in our carport. These kittens had no mama with them when Craig and three-and-a-half year old Lauren found them in a dirty and dilapidated box in the park at the end of our street. (To make a long story short, Craig came home to tell me about them, I sent him back with food and water, and they followed him back down the street, trotting six in a row behind him like he was mama. Three were pretty quickly adopted, so we were down to three this particular afternoon.)

Where we live, tornadoes are the climatic calamity of choice, so every resident is well aware of where they will run to when the tornado siren sounds. Because we have no basement, we were still experimenting with potential tornado hideouts this particular day. Craig was looking out the window and following radio reports of sightings while I readied our bedroom closet as shelter. I removed all the shoes and clothes from lower racks, while the girls played with flashlights on my bed. When a huge wind picked up and I realized the rain was blowing horizontally at the windows, I checked on the kittens in the carport and they were drenched! I brought them inside, just as Craig suddenly announced, “OK, it’s time to get in there!”

I took Lauren by the hand to join an excited Bryn. I worried the confinement might frighten Lauren, who at the time was often in her own little world, except for the occasional tantrum when the unexpected occurred. (At this time, she found looking at people’s faces very difficult and never gave hugs, only accepting them on occasion. Her words were few and far between.) We closed the door and lit our flashlights. In fact, Lauren was more pleased with this situation than we had ever seen her. I recounted this event in her journal, in which I addressed Lauren directly:

During the tornado that brought the three kittens inside, you discovered that your family was really cool. When Mommy and Daddy gathered Bryn, you and the kittens and brought them into our dinky bedroom closet, we thought you would completely freak out. But you loved it! I had a flashlight and you sat on my lap facing me and checking out my face. You had a big smile on your face and seemed to be checking to see if I was smiling (i.e. playing a big, funny joke!) Lauren, Mommy hugged you and you hugged me, over and over again, simply seeming so pleased that your family had given in to the ways of the closet people—those who saw value in reducing external stimuli and shutting “the world out.” You seemed pleased as punch that we’d finally entered your realm—we’d seen the light while sitting in the dark! When I said, “I love you” to you, you repeated it to me so meaningfully, “I love you.”

When Daddy finally decided the worst was past us, Bryn and he left with the kittens, but Lauren and Mommy stayed awhile in the closet. When I finally did get up and leave, you came and got me, and Daddy and Bryn, and brought us all back inside the closet and closed the door. You didn’t want it to end, Baby!

Despite the fact that I had played no intentional part in bringing it about, this is a great example of a positive environment empowering a person. In an environment which addressed all her physical needs, she was capable of looking into people’s faces with expression and expectation, and of saying a three-word sentence, “I love you.” I can count on one hand the number of times we have heard Lauren utter those words again, and certainly never as clearly as that day in that beautiful, impromptu situation.

Over the years, we’ve tried to reproduce the situation which occurred on that stormy day in the closet, but Lauren’s reaction has never been as remarkable. There must have been factors involved in her success over which we had no control. However, our family has discovered many factors over which we do have control. Sound has been one environmental factor that has obviously been a consistent influence upon Lauren’s abilities. When she was very young, Lauren was frightened of many sounds, particularly high pitched and unexpected ones. We began playing a variety of peaceful classical music at home, and Lauren’s tolerance of such noises quickly increased. Though we have never participated in any formal sound therapy for Lauren, the benefits of playing great works at home was obvious. I recommend it to everyone. It’s easy, inexpensive and may greatly contribute to the parents’ and siblings’ state of mind and ability to cope, as well.

After a long while of playing only classical pieces for Lauren, my husband started introducing her to some of his favorites whenever I wasn’t home. I would be greeted at the door with, “She loves Eric Clapton, but can only take so much Stevie Ray Vaughn.” We started playing a variety of radio stations while in the car and came to the conclusion that Lauren’s consistent favorite is country music. (More along the lines of Garth Brooks than the traditional “cryin’, lovin’ and leavin’” country.) Lauren’s preferences are always clear and consistent. Once in awhile, though, she won’t be in the mood for a typical favorite and it’s refreshing to have her communicate that she wants the music changed. It reassures us that she does care, and that, more often than not, we do meet her musical needs.

Music isn’t useful just as a background, calming influence. Sometimes, it’s my primary means of helping Lauren to calm down and to be able to rejoin us. Particularly when Lauren was a baby and toddler, I recall her waking up in the middle of the night seeming terrified. No matter what reassurance we offered, she didn’t seem to recognize us. She cried and screamed, even while trying to nurse. Like any mom, I often sat with her in the rocking chair and rocked her for comfort. On nights when she was this far gone, I rocked with a fury. I had to pull Lauren back out to reality, but my voice and my touch weren’t reaching her, so I used rhythm. I rubbed her body firmly in time with the rocking. I sang familiar songs and rocked and rubbed in rhythm to the music. And always, Lauren would eventually come out of whatever horrible place she was in and relax.

Music has been invaluable in keeping Lauren focused, calm and with us. When stress is encroaching due to her messed-up sensory system, music often helps change her mood by changing her focus. I think of Lauren’s becoming behaviorally difficult and inaccessible as being like a person losing his glasses and hearing aid all at once. Lauren seems not even to hear or see what we’re doing to try to help her, she’s so caught up in the anguish going on inside of her. In order to readjust her focus from the inside (what’s troubled) to the outside, I need a passive tool—something that doesn’t require her cooperation, just her presence, like a pair of glasses. A strong rhythm is inescapable to a body’s autonomic system and will elicit some kind of response without a person’s even being aware. It’s this inevitability that I count on. When Lauren does gain the presence of mind to acknowledge the music in some visible way, such as by smiling, calmly moving in time, or by approximating some lyrics, I’m sure I’ve won her back.

Lauren doesn’t often become as frantic and inaccessible as she did when she was younger. When she does, there is an obvious, physical reason for it, such as a visit to the doctor, dentist, or hairdresser. (We’ve sung Lauren through many annual checkups and haircuts. I’m sure our loving hairdresser, Kirsten, is quite enthralled with Craig’s and my rendition of “’A’ You’re Adorable”.) When the cause isn’t quite as obvious, we look for a physical reason and I don’t recall ever being disappointed. Every time I feel ready to throw in the towel during a lengthy bout of difficult behavior, we learn that Lauren has an ear infection, strep throat or some other understandable reason to be upset. No matter what the circumstance, music is one means of empowering Lauren with the greatest opportunity to be successful. Daily exposure increases her ability to cope and join us on a regular basis. More directed music targets the most challenging moments, often serving as a lifeline when things look most bleak for us all.

Many people acknowledge that autism affects a person’s ability to focus, but the extent to which focus is affected is generally unknown if the person has trouble communicating such information. Just as we use music to draw Lauren’s focus in a positive direction, we do everything we can to strengthen her ability to maintain focus, as well as to compensate for her lack of focus. The most obvious way to do this is to bring what we wish her to focus on to the front and center. Ironically, for people with autism who have stronger peripheral vision than central vision, bringing something “front and center” visually may mean pushing it further away or off to the side. I see this most in Lauren at the table. When she was younger, she often became focused on the plates of people across the table from her or next to her and would become angry. I would tell her, “You have the same food they have,” but I needed to push her plate further away from her so that it would catch her attention. Then she could readjust her focus and see that she did have the same food in front of her.

Any type of teaching which requires Lauren to focus on something visual, such as a book or paper to draw on, has often proven more successful when I move the object around until it catches her eye. We start from there, rather than wasting time trying to coax her to look down in front of her, where the book or paper would be in a traditional setting.

As you continue to work with a child, presenting meaningful information in a useful way, her ability to focus centrally becomes stronger. Currently, I can ask Lauren to look at what I am holding in front of her and she will consistently look. Her auditory focus has also improved over the years. Considering that she didn’t respond to any sound at the time she was diagnosed, it has improved drastically. I believe that our conscious effort to adjust our speech so that meaning is as accessible as possible has been an important factor in her success. Though I’m sure I did this early on (as a mom who read books on parenting and tried to maintain a loving environment) I didn’t recognize how important it was until I attended my first autism conference.

In a workshop offered by Carole Swick on behavioral management, I asked how she would recommend handling a predictable scenario at our house: Lauren goes to the door and communicates that she wants to go outside, but we can’t go outside at the moment and I tell her so. Lauren acts like I just didn’t understand the request and continues to gesture, using every means to indicate that she wants to go outside, until she is upset, throwing a tantrum, then exhausted. Though I don’t remember Carol’s exact wording, she explained that when my child hears a “No,” that’s all she probably hears. Though I may say, “No, we’re not going outside right now. Let’s eat lunch,” she probably didn’t hear anything past that very upsetting “No.”

“Tell her what will happen rather than what won’t happen,” said Carol. “Tell her, ‘We’re staying inside right now.’” Using positive terms creates a mental picture of what is to come. This is more helpful to the child than just trying to eliminate the existing picture in her head, but providing nothing to replace it.

My practice at using positive terms greatly benefited me during the year I taught a Sunday School class of one-year-olds. Week after week, parents would comment on how well I managed this large group of children. When I walked into this job, snack time went from a free-for-all throughout the morning to a mid-session event that occurred at the table only. (I set boundaries.) People were amazed that I could get ten to fifteen one-year-olds to sit at a table for their entire snack time. My “secret” was simply knowing that a one-year-old’s ability to focus on the spoken word is limited.

