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Autism Heroes Portraits of Families Meeting the
Challenge 1st Edition Barbara Firestone Digital Instant
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Author(s): Barbara Firestone
ISBN(s): 9781843108375, 1843108372
Edition: 1
File Details: PDF, 5.46 MB
Year: 2007
Language: english
“While scientists struggle to understand the biological bases of Joe Buissink’s images, are insightful and deeply affecting. This
autism to create preventions, treatments and cures, Dr. Firestone hopeful book is a must read for families, teachers and clinicians.
and her colleagues at The Help Group bring hope and help to In its pages you will meet true heroes.”
families today. Autism Heroes sensitively tells the stories of David T. Feinberg, MD, MBA, Professor of Clinical Psychiatry, David
courageous families that live with autism. It will bring guidance Geffen School of Medicine, University of California, Los Angeles,
and support to other parents and inspiration to clinicians and CEO, UCLA Hospital System
scientists.”
David G. Amaral, PhD, Professor, Department of Psychiatry and “Autism Heroes is a passionate and brilliant compilation of stories
Behavioral Sciences, Director of Research, The M.I.N.D. Institute at and photographs that portray both the challenges and joys of
the University of California, Davis living with children who have autism. Dr. Firestone captures the
enormity and range of experiences that parents face as well as
“I greatly admire Dr. Barbara Firestone’s lifetime dedication, the new frontiers of hope. Inspirational, provocative and
leadership and commitment to helping young people with painstakingly honest, Autism Heroes poignantly reminds us of the
special needs. She shares her experience and insight in this ongoing need to educate and advocate on behalf of children
wonderful book in a way that not only raises awareness and and families.”
understanding about autism but is profoundly impactful.” Areva D. Martin, Esq., Managing Partner,
Representative Howard L. Berman, US Congress Martin & Martin, LLP, President, Special Needs Network, Inc.,
parent of a child with an autism spectrum disorder
“In Autism Heroes, Barbara Firestone shines a light on the heroic
families who are building hopeful futures for their children, and “Few have the combination of compassion, rigorous knowledge,
Joe Buissink’s images enable us to meet them firsthand. This passion for the field, and accomplishments in helping literally
invaluable book motivates us to vigorously continue our work on thousands of children with autism spectrum disorders as does
behalf of all families living with autism.” Barbara Firestone. She is also an extraordinary listener, and a
John L. Burton, President pro Tem of the California State Senate great observer of people, making her perspectives and collection
(Ret.), Founder, John Burton Foundation of family stories, coupled with Joe Buissink’s photography,
extremely rich, inspiring, and instructive.”
“Autism Heroes is a gift to the autism community. Raising a child Michael O’Hanlon, Senior Fellow, Brookings Institution, parent of
with autism has never been easy, but it just got easier, thanks to child with an autism spectrum disorder
Barbara Firestone’s wisdom and compassion, Joe Buissink’s
sensitive images, and the courageous families willing to share “I read Dr. Firestone’s inspiring book with considerable awe and
their most intimate stories with her. Pediatricians can now say to admiration. Autism touches the lives of millions of children and
families coping with a new diagnosis, have I got a book for you!” their families in ways both daunting and profound. The
Eileen Costello, MD, Pediatrician, co-author of Quirky Kids: accumulated wisdom of the poignant personal experiences that
Understanding and Helping Your Child Who Doesn’t Fit In are selflessly shared in this excellent book will help to dismantle
the ignorance and misinformation that has typically stigmatized
“In Autism Heroes Dr. Firestone’s commentary and intimate autism, and has made life more difficult for the children and
conversations with parents facing the challenges of autism, and families who live and cope with it. The private challenges,
heartaches, and triumphs revealed by these families should raise “As a parent of a child with autism I am forever grateful for the
public awareness, and promote advanced research, program commitment, hope and expertise that Dr. Firestone brings into
development and expansion, so that effective changes for our lives. In Autism Heroes, Dr. Firestone, Joe Buissink and 38
children with autism and their families can one day take place. families sensitively embrace other families coping with this
The bravery, hope, and love contained within these pages are experience. This remarkable book will surely strike a chord with
nothing short of transformational, and much can be learned all who read it.”
from reading Autism Heroes.” Louis A. Vismara, MD, Consultant to Senator Don Perata,
Cheryl Saban, PhD, CEO, Saban Family Foundation, Founder of 50 President pro Tem, California State Senate,
Ways to Save our Children, 50ways.org Co-founder, The M.I.N.D. Institute at the University of California,
Davis, Commissioner, First 5 California
“Autism Heroes provides a timely and touching perspective into
the personal struggles, challenges and resiliency of parents of “One of the parents in this moving and important book says
children with autism spectrum disorders. Dr. Firestone’s ‘more information equals less fear.’ With this book, Dr. Firestone
enlightening book is certain to be an important resource for will help parents of children with autism replace those fears with
other parents, educators and scientists trying to understand this hope. This book will be an invaluable resource to families who
baffling disorder.” are confronting the challenges of autism.”
