Monday, 23 January 2017

What is Autism?

I delayed addressing this question when I first started this blog.  Really, I avoided it because Autism is a complex condition ~ I wanted to do it justice but I wanted to keep it simple & meaningful for passers by.  

I'm also aware that my experience of being autistic is "limited" to our lived experiences (collectively 98 years & counting, so not insignificant updated 2019) & my own fairly extensive research (I am autistic after all & Autism has become a "special interest") but I cannot profess to possess first hand experience across the spectrum (or constellation ~ more below), or speak for those who do.

Although I can speak up & speak out for them & I will where I feel qualified to do so.  It's one reason I leak thoughts here & into other social channels (over & above the personally therapeutic benefit derived).

 But back to the question: if I was ever to "go public" with An Affinity with A then I had to at least attempt to provide some sort of answer to the question "what is Autism?" for any visitors who might rightly ask.

And I wanted to capture what worked for me when I was faced with having to understand a then totally alien concept ~ a situation that was affecting us hugely & very urgently needed to be understood if we were ever regain control & move forward.

I'll admit now that my answer (when I get to it) is short & sweet.  In the end, I'm simply attempting to direct a mindset & prepare the ground for a general understanding of Autism while signposting those keen to know more to resources that already very expertly explain & accurately articulate what Autism is (acknowledging also that there are still many myths to bust & much, much more to discover, learn & understand ~ especially from the autistic community themselves who have historically been hugely under-represented in academic research).

As an aside, for an Autism friendly academic perspective I'd highly recommend "Autism: A New Introduction to Psychological theory & Current Debate" by Sue Fletcher-Watson & Francesca Happe (referenced again below).

One more thing before we get there, formal diagnostic guidelines in the UK aside, all of the following are terms used to describe Autism (& there are as many differences of opinion about their validity as there are terms used): 

Autism Spectrum Disorder, or ASD
Autism Spectrum Condition, or ASC
High Functioning Autism, or HFA
Low Functioning Autism, or LFA
Severe Autism
Mild Autism
Asperger Syndrome, or AS
Pathological Demand Avoidance, or PDA
& others! 

In our family, the formal diagnoses are all of Autism Sepctrum Disorder, described (verbally) as being "high functioning" on the basis that those affected all have IQ levels that sit in the "average to high" bracket.  There are no additional learning disabilities in our case, although there are other co-morbid conditions & PDA.  And herein lie our lived experiences of Autism.

We may well have been diagnosed Aspergers but the only term officially allowed in the UK at the time was (is) ASD.  I'm OK with "being autistic" (less OK with "disorder") because I believe, whichever of the above terms is diagnosed or adopted, we autistics do all share the same core areas of difference, irrespective of how they may manifest in individuals.

Before delving deep into diagnostic criteria, like many other commentators before me (& I hope after me), I'd respectfully recommend adopting the following mindset, advocated by Temple Grandin & Ellen Notbohm respectively:

 "Autism is not a disability, 
it's a different ability."

or, put another way, 

"Autism is not a processing error, it's a different operating system."

And to understand conceptually what Autism is, then this additional Ellen Notbohm quote, taken from her book "Ten Things Your Student with Autism Wishes You Knew", provides the perfect analogy:

"A person with Autism is like a Mac in a PC world.  They're hard-wired differently.  
Not incorrectly ~ just differently."





I hope I'll be forgiven, though, for amending Ellen Notbohm's statement very slightly ~ she actually references "the child with autism", advocating the need to "teach in a manner meaningful to him".  This is absolutely correct but for the purposes of using the statement to explain what Autism means to me, I wanted to make it relevant to all.  After all, Autism is a life-long, hard-wired neurological developmental difference.  

Even so, I think it's an extremely positive ~ & pretty cool way ~ of introducing the concept of Autism to autistic kids to help them understand what it means to be autistic without doing them down. 

