At the beginning of this New Year, as many people do, I find that I seem to be questioning myself every single day over my future and the next moves for my life. I used to feel more confident about most of my personal affairs, but now I sometimes feel as if I am just treading water and not really making much headway in any particular direction. Therefore, asking myself questions allows me to consider all the directions I could go in and determine which route would be the best one for me. Sometimes my questions are trivial in nature while at other times they cause me to stop and think a bit about what my answer will be. When I look at them all at once, they act as an informal survey of where I am in my life and what my top priorities are.
One of the more important questions I have been turning over in my mind is, “What else do you want to do with your writing career?” For most of the past year, the majority of my writing output has been for this column. I have been tinkering in my spare time with some short stories, character outlines, and settings, but I have not fully developed them yet. I feel that I can now get back to them and refine them as well as work on other ideas I have been thinking about. I have also decided to start a blog so I can write about things which interest me and develop more ideas for my other writings. Writing a blog was actually a step recommended by some of the creative writing textbooks I had in college; they said a blog could greatly expand my audience and lead publishers and other writing entities to my work. I am very excited about this opportunity because it will give me a platform to experiment with new genres of writing and see which styles I am most suited to.
Another question weighing heavily on my mind is, “Can you conform to a better diet and exercise plan?” During my college years, I fell behind on the active lifestyle I had been developing, a sacrifice I felt I had to make because of the amount of school work I had to complete. Since my graduation, I have attempted to develop a better diet plan with some positive results. Even with the tactile issues in my mouth that affect me, I have greatly increased the variety of foods I eat, and my meals now consist of mostly fruits and vegetables with lean meat and healthy snacks on the side, but burgers and other fast food items can still appear depending on circumstances. Developing a healthy diet has been a continuous challenge for me all of my life, but I am determined to continue adding more and more nutritious foods.
I have also started walking on the treadmill on a regular basis. For about 30 minutes each day, I take a walk on the treadmill at a steady pace. Between my revamped diet and regular treadmill walks, I have lost nine pounds so far. I have found that I can move about more easily and am able to perform tasks that were hard for me to do before such as lifting or moving heavy objects. I am most impressed with my increased range of motion, and I want to expand my exercise program to continue to help with my low muscle tone and other motor issues.
To this end, I have signed up for hippotherapy (physical and occupational therapy on horses) at a nearby barn which will help me to continue to develop my coordination and strengthen my muscle tone. I participated in a hippotherapy program as a boy, and not only was it a lot of fun but it also helped a great deal to improve my physical issues. I am thrilled that there is a program nearby I can join as an adult, and I am looking forward to starting in the spring.
One other question I am considering the answer to is, “Can you truly reach your goals and are you willing to work hard for them?” I now realize that in order to do this, I will indeed have to work hard and make some improvements which I am very willing to do. I am continuing to study my books on job interviews and working on how to best prepare for them. I am planning to meet with someone I met at a job fair last year to conduct mock interviews and formulate appropriate and relevant answers to any type of question that I may be asked. In addition to starting a blog, I am looking into other opportunities for freelance writing work which reflect my interests. Finding more work will help me to become more autonomous and able to take care of my own affairs.
After considering all of these questions, I now think this year will have a lot of big changes in store for me. Last year felt a bit rushed to me with graduation and new aspects of my life happening all at once. This year, I want to focus on getting these new aspects under control and plan out a new and steady course. I am very excited about all of the changes happening to me, but I want to keep my bearings and not have them overwhelm me. This year has a lot of new possibilities in it, possibly the most I have ever had. It raises the question in my mind, “Where do I go next?”
It must have been the boots.
On December 28, we celebrated Madison's Christmas—another floating holiday for our family. This year, I decided it was time to recognize the fact that my daughter is now 20. Even though she still loves her animated Barney, given to her 16 Christmases ago and still working, I thought it was time to update her image—and wardrobe.
For years, I had yielded to practicality with elastic-waisted pants and velcro shoes. Alternating between catalogs for the very young and the very old, I was able to keep her outfitted in functional, but boring attire.
This year, I pushed away from the keyboard and decided to shop locally. Pat, our nanny of 19 years, ventured out with me early one morning to beat the crowds. Shopping from the wheelchair in a crowded store often drains my holiday spirit. But the store was almost empty so we had time to look at the latest trends.
Beyond an updated hat, scarf, and gloves, we picked out black jeans with a studded belt, a royal blue metallic sweater dotted with fuzzy hearts, and hot pink bedroom slippers covered in peace signs. The jeans were "stretchy" and had hidden side elastic panels. Although Madison has mastered zippers, she has trouble with buttons sometimes, often pulling the entire pant down, still fastened. Elastic, hidden or not, was still a good feature.
As we were loading up the cart with a few more goodies, I spied the boots.
"Pat, check these out," I said, pointing to the display.
The Ugg-like boots were just the right height.
"I think she can pull these on and tuck in her jeans," I said. "And look at that shine!"
Layers of silver sequins covered every inch of the boots.
"What a hoot!" I said, adding them to the cart.
We prepared for her visit down to the minute. She was on her way to a six-day Winter Camp, her special New Year's tradition. When she stops by en route, it is a short visit, mostly determined by her mood and the circumstance.
This year, I was expecting 10 family members. All knew the flexibility required to attend. "Be here at 10:45 am," I told everyone, "but she may be ready to leave at 11:00."
Since no one delivers her expected welcome-home pizza that early, I had it delivered the night before. I had taken a risk and ordered a new family favorite--gourmet cheese with fresh garlic, tomatoes, and basil. As I heated it on Friday morning, I wondered if I'd made a mistake. What if Madison didn't like it? I did have a few slices of plain cheese pizza frozen, I thought. But when I checked, I was wrong.
I had no pizza Plan B.
Brian, my son-in-law, arrived early and helped me prepare.
"Let's cut it up for her," he said when I shared my concern. "Maybe she won't notice the difference."
He snipped the pieces, placing them on one of my Spode Christmas Tree china plates.
"Should I give her a plastic cup?"
"No, I think she can manage the small Spode glass," I said, thinking I had several more if she dropped it.
I heard the back door open.
"Look who it is, Brian. It's Madison! Come see me, Missy!"
And she barreled around the corner of the doorway, boots blazing.
"Madison, you are adorable!"
And she was.
I had sent the boots along with the other open-ahead presents to her residential home. She arrived, decked out, practically strutting in those boots.
"Madison, give mommy a kiss." and she did, grinning more than usual.
"My, she's happy," I said to Pat.
"Yes, she is. She's been great, singing and laughing since the minute we picked her up."
Black jeans, blue sweater, and the silver boots seemed to elevate her mood. She grabbed her Barney and plunked him down beside her at the table. Then, she dug into the pizza, asking for more twice while drinking three glasses of milk-- without spilling a drop.
"Time for presents, Madison," I began, hoping we could open at least one or two before she bolted for the door.
This time she seemed to enjoy the process. Unlike every other Christmas, she sat still with me until we opened all of them.
One was a special surprise from her dad and step-mom--a fun-fur designer vest.
"Let's put it on, Madison." And I helped thread her arms through the sleeve openings.
She stood up and showed us her outfit, posing for the camera. What a diva!
She sat back down and played a bit more with her Barney before Pat reminded us it was time to leave for camp.
"I can't believe how long she stayed focused," I said, watching her hug each family member good-bye. "It's her best Christmas visit ever."
"Bye-Bye!" she boomed in her best Barney voice, "See you later!"
And she sashayed out the door.
The diva had left the building.
It must have been those sequined boots.
Happy New Year! It seems as though not so long ago, I started another column with those very same words. In preparation for today’s installment of Transition from the Trenches, I re-read my first column of 2012 entitled New Year, New Resolutions. I think the resolutions I made last year were good ones, and I’m proud to say that I was pretty successful at sticking to them. (That said, perhaps I would have been even more successful had I re-read that column before now.) I have a few new resolutions for 2013, but first I thought I’d report on how I did with last year’s list.
Last year, I resolved to start attending seminars and workshops regarding adult services and other Transition related topics. As a result of that resolution, I was successful in enrolling Cameron in an employment support program. And that program was successful in securing paid employment for Cameron. Can I get a big, “Woo Hoo!”? It was well worth sticking to that resolution and fighting the crosstown traffic to attend that particular information session. I did attend a handful of such sessions, but my attendance could have been better. I will build on the success I had, and just roll that resolution right on over to my 2013 list to ensure further successes this year.
At the start of 2012, I also resolved to keep Cameron on his toes. Now this was somewhat of an empty netter, because Cameron does a pretty good job of staying on his toes without my assistance. This resolution is more about modifying my own behavior than Cameron’s. As my loving husband so delicately points out, I tend to come to Cameron’s rescue far too quickly. This is one of the resolutions I should have re-read before now. Maybe tattoo it on my forearm, even. So this resolution will roll over to 2013 as well, with a slight modification: I resolve to keep Cameron on his toes by holding him more accountable and not by rushing to bail him out at the first sign of a struggle.
And lastly in 2012, I resolved to keep the short term in sight, as well as the long term. I think I was successful in doing this in a balanced manner. I managed to step back from my obsessive search for postsecondary options, and focus more on current conditions. The paid employment I mentioned earlier is the biggest result of this division of energy. But I still have my ear to the ground for what comes after high school. I made sure Cameron’s application for vocational rehabilitation services was processed, and have received the good news that he qualified for the highest level of support offered. Once Cameron graduates from high school, this support will come in mighty handy when determining his next steps. Keeping my energy balanced between present and future is definitely a habit I’m happy to keep.
