Jul 20, 2009

Child swap

My brother and I swapped offspring for the weekend. I drove a car load of children west to his place on Friday, leaving for home a few hours later without Thomas, who was staying with his favourite male cousin C. and with an extra girl, my 12 year old niece A.

A. is big into animals. There's nothing she likes better than to go hoking in the great outdoors for critters. Unsurprisingly Pippi was a big hit with her. The girls chatted until late, then awoke very early next morning. By 6am they were outside on the trampoline. I didn't mind, they're both big enough to get their own breakfast and I let them know I'd be getting a couple more hours of sleep myself.

They went for walks, and took the train into town unaccompanied. They visited the funfair and Lady returned with an outfit she's bought with the money I'd given them. She was starving though having chosen clothes over lunch. They walked to the beach and chatted and chatted.

Next morning I took them to see Harry Potter and the Half Blood Prince. We'd already seen it on the day of release but went again as A. was keen to see it too. I enjoyed it more 2nd time around as I wasn't so caught up in seeing how they'd translate the book, and enjoying it more on it's own merits as a film. The girls laughed a lot and A. was sobbing her little heart out at the end. Bless! Lady doesn't cry at films, she can't get too moved by what's not real. She doesn't take after her mum in that; I get all choked up for the silliest thing. Lady explained to me once that she doesn't get upset by scary scenes either as she just imagines all the film crew just outside the action. So much logic...

We dined at Ikea then they were off again, to the swimming pool. Their grandparents came over for a visit in the afternoon and we had a lovely few hours together. Duncan didn't want them to go home, "don't leave me!" he pleaded with his hands plaintively at his face. It was clearly something he'd seen on film!

Today my brother and his family all arrived here with Thomas. We had lunch and baby E. bum shuffled all over. She too was delighted with Pippi. She had a good ould poke and stroke at the dog, who was, after she got her traditional loud barking greeting out of the way, remarkably well behaved and tolerant. All the same, I watched her closely.

Thomas is just having a nice bath. He doesn't like to bathe in other people's houses. He had been a big hit with everyone, though they think he's really funny with his serious nature and forthright views. He ate everything he was given but announced that he preferred the food at home (in fact, he said he likes his Dad's cooking best. Humph.) On being asked in the shop if he wanted donuts, he said, "oh yes. They're my favourite type of junk food." It was an untypical response.
But he's so very like his dad, a little professor type. And I know how that can read. Perhaps he does have a few BAPs. I think we all do in this family. We're a happy, bappy lot.

Short Questionnaire for Autism Parents

I've already mentioned this and once again call on anyone with an autistic child, formally diagnosed or not, to answer some questions for a Masters student. I've copied the questions out below so you can see how quickly it can be completed. It's available to fill in here. Email Paula at johnston24@qub.ac.uk if you can help.

--------------------------------------------------------------------------------------------
The following questionnaire is designed to assist a Masters degree student in Autistic Spectrum Disorders, in their study to determine how internet blogging sites assist parents of children diagnosed with an Autistic Spectrum Disorder in understanding the disorder and finding ways to cope with the pressures associated with everyday life.

By signing below you are consenting to the information you provide being used in this study. Complete confidentiality will be upheld at all times and the database were your information will be held will be password protected and destroyed after its use.

Questionnaire

1. Name: Sex: Male Female
2. D.O.B:
3. Country of Origin:
4. Occupation:
5. Marital Status:
6. No. of children:
7. No. of children with a diagnosis of Autism Spectrum Disorder:

8. How long have you been using internet blogging sites?
Less than a year
4-5 years
1-2 years
5-6 years
2-3 years
6+ years

9. What initially made you want to access internet blogging sites? Put an x in one or more box.
Information
To meet friends
Advice
To share with others your experience
To meet other parents
To find out about local autism events
Escapism
Other, please specify:

11. How frequently do you use internet blogging sites?
Everyday Once every 2-4 weeks
4-5 times a week Once every 1-3 months
2-3 times a week Once every 3-6 months

12. How many internet blogging sites about ASD do you use?
1
2-3
3-5

13. When did you begin to use internet blogging sites about ASD?
Before your child’s diagnosis
During the diagnosis process
After your child’s diagnosis

14. How far have internet blogging sites improved your knowledge about ASD?
Significantly improved
Slightly improved
Not really improved
Not improved at all

15. How far have internet blogging sites helped you personally with your child/ children with a diagnosis of ASD?
Significantly helped
Slightly helped
Not really helped
Not helped at all

16. How far have internet blogging sites provided you with any emotional support you may have needed? This would include writing to other bloggers.
Significantly helped
Slightly helped
Not really helped
Not helped at all

17. How far have internet blogging sites provided you with any practical support you may have needed? This would include information / advice other bloggers may have written about ways they have worked with their child/children.
Significantly helped
Slightly helped
Not really helped
Not helped at all

18. Have internet blogging sites you have used provided you with any particular advice about outside established agencies which provide support to children with ASD and their parents?
Yes If you answered yes move to question 19.
No If you answered no move onto question 20.

19. Did you find the information provided useful?
Yes
No

20. Why do you feel you now access internet blogging sites about Autistic Spectrum Disorders?
Information
To meet friends
Advice
To share with others your experience
To meet other parents
To find out about local autism events
Escapism
Other, please specify:

21. Do you think you will ever cease from accessing internet blogging sites?
Yes If your answer is yes move onto question 22.
No If you answer is no, skip to the end.

22. Why might you stop using internet blogging sites about autism?

If you have any other comments or opinions to make about your use of internet blogging sites about ASD then you are most welcome to add them in here:

The questionnaire is now complete. Thank you so much for your time and effort in helping to assist my study.

Jul 18, 2009

Awesome Autism Blogs

The questionnaire on autism blogs I wrote about earlier (and if you can, offer to complete one yourself) made me think about something I take entirely for granted in my life, the many and varied autism blogs I read.