Paul Satz, PhD, Professor of Medical Psychology/Neuropsychology, Representative Henry A. Waxman, US Congress
Emeritus, David Geffen School of Medicine at UCLA
“In our journey along life’s pebbled path, it is through the
“As a researcher who has spent over 30 years working with personal stories of others that we bind the start to the finish. In
families of children with autism, I have been continually Autism Heroes, we have the privilege of meeting families through
impressed with the courage, strength, dedication and sheer their words and images who have found their way forward,
determination of these families. It is the parents who keep us despite extraordinary challenges. Dr. Firestone’s book is truly
professionals grounded in what is important. They point us in illuminating and informative.”
the right direction. After reading Autism Heroes, who could doubt Peter C. Whybrow, MD, Director, Semel Institute for
it?” Neuroscience and Human Behavior at the
Laura Schreibman, PhD, Distinguished Professor, Director, UCSD University of California, Los Angeles
Autism Research Program, University of California, San Diego,
author of The Science and Fiction of Autism “Barbara Firestone’s book is truly an inspiration that carries an
important message of hope. Autism Heroes is an intimate portrait
“Autism Heroes compels us to redouble our efforts to expand of 38 families and their celebration of love, commitment, and
opportunities for children with autism and intensify our support pride in their own words and through Joe Buissink’s lens. A must
for their courageous parents. As Vice Chair of the California read for families everywhere beginning their journey.”
Legislative Blue Ribbon Commission on Autism, Dr. Firestone Nancy D. Wiseman, Founder and President, First Signs, author of
brings the voices of families to the public policy arena to Could It Be Autism? A Parent’s Guide to the First Signs and
promote change and give meaning to hope.” Next Steps, parent of child with an autism spectrum disorder
Darrell Steinberg, California State Senator, Chair, California
Legislative Blue Ribbon Commission on Autism
autism
heroes
Barbara Firestone, PhD
autism
heroes
Portraits of Families Meeting the Challenge
Forewords by
Teddi and Gary Cole
and Catherine Lord, PhD
www.jkp.com
Barbara Firestone
For my son, Benno, who has taught me so many things about life
and how to live it.
Joe Buissink
All book royalties are being donated to The Help Group in support of its efforts on behalf of
children with autism spectrum disorders and their families.
contents
Foreword by Teddi and Gary Cole ix
Foreword by Catherine Lord, PhD xi
Preface xiii
Acknowledgements xv
Introduction 1
Dignity 6
Teddi and Gary Cole 8
Sally and Robert Calzada 13
Mickianne Bradshaw 18
Dr. Anila Guruji 23
Pamela Bentson-Geyer 28
Kathy and Tony Peyser 33
Sue and Kenny Rosen 38
Michel Gour 42
Magdalena and Frank del Olmo 45
Hope 52
Hilary and Bob Kip 54
Anne Sweeney and Philip Miller 60
Zufan and Kinfe Rufael 64
Cathy and Jim Gott 70
Jennifer Sarkisian and Jason Elkin 75
Kristina and Justin Kell 80
Illana Katz 86
Emmie and Richard Lewis 91
Pepper Russell 96
Opportunity 102
Cheryl Jacobs 105
Dr. Louis Vismara 111
Elena and Walter Cervantes 116
Joanne and Tom Palmer 121
Deborah Fils 126
Sharon Emanuelli 132
Mary and Bill Urquhart 138
Karen Shapiro and Syud Sharif 143
Cheryl Green 148
Ellen and Kirk Hartman 154
Love 160
Anna Andrews 162
Joe Mantegna 168
Cathy Paul and Nathan Canby 172
Suzanne Reyes 178
Loyda Maldonado 185
Lalik Martin 190
Elly and John Schneider 194
Peggy and James Spalding 199
Major General Doron Almog 203
Levisa Wade 208
Afterword 214
Selected Reading for Families 215
About The Help Group 216
foreword by
teddi and gary cole
It seems like an eternity since our daughter Mary was diagnosed
with an autism spectrum disorder. When Dr. Barbara Firestone,
one of our personal heroes, asked us if we would share the story
of our journey, we agreed because we wanted other families to
know that there is hope. In Autism Heroes she has brought
together parents from all backgrounds with children with autism
spectrum disorders who share their experiences of dignity, hope,
opportunity and love.
All of the families who took part in this book, including us,
have heard the words, “your child has autism,” yet we have never
given up on our children, no matter how daunting the diagnosis
may have sounded, and no matter how little hope we may have
been given at the time. Our journeys are filled with more
emotional highs and lows than any parent of a typically
developing child might ever expect to experience in a lifetime.
It is quite difficult to explain to those who have not lived through
the tears or the laughter, and the insights we have gained from
our children. Although at times we have felt deep despair, we
have witnessed mountains of hope. We have had the opportunity
to meet some of the finest people in the world, from clinicians
and teachers to parents of typical children who want to
understand our children and support their victories.
The universe is as full of remarkable people and children as
life is full of surprises. It is no surprise, however, that we all want
the best for our children. We all want them to reach their fullest
potential. The Help Group reminds us that “every child deserves
a great future.” As parents of children with autism spectrum
disorders, we want you to know that we are here for your
children and we are here for you.
Somewhere in this book, you may see a family like yours or a
family like one you know. It is our hope that if you are a parent
of a child with autism, or suspect that your child may have
autism, you will derive strength from each of these families as
you tackle the challenges, no matter how difficult the
ix
challenges may seem. Autism Heroes is about our families and our support other families just beginning the journey, or
beautiful children from whom we have learned so much. already on the journey.
They have taught us indescribable lessons of humanity, Teddi and Gary Cole
judgment, unconditional love and most of all, hope for the Actors, advocates and parents of a
future. As parents, we would like to thank Dr. Firestone child with an autism spectrum disorder
for having the insight and the vision to create Autism Heroes to
x
foreword by catherine lord, PhD
Many professionals who work with children and adolescents with
autism spectrum disorders (ASDs), when asked why we do such
work, will recount the charm, beauty, challenges and continuing
wonder of our patients and clients with autism, young and old.
Yet anyone who stays in this field for more than a few years
knows that there are other heroes in this story: the parents who
care and fight for their children with love, bravery and creativity.
In Autism Heroes, Dr. Barbara Firestone gives us a look through
windows of different shapes and sizes and hues into how families
with a child with autism think and live with grace and hope.
Those of us who work with families and children but do not have
children with autism ourselves will never really know how it feels
to deal with the anger, the sadness, the exhaustion and the
continual need to advocate and educate others. Through the
compelling narrative we experience both universal themes and
variations, showing that there is not only one way to do this and
that there are common strategies and sources of support.
One of my favorite statements was made by Hilary and Bob
Kip about taking their children into the community—to be
willing to put yourself and your child out in the world, but first
to be prepared, to pick your battles, quickly, and to never give
up. It embodies all those steps that could form a “cheer” of
support for families living with autism. One of our jobs as autism
clinicians is to help in the preparation, decrease the battles and
never give up the cheer.
There are many other words of wisdom in this wonderful
book. The importance of having an educational program that
parents trust and that values families. The need to seek and
accept support from families, friends, professionals, and the
autism community. The point, as several of the parents said, is to
find strengths, in the children, in the parents, in the community,
and to build on them.
For many families with children with ASDs, knowledge is an
important strength—knowledge about their own child, about
ASDs in general, about their community resources. Whenever
our clinic gets new staff, they are always shocked at how much
most of the parents know.
xi
Yet we are all at some point humbled by how little we know This book inspired me to think harder and more carefully
about the development of this complex disorder or disorders about the families with whom I work and the nature of their job,
that are called ASDs, and what is best for each child. Ultimately, and my job in supporting them. In the rich landscape that Dr.
families have jobs on multiple levels, from advocate and Firestone has created in Autism Heroes, the families speak for
chauffeur to cheerleader and tutor. I was struck by another themselves with spirit and dignity, and we can all gain much
statement in the book, that families need to let their children see from listening to them.
them enjoying life—because life is more than Individual Catherine Lord, PhD
Education Plans and therapy sessions and passing tests and Director, University of Michigan Autism and Communication
reaching milestones. This seems like an extremely important Disorders Center
point to consider, not just for the immediate family of a child Professor of Psychology and Psychiatry
with ASD, but also for extended families trying to support their Research Professor, Center for Human Growth and
children and brothers and sisters who are parents of children Development
with autism.
xii
preface
I vividly remember the day when one little boy would introduce
me to autism and inspire my life’s work.
When I was a freshman in college I participated in a field trip
to a state institution for individuals with severe disabilities as
part of a required speech/communications class. At first, we had
no idea what this had to do with our course. Each of us was
assigned to spend an hour with one of the resident children.
After a few minutes with Timmy, I was struck by the fact that
although he was nine years old, he could not speak, he made no
eye contact, and he rocked back and forth. He appeared to be
locked inside a world of his own. I used all of my youthful energy
and enthusiasm to repeatedly try to engage him, but I could not
make contact with him. I sang, I made funny faces and noises,
jumped up and down, and exhausted just about everything in
my bag of tricks. I was totally unsuccessful, dismayed
and confused.
I was told by a staff member on the unit that Timmy had a
condition called autism—I had never met anyone with this
disorder and had never heard of it. In addition to the behaviors
I observed, I was told that Timmy had no self care skills, had
severe behavioral issues and was, at times, self-injurious. I could
not believe the plight of this child and thought about what life
must be like for him. I asked about his family and was told that
due to the scarcity of resources in the community, his parents
had no choice but to place him in this institution where he could
be safe and his basic needs could be met.
On our return back to campus, our professor, Dr. Mary Ann
Peins, explained why she took us on this field trip. She spoke
about the nature and power of human communication and its
role in connecting us to others. She spoke about the profound
impact that the lack of communicative ability can have as it did
on the children whom we met that day. I asked her what type of
professionals worked with these children. She mentioned that
speech pathologists had a very important role to play and that
she was a speech pathologist. I asked if my college offered a
major in this area and she said, “Yes.”
xiii
I could not set aside my thoughts of Timmy and his family, or It was a period characterized by stigma, misconceptions and lack
the intensity of my desire to know more about autism. My next of opportunity. Since those days, parents and professionals have
step seemed clear to me. When I returned to my dorm, I called worked incredibly hard on behalf of children with autism. Due to
my parents to tell them that I now knew what I wanted to study their efforts and the ever increasing number of children affected,
and what I wanted to do with my future. This experience with the race has accelerated to find the causes and the interventions
one little boy prompted the course of my studies and my lifelong that hold promise, and to ensure that children with autism are
commitment to helping children with special needs and given the opportunity to fully realize their potential. It is a race
their families. that can never be fast enough for the parents who are engaged
Four decades have passed since my visit to the state institution in their own marathon to find the information and resources
during a time that we now look upon as the dark ages of autism. that can make the critical difference for their children.
xiv
acknowledgements
Autism Heroes was born of the dedication and passion of a
wonderful group of individuals.
I’d like to express my heartfelt appreciation to the 38 families
who opened their hearts and shared their stories with me and
gave me the privilege of illuminating my book with their insight
and wisdom, and especially to the children who have inspired
the labor of love that is Autism Heroes.
I am forever grateful to my husband, David, who possesses a
great sensitivity and understanding of children with special
needs. He has wholeheartedly supported my life’s work from the
very beginning. Over a decade ago, David penned a phrase that
means a great deal to The Help Group and to me—“Dignity,
hope, opportunity and love are the birthrights of all children.”
This quotation speaks to core beliefs of The Help Group and
forms the framework of my book. David has contributed greatly
to this book and has encouraged me every step of the way.
Joe Buissink has generously given of his time and enormous
talent to capturing the beautiful images of the families portrayed
in this book. His involvement as an artist and as the parent of a
child with an autism spectrum disorder is very special.
I thank Dr. Catherine Lord and Teddi and Gary Cole for
gracing my book with their forewords. Dr. Lord’s work in the
field has been extraordinary and has created a beacon of hope
for children and families. The Coles have dedicated themselves
to helping their daughter Mary to blossom and advocate to
building brighter futures for all children with autism spectrum
disorders.
The Help Group is blessed with a remarkable Board of
Directors who dedicates its efforts to opening the doors of
opportunity to children with special needs. My thanks to Gary H.
Carmona, Susan Berk, Robert Dorman, Dr. David Firestone,
Perry Katz, Dr. Martin Lasky, Jerrold Monkarsh, Joy Monkarsh,
Barry N. Nagoshiner, Judd Swarzman, Howard Tenenbaum and
Richard M. Zelle for their unwavering commitment to our
mission throughout the years and for their support of this
project. Dr. Susan Berman and the executive team of The Help
Group, administration and staff, governmental partners,
xv
philanthropic friends, and volunteers have enabled many I have a great family who encouraged me to pursue this
thousands of children with special needs to realize their fullest project—Sarah and Jeremy Milken, Samantha and Jonathan
potential. The Help Group is a wonderful family. Firestone, and Shari Firestone. And my grandchildren, Jake,
I’d like to recognize and thank all who have shared in my Marin, and Charlotte, too.
vision for this book and have worked with me to bring it to I am very grateful to my mentors who have meant so much to
fruition, particularly Jessica Kingsley, Terry Marks, Cheryl Raver, me—Dr. Paul Satz, Nolan Spencer, and Dr. Gerry Hasterok.
Gerry Rosenblatt, Dr. Laurie Stephens, and Bob Rooney. I’d also I deeply value the input and efforts of my colleagues and
like to thank Pam Clark, Dr. Mary Bauman, Nata Preis, Barry friends—Senator John Burton, Dr. Lou Vismara, Dick Costello,
Berk, Marilyn Buissink, Tish O’Connor, Dana Levy, Lisa Eleni Tsakopoulos-Kounalakis, Arnie Kleiner, Bruce Berman,
Manafian, Kristine Datastanyan, Anke Ueberberg, Tony Schiavo, Dawn Taubin and Kevin McCormick.
Cindy Bassman and Greg Allen.
Many thanks to you all!
xvi
introduction
The commitment and caring of the parents whom I have met
are extraordinary—I am in awe of their ability to persevere and
to do whatever it takes for the sake of their children and to
endure and overcome the challenges. Although each family is
unique, they are part of a greater family of parents who are
engaged in the journey through the maze to a place of hope.
When parents have the first suspicion that their child may be
developing differently, it can be a time of fear, denial and a time
when information and support can be the lifeline that they need
to help them through. It is a very personal journey that changes
their lives forever. When asked what would have made this time
in their lives more tenable, they said knowing that they were not
alone, having the benefit of the advice, support and
encouragement of other families who have weathered a similar
storm, having access to up-to-date information and resources,
and living in a community that understands and cares.
I wanted to reach out to parents in the privacy of their homes
in as non-threatening and intimate of a context as possible and
provide them with the support and wisdom of other parents. I
asked parents who had children, preschoolers through young
adults, with all forms and degrees of autism if they would be
willing to share their very personal stories in words and images.
The parents I asked are from all walks of life and are culturally
diverse—some are single parents and others married. The
response was overwhelmingly positive. They enthusiastically
agreed to be interviewed, to have their interviews videotaped,
transcribed and excerpted, as well as to have photographs taken
of themselves and their children so that I could create a tapestry
of their experiences.
They said that they understood how important their
experiences could be to other parents—realizing in hindsight
how impactful it might have been for them at the outset of their
journeys. They said that they felt comfortable with full disclosure
in the spirit of lifting the stigma. Although some were parents of
children with classic autism and others were parents of children
with high functioning autism or Asperger’s Disorder or other
variations of autism, there were many universal chords filled with
a great deal of wisdom and a trajectory of hope.
1
As I sat across from these parents, they shared their very An ever increasing number of children are being diagnosed
personal experiences. They spoke with openness, vulnerability with autism spectrum disorders (ASDs)—now referred to by
and intimacy. At times, they fought back the tears in recounting many as an epidemic. Once scarcely discussed in the media,
the trials and in recounting the triumphs. And as I listened and autism now attracts a great deal of attention. The autism
guided them through the interview, I too held back the tears. I landscape is dramatically changing and the quest for
was overcome by the trust that the parents placed in me to answers intensifies.
convey their innermost thoughts and feelings to other parents In the 1960s and 70s, autism was considered a rare disorder
and to the public. and was estimated to affect four or five children per 10,000.
I asked a highly acclaimed photographer, Joe Buissink, who These numbers stand in sharp contrast to the Centers for
has a child with an autism spectrum disorder, if he would be Disease Control and Prevention (CDC) that recently released a
willing to shoot the photographs for this project. Without report estimating