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« Gold Medal Mindset--The Mind of An Olympian | Main | Autism: A New Cultural Competency »
Thursday
24Jul

The Back Room Kids: Shame, Guilt, And The Autism Myth

William Stillman is a nationally recognized autism self-advocate, speaker, and author of numerous special needs parenting books including Demystifying the Autistic Experience, The Everything Parent's Guide to Children with Asperger's Syndrome, Autism and the God Connection, and The Soul of Autism. Stillman has advocated for persons with different ways of being since 1987, and he serves on several advisory boards including Autism National Committee. He also writes columns for The Autism Perspective and Children of the New Earth magazines. In his work, Stillman seeks to passionately transform perceptions of autism from those defined as "afflicted sufferers" to those with valuable gifts to offer the world. His Web site is www.williamstillman.com.

William Stillman--

Last fall, I made an autism presentation in Los Angeles to a group of 200 exclusively Spanish-speaking parents. They were grateful and gracious, and many made efforts to communicate with me in English (I otherwise had translators). When I stood before them, I affirmed that their autistic children are intelligent, gorgeous human beings entitled to the space they occupy. I was stunned by the collective reaction of the audience: people sobbed in relief; grown men, fathers, buried their faces in their hands; and others gave me their children’s pictures, asked to take my picture, or requested my inscription. I was overwhelmed, almost uncomfortably so. Here was a group of people who, as a minority, are already devalued in many ways; because of language barriers, some may have been perceived as gullible or unaware of their options as parents. They were so appreciative of a positive message, I thought to myself, “My gosh, what have these people been told about their children!” I surmised that each felt shame and guilt for parenting a child with autism.

What drives this kind of reaction? Two things, in my opinion. First, there is still a very prevalent medical model in how autism is defined. It is listed in the Diagnostic and Statistical Manual of Mental Disorders, which immediately sets the negative precedent that autism is a mental illness (it’s not) and requires intensive treatment. This is further perpetuated by some clinicians who are not sensitive or compassionate when making a diagnosis, or who are unaware of quality resources to direct parents to. (Inconceivably, there are still doctors who suggest that autism is attributable to parental blame, or recommend parents institutionalize their children.)

Second, the media often stigmatizes autism as a tragic affliction to be feared or pitied. In addition to Asperger’s Syndrome, I have a same-sex orientation. I would no sooner expect an interviewer to define my sexuality using a derogatory slur because it would be an outrageous violation, yet it is presently acceptable for the same interviewer to describe me as “suffering from a severe disorder.” Until the Rosa Parks of autism emerges, this will persist. At the least, much media representation of autism reinforces antiquated stereotypes, and that is a disservice.

From the outset, many parents are portrayed a grim projection for their child’s future. They are led to believe their children with autism are incapable, unaware and of substandard intellect, a lost cause that will always function at the level of a four-year-old, even as an adult. This often results in parenting approaches of two extremes: tireless endeavors to eradicate autism through high-cost, intensive, one-on-one (adult to child) behavior therapy for countless hours on end (that, in some cases, may involve a regimen of physical restraints and anti-psychotic medications). Or it results in the “back room kids.”

The proper response to autism is to re-envision it as a neurological disconnect relative to those with Cerebral Palsy, Tourette’s, Hodgkin’s, Parkinson’s, Lou Gehrig’s, recovering from stroke, or any other such experience that compromises brain-body connections and impairs movement or articulation of speech. Even though the physical is unreliable or not of good service, the cerebral is intact, thought processes operate at capacity, and mental capability is completely competent (it just doesn’t measure that way through I.Q. scores). There is emerging scientific research to support the re-evaluation of autistics using non-verbal intelligence testing to reveal their true intellect commensurate with, or beyond, their chronological age.

Some parents who don’t foresee true intellect as a possibility for their children, due to the preceding conclusions, have bought into the myth of autism—that is, autism equals intellectual inferiority or mental retardation. In addition to shame and guilt, despair, denial and hopelessness may prevail. The thinking may become that of day-to-day maintenance and minimal standards of caregiving. Hence, the back room kids.

I see them, watching me from their baby-gated existence of the screened-in porch or the distant bedroom at the rear of the house. Many of them don’t have much meaningful connection with their families. They have free-reign to do as they please because parents are afraid to apply fair discipline or have been told not to because their child won’t understand. Some back room kids are overweight, have poor diets and are provided age-inappropriate books, toys and videos. Some are still on bottles and in Pampers at age five…six…nine. This is unacceptable.

When I meet them I think: “I see you there, little one. You with your grubby bag of orange cheese curls and the Veggie Tales video repetitively looping. You with your bright, glistening, welcoming eyes. You with your hunger for knowledge and information beyond the back room, or even your back yard. I see how very smart you are inside. I see you.”

Refusing the myth of autism, building relationships founded upon a belief in competence, and challenging autistic intellect is what will create a cultural shift for the growing numbers of very young children diagnosed with autism each day. It will also yield hope for the adults with autism who have endured in silence, only offered Little Golden Books, Strawberry Shortcake puzzles, and Lady and the Tramp videos.

The regrettable irony is that we have a long and unfortunate history of back room kids—“retarded defectives” as they were once known—only, in another era, the back room was confinement to the basement or an attic. Shame and guilt were very much a motivation for those parents then as much as it is for some parents now.

Isn't it curious that what’s called for is simply acquiescing our own agendas and compelling ourselves to be more sensitive—to listen fruitfully with our ears as well as our eyes? We’re not only talking about presuming intellect, we’re talking about demonstrating a renewed respect.