I was asked to rate how helpful I have found such blogs as a source of information and support in raising an autistic child. I had to answer truthfully that the blogs I read have made a tremendous difference to my life and my knowledge of autism and how to best raise my son. I have never thanked all of you who write these blogs. You write fantastically well, thoughtful and thought provokingly. You explain, challenge, advise, illustrate, unearth, advocate and amuse. I have had many of my thought processes utterly revolutionised by your words. The changes didn't stop with my attitude to autism and disability, I began to think and learn more about all sorts of societal privileges and assumptions on the value of life. By following your work on promoting good standards of science and the ways in which quackery has become embedded in autism discourse, both in causation theories and in the treatments offered, I have thought more about evidence, ethics, and the scientific process than I did in 6 years of formal scientific education at universities.

The first autism blog I remember reading was Left Brain/Right Brain. It was started by Kevin Leitch and was an amazing resource. It still is, and now it has evolved to a group blog with several excellent writers offering up regular posts on autism research, the rise in dangerous autism quackery, the legal tussles and advocating for rights and accommodations. I soon came across Amanda Baggs awesome writings on Ballastexistenz and the sparkling wit and elegant prose of the much missed Autism Diva. She might not be writing these days, but her blog is still a fantastic resource to dig into. Obviously I can't discuss fantastic autism blogging without mentioning the women who share an enviable ability to dissect mountains of data and writings and do a great job of keeping in check the people who claim to know what they're talking about when they really demonstrably don't, autism researcher Michelle Dawson and super librarian and "mere mother ... and housewife" Kathleen Seidel.

I could go on for pages but will limit this to just a few more of the people who have made the biggest difference to my own life. Bev who blogs at Asperger Square 8 is someone I have praised many times for her pictures that say so much so clearly and simply, and who has recently added a few wonderful videos to her site. Kristina Chew has been blogging for years about her son and regularly offers her educated and insightful assessment the latest autism story in the media. She now blogs at change.org with Dora Raymaker.

Orac from Respectful Insolence often blogs about autism quackery, in particular the vaccine causation nonsense and the dangerous quack treatments sold to vulnerable parents by charlatans only interested in the profit margin. I think however, Orac would much prefer it if he never had to write another autism post ever again.

My new favourite blog is The Gonzolog which combines all the things that make blogs great; intelligence, passion, humour and well argued opinions.

Finally, 3 men writing blogs I love to read; Ed at The Standard Review, Mike Stanton's Action for Autism and Steve's One Dad's Opinion. Heck, all the autism blogs listed on my sidebar are bloody brilliant and I can't eulogise all of them.

I wrote on the questionnaire that one of my aims for my blog and that of my blogging friends who have autism and/or parent autistic people, is to confront the ignorance and misinformation that is so prevalent abut autism. This is discriminatory and unfair on people like my son so I hope to show that having a child with autism does not mean the end of a happy family life, and that he can learn and grow without any bogus therapy. I am also intent on challenging the spread of quackery that abounds in autism.

I said that blogging is useful publishing platform that anyone with an internet connection can access, so it's a great way of reading the thoughts of ordinary people around the world, and of connecting with professionals. Once you figure out who talks sense and who is full of hot air and worse, then it's a great way to connect.

However, I forgot to mention the toxic posts of the people who promote the quackery whole heartedly, the damage they do to individual children whose parents follow their advice and inflict the unproven treatments on them as well as the negative and skewed portrayal of autism they promote.

Autism Blogs: Can you help a Master's Student?

I was contacted recently with this request:
I am a student from Queen's University Belfast and I am currently studying a masters in Autistic Spectrum Disorders. At present I am doing my Dissertation which is based on how internet blogging sites assist parents of children on the autism spectrum and so your website is of great interest to me. I realise you are a very busy person but would greatly appreciate it if you would be able to complete a short questionnaire or be able to help me pass my information onto the bloggers of your website. I plan to contact 60 participants in order to fully answer my question. This is all completed with confidentiality and your information will be deleted after it has been used, no names will be used in the writing up of the dissertation and my topic has been approved by Queen's University, Belfast ethics committee.
I agreed to take part and was forwarded the questionnaire. Since this takes the form of just a few multiple choice questions with the option to expand on answers if you choose, it takes just minutes to complete. The questions are about why people read blogs and what they gain from them.

If anyone reading has an autistic child* and would be wiling to take part, please email me (thefamilyvoyage at yahoo dot ie) or leave a comment here and I will pass your details on to the researcher.

*I don't think the child has to have a formal diagnosis but the researcher could clarify that. After all, blogs are often helpful while parents are negotiating the diagnostic process.

Jul 16, 2009

One quack clinic goes, another springs up

I just discovered a new site, Homoeopathy Ireland. It's for a clinic in Wexford claim to specialise in the "leading childhood epidemics of our time: Autism, ADD/ADHD, Asthma and other allergies."

Clearly these are all conditions in which homeopathy has been shown to have no effect whatsoever. But then this form of "medicine" has been shown to help many who have "a vague sense of unease or a touch of the nerves or even just more money than sense" then the homeopaths will be "there for them with a bottle of basically just water on one hand and a huge invoice in the other."

It's rather spooky that I learn of the existence of this clinic claiming to be able to heal the body of autistic children and hence their minds (gak) on the same day I read of the closure of a USA clinic promising much the same kind of quack nonsense and similarly intent on fleecing the well meaning parents of disabled and sick children. The quacks just love to get a bit of that autism pie. BrĂ¼no knows that autism is "in" now, but not because its funny, but because it's a great money spinner for people with all sorts of agendas.

The good folk at Homeopathy Ireland have a post up detailing their philosophy of autism. I've left a comment which has to be approved and which I'll repeat here.

Autism rates are not increasing. Changing diagnostic criteria, broadening of the autism concept, diagnostic substitution, improved services and awareness have all contributed to a perceived increase.

There is no evidence that autistic children have been successfully treated biomedically, and absolutely zero evidence of homeopathy having any kind of benefit in autism or any other non self limiting condition.

“Here, at Homeopathy Ireland we believe that vaccination injury among other variables play a part in autism.”
Your scaremongering about vaccines is not backed by any evidence either, some parents may have a “belief” that vaccines damaged their children but that is not enough. Do you at homeopathy Ireland welcome increased numbers of children suffering the ill effects of preventable infectious diseases also?