When you consistently inform that “We sit to eat” and “Food stays on table,” children quickly develop a clear picture of what they are supposed to do. When a child whines and points at the snack cupboard fifteen minutes before snack-time, happily informing him that, “Yes, snack is coming next!” can make him very happy. Imagine, if in each of these circumstances, I responded, “No, don’t get crumbs on the floor,” or “No, no cookies right now.” I might as well say, “Please cry right now, little boy,” since I’m accomplishing the same thing. I’m asking a child with limited understanding to take what he does understand and wipe it out of his mind. In offering positive words, I’m empowering the child by handing him a new picture, a new understanding of the situation.

Carole Swick also spoke about using variables on a regular basis to help a child understand when things are different from what’s desired or expected. For example, say “Sometimes we go to Wendy’s and sometimes we go to McDonald’s” or “Today, we’re going to Grandma’s house. Tomorrow, we’ll go see Vicki.” My favorites are “first” and “then.” “First we eat lunch, then we go outside.” I can see Lauren’s brain working in her reaction to these words. She is obviously trying to stay calm with the reassurance that what she wants is coming, she just has to wait out what I said must come first. It provides her with a lot more useful information and hope than a simple “No, not now” offers.

Using variables helps a child to predict and plan—even for eventualities. I know from experience that when we drive down certain roads, Lauren expects that we’re headed for a familiar destination. For example, Lauren loves to swim. One day, we were riding in the car down the road we most often took for the purpose of going to our community pool. This time, instead of turning right at the stop sign, as I would to go to the pool, I went straight. Lauren instantly became frantic. I realized that my going straight did not jibe with her understanding of the situation. Also, like any child, she was very disappointed and had no idea what to do with this disappointment. This reaction has occurred many times while we were driving on familiar roads, but to a new destination. As I gain wisdom, however, I remember to talk to Lauren about our destination (planting a positive picture of what’s to come) before her incorrect expectations become rooted.

Our family uses positive terms all day long to help Lauren bear the otherwise unbearable, to help her to focus, and to help her stay calm. For Lauren, getting a haircut, her nails trimmed or her teeth brushed are all aversive experiences, thanks to her challenged sensory system. But after years of our using positive strategies to help her, she regularly sits still for all three events with varying degrees of physical support. When it’s time to trim her nails and she’s having a hard time allowing me to hold onto her fingers, I reassure her with a goal, such as, “Finish this hand, then we’ll take a break.” In the early days, nail trimming could be a one-finger-at-a-time, two-day experience. Currently, when I bring the clippers over and say, “Time to trim our nails,” Lauren typically holds her hand up without looking, as though she’s ready for a Frenchman to kiss it. Our best time is ten fingers in under two minutes, so she has come quite a long way with the simple support of her mom being positive.

One day while our family was visiting the zoo, I received an ironic affirmation of my strong belief in positive terms. Lauren was sitting in her stroller and the rest of us were standing at a fence, looking at animals in the distance. Lauren indicated that she was thirsty, so Craig found the cup of water we had packed for her and handed it to her. At the same moment, I saw a stream of water just on the other side of the fence, so as Lauren took the cup from her dad, I said, “Oh, don’t throw it in the water!” Almost before I could finish the sentence, Lauren heaved the cup through the air and over the fence. We all watched in awe as it made a splash and slowly floated downstream. Lauren was now without a drink and I'd just lost an expensive piece of Tupperware, a commodity which seems to disappear as quickly and mysteriously as socks in a dryer.

“Of all people, I can’t believe you did that,” Craig said to me in disbelief. “You told her to throw it in the water!”
“No, I told her, ‘Don’t throw it in the water!’” I clarified.
“And how often do you tell me not to do that? ‘Tell what to do, not what not to do,’ you always say.” He shook his head in disbelief at me many times throughout the rest of the zoo visit. I was pretty embarrassed. But I kept pointing out to him what terrific evidence this was that I was right! When we tell a child “No” or “Don’t” or “Stop,” we’re asking her to figure out on her own what behavior we prefer—the opposite of the negative behavior.

So, am I saying that you should never use the word “No”? NO! A few people have heard me consistently using positive terms with Lauren and have implied that she is a behavior problem because she doesn’t hear the word “No.” These people must not spend much time with me, as I’ve certainly been heard using the word “NO” quite loudly on multiple occasions. But I like to reserve that one for when there is no obvious positive way to say something. For example, when I caught Lauren dumping 200 ounces of liquid laundry detergent on my carpeting, I screamed, “NO!” loud enough to be heard three states away. In fact, I probably kept saying “No” as Craig bathed her and I scooped as much liquid as possible back into the bottle, knowing that the next few hours were now dedicated to cleaning the carpet of that which is most difficult to extract—anything with suds. (In this instance, saying “Keep Tide in the bottle” certainly wouldn’t have communicated my meaning quite as well as an hysterical “NO!”)

Certainly when Lauren is hurting someone who means her no harm, a “No!” or “Stop!” is more appropriate than a “Gentle” or “Hands Down.” These are the few occasions that swift punishment is going to communicate the severity of her crime more appropriately than positively worded phrases. Lauren may not understand a “No” on this occasion any better than she normally would, but we must teach her that there are repercussions to her actions. She may not understand the specific meaning of “No,” but only after consistent exposure will she learn that it’s an indicator that she must stop what she’s doing or face harsh consequences.

I actually prefer the word “Stop” to “No” as its meaning is more easily taught. Lauren and I have spent many hours playing “stop and go” games to teach her the meanings of these words. My favorite is to walk or run holding hands, then shout “Stop!” as we halt. In the early days, I would drag Lauren to a halt, but it didn’t take her long to understand the rules of the game and to stop on her own. Of course, it was as much fun when I would start us up again with “Go!” We played this game crossing streets and walking across parking lots, just as other mothers do with their young children. (Though, I had extra incentive—my child would fly across the parking lot and never look back if I let go of that little hand.) The word “stop” seems more valuable than “no” when a child is about to step into a busy street, grab a hornets’ nest from the side of a building, and probably when she is about to dump 200 ounces of liquid detergent on the carpeting, as well.

I not only believe there is a time and place for the word “no,” I also believe we should teach our children to say “no” then respect them when they do. It’s currently popular in the media to tell American children to “just say no” to a variety of ills in our society, but I’ve never seen a public service announcement about teaching non-verbal children how to say “no.” For a child who uses sign language or understands abstract ideas conveyed on picture cards, this isn’t so difficult. For a child who has never consistently shown understanding of abstract notions presented in any form, this instruction is a greater challenge. But the first way to teach “no” is to respect “no.” If we offer Lauren something and she pushes it away, that’s a clear indicator of “no.” It’s tempting to ignore her “no,” particularly if we think that what we’re offering is what she needs; but if we’re not sure, we need to respect the “no.”

I become frustrated at this scenario: I ask someone to show Lauren a choice of two favorite videos. Lauren pushes both choices away, so the person chooses one of the two for her and puts it in the VCR to play. “She chose that one?” I ask. “No,” the person answers, but she wouldn’t choose one, so I chose for her.” “She wouldn’t look at them?” I ask. “Yeah, she looked at them, but she pushed them both away,” the person answers.
“When you have no definite means of saying ‘no,’” I explain, “pushing them both away is a ‘no.’” Consistently after such a conversation, one of two things happens. I offer Lauren a choice of two entirely different videos and she clearly points to the one she wants. Or, Lauren leaves the room and we soon find out that she’s not interested in a video because she’s ill, hungry, or has some other very good reason. In other words, she proves to us that her “no” was truly a “no.”

Craig and I like to reminisce about the first time he ate dinner at my parents’ home. My dad asked, “How about more steak, Craig?” Craig answered, “No, thank you.” My dad proceeded to put about one more pound of steak on his plate, saying, “You’re a big guy, you can eat it.” Craig was, of course, polite and ate as much of the steak as he could, but to this day, we’re amused at my dad’s complete disregard for his “no.” We can laugh because we know that Dad’s actions were an attempt to convey approval and generosity. But I bet Craig wouldn’t be so amused if, after he married me, I ignored his “no” and put more food on his plate every time he said he was finished. Neurologically challenged or not, people can take only so much of “This is for your own good.”

Receptive language (what a person understands) is important, but expressive language (what a person communicates) is equally important. It’s the ability to express needs and wants (as well as knowing that those needs and wants will be respected and addressed) that empowers a person. Only when the basic need for security or peace of mind is met, may a person concern himself with higher level issues, such as improving his motor and cognitive skills. The ability to say “no” (verbally or non-verbally) is one important expressive language skill. The ability to make choices, at whatever level is meaningful to the individual, is another. Both skills may need to be taught. But don’t bother teaching choice-making if you aren’t going to respect the choices made.

Not long ago, I realized a benefit to using a schedule beyond helping to predict, plan and keep on track. After a year and a half of slow and steady progress in occupational therapy, Lauren started becoming angry and aggressive during sessions. Her loving therapist had told me week after week of the difficulties they were having when I spent one ride home thinking about what could be upsetting Lauren. I imagined that after the first difficult session, the therapist (O.T.) probably began subsequent sessions a little tense and expecting a fight. I thought of how things are at home when Lauren is upset and we’re wearied of her challenging behavior; her anxiety spirals as it feeds off ours. Tensions are guaranteed to escalate until we introduce something new on which to focus. I thought about what I would do if I were the O.T. Then I telephoned her with my ideas.

