Quiet Weekend and Disquieting Question

May 20, 2014
Last week, Robert attended a new program. He has not been accepted yet. At this point, he is evaluated for its suitability for him. Except, Robert doesn’t know that yet. So he is happy and relaxed. And it shows.
Last Saturday, Robert had a good time at his vocational/life skill program. He cooked, he had music therapy outside (Just a month ago, he was not happy about that), he worked with his peers, and he followed directions. After we picked him up, we drove to New York City. Robert was very calm. Because of that calmness, I didn’t feel forced to use language to explain things to him as I had to do during our trip, a month ago, to New York and North Carolina. https://krymarh.wordpress.com/2014/04/26/predicaments-and-language-concepts/.
His anxiety at that time required that I kept explaining things to him and provide him with phrases he could use to gain information and assurances.
This time, nothing of sorts. The only “conversation” we had was about eating.
“Fries, fries”, said Robert
“We will eat at exit 40,” answered one of us.
“Fries, fries”, repeated Robert.
“What about fries?” asked one of us.
“Exit 40” replied Robert.
“You are right. We will eat in MacDonald at exit 40”
Over two hours long period, we had three such or similar conversations. Not bad.
No obsessing there.
In the evening, Robert still managed to go with his father for a walk around reservoir in Central Park.
On Sunday morning, we drove to New York Botanical Garden in Bronx. We took a ride on a train and then walked through three of its sections. As I was taking photographs of some of the native plants, Robert wither walked slowly with his father or relaxed on benches. In rhododendrons’ section he posed for pictures. The only teaching I managed to squeeze in was in the Haupt Conservatory as we passed through Rain Forest Section. Using the board on the top platform, I reminded Robert names of the layers of the jungles.
After lunch at the cafe, we made a short trip through the grounds of Bronx Zoo. Then we were on a way home. We arrived around 7PM and Robert, as always, unpacked everything – medicines, toiletries, and food. He started laundry and took a bath.
It would be hard not to notice the difference in his demeanor from that he had exhibited a month before. I think it was because he felt that he found his place after two months of being in limbo.
But did he?

That Finger in the Nose

I don’t want to be graphic, but since one of the issues Robert (and I ) struggled frequently, was his reaction to sudden bouts of hay fever, I have to address that problem. This habit stigmatized Robert, diminished his social appeal, and reduced, more than anything else, the range of possible vocational opportunities.
When the allergic rhinitis attacks, Robert puts his fingers in the nostril trying to block the watery discharge. He can do that many times in a short period of time.
It would help if Robert could blow his nose. Unfortunately, my efforts to teach him that failed. He is pulling air into his nose instead of blowing it out. It would help if Robert kept using tissue consistently wiping his nose but he uses tissues not as often as his nose requires. It would help if Robert washed his hands immediately after he had used them to plug his nostrils, but he does it only when he is reminded by insistent observer.
Why doesn’t he get it?

1. I am the only one who tried to teach Robert blowing his nose. I was not very consistent mainly because I didn’t see a progress. I was not even able to teach Robert to blow clean air out of his nose. I know that this is a skill, that Robert could learn in his private school. That was one of the times, I regretted that I took him out from that school.
2. Only Robert’s teachers in the Collaborative program, he attended during one summer (extended year) noticed Robert’s habit and worked through a few weeks on eradicating it. They made gross pictures of a person (I think one of the teachers volunteered to be a negative model for this one.) picking his nose and the crowd of people being disgusted by it. The social story followed.
At the same time, I used a chapter from Taking care of Myself by Mary Wrobel dealing with the same issue. If neither Collaborative program nor I spent too much time on addressing this problem it was because with the disappearance of allergens, Robert stopped using his fingers to plug his nose and it is hard to work on reducing behavior which is no longer present. Still, during those first 3 weeks in a collaborative program, Robert clearly got an idea what was and what wasn’t appropriate behavior and he increased the first and reduced the second.
3. When Robert returned to his regular program in public school, I brought the issue into the open. Nonetheless, during two classroom observation I watched to my dismay that Robert kept plugging his running nose again and that neither his teacher nor his aide reacted. Again I talked about the need to address this issue with the school. A few months later I came again to observe Robert during a group instruction. There were three or four students in the whole classroom – three people were watching them – a teacher and two aides. Everybody was sitting at the large, round table. The students were learning and practicing appropriate behavior during job interviews. That called for, among other things, right kind of handshake. Not too strong, not too flimsy. Except, Robert was using his fingers to plug his runny nose. I saw it, other students had to see it and yet, the teacher asked one of them to practice handshake with Robert. The student extended his arm toward Robert. And it was then when I had to interfere. From my seat, I asked Robert to wash his hands.
I know, I was only the observer, and as such, I should wait with sharing my observations until the end of the session. I couldn’t.
There was a sink in the classroom, so Robert didn’t even have to leave the room.
I have learned recently that I was talked about as the kind of overbearing parents that expects impossible things from the teachers. Well, the one of the things I really expected from the teachers was to ask Robert to wash his hands every time (or almost every time) he touched the inside of his nose. I expected them to making clear that this behavior is not socially acceptable, that it might affect Robert’s health and the other students’ health.