Where are these “Studies [that] have shown that 80% of these children have symptoms that suggest gastrointestinal disease”?

Autism is not curable, certainly not with homeopathy/magic water. Autistic children can learn, develop and benefit from sensitive parenting and appropriate education.

“By healing the whole body; the source of the problem, we then heal the mind.”
Prove it.

I have looked further at the effects of homeopathy on autism here.

Feeding all the senses

Duncan just laid out the flour, cocoa powder, sugar, eggs and butter out on the kitchen work top. He then set out a bowl, measuring scales and a wooden spoon and requested that I help him prepare a chocolate cake. We have been making a small, reduced sugar confection that can be cooked quickly in the microwave and which he loves. I don't, but then, that's an advantage as I'm not so tempted to munch it down myself. Duncan's recent desire to eat chocolate cake stems from a clip of the film Matilda that he watches regularly.



Duncan likes to eat his cake like the talented Bruce Bogtrotter, enjoys seeing chocolate sauce smeared over his face in the bathroom mirror and has even be known to hold his empty plate over his head when he's finished. He has also gained some useful new expressions thanks to Miss Trunchbull; disgusting criminal, scrumptious and sweat and blood being among his latest acquisitions.

Last night I cooked some chicken. Duncan ate 3 pieces while watching a 2008 BBC Olympics promotion film Lady showed him recently.



This is why. He wanted to see the chicken-eating pig while he himself ate his chicken. This happens often. Many of the food he eats in his (thankfully) forever expanding diet are items he was inspired to try after seeing them on a film. He eats corn on the cob, having seen it on Home on the Range. He eats spaghetti, thanks to Lady and the Tramp. Oxtail soup is a favourite because of Ratatouille, porridge came from various editions of Goldilocks and the 3 bears. He often sets the appropriate clip going as he eats the particular food it inspired.

I must see if he'd enjoy Popeye. he could do with more greens.

(Anne C has written a few good posts recently about food and eating, starting with On The Feeding of Quirky Mammals, Part 1.
Gonzo has started a new food blog. Perhaps Duncan will contribute a recipe some day.)

Jul 14, 2009

Glorious Day

While some of my country folk were marching up and down the streets of our cities and towns, we chose to head for the soft paths of the country park around the corner. It was warm and cloudy so I packed a bag full of light rain coats but we never needed them. Pippi came too, she adores the park with it's cornucopia of tantalising scents and trails. Duncan has been happy to walk when we go out now and doesn't want to sit in the buggy. Neither has he asked me to carry him for ages, thankfully for though he's fairly light and knows exactly how to snuggle his centre of gravity in to make the job of holding him easier, I prefer not to.

On the way, we stopped off for a few minutes in the smaller hilly grove opposite the main park. Duncan has decided that the narrow paths through the trees are train tracks and the hill is "Gordon's hill." He raced up it, pretending to be an engine, went all the way to a fork on the path (the "branch line") then ran back down the hill 3 times before we continued on our way.

As we walked the main road into the park, we were passed by dozens of cars heading for the car park by the beach. We decided to avoid that section and stick to the prettier and more secluded forest walk. Duncan was about 40m ahead of the rest of us. We have been walking out together often recently and I have seen him develop a much greater awareness of traffic and how to check the road before crossing. It's not something he was able to learn from me breaking it all into little steps, he just had to learn for himself with me by his side asking him "is it safe to cross?" or some such and then shutting up and watching him make the judgement. I'd still not let him be ahead of me by much on a busy road or cross the street in town. But that too will come.

So I was unconcerned even though he went out of sight for a few seconds as he turned a corner and as we came to where the paths diverged, a woman with her children was hovering, obviously checking that the child who's just passed her alone was being accompanied. She pointed to the path he'd taken and I thanked her and said, "was he looking a bit lost and lonely?" Her son answered, "he was saying, "I'm in trouble!"" I explained quickly that he was probably reciting lines from Thomas the Tank, that he's autistic and likes to tell himself stories as he goes.

As we continued, Lady, whom I think loves the forest more than any of us, climbed leaf cluttered banks and examined holes and in behind loose bark, with an excited little dog following her. Duncan was a bit concerned about Pippi running away when she was off lead, but he managed to tolerate it. Thomas is least fond of the forest, preferring the thrills of the playground. I told him that he can do all the balancing and climbing he wants in the forest instead. He wasn't convinced. But he was happy enough to walk and talk about the big questions of life, as he does.

We put the lead back on the dog for Duncan to hold. It helped keep him closer to us as there were too many choices of path to take and we didn't want to loose him. He enjoyed running beside the burn (stream) with her. We rested by the waterfall for a while then headed out to the village and the shop where the children each chose a treat. Duncan also requested milk and a packet of porridge oats. Then to home, where the chicken casserole Gordon had prepared earlier was just ready.

Thomas reassured

"What is the most important thing in your life?" Thomas asked earnestly, a mode he often adopts.
I didn't have to think about that one. "My family, all of you."
"Well, the most important thing to me is to live with someone," said the child whom I know hates the idea of being alone. But then, who at 7 can contemplate solitude. "If you all died I would probably go and live with B. and S. [my brother and sister in law]. That is, if I can find their phone number."
"If something as awful and unlikely as that were to happen, then there are so many people who love you and they would come to you and help to care for you. Your Granda and Grandma and all your aunts and uncles would help you and make sure you were safe."
"Oh, OK," said he and we hugged.

Jul 12, 2009

Thomas the Tank Engine, new edition

Duncan loves Thomas the Tank Engine. Of all the book formats depicting the bold Thomas and his useful friends, his favourites are the slim hardback editions by the publishers Ladybird and Buzz books.



He's been trying to collect the full quota of these books over the years, and since they're no longer being produced new, we have to buy them second hand via charity shops and internet shops or they're received as gifts from friends whose own children no longer want them. Recently he discovered a series of YouTube films from an obviously similarly dedicated fan, who has shown pictures from the books with audio from the Thomas and Friends TV series. Duncan has taken lots of screen shots of these and then adapted them with other images and even his own text, then printed these out on our old monochrome printer, coloured them in and stuck the pages together to create his own books.