The following week, the O.T. implemented all of my suggestions. The first order of business was to take the focus off Lauren and her behavior. Lauren consistently becomes anxious and unresponsive in testing situations, or in any situation where someone is observing her and simply waiting to see what she’ll do next. It’s a form of performance anxiety that I’ve mentioned elsewhere in this book. The first moment Lauren didn’t cooperate (which was during the first minute of therapy during very bad sessions) the focus naturally shifted from the activity at hand to her behavior.

In order to provide other places for the therapist to focus, as well as for Lauren, we created a picture schedule. Teachers often introduce such schedules to help children predict and plan, but therapists ordinarily do not because their time with the child is so limited. But this schedule’s purpose was manifold. First and foremost, the schedule gave the O.T. something to discuss and draw Lauren’s focus toward, instead of her behavior and performance. Written into the schedule were two helps specific to this goal. The first item on the schedule was Take off shoes. Because Lauren often took her shoes off even before entering the therapy room, listing this as a primary goal insured Lauren’s success and a reason for praise at the start of each session. The second item on the schedule was Play Music. We had never played background music during this therapy before, but the O.T. was happy and agreeable to it upon hearing of its benefits at home. Not only might it help Lauren stay calm and focused, but it would also give the therapist something to talk about other than Lauren’s behavior.

Because the O.T. didn’t do exactly the same activities each week, we came up with a schedule that listed activities in a general fashion: Hand time stood for whatever fine-motor task they would do, as all these activities involved the hands. Ball/Bouncing Time stood for a variety of activities that included balls. Every session ended with time for Lauren to swing on one of a number of different types of swings, so Swing Time was the final item. This type of schedule also empowered Lauren by allowing her choices within each category. For example, she could choose between two familiar fine-motor activities during Hand Time, or choose the type of swing she wanted to swing on that day during Swing Time. Though she has no choice about being in therapy, having choice within her schedule gives her some control over her own life. I imagine I would be uncooperative if I had no control over all the activity being thrust upon me, so we try to offer Lauren control and choice whenever possible.

Like any schedule, this one also served the purpose of helping Lauren predict and plan. This is especially important when she finds an activity aversive. The therapist is consistent in their activities and the repeated exposure teaches Lauren what she must accomplish to make an activity end. This schedule also gave control back to the therapist. If an adult gives up on a task a child can’t accomplish because she’s upset, it may give the child a sense of having gained control of the situation. With a schedule in hand, the therapist appears in control of whether a task will be required on a particular day. When she announces the level of effort she expects before it’s time to move on to the next activity, the adult maintains control. (Expressions like “taking control” are often used in derogatory ways to describe misbehaving children. I don’t equate a child gaining control with a child getting his or her way. Most children I know don’t want control and don’t know what to do with it when an adult hands it over. That’s where the misbehavior comes in. They would much rather an adult be their guide, as they don’t have the knowledge or maturity to make such decisions comfortably.)

The first week Lauren’s O.T. began using the new schedule, Lauren’s behavior completely changed. She was immediately cooperative and showed no signs of the aggression we had seen for many weeks, right up to the previous session. Each week, Lauren became more loving to her therapist, obviously appreciative of being respected and of all the opportunities for success built into the schedule. Lauren responded particularly well to the new opportunities for choice-making. Her O.T. often commented after a session that she was pleasantly surprised when Lauren made a choice of activity different from what she expected. This new information helped her to understand what was causing some of Lauren’s previous frustration—she didn’t like to do many of the activities her therapist thought were favorites!

A few years ago, Craig and I witnessed the use of a picture communication system that looked in many ways similar to those Lauren used at the time. In practice, however, it was very different. We were touring special education classrooms to check out the offerings of the public school system. In one classroom with a ratio of two teachers to two students, Craig and I were impressed until the speech therapist came in for one little girl’s therapy time. The therapist set up a large display of a variety of pictures that apparently held meaning for the girl. The two sat at a table across from each other and the adult handed her a favorite stim object. After a minute, the woman took the stimmy away and told the girl to get the picture of what she wanted. She got the picture of the stimmy off the board, handed it to the woman and received the stim item back. The woman put the picture back on the board and this sequence recurred a few more times when the woman told her again to get the picture of what she wanted. This time, the girl walked to the board, perused it carefully, picked up a picture of a juice box, walked back to the woman and gave it to her. I was impressed after all! The girl had independently made a request!

“No, no, that’s not what you want.” the therapist responded, walking up to the board and putting the card back. She sat back down, seeming a little flustered and said again, “Show me what you want.”

The student obediently walked back to the board and, quicker than the last time, chose the juice box picture, walked back to the table and handed it to the woman. The woman looked at the picture in frustration. I couldn’t restrain myself any longer and I said quietly, but loud enough for the therapist to hear, “Perhaps she’s thirsty and truly wants some juice.”

The woman said to a teacher in the room, “I don’t have any juice with me. She doesn’t usually pick juice.” Craig and I looked at each other simultaneously, eyes wide. “Why would she have any choice on that board that she doesn’t have with her?!” we both wondered silently. The reason soon became clear.

“She usually wants pudding,” she whispered to the teacher. I wasn’t sure if this therapist believed that children with communication disabilities never became thirsty, or if she just walked into this classroom with no expectations of expressive communication from this little girl that day. The teacher brought in a cup of water and the therapist opened a cup of chocolate pudding, but the girl was interested in neither. I couldn’t help but be sad for a long time about the missed opportunity for reinforcement. I wondered if that little girl was ever again motivated to express her desires to this woman, and whether the therapist, having learned from her mistake, had the appropriate reward and praise ready for the next opportunity.

It’s easy for me to see the error of the ways of this speech therapist, but I must admit that sometimes I miss or ignore an obvious expressive communication overture from my own daughter. Just a few weeks ago, Lauren was looking for a snack in the refrigerator and in all the kitchen cabinets. (I normally offer Lauren photo choices of foods at snack time, but this particular day, the cabinets were literally bare. There seems to be a consistent correlation between a lack of food in my house, and my lack of desire to set foot in a grocery store.) Finally, Lauren seemed satisfied with a choice. She pulled on a corner of a bag of chocolate chips on the lowest shelf in the cupboard until it plopped onto the counter. She carried the bag to the dining room, set it on the table, then pulled her chair out and sat in front of the bag. She fondled the bag expectantly as I explained that Mom bought that bag to make cookies. “I know what you really want is cookies,” I told her as I slipped the bag from in front of her. “OK, I’ll make some cookies now,” I decided and said in the same instant to relieve my guilt.

About two hours later (baking is a complicated task in our house—it necessitates a lack of Lauren supervision, which frequently results in some side chores requiring the vacuum cleaner, steam cleaner and/or bathtub) the cookies were done. I pulled the first batch out of the oven, let them cool on a rack for a few minutes, then handed Bryn and Lauren one cookie each to bring to the table. When I joined them with a cookie of my own, Bryn was giggling. “You’re on a chip excursion, aren’t you, Lauren?” she said. The table directly in front of Lauren did, in fact, look like an anthropological dig site. The pieces of cookie (which were now thousands of crumbs) that had once surrounded each chocolate chip had been carefully pulled and brushed off each chip, then pushed to the side. As she succeeded in locating and fully exposing each single chip, Lauren carefully put it in her mouth, then started on the next suspect piece of cookie.

“Lauren, I guess when you say you want chocolate chips, you mean you want chocolate chips, not chocolate chip cookies.” Lauren just looked up at me with a smile. I pointed out a missed chip in a small chunk of cookie then went into the kitchen to get more. I thought about how relatively calm Lauren had been during the baking process. As I handed her another cookie to excavate, I said, “Thank you, Lauren, for so patiently waiting for Mommy to repackage the chips.”


My mom and I have recently gotten into the habit of sending each other an e-mail every evening. We’ve always had a close relationship, but she now lives over one thousand miles from me, so this has been a nice way of sharing even the little moments with each other. The other day I was typing away about my day, which included a trip with my daughters to the market for produce:

We went to the farmer’s market today and Lauren walked behind the grocery cart and pushed it. She picked out some apples for me and put some in a bag. When I told her once, “Let me just go and get a bag” she dashed off in the other direction and I thought she was trying to escape, but then she stopped at a different roll of bags that we had just passed. She was getting a bag like I said!
A grapefruit fell out of the cart and rolled across the floor. She went running after it. When she got to it, she picked it up and I said, “Thank you, Lauren, now bring it here, so we can put it in the bag.” She took it and whacked it on the floor about five times, then brought it over to me. Gee, thanks, I thought, but I put it in the bag. I figured it was pretty obvious that, yes, we’re the ones who bruised this one. Most people would put it back because they bruised it unintentionally, but any onlookers would have realized that we’re premeditated serial bruisers.

I was amused at the time of the grapefruit bashing, but ever since my mom told me how much my dad and she laughed over that story, it’s become part of Lauren-lore. Lauren-lore is any story about Lauren that, every now and then, is retold with an intro of “Remember when . . . ” Sometimes the details are fuzzy, so Craig, Bryn and I compare versions to get an accurate account. Unless, of course, I knew it was Lauren-lore the moment it happened and took the wise measure of writing down an account immediately. Unfortunately, with mothering and teaching as first priorities, hundreds of Lauren-lore stories have only been preserved in the oral tradition. Even the stories that weren’t necessarily funny when they occurred seem to have an eye-opening, ironic or outright funny ending in the retelling.