As Robert began his two weeks vocational evaluation during the peak of the allergy season, the first thing that stigmatized him among a new group of his peers and alerted the job coach, was Robert plugging his nose.
Unfortunately for Robert, he didn’t present himself well to his coworkers.
Fortunately for Robert, his job coach had to immediately focus on this habit and consistently address it.

Finding Pillars of Robert’s World.

The difficult aspect of finding those basic rules that govern Robert’s understanding of his environment is the fact, that they can be discovered only when they are broken or in the danger of being broken. Only when Robert reacts to their perceived demise, we can “see” what caused Robert’s protests and understand his efforts to rectify the situation.
1. In anticipation of the arrival of the three family members, Robert and I were changing two beds (bunk) in Amanda’s bedroom. Those beds were not used for the last four months, as Amanda extended her stay abroad. Nonetheless, the clean sheets were in order. Robert helped to remove the sheets and pillow covers from both beds and promptly placed them in the washing machine. He protested, in his own way, when I tried to put two different sets on. Running his fingers on his ears and cheeks, and making relatively soft but grunting noises, was Robert’s way to express his displeasure with such arrangement. It didn’t help that one set was dark blue. After I explain to him that mattresses and pillows have to be covered, Robert consented and put clean bedding on. What could be more gratifying than watching Robert being convinced by my logical arguments and doing the work all by himself?
But I knew Robert all too well, to know that this was not the end of the story.
It wasn’t.
As soon as the old bedding was washed and dried, Robert instead of folding it and placing it in the linen closet, brought it to Amanda’s bedroom and… changed both beds again. Since, however, he folded the sets he had just removed and placed them on the proper shelves, I pretended that I didn’t notice. Since Robert tried to avoid confrontation and found a way to compromise, why shouldn’t I? Although….
2. Robert rather easily accepted the guests in the house. Not the first time and not the last. He didn’t mind them eating, working on computers, watching his IPAD, talking to parents. But on Sunday morning, he became concerned when he saw his uncle taking the box of his dad’s Familia cereal from the top of the refrigerator. As long as he had remembered, no guest had ever done that before. The guests ate all kinds of bread –Italian, Iggy’s, Peasano, Spiralonga, whole wheat, English muffins. All kinds of breads and rolls, but no Familia cereal. Even Amanda didn’t eat that one. That meant the cereal was untouchable. Before the aunt placed two bowls on the kitchen table, Robert managed to put the box back.
Still, he didn’t want to be an inhospitable host, so, without a word to support his ideas of rectifying the situation, he placed two halves of already toasted English Muffin in his aunt’s hand insisting that she eats those instead.
When Robert left the kitchen (His father called him to another part of the house to distract him), uncle and aunt pour cereal AND MILK into their bowls. When Robert returned, he glimpsed at the bowls and didn’t seem to be bothered by the fact that the aunt and uncle were eating his father’s favorite oats.
I know that the next time another guest takes a box of cereal down, Robert won’t mind. He has already learned, that “such thing can happen and that the world survives. In a way, he will understand that what he considered to be the pillar supporting his world, was really a wire in the psychological cage he constructed around himself. It was liberating to see the wire go.