And the analogy can so easily be expanded upon.  There are many more PCs than there are Macs.  Macs are less well understood.  Actually, they do very similar things, but not always in the same way.  And they sometimes need different inputs to complete the same tasks.  They each have their strengths & weaknesses.  The skill is in recognising and extracting the strengths from each & in selecting the best system for the job in hand.  For example, Macs are pretty innovative & are capable of doing creative stuff really well (of course, that doesn't mean PCs aren't :). 

It works for me!

Another regularly recurring quote across the autism community provides an important care point for anyone wanting to understand Autism better, courtesy of Dr Stephen Shore:

"If you've met one person with autism, you've met one person with autism."


In short, everyone who is autistic is affected differently by it.  If you know one autistic individual, you cannot claim to know how the condition will manifest itself in another.  Yes, there are common areas of difference, but how those differences manifest themselves can vary hugely, hence the reference to 'spectrum'.  And I can attest to this first hand with my own autistic family members!

So, now it's important to understand the meaning of 'spectrum' in relation to Autism.  To think of it, not as a linear thing (ie with autistic people being more or less autistic from 'severely' to 'not very' autistic) but as something much more dynamic.  For many, this has been illustrated very usefully by Rebecca Burgess & available with further explanation via her blog 
(click on the image):  



Even more recently I've been introduced to the concept of the Autism Constellation inspired by Caroline Hearst (aka AutAngel) & described by Sue Fletcher-Watson & Francesca Happe in their book 
"Autism: A New Introduction to Psychological Theory & Current Debate" (published by Routledge 2019) 

This constellation concept most accurately illustrates a belief I've formed over my own years of immersion into all things Autism, that even though many of us may not be considered "severely autistic" we do suffer severely because we are autistic.  And I (& others) have come to the considered opinion that being autistic is a condition, or state, of human being that requires more enabling societies to make it a less disabling condition than it currently is ... in the Western world at least!  Maybe somewhere in the world there are societies ~  cultures ~ that are more conducive to the autistic state of being?  If so, the rest of the world should be looking to learn from them.

So, by way of introduction, that's it!  Almost ...

For a more poetic spin around all things Autism from me, you might like to read this post (don't let the title mislead):
S is for ...

S is for Simples!!

Maybe not.  It's far more complex & challenging than these insights & ramblings might suggest.  I'm constantly adding to my learning & understanding.  To that end, some go to sites for help & information include the following:

the leading UK charity for people with Autism (including those with Asperger Syndrome) & their families (look up local branches too in some counties)
for information about Pathological Demand Avoidance Syndrome including strategies for accessing & engaging with education

Temple Grandin
Professor of Animal Science, Colorado State University, autistic, author & public speaker on autism & animal welfare

Tony Attwood
Clinical Psychologist, Associate Professor, Griffiths University in Queensland, author & public speaker on autism

Steve Silberman
Author of "Neurotribes : The legacy of Autism and how to think smarter about people who think differently"

Understood.org
for practical advice, resources & support for learning & attention issues including executive functioning & attention deficit

This post has been about what Autism is ... or the mindset I'm advocating before exploring in detail what Autism is.

One thing Autism is NOT is "bad behaviour".
Standout, or disruptive, or "different to the average" behaviour might very well occur as a result of autistic attributes not being supported or accommodated ... but it is not part of the diagnostic criteria

Leaving the last word to an autistic 'A' list celebrity, Temple Grandin, remember always, we are all:

"Different, not less."






Friday, 20 January 2017

Ableism

I thought I'd made up the word Albeism.  I was watching something a while back, where disabled people were, again, fighting for equal rights & I wondered why there wasn't a word to describe discrimination on the grounds of ability, like there is for discrimination on the grounds of sex, race & age, for example.  I wondered why the word Ableism didn't exist & wasn't in everyday use.  Sexism, racism, ageism are ~ sadly ~ in everyday use.  Yet, as far as I was aware, there was no equivalent reference for discrimination against disability. 

