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Reach Out April 2018

Information about tuberous sclerosis and news from Tuberous Sclerosis Australia. This issue includes a special focus on siblings.

Information about tuberous sclerosis and news from Tuberous Sclerosis Australia. This issue includes a special focus on siblings.

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Personal Information Stories<br />

What can parents and other family members do to<br />

support siblings?<br />

The most important thing parents can do is to encourage and<br />

help siblings express their mix of complicated thoughts and<br />

feelings. One way to frame this is that any feeling is ok. Of<br />

course, not all behaviour is ok, and parents can help siblings<br />

learn ways to manage any difficult feelings.<br />

For example, the siblings may feel anger or resentment that<br />

the family picnic was cancelled. That’s ok, they’re a child and<br />

they were looking forward to the picnic. But there needs to be<br />

limits on the acceptable behaviour in response to that (e.g. they<br />

might be allowed to punch their pillow but not allowed to punch<br />

walls) depending on the rules within that family.<br />

It can be particularly difficult for parents when siblings<br />

voice concerns over not receiving as much attention or time as<br />

their brother or sister. It is especially important to accept these<br />

feelings and not become defensive. Aggressive and difficult<br />

behaviour by the child with the disability is another challenge.<br />

Siblings can be physically and emotionally hurt by aggressive<br />

behaviour and parents can support the siblings to be able to<br />

express their hurt while also understanding the limitations of<br />

their brother’s or sister’s disability.<br />

Information is also important. For children, the<br />

information needs to be at an appropriate level for the age of the<br />

child. Parents can find books at an appropriate level or seek the<br />

help of health professionals to explain the condition and answer<br />

questions. This knowledge will need to be expanded over time<br />

with the sibling.<br />

Learning to balance the amount of responsibility siblings<br />

have can help siblings to develop their own identity. The<br />

siblings may contribute in many ways and parents can<br />

acknowledge and appreciate this contribution, but having<br />

limits and saying things like, “That’s my job. You can go and<br />

play now,” can be really helpful.<br />

Thinking about the future for the person with a disability<br />

is also important. It is helpful to start exploring what future<br />

options might be available, earlier rather than later.<br />

In the same way that parents find it helpful to have contact<br />

with other parents who understand, many siblings find it<br />

helpful to make contact with other siblings. Siblings who can get<br />

together with other siblings really value the opportunity to share<br />

experiences and knowledge and, in the process, feel less alone.<br />

How does the sibling experience and the roles they<br />

play change over time as parents and the whole family<br />

gets older?<br />

Again there is a huge mix of adult sibling experiences.<br />

Sometimes it is very sad when the sibling has had a very<br />

stressful childhood and moves away and doesn’t have a strong<br />

relationship with their brother or sister.<br />

The key is to look at it from the perspective of developing<br />

a good life for the sibling and for their brother or sister with a<br />

disability. Some siblings take on a role similar to other brothers<br />

and sisters and spend social time together and support each<br />

other in a variety of ways. If the person with a disability is still<br />

living at home, the siblings may take on a caring role from<br />

time to time or support their parents continuing to play this<br />

role. Siblings can also have a role in advocacy, such as being<br />

one part of a circle of support for their brother or sister. It can<br />

make a difference whether there is only one sibling or if there<br />

are several. Sometimes siblings give up their own lives to care<br />

for a brother or sister but, in the longer term, this is often<br />

problematic for both. I do think it is important that siblings are<br />

not considered automatic carers, but are still seen as playing<br />

significant roles in the life of their brother or sister, contributing<br />

to their sibling’s social and emotional wellbeing.<br />

What role do you think gender plays in sibling issues?<br />

I hesitate to stereotype but, as children, boys tend to externalise<br />

their emotions more and girls tend to internalise more. This<br />

won’t apply to everyone, but boys may tend to act out while girls<br />

may be at higher risk of anxiety and depression. Girls may be<br />

more likely to take on the caring role for their brother or sister<br />

but also more likely to reach out for support. For example,<br />

Siblings Australia runs a Facebook group for adult siblings and<br />

there are many more female members than males.<br />

There is a lack of research in this area but much of this<br />

mirrors what we know of some of the general differences<br />

between the genders.<br />

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