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Full Version: Statement by Barack Obama in support of World Autism Awareness Day  
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I wish that he had been more specific in his statement about "devastating" costs.  such as, devastating costs are incurred by families with school aged children.  Or, Our health care system has skyrocketing costs, devasting costs that are not covered, for many families, our local schools are not adequately staffed and equipped.  There needs to be a greater understanding of the full spectrum and individual needs of all school aged children .All of this can create a devasting burden on parents to find and create schools and programs that satisfy the needs of all our children.    Hey someone write me a speech - I'll email it to his wife... (I like Obama)
Obama wasn't talking about everyone with Autism or Asperger's.  I am quite sure he doesn't understand the HUGE diversity that exists within this diagnosis.  

I worked intensively doing applied behavior analysis and training folks to do it in Graduate school and my awakeining here on AFF has been amazing.  After a couple of years of being immersed in what I thought was the world of autism, the fact that I worked pretty much exclusively with children with extreme cases severely limited my understandng of the whole picture.  I am not sure how many of you have been around a seven year old with zero language, constant stimming and severe tantrums, but it could easily be perceived as a devastating situation for the families.  Especially if they lack the resources to provide the constant teaching and care that helps so much.  Progress with these kids is a beautiful thing to see.  It is super rewarding to see your kid be integrated into school and become comparatively successful in more "normal" environments.  and for those families of children with severe symptoms, that is a dream which can sometimes come true and at the least, parents can expect that with time and teaching, they will be able to better communicate and facilitate communication.   I don't think Barack Obama is trying to be divisive.  I just think he might be referring those members of the population who have struggles beyond those of the folks on this forum. The Burden coment was certainly not meant for those with Asperger's who make such great contributions as I have read here.  I wish I had known about the different levels of Asperger's in a more personal way years ago.  Like in Grad school.  I guess that is what awareness is all about.  If you feel marginalized and put into a group that is a "burden" to society, maybe we should advocate better and let the world know just how broad this "Spectrum" is.  I have learned more about people in the last week of exploring this forum and others llike it than I did in a semester of graduate school.  And I had a great education... it's just that there is no substitute for seeing things from multiple perspectives.



woodpeace Wrote:
Here is his statement: http://www.barackobama.com/2008/04/02/ob...ort_of.php

Here are extracts from it:

"In current dollars, the cost of simply caring for each person with autism will be over $3 million - a devastating burden for virtually every family who is affected by this disorder."

"Those who face autism - or whose loved ones are facing it - are some of our most courageous Americans."

"[W]e must build a world free of unnecessary barriers, stereotypes and discrimination."

By "those who face autism" does Obama mean autistics?

I am disappointed that he used the "devastating burden" in respect of autism.

Did any of those intense urges like avoiding tasks by sorting and rocking or your urges to hit people sort of dissipate as you got older or do you think training was more responsible?  And did any of the really antisocial stuff go away as you learned to communicate?  When did you learn to write?  I would love to know your answers and those of anyone who gets this post...


earthmonkey Wrote:

jedimom777 Wrote:
Obama wasn't talking about everyone with Autism or Asperger's.  I am quite sure he doesn't understand the HUGE diversity that exists within this diagnosis.  

I worked intensively doing applied behavior analysis and training folks to do it in Graduate school and my awakeining here on AFF has been amazing.  After a couple of years of being immersed in what I thought was the world of autism, the fact that I worked pretty much exclusively with children with extreme cases severely limited my understandng of the whole picture.  I am not sure how many of you have been around a seven year old with zero language, constant stimming and severe tantrums, but it could easily be perceived as a devastating situation for the families.  Especially if they lack the resources to provide the constant teaching and care that helps so much.  Progress with these kids is a beautiful thing to see.  It is super rewarding to see your kid be integrated into school and become comparatively successful in more "normal" environments.  and for those families of children with severe symptoms, that is a dream which can sometimes come true and at the least, parents can expect that with time and teaching, they will be able to better communicate and facilitate communication.   I don't think Barack Obama is trying to be divisive.  I just think he might be referring those members of the population who have struggles beyond those of the folks on this forum. The Burden coment was certainly not meant for those with Asperger's who make such great contributions as I have read here.  I wish I had known about the different levels of Asperger's in a more personal way years ago.  Like in Grad school.  I guess that is what awareness is all about.  If you feel marginalized and put into a group that is a "burden" to society, maybe we should advocate better and let the world know just how broad this "Spectrum" is.  I have learned more about people in the last week of exploring this forum and others llike it than I did in a semester of graduate school.  And I had a great education... it's just that there is no substitute for seeing things from multiple perspectives.



woodpeace Wrote:
Here is his statement: http://www.barackobama.com/2008/04/02/ob...ort_of.php

Here are extracts from it:

"In current dollars, the cost of simply caring for each person with autism will be over $3 million - a devastating burden for virtually every family who is affected by this disorder."