I wondered if this was because society was generally more accepting of the notion that discrimination on grounds of sex, race or age is unjust; that society was, somehow, more accepting of discrimination on the grounds of a disability being justifiable because, after all, being disabled means 'you can't'. 

I was all set to challenge this hypothesis & demand the introduction of the word, a word, to put the fight against discrimination on the grounds of ability on a level with other forms of prejudice when I thought I should just check to see if the word already exists.  And it does. 

Ableism ~ unsurprisingly ~ is discrimination in favour of able-bodied people.

So, good news, it does exist.  But, still, despite the increasing profile of disability issues, the word is not commonly used.  In response to anyone who might dare to suggest that this means it's not such a serious or pressing issue as other "~isms", I'd venture the opposite is more likely to be true and it's lack of use supports even more my belief that Ableism is too often accepted as being warranted or justified.

And isn't the wording of the definition interesting: discrimination in favour of able-bodied which contrasts to the definitions of other prejudices which reference discrimination on the grounds of age, sex or race.  To be comparable, shouldn't the definition of Ableism be "discrimination on the grounds of ability".  Surely this is more meaningful & more inclusive?

I think the under use of the word, together with it's atypical definition, almost serves to justify this type of discrimination because of a belief that having a disability means 'you can't'.  Whereas if you talk about different abilities, then this means 'you can', just differently, & with that thinking society is forced then to accommodate those different abilities.  That's how autism is often referred to ~ as a different ability.  And I don't see why any disability (or ability) shouldn't be described as such ~ in the pursuit of ability equality.

Well, 'disabled' people can, as was powerfully communicated by the Rio Paralympics 2016 advertising campaign.  This belief & ambition should exist for all people of all abilities in all areas of life & society should aim to recognise & accommodate.





Thursday, 1 December 2016

Advent & Christmas & All is Not Calm

So today is the 1st of December.  
Advent & the countdown to Christmas Day has begun.

Everyone is jollier, everything is sparklier, everything is different ~ & therein lies the challenge.

One child is unable to make school.  

One refused to even look at the trees strewn with lights last night, claiming no interest in Christmas until December.  Actually, an impressively mature coping strategy from such a junior person.

Christmas will mean different things to different people, a time to kick back & relax a little more, reflect on what we're most grateful for, a time to make more time for family & friends, to socialise, party & gather together, to indulge a little more, a time to be a little kinder maybe, or to share good fortune with the less fortunate.

However Christmas manifests itself for you, & whether you love it or loathe it, it inevitably involves change - change in routines, change in our surroundings, change in what we eat & drink & how we dress even, change in the way people behave.

And if you're autistic, change is not good, however sparkly it is, however beautifully wrapped & presented.  Change is hugely challenging & anxiety inducing.  Routine & familiarity is safe.  It provides grounding, a sense of wellbeing in a world that is difficult enough to work out at the best of times.  Change is the removal of safe.  Change is dangerous.  Dangerous situations cause fight or flight responses.  Christmas brings many changes each day, every day, in every way.  So Christmas inevitably generates adverse behaviours brought about by the need to fight or flee.

So what do we do?

Well, if we were to follow the advice of our CAMHS Consultant, we'd have no visitors.  We'd try & keep things as normal as possible, with as little change as possible, no socialising, no drama over Christmas dinner - it's just another meal & if it's to be eaten on a tray in a bedroom then so be it.

I'm OK with that.  But what about everyone & everything else?

There are many articles giving good advice to survive the Christmas period.  I'll add some links below.  I certainly don't have all the answers but I know we will try & keep things as normal as possible while indulging the children (& ourselves) as far as we dare in the magic of Christmas, being ready to deal with the inevitable sensory overloads, the panic attacks & what seems like everyone's need to 'take control' (disastrous when this occurs concurrently).

