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Wednesday, December 14, 2016

Just Carry The Tray



Today's blog was written by our very own Clinical Director, Dr. Barbara Kaminski, Ph.D, BCBA-D. If you enjoy today's blog and are in the Northern Virginia area, sign up for our free Autism Awareness Workshop, Saturday Dec 17 from 12-2pm for more insight into how parents of children on the Autism spectrum navigate the world:http://www.signupgenius.com/go/409094aa8ab2ea4fb6-autism 

So, I have had the idea for this blog bouncing around in my head for months. To be honest, I was struggling with how to write about this without sounding judgmental. That’s especially important because what I wanted to write about was, well, not being judgmental. It all started when I heard a story about the reaction of an onlooker when a child with autism had a meltdown in a public place. The story is paraphrased below, but you can read it in its entirety at the From the Bowels of Motherhood blog site (http://fromthebowelsofmotherhood.blogspot.com/2014/03/the-good-bad-and-unknown.html?m=1).*

The scene: a busy fast food restaurant at lunch time. A mom with three young children, the middle child a 2-year old diagnosed with autism. Despite a long wait for the food, lunch was going well until there was an unexpected change. A juice box that was shaped differently than the ones at home. A meltdown ensues. Mom gathers things together to leave. On one arm, baby in car carrier, trying to also manage meltdown child. The other hand carrying a food tray full of trash. An older woman approaches from a nearby table. Glimmer of hope. Surely she will offer to take the precariously carried tray. Instead of helping, she simply comments, “Wow, you have a pretty unhappy little boy on your hands there. He must need a nap.”

Every child has their meltdown times. For parents of typically developing kids, there are some basic things that you can do. Avoid running errands right before nap time. Make sure the kids have eaten before going to the grocery store. Knowing those things help, but things will never be perfect. As a parent, I have my own stories of meltdowns in public places.

But for kids with special needs, the things that trigger meltdowns are not always so avoidable. Or predictable. In the story above, the meltdown happened because the juice box served with the kid’s meal was a slightly different size/shape than the one served at home.

ABA practitioners who work with kids with special and behavioral needs often work on skills that in cognitive behavioral therapy are called “theory of mind” skills. A critical “theory of mind” skill is perspective taking, which refers to the ability to relate to others, make reasonable inferences about someone’s thoughts, feelings, and motivations, and make predictions about their needs and reactions. An onlooker’s reaction can relate back to this skill. It’s not that many people don’t have theory of mind skills, it is that they don’t have the experience and frame of reference to take the perspective of a parent of a child with special needs. Most people have experience with kids melting down because they are tired or hungry or “spoiled brats.” If you have never had experience with a kid who melts down because of a “wrong” shaped juice box, it is very difficult to include that in your perspective taking. If your experience is that kids melt down when they are tired, then that is the most likely way you will interpret the situation in front of you.

Perspective taking can help an onlooker to be sensitive to the fact that parents of children with autism may be experiencing additional stress. That said, in a situation like the one described, an onlooker doesn’t necessarily need to take the perspective of a parent of a child with autism, just the perspective of another person in a challenging situation.

So, what can be done in these kinds of situations?

If you are the parent:
·         -Try to keep your cool.
·        - Remember, people may have difficulty taking your perspective and so they may not respond to the situation in the most helpful way.
·        - It won’t always be possible, of course, but when it is, educate.
·         -Be sure to educate both those who respond poorly and those you step up and are helpful. -Just because someone is kind, doesn’t mean that they wouldn’t benefit from learning more.

If you are the onlooker:
·        - Don’t judge
·        - Offer to help as appropriate. Some parents may not appreciate the offer. Because it is a time of high stress, the parent may even respond rudely. That’s okay. You were the better person for offering.
·        - Most parents, regardless of whether the child has special needs, will appreciate the offer.

Bottom line is: offer to carry the tray.


*excerpt shared with permission of the original author