He Got His Bounce Back

Of course, we tried to extinguish it. After all it is a stigmatizing behavior. Robert bounces and flaps his hands. This behavior immediately sets him apart from others. Not that he jumps high. His feet hardly leave the ground. Nonetheless, it attracts unwelcome attention. He bounces when he doesn’t know what to do,when he waits, or when he attends a gathering with speeches. Everybody else listens or pretends to listens. Robert doesn’t know how to listen or pretend to listen. He bounces. I put my arms on his shoulder and he stops for a few seconds, then bounces again.
He bounces when he is excited. He bounces when he feels shy or confused.
Except, he hasn’t been bouncing recently much. I don’t think I saw much of that soft jumping in the last four or five months.
Yesterday, we attended a rally All Aboard the ARC ARC meaning The Association for Retarded Citizens. Many people representing local chapters of ARC attended the gathering held in Boston Common. They didn’t jump. They listened or talked softly with each other. Robert bounced. He heard the music and felt it was an invitation to bouncing. We moved around from place to place. We were not the only people moving, but Robert was the only person bouncing. I sensed that his light bouncing although much less disruptive than other people talking or walking attracted attention not completely devoid of disapproval. Although I kept placing my hand on Robert shoulders which always resulted with a temporary break in bouncing, I wasn’t concerned much about this behavior. I was in a way glad that Robert got his bounce back.
When robert bounces, he seems happier. When he doesn’t bounce he is tense. When he stops bouncing, he gains weight. I know that watching Netflix on his IPAD is less stigmatizing than bouncing during the rally. But bouncing during the rally is still better for Robert than watching Netflix on his couch.
So, we came to the rally. We slowly moved around. Someone gave Robert an orange banner so he could wave it too. Waving a banner would be much more typical behavior than bouncing. Good try. But it wasn’t his banner, so Robert gave it back. Then he bounced again. We walked around, stopping frequently to pretend to listen and look at other participants but Robert couldn’t help himself. He had to bounce. And so he did.

Second Month at Home

May 7, 2014
Two months and a week passed since Robert finished his education. Hard to asses what Robert learned in April. It is clear that he got more anxious. At least on three occasions in April, he demonstrated increased anxiety during the last hour of each of the programs he attended (in three different settings). Regular Saturday session, a trip to a Car Museum, and chores with his skill instruction. He wanted to go home. It seems like he cannot attend any program for more than 4 hours at this point and that is very concerning. In April, he didn’t have his cooking class. I think that loosing even this program – two hours a week was harder than I anticipated as it added to all the things which suddenly disappeared from his life and were not replaced by anything else. He really liked relaxed atmosphere of the large group of his peers. The young people there were much friendlier than his classmates at school. They were different, but not much different than he was. He felt it, and he felt good about being there. He didn’t talk, but he felt that he belonged to the group. But the program ended.
And so Robert had to add one more item to the list of things that disappeared from his life in just one month – school ended, Erin had a baby, leased car was returned to the dealer, and a cooking class ended.

In April, we did less desk work than usually. We spent 9 days traveling and visiting other places. Robert’s grandma stayed with us for another week so our regular schedules had to be adjusted. Nonetheless, Robert kept doing his usual chores – laundry, dishes, and putting everything in right places. But I did not teach him to do anything new at home. We continued with the same workbooks and the same language related exercises. We did a little more walking because of a nicer weather.
Over all I worked with Robert less. Much less than in March.
I did feel drained. Very drained. And this is something new. Robert and I were in this situation before. He didn’t have school and I taught him at home for weeks and months. But I was younger and Robert had a few more years to learn. Now, I see that there is really no place for Robert. That although Robert learned a lot and grew a lot, the world didn’t grow with him and didn’t create new places that would match Robert’s personality.
I found myself loosing courage and energy.
I have to almost force myself to take Robert to new places.

On the other hand, Robert has been pretty happy, smiling and laughing a lot since Saturday. In the last few days, many things seemed to amuse him and a new kind of spark appeared in his eyes.