In addition to rolling my 2012 resolutions forward and continuing on with them in 2013, I have a few new entries to the list. I resolve to stop deciding what Cameron would like or would be willing to try before evening consulting him on the matter. I need to remind myself that Cameron is still growing and developing, and he’s quite capable of forming his own opinions. This applies to food, clothes, activities, and even his willingness to ride his bike to work in nasty weather. If he has a problem with something, he’s perfectly capable of speaking up, and it’s not my job to do it for him.
My final resolution for 2013 has little to do with Cameron. I resolve to make my voice bigger when it comes to speaking up about Transition issues for young adults with ASD. This has nothing to do with my ego. I think issues facing this aging population deserve much attention, and I am going to do my part to bring these issues to light. Now exactly how I’m going to increase my voice remains to be seen. Maybe it will be via social media. Worth noting, at the time of this writing, I have exactly three Twitter followers. And I’m not exactly sure how the whole Twitter thing works. I resolve to figure it out, though.
Wish me luck on successful resolution implementation for 2013! I wish you luck with your list as well. And if you don’t have a list, feel free to borrow from mine.
For the past two months, our family has been dealing with serious illness on the part of our younger son. Progress has been slow; baby steps forward have been followed by backsliding. Each day we wake up hoping for positive events and each night we go to sleep thankful that events weren’t worse.
On Friday a week ago, I came home from a trip to the ER to learn of the tragic shooting at Sandy Hook Elementary School. I did not know my heart could feel so heavy.
This holiday season, I cannot bring myself to write anything the least bit political. I am simply going to wish all of you well and suggest the following:
All of us at Autism After 16 wish all of you a joyous holiday season. We believe the New Year to be filled with promise.
Finally, this holiday season we continue to keep the families of Newtown in our thoughts. We know they have found strength in their community. We hope they may find some peace as well.
These past few weeks have been extremely tough for me. Two weeks ago today I lost my Grandma to a 15-year long battle with Alzheimer’s. This was hard for me because I was also dealing with school, taking final exams and suffering from a really bad cold. In the end though, we mourned my Grandma’s loss, I was able to fight off my cold and then able to finish my last in-person class ever for my Master’s in Strategic Communication. I thought to myself that now I finally had some time to relax. I was wrong.
The shootings that occurred at Sandy Hook Elementary School just a week ago have left our society with a great deal of unanswered questions. Issues such as gun control and school safety are being debated like never before. The one thing that has been in the back of my head is the gunman in the shooting. Shortly after the shooting, speculation that 20-year-old Adam Lanza was on the autism spectrum began to circulate.
Less than six months ago during the shootings in Aurora Colorado, MSNBC’s Joe Scarborough stated that shooter James Holmes, 24, was most likely somewhere on the “autism scale,” leading to even more speculation that autism and violence were somehow connected. In response to Mr. Scarborough’s comments I did a YouTube video titled “Joe Scarborough, I Have Autism and Am Not a Murder”.
This time around I wrote a public letter, asking the media to not scapegoat our community. The next day I read this letter and responded more directly to the topics of autism and violence in the video embedded above. Although my messages in the two videos differed in many ways, the one constant point I wanted to bring across was how I believe in a non-violent lifestyle.
This issue has affected me on a very personal level because of the dehumanization of autism that has been happening for the past few decades. We have made INCREDIBLE strides since then but due to recent incidents I am uncertain how I feel about our future.
One problem I’ve been struggling with because of this crisis is my self-advocacy efforts. The only thing those two shooters and I have in common is our similar ages. It scares me, however, to think that someone could know I have autism and then possibly think of me as dangerous. I know that I’m not—nor ever will be—violent. But will I need to convince others of that in the future now? From experience I know being a self-advocate and putting yourself out there comes with its ups and downs because you open yourself up to potential criticism. When I was a Resident Assistant a few years back we used to call it “The Fishbowl Effect,” meaning everyone can see your every action.
It’s a tough situation for us to deal with and I expect it to get worse before it gets better but I’m optimistic that this will only make our community stronger. As a young adult who is also a self-advocate, I need to remain focused on letting people see who I am and also encourage others with autism to the do the same. With our community in mind as a whole, I believe our next step for the next few weeks and months will be to build on our awareness efforts while stressing the acceptance of all individuals with autism. This is a goal I really hope we can achieve.
This holiday season, I’m not dreaming of a white Christmas, but of a new world of work. I’ve been sick for the last few days with an upper respiratory infection. Even so, I’ve continued with my work, doing what I consider the minimum to keep my business going. As a full-time writer who works from home, I feel fortunate to not have to call in sick, to be able to write when I want to write and rest when I need to rest. And working from the couch this week has made me think about how our fast-changing world is expanding employment options for everyone, including adults on the spectrum. Specifically, Kerry Magro’s recent column, “Multiple Disability Workplace,” has me thinking: What if the best workplace option for many individuals—myself included—is home?
It’s an interesting topic to ponder, especially during a time when community integration is so highly valued. And while I completely agree that adults on the spectrum need to be an active part of their communities, I can also appreciate how for some individuals, that participation might not extend to employment. Introverts and highly sensitive individuals in particular need environments with less stimulation and stress. And having a job is inherently stressful; there’s the pressure to perform, to meet deadlines, to do one’s best work and please an employer or customers. I can imagine that the stress of work in addition to the challenge of social interaction might prove very difficult for introverts on the spectrum. Perhaps, for this group, it might be better to have social activities and connections in the community, and work from home instead.
Case in point: My husband and I recently heard the 2007 “Special Ed” edition of NPR’s “This American Life.” The show featured a developmentally disabled man named Vincent, who, for reasons unknown to his family, suddenly quit his job and myriad social activities too. He withdrew into himself, and his family worried about a possible depression. This may well have been the case, but Vincent’s rebellion also seemed like that of a person trying to take control of his own life. (And, perhaps, that of an introvert who needed more space to himself.) With the help of his family, Vincent was able to begin again. He didn’t return to his previous warehouse-type job, though; instead, he chose to work from home and raise chickens in his backyard. His sister says of his new employment: “Vinnie took to every aspect of chicken farming … But more than that, to everyone’s surprise, he started participating in activities again.” Perhaps Vincent needed the solitary work with chickens in order to re-engage with his community.
As an introvert who lived and worked in a home with 14 other people with and without intellectual disabilities for two years, I can appreciate how hard it can be to work in a people-intensive environment. No matter how wonderful the workplace, being surrounded by other people full-time isn’t right for everyone. Though I loved my time as a direct-care assistant, I had to be very deliberate and proactive about carving out space for solitude. As someone who recharges by spending time alone, I found myself retreating more and more often to my room. Much as I loved the people around me, I knew I needed space for myself. Moving to an apartment was a positive change; after doing so, I was able to rejoin my community in a new role as Program Director with newfound enthusiasm.
Working from home does have its own set of challenges; it requires discipline, adherence to routine, and tolerance for solitude. (And sometimes, people need a little push to get out and connect with others.) Additionally, finding satisfying work to do from home—be it writing or drawing or caring for animals—isn’t enough; there has to be a market for that skill. And that, perhaps, is where adults on the spectrum—like most entrepreneurs—need the most support. We need people who can connect the skill sets of individuals on the spectrum with the businesses that would benefit from them. Now that would be a job worth doing.
Emily thought the Star and Shamrock might be a nice place, so one fine evening recently we went. Basically, it's a combined sit-down deli and tavern in Washington, D.C. with a combined Jewish and Irish theme. For example, their signature sandwich is pastrami, corned beef, potato latkes and Russian dressing on rye. Also, they offer (among other adult beverages) He'Brew—“The Chosen Beer."
You see, Emily comes from a mainly Irish family, whereas I was raised Jewish. That's also why K.D. has a little green onesie with a green Star of David and the caption “Proud Irish.”
We met up after Emily's office Christmas party, drove over and looked for a place to park ... a project all its own. She wanted to park in the AutoZone parking lot, but it was clearly marked as being for their customers only and the place was still open so she reluctantly agreed when I asked that we please find another place to park. (I pride myself on following the rules whenever possible—which isn't always. I also like to think instances like this are self-interest rightly understood, especially considering getting towed is a pain in the neck!) When, right in front of us along the street, a minivan exited a free parking space. We considered it a minor miracle.
We went in, and found the seating situation opposite to the parking situation. We got to a table in nothing flat, and placed our orders. Having studied the menu in advance, I knew what I wanted—namely, that eponymous sandwich, hold the Russian. Emily ordered something nice, too.
As we were finishing, a guy working there stood up and announced we'd have Bingo soon. (Jewish temples commonly have Bingo for fun—and fundraising. My mother ran her temple's Bingo events for many years.) I remembered as a child having played Bingo for prizes and quite often winning.
So when he said Bingo cards and markers were free and prizes were offered, I quickly walked up to his table, got four cards and a marker and raced back. On the table next to ours, I laid out the cards, opened the marker, filled in the free spaces and stood at my metaphorical starting blocks.
“G-48 ... O-75 ... B-1 ...”
Stage whisper: “Just one more, Emily, all I need is I-24!”
“B-11 ... G-51 ... N-45 ...”
Anywhere else? Check the cards again, make sure I haven't missed one. Maybe the next one!
I proudly presented the card and waited while he called out the numbers.
“Congratulations, Jeff! By the way, are you a professional bingo player? And what kind of beer or wine would you like as a prize?”
“I used to be, but my last game was decades ago. Could I have something non-alcoholic?”
“No problem! In fact, if you prefer you could have a glass instead.”