Here are some of the images he made. This is his version of the back inside cover, listing some of the other titles in the series. It even has a bar code.




These are some of the inside pages that he has adapted with his own version of the text and his preferred choice of pictures.



It reads,
"prentley he herd a whistle
gordon was verry cros
insted of nise ching
coashes but the others not
help out he was
a lot of thery dirty trucks
a goods train
a goods train
he grumbled the sham muddy all
the shame mud edward laghted"
The actual text is something like (from memory)
Presently he heard a whistle. Gordon was very cross. Instead of nice shiny coaches he was pulling a lot of very dirty trucks.
"A goods train, a goods train!" he grumbled, "the same of it, oh the shame of it!"
Edward laughed.
I can see a few places where he has misheard the words and tried to fill in as best he can with alternative words. I like the use of "the shame muddy" for "the shame of it"! The spelling is interesting too. He's managed to spell some difficult words properly and has made some good approximations for the rest.

I asked him to read out for me and told him the correct words for the ones he mixed up, but he's so contrary he insisted on his own version. I reckon he probably did hear what I said but just didn't want to lose face by admitting he had heard it wrong.

Here's another of his self typed pages. Though the story is about Gordon it's illustrated with pictures of Thomas, one of them taken from his Train Simulator program. I'm sure there's a perfectly reasonable explanation even if I'm too blinkered to see it.


It reads:
"hurry hurry puffed gordon to the coashes
now all he gon to fast
gordon gruned at the coashes az thay rech the top of the hill."
I don't think that needs any translation from me.

Jul 3, 2009

Run Away to Germany

Duncan was, as he was kind enough to let me know, sad and angry. He was in his bed and hiding his tear streaked face in my arms as I held him and stroked him. I was both the source of his pain and hopefully, his comfort. I had told him off sharply for running about upstairs when it was way past bedtime and the others were trying to sleep. I'd been up and down the stairs many times trying to settle him and then I just snapped, said loudly he was being a bad boy and I had hurt his feelings.

He told me that he didn't love me and that "Mummy is a bad woman." Well, if I thought it was OK to say to him...

I said I was sorry for making him sad and for shouting at him. He wasn't ready to forgive too soon. He sobbed, "Duncan hates Mummy...Duncan loves Mummy."

Poor boy.

I acknowledged his confusion and said that I love him and that he is so sad and cross now and he will feel better later. He agreed that he would be "happy tomorrow."

He lay quietly for a while but it must have come to mind again and he burst out, "put my shoes on!"

I asked where he wanted to go. "To the airport."
How will you get there? "In the taxi. I will bring small Superman case."
Do you want to fly somewhere? "Duncan will go to Germany. Mummy will stay at home."

I did feel like laughing at his rebellion, but hugged him a bit tighter (which he likes), kissed his curls and told him he could go to Germany some day. Soon enough he lay quietly and I left him.

This morning I mentioned his planned trip and he said he wants to go with Mummy and Daddy and Lady and Thomas. When I started saying something else about our night time conversation he instructed me to drop it; "don't say it."

He's been interested in going to Germany and especially the Black Forest for a while now, ever since he started his interest in cuckoo clocks and watched films about their manufacture, often in German. I think one day we'll go there. Perhaps if we're in the country, we can call in to see the fabulous Gonzo.

Jul 1, 2009

Sunday

Sunday was another fine day. We had to take the train into Belfast to pick up the car, abandoned the previous night. We decided to go to Delamont Park for the first time since Duncan's 6th birthday. It was beautiful. Even the drive was pleasant. The children were in great form, Duncan was leading the others in a clapping/chanting game about hot chocolate. The park itself borders the gorgeous Strangford Lough. After riding the miniature train (we could hardly be expected not to!) we followed one of the many guided trails opting to go by the lake. Duncan started off in the buggy but lept out almost instantly to run after his siblings. We passed a lawn on which Lady performed various gymnastics/tumbling maneuvers. Various bits of exercise equipment dot the paths and the children all had a go on a device with handles and a swingy bit for the legs. Duncan and Thomas worked on it for 10 minutes, their wee legs swishing back and forth like upside down metronomes.

When we got to the lake, the children ran onto the stony beach and tossed stones into the water. Duncan found a few big stones he labelled stepping stones and lept about on them like a mountain goat. I forced myself to keep quiet, but was a bit freaked in case he fell in as we had no spare clothes.

A week without rain (yes really!) had left the grass looking dry and a bit grey. It didn't seem to have harmed the grasshoppers we heard but didn't see. Duncan was a bit freaked out by the preponderance of flying insects. No matter how I try to reassure him, he thinks they're all deadly stinging creatures intent on harming him. Eventually I hope, he will pick up on my lack of concern about these creatures and lose this fear. But for a while he retreated to his buggy and pulled his T-shirt over his face for protection while I struggled to push him up a bumpy hill path, That was my work out for the day.

After our walk the children played for a while in a really cool adventure playground. Lady and Thomas loved the long steep slide, but it was a bit too much for Duncan.

To finish we called into the food establishment preferred for our family composition; the McD drive through. Burgers, fizzy drinks and ice cream provided the perfect accompaniment to what had been a busy and just about perfect day.

Saturday

Gordon and I were watching one of the many Michael Jackson tribute TV shows with Duncan snuggled up next to me on the sofa. He particularly enjoyed Say, Say Say and had a little "wave your arms around" dance to himself. Then we played a few of our favourite tracks from the Off the Wall CD and danced about the living room. Lady and her friend came in and requested Thriller then demonstrated their entertaining interpretation of the zombie dance. Thomas was a tad embarrassed by it all.

I went into Belfast hoping to meet a blog buddie who was up attending an ABA conference. I had the wrong time in my head and arrived half way through her lunch hour. Eventually we found each other and had a few minutes of hasty but delightful conversation before she had to go back to one of the many talks. I sneaked in to listen to just one of them, to see if any of my criticisms of ABA and it's promotion were addressed, but I felt terribly guilty about crashing the conference so I went off to poke about in the shops for a while.