Some Lauren-lore never really happened. I’ve had many dreams about Lauren that were probably meant to tell me more about myself than Lauren, but the humor in them makes them Lauren-lore. When Lauren was a toddler and not speaking at all, I had the most memorable dream I have ever had. In it, I was driving my car and Lauren was sitting in the back seat. Another driver cut me off, and I loudly said something very nasty— “You far gone ash mule!” (No, those weren’t the real words, but you get the picture.) Within an instant, I heard Lauren’s voice in the back seat echo, “You far gone ash mule!” I turned around in shock and shouted, “You talked!” Then added, “Don’t ever say those words again!”

I woke up immediately in a panic. “Is it true? Did Lauren talk?” I asked myself as I figured out where I was. When I realized that it was entirely a dream and that Lauren had not said those words, I was disappointed and relieved at the same time.

God may very well have planted that dream in my head as a reminder of the example I’m setting for my children. (I like to think my driving behavior has improved as a result, but . . . I’m always trying.) Certainly He planted it with the irony built right in. If nothing else, Lauren’s autism has assured me of one thing. God has the best sense of humor and He loves for us to be in on the joke.

One reason I believe God wants me to laugh, sometimes in midst of despair, is that some ironies are just too big to credit to anyone else. One day, I was dealing with very difficult behavior from Lauren, while also trying to get too many things done. It was a hot day, so I filled a kiddy pool with water and put it in our front yard, a few feet from the bottom step to our porch. Lauren loved playing in water, so I knew she wouldn’t run. Bryn kept an eye on her with an occasional check-in from me. After awhile, Bryn came running into the house almost crying because there were bees flying nearby. Knowing Bryn is extremely fearful of bees, I told her to calm down. Then I gave her a familiar lecture about being brave, adding that if a bee came near her, she should just stand still until it flew away. “So, bees are not out to hurt you, right?” I ended, “And we’re not going to freak out about them, right?” “Right,” Bryn hesitantly agreed.

I went to check on Lauren who had been left by herself too long by then. As I walked through the front door, I saw her jumping as high as she could. Her arm and hand were outstretched and I saw a bee just barely escape her closing fist. She was trying to catch the fuzzy bees! “Danger! Danger!” I screamed. “Bees can hurt you!”

The irony hit me almost immediately. I turned around and Bryn was standing behind me. “Oh, yeah, Lauren was having fun trying to catch the bees,” she said. I stayed on the porch nearby for the rest of this outside play time and accomplished little else the rest of the afternoon.

That same evening, despite my chuckle at the bee situation, I was still in a sour mood while driving to church for band practice. I was in Craig’s car and the headlight knob did not want to stay in place. Every time I let go of it, the headlights would go off. I had to hold it in the on position for almost the entire trip to the church. When I arrived at the church, as soon as I slammed the locked car door behind me, I noticed something. The headlights were on. I remembered turning the knob to the off position, but now they didn’t seem to want to go off. I would have been quite frustrated at having to set down all the stuff in my arms to unlock the car, but I couldn’t escape the point. I felt like someone was standing behind me saying, “You have very funny children and a very funny car and all I’m trying to do is give you a sweet little chuckle to end your day. Take it.” And I did.

The laughing in our house didn’t start with the arrival of autism. (Though autism did increase our need and repertoire drastically.) The biggest reason Craig and I are together is probably our shared sense of humor. Craig, in particular, can see the funny side to almost anything. I’ve been awakened many mornings to good news that was good solely because of the presentation. For example: “Good morning. Before you go into the living room, I just want to warn you that Lauren’s already been working on a school science project today. She performed an experiment to see if there was a bottom to the inside of that new Kleenex box you put out yesterday. The answer is . . . YES!”

Craig is the first one to recommend Downy fabric softener to friends who are looking for a good wood floor polisher. I wasn’t home the night that Lauren dumped a bottle of it in the room with the most beat up hardwood floor in the house. Craig told me on the phone that he was tempted to dump a second bottle on the other half of the room, as the side he cleaned up is now so much nicer looking. I’ve asked him not to do it many times, though I think he’s serious, not just covering for his daughter.

I remember the first time after Lauren was diagnosed that we laughed about autism. Craig has put on some magic shows for young children’s birthday parties in the past and one of his favorite dreams is to be a professional clown. Lauren was often in her own little world at that time and, sometimes while in this state, she would start laughing for no reason apparent to the rest of us. This particular evening, Lauren was sitting in her high chair in the dining room. All of a sudden, she began laughing. Her head was tilted to the side so that all she could see was the wall, which was covered with a brown leafy wallpaper. Bryn, Craig and I couldn’t help but chuckle at Lauren’s delight in something we couldn’t see, particularly as one of the few times we heard her voice was when she laughed. After a few minutes of listening to on-and-off laughter, Craig stood up and announced, “I could be a clown for kids with autism!” He went over to the wall and dramatically gestured with hands wide toward the wall. Lauren laughed her loudest. “Maybe I could cut big squares of this paper off the wall and just flash it for the same effect.”

I said, “Craig!” in an attempt to act appropriately indignant at his politically incorrect comments about what would humor a population with this disability. But I couldn’t stop chuckling. I think I realized right then that there was nothing politically correct about autism. Besides, it felt so good to laugh about a subject that we had only spent many hours sobbing about until then.

A few years ago, I came up with another theory about Lauren’s disability. Lauren had taken a sudden interest in a children’s show on our PBS station. It was a puppet show named Salsa which was entirely in Spanish. I watched Lauren one day as she came running into the room when the theme song starting playing, and as she sat the entire half hour mesmerized. When Craig came home that evening, I joyfully proclaimed, “Our problems are over!” When he looked at me curiously, I explained, “Lauren doesn’t have autism. She was just born speaking Spanish!”

Humor has gotten me through so many days and has probably been responsible for my children putting up with me as well. Lauren has always liked dried leaves and pine straw (probably for their stim value) but one particular autumn, she seemed absolutely in love with them. We get little to no snow where we live, so this infatuation was still present at Christmas-time when I sat down to write our family’s annual newsletter. I began:

It’s hard to believe it’s December when Lauren just developed a leaf fetish—she’s enjoying romping in, dancing with, and all around cavorting with dried-up leaves and pine straw, wherever we go. So, we’re thanking God we don’t typically get snow this time of year. Leaf romping is easy and free entertainment every afternoon. (Though it’s tough when Craig tries to pull a load of raked up leaves to the road. Lauren implies, “Let my people go!” as she hosts sit-in after sit-in on the plastic Craig tries to drag from the back yard. So far, she’s been quite successful for the cause.)

When the weather became too cold and wet to take the children outside most afternoons, Lauren still begged to go outside. When she wasn’t staring out the window at the dried up bounty on the ground (I don’t think we raked until spring that year) she was trying to communicate in every way possible that she wanted to go outside. She dragged me to the door again and again. She cried. She carried everyone’s shoes and jackets to the door. It was an adorable and pitiful sight. One day, I picked her up to hug her through her sadness. I wanted to make her aware that I knew what she wanted and that I sympathized with her disappointment. I came up with the blues-iest sounding tune I could think of and sang her this song:

My name is Lauren and I love my leaves.
I want to go outside, so please let me, please!
My name is Lauren . . .
And I want to go outside . . .
My name is Lauren . . .
And I want to go outside . . .

I put one of Lauren’s arms around my waist and held the other. Then I bounced her on my hip while we looked out the window and I sang. Lauren loved it, especially when I dipped her. As I tired and the song ended, she’d bounce and push my hand back and forth to get me started again. We had Bryn singing, dancing and laughing, too. What a treat to, at least once in my life, replace a sorrowful moment with a silly one!

An even earlier fetish of Lauren’s seemed to be an offshoot of her general love of circles, big and small. She liked to place small objects in a circular fashion. For a while, when we gave her dry Cheerios or popcorn, she would spread the pieces out in a line, then push the line away from her until it formed an arch shape on the table. Craig and I joked that all pieces were equidistant from her hand that way. One day, Lauren dumped a basket full of tiny toys. She sat in the middle of them, then pushed them all away from her until there was an almost perfect circle of toys surrounding her. Craig was watching and called me into the room. As I walked in, he said, “Look! Toyhenge!”

Of course, conversation at that point turned to possible explanations for Stonehenge. Perhaps some ruler with autism dictated the building of the phenomenon, or maybe some aliens with autism. And then there are crop circles . . .

Though laughter may be a coping mechanism for Craig and me, I believe it’s also our most important means of creating a positive environment in our home. Even if I do everything I can to respect, empathize with and empower Lauren, there are moments, as well as entire days, when nothing goes right and Lauren is a very upset child. Being able to step away from the situation and see some humor in it brings us out from the depths of anger or sorrow time and time again. I don’t know how I would repeatedly call it a new day and step right back into the ring without my husband or daughter regularly giving me a reason to smile first.

The other day, I was headed out the door, late for an appointment, racing around gathering things I would need, becoming more stressed as each minute passed. Craig had kindly put Lauren in the car on his way to the shed for something. Bryn came inside and announced, “I started the car, but Lauren’s taken her clothes off.” There are few things I dislike more than dressing an unwilling child in the back seat of the car, particularly when it’s very cold or rainy outside, as it was that day.

