Making sense

Like all parents, I want to be able to understand my child’s needs and make sense of what makes him tick. This has not always been easy with B. He has what one book I read describes as, “a logic all his own that perplexes or exasperates others because it is not representative of the norm.” Or to put it another way, he dances to the beat of a different drum! As time has passed I have learnt to understand many of his behaviours and characteristics by looking at them in terms of his autism. This is the great advantage of having the diagnosis- what was previously utterly perplexing can at least be looked at in a context where it (sort of) makes sense. In particular, I have found that learning about B’s sensory issues goes a long way to explaining who he is. I’m making sense of his senses, if you like.

We use our senses of touch, movement, smell, taste, vision, and hearing, combined with prior information, memories, and knowledge already stored in the brain to make sense of our world. As I understand it, many autistic children have difficulty in processing these senses. I have been reading a book called ‘Early Intervention Games’ (see Reading List) which identifies this as ‘Sensory Processing Disorder’ and says that, “When sensory input is not integrated or organized appropriately in the brain, children experience the world differently. Because they are not always able to process information received through the senses, they cannot easily adapt to a situation.”

The result is that the world can become what’s been described as a “Shrieking, blinding hurricane of sensory acid rain.” The book, ’When Your Child Has Aspergers Syndrome’ says, “Your child may vibrate at a different “frequency” than most others. That is, he may be described as “exquisitely sensitive.” Because of this, his entire nervous system-his senses and emotions- may be routinely impacted by stimulation others filter out naturally.” As a result, it is not uncommon for an asd child to have a desire to maintain order, peace and tranquillity. I guess they attempt to regulate their world.

I can apply many of the resulting behaviours to things I see in B. From a very early age he exhibited behaviours which we now look back on with a better understanding. My wife reminded me the other night of his tendency to bounce frantically on a knee, craving the intense movement and seeking the extra stimulation. At the time it was note worthy- now it seems like an obvious sensory response. Another habit he had from an early age, and still has now, is his need to touch moles (on a person’s skin, rather than the furry kind). The word need is quite appropriate here. when putting him to bed at night he absolutely could not sit unless he was touching the particular mole on your arm he preferred. He would become quite distressed if he could not have it and still does (though to a lesser extent). For a long time I had problems carrying him because I have a mole on the back of my neck that he would not leave alone (and would sometimes scratch and pinch). Feeling that you were unable to carry your own child in your arms was not a pleasant feeling.

B has other tactile habits like constantly having his hand down his nappy and pants, and chewing on all sorts of things (or if not, just putting them in his mouth). He also craves ice pops and will ask for them constantly throughout the day. Mind you, they can only be the red ones. Don’t even think about offering an alternative (is this to do with the taste or just a colour preference?). When he gets his teeth into one he literally gets his teeth into it, crunching away at the ice as every adult in the room cringes at the sight. He has always been very particular about the temperature of his food and will not eat anything he considers ‘too hot’, or what you and I would consider ‘barely luke warm’. A few nights ago I went downstairs to fetch him a beaker of warm milk. Knowing his absolute insistence on it being just right, my wife was careful to instruct me the exact number of seconds it should be in the microwave. I dutifully followed the instructions and brought to him the beaker of warm milk, whereupon he became very distressed and refused it. I had used the wrong beaker.

There are countless other traits and behaviours that, when considered collectively, are symptomatic of over-riding sensory issues. Probably at the top of the list would be his ‘human beatbox’ stimming noises. I wrote about this way before his diagnosis (read it here) and it still very much a major part of his behaviour. I’m no closer to understanding what triggers it and in fact have come to hardly notice it. This week we had a visit to the children’s hospital. We arrived and spent five minutes in the waiting area full of interesting toys and things to mess with, before being moved to a bland corridor for 45 minutes. he was very well-behaved indeed considering the unsuitable conditions. If it was a theme park they would issue fast passes and show an understanding of the autistic child’s difficulty in waiting. Not so at the NHS, it would seem. My wife commented later that he had probably been making the beatbox noise for ten to fifteen minutes before it even registered with her. I’m certain it registered with the other people sat in the corridor, but we don’t worry about them.

It surprised me, when reading up on this to find that ‘tuning out’ is a very common characteristic. B does this a lot and I often find myself handling it incorrectly. You call his name and there is no response. So you call it again, and still no response. At this point, I know what I should do, but instead find myself calling his name louder and more frequently, sometimes to the point where I am shouting. I don’t know why I do this- it makes no difference and I just wind myself up. Perhaps as a teacher I expect a response when I call someone’s name. It’s an example of one of the (many) ways in which I’m still learning to be the dad that B needs me to be.

It can be very difficult when everything has to be just right for your child. I think it is particularly difficult for my older son who, whilst being an absolute superstar of a big brother, is also frequently the one who triggers a bad reaction in B. He gets told off when really he’s just being a normal six year old. It’s asking a lot of him to make sense of something we struggle to make sense of ourselves.

The point to remember though, is that it is my son who is the person with the biggest difficulty in assimilating. We can decipher our world and cope with our surroundings. We take it for granted that we feel comfortable in our own skins and have a sense of control. In order to feel this way, B has to go about things a little differently.

It is not about making sense of my son, but helping him to make sense of his world.

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9 Responses to Making sense

  1. B's dad says:

    Hi,
    I wanted to share with my blog subscribers and general visitors a Facebook page I’ve set up. I’m really not sure what I’m doing- FB has always been a bit of a mystery to me. However, if you are a user it would be good to get some Likes and maybe spread the word to friends. Blogging and using FB anonymously makes it difficult to make friends!