My advice, or my mantra, in a (mixed) nutshell: 

* * Sparkles with Strategies * * 

Wishing you a calm Christmas time.


Photo by Stellie Chavez on Flickr

Top tips for a calmer Christmas from the National Autistic Society.

This article on Autism & Thanksgiving is relevant also.  I'm not a fan of the source BUT the content of this article is sound, in my opinion ~ it flags potential issues & suggests how to avoid.

An article via The Mighty by Catherine Contillo who describes her 
3 biggest challenges of the holiday season as someone with autism.


 17 Tips to make Thanksgiving more comfortable for kids, from The Mighty again.
Personally, we do No. 6 every time which also makes most of the others easy to implement!

Finally, in the words of Benjamin Franklin:

"By failing to prepare, you are preparing to fail."




Friday, 11 November 2016

Arriving in Holland

... & happy to be here.

Autism arriving in the family is like arriving in Holland when you'd actually expected to tip up in Italy.

"Welcome to Holland" was written by Emily Perl Kingsley, in her words "to describe the experience of raising a child with a disability, to try to help people who have not shared that unique experience to understand it, to imagine how it would feel."

I came across this early in our journey & it's sentiment resonated strongly with me so I'm sharing it now."

A point of note though ~ with autism & other 'hidden' developmental conditions, there is no announcement from the stewardess before you disembark the 'plane so you continue on your journey still thinking you've arrived in Italy, trying to implement the plans you've made for Italy & to speak Italian, until someone, somewhere, years down the line, finally recognises your struggle & explains that you're not actually in Italy ~ you've been in Holland all along! 

And, for the record, I feel blessed to have arrived in Holland.  It's not as easy or relaxing a trip as I'd planned (someone always has to keep a finger in the dyke) ~ but having settled, & as I continue to explore, I've found it to be a fascinating destination.


Welcome to Holland 

by Emily Perl Kingsley circa 1987

When you're going to have a baby, it's like planning a fabulous vacation trip ~ to Italy.  You buy a bunch of guidebooks & make your wonderful plans.  The Coliseum, the Michelangelo David, the gondolas in Venice.  You may learn some handy phrases in Italian.  It's all very exciting.

After months of eager anticipation, the day finally arrives.  You pack your bags & off you go.  Several hours later, the 'plane lands.

The stewardess comes in & says, 
"Welcome to Holland".

"Holland?!" you say.  "What do you mean, Holland?  I signed up for Italy!  I'm supposed to be in Italy.  All my life I've dreamed of going to Italy."

But there's been a change in the flight plan.  You've landed in Holland & there you must stay.

The important thing is that they haven't taken you to some horrible, disgusting, filthy place, full of pestilence, famine & disease.  It's just a different place.

So you must go out & buy a new guidebook.  And you must learn a whole new language.  And you will meet a whole new group of people you would never have met.

It's just a different place.  It's slower paced than Italy, less flashy than Italy.  But after you've been there for a while & you catch your breath, you look around, & you begin to notice that Holland has windmills, Holland has tulips, Holland even has Rembrandts.

But everyone you know is busy coming & going from Italy, & they're all bragging about what a wonderful time they had there.  And for the rest of your life you will say, 
"Yes, that's where I was supposed to go.  That's what I had planned."

The pain of that will never, ever go away because the loss of that dream is a very significant loss.

But if you spend your life mourning the fact that you didn't get to Italy, you may never be free to enjoy the very special, the very lovely things about Holland.

End.




via Pinterest (original source unknown)






Monday, 31 October 2016

Angels in our Midst

I'm driven to believe today 
that there really are angels in our midst.

Before the days of knowing anything about autism ~ indeed before the days of knowing I needed to know anything about autism ~ I was so intent on trying to fathom why the parenting I continuously tried to improve still wasn't doing the trick that I wouldn't have been aware of an angel if it bit me on the behind, let alone waft me with their wings.

