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978-1572305441

autism

autism

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Sophie 181<br />

ried a bag of sticks and feathers for her to amuse herself with, but instead<br />

she preferred to explore the room. She would pick up the toys<br />

from the box and look at them briefly but then quickly put them down<br />

and turn to something else. She communicated little during our time together<br />

but was not eager to leave. I learned from Greg and Marianne<br />

that she spoke about six words, but largely had her immediate needs<br />

met by placing her parents’ hand on a desired object, pointing at things<br />

close by, or simply protesting. In most circumstances her parents had to<br />

guess what she wanted. She had poor eye contact, smiled only when going<br />

for a ride in the taxi to the treatment center, and generally played by<br />

herself. She would not ask for help in getting things or to play. She<br />

would not share her joy in her play activities, and if her mother was<br />

hurt or crying, instead of offering comfort, she would become mad and<br />

frustrated. She sometimes sat on her parents’ knee during the interview<br />

but would not cuddle with them and related only to a few workers who<br />

came to the house to work with her. She had no interest in other children<br />

at the child development center and would not join in the games.<br />

She loved to stare at things. Sophie would bring her eyes right up to a<br />

dog’s eyes, or to someone wearing glasses or an eye patch. She loved to<br />

turn objects like feathers and straws around in her hands. She carried<br />

around twigs, Lego blocks, and tree branches. She liked to run in circles<br />

and to rock in the car and in front of the TV.<br />

She could also be quite aggressive, although I never saw this during<br />

our time together. Sophie was suspended from kindergarten because of<br />

this behavior. Apparently she lasted about four days before the teacher<br />

and principal started phoning Marianne asking for help. Sometimes<br />

they would call as early as 9:15, even before Marianne returned home<br />

from dropping her off at school. Her mother was often afraid to leave<br />

the house in case she got a call from the teacher saying she had to come<br />

and pick her up because she had been aggressive or had hit another<br />

child. Eventually Marianne took to not answering the phone so she<br />

could take a shower in the morning. More recently, Sophie would have<br />

terrible temper tantrums in which she would wail for hours if she were<br />

denied an object to hold in her hand, sometimes bite herself, scratch<br />

her parents, throw things around the room. These screams felt like a<br />

constant reprimand to her parents, a confirmation of their failure to<br />

nurture this handicapped little girl.<br />

There was clearly more to Sophie’s development than simple developmental<br />

delay caused by early deprivation. Sophie was not able to<br />

demonstrate the social skills usually seen even in a six-month-old child.

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