    The page is here:
    http://www.facebook.com/#!/pages/Life-with-an-autistic-son/184022491680579

    Your support would be much appreciated. Thanks.
    B’s Dad

  2. You’ve just described our DS with the sensory issues and switching off. Apparently he hums a lot in class too, I’ve never noticed it at home. DS loves to touch our skin and constantly finds the bits you don’t want him to touch :)
    He gets on well with DD, but again she brings out the responses you don’t want; its hard for the siblings. That aside, where you mention the feeling of not being able to carry B – DD has extreme sensitivity to touch and we can’t cuddle… heart wrenching at times.

  3. rachel says:

    Wasn’t sure where to post this as it’s not really a reply to your latest blog but I thought this mother’s testimonial of over coming fussy eating in her autistic child might be of interest.
    http://www.doctor-natasha.com/fussy-eaters.php

    • B's dad says:

      Thanks for the link. It’s very timely as today we started to reduce B’s gluten intake. The cupboard is stocked with (expensive) gluten free biscuits, bread and pizza base mixes. I’ll be sure to have a look at this page. I also have the book shown on the page so I should dig that out too. Thanks for thinking of me.

  4. rachel says:

    That’s brilliant news that you are going to go GF. It’s a great first step but I do have to say (and you’re not going like me for saying it with a expensive cupboard full of GF food) that if you decide to follow GAPS it is grain free. So it means no wheat, oats, corn and even no rice and no potatoes (although it’s not restricted forever, she suggests min 18months – 2 years).

    She writes in her book ‘GAPS’ pg 92 chapter ‘The Diet – A Discussion’
    “The fact that this kind of GFCF (Gluten Free Casein Free) diet gained such a world-wide acceptance as the diet for autism is very unfortunate, because it addresses only a small part of the whole picture of autism: the gluteomorphins and casomorphins. As always, a lot of commercial companies jumped on the bandwagon, ready to supply GFCF pre-pared foods, full of sugar, processed carbohydrates, denatured and altered fats and proteins and many other substances which autistic children must not have. Every publication on autism is full of advertisements for these foods, lulling the parents into a sense of false security: if it is GFCF it must be fine for my autistic child. Books are written full of recipes, based on these processed carbohydrates, sugar, altered fats and proteins. Websites and internet chat groups have been set up exchanging the same kind of recipes…..
    This is just one of many examples in our human history of scientific data being used in the wrong way. There is no doubt that gluten and casein are better out of the diet of an autistic child. But these two substances are by no means the only decisive key to autism, schizophrenia and other GAPS conditions. The core issue, which we have to deal with, is the unhealthy gut ruled by abnormal microbes. An appropriate diet is an absolutely essential part of the treatment. But it is definitely not the GFCF diet, as we know it.”

    I found a good explanation of why the exclusion of all these grains is needed on GAPS at this website http://www.thehealthyhomeeconomist.com/2010/07/heal-your-autoimmune-disease-now/

    For me my journey to finding GAPS started a couple of years before when I read ‘The Diet Delusion’ (called ‘Good Calories Bad Calories’ in the US) by Gary Taubes. He’s a science journalist and it’s a great tomb of a book where he has done a meta analysis of all the dietary research to data.
    One of his main conclusions is there is much evidence suggesting our diseases of the western world (heart disease, obesity, diabetes, cancer, Alzheimer’s etc.) are due to our increase consumption of sugar, processed carbohydrates and industralised vegetable oils.
    I only mention it because I think it is reassuring to have independent voices confirming the healthiness of the foods Dr Campbell-McBride is advocating to eat on the GAPS diet (i.e. real unprocessed food of old).
    This link is to a lecture given by Gary Taubes and is a good summary of his book. It’s long at well over an hour and still doesn’t cover everything but it’s a lot shorter than his (brilliant) 460 pages.
    http://vimeo.com/21270793

  5. Helen says:

    Hi
    Just wanted to share something I’d heard recently which is relevant to this post. Apparently the NHS does have the responsibility to fast track appointments for anyone with Autism. Apparently this is included in a recent piece of government legislation (I think called the Autism Act) and if you quote this when booking appointments you should be fast-tracked. Not sure how this works in practise and I appreciate that you may have already looked into this possibility and may be better informed on it than me, but thought it might be helpful. Your blog is a really interesting insight into understanding and caring for a person with autism from a non-autistic perspective if that makes sense. I work with adults with autism and its really interesting and useful to learn about Autism at the beginning as it were, from reading your blog.

  6. Virginia says:

    Just a comment on the sensory issues. Some days Alvin has a ton of them and others very few. Normally he has issues with crowds and noise and this weekend while visiting an auqaruim and crowded market place he was fine. When we walked out to see an airplane that had its APU running and no engines he freaked out.

    I don’t always handle the situations correctly. I do say his name over and over at home instead of getting up and showing him what I want.

    When it comes to sensory issues I think its a learning process. They are always evolving and we just have to learn to evolve how we deal with and to teach them better help themselves.

  7. B's dad says:

    Virginia,
    I am often surprised that B handles crowded situations as well as he does. Having said that, he runs around a great deal stimming loudly. The thing is, he smiles whilst doing so and appears happy. I think the stim is making him happy as he ‘regulates’ himself. If he wasn’t overwhelmed, perhaps he would be calmer. I have a lot to learn, clearly! Thank you for your wise words.

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