"Those who face autism - or whose loved ones are facing it - are some of our most courageous Americans."

"[W]e must build a world free of unnecessary barriers, stereotypes and discrimination."

By "those who face autism" does Obama mean autistics?

I am disappointed that he used the "devastating burden" in respect of autism.


Of course how much people can contribute monetarily and such is extremely varied, and some people need full-time services. But I still think it is not good for anybody to look on such people as a burden. Not good for any disabled person to be described this way. (And even the most nonverbal among us may well be listening and understanding.)

While I started speaking at the expected times, it has always been difficult for me, and stress wears down my energy and makes it more difficult to speak, sometimes to the point where I can't at all, and more often to where I can only speak single words, or two-word phrases. Of course, I'm 18 now, so I have made a lot of progress with speech, despite not having much help from professionals until recently (even now it's not much, but still...). When I was in elementary school, I rarely spoke, as it was very noisy, and it was next to impossible for me to participate oftentimes. I had a 1-5 hour tantrum virtually every night at age 7 - 10.

In kindergarten and first grade, I would mostly not speak, and certainly rarely initiate speech, and I spent most of my time stimming and not understanding the spoken words of the kids and adults around me (stress also disrupts my understanding of spoken language, which is tenuous to begin with), and all I could discern at those times was that the teachers were mad at me and would sometimes yank my arm. Luckily, I didn't have much sense of my body or coordination of my movements, so my instinctual efforts to hit anyone who touched me mostly failed. I spent most of my time in these first school years staring at a wall rocking, or sorting beads, or really doing anything other than what I was supposed to be doing.

I had a lot of times where I would cry, or scream (most of the time I would scream was with the lunch ladies). I also banged my head a lot. Basically, if you just saw me at school, or when I was really stressed at home, you'd see someone who acted very much like one of the kids in the Autism Everyday video. If it weren't for my known ability to speak, and the fact that my dad is also on the spectrum (one thing he told me when I was young before knowing about autism was that he'd rock back and forth repeating "mommy come here!" and when he told me this at a young age I mimicked it Smile ), and if we'd had more money or known something more about the so-called milestones, then they might've had a diagnosis earlier, and perhaps a more gloomy "prognosis".

My mom certainly was exasperated, particularly as she worked hard at her job and had two other kids to take care of (I was the youngest, and it took me longer than my siblings to learn to do things like get dressed, wash or brush my hair, fix food, and later, to shave). My oldest sister was also quite a handful in her younger years, though in different ways. But I know she wouldn't think of it as being devastating (we have had conversations). Perhaps if she had been given such a negative view (i.e. make them close to normal or institution) as professionals often give or leave unaddressed upon diagnosis, then it would have seemed devastating to her. I wasn't diagnosed until fourth grade, though, and many of my actual difficulties (such as with speech) went completely unnoticed.

Since I had a relatively high IQ, and could talk, and was given the Asperger diagnosis, it was described that my greatest problems were in making friends (true that I was socially not practiced, but this mainly had to do with the fact that so few people accepted me that I didn't have much the same opportunity to socially interact (when I started high school at a school where the students are much more accepting of quirkiness, and I wasn't made fun of for pacing in English class, I made friends the first day). To this day my difficulties in speech are often ignored (except for the acknowledgement that I sometimes don't understand idioms, which is really the least of my difficulties) by the people who work in special services at my high school.

So while I understand why some families would see it as devastating, and don't really blame them (I blame the professionals who give the wrong signals to parents and media), it's not really an accuract reflection upon the condition of being autistic or being part of an autistic person's family, no matter how much or little services they need. It's a reflection, rather, on a society where parents are too often given misleading pictures and the diagnosing people fail to correct or even reinforce these, for whatever reasons.