But after an autism diagnosis, despite the turmoil that ensues, angels actually materialise.  Obviously not in the form of diaphanous, winged beings descending from golden skies above ~ even though the sky this morning appeared ideally suited to angel flight ~ no, more in the way some people just are & how that makes you feel.

And I just wanted to pause to acknowledge & give thanks to some 'angels' who've been at my shoulder recently, providing guidance, calm, sanctuary, acceptance & hope in humanity.

Spookily, given the date, their names all begin with 'A'.  Who would have thought?

Mr A
The founding patron of a very special school that has come to our salvation ~ today is the first day of a new chapter; today is the day we really can start to move forward.  Thank you.

Alastair
The IPSEA case worker who so patiently listened, advised & guided us along the process of appeal to secure a more appropriate educational setting for 'one of us'.  
Thank you.

Abraham
The Orthodontist who has waited patiently (for 4 years) until we were ready & able to attend an appointment.  Who then welcomed us & explained very appropriately for his audience what he was doing & what he would be doing at future appointments & why, what very special TLC he would give & why & what he needed in return.
Thank you.  

'A'
Who, for 'others of us' & separate to the challenge above, accompanied me on meetings with SENCOs at local mainstream secondary schools, armed with a long list of questions around how they accommodate children with autism, to help me find the best possible provision.  
Thank you.

Allan
My dad.  Who died when I was 10 years old.  He (or the thought of him) really is an invisible force at my shoulder & I like very much to think that he was keeping a watchful, approving eye from behind those high, golden, puff ball clouds that dotted this morning's bright blue sky as we drove to Mr A's very special school. 
Thank you & I love you, always.

Angels in our midst, as I say.

And to those angels not yet acknowledged, I am thankful to you all.


Bust of an Angel from skitterphoto.com













Monday, 10 October 2016

Autism Friendly Design

So, I had this light bulb moment recently about how I might bring together a life-long special interest in art & design with my new special interest in autism ~ autism friendly design.

And it turns out The National Autistic Society are running a one day conference on 1st November 2016 in Manchester on 
Autism Friendly Design.

Since autism became part of our life I've had many opportunities to observe, & experience first hand, how ill-suited many environments can be for autistic people & the very real difficulties caused by autism unfriendly environments.  Schools, shops, leisure centres, transport hubs, homes even, the list goes on.

Having literally given up the day job in 2013 to focus on the unexpected demands of family life with autism, my plan was always to return to the workplace once 'things had settled' & we'd found our 'new normal'.

After a couple of false starts, we've still not reached a 'new normal'.  But that hasn't stopped me pondering the retraining opportunities a forced career break might open up.  Could this be my chance to pursue the creative education I'd not had the confidence to pursue way back when or should I find a way to formally build on the knowledge I'm acquiring now about autism with a view to helping others - after all, demand is clearly outstripping supply in terms of diagnosis & therapeutic support whether relating to autism, sensory processing or the mental health issues that can ensue.

Then it dawned on me that there might be a way of combining the two ~ & clearly I'm not alone!

Could I, should I, am I too old, will I be taken seriously, or do I come at it from another angle, from within the autistic community?

That internal debate continues to rage so watch this space.

Pastel Stained Glass via LOVETHISPIC




An Adage

"Sticks and stones may break my bones but words will never hurt me."

Hmmmm ~ I guess we all know that's not true.  

This is especially true for people with autism for a number of reasons:

(a) our differences make us vulnerable to abuse, verbal & otherwise;

(b) our tendency for black & white thinking, literal interpretation & naive egocentricity leave us vulnerable to miscommunication, misinterpretation & to taking things personally;

(c) our tendency to dwell on hurtful experiences, rather than to simply 'shake off', can fuel already heightened levels of anxiety or anger

Today, World Mental Health Day, this untruth is particularly poignant as was illustrated during BBC Breakfast News & their report on the schockingly high levels of disability hate crime suffered by people with learning disabilities & autism.