So, now I'm the proud owner of a Peroni glass, and of course of a winning Bingo card too. (And unlike last time I played Bingo, I could—and did—snap a picture of both afterwards and email it to my family.)
A few tips to help make your night out a good one. (Of course, nothing's guaranteed.):
“Mickey’s had a seizure.”
Heart stopping words. It doesn’t matter how many times we’ve gotten that call; I never get used to it.
It takes half an hour to reach him at school. He is tired but lucid. “My head hurts,” he tells us, subdued. His normally bright blue eyes are dull and shadowed. I feel his forehead; no fever. He can’t tell me much about the episode; he doesn’t even seem to remember where it happened. That’s not unusual, though. The doctor calls it retrograde amnesia.
Seizures leave him so profoundly disoriented that he will literally walk into oncoming traffic. We are always on high alert, because we never know when, where, or how they will strike. He’s had them showering. Shaving. Crossing a street. It’s like living with the threat of terrorism. Seizures are random. Sudden. Unpredictable.
Epilepsy, like autism, is a spectrum disorder. Anti-seizure meds eliminate seizures in about two-thirds of patients. More difficult-to-control cases sometimes—sometimes—respond to combinations of two or more medications.
My son takes three.
When both my children were infants, I checked them throughout the night to reassure myself they were still breathing. Mickey is 20 years old, and I am still checking. Each year, 50,000 people die as the result of a seizure; for people with autism, it is the leading cause of death. It’s called SUDEP: Sudden Unexplained Death in Epilepsy. Approximately 30 percent of people with ASD have seizures; by comparison, epilepsy affects 1 percent of the general population.
For centuries people believed that someone with seizures was possessed by devils. We know better now, but why does it feel as if treatment is still in the Dark Ages? We see terrible side effects from medications that at best achieve partial control of his seizures. Cognitive slowing. Mood shifts. Agitation. Exhaustion. We worry, every day, every hour, about all the things that can trigger seizures. Summer heat; missed meals; drinking too little water; drinking too much water; flashing lights; 3-D movies; anxiety. Even joyful anticipation. Mickey has had seizures going to a Chanukah party; eating dessert at the Thanksgiving table; visiting the science museum with his classmates; watching the Super Bowl with his cousins.
Every time he has a seizure, friends and family ask, “Was it a bad one?” Sometimes I feel like retorting, “I’ve yet to see a good one.” I know they mean well; they are asking, Did he fall to the floor? Lose consciousness? Convulse? I am at a loss how to answer. When it is your child, every seizure is bad. He is literally seized—snatched up in an electrical storm that sucks the air out of him before it spits him out, disoriented and spent. Doctors have told us, “A seizure is like getting kicked in the head.” How many kicks can a child sustain before there is permanent damage?
We bring him home; he sleeps deeply for four hours. When he finally wakes up, his first words are, “No school tomorrow.”
“Let’s see how you are in the morning,” I tell him.
“Not tomorrow. The next day,” he insists.
“How do you feel?” I ask.
I know how terrified I am each time he has a seizure; how much worse it must be for him. What is it like, to wake up lying on a couch or floor, your body sore, your head aching, with no memory of what has caused you to land there, nothing but the ominous sense that something bad has happened? Unable to recognize familiar people around you. Unable to form words. Struggling to speak, only to see uncomprehending faces. No wonder he’s reluctant to return to school. Could this be why he so often resists leaving home at all?
This wasn’t the column I sat down to write this morning. Today I intended to write a cheery, holiday-themed post for December. I’ve been blindsided. Epilepsy has ridden roughshod over my son again. It’s the wild card in the autism diagnosis. One I wish fervently we’d never been dealt.
My heart is broken. I had to call in sick for my deadline this week, because I was too sickened by the events in Newtown, CT on Friday to even begin to put words together in a readable fashion. As I finally begin to shake out the thoughts onto paper, I’m saddened even further. I found myself pouring through last summer’s columns to make sure I hadn’t written this column before. Unfortunately, these gut-wrenching emotions are not new, as I had similar feelings after the Aurora, CO shooting.
This time it’s worse. Young children lost their lives. I could not stop crying as the news unfolded on Friday afternoon. The grief of the families of the victims was inconceivable to me. And then, as details of the shooter unfolded, words like Asperger’s and autism were used, and my stomach lurched.
By pure coincidence, I happened to be in a newsroom observing an editorial meeting during the aftermath of the Aurora shooting. The staff was from diverse backgrounds, and I remember being struck by comments of relief that the shooter wasn’t a Muslim or an African-American. My immediate thought during this conversation was, “How can anything about this situation bring one relief?” And then Joe Scarborough from MSNBC’s “Morning Joe” came out and asserted that the shooter was probably autistic. Suddenly I totally got what the newsroom crew was feeling.
When people do these inexplicable acts of violence, we rightly want to know why. Why would anyone ever want to hurt so many people? Why did we not see the warning signs? In an effort to answer these questions, we try to identify the shooter and assign labels that we understand as being different than the rest of us. But the problem with assigning labels to these shooters is that not all people who wear these labels are shooters. But if a shooter is assigned a label, you can bet that the others assigned that same label will suffer by association. Reporter Juan Williams infamously lost his job by stating on air that he felt nervous when he flew with Muslims. The need to disassociate ourselves with evil results in casting a shadow of evil over that population which unfortunately shares the perpetrator’s label. It is a dangerous habit we have fallen into as a society.
Readers of this column are likely to fully understand that having autism does not make one more inclined to homicidal tendencies. The Autistic Self Advocacy Network (ASAN) has published a statement in response to the autism allegations in the Newtown case. The devastation of this shooting has the potential to be a devastating blow to the autism community without such public outreach.
Unfortunately (and I feel I’ve overused that word in this column, but there is so much unfortunateness to this situation) having autism does not alleviate the chance of also having a mental illness. As the autism community begins to circle the wagons because of the labeling of this shooter, it is important that we not turn a blind eye to the very real issue of mental illness. Perhaps now is the time to become keenly aware of behaviors that extend beyond the autism diagnosis. Perhaps now is the time that we demand better support from our mental health professionals. There needs to be better screening and intervention. Before I started classes at my university, I was required to provide documentation from my physician that I was healthy. Upon enrolling my children in school, I was required to provide proof of immunization and dental check-ups. Why should a mental health screening not become part of our routine health maintenance and required documentation as well? Mental health issues should not be kept in shadows of stigma, and those needing help should not be hindered by the cost of seeing a mental health professional, or by some overarching diagnosis that tries to fit everything that ails you. Just as this horrible incident may have the ability to turn the gun lobby on its ear, hopefully it will have a similar impact on mental healthcare.
It’s been about two years since Cody actually began receiving day-hab services. After a long deliberation, Bill and I have decided to end them. While there were times when it looked as though the services were helping Cody progress, there’s really not much to show for it now.
When we contacted Cody’s Service Coordinator and let her know of our decision, she suggested we try other agencies. But the truth of the matter is that this sort of job is a popular occupation for college students who are social services and psychology majors. Most of them are very young. And they use this sort of employment as a stepping stone in their career. When they do that, they don’t stay. When they don’t stay it means there is no consistency. If there is no consistency, the plan is to no avail.
In addition, being a direct care worker for people like Cody pays very little and it requires hard work and dedication. Hard-working, dedicated people are often individuals who have more life experience under their belts than the average 20-something college student. But many people like this have families, mortgages and other obligations that prohibit them from accepting low-paying jobs such as that of direct care staff. Finding a person like this who can or will accept such a position is frankly, quite rare.
So, we are now in the process of assessing our next move. What Cody needs is to learn life skills that will help him become more self-sufficient. It is all well and good to say that the day-hab services did provide social interactions for him. But did he learn social skills from those interactions? The answer to that question is mixed. When you have young people coming in who have never had any sort of life experience with people with autism, they sometimes seem to forget their own social skills. They often lack the understanding that they need to communicate with Cody the same way they would with anyone else.
In a number of my columns I wrote about Stephen. Stephen was awesome. Not only did he talk to Cody with ease, but he also set a wonderful example for him. His behavior and manners were exemplary of those Cody needs to see, learn and emulate. But others who have been sent to teach our son those skills did not measure up at all. We have had those who frequently called to ask us what we wanted them to do, in spite of the plans we discussed in meetings and were put down in writing. We had one young man who lied about our washer and dryer being broken so his supervisor would give him permission to leave early. We had another young man who stole an item from our home. And we have had more than one tech who has been way too interested in spending time on his cell phone. Those are not behaviors I want Cody to emulate.
Since I am at home all the time now, it is easy for me to take on a larger portion of teaching those skills myself. And I love doing it. This has really been what I wanted all the time and hopefully it will be permanent. But I want Cody to have every opportunity to be successful in learning and using these skills, he can possibly have. So the question becomes now, what kind of service can help my son do that?
Cody has a “Partnership of Hope” (Medicaid) waiver. We have to find a beneficial service the waiver will pay for or he will lose it. His next meeting with his Service Coordinator is in January and she is looking into options for us as well.
There is a facility in Springfield that is supposed to specialize in these services. Participating would mean that Cody would go there for a day or two every week. The program is structured like a continuing education program for people with ASD and other intellectual and developmental disabilities, and claims to teach the skills Cody needs to learn. The classrooms are small and appear to be well organized so perhaps Cody would be able to focus and learn without feeling overstimulated from the noises and activities of overly crowded areas.
So we’re not giving up, there’s still hope. It’s just a matter of which direction to head to find the solutions we’re looking for.