Jedimom777, John is 11 and it is the stress associated with his new school/5th grade /sensory overload, that is Starting to make John  John avoid tasks and is rocking more than ever.  We kept it simple in general for him and he could then do alot of self modulating.  I think it is asking too much that brings on excessive angst.  MAybe that is why older aspies feel a bit better when they are older.  They directly control their interactions.. and can modulate the physical world and then not need to do as much with their physical body .. Just a thoery I just came up with - may be absolute rubbish...
Thank you!  that was great!

earthmonkey Wrote:

jedimom777 Wrote:
Did any of those intense urges like avoiding tasks by sorting and rocking or your urges to hit people sort of dissipate as you got older or do you think training was more responsible?  And did any of the really antisocial stuff go away as you learned to communicate?  When did you learn to write?  I would love to know your answers and those of anyone who gets this post...


It wasn't so much like I had an urge to avoid the tasks, as I might have an urge to avoid clutter, and the hitting thing (both self and others) was more a response to stress and frustration - whether because someone was being mean to me and not understanding, or because it was chaotic environment and I couldn't do anything about it, or if I was trying to punish myself for the "bad" behavior. I still self-injure, but with far less frequency than I used to (it used to be many times per day; now it's maybe once every day or so).

Mostly why I wouldn't participate in the activities was because I didn't understand the spoken instructions, and it was chaotic with noise and movement. I also have and have had difficulty in initiating speech to seek help, to let someone know I don't understand (in fourth grade it would take an hour or two to figure out how to get the teacher's attention and ask for a pencil so I could write - I lost my pencils a lot). Most of the time I would just stare at the wall, but sometimes we'd have some beads or shapes or something left over from another activity, and I would interact with these things that I could understand more. (Also, I just plain like sorting things - much how a kid might like to color in coloring books more than do math, I preferred sorting shapes to writing and using scissors.)

I didn't really get any training, formal or informal, except if you count my mom physically making sure I didn't hit myself or others (on a few occasions during this I have hit them, but I was so sorry about it and sad that I would cry and apologize profusely). I started diverting it sometimes to things like hitting and throwing remote controls and video game controls (my parents had to restrict access to video games because I would get frustrated and do these things, but I didn't really care for video games too much anyway). As I got older I would start to divert it to hitting pillows (at my dad's suggestion) and stomping my feet (some of the hitting and headbanging is because I have so much energy, and that was just the default way of releasing it when I can't just get up and run, such as during class or at home doing homework).

So it has dissipated significantly, but well I guess my parents' suggestions to divert it combined with their expression of their concern for me hurting myself count as an informal type of training. Probably if we'd had some outside help then I could've gotten where I am faster than I have.

Rocking and other stims haven't really dissipated, in fact, if anything, I do them more, however discouraged I have been from doing them. It's one of the ways I process information and handle stress, and I'm pretty sure everyone would agree that it's a better way of handling things than injuring myself. Each year of high school, by the second semester things go on a decline, and my grades slip to nearly failing, and I do my best to bring them back up before the semester's end. I keep an extraordinarily busy schedule, one that many NT students would find overwhelming, so it makes sense that I can barely cope with it, but this certainly wouldn't be possible without stimming. I used to suppress them, to little good effect, but that really was counter-productive to my goals.

I'm not sure what you mean by anti-social, and even if I did, I'm not sure how well I could answer that. I wasn't really given a genuine opportunity to be social unfettered until the 9th grade. I have undergone bullying from name calling to assault and battery from kindergarten to 8th grade, and under this cloud of intimidation, I had few opportunities to socialize, and not the energy when the opportunities did arise (I was too busy dealing with the bullies and the school work).

So I don't know if I would've avoided or sought socializing. Mostly I sought to socialize, but I knew by age 6 that even people who acted like they wanted to be my friend were likely just pretending so they could make fun of me behind my back. It seemed pretty pointless, though there were a few people I would consider friendly (unfortunately, one of these people in 8th grade turned out to be a jerk and called this guy in history class a *** because he obsessed with trains - I felt it was equally an insult upon me, aside from the offensiveness of her term).