Later Gordon and I went out for my birthday dinner. I had been especially grouchy; we were late to leave and I was starving. I am not at my best when I am hungry.
But after sitting down and downing a drop of red wine, I suddenly cheered the heck up and we had a most delicious meal. We declined dessert, but were provided with one anyway; three of the waiters brought out a toffee cheesecake embellished with a birthday candle while singing Happy Birthday. I can thank my waiter chum for that kind surprise, and for the massive reddener [blush] it generated.

We met Phil afterwards, a smart and talented man who's a fantastic photographer and as into literature as Gordon is. Over a few drinks we yapped about all sorts and tried to get my husband interested in twitter and blogging. It had been a lovely night.

Jun 24, 2009

So Gordon met Polly

The media provides endless stupid when it comes to autism. The latest Daily Mail article has the fantastically asinine headline, "I helped my son beat autism by making him give up Weetabix." But the ignorance of Daily Mail headline writers is to be expected. What though, can explain the decision of the Prime Minister of the UK, with all the difficulties he currently faces, the country in financial chaos, his party suffering near annihilation in the elections and his own precarious position as our beloved leader,to find the time to have a chat with Polly Tommey, a self appointed representative of some entity she's called "Autism Mothers".

How did this woman get the ear of the PM? She and her supporters ran an astute marketing campaign of billboards and posters costing over £500 000 (according to their press release). She and a group of other rich and attractive mothers posed in comely black dresses as the "Autism Mothers: Delivering Where Governments Have Failed." They are supposed to show that these women "aren't downtrodden, ill educated women who somehow deserve to have an autistic child."

Their billboards made out that this woman alone can save the PM £508 million a year, can help cut the divorce rate, can help him get people back to work. She is the messiah mum! She's going to make it all better.

The billboards didn't make it to Northern Ireland, but I've heard that there were loads of them about in England. For some reason, they were common in motorway service station toilets too.

But Gordon Brown for some bizarre reason fell for it and has since met the amazing Polly. I met her too 7 years ago and wrote about it here:
I spent a long afternoon listening to her theories and her detailed regime to rid her son of his autism. Back then I was impressed at her zeal and ostensible knowledge of autism's causes and treatments. Her son had had intensive ABA teaching. He had a host of supplements daily. He was fed only organic food and water from glass bottles, lest any pesky toxins intrude.

She talked about his numerous infections and how she believed the many courses of antibiotics he'd taken as a baby, together with vaccinations, were connected to his autism.
...
I was caught up in her pitch and wanted to think that she knew how to help me help [Duncan]. She warned me against joining the local NAS group where they refused to believe in cures and whose acceptance she interpreted as negativity.

She was a very kind lady. She welcomed me into her home and really did want to share what she knew in an effort to help. She presented me with a glut of her magazines which I read religiously for the next week or so. I tried to get Gordon to take an interest in it all. I showed him the article by the nutropath, advocating various vitamins and minerals. I showed him the articles about the labs which tested autistic children's hair, blood and stools and found all sorts of non standard levels. He scoffed at the lot of it. He just knew too much about microbiology, statistics, pharmacology etc. to be taken in by any of it. He pointed out a pile of what were (to him) ridiculous assertions contained in the magazines, and since he really knows his stuff, I dumped the lot of them.

But times have changed since then. What could be attributable to ignorance back in 2002, is less excusable today. The science has moved on. Numerous studies have failed to find a link between vaccination and autism, while as many have found more evidence for the genetic basis of the condition. Those who cling to environmental explanations in the face of the evidence are coming from a faith based position.
The Autism File magazine has moved on too. It still backs failed gastroenterologist/autism quack therapist Andrew Wakefield wholeheartedly, and still pushes unproven biomedical treatments as the best option for autistic children, and carries copious advertisements for the providers of such woo, but these days it's more widely available. Sadly, there's a market for such bollocks.

Here's how this dynamo of autism nonsense is introduced in the Daily Mail:
A few weeks ago, a one-woman campaign culminated in Polly Tommey meeting the Prime Minister to improve support for the families of children with autism.

She was fighting for the sake of thousands of other parents around the country, having become an unofficial 'Good Samaritan' for the desperate parents of autistic children.
Oh really? A petition in her favour got only 574 signatures. Where is the evidence that this woman and her company represent "thousands of other parents"? The NAS is much more representative of autistic adults and children and their parents/families.

Polly starts her article by describing the time she counselled a man who felt suicidal because he couldn't cope with his autistic 2 year old son. It's great that she was able to stop him killing himself but why did he have her phone number to call in his time of need? Why has she set herself, as an individual no more qualified than I myself am, to be the authority and source of help and information for parents of autistic children. Wouldn't a well established charity like the NAS be more useful?

Polly then describes "how unrelentingly hard it is looking after autistic children" with an apparently illustrative incident in which her son, then aged just two, pulled his six month old little brother's hair out. While I'm sure that was traumatic for the baby and hard on his mum, it's hardly unusual for toddlers, autistic and not, to inadvertently hurt their baby siblings. Oh I forgot, here's what marks it out as bizzarro autismo stuff; "Toby was screaming and his head was all bloody - but Billy was just laughing." Yes, the two year old laughed instead of recognising the full magnitude of his crime and promising to make reparations.

Polly tells us about her charmed life before the dread autism came to call and she and her husband "cried until we fell asleep" for six weeks. She calls her son's autism "regressive autism" and was "desperate to get my child back. I would have done anything for a smile or a cuddle, or to hear him say: 'I love you, Mum.'"

Polly continues with the myth of the autism gut:
People don't realise that a large proportion of autistic children have terrible gut problems, and for 18 months that was the case with Billy. Any normal child would have been taken to A&E at some point and given a battery of tests, but with autistic children doctors say it's just part of their autism.
Just what is the evidence that autistic children have more gut problems than non autistic? And why would a child go to the A&E department for tests on autism? That's one of the oddest suggestions I've heard yet. I've said it before, if you think your child has gut issues, see a doctor, but not at an accident and emergency department. When a child is sick, it's irrelevant that the child has autism. When Duncan was younger and had a limited diet and wasn't gaining weight fast enough, we were referred to a paediatric gastroenterologist as part of the investigations into his health needs. He had various tests performed, all by proper doctors and all expenses were covered by the NHS. No doctor has ever said to us that any of Duncan's medical issues should be taken as just part of his autism. But maybe we've just been lucky.