Imagine Christmas without the trappings: no tree, no presents, no Santa. I can picture it, because my family didn’t “do” Christmas—at least not in the traditional sense—when I was growing up. We were members of a church that believed in getting back to the basics of the holiday. In that spirit, the church asked that its members defy the consumerist “spin” on Christmas. All well and good, but this defiance came with an attitude of judgment and legalism. It was all too easy to look down on others who made different decisions. And it was also all too easy to feel guilty for wanting the “traditional” kind of Christmas. That longing was about wanting to fit in. I was a shy, bookish girl trying to get through school without being seen as “weird,” but I had a younger brother with autism, and I belonged to a church that frowned upon Christmas trees and Halloween costumes. “Normal” was a tough sell.
Even so, my brother Willie and I were fortunate, because we grew up in a family that wasn’t afraid to leave “normal” and create its own traditions. Yes, I’ve had to let go of attitudes of judgment, but I’ve been blessed with memories of reading by the fire, of watching my parents (and, later, Willie) light candles in the windows. And Willie and I were in no way deprived. Each fall, our parents would give us both Thanksgiving gifts. which we all knew were actually Christmas presents in disguise. (Their subversiveness on this point still makes me smile.)
And so, this holiday season, I consider the gifts that “leaving normal” has given me. Around me and within me, I observe the all-too-human desire to wrap up the year “successfully.” Yet I think that what we really want, underneath the perfect trees and packed schedules, is wonder. We want to be able to look around at our lives and see the beauty within them.
And last month, I had an opportunity to do just that. When my husband and I spent time at my parents’ house for Thanksgiving, I was able to step back from my preconceptions and delight in the present. Willie and I read a book together, sitting side-by-side in front of his bookcase. I looked up at the books, mementos, and photographs lining the shelves, and I saw evidence of what I’ve always wanted for my brother: a full, engaging life. That life might be unconventional, but that doesn’t make it any less real. Willie’s interests, activities, and ways of connecting are different from my own, but they are equally valid, equally vital.
Finally, my gaze fell on Willie. My brother was intent on his book. His posture was familiar; after all, how many times have I found myself pitched forward, as though to dive into a beloved book? Since Willie was leaning forward, I could study the writing on the back of his shirt. He was wearing a tee from one of the walkathons I’d participated in as a member of the L’Arche DC community. Since L’Arche did walkathons each year, community members received free tee shirts for their participation. It had become a tradition for me to hand over extra-large shirts to my dad and brother during the holiday season. I saw “L’Arche” spelled out on my brother’s back, and my heart was full.
And something spoke to me, saying: Look. Not only does your brother live this full life, but because of him, you were led to be a part of L’Arche, where you found a full life too. It’s all connected. And that’s the best “Thanksgiving gift” I could have received.
I enjoy writing for a living, but I have also wondered what other types of work might be suitable for me. There are several professions that I have considered and rejected for various reasons over the years, but one occupation which has been of endless fascination to me has survived. So, I was pleasantly surprised to find a class in voice acting in a recent catalog of elective classes being held at my old college. Curious to find out what a career in the field had to offer, I attended the class and am very excited about what I have learned about this profession and how I might find my own unique voice in it.
The instructor, himself a professional voice actor, started out by giving the class a brief overview of the kinds of work a voice actor could expect to be doing. There are two major categories of voice acting work: commercial and narrative. They encompass a vast number of genres and purposes including advertisements for television and radio, public service announcements, audio books, announcing at sporting events, Internet broadcasting, voicing video game characters, and other roles.
A potential drawback to starting out in this field was the revelation that becoming a voice actor is much like starting up a small business. There are many opportunities for work but there is also a far larger pool of talent competing for these opportunities, so it can be challenging to find employment. One must essentially represent himself by sending out his own demos to potential clients, dressing and acting appropriately when interacting with clients and recording studio personnel, and following up with clients and personnel after a job is completed.
The class’s final portion was the part I had been looking forward to the most: the chance to record a professional “demo” of my own voice and receive feedback on my performance. Each student was asked to come up to the microphone and read a piece of material called “licensed free copy,” which is basically a fictional script filled with generic names and products so as not to invite lawsuits from any legitimate companies or individuals. Our voices were edited together to form a commercial meant to simulate an actual radio advertisement. Our commercial was for an imaginary online car website and we each had to convey different emotions depending on the type of copy we received. I played the part of a frustrated customer.
I was slightly nervous before I recorded my part of the demo. The instructor had told us not to touch the microphone, but because I tend to want to touch things around me, I really had to restrain myself from doing this in addition to concentrating on delivering a good performance. In addition, I was a bit nervous with all of the people standing around me as well as with all of them looking at me, a pressure compounded by the room’s small size which made it feel like there would be no easy escape if I tried to leave. In retrospect, this “fight-or-flight” response seems a bit irrational, but it did briefly cross my mind at the time. To my surprise, I felt quite comfortable speaking during the demo itself, probably due to my familiarity with the feeling of frustration, and it was not hard for me to convey this emotion in my voice as I read the script.
After the demo was completed, the class was able to hear the full commercial. Hearing my voice alongside those of the other students felt a bit weird at first, but after the commercial finished playing, I felt proud to have had the courage to do it in the first place.
With the class completed, the instructor gave each of us an opportunity to receive feedback on our performance. My performance was assessed as being very good with one small exception. Apparently, my voice was a bit too loud, but I did convey the emotion of frustration very well. I have made a note of this and plan on working on controlling how loud I speak as I continue on this new career adventure.
My first taste of the world of voice acting was a very positive one. I was excited to do something new, but at the same time a little nervous as well. It had been a long time since I was in a classroom by myself with people I did not know, but I was able to come away from this experience confident in my ability to continue learning. I plan on researching what types of voice acting courses and opportunities are available in my area. I am sure this could be a good way to get more experience and supplement my income doing yet something else that I love. Keep your ears open; you might be hearing me in the very near future!
Throughout my life, the “issue” of procrastination has reared its ugly head more times than I care to remember. In retrospect, I can easily recognize how being an undiagnosed Aspie made a bad situation worse in this regard. I have chosen to bring it up now in this forum in an attempt to not only work through some of my own thoughts about how procrastination as it relates to my autism has impacted my adult world, but to hopefully impart even a fraction of my ever-evolving insight on the amazing youngsters in my life who share this struggle.
My first memories of procrastination in my world are probably of grade school, when I began taking piano lessons. I wanted to do well, and certainly wanted to be able to play like my father, or at least like my best friend, both of whom were gifted pianists. While I could play, I could not, to my dismay, reach the level I so desired, and as such became discouraged quite easily. This discouragement led to the procrastination—if I didn’t practice then I didn’t have to make countless mistakes time and time again, and didn’t have to acknowledge that I would never be good enough. Problem solved … oh, wait. Problem not actually solved so much as made exponentially worse, because when time and money are going into music lessons that a child says she wants and then the child appears not to want to put in the work, that is a problem. And such is the nature of procrastination, taking what may be a mildly uncomfortable set of circumstances and turning those circumstances into something that reaches disaster-like proportions in the autistic mind—we are typically not ones wired towards the middle ground in this regard.
So why procrastinate? From that first experience, rather than learning from the consequences of not practicing, I went on to an amazing academic career of putting off term papers and research projects as long as possible. One in particular stands out in my mind as it was a paper that I began writing after midnight the day it was due. How I managed through four years of such shenanigans is beyond me. I cannot offer any rational explanation as to why placing myself in situations that produced such monumental stress, anxiety and depression was my go-to position for more years than I care to recognize. I suspect—and this is where the autism comes into play, for me, anyway—that it has more than a little to do with the need to be perfect.
I recall my son learning to climb the stairs as a young child. He started up the stairs, realized he was not going to make it all the way, came back down, and did not attempt the feat again for several weeks, at which point his ascent was flawless. Even at that tender age, he was determined not to do something unless he was going to be able to do it perfectly. This pattern magnified as he grew, and has caused as much angst in his life as my tendency to procrastinate has caused in mine. I see the pattern in my students every day. A combination of not wanting or caring to think about the future running full-speed alongside an inability to do anything unless it’s going to be done exactly right can make things like postsecondary planning a bit of a challenge.
I wish I had the perfect solution for all of us. Fortunately, in my concerted attempts to STOP putting off until tomorrow what should have been done last week, I have an idea. Behavior Modification 101. We humans, autistic or not, act in ways that will bring pleasure and avoid pain. We get some positive reinforcement for everything we do. In using my Aspie powers for good instead of evil, I have decided in recent times to take a logical approach to this very irrational problem. I am learning to recognize that the pain caused by procrastinating outweighs the pleasure that comes from taking the Scarlett O’Hara approach to uncomfortable, challenging or tedious situations. Thankfully, I have a job that I adore on many levels. A perfect training ground for getting done what needs to be done when it needs to be done, whether tedious or monumentally important—or both. Lo and behold, as it turns out, I do not actually have to do everything perfectly the first time … I just have to make sure I get it done when I am expected to get it done, and if it ends up being perfect, great. If not, that’s probably okay too. It has taken me the better part of … well … quite a number of years to come to a place of being able to internalize this lesson.
It’s dreadfully hard for those of us wired for perfectionism to settle for anything less—we’d rather not try at all. So to those of you who love us or care about us at all, don’t be afraid to keep reminding us that we actually don’t have to be perfect. We just have to do what we need to do when we need to do it. As this becomes more natural to me, I am happy to report that procrastination is not the problem for me it once was. I am no longer paralyzed now that I can recognize that the payoff is NOT worth it. And that I am worth more than all the anxiety set in motion by putting off until tomorrow what needs to be done today.