Two Days Without Studying Together

Yesterday, I did not work with Robert. In the morning, Robert helped his dad to fix the fence around a vegetable garden. After an hour, he came home. I don’t blame him. It was cold and windy. Later, the three of us went for a walk in Stony Brook Audubon. As always, rather calm walk. There were not many birds to see. The male swan managed to chase away most of the fowls. He kept guard on the other side of the pond by swimming back and forth at the edge of the pond. One Canadian goose hid under the branches near the bridge. I noticed, however, that Robert kept close to us, and only two or three times, I had to ask him to stop and wait for us. On a way home, we stopped at the supermarket. This time, Robert chose a register with a cashier. I did not let him buy candies and then was surprised when Robert twice expressed his loud but wordless disappointment. He remembered that last time I let him buy two different candy bars. Oh, well.
I felt very drained for the rest of the day, and skipped our daily lesson, second day in a row.
Because on Saturday, I did not work with Robert either. I drove him to Bridgewater train station. With his friends and teachers from Bridges to Independence program he was going on a train trip to Boston. I was pretty stressed about that, as during his last session in the program he caused some troubles. One of the things I was recently experiencing with Robert was the return of his verbal perseverations. As if reading my mind, Claudia, teacher/speech therapist/volunteer, calmed me down. She told me that when she read one of my previous posts, she noticed that I wrote about the tool, she had been using with Robert for many months. She treated persevatarions as an invitation to a dialogue and an opportunity to expand his language. After she told me that, I felt much better. Knowing how to deal with those obsessive repetitions helps Robert and the people who are with him. When Robert repeats the same word (mostly because of the undefined anxiety) he sounds like a broken robot. When, however, you treat that word as a beginning of the conversation and ask question and then another (sometimes not without providing a new answer) Robert becomes a young man again.
When the group returned five hours later, everybody seemed very happy. Robert loved the trip. He was fascinated by street performers – playing instruments, singing and dancing. One of the most important thing that Claudia or Amanda told me was that they all had a great time and that they LAUGHED.
If Robert could be a part of a group whose members laugh, there is nothing more I could wish for.
I couldn’t top that with our daily lesson.

Journal, Page 12

Monday, May 5, 2014
This Monday we worked in the morning.
1.I returned to the first level of Reasoning and Writing, the one that is much more difficult for Robert than two next levels because it requires Robert not to read, but to listen. As I read the story about the squid who taught a shark a lesson, I wondered what Robert understood. Luckily there was an IPAD and a rather vague short video of an octopus squirting ink at a bird. It looked like a good lesson for the bird not to fish into that part of the ocean. I don’t know. I found it encouraging that as I read, Robert attempted to answer at least some of the comprehension questions from the book and seemed in a very good mood.
2. We continued with emphasizing pronunciation of “ail” words with the help of IPAD (Speak) It. I had to wonder, if my efforts to improve Robert’s clarity of speech don’t backfire. Well, I think that in a way they do. The more I insisted on clear ending sound (L) the more strange the sound became. Finally , I just used Speak It, for each word I typed: ” nail. . nail.” Robert heard the first word, had time to say it again, and then heard the same word the second time. I refrained myself from any additional help. I think that from that point on, I will mainly give Robert tools to organize syllables. I will remind him that this is the segment, triangular, or square word meaning two, three, or four syllables word. When Robert knows that he separates the syllables and matches them with hand movements which results in much MUCH cleared pronunciation. I will also continue (the tool shown to me by a consultant from May Center) with drawing longer and shorter lines for syllables with long and short vowels. No more giving confusing examples on MINE pronunciation.
3. Robert built three-dimensional structures from cubes based on the drawing from the third grade level Singapore Math. Most of them came easily to him, but he had difficulties transforming them into different shapes by removing some of the blocks.
4. We read the next story from Spectrum Reading. Robert seemed to like the story and with just a three prompts answered the 5 WH and 1 How questions.

Morning at Big Apple Circus.

