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Autism Spectrum Across Ages and Environments

Big Questions

Published July 14, 2011 11:00 AM by Kathie Harrington

Questions from parents of children with ASD are a part of a speech pathologist's professional life. The top two questions that parents have always asked me are: "When will my child speak," and "When will he/she be potty trained?" Those are big questions and tough ones because no one can answer either of them.

It is not always necessary to have the answers to questions such as those two big ones. What is important is that we, as SLPs, listen to concerns of parents about their daily lives and living with their child with ASD. I always respond to the "mouth and toilet" questions by saying, "I wish I knew."

There are BIG questions, however, that SLPs do need to answer about ASD. How would you explain these if a parent asked you?

  • What is autism?
  • What causes autism?
  • Johnny doesn't like me to touch him. Should I?
  • How do I get David to look at me?
  • Susie won't play with other kids. What can I do?
  • What can I do when Sean has a tantrum in public?
  • Should I read a book to Joe even if he's sitting under the table?
  • What kind of a doctor do I go to for a diagnosis?
  • Do you think Tom might be deaf?
  • Can my Chloe have Down syndrome and autism?
  • How do I stop Tim from biting himself?
  • What can I do at home to encourage more words from Mickey?
  • Joey smears his *** on the wall. What am I going to do?

I didn't make up these questions. They are real. They are about life with a child on the autism spectrum and they are played out somewhere, many times over, everyday. Can you answer ALL of them? Can you answer ANY of them? The SLP - in the school, clinic, hospital, private practice, or on horseback - will be asked these types of questions. When you get this style of question from parents who need YOU, like these parents do, have one item at your side: a box of tissues.

Share with me this week. Who has an answer to one, or three, or all of these big questions? I'm sure many of you do and would like to tell us your experience. Tweak a question from above and make it one that a parent has asked YOU. There are many questions and they are all BIG when you live in the world of autism. 

"Speech pathologists make good things happen."

 

3 comments

Sydney, I like your idea of a FLOOR MIRROR. A full lenght is what I think you are referring to. I often sit behind a child during therapy when I use a mirror and recommend that parents do so as well. This helps with and "easy eye contact" rather than direct - that is so difficult for children with ASD. Once reflective eye contact is comfortable, the world is a safer place.

I enjoyed hearing from you. Dare your friends to answer one of the questions.

Kathie Harrington, Autism Blogger July 23, 2011 2:29 AM
Las Vegas

Great to hear from you Sydney, I like your choice of questions to respond to. The first one about touching Johnny - that is great!

You said sooooo much in these three or four sentences. What toy did you use to promote touching? Share that will all of us. Also, you did the right thing by working slowly, from the child's hand to a handshake and then to you. I'm so impressed that you included the parents - showed them - taught them. YOU BET they were happy to have a handshake from their child. Now they have a start and YOU gave it to them.

Kathie Harrington, Autism Blogger July 23, 2011 2:21 AM
Las Vegas

•Johnny doesn't like me to touch him. Should I?%0d%0a   Each child is different.  I found a favorite toy to promote touching of the hand and stepped up to handshake with the toy and then to me.  The parents were able to attend the session and generalized the handshake with them.  They were happy to have a handshake with their child.  Hugs would hopefully come later.%0d%0a%0d%0a•How do I get David to look at me?%0d%0a    I found a floor mirror was wonderful.  Placement of the mirror at the child's level and height allowed the full picture of the body.  Allowing free play with the mirror was great to watch.  Eventually I entered into the mirror briefly at first and then to sit and participate in later sessions.  The mirror work allowed direct eye contact.  Later that eye contact was rewarded for giving and taking specific objects used in language therapy.

Sydney Kroeck-Caddy, Director of Speech Pathology July 21, 2011 5:45 PM
Melbourne FL

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About this Blog


    Kathie Harrington, MA, CCC-SLP
    Occupation: SLP, author, speaker, mother of a son with autism.
    Setting: Las Vegas, NV
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