One thing I’ve never been accused of being is overly optimistic. What some people may call pessimistic, I prefer to think of as being prepared for the worst. We parents of children with ASD really can’t afford to not be prepared for the worst. But sometimes, when things have been going in a positive direction for a while, it’s easy to get swept up in the good feelings, and then be caught completely off guard when something doesn’t go according to plan.
I don’t have a lot to complain about when it comes to Cameron. He’s a great kid, and has truly started to blossom as a young adult. But there are moments when I find myself thinking, “Really? I thought we were past this!” For instance, he recently returned home from school and had apparently left something on the bus, as the doorbell rang immediately after he entered the house. Cameron yanked open the door, snatched whatever he had left behind, and slammed the door. I was standing in the next room, dumbfounded. I said, “Is that how you react to someone who has done you a favor?” To which he responded by yanking the door open, barking “THANKS!” in his gruff tone, and slamming the door again. Yeah, that’s way better. I’m sure his social worker would be thrilled.
I’ve mostly been content with Cameron’s ability to manage his own schedule, and knowing how he needs to prepare himself. I can’t help but test him though. Knowing of an upcoming field trip and the related dress code, I asked Cameron which day he would be going. He didn’t know. I asked him if he was aware of the dress code. He answered in one of those ‘I’m afraid to say no, so I’ll try another answer and see if it works’ ways of his. I think the particular answer he gave was, “I might.” This field trip is to a job developer, and students have been asked to wear interview appropriate attire. The trip happens to take place during spirit week at school … the day in which students are to come to school in their pajamas. Had I not reminded Cameron to inquire about the details, he would’ve shown up for an “interview” in his pjs! But, these mistakes are not life and death situations. If he were to have gone on the field trip in his bathrobe, it certainly would have been a teachable moment.
When I catch Cameron in a situation where I feel he has underperformed, I always wonder if my expectations of his ability to manage his independence are too high. When my confidence starts to falter, I force myself to allow him new opportunities to prove me wrong. This past weekend, he flew to see his dad, and left from a different airport. I was initially tempted to get a gate pass and accompany him to the gate, but made the decision to let him go alone, which of course he managed just fine. I watched him go through security and present the TSA agent with his Metro pass instead of his state ID card. I watched the agent look curiously at the card for a moment, and then she looked back at Cameron. Before she could say anything to him, he had the proper ID card waiting in his hand. He realized his mistake and corrected himself. And that to me is almost better than not making a mistake at all. And so I continue to hope for the best with Cameron and prepare for the worst. He’s making it difficult for me to keep up my pessimistic front.
During my first semester at Seton Hall University, one of my professors told us we couldn’t use laptops in classes in order to avoid “distractions.” For some this was easy enough to do (for those who aren’t addicted to Facebook at least) but for me it was a completely different story. When I first arrived at Seton Hall I had the opportunity to sit down with the Director of our Disability Support Services to work into my courses “reasonable accommodations.” Many of these accommodations were due to my diagnosis of autism. I was granted accommodations such as extra time on tests, a private room to take tests, and a recorder to have all my classes taped.
One thing many don’t know about me though is that along with autism I have dysgraphia, a handwriting disorder. When I was young it would physically hurt to try to keep my hand still enough to write. So, when this issue came up I needed to address the fact that in addition to everything else I needed the computer as an accommodation in order to take notes.
I was thinking about this subject the other day while I was writing my signature on a form and it made me think about how a disability, such as autism, can be linked to so many other disabilities. Growing up I had issues with fine and gross motor skills, which could very well have been factors leading to my diagnosis of dysgraphia. This could also be linked today with how some of my emotional issues and sensory integration difficulties have led to anxiety when it comes to living everyday situations.
These challenges have made me question my future in the workplace. I feel as though as time has gone on, in every stage of my life, accommodations have been becoming a lot less detailed. Could this also be the case wherever I land a job next? It then made me wonder if a workplace would even be able to handle someone with multiple disabilities. More and more I’ve seen through internships that there has been training on acceptance and accommodation for individuals with disabilities but these discussions have always seemed very specific on each disability by itself … not multiple disabilities combined.
I must admit I do look forward though to tackling these challenges head-on if/when they happen. Tackling topics such as these has been something I’ve been doing my entire life. School systems barely knew what autism was in the 1990s when I was growing up, but I was able to make it through. High schools didn’t see individuals with autism as individuals who could make it to college, but I got to prove them wrong as well.
In the end, I don’t have a clear answer as to how to make these situations better. I think the greatest challenge will be the awareness of these cases where this happens. More and more we are harping on “acceptance” for those with singular disabilities but more time should be studied on how to help individuals with multiple disabilities progress, because there is a large community of us out there. In the workplace it will become a situation that should be constantly monitored. Public schools provide individualized support based in specific disability or combination of disabilities and we should encourage our workplaces to do the same.
During our Thanksgiving holiday, I made the radical decision to be present for my brother. This may sound like a simple thing, but there’s complexity to it. First, like many young adults on the autism spectrum, Willie is good at going off by himself. There are times in which he needs solitude, to be sure, yet there are also times in which he longs for companionship. However, Willie doesn’t usually articulate that need, so it falls to those around him to discern it.
Next, the choice to spend time with Willie often means stepping away from the crowd myself, and this can be tricky when I want to be a part of it all. But being Willie’s sister helps me to notice what is going on “at the margins” … and this means that I see what my brother is doing when he’s on the periphery of our family life. So, instead of pursuing additional projects around the house during the holiday, I decided to be more intentional about “tuning in” to Willie; that is, to be open to times in which he might welcome my company.
One afternoon, this meant that I put off checking my email and listened to Willie play the piano instead. He ran through his practice pieces two times each, and I rested beside him. The late-afternoon sun was filling up our living room; everything was quiet save for the music. In that half hour, I heard him with my whole heart. Studying his profile, I was amazed at how adroit his fingers were as they danced over the keys. I couldn’t resist getting out my camera, even though I knew I’d fail to capture what I loved most about the scene. As I watched him play, I thought: We’ve each found something that makes our fingers fly. For me, it’s writing; for him, it’s music.
I was—I am—very proud of Willie. Hearing him play his current favorite song (“Carol of the Bells”) showed me how much he has improved and deepened his playing in the last year. And the next morning, when he went from composed pianist to a borderline meltdown, I was able to remain calm within myself. And that is something of a miracle to me, especially after my own loss of control in the wake of one of Willie’s meltdowns last month.
During Thanksgiving week, I experienced two different borderline meltdowns with Willie. In one instance, I was the point person to help him regain calm; in another, I stood by, ready to help my aunt and uncle if they needed me. In both cases, I had the opportunity to live the lesson I’d learned from my own mini meltdown the week prior: Instead of judging Willie for losing control, I need to manage my own temper.
What did I tell myself as I stood there with Willie? Staying present is how I stay sane, I reminded myself. Just stand here. Let there be no stories of an imagined future. Let there be no judgments about the past. Just be here, now, with Willie. Just breathe in and out. Just notice that, in each individual moment, we are both all right. No matter what happens, I believe that we will both be “all right” in the deepest sense of the phrase.
And afterward, I realized something amazing: Coaching myself to be present to those difficult moments with Willie enabled me to feel more joy during the happy times. For example, one evening we looked at a dog book together. There was nothing spectacular about it, but it was inexpressibly beautiful to me. If I had to translate what I felt into words, it would be something like, “I can see absolutely nothing wrong with this picture. I would not change one single thing.”
Likewise, on our last morning, Willie was walking through the kitchen and saying, “I love … I love …” He kept trailing off, so of course my curiosity was piqued. “What do you love?” I asked. (Willie regularly makes statements such as, “I love computers!”) His unexpected reply? “I love Caroline.”
As Aspies, we sometimes have trouble reading facial expressions and other nonverbal “language.” (Indeed, some of us are prosopagnostics—we have trouble even recognizing or remembering faces.) That means we can do things like miss the comely young lady who's been giving us “the eye,” bore the heck out of a lunch-table partner with our scintillating knowledge of all known programming languages and even make people nervous by getting into their personal space uninvited. In fact, it also means we can be prime targets for robbers, rapists and serial killers, since we 're less likely to recognize danger in time to discourage the criminal or escape.
Maybe technology can help?
As mentioned above, many of us are very comfortable with things like computers. After all, unlike humans, they give us detailed error messages! (The fact that those error messages are just as incomprehensible to those not “in the know” as nonverbal communication often is to us, I think, only makes computers more attractive to many of us. Wow—here's an area of life where we're the in-group!)
Also, the closest computers come to requiring small talk is the “handshake” between modems, and that's just between each other anyway. Whenever we ask for something, the computer either does it or not ... it doesn't matter what it thinks we feel about it, or how it feels about us, or even what it thinks our real best interests are. And if it doesn't do what we ask, and we seek professional help, they tell us how to make the computer do what we want—not try to “mediate” between us and see how we can pay more attention to the computer's feelings.
As the lead-in to “Six Million Dollar Man” famously pointed out, we have the technology. For example, for years my laptop has offered me the option of setting up face recognition—that is, only allowing a login if its webcam recognizes my face. My new smartphone gives me the same option. And we can now link up our electronic eyes to some very sophisticated algorithms—artificial brains, in certain respects. For example, SAS Software recently announced a new risk profiling package that improves the odds of detecting suspicious people before the bad ones strike. Meanwhile, others are developing software that can read microexpressions—extremely brief changes on people's faces, which can indicate lying or other problems—possibly better than humans can.
So, perhaps within a few years at most we'll be able to take our webcams, smartphones and digital cameras/camcorders out, scan a crowd or even someone we're talking to and know whether to approach, back away or just walk by. We might even be allowed to use them on the job or even during interviews as a reasonable accommodation, so we may know how receptive the other person is to our proposal, a request for a day off or even that brilliant behavioral interview story. Then over time we can learn what different situations and expressions mean.