Friday, May 2, 2014
On Friday morning, Robert and I drove to Boston to see the Big Apple Circus. Unfortunately, the seats we got were not good. We mostly saw the backs of clowns and jugglers. We moved a few times to find better ones and, I think, we did. When I told Robert to change seats, he said, “No.” But when I changed my seat, he followed me without a protest. It was during the intermission when there was a problem. It took me off guard, as it never happened before in almost 8 years of yearly trips to Big Apple circus and Cirque Du Soleil. During intermission, Robert wanted to leave and go home. He expressed that clearly and rather loudly. So we left but not without getting stamps which would allow us to return. As soon as we left the tent, Robert hesitated and then decided to return. He also wanted coke. But when I got a full paper cup for him, he was even more agitated. It all seemed so irrational.
Then I realized:
1. As we were leaving our seats for intermission, I asked Robert to take his jacket and thus he deduced that we were leaving for good. Had his jacket was left on the seat, he would got much clearer idea than my words, “This is only a break, an intermission. We will return after intermission. In-ter-mis-sion Intermission.” I kept repeating. I was fixated on teaching Robert the new word, “intermission” and didn’t realize that Robert didn’t grasp the concept yet. Robert understands the word “return”, but that still doesn’t explain anything. After all, the word “Return” doesn’t specifies WHEN we would return. “Return” might mean tomorrow, next week, or, as it has been the case with The Big Apple Circus, next year. Robert was confused and he hates being confused.
2. When I picked the cup full of coke from the window, Robert assumed that it was an empty cup, as one of those that he usually gets in fast food restaurants. He has to fill such cup himself. When he looked around and didn’t see soda machines he experienced another confusion. Then he noticed that one cup in the window had a few drops of brown liquid on the outside. Those drops looked promising. He grabbed that cup while I returned the other one.

Everything, became clearer only after we returned to the arena and I saw Robert’s blissful expression when the second half had begun.
The tension was gone. The suspicious resistance was gone. The irritating confusions disappeared. The muscles on his face soften and his eyes brighten up as Robert embraced the show.

Weekend in Botanical Gardens in New York City

April 27, 2014
April 19, 2014, was the first sunny Saturday in New York City. That fact was not lost on New Yorkers and the tourists. In throngs they arrived at Brooklyn Botanical Garden hungry for all kinds of green and a few splashes of other spring colors. Four of us: Robert, his grandmother, and we, his parents, tried to do our best to get to this green and leafy place too. And we did.
I thought it would be a good idea to separate. Jan and his mother like to stop, admire, and take pictures. Robert likes to walk around in clearly visible trails. So, he and I wandered into Japanese section and walked around a pond. The path was narrow often forcing us to stop and let groups of people pass by. At one point Robert didn’t want to follow me but stopped and by stretching his arm and repeating, “Here, here, here”, expressed his wish to use another path. I asked him to follow me so we could find his dad and grandma. He did. Hundred or more feet later I realized that we were on the same circular trail again. Robert figured it out before and attempted to alert me to that fact but I dismissed his efforts without giving them any thought. He didn’t want to argue with me. Soon, we found each other, not without the help of cell phones, and decided to walk together. It was a good exercise for Robert’s shared (joint) attention. As his grandmother kept stopping to admire all sorts of tulips and tree blossoms, he kept stopping too and, well, looking at the plants. I didn’t look at plants. I watched Robert to make sure he doesn’t disappear. I noticed that he was adjusting his steps to remain close to our group. He waited patiently for his dad to take pictures. He didn’t bump into anybody but often made a way for others. Moreover, despite huge crowd of people, Robert seemed to enjoy that excursion a lot.
On Sunday morning, we dared to visit the New York Botanical Garden in Bronx. There were no many species of trees blooming there. Even some magnolia held off on releasing their blossoms. But orchids were in a full bloom in the special exhibition. So we went to see them.
It was yet another exercise for Robert to adjust to the pace of other visitors. It was an exercise in waiting for other members of our group before deciding if he should turn right or left. It was an exercise in waiting until other people took the pictures so not to get into their frames. It was an exercise in waiting for his father to take picture amid many passers-by in front of his camera. It was an exercise in joint attention, by looking at everything grandma was looking at. It was a great exercise not only in staying together by in BEING A PART OF A GROUP.
I cherished the fact, that a part of the show led us up the stairs to presentation, with drawings and real plants, of different layers of the rain forest. Although we previously visited “rain forest” in Cleveland, OH, and we read about it, this was the simplest, thus easiest to digest, presentation he had encountered so far.