The Tommeys discovered the gluten free/casein free diet and like magic, Billy improved. His Dad was so impressed that he sought out more sources of (mis)information on biomedical approaches to autism and he "re-trained as a clinical nutritionist."
Of course he did!

But what's this, in the bit about how they were the first in the UK to try treating their son with the hormone secretin, Polly says that "Billy still suffered terrible constipation, and we thought it would help regulate his gut. It worked and Billy's behaviour improved."

But...I thought the GFCF diet had sorted all that?! Anyway, one of the couple's media mates got them onto the Trevor McDonald Tonight TV show talking about secretin and they found themselves "inundated with people asking us for help." They decided to start a magazine, it's circulation is now an impressive 44,000 and it's on sale nationally for £4.95. It's safe to say, the Tommeys words are read a bit more than my own.

Polly then explains the type of problems people ask for their help with but she admits, "I am not trained to deal with any of this. All I can do is listen and advise where I can."
So why not send them to the NAS, where the phone counsellors are trained?

She comes out with an amazing admission:
There is so much misinformation out there, and so little understanding from health professionals, emergency services and the authorities that it makes caring ten times harder.
The Autism File magazine is one such source of misinformation.

The article proceeds with an anecdote of autism induced difficulties. In this case however, if what she says is true, a terrible miscarriage of justice has been suffered by the man described. He screamed on a bus when he couldn't deal with the sound of a baby crying, was taken away by the police and sectioned. This is all told from the perspective of his mother who, Polly says, "didn't see him for six months and by the time she got him back he was pumped full of drugs and could only sit rocking backwards and forwards in his bedroom. All her hard work had been destroyed."

All her hard work?! Polly continues;
The cost of life care for an autistic person is around £2.9 million, but we think that with the right help that could be massively reduced.
This figure relates to the cost of a person with autism and a learning disability. For people with High Functioning Autism, the same authors estimated the cost at £784 800.

Polly postulates the provision of an autism centre which she reckons would cost £10million to set up and "where we could educate the police, magistrates, teachers and anyone else who comes into contact with autism."

The unsubstantiated claims of biomedical believers are shared;
There are amazing things being done to help autistic kids, particularly with biomedical intervention - detoxifying children through supplements and probiotics, diet, speech therapy and behaviour analysis.

Some children respond so well they are taken off the autistic spectrum and can return to mainstream school.

But very little of this help is available on the NHS, or through the local education authority.
But, why should the state fund this when there is no evidence of its effectiveness?
Polly might learn from an astonishingly good article the Mail ran earlier, the great autism rip-off.

Polly tells that Gordon Brown "loved the billboard campaign and said it was genius."

Money talks.

The article continues;
Gordon wants me to work with his wife Sarah to bring all the autistic organisations together so that we can work for a common cause. He wants there to be more understanding towards autistics, and for them to be more included in society.

For that to happen, the public sector needs educating, so he wants his representatives to attend a conference that our charity, The Autism Trust, is running in October. We want doctors, scientists and the public sector to learn more about dealing with autistic people.
I am all for more understanding of and towards autistic people. I don't see how this can be achieved by attending a conference run by a group of parents whose dearest aim is the removal of their child's autism. The government representatives would be better off meeting actual autistic people to learn from them about their needs for services and respectful, inclusive treatment.

Jun 19, 2009

Guest post by Lady: Jamaica Day 1

Lady wrote a post on her blog and allows me to post it here too. Please leave any comments with her. Here goes:
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On May the 28th my Dad, brother, Grandma and I went to Jamaica for my great auntie's funeral. We had to get two planes, one from Belfast to London Gatwick and one from Gatwick to Montego Bay (in Jamaica).

But it was not easy! We had to wait in Gatwick airport for a very long time because the flight we were taking was delayed by about one full day! When we at last got on the plane it took off and we were going. I was really glad because all of the passengers had started to get incredibly mad. I was too!

After 11 hours on the plane, we landed. It was extremely hot and I felt exhausted. We all got a taxi to our hotel which was about 10 minutes drive away. We slept as soon as we got in our rooms. Next day, Thomas and me went outside and started climbing trees in the beautiful garden. The mango trees were full of fruit. Next we went swimming in the pretty pool, surrounded by trees and exotic flowers and with a waterfall and a pond. We ate breakfast on the balcony looking over the garden.

We went back to the airport to hire a car then all drove into the country to my Granda's house. He lives in Jamaica. He lives near lots of mountains and loads of the houses are built on sticks. There are goats, dogs and chickens running about. We played with our cousins Justin, Jamie, Monique, Anesca and Rosa. We played chasies, hide and seek and I taught them some cheer leading and gymnastics moves. Justin was great at doing cartwheels.




My Granda uses a wheelchair and he likes to chat a lot. He asked me lots of questions about what I've been doing. I met him once before when I was 5 years old. He was very friendly and I like him a lot.
When we left his house we drove to Mandeville where my other great aunt, Mary lives. It was quite late when we arrived and I hadn't eaten since breakfast. I had a tiny bit of mango and cocunut at Granda's house but I was too busy playing to eat more. Dad took Thomas and me out for KFC while Grandma got some time to talk to her sister Mary.

We played with some of our other cousins who lived there and went to bed in Mary's house. It was very late and I was really tired, but I was still one of the last people to go to bed.

Explaining autism to class of 8 year olds

Last week a reader asked for advice on how to tell children in his/her son's school class about his autism.

I've discovered that some boys in my son's class believe he is brain damaged. Now they're not evil children and were happy to talk to me about this. They just want to know what's 'wrong' with their well liked classmate. Age of these children 8ish.

I've mentioned it to his learning support assistant and class teacher. I think a class talk is necessary. The problem is my son thinks he's perfectly normal with something called in his words 'I forget what is it again? Oh yeah Autism.' Of course to us at home he IS perfectly normal. He's aware that he behaves differently from others but he's very happy about this difference.

The county autism team have suggested that my son not be present when the talk is given. I don't know about this.

Can anybody help?

How do we go about this? How does anyone explain autism to a bunch of children without resorting to cats and mawkishness?