Let's use technology to make us stronger people, not helpless weaklings tied to our devices!
We’d prepared a Madison feast.
Seven of us had gathered to celebrate a "floating holiday" together. I'd set the large dining table for all of us, including Jamie, a family friend who was Madison's caregiver years ago, and Gloria, an out-of-town relative whom Madison had never met.
We had Madison favorites, including cheese pizza, but also added a new lets-see-if-she'll-like-this item, sure to be a surprise—for her and for us.
I prayed Madison would respond positively to the mixture of old and new—of both food and friends
As usual, we never really know.
When Madison arrived, she was happy, singing a bit of a new song she'd must have learned at the respite camp she'd just attended.
"Madison," I said touching my hand to her shoulder to get her eyes to connect with mine. "This is Gloria," I said, and took my hand to point, leading Madison’s eyes to Gloria.
"Say, 'Hi Gloria.'"
And she did, briefly looking at Gloria before spotting the pizza and heading toward it.
“Oh, guess it’s time to eat!” I said, directing everyone to the dining table.
But Madison went to the adjoining smaller table, pulled out a chair, and plopped down. "Pizza, please," she said, in her polite but demanding voice.
"Why did she sit there, Aunt Becky?" asked my 10-year-old buddy, Alexander.
"Hang on, Zan," I said. "Let me get her settled."
And I scurried around to grab her plate to fill it with a slice of pizza.
"This is where she usually sits when she's home for a visit," I explained to Zan and the others. “I'll sit here with her if you don't mind."
So we had our tandem pizza party while everyone reviewed together camp report and crafts.
"Now let's see how she’ll like her surprise treat," I said, pushing her plate away to show her the cookie.
"Madison, try a cookie."
And she took one small bit, and then two larger ones.
"She likes it!" I said, so excited to find one more addition for her future feasts.
Madison gobbled down another and then shot up from the table and headed downstairs.
“Where’s she going?” asked Zan.
“Probably to get her “Barney” tapes,” I explained. “She likes to gather a few of them to take back to school.”
Sure enough she came back from the basement with three “Barney” tapes, opened a cabinet drawer to get a shopping bag, and put them in it.
“Why does she do that?”
“Well, she loves Barney. He has been a special friend for her since she was very young. She still likes to get the tapes, so we let her get the tapes and put them in the bag.”
“Will she watch them at school?” he asked.
“No, not anymore,” I said quietly, so Madison wouldn’t hear. “She likes to watch them, but then she sometimes gets upset watching them and will pull out the tape, ruining the video.”
“But if she likes them, why does she do that?"
I paused and looked at Zander's deep brown eyes, so filled with curiosity—and compassion. I sat for a moment, trying to figure out how to explain it simple terms.
“Well, Zan, you know how we like things with sugar in them—sugar cookies, M&M's, chocolate cake?"
"But, sometimes it's not good if we have too much, right?" and Zan smiled at that suggestion.
"We get hyper, right? And some of us become prone to mischief?” I whispered with a smile.
“That’s kind of how it is with Madison. She loves Barney, but too much of it is not good for her.”
“Oh, I see.”
And we were off to the next topic.
Later that evening, I started thinking about all the other things that Madison has “liked” that weren’t good for her. Hand flapping. Spinning objects—from empty liter soda bottles to lampshades. Rewinding tapes until they (or the VCR) broke. Looking into the mirror and “eeee-ing” at her reflection for long periods of time.
To let her do or not do was often a difficult question answered differently by specialists and professionals.
To prevent her from doing them often caused tantrums. To allow her to do them also could cause tantrums.
“How much was too much” was an ever-present thought, constantly re-worked by age, circumstance, tolerance—and a healthy supply of mindful moderation.
As I look toward the upcoming coming holiday season, I wish for us all celebrations filled with “just right” moments—of old and new, curiosity and compassion, and the joy and excitement of well-received surprises.
It’s not every morning that I am able to sit down and read the newspaper. On the days that I do, sometimes I find myself wishing I hadn’t because the news is so bleak. On the front page of Friday’s Washington Post was a story by Justin Jouvenal covering issues regarding oversight of guardians for the elderly and incapacitated. I follow eldercare issues closely, as I feel that they closely align with care issues for adults with ASD. Both the elder and the ASD populations face the issue of who will care for them when family members cannot. The Post article illustrated what can happen when a third-party caretaker is responsible for day-to-day household administration and also controls the finances.
After reading this article, I wished Friday hadn’t been a day I got around to reading the paper. The article illustrated in vivid detail the exorbitant fees legal firms charge their clients for which they are guardians. One family was charged $6,300 to prepare $1,800 of household items for auction. In another case, a ward the Post refers to as “mentally disabled” was charged $800 by his guardian for arranging his birthday party at Hooter’s. When the first family drew an investigation into unreasonable fees, the guardian firm in turn charged the family $975 for legal fees associated with their own defense.
The article pointed out that there is very little regulation, or even training, when it comes to third-party guardians for the elderly and incapacitated. This most vulnerable population is at great risk of being taken advantage of by the very entities assigned to protect them. I can’t help but think of a scenario where an adult with ASD loses her parents only to then be swindled by the guardian legal firm which her parents painstakingly selected for her as protection after they’re gone.
Now of course, there are some invaluable services guardians provide, and not all firms bill in the same manner, but to charge $125 an hour for personal services such as renewing dog licenses is unconscionable. And as the Post article points out, this is not an isolated incident of one firm’s unreasonable billing practices.
Parents seeking care for their adult children after they are unable to care for them themselves have their work cut out for them. And it’s pretty miserable work at that, so many parents may put off today what makes them uncomfortable to think about, especially when there are few clear solutions. I wish I had a recommendation list to offer, or even a good place to start. Perhaps just acknowledging the job needs to be done is a good start.
As Cameron approaches his 18th birthday, I was just trying to get my head around a different kind of guardianship issue. (As in to what extent I need to protect Cameron as an adult, and the processes by which to execute that protection.) I now realize figuring out stuff as I go along will continue to happen as long as I am still going along.
A couple of weeks ago, Cody’s grandmother (who lives with us) became ill with an upper respiratory virus and was hospitalized twice inside of a week. It was clear to me then that her health was deteriorating quickly and that left me no other choice but to quit my job at the behavioral facility where I worked, and stay at home to take care of her and my other obligations.
This has given me a firsthand opportunity to see for myself how things are going with Cody and his new occupational tech. I quickly noticed some areas that needed some attention.
The main goal in having day hab services for Cody has always been to help him learn the skills to be self-sufficient. And it is necessary for him to be out in the community to learn part of those skills; there are also skills that need to be learned here at home. However, I found that there was more playing than what I was comfortable with going on instead.
It is important to me that Cody’s activities with the occupational techs that work with him have a clear agenda. Yes, fun can be incorporated into the plan and I want it to be fun for them both. But on days when they are going out into the community there needs to be a goal of what they will accomplish and I want to know what that is and where it will be done. So last week, when I asked where and what they were going to do and the response I received was, “I don’t know … wherever he wants to go I guess.” Well you can imagine I was less than satisfied.
I also noticed there were tasks at home that were being neglected. When I explained to the service provider in our initial meetings that I wanted Cody to learn to make his bed, I knew it would take time for him to learn to make his bed in a proper manner. But after several months I expected to at least see the techs were working with him to improve his performance. Last week, I walked into his room to find that the top quilt had simply been pulled up over a mass of jumbled sheets and blankets. I was not impressed.
Until recently, I had made it a point to check progress notes the techs would leave in Cody’s plan binder on only an occasional basis. Last week, I found daily notes that said nothing more than, “Cody went with me to the mall. He had a great time.” There was nothing about, where they went in the mall, with whom Cody interacted and in what way, or what outcome was addressed and how well did he do. I was not pleased.
My frustration here is I feel like we have made great strides to communicate with the service provider and the occupational technicians as to what our expectations are. I bought the supplies for assisting Cody in his continued academic learning. I made a special point of purchasing a schedule poster and writing the scheduled tasks on it. I posted it on the kitchen door which is a place where it cannot be overlooked. I have verbally communicated with techs and supervisors and Cody’s caseworker what we wanted to see in the plan. And the plan was written to those specifications. There is a copy of it in the binder the techs all use. I’ve read it and I feel it’s written in very clear form. So why are we having to continually address this kind of issue?
I don’t mean to sound ungrateful for these services provided that are paid for by the state. I am thankful for them. Without this resource it would mean Bill and I would have to pay for services out of pocket. Now more than ever, that is not something we can afford.
So, for now I have no choice but to learn new coping skills to manage my frustration of having to repeat myself to those who are supposed to be in charge of Cody’s services, and having to micro-manage the continual flow of strangers who enter my home and work with my son.
I still remember the first time I lost control of my breath. I was standing on the ice during a figure skating practice session when my then-coach approached and chastised me. I’d taken a quick break to talk with a friend after our lesson, and he was appalled. He told me that I wasn’t working hard enough, that I didn’t take the practice seriously. As he skated swiftly away, shame washed over me. And there were flickers of anger, too, at the injustice of his words (I’d taken a very brief break, after all). I struggled to maintain composure, but I’ve never been good at keeping my emotions under wraps; a few tears trickled over my cheeks. Worse, I felt my breathing accelerate, and I couldn’t seem to slow it down. Panicked, I moved off the ice, and spent the next few minutes trying to calm myself enough to breathe normally.