In fact, I made very many attempts to communicate and reach out socially to my peers. Most of these were rebuffed, however, because of my "freak" status, and I decided that these people weren't worth my time, and in the process developed my own prejudices against people who have more typical interests and modes of expression (such as excessive talking), as well as prejudicing myself against anything stereotypically feminine, and these didn't start breaking down until in high school I met accepting people who were more typical in these ways, and I realized that just because the people I knew in elementary school were materialistic, spoiled bad apples, doesn't mean everyone is.

I started typing before I went to school. There was a Sesame Street computer typing program, and it typed in big letters, which helped especially as this was pre-glasses, and I didn't know how to use a big font or zoom in Microsoft Word, and didn't notice that my vision was blurry until my parents realized I had to squint and get up close to things before reading them (as a baby my dad let me type random letters on his typewriter). So I would learn words. My dad would always write in his notebook, and I asked what the words were. I remember learning the word "I" that day.

I wanted to be an author and write stories, so this was my main motivation. That, and I couldn't convey in speech what I could by writing (by third grade I would write on my own essays about the school system, freedom of speech, and injustices I would face such as being forced to dance with the boy who had tried to strangle me and when he cut my hands with his nails and I ran off to the teacher about it that I was the one punished and made to go to the principal's office).

I also wrote about things like if there was life on Mars and the evils of political campaign ads that don't address issues and just try to make each other look bad. In fact, it's because of my writing ability that I was able to transfer from the school where the worst bullies would follow me to, so in fact this early emphasis on writing rather than speaking perhaps is what kept me from dropping out of school and having a positive high school experience instead - not that anyone should be put into this situation in the first place...

In the case of siblings, I think it's very important that they are made to understand and not to focus anger towards the autistic person because of things like not being able to go and do all the things they would otherwise. You can't stop siblings from having some resentment, whether there's an autistic person or not in the family, but certainly they should understand things like the autistic person isn't deliberately not doing the dishes, or whatever it is they can't do (like go to a loud event, or appear normal). My sisters always complained about having to do stuff that I didn't have to do. I don't think my parents really talked much about autism to them, except for later on (apparently my parents had misunderstood when they asked me if I wanted them to know or not, they thought I'd said, no, I don't want them to know. or something).

So I guess that's pretty much what I have to say about this. Hope it answers your questions.

tenaciouscj was perplexed about if High functioing why so much $....   I as a parent, living in the US, I understand what grizeldatee is saying about the $.  In order to eleviate the sensory stresses, or to support a child in his educational inconsistiencies - when a school is counter productive to a child - parents have to find and give whatever support is needed, so that the kid could function at his highest, parents have kids participate (willingly) in Occupational/therapy, tutoring, maybe specialized classes in art, hsitory, music to help eleviate the boredom of "regular" tedious schoolwork and a day trapped in a building for 7 hours, with ni stimming.  Alot of $ and time and work can go into getting Doctors to put in writing what the schools are and are not allowed to do with (aspie / autie) kids.  alot of $ can go into undoing alot of the things the world did to a kid.  I don't know if I am explaining myself properly here. .... Grizeldatee, do you know what I mean?
Oh, indeed someone is making alot of money from autism.  AND, the school administrators talk the talk, but do not walk the walk. Also, the quote that earthmonkey identifies with by Laura Tisonik :
"The difference between high-functioning and low-functioning is that high-functioning means your deficits are ignored, and low-functioning means your assets are ignored." --Laura Tisoncik

Also bravesj858 wrote
he's probably saying discrimination for 'our brave caregivers that have to put up with us terrible burdens of nothing', saying that it's unfair to judge the parents because of their kids."

I think that Obama (sorry I am biased here- giving the benefit of the doubt) is generally understanding that PARENTS in general have very high burdens places on them - now add extra health issues, testing, speech therapies, etc., to that mix and it is just not fair... NOT fair that our RICH country makes people's life more difficult without national "free" health care. Extra burden for US parents (of all kids) then from some other countries...
And I don't think it is therapists or even many of the programs who make the money...
I don't know how everyone here feels about ABA, but that is what I did in Graduate school along with parent training and some other Behavior Analysis type coolness.  It is super intensive... eight hour days with one on one therapies moving up to play therapy etc.  And when it is performed with integrity and consistency, the results can be AWESOME. but the parents were so strapped trying to afford it and our program was charging as little as it could while ensuring a high degree of treatment integrity.  Has anyone done the numbers on this?  where does most of the grant money go outside of ABA?  Are there outcome measures in those other areas that are reliable?  how well do results generalize? Been out of the loop for awhile....