I don't know if it would be right to have a class meeting about the boy without him present. It would be better, in my opinion, to have someone, you the parent? talk to the class and then take questions. Your son could say a few words too if he wanted.

I tell children who come here that Duncan is autistic. Then I explain that it's a kind of disability that for him means it's harder for him to speak and understand other people and that he likes to do things in a different way from most boys his age. I've not had to tackle the class situation and most children who come here don't play with him much anyway as he just ignores them. I know what you mean about cats and mawkishness. Since I've been of no help, I'll leave this post up and invite the clever people who read this to leave their advice in the comments.

Jun 17, 2009

Action for Children ad demonising autistic children cleared by ASA

In January, a major UK children's charity, Action for Children, released a television advertisement ostensibly about the help they had offered an autistic boy. It gave however, a shockingly inaccurate, damaging and offensive portrayal of autism and I and several others (listed here) wrote about the ad and contacted the charity with our concerns. Action for Children responded with a form letter apologising for upsetting us, as if that made it all OK, but ignoring all our valid explanations of why the ad was wrong. I created a Facebook group as a way of mobilising support and attention on the issue quickly and in a few weeks, over 2600 people had joined. The ad was supposed to have run for 3 weeks but was pulled after only 2.

In January, I complained to the Advertising Standards Agency (ASA) about the ad and on June 3rd finally received a letter with their adjudication. Unfortunately, they decided that the ad did not breach their codes. I was instructed not to publicise this decision until today when the ruling was made available on their web site.

I appreciate the time and effort the ASA has spent on this but I am very disappointed with their decision and also with the text of the ruling.

Action for Children responded to the ASA by saying that they "believed they had a responsibility to tell their stories through their [young people's] own eyes, not through the eyes of parents, carers or adults" and that "their organisation was committed to raising the issue that support was available through their advertising and campaigning, despite that being uncomfortable for some."

For the first time ever, I read that, " "Dan" (not his real name) was now an adult who was therefore able to give informed consent."
(my emphasis.)

The advertising company also responded:
"Clearcast said that, at pre-production stage, they had been informed that the stories told in the ads would be real case studies using children's own words. They considered the ads were extremely sensitively made and that the animation of the "monster" symbolised, in a child-like drawing, how a child felt when he felt out of control. They believed "Dan's" story was an uplifting one about how a boy who felt unable to deal with his autism could find help and support from Action for Children."
(my emphasis)

Does an advertising company just stating their opinion that the monstrous ad was "extremely sensitively made" make it so? Also, I dispute all these claims that the ad represents how a child/boy feels about his autism, since we now know that "Dan" is an adult.

I wrote to the ASA in January and posted my letter on this blog today. The ASA have summarised my extensive, reasonable and evidence based objections and those of the others thus:
    1. All the viewers and Autreach challenged whether the ad was offensive and distressing, particularly to autistic children and their families, because of its negative depiction of an autistic child as a monster.
    2. 31 viewers challenged whether the ad was offensive and misleading because it portrayed autism as a behavioural problem that needed to be corrected or because it implied that an autistic person chose to behave in the way they did and could modify their behaviour if they wished.
    3. 11 viewers challenged whether the ad was misleading because it suggested autism could be cured.
    4. Six viewers and Autreach challenged whether the ad condoned bullying because "Dan" appeared to believe it was his own fault that he was bullied.
    Objection 1
    Action for Children responded by talking again about the individual depicted in the ad, "his feelings of anger and frustration" and how "he overcame those feelings and was "more at peace" with himself. "

    They claim also to have "received supportive comments on the ad from senior government figures and members of the public."

    Well how nice, but thousands of people showed their disgust with the ad by electing to join a protest group, many others signed a petition against the ad, and 61 people and one autistic organisation were sufficiently bothered to complain to the ASA. Action for Children's income from grants and fees is "mostly derived from local authorities, health trusts and central government sources" according to their annual report and financial statements 2006/07 (see page 44 of the PDF link.) It is not too surprising therefore that senior government figures speak in the charity's favour. What is surprising is the insight gained into the views of the Rt Hon Hilary Armstrong MP, latterly the Minister for the Cabinet Office and for Social Exclusion on disabled self advocates.
    "She said she disagreed that the ad portrayed autism as dark or evil; that it was the effects of autism that had left "Dan" feeling angry and isolated but that, with the right kind of support, it was not nearly as bad for him; that "Dan" was not "cured" of autism but had learnt how to deal with it with sensitive help and support. She said she was aware of a section of the disability lobby that believed the behaviour of those with a disability should not be "interfered" with but she believed that view should be challenged. Even if wider society tolerated the behaviour "Dan" described, it was painful for him."
    (my emphasis)
    That line about the disability lobby deserves further investigation. I wonder from where Ms Armstrong derived this peculiar view, what evidence she has that it exists and what relevance this notion of hers has on the criticisms of the monster autism ad? I am disappointed that the ASA saw fit to use this in their adjudication as it implies that those of us who object to the demonisation of disability are some peculiar "lobby" that seek to leave disabled people to flounder.

    Objection 2
    Action for Children responded by saying
    ""Dan" had approved the concept and the drawings as how he had seen himself and what he had felt he needed help with. They said he felt strongly that he now had support to help him with aspects of his behaviour which previously he had not understood and which had created difficulties for him in his relationships."
    In the email I received from Gary Day on Jan25 this year, he wrote something else entirely. He said then,
    "Dan tells his own story in his own words, and he chose to name his condition, the drawings that you see were also drawn by Dan, the pictures depict how he saw himself before we as a charity got involved and helped Dan and his family."
    Why were they claiming at first that Dan drew the pictures when it was an advertising company all along. Why are they hiding behind this individual, as if Dan saying it makes it all right no matter how damaging it might be to all the other autistic people out there?

    They also quoted the principal of Dan's school saying that Dan used to have behavioural difficulties but with their support, he got over them. That's all great but I don't see the relevance to an ad that is damaging to public portrayals of autism for all the other autistic children in the UK.