At the time, I didn’t know what “hyperventilate” meant. All I knew was that losing control over my own breath was very, very scary. I still remember the visceral terror of the first time my emotions hijacked my ability to breathe. And of course, the fear I felt only made the hyperventilation worse.
Today, I wonder if my brother Willie’s meltdowns are at all akin to that. There are times when Willie chooses to behave disruptively, but there are other times in which his actions seem outside of his control. After those meltdowns, he seems truly shaken up by his behavior, just as I was shocked by my hyperventilation that day on the ice.
Recently, Willie had an assessment appointment with a new doctor, so my parents and I have been talking about possible new treatments. As always, we’re trying to discover what support might help Willie manage his own behavior. We don’t fully understand what triggers the outbursts. There’s definitely a physiological component, yet we don’t know how much stems from anger he can’t express in a healthy way. In the past, I’ve judged my brother for his inability to control that anger. But I know myself a little better now. Thanks to Willie, I’ve smashed a guitar; I’ve run away from home; I’ve dealt with the effects of leaving normal. That anger that he feels? That anger is in me, too. I can’t deny it.
Recently, I had an opportunity to taste what it’s like to be Willie—to struggle for composure and fail in the attempt. I’d spent an hour working on a revision. Ideas were flowing; I was feeling good about doing the work. And then my Word program crashed twice, taking the majority of the work with it.
We’ve all been there, but that doesn’t make it any less infuriating. Staring at the computer screen, I wanted to throttle something. How could my work have vanished? Why hadn’t I double-checked my autosave settings? My anger started boiling. And of course, my kitten Bootsie chose that moment to leap into my lap. As I picked her up, she lunged and shifted her balance. She reached toward me, trying to prevent herself from falling. One claw caught the skin near my collarbone. Pain shot through me. It was all too much. I started crying and yelling, and the cat panicked too. By the time I managed to detach from her, I had officially lost it. I chased after the cat, my anger ablaze. She cowered as I yelled things that would make my mother want to wash my mouth out with soap. It was not my finest moment.
As I stood in the bathroom bandaging my chest, I felt my breath careening out of control. With an effort, I did the breathing exercises that my parents do with my brother. By grace, I also remembered Anne Lamott’s line from “Bird by Bird”: “Your anger and damage and grief are the way to the truth.” In other words, order to get to the truth, you have to get into the messy parts of yourself, the things you’d prefer to disown. (I hate that.)
Once calm, I stared at my reflection, and shook my head. Willie, I said to myself, I’m sorry that I ever judged you.
I recently completed a six-week anti-bullying class. The class met once a week and consisted of a group of people with disabilities like me. Our instructor led us in discussions regarding the issue of bullying, how it applies to us, and what we can do to prevent it from happening to us and to others. Through these lessons and class discussions, I have uncovered a wealth of information on bullying which has greatly broadened my understanding of this subject.
It was firmly established at the beginning of the class that a typical bullying situation revolves around four types of people: the bully or aggressor; the victim or “bullied”; the authority figure, who can be a teacher, parent, or other person in a position of influence who can prevent the situation from escalating further by positively intervening; and the bystander, a person “watching the wreck” who could intervene, go for help, or simply take no action at all. There are also different forms of bullying including physical, mental, emotional, and psychological. The bully may have different motivations for what he does including lack of self-confidence, a desire to demonstrate toughness, or mere habit.
The class as a group discussed strategies for dealing with bullying situations in our lives should we encounter them. We were taught that there is an effective three-part plan to stem bullying: have knowledge of the bullying situation and identify all of the participants, intervene in the situation and help to put a stop to it if one is able, and find an authority figure to help if the situation is escalating. It is essential to remain calm and react in a positive manner. Expressing self-confidence, compassion, and rationality help to get the problem under control.
We also learned about another strategy which illustrates a way to peacefully intervene in a bullying situation. It uses the letters in the word “assert” to represent each part of the strategy and to demonstrate the assertive attitude needed to carry this plan out. The first letter, “a,” is for “attention,” the first “s” for three words, “simple,” “short,” and “soon,” the second “s” for “specific behavior,” “e” for “effect on me,” the “r” for “response,” and “t” for “terms.” In a nutshell, when confronting a bully, one should, through brief statements, address all of the relevant details of the problem at hand and the consequences of the bully’s actions. This method provides an opportunity for a person to peaceably present to a bully all of the details of their hurtful actions and give them a chance to change their mind before further harm can be done.
We further learned about different statements we could use when confronted with bullying problems. Many of them take the form of “I statements” which place emphasis on the speaker rather than the person being spoken to; this places less pressure on the bully so that she may respond more peaceably to others. Many such statements begin with the words “I feel,” though others do not, but all describe the feelings of the speaker concerning an aspect of the situation at hand, express mutual understanding on the speaker’s part of the other person’s situation, and emphasize the consideration of more peaceful, productive methods of achieving what all concerned parties want. One example of this type of statement is: “I feel awkward when you tease me about being short. Please stop saying that about me.”
We also discussed various other topics during the many weeks of the class regarding bullying. One of them was the merits of utilizing humor to ease tension among people; I feel this approach could prove very effective based on the class’s role-playing skits for preventing bullying situations. Another important point was that people should travel in groups to avoid finding themselves alone and vulnerable, especially in dangerous areas. One last very important point made was that if a situation becomes too intense for one to handle, he should move away from it as quickly as possible and find help. In the end, I believe I gained much from attending these anti-bullying classes. I became more familiar with an unknown area of life, learned some very useful methods of diplomacy, and met a lot of new friends in the process. I realize now that bullying is a very big problem: one that all of us need to be aware of and guard against.
The turkey has almost finished roasting when Superstorm Sandy makes landfall. Our lights flicker and go out. I line up candles on the kitchen counter and call our son Mickey to come eat dinner.
“Are we having an adventure?” he asks. He sounds nervous.
“We certainly are!” I say cheerily.
All night I lie in bed listening to the wind howl, praying none of our massive oak trees will fall on our house.
My husband Marc and I wake to news of devastating destruction. Enormous trees have toppled in our suburb north of New York City. Telephone polls have sheared off; electrical wires litter the streets. People have drowned, and entire communities have washed away. NYU Medical Center in Manhattan—a facility we know well from our stays on the epilepsy floor—has flooded. Nurses and doctors have managed to maneuver every single patient, even ones on ventilators, down dark stairways to safety.
We call our older son Jonathan in Manhattan, who has lost power too, and urge him to take refuge uptown with family.
I find Mickey flipping light switches back and forth. “I’m making the power come back,” he explains. Magical thinking.
“It doesn’t work that way,” I tell him, “but we can still cook.” Luckily we have a gas range. I fill a pan with water, strike a match, and open a box of macaroni and cheese.
“This is the adventure?” he asks.
“Oh yes!” I say cheerfully.
We have a gas-fired water tank. As long as the hot showers hold up, we can hold out.
Halloween has been cancelled. I start eyeing all the unopened bags of Fun Size Candy Bars. I distract myself by making strong coffee, and listen to news on the radio. It’s gut-wrenching. A mother’s two children have been ripped from her arms by raging flood waters. As soon as Mickey walks in I switch off the radio.
The food has thawed. We toss everything into four large trash bags. It is 41 degrees outside, yet Mickey still insists on wearing nothing but shorts. He has always hated the feeling of clothes. Why does he seem so impervious to cold?
“Put on sweatpants and a shirt,” I insist.
“No, I need to nap,” Mickey says and climbs back into bed. He resists all efforts to get him out of the house. Finally we lure him to an early dinner at the deli with the promise of burgers and fries. We are walking through the parking lot when Mickey suddenly says, “Oh no. I forgot to put on underwear.”
The eerie silence is broken only by the steady thrum of a neighbor's generator. The power company is saying it will be another week. Just shoot me now.
But I know I have no business complaining when others are in so much worse shape. We’ve been lucky; the house is standing, and we’ve had no property damage. I’m thankful I don’t live on the Jersey shore, where houses have been swept off their foundations. Or Breezy Point, Queens, so ravaged by fires it looks like London after the Blitz.
Our synagogue has power. They invite us to share the warmth and WiFi, so we pack Mickey’s electronic toys, our phones, the laptop, a power strip, and a shopping bag’s worth of chargers.
“We’re still having the adventure?” Mickey asks dubiously.
“Absolutely,” I say, determined to stay upbeat. Marc goes online to order 40 D cell batteries for our lanterns. At the dinner table that night I snap a photo on my phone and post it to Facebook with the caption: “Dining by lantern light. #Sandy.”
I think about packing a bag and going somewhere warm; several families have invited us to stay with them. Which would be worse: uprooting Mickey, or trying to explain his behaviors to people who haven’t met him? How can we leave our two cats? The elderly one has a heart murmur. After I hear a policeman on the radio say, “Empty houses are a burglar’s dream,” I decide to stay put.
Our synagogue invites people without power for a Shabbat community dinner. “Can Wario come?” Mickey asks. Wario is a four-inch beanie baby Nintendo character he used to carry with him for comfort years ago. He jams Wario in his pocket. We enter the sanctuary, feeling shell-shocked in the dazzling light. Clutching Wario, Mickey bops beside us in time to the music. Afterward, he works the crowd. Attention must be paid. Mickey walks up to the new rabbi and introduces himself. “He’s glad-handing like a politician!” Marc says, marveling.
“He feels safe here,” I say.
The cold is relentless. Our beds are piled high with quilts and comforters. Marc and I hear reports of gasoline shortages. Someone has pulled a gun on the gas line. Or maybe it’s an axe.