“Tell Daddy to redress her then!” I yelled back, wondering how much later this would make us. I was finally ready to walk out the door when Craig walked in.

“Lauren took her clothes off, “he said.
“You redressed her, didn’t you?” I asked in obvious panic.
“Yes,” he said, “and I couldn’t blame her for stripping.” I looked at him questioningly and he explained with a straight face, “When I leaned into the car to gather her clothes, I realized that Rush Limbaugh was on the radio. I strip every time I hear Rush, too.”

Once again, Craig saved the trip to this particular appointment. I tried to remain irritated, but I kept picturing Craig unconsciously unbuttoning his shirt upon the start of every Rush Limbaugh show. When I got into the car, Lauren was still dressed. I turned to her and said, “Hooray! I hear Bryn switched the radio to music for you!” I’m not sure if Lauren expected me to be angry about the stripping, but she seemed very pleased when a happy Mom got into the car.

In the beginning of this chapter, I mentioned my daily e-mail exchange with my mom. For some reason, we have always signed off our e-mails with “Love you more than . . . ” For example, “Love you more than all the fish in all the water in the world” or “Love you more than all the words I’ve ever typed on this keyboard.” (I think it started when I quoted my younger sister. When she was a preschooler and I was in college, she would say goodbye to me at the end of each weekend visit with “Love you more than dinosaurs weigh.” It tickles me to think that was the greatest amount she could think of and that was how much she loved me.) Upon looking at the grapefruit story e-mail for this chapter, I noticed how I signed off that evening:

Love you more than all the tears we’ve shed and all the prayers we’ve said, and all the laughs we’ve had because of Lauren,

Family, Friends and Strangers

I would never have met half of the coolest people I know if it weren’t for Lauren. That’s a fact. Some of my favorite people are therapists, doctors, teachers and moms of children with autism whom I never would have met if Lauren didn’t have autism. I’ve never analyzed why these people tend to draw my admiration. Perhaps the complex nature of autism is a clue. Those interested in autism are likely complex individuals, and I find complexity interesting. There’s also nobility inherent in much of the work of helping people with autism. An autistic person’s unpredictable or aggressive behavior can be confusing, upsetting and even frightening. Addressing such behavior is not a job for the faint-hearted. It is a job for a person with a sacrificial spirit and strong sense of self. These are the sort of people with whom I like to spend my time.

Because we live about one thousand miles from most of our relatives, they don’t have an opportunity to get to know Lauren the way many of our friends do. Craig’s and my circle of friends is like family. If we have to run a child to the hospital in the middle of the night, we’ll call a nearby friend who is here and able to help rather than a relative. We stay close to our daughters’ grandparents through visits, e-mail and phone calls, but we stay in the town we’re in because this feels like home.

I believe Lauren’s autism has been a draw to people with big hearts. We’ve collected them over the years: volunteers who helped with Lauren’s program in the early days; people who have called out of the blue to offer help; members of our church who would see Lauren on Sundays and stop to say hello to her, taking her hand and waiting on a response; doctors who save me magazine articles about new treatments and hand them to me saying, “It might help her, don’t you think!?”

Our hairdresser first came into our lives when I could no longer cut Lauren’s hair. In the early days when I just needed to trim her wispy baby hair, I could sit Lauren in front of a favorite Sesame Street video and clip away. When the sight and sound of scissors began to send her into a panic, I started sneaking into Lauren’s bedroom at night to trim her hair. Thankfully, she looked great in short layers. They’re easier to make look straight after doing one side at a time—flipping the sleeping child over in between. When Lauren started waking up during haircut time, I needed to call in a professional. A friend recommended a hairdresser who had come to her house to cut her child’s hair. Kirsten came to our house and was very loving to Lauren. Lauren hated having her hair cut and fought the entire process, but she hugged and smiled at Kirsten before and after the haircut. When we set up a dining room chair in the kitchen, Lauren would drag the chair back out, thereby insisting that no haircut was going to happen if she had any say about it. But once the bangs were trimmed, the back was neat and the floor was swept, Lauren would drag Kirsten to her bedroom to show off and giggle.

After a few home appointments, our entire family began going to Kirsten’s shop for haircuts. Sometimes Lauren is cooperative and hardly needs a hand on her knee to keep still while she looks at herself in the mirror. Other times, her dad and I must situate ourselves like human vise grips around her body, holding her hands down. But every time, Kirsten is calm and reassuring, telling Lauren what a great job she’s doing and how beautiful she looks. Even when Lauren throws her head suddenly and Kirsten nicks her own hand with the scissors, there’s no wince or sign of frustration, just more reassurances. That this woman is also a talented hairdresser is an unbelievable blessing!

One of Lauren’s Sunday School teachers, Jeanne, told me when I first met her that she didn’t know much about autism, but she loved children and had experience helping in a special ed classroom. After over a year of being with Lauren most Sunday afternoons, Jeanne nervously told me she wanted to stop helping with the Sunday School class. (I knew she was under a lot of stress while starting up an at-home business as a full-time artist, so her announcement didn’t take me by surprise.) Jeanne said she would still like to come over to our house to watch Bryn and Lauren from time to time. I’ve taken her up on her offer a few times (particularly when Lauren’s behavior hadn’t been good for a while) when we needed to attend something important, such as Bryn’s first piano recital. Jeanne had many Sundays of experience dealing with Lauren when she wasn’t feeling well or when her behavior was inexplicably atrocious, so I knew she could handle herself in more challenging scenarios than our usual babysitters could.

This past week, I called Jeanne last minute to ask if she could stay with the girls for two hours while Craig and I joined some friends for a gathering. She said, “yes,” and Craig and I went out that evening. When we returned, I found Jeanne in Lauren’s room. Lauren was being coy under some blankets, giggling and acting like the whole evening had been nonstop merriment for everyone. It was only after talking with Jeanne (while being interrupted by Bryn a few times with announcements like, “Lauren pulled Jeanne’s hair!”) that I found out how much Jeanne had endured without complaint. When she left, Craig turned to me and asked, “Where’d we find her?” “I have no idea,” I said, “I’m just glad we did.”

Elizabeth came into our lives when she was ten years old. I had placed an ad in a homeschooling newsletter for a girl fourteen or older who could watch Lauren in my home while I took Bryn to her dance lesson only two miles away. (Having Lauren in the community center where Bryn’s lessons took place had become quite a challenge. Most Tuesday afternoons, I was fighting tears by the time I picked Bryn up from the dance room—I was often scolded by center staff when Lauren would get away from me and run through the facility. I had to run after her or I would have lost her, so I appeared as impudent as my child.) Two girls over fourteen called and one actually came over to spend a little time with Lauren, but she never returned. (She was very quiet and did not interest Lauren in the least.) When Elizabeth called, I answered the phone and heard, “I know your ad said fourteen and older, but I’ll be eleven in a few weeks and I love children!” (Elizabeth already helped out regularly with her four younger brothers and sisters at home. I guess she wanted a greater childcare challenge!)

Elizabeth is now sixteen and has brought our family more joy than we could have imagined. Despite her hectic schedule, and the fact that Bryn no longer takes dance lessons, Elizabeth comes over for about four hours just about every Friday to help out with Lauren. Her unpaid job description is “mother’s helper” but “undecorated angel” or “restorer of deteriorating spirits” would be more accurate. She has never hesitated to help Lauren in the bathroom, and she was the first person to put Lauren to bed at night while Craig and I were out on a rare date. Of course, her family members have become our friends; they’re obviously special people to have raised such a daughter. This is one of those lifelong relationships that will exist despite Elizabeth’s probable future of college, work and a family. She is family to us. She’s one of the rare jewels that almost make Craig and me thankful for Lauren’s autism, as I can’t imagine how we would have met Elizabeth without it.

It may sound like encountering a special needs child necessarily brings out the best in a person, but this isn’t true for everyone. The three women I just mentioned are exceptionally empathetic and giving people. Out of deep-seated compassion, they strive to understand Lauren. Because they put in the effort, they understand how difficult Lauren’s challenges are and that helps them see past her behavior. I strive to keep only such people in my life, but some people who aren’t as compassionate are unavoidable.

My first rule of thumb for negative people is Ditch ‘em! Life is too short and too difficult to spend any more time than necessary with people who bring me or my family down. I live according to this rule not because I believe such people have no redeeming value. (My mother worked hard to instill in me that “we love everyone on this earth. We may hate a person’s actions, but we must try to love the person.”) It’s simply because my plate is full and I must prioritize. Time spent nurturing a hurtful relationship would be time not spent trying to heal my daughter and keep my family whole, so I can’t dedicate such time. I have time only to remember these people in prayer and hope that others will address their needs.

When dealing with negative people is unavoidable, I don’t usually have a problem being diplomatic in a confrontational situation. Lauren, however, is very sensitive to the disapproval, discomfort, anxiety or anger of others. I try to avoid such people at all cost. When we can’t avoid them, I help Lauren to predict and plan for the occasion as much as possible. Then I try to keep the environment and emotions as calm as possible. Finally, if the person is still negative or hurtful, I try to remember always to be my child’s advocate. Even if it will add to the disturbance, I think it’s better for Lauren to hear her mom defend her honor, intentions or motivation than just to walk away with no such show of support. I don’t know how much Lauren understands, but I hope she knows that her mom will let no one hurt her children unchecked on her watch.