    We learn also and I am not surprised, that the former chief executive of another major UK charity, Mencap, "supported the ad "because it raises awareness of some very complex issues that are frequently misunderstood by the general public" and who said awareness of the lack of services available needed to be raised."

    It's all about the awareness isn't it? It matters not, apparently, if that awareness causes more harm than help. An ad that makes more people "aware" of autism as a condition that makes you into an anti-social monster is supposed to be a good thing?

    Objection 3
    Another glut of false arguments are presented in the next bit of Action for Children's response to objection that the ad appeared to show Dan being cured (my points in red):
    " They said the ad showed "Dan" shedding his anger and frustration but referred to their comment above that he was still on the autistic spectrum at the end of the ad. This is not apparent to the average viewer. They said there was a wide range of opinion on almost all aspects of autism and that some groups disagreed with showing autism as any kind of problem for those diagnosed on the autistic spectrum, or their families. A total fabrication! Action for Children said they knew, however, that people and families who experienced autism also experienced problems and that they did not feel they could shy away from difficult or sensitive issues for fear of upsetting a small minority of people if they were making a case for the good of the children and young people with whom they worked. It is not fear of upsetting a minority that we have criticised, it is your misrepresentation of and damage to the lives of autistic people.


    Objection 4

    Their response to the bullying queries:
    Action for Children said the ad quoted "Dan" as saying "I used to lash out if somebody pushed my buttons or I wasn't able to do something." They said that contextualised his feelings of anger and frustration in that they were not just in response to other people - he was also generally frustrated with things around him. No one objects to Dan's feelings nor that he was helped to find ways to deal with them. They said the crucial aspect of Action for Children's support was that it allowed "Dan" to be "more at peace with himself" and less likely to respond with violence to things that perhaps did not warrant that response. Action for Children said they did not condone bullying or cruelty but that, nevertheless, children and young people found bullying was a common and profoundly damaging experience. I contend that the ad itself would cause more bullying of autistic young people as it portrays them so badly.
    It is worth noting that the opinions of the autism professionals who spoke out about the ad or against damaging portrayals of autism, are missing from the ASA's adjudication report.

    The ASA's Assessment
    Objection 1. Not upheld

    The ASA say:
    We considered, however, that they had taken pains to represent autism and the issues it raised in a way which, in their experience, was accurate and truthful, and that the message of the ad was positive. We concluded that the ad was unlikely to result in widespread offence or to have the effect of undermining the dignity of autistic children and their families through its depiction of autism.
    I feel that I demonstrated in my letter the ways in which the ad was inaccurate, untruthful and that it's message was damaging. The ad did result in widespread offense and did undermine the dignity of autistic people. That the ASA don't agree is disappointing, but it doesn't change the facts.


    Objection 2. Not upheld
    We noted the concerns expressed by the viewers and the points made in defence of the ad by Action for Children and Clearcast. We considered that, while views on how best to address the issues autism raised might differ, the story told in the ad centred on one person's - "Dan's" - experience; on the difficulties he considered he had experienced as a result of his behaviour and his reactions to his surroundings; his wish to address them and the difficulties he had experienced in doing so until he received help and support. We did not consider the ad suggested an autistic person chose to behave in the way they did or that they could simply choose to modify their behaviour if they wished. We considered the ad did, however, tell the story of how "Dan" had wanted to deal with his situation and how, with the right help and support, he was able to do so. We concluded that the ad was unlikely to cause offence or to mislead viewers by portraying autism as a behavioural problem or because it implied that an autistic person chose to behave in the way they did and could modify their behaviour if they wished.
    I disagree with this assessment. As I showed in my letter to them, the NAS have shown that 17% of people already think that autism is just bad behaviour. I expect that number would increase if those being surveyed were shown this ad first.

    Objection 3. Not upheld
    We considered that the story told in the ad centred on one person - "Dan's" - experience; on the difficulties he considered he had experienced as a result of his behaviour and his reactions to his surroundings; his wish to address them and the difficulties he had experienced in doing so until he received help and support. We considered that, just because issues or a situation could be addressed and supported, it did not necessarily follow that they were completely resolved or, in this case, "cured." We considered that views on how best to address the issues autism raised might differ and that, while the ad told of the experiences of how one person had been helped to address the issues they considered the condition raised for them, it did not suggest that the condition was one that could be cured or that "Dan" had been cured. We concluded that the ad was unlikely to mislead viewers by suggesting the condition could be cured.
    Making this all about a man called "Dan" and claiming that as it's just one man's opinion, and then presenting this as if it were actually the views of a child, does not exonerate the charity and the professional advertising company from culpability. This ad was expensive to produce and run and portrayed autism in the way Action for Children thought would best gain them publicity and support as the saviours of even tragic cases like Dan's.


    Objection 4. Not upheld
    We noted the concerns expressed by the viewers and the points made in defence of the ad by Action for Children and Clearcast. We noted that the ad referred to "Dan" being insulted and reacting to that by being physically violent to the person concerned. We considered that, while "Dan" regretted reacting with physical violence and wanted to be able to deal with the situation more appropriately, the ad did not suggest that "Dan" considered it was his own fault he was bullied or that bullying behaviour was acceptable. We concluded that the ad was unlikely to be understood as condoning bullying.
    I consider that the ad implies that autistic children are more likely to act aggressively than typically developing children. This is another misrepresentation as aggressive behaviour is not one of the diagnostic criteria for autism or Asperger's syndrome.

    Professor Tony Attwood, criticised this ad with specific reference to the bully message:

    "“I am very concerned that the advert gives a message that children with autism and Asperger’s syndrome are dangerous and potentially disturbed.

    When the child refers to “correct errors in my behaviour” this seems to imply ‘brain washing’ and a sense of guilt for how he behaved.
    Many of the behaviours I consider as coping mechanisms for the lack of understanding and respect from other people.
    He refers to reacting when people insult him. Those that insulted him need the treatment.”

    Professor Attwood was not quoted on the report.

    So Action for Children can celebrate that they have won. I had hoped that the advertising guidelines might provide some protection for autistic people from the disturbing way Action for Children chose to portray them. But that has not happened. Action for Children must be proud of their victory, their right to show autistic children as monsters thrashing around terrifying the population has been upheld. Well done to them.