On the way to the diner Mickey announces, "I'm going to order a burger and fries to cheer me up." He asks if he can get a new game for his Game Boy, and tells me, "I'm going to stay in Best Buy till the cows come home."
Daylight Savings Time ends. The house is dank, and we are dispirited. My muscles ache from shivering. A week in, our cat Fudge still waits patiently for warmth in her customary spot atop the kitchen heating vent. “Is Fudge dying?” Mickey asks fearfully.
“Of course not, honey,” I tell him. “She’s just cold.”
The temperature plummets into the 30s. What if the pipes freeze? The wind picks up; a nor'easter is heading our way. How much longer will this last? Will we?
We are grateful to a friend with power who cooks and brings us a hot dinner. Mickey bolts his food, then climbs back into bed to cuddle under four quilts with Fudge. Marc opens a bottle of Chardonnay we’ve been saving; it has chilled to perfection in our unheated house. We eat in front of the fireplace. It feels basic. Primitive. I think of a refrain from the book “Game of Thrones”: “The night is dark and full of terrors." I wonder what terror the dark holds for Mickey. Our bit of heat doesn’t even reach the rest of the room; it’s black beyond the fire’s protective glow. We huddle close to the hearth in our circle of safety.
Marc attempts to read a book, finally putting it aside. “Maybe Abe Lincoln could read by fire light, but I can’t.”
“I’ll never take our creature comforts for granted again,” I say, even as I know I will do precisely that a month from now.
“I’m not going,” Mickey says flatly. “First lights. Then school.” He struggles to explain, and finally says, “I want to have an adventure with you.”
Does he think “adventure” means excitement, or deprivation? He has endured darkness and freezing temperatures, shortage of favorite foods, the disruption of comforting routines. He has seemed so resilient till now. It is the thought of leaving us that unhinges him.
“How do people die?” he asks.
“They get very old or sick,” Marc says. “Or sometimes they have an accident.”
“Did Aunt Tessie love me before she died? Did Uncle Stanley?” he asks.
“Of course,” I say. “Very much.”
"Because I'm a favorite kid?"
“Yes,” I tell him.
"I’m a cute little guy?"
Sometimes his sweetness slays me.
"I miss my friend Emily so much," he confides. Emily is away at school. He is grappling with more loss than I’ve realized.
We are recharging our devices in the synagogue library when our neighbor calls to tell us we have power. We are back on the grid.
“The adventure is over?” Mickey asks.
“It is,” we reassure him. ”Everyone is warm and safe.”
But of course that isn’t true.
We take it as given that electricity will always flow. That fuel will be readily available. That the food supply is limitless. Superstorm Sandy has reminded us how vulnerable we are, and that safety is a fragile construct.
This week’s “Transition from the Trenches” highlights another example of Parenting Outside the Box. Last month, the spotlight was cast on Deborah Barrett who helped her son find employment through the micro-enterprise endeavor, Anthony at Your Service. In addition to employment, a key transition issue is housing. Debra Walker has come up with a creative housing solution for her adult son with autism, Davis. Debra and her husband, Jim Tebay (Davis’s stepfather), were motivated to find a living arrangement for Davis where there would be better control of outcome for both Davis's quality of life and his independence while using a sustainable model. The group homes which had been considered over the years presented too many compromises to the desired outcomes. A key consideration they sought in the living arrangement was a facility with a viable means to support a person with autism who had a full schedule of work, play, and community involvement, as well as a canine companion.
While many parents find their careers are formed by parenting a child with autism, Debra utilized her professional experience as VP of Health Care Practice at Development Dimensions International (DDI) to implement a housing solution for Davis. In Debra and Jim’s creation of a customized residential solution for Davis, Debra has put to use the practices DDI embodies in the talent management consulting arena. Debra’s story was featured in a DDI publication, in which she explains her intentions for creating a home for Davis: “As he transitioned to adulthood, I wanted to create a home for Davis (and others with autism) in which he could live as independently as possible, where his safety and needs could be met to exacting standards by compassionate and loving staff, and where he could continue to develop and hone new skills and knowledge.”
Davis lives in a private residence that is privately owned by Debra. Eventually, her estate will move the property to a non-revocable estate for Davis. The home is licensed as an independent living facility in the state of North Carolina and operated by a non-profit organization, RHA Health Services, which employs the staff as well as provides administration services such as payroll and state required training. In finding an agency to work with, Debra and Jim conducted their own research based on the agency’s sustainability, their track record in the community, professional administration, and willingness to work with the family to achieve their stated goals. Debra retains control over staff selection and training specific to knowledge of autism and Davis. Pulling from her professional experience, Debra has identified key competencies and attributes she looks for when screening staff applicants: motivational fit for the position, compassion, job experience, work standards, coaching, information monitoring and follow up, collaboration, safety awareness, decision-making, and communication skills.
Davis is employed at a nearby resort and works three days a week. He also volunteers at his church two days a week. Beyond working and volunteering, Davis has responsibilities at his home as well. He is involved in maintenance, cleaning, preparing meals, doing laundry, and caring for his canine companion. Davis is supported by his thoroughly vetted and aptly trained staff throughout the day.
Davis has been living with this custom arrangement for over seven years, and there have been lessons learned along the way. The original arrangement of the home involved another agency and two roommates. (The roommates did not work out.) Changing agencies required reestablishing state licensing, which also impacted funding qualifications. Selecting a roommate is more than just finding adults with ASD. Different care requirements and personal interests have a significant impact on the level of care each resident receives. Davis is more interested in physical activities such as his workouts, hiking and skiing, as well as social interactions outside the home. The family is now looking for another roommate who is more closely aligned with their goals and Davis’s interests. The family receives prospective roommate candidates from RHA, staff, and other networked community organizations. One challenge the family faces when reviewing candidates is being able to fully understand a potential roommate’s needs while navigating the HIPPA privacy rules.
Debra, Jim, and Davis had a clear vision of the type of living arrangement Davis needed. Because the existing solutions required compromises to that vision, they created a solution that checked all the boxes. Davis now has the supports he needs to work, volunteer, socialize, exercise, and care for a canine companion. And those supports meet the exacting standards set forth by the family.
Do you have a creative solution for postsecondary education? Do you know someone that has taken home schooling to the next level? We are looking for education themed examples of Parenting Outside the Box. Please email me if you’d like your story featured in next month’s Parenting Outside the Box.
This past weekend included the 237th birthday of the U.S. Marine Corps, and also Veterans' Day/Armistice Day/Remembrance Day (celebrating the end of World War I). Like many Americans and others, I recognize these dates—especially Veterans' Day, as Emily works for the U.S. Department of Veterans Affairs.
But also, I follow these things because I've liked the military since junior high school.
In part, I suspect my interest in military affairs comes from an interest in physical power. Being bullied from sixth grade onward can do that to you. Different people respond to things in very different ways. For example, Carol Gerber in Stephen King's “Hearts in Atlantis” gets seriously beaten by some bullies, and reflecting on that, becomes an anti-war radical in the 1960s. She apparently felt that she would never want her own country to do to others what had been done to her. On the other hand, I feel that in a world where naked force all too often reigns supreme, it's much better to be strong than weak.
In any case, from eighth grade onward, I became a strong military (especially Army) fan. In fact, in ninth grade, when in Business Dynamics class we were asked to research and present information about two occupations, I chose Army helicopter pilot and Army mechanic. Neither of which, by the way, I had any desire or aptitude for. I don't know how I picked those particular Military Occupational Specialties. On the other hand, later on I got a pamphlet in the mail offering Air Force mechanics training. Maybe I come off as someone who's good with tools. Heck, I certainly used to be much better with tools than with people!
I even wanted to apply to West Point, which trains Army officers. (As my one concession to common sense, I chose the Army because I commonly get seasick and motion-sick.) So, a kindly retired colonel arranged for me to visit West Point the summer after ninth grade, to see a soccer game. (It helped that I lived on Long Island; he set it up so I could go with a group.)
All this despite the fact that I had serious problems getting along with people, especially authority figures.
Finally, in the fall during 11th grade, I saw the light and decided the military was not for me. Just in the nick of time, too!
(Incidentally, the closest my family has to a veteran is my paternal grandfather, who served in the Merchant Marine.)
Many Aspies, in fact, do well in the military. After all, the armed services highly value technical expertise, attention to detail, procedure and precise directives. Depending on which autistic traits dominate in a given Aspie, the military may be the best place for him.
On the other hand, even more than in the civilian world, a military member must not only take orders very well but also get along in very close quarters, with minimal privacy/decompression space, with a wide variety of people—possibly including people from other countries. Also, much more than in the civilian world, conditions may change with no notice or time for detailed explanation.
Finally, much more than in civilian life, people work, live and sleep interdependently. In “A Few Good Men,” U.S. Marine Colonel Nathan Jessup pointed out, “We follow orders or people die.” There's a reason why in basic training or boot camp, and often beyond, an entire unit can be punished for a single person's mistake: That's how it works in combat. One missed maintenance, one sleepy sentry, one unauthorized light on after dark in a combat zone, can mean everyone in the squad, platoon or company dies, a plane gets shot down or a ship sinks.
Perhaps for this reason, after due deliberation the U.S. military has decided that autism spectrum disorders (ASDs) are incompatible with military service. This does not mean that every single Aspie, or even almost every single Aspie, is unfit for military service. It means that while some Aspies are fit, enough are unfit—in ways that cannot be easily detected in time—that just like with many other disqualifying conditions, the lesser of two evils is to exclude all of us.
I know that some Aspies, their families and others question this action. I believe the military knows what they are doing in general, and having no reason to seriously doubt their decision here I support it.
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