I cannot tell to what degree Robert enjoyed these two trips. He is more mature now, and doesn’t express his happiness by bouncing excitedly, as he used to when he was three or five years old. He still bounces, but he has already learned to limit this way of expressing himself.
Is that a good development? I am not sure.

Private, Collaborative, Home, and Public

On Parenting Blog in New York Times, I found an article: http://parenting.blogs.nytimes.com/2014/04/17/my-daughter-profoundly-disabled-needs-a-school-for-children-like-her/ to which I could relate. New York Times published lately a few articles, in one way or another, related to autism. Those pieces, although republished all over the internet and in many newspapers, left me only alienated. Nothing related to Robert’s and my experiences. However, My Daughter Profoundly Disabled Needs a School for Children Like Her, brought to the paper (or its internet site) the reality of my son’s and my life. No amazing solutions, no miraculous recovery, and no maintaining the economically tainted mantra about full inclusion. Reality of looking for a program/classroom/school that would help teach children who need specific curriculum and specialized methods of teaching.
Although my experiences are different from those of the author as my son was in four different placements: special school for autism, collaborative program, home, and self-contained classroom in public school, my motivation was the same – to find a program that teaches.
None of the program was sufficiently addressing Robert’s needs.
1. Special school for Autism was very well prepared to work on the specific deficits and excesses related to autism. They also offered most consistency from one year to another and very well prepared and supported teachers. I removed Robert from this school when I was asked to consent to another method of restraining. The private school assisted Robert and me in a smooth transition to another program
2. Collaborative program offered very well designed academic curricula and a great approach to communication. It provided weekly community trips. It was also a program with most financial support. But it wasn’t stable. From one year to another, it changed dramatically in almost all aspects – different classroom in a different town, different students, different settings for delivery of instruction, and all different teacher’s aides. That caused problems for Robert resulting in him being forced to leave this placement. I have to add that the Collaborative program not only didn’t offer any help with transition to a new place, but its staff seemed to do everything to derail Robert’s chances for finding suitable alternative.
3. The program in a public school changed almost constantly. Over the years, Robert had 5 teachers. That however was not a problem for four of those years, as it was only one of those five who participated in preparing materials for Robert. Other teachers seemed to believe that it was responsibility of Robert’s aide. The school administration had very little understanding of the complex issues related to special education. They tended to marginalize it. I believe that some of the teacher’s aides were hired based on their connections and not on their skills as many administrators didn’t believe that people with either education or proper experience would make any difference. The classes lacked basic tools for modern teaching. One classroom was opened without any new materials purchased but with a lot of donated junk. All of that screamed to me to complain to the Office of Civil Rights as it showed not just neglect but violating the children access to Free and Appropriate Education. But I did not complain, I just grew bitter from one year to the next. Some of the teachers were not prepared or even willing to do the teaching.
4. I kept teaching Robert at home when he was stopped being driven to private school as he required a special harness, which school didn’t order for many weeks. At that time I didn’t have an access to the car. I kept teaching Robert at home for over 4 months when the collaborative abruptly closed its door on him and Robert was left without an alternative. I kept teaching Robert at home when in a school year 2009/2010 with a new teacher, new sped director and a new superintendent, Robert’s behavior at school deteriorated and nobody was willing to find the causes a t that time. Robert did learn a lot at home, but he was most lonely and lost human being not really understanding what was going on. He is lonely and lost now, at 22. He doesn’t have a day program to go to and his anxiety is slowly growing up.

The hardest part of managing Robert’s education was to find information about different programs. even went to hearing for that only. I wanted to see what was there for Robert. Unfortunately, that was not something the hearing Officer was inclined to rule on.
Then I gave up.
Moreover, the most important factors in teaching children with special needs are not the specific arrangements of classrooms but individual teachers, teacher’s aides and the quality of administrative support those classrooms receive. Unfortunately, you can learn about those factors only too late…