tenaciouscj Wrote:

grizeldatee Wrote:
I will make some people angry with this post I am sure.  All three of our children are "high-functioning." Even so, we were spending over $2000 per month on therapies out of pocket for a while last year. We had no way to do this without taking on debt. Acknowledging that the issues that can accompany any ASD might be costly doesn't bother me so very much.

not angry, but perplexed. If they are high functioning, why would they need so much expensive intervention? It doesn't make sense because surely what they would mostly need is understanding from the school system and that shouldn't cost anything.

I think somebody is making a lot of money out of autism.

Talk about out of the loop for a while...What is ABA?
Applied Behavior Analysis... It means using the environmental factors that maintain behavior to help acquire new or change old behavior.  By identifying Reinforcing events, you can kind of "see what a kid likes" and provide those things contingent on performance where success is likely and builds on itself. Many Many times the behaviors generalize and allow the child to participate more fully and be able to let people know what their needs are with much greater clarity... thereby reducing frustration and broadening the scope of social and learning possibility.  I haven't done it in years and I don't know what's in vogue these days, but when I did it, we used a thing called

discrete trial training.... REALLY labor intensive but FUN and super satisfying if it is done with consistency and joy.

It is a system of teaching that breaks interaction and performance down to measurable and achievable units of behavior for the child and gradually increases the level of complexity ... for example.  

Like, in learning to name objects, we assume a lot when we can speak, but for kids who can't, we can't assume they are willfully avoiding it or just plain can't do it, we have to look at the basics of language.  We first have to accept that the sound for something is that thing's functional substitute.  

For a child that doesn't appear to make this connection, repeating the sound in the presence of the object, combined with an interactive requirement ("touch", or "Put" or "Point to") and assitance in achieving the result can led to future responses with a greater level of independence.   And eventually with repetition, a measurable and consistent level of successful performances of the task,  and appropriate reinforcement (what the child really likes or wants) The child eventually will be able to "identify" (point to etc. )  the object in the presence of other objects and in novel situations.  

Here's an example of what one little part of the training can look like.  Say you want a kid (supposing she has already mastered some sort of "come here" and "look at me" behaviors) to then point to out otherwise identify an object, You would place the object on a table with no distractions around and say touch the Apple... or whatever.  Then depending on the child's level of receptive language you assist in the action by varying levels of prompting.  Sometimes the child will be able to do the task with no prompting and that would indicate a more sophisticated level of receptive language skills.  Then you take the training up a notch... but it always must be carefully monitored.  data is key.  

But for a child with no receptive language at all, you have to start very small and clear. Starting with hand over hand and each time to success.. (teacher holds the child's hand to touch, then reinforces .  No matter how great the level of prompting, the teacher reinforces the child with attention (praise, a small verbal "party" if the kid likes that,) or access to something they prefer or "a break" at the end of a set number of trials if that is appropriate.  Then gradually, based on a consistent percent of correct responses for a set number of sessions (probably 20)  in that activity with a prescribed number of trials (sessions probably 10-15 trials each) you can, in the next session reduce the amount of prompting. Pointing would be an example of a reduction.  then gesturing, then a nod, then independent performance with no visual cue.  The you can start with another object, do the same, the fade in other objects and switch places between objects all over many many sessions.  They usually catch on pretty quickly after they "know" the rules...then there are many many different programs all of which kind of line up to get the kids responding to, identifying and interacting with the world around them.  It's pretty awesome actually.  Of course within the discipline there is always a lot of debate about how you get stuff to generalize to the classroom environment, to the home environment etc, but the successes I have seen have been incredible and while some kids may sometimes seem "robotic" to some, there are plenty whose affect is a damn sight better than it was when they couldn't tell anyone how miserable they were or give people some sort of sign that they've had enough and were about to freak out or if they were in pain or hungry or needed affection or hated to be touched etc.  It is an great device for increasing the probability of successful interactions with others which can give them a better shot at happiness. Just because they are autistic doesnt mean they don't feel and need people.  Wow. I can't believe I remembred all that.

honestjohn Wrote:
Talk about out of the loop for a while...What is ABA?

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