28.02.2018 Views

978-1572305441

autism

autism

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

156 A MIND APART<br />

stances, become apparent. Once the perspective of the child is taken, all<br />

kinds of alternatives present themselves to parents and teachers, and<br />

either the recourse to disruptive behavior is avoided or else the adult<br />

helps the child find other means to satisfy that need. I remember one<br />

child who had a problem of spitting in the most inappropriate places,<br />

especially the principal’s office. We could think of no way to get him to<br />

stop until we gave him some gum to chew. He preferred the gum to spitting.<br />

Another boy was particularly sensitive to loud noises and would<br />

scream whenever somebody in the neighborhood pulled out a chain<br />

saw and started sawing. The only thing that prevented the screaming<br />

was to put headphones on him and play tapes of his favorite TV shows.<br />

These are examples of providing alternatives to sensory stimulation that<br />

can be so disruptive of day-to-day functioning.<br />

Sometimes I wistfully imagine receiving a dime for every time<br />

somebody has said to me, “His aggression is entirely unprovoked.” That<br />

only tells me that people are not looking in the right places. There is<br />

always a reason for disruptive behavior. It’s just that the reason may be<br />

idiosyncratic. It may be a transition that has gone unnoticed, a new<br />

smell in the classroom, a picture hanging crooked on the wall, any<br />

change in routine or the environment that causes anxiety and distress,<br />

an inability to express oneself in any other way, a social interaction that<br />

has gone awry. But unless we put ourselves in the shoes of the child, we<br />

will not be able to see this transition or this aspect of the physical and<br />

social environment as stressful. To compensate for the child’s difficulties<br />

in theory of mind, we have to develop a hypertrophied theory of both<br />

our mind and the child’s mind. We have to be able to infer the child’s<br />

state of mind even though the child may not be able to infer ours.<br />

Up until the suspension, Ernest was making slow but steady progress<br />

in school and was gradually becoming more comfortable with the<br />

other children. He no longer avoided them, but accepted their help in<br />

crafts and during lunch. He would look at his teaching assistant when it<br />

was time to go to the sandbox in anticipation of a fun activity. He was<br />

able to transfer his proficiency in blackjack from the computer to playing<br />

with his teaching assistant. She was most impressed with his ability<br />

to count to twenty-one! These were all considerable achievements. But<br />

his communication skills were not progressing as rapidly as his social<br />

skills. To suspend him then made little sense; it deprived him of his<br />

only treatment option, a treatment to which he was entitled. Obviously<br />

his aggression was not acceptable. But it is easy to see why it occurred<br />

and how it could have been avoided. Ernest had few communication

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!