© 2008, William Stillman

Further Reading From William Stillman>>

Autism: A New Cultural Competency

The World Needs Autism

Autism And Acceptance


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Reader Comments (4)

Thank you so much for your insight and comments. My son was diagnosed at 3 with Autism. The testing involved my son, myself, and 5 other observers crammed into a room as small as maybe 5' by 7' filled with two desks 7 chairs, a bookcase, a storage cabinet, and colorful posters with numbers and alphabets. The observers had set out all of the materials for testing my 3 year old son out on one desk. When my son and I walked in, he looked everyone in the eye and said "Hi". They all remarked on his eye contact and then proceeded to ask him different "age-approprate developmental questions". My son would answer some of the questions, I would answer others. My son being a curious child, which is typical for all children autistic or not, kept going to look at the testing materials. Each time one of the observers told him no. After about 5 or 6 times being told no, he decided he didn't care to be involved with anymore of the testing. He proceeded to name all the numbers on the poster, name all the letters of the alphabet, and all the sounds of the letters. Every time the observers tried to redirect him to what they wanted he would flap his arms, jump up and down, ignore them, and continue on with what he was interested in. This testing lasted for over an hour. At the end of the testing they told me that it was "not normal" for a 3 year old to know all of his letters, sounds, and numbers. I wanted to tell them that yes they were right, his twin brother was doing all that at 2 1/2.
Just becuase my son didn't act or behave the way they wanted him to they diagnosed him as being Severly Autistic. Instead of giving him any leeway for individuality of interest or intellect, they said his level of ability was between 9-18 months old. They informed me not to have any real hope for my son. He would probably never be potty trained, never hold a conversation, never have any peer relationships, never progress past a preschool level. They told me Autism was very individual in the way kids acted. My son has always been very affectionate, loves to be held, hugged, kissed, and tickled. Even though they told me each Autistic Child is unique, they were lumping all of these kids into the same course of treatment. Under no circumstances allow them to watch Movies, Videos, TVs. Do not allow them to play on any type of computer. The list went on and on. They wanted him to interact and by their definition interaction was defined between two people. I asked them if a video or computer helped him to speak and allowed me interaction with him where was the harm. They could not provide any reason other than it just wouldn't work.
I am very happy to say that my son is now 5 years old. He is potty trained(most of the time), has a wonderful sense of humor, loves to tease his family and friends, is becoming more and more verbally communicative to his wants and needs, loves to sing and dance, and is teaching himself sign language and spanish. He is a very bright young boy that has difficulty with language use and social interactions, but he is overcoming it.
Those in charge of evaluating these children need to step back and allow that no child performs on command. All children have varying levels of abilities and they all develop at different times. Just because a child is Autistic does not mean that there is only one way to reach them. Everything within reason that is not harmful needs to be tried to reach our children, not to change who they are, but to help them to live in the world of "typical" people.
I love my son the way he is and who he is. I love the way he jumps when he is excited about something he has learned or noticed or connected in a new way. I love his curious nature. I love the way he looks when you ask him a question he knows the answer to, but decides to give a mischevious grin and wrong answer before he starts laughing and teasing you. My son is unique, as are all children. I want for him everything I want for his brother. I want him to be happy. I want him to be loved. I want him to be accepted for who he is and will be. I want him to be a valuable member of society. I want him to be whom he wants to be. I just hope that society will learn to accept and understand him and all others like him.
For all the families dealing with Autism, do not give up hope. Try to reach your child anyway you can. Sing, dance, jump, climb, swing, act silly, do whatever it takes, as long as its not harmful. If it doesn't work try something else and try it again. You never know what will reach your child and it may not work all the time. Don't believe everything the experts tell you. Most of them have never dealt with our kids for longer than a few minutes and then never again. Look for support in your community. Take your child out, don't hide them. Love them, respect them, and help them. Teach them to the best of your ability and theirs. Set expectations for their behavior and allow them to try. If you never take them out to eat, play, etc., how are they supposed to learn how to behave in those situations. Give your child as many tools as possible to help them cope. Beaware for when a situation is just too much at that time. Remove them from it if possible, help them calm down and then try again either then or at another time. Remember, society has to learn to accept our children, but we have to also help our children accept society. Love, faith and hope to all.
July 26, 2008 | Unregistered CommenterSteph
Steph, thank you so much for your important validation of my contentions. I am in family homes on a regular basis; I know of what I speak. I only wish many more parents shared your glorious and optimistic perspectives. We must be the antidote, united to counter the culture of fear perpetrated by the autism industry.
Good and great congratulations are in order to you and your amazing young son! With your loving support, he will be a great leader one day soon.
July 26, 2008 | Unregistered CommenterWilliam Stillman
Finally, an author that wants to celebrate the good things about Austim, instead of focusing on what to blame for causing it, and 'defeating it'.
I am all for getting my 10 yr old Aspie interventions that can help him reach his full potential, but I don't ever have any illusions that we can label him 'recovered'. He's very bright, and I love him just the way he is! He has a great personality and I love his out of the box thinking. I have seen him stump adults with his questions about how things work. He knows we have just the same expectations of him that we would have for an NT child. And we will also advocate for him to get the support he needs to acheive it.
Steph I am shocked at the ignorace of the people who evaluated your son. Thank goodness you didn't listen to them! In this day and age, it is criminal that so called professionals are dispensing such outdated advice.
The world needs more William Stillman's to debunk that old way of thinking.
September 9, 2008 | Unregistered CommenterRGHS
Hello RGHS, thank you for telling of your bright and beautiful son, for your realistic approach to parenting, and for your gracious support of Steph. I am grateful to be at your kind service.
September 9, 2008 | Unregistered CommenterWilliam Stillman

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