Sometimes, negativity shows up in surprising places. Craig and I have encountered people who think the Special Olympics are unfair to their developmentally normal children, because they aren’t allowed to participate. I remember a conversation between Bryn and I when she was about six years old. She said to me, “It’s not fair that Lauren gets to go to therapy all the time. I wish I could go to therapy.” I told her I understood why she’d want to go to therapy. Lauren received all the attention at therapy and her therapists were so nice. Then I reminded her that she took dance lessons, could ride a bicycle, play team sports and go over to friends’ houses to play. “Lauren goes to therapy because she can’t do those sorts of things,” I said. “Would you want to give up those things to be like Lauren and go to therapy instead?”

“No way!” Bryn quickly answered. The discrepancy between Lauren’s “opportunities” and her own were immediately obvious to Bryn at six years old, but they weren’t obvious to the adults who complained about the Special Olympics. I can (almost) understand someone feeling left out from a life experience that someone else obviously enjoyed. However, I also understand that if these people gave of their time to others with greater challenges than their own, they would likely walk away from the experience with at least as much joy as the people they set out to help.

I listen to Dr. Laura Schlessinger’s radio talk show often when I’m in the car. (Amazingly, Lauren seems comforted by the sound of Dr. Laura’s voice and even seems to calm down when she hears the lead-in music to the program.) Dr. Laura has taught me a few useful life lessons. Whenever someone calls in to complain about a friend or relative’s behavior, Dr. Laura asks, “Is this the first time that this person has behaved this way or does he often act this way?” The person invariably responds, “Oh, yes, this person has always been unreasonable (nasty/a gossiper/whatever the case may be).” To which Dr. Laura replies, “Then why are you surprised (or upset)? He is just acting completely as you expect him to act.”

When a friend or relative says something purposefully discouraging or treats Lauren as sub-human, Craig tells me about it with great frustration and disbelief. I’ve gotten into the habit of asking him, “Is it surprising that the person did this or does he have a history of such behavior?” The person always has a memorable “criminal record,” so I respond with, “And you’re surprised by this behavior . . . why . . . ?” Somehow, pointing out the person’s predictable pattern of misbehavior helps us to let go of the incident and leave it where it belongs—in the pile of evidence that we should limit our exposure to the person as he is unlikely to change.

Craig and I have some relatives and friends who express concern from time to time about Bryn and how living with a sister with autism affects her. From my thorough observation of my older daughter, I can attest to her very strong character, her terrific sense of humor, and the fact that she enjoys time spent with her family more than any other time. I attended a one-day workshop years ago about siblings of children with disabilities. Grown siblings were there on a panel to share their experience and answer questions. What I learned from this event seemed to me to be a whole lot of common sense. I learned that children growing up with a disabled sibling tend to be more mature and nurturing than other children. There was concern expressed by the presenters that taking on too much of a care-taking role as a child was a negative thing, but the panel of grown-up siblings never mentioned that as a problem. They each discussed similar concerns: that people treat their brothers or sisters with respect, and that parents of autistic children take time away for themselves. These were some of the most caring and intelligent-sounding young adults I have ever seen assembled. The goal of the workshop leaders seemed to be to worry the parents in attendance about the adverse effects one child’s disability could have on the lives of their other offspring. On the contrary, I left this workshop feeling reassured that all Craig and I have to do is pay attention to Bryn’s needs, and she’s going to turn out just fine!

To those who suggest Bryn’s existence is less than it could be because Lauren’s disability limits our ability to vacation, for example, or because she has to endure gluten and casein-free foods, I tell them, “Don’t tell Bryn how bad everything is because she’s under the illusion that she’s very happy.” Craig and I take turns taking Bryn out for pizza or dinner at a restaurant, or to the bookstore, library or movies, calling these “Daddy/Daughter dates” or “Mommy/Daughter dates.” Sometimes, special time is as easy as letting Bryn stay up past Lauren’s bedtime so we can order in pizza, play a family game or watch a movie that Lauren would not like. I think Bryn feels a little guilty that Lauren doesn’t get all this attention. One night, upon arriving home from a date with me at a restaurant, she walked over to Lauren to say “hello,” rubbed her sister’s head and said, “I think next time is Lauren’s turn to go on a Mommy/Daughter date. I don’t think she’s ever been on one!”

As Lauren grows older, my biggest concern for Bryn is how often our house is a stressful place because of the latest challenging behaviors. But for all people, what is common becomes normalcy. I remember when Bryn was seven or eight years old and Lauren was throwing an angry fit. I was trying to calm her down and it was becoming quite an episode. Suddenly, Bryn appeared. I could see her mouth moving and could almost make out over the racket that she was telling me about something she had read or wanted to show me an outfit she had concocted for her Barbie doll. I asked her loudly if she really thought this was a good time, with Lauren whining and fighting me. Bryn’s expression changed, as though she suddenly saw Lauren and noticed that she was, in fact, screaming and in a tantrum. She walked out of the room to await the end of the scene, when I would be better able to listen to her.

I told Craig about it when he came home from work. “It was as though I was doing something really obvious, like wrestling an alligator, and someone came up to me and nonchalantly asked, ‘What would you like for Easter dinner this year, ham or turkey?’” I realized that day that even though my dealings with Lauren are often fraught with emotion and feel as out of the ordinary to me as wrestling an alligator, to Bryn, they’re the status quo. She’s never known anything different. Hopefully, this means that her blood pressure doesn’t increase with every new challenge the way mine does!

I think the greatest evidence that Bryn is happy with her life has come, time and again, directly from the “mouths of babes.” When Bryn was nine years old, Craig and I were talking at the dinner table about some significant progress Lauren had recently made. Bryn was quiet, then suddenly spoke up, sounding a little upset. “I just can’t imagine Lauren talking. I don’t want her to talk,” she said. When I asked why, she answered, “She wouldn’t be Lauren. She’s so sweet the way she is.” This wasn’t the first time Bryn had shooed the idea of Lauren improving too drastically.

Maybe such conversations are just evidence of children accepting the status quo as normalcy. Bryn doesn’t like the idea of change whenever we tell her it’s coming. But she consistently embraces change as soon as she realizes how it will benefit her. That she can’t imagine the benefit to her sister speaking and not having autism is quite a commentary on her view of her own life. It must not be so shabby.

Just as some people are concerned for Bryn (for some right reasons and some wrong ones) so do many express their concern for Craig and me having time together, away from responsibility. “Do you ever get time away for yourselves?” well-meaning friends ask. They easily see the obvious—how our family is lacking in opportunity compared to families without a disabled child. And they’re right. We do miss out on many forms of rest and recreation that most families enjoy.

We’re very appreciative when concerned friends take action and offer to babysit. Babysitting Lauren involves an extensive orientation, so these people are sacrificing significant time out of their lives. This is a gift that can never be repaid. I always hope these friends experience some of the unpredictable, joy-filled moments that happen around Lauren. These moments are a huge blessing to me, so hopefully they serve as appropriate thanks for such generosity. Some of these babysitting friends have received more hugs and kisses from Lauren than I ever have, so I imagine they’ve experienced at least a few moments of “Lauren-joy.” (They keep coming back!)

It’s great to get away for a while—individually, or two to three of us at a time without Lauren. But if that were a constant focus—if we equated fun with escape—we would probably feel more burdened when we were not away. That’s why I invest most of my time trying to create a positive environment and a positive schedule for all four of us. Those of us on the inside for the day-in and day-out work of raising Lauren might be missing out on what some other people get to enjoy. But we’re also sure to be there for the unexpected moments of joy that turn into impromptu celebrations.

Jeanne had a lot of questions about Lauren and about autism the other night. (Her interest grows as her husband’s cousin is now raising a foster child who is about Lauren’s age and has autism.) Jeanne asked me if I minded when she told me about her cousin-in-law’s experiences with autism. I honestly told her I appreciated anybody’s sincere interest in the topic. Even with strangers or acquaintances, questions are always better than blank stares, or that squinty-eyed look of someone who ordinarily has something intelligent to say, but is taken completely off guard by the unusual topic (Craig and I are notorious for creating awkward lulls in conversation at social gatherings.)

Craig and I have compared notes on what we’ve found to be the most common things said to us in conversations where Lauren’s disability becomes the topic. (Other people struggling with severe disability or illness tell me they hear these same things often.) The first is some variation of “Wow, you’re an amazing person. I could never do what you do.” When spoken by a friend who knows my circumstances well, I try to humbly accept these words as the compliment they’re intended to be. Sometimes, however, a person says this in order to quickly end the conversation while walking away. This type of response starts me questioning the statements’ validity and has often led me to theorize. Now when I hear these words, I consistently fight the urge to grab the person by the shoulder, spin him around and ask, “Are you really saying that if you had a child with autism, you wouldn’t do everything in your power to help her live an independent and fulfilling life? Are you suggesting that you would love a child with autism less than you say you love your other children?” But when this statement is made for the purpose of nipping conversation in the bud, Craig and I don’t get the opportunity to interrogate. The fact of the matter is that we have no special powers which enable us to handle the many challenges of autism without becoming discouraged and occasionally depressed. I don’t know why some people want to believe we do. Perhaps they’re uncomfortable expressing sentiments of compassion.

The second thing most commonly said is: “God doesn’t give you anything you can’t handle.” I’ve come up with a reply to this one: “If that were true, there would be no children in institutions.” Almost all people who say this one do so while walking quickly away. They seem to want us to understand that God has given us what it takes to raise this child and to be happy about it. Perhaps this is again a safety against needing to express compassion. It certainly eliminates the need to continue to think about our complicated situation—God’s taken care of us, after all.

In fact, God does give us above and beyond what we can handle. That’s the only way we’ll become uncomfortable enough to seek Him and to gain the ultimate reward of eternal life with Him. But this would be an uncomfortable conversation to have at the water cooler or in a grocery store check-out line. So, I usually let people slide when their comments are one of the top two.

Lauren exhibits many behaviors that elicit questions from people. It would be nice to have all the answers. Parents of normally developing children do have answers to most questions posed to them about their children. “Does she like ballet?” “Will he be taking soccer again in the fall?” “What’s her favorite subject in school?” These are all pretty easy questions to answer. Craig and I are often asked questions like, “Why is she doing that?” or “What’s the matter with her?”

Craig and I have a running joke with each other. (Actually, it’s more something I do that annoys him.) When Lauren’s behavior brings about a question like, “What’s bothering her?” Craig will try to answer with his best guess: “There are too many people here” or “The bright lights are probably bothering her” or “I think she’s having a reaction to some gluten she had today.” Then I interrupt and say, “Actually, we don’t know.” Craig’s and my guesses at why Lauren’s behavior is as it is are only guesses. When we tell someone confidently what is “the matter” with Lauren, she often disproves us anyway. If we say, “This music must be bothering her,” Lauren may calm down before the music ever changes. Or she may escort the inquiring person to the door as an obvious statement that he or she is provoking the anxiety, so please leave!

I credit Ann Donnellan, author and educator in the fields of rehabilitation psychology and special education, with first giving me the confidence to say “I don’t know.” I attended a conference at which Dr. Donnellan was a speaker. One of the first things she said to the parents and professionals in attendance was, “The most important thing I want you to leave with today is the ability to say ‘I don’t know.’ Repeat after me: ‘I don’t know.’” I believe the attendees practiced saying “I don’t know” about three or four times to make us all feel comfortable with the fact that we can’t know exactly what’s going on in the minds and lives of the people with autism we’re trying to help. There’s a natural inclination to want to have answers to questions posed by family, friends and strangers. But if we’re honestly doing all we can to heal, love and reach our daughter, the good people who witness our work day-in and day-out will accept an “I don’t know” and stand by us until the day we do have all the answers.

To Church or Not to Church

Among all the ways autism affects people, I believe it affects my family the most spiritually. That’s a pretty big statement, as the physical effects (you probably realize by now) are obvious and incalculable. But when autism entered my worldview, it changed everything.

I was a content sofa Catholic before Lauren was diagnosed. I went to church every Sunday that it didn’t conflict with other plans and I believed most of what was handed down to me by my mom, whose Catholic faith was handed her by her own parents. My mom and grandparents were not only devout in their faith, they were also sincere. My mom began actively reading and trying to apply the Bible to her life when I was young, so that was also my intention as I embarked on the early days of marriage and child rearing.

My family had become very active in our local church by the time Lauren was diagnosed. In fact, Craig went through the year-long preparation class and became Catholic that same year. Until Lauren was three years old, we were able to attend Mass and participate in some family church activities without a problem. We stopped going to church as a family when Lauren started crawling underneath pews as soon as we sat down. She would physically fight Craig and me when we tried to force her to stay with us in our pew. I didn’t blame Craig when he announced one Sunday that it seemed pretty ridiculous for him to spend the hour and a half at church entertaining Lauren in the social hall, which was like a gym with many doors, so it was a very difficult place to keep her safe.

After a year or so of not attending church, I began attending Sunday morning Mass with Bryn. I was there as a good example for my daughter, but in my heart I was bitter. Sitting amidst complete families was difficult. I remember one Sunday watching a baby explore her father’s face as he quietly smiled and whispered to her. I sat watching with tears streaming down my face. I remembered Bryn doing that same thing to her dad in Mass, grabbing his glasses off his face. Lauren was four years old at the time and had never shown any interest in anyone’s face or glasses. Hearing simple sermons about loving your neighbor, and starting by serving your family, was frustrating. With a child who rarely slept, I was in servitude to my family twenty-four hours a day in a way that the rest of this congregation would probably never know.

One Sunday, I attended the evening Mass, which was supposed to be geared toward teens. At least the music was more contemporary and there was a full band with percussion, electric, bass and rhythm guitars. After attending this Mass a few weeks, I decided that I would love to be a part of this group if they would have me. I had been a guitarist and vocalist in a church folk group for a few years as a teen, and I had been a soprano soloist in my high school choir. When I spoke to Patty, the band leader, she said that, in fact, they were in need of a soprano. I attended the group’s next practice and became part of the band. Over the past five years since that day, these people have become some of my best friends.

Having a reason to sing God’s praises (because I have committed to do so) has done much more for my faith than worshiping in community without that obligation. Even on days when I’m so angry at God that I don’t personally feel the words I’m singing, I sing because I’ve made a commitment to the group. Just as faking a smile can turn your heart happy, so can singing God’s praises make you desire to praise Him.

I still sit through Masses where the priest talks about knowing God’s love by serving others and I can’t stop thinking, “I’ll provide you that opportunity, Mr. Priest. Come to my house and babysit for twenty-four hours. Then, let’s talk.” I know there are other ways to serve and other people who may be as needy as my daughter, but I can’t think of any who are as difficult to serve as my daughter. I often sit in church fantasizing about having the opportunity to experience other ministries. When the children were babies, Craig and I looked forward to one day participating as a family in Habitat for Humanity—the ministry that builds homes for those who would probably otherwise never have one. However, Lauren won’t be on a work site any time soon. I have recently had a heart for prison ministry, but I don’t think Craig will sign on to extra “parenting alone” time while I pursue the soul of an inmate.

Craig and I have discussed and accepted that raising this family is our first and foremost ministry and it leaves little time for any other. We support other favorite ministries as best we can both financially and in prayer. I used to be in charge of fundraising for a large Christian nonprofit organization. Some days, arranging the needs of this one family seems to require as much ingenuity and resourcefulness as pulling off a huge fundraising event.

Craig and I talked often about his desire to go to church and how wrong it was that there was no “place” for Lauren in our church. When we dropped Bryn off at the church for her Sunday School classes, Lauren would often become upset and gesture for us to let her out of her seatbelt as well. She saw all the children walking into the church school building, then playing as they waited for their parents to pick them up afterward. Lauren understandably wanted to be a part of this apparent fun. One day, as she whined and roughly gestured for me to undo her seatbelt, I leaned into the back seat and said, “You can’t go in there, Sweetie.” At that moment, I saw a little girl pass by Lauren’s window. How ridiculous I must sound, I thought, telling her there’s no place for her here, when there’s obviously a place for all these other little girls her age and size.

During the summer when Lauren was seven, I was suddenly inspired, and surprisingly feeling energetic enough to follow through on my inspiration. I had spoken to our pastor two years earlier about a desire to start some kind of program for families who had a difficult time attending church because of a child’s special needs. When a notice in the bulletin brought forth no other families, the pastor said to me, “Well, I guess there isn’t a need here right now.” I don’t know why I didn’t jump up and down in front of him and say, “Oh, yes! I’m standing right here in front of you!” Instead, I agreed and didn’t bring it up again for two years. I guess the sadness and injustice of feeling like Lauren wasn’t welcome in our house of worship worked within me over those two years. Craig and I had gotten into the habit of speaking cynically about our church in private. He saw the church body’s lack of reaching out to us at a time when we had many great needs as a kind of hypocrisy. I knew we were headed toward having to make a choice. We needed either to leave this church, or to make something happen within the church. When I wrote the following letter to the priests of our church, I guess I was letting their reaction make the decision for us. After some introductions in the letter, I wrote:

I am writing about the need for ministry to a homebound population: Children with disabilities that prevent them from attending traditional Mass or PSR , and their families. But don’t panic, as I believe I can play a big part in responding to this need.
Five years ago, the younger of my two daughters, Lauren, was diagnosed with autism. Within the year that followed, our family’s involvement at [the church] declined, as it became impossible to attend Mass as a family. Lauren is virtually non-verbal and has many sensory issues that prevent her from staying in a pew for more than a few minutes without making a huge disturbance.
About two years ago, I approached [the pastor] with a desire to arrange some kind of child care at the church for Lauren during Mass, so that she could at least become acquainted with the building and people and might someday be able to join us for at least part of Mass, if not all of it. (She learns, grows and changes every day, so I don’t give up hope of that.) [Father] was very sympathetic and wanted to help any others with the same need, so we posted a request on the bulletin board and in the bulletin for other parents to call me. When there was no response, [Father] understandably concluded that the need didn’t exist outside my own family and I let the idea fizzle.
Unfortunately, the fact that this population is homebound makes the problem a hidden one. They are not going to be in a place where such an ad is posted. But the problem is pervasive. Permit me to tell you more about myself, that you might understand why my insights on the problem are valid.
For the local Autism Society of America chapter, I have been board member, newsletter editor and secretary, which put me in the position of first contact for many parents, teachers (and even one Sunday School teacher) who want to talk. I am a trained parent contact for [a parent support organization], which connects parents with other parents of children with similar disabilities. I spent a year teaching in a program for children with special needs. I have worked as Communications Manager for a[n] ...organization ... that served hundreds of adults with disabilities every year. I also have waited for years, and continue to wait, in waiting rooms talking to parents of other children with disabilities while Lauren is in therapy. When speaking with people with disabilities or their parents about such topics as “Why me?” it’s hard not to bring up Christianity, particularly with another Christian. I have spoken to many parents specifically about church. I hope you agree that this experience qualifies me to speak for other families in our community. (I also hope that it qualifies me to offer and help bring about a solution.)
My own family’s experience is much like many other families’ with whom I have spoken. When Lauren was diagnosed, we were offered no help in any form from our church. When she became old enough to attend PSR, no alternatives were offered to us, though our situation was well known to many involved. When Lauren’s behavior made it impossible to keep her in church with us, our obvious and best option was to discontinue going to Mass. For a while, Craig and I attended different Masses, one of us taking our older daughter, Bryn. But that soon ended, as the sacrifice of two more hours per week without Dad’s help was too much for me. Craig had enthusiastically joined our church after completing the [required] program in 1993, five months before Lauren was diagnosed. He now has no church experience, though he longs for it. I originally joined the band partly as motivation to attend Mass with Bryn on Sunday. With this special group of people around me and the extra purpose of attending, I’m able to fight the visions of our little family sitting down front all together. That had been my vision since sitting directly in front of the altar with my family every Sunday and holy day as a child, so it’s hard to understand God’s plan for our family.
The need for families to attend Mass together is not the only problem. Developmentally disabled children also have spiritual needs. They have questions about God and the universe that, if answered incorrectly, may lead them onto dangerous paths. Because their value is often questioned by the abortion/euthanasia-happy secular world, these children need constant reassurance that they’re cherished by God and should be cherished by man. They need exposure to God’s Word. They need teaching and examples of how to live a Christian life. (Particularly as it will help them understand that people who treat them cruelly are NOT examples of Christ’s love.) At the least, disabled children should not be made to feel that church is a place where brother and sister are welcome, but they are not.
I once spoke to the mother of a child with autism who, though raised Catholic, was attending a Protestant church an hour and a half away from her home because it had Sunday programs for people of all ages with disabilities. I thought it was so sad that the response of her Catholic parish was such that she needed to drive three hours on Sunday to find a spiritual home. I also lauded her for prioritizing her faith and giving up all that time on the weekend to fulfill her spiritual needs and obligations. I also thought, “If you build it, they will come.” That church so far away had built it and they came from far and wide.
My husband, Craig, and I have recently considered looking elsewhere for a church that would be open to allowing our family to attend as a family. However, we have both been active at [this church], and we love the priests and the people here. We don’t want to consider giving up the Eucharist, any Sacrament or our tradition. We want our home church to be our home.
The fact remains that Lauren cannot attend church at this time, but I am willing to begin a program appropriate for her during Mass. I hope you will discuss this at whatever meeting is necessary for making such a mission happen. I am willing to come at any point to answer questions about the logistics. Here are some answers to some questions you or someone else may have right away.

In the next part of the letter, I addressed some specific logistical questions to provide the priests with a visual picture of this program fitting in well with the existing programs. I also mentioned a timeline (as finding teachers would probably take time) and I offered to direct every aspect of this adventure, which took most of the responsibility out of their laps. I ended with:

Thank you so much for your time. I look forward to hearing more about bringing this ministry to life.

I have reprinted this letter here almost in its entirety not to impress you with my ability to convince, or to sway your opinion of any church. I reprint it because I have wondered if someone else might benefit from it. Another mom or dad who reads this book may have given up hope of their child ever setting foot in a church again. If any of these words may be helpful in convincing you, or some pastor or church elder, of the importance of doing everything possible to welcome and include people with developmental disabilities, then they need to be here. If you want to use any part of this letter to pursue your own family’s needs within your church, feel free to call these words your own.

About a week after I hand-delivered these letters, I received a phone call from the church pastor. He told me three times that the letter was beautiful, and added the important part somewhere in between: “We’ll do it.”

There was another mother of a child with autism who responded this time to announcements about the Special Needs PSR class. Before classes began, however, she decided that having her son attend this class would be one more obligation than she could handle, even if it would allow her to go to Mass. When Lauren walked into her Sunday School class for the first time, she was the only student and there were two volunteer teachers.

Before the first class, I gave the two teachers a crash course on autism, how it affects Lauren and the care she requires. One of the women was a full-time special education teacher of teenagers with autism. She was polite as I went over information that she probably could have expressed at least as well as I. By the end of the school year, this teacher was familiar with Lauren’s specific needs, and she was giving me invaluable advice on dealing with the school system to create a program to meet these needs. Both women became two of Lauren’s, and her family’s, favorite people.

Since this Sunday School class began, we’ve had some teacher transitions. First, one of the original teachers left to move to another state. Then the second teacher left because a new home business was taking up all her free time with her husband. We’re currently on our third Sunday School teacher, another patient lady whom Lauren usually enjoys going to the classroom to see while Mom, Dad and Bryn are in church. Another transition may take place soon. Lauren is sometimes upset about having to go to the classroom and asks to stay home or to stay in the car. She’s currently on hiatus for the summer, which will give us a few months to decide on the next appropriate step in our family’s church needs. (Regular Sunday School classes at our church are in recess every summer.)

Craig and I are always wondering about the best timing for trying to take Lauren into church during Mass with us. Just like toilet training and any skill we introduce to her, this will take time, a plan, commitment, consistency and flexibility. The real question is not whether Lauren is ready. It’s whether Craig and I are ready. It’s going to be difficult. We’ll miss many parts of Mass. We’ll probably get the evil eye from some people who won’t understand the greater good of making room for this person who is a baptized member of their community.

Craig and I also talk about what God expects from His people. Are we failing to live out His commandments if we don’t worship in community because it’s just too difficult? Is an at-home daily Bible reading and prayer time adequate for a family who was given, by God, this blessing of a child who cannot sit through any portion of a church service? Being raised Catholic, I also have to face the question of the necessity of receiving the Eucharist and some other traditional obligations of my faith. Let’s see, if Lauren is beating up on Craig or herself, Craig is understandably very discouraged, and the last scheduled Mass for the weekend starts in five minutes, do I say, “Sorry, Craig, I have an obligation to God to fulfill. You’re on your own,” and walk out the door? I sincerely believe that Craig and I are in step with God’s will when we feel led to live out our Christianity by serving each other at home, rather than by going to church.

I also sincerely believe that my spirituality has very little to do with my ability to participate in any organized church gathering. The moments I have seen the face of God have consistently been in situations when I have been serving (or struggling with) a person in need. When I am completely empty and at my greatest moments of despair, I have to turn to God, as there is no other. Craig is supportive, but he has the same despair to overcome and we’re both only human creatures. I’ve heard people say, “We lean on each other” to express how one person in a relationship supports the other when he or she is in need. In Craig’s and my case, we would both fall over if we only had each other to lean on!

In the early days after Lauren’s diagnosis, usually when Craig was “down” I was “up” and vice versa. We could often pull each other out of an emotional rut. Lately, as some of the problems we’ve had to face have grown, this nice little give-and-take isn’t always there. When one of us is down, it’s usually for a reason that seems like an insurmountable problem to both of us. When neither of us has any answers or enthusiasm left, that’s when the Holy Spirit steps in. That’s when an answer neither of us had seen before whispers itself into one of our ears. We become re-inspired to take up the fight and refreshed by the gentle reminder of who is truly in control and where our hope ultimately lies. This is spirituality at its finest. It resides not in places designated holy, but is called forth by the daily churning and grinding of doing God’s will. It reveals itself in the revived and changed heart of a man or woman. It also reveals itself in the smile of a grateful child.

This is what I mean when I say that autism has affected our family the most spiritually. We sing a song at church called “I Want to Know You.” Its refrain goes:

I want to know You
I want to hear Your voice
I want to know You more

I want to touch You
I want to see Your face
I want to know You more

I’m learning, while at my daily grind, that if I want to know God better, I had better look closely into the faces of my children and my husband. I’ve seen Him in the face of my husband while he was holding Lauren down at the doctor’s office for some procedure or another, the sweat dripping off his brow revealing the strength required. I knew his gentle, reassuring words (barely heard over Lauren’s screams) were meant to comfort and reassure me, as well as Lauren. This man’s dedication to carrying his family smoothly past the painful moments is sometimes a tangible source of strength that makes me buck up, just so he’ll realize what a fine job he’s doing.

I’ve heard God’s voice somewhere mixed in with a very young Bryn’s, when we were talking about what improvement we’d seen in her sister. “I like that Lauren is doing some more things,” she shared, “but I hope she never talks too much because then . . . well, then she wouldn’t be Lauren. I just don’t like thinking about that.”

I’ve felt the presence of God in the countless times that I’ve reached out for a hug from Lauren and she’s slowly backed into my arms like a delivery truck into a parking space. Her head is always down and her hands shield her eyes, but there’s usually a little smile on her lips. She’s probably fighting internal explosions of anxiety every time, just to give me what I need—reassurance that she knows how much I love her.

And I’ve known God was standing right there in the room with us when my husband watched one of these hugs take place and, without a word from me, said, “She knows, Honey. She knows.”

("I Want to Know You" was written by Andy Park and recorded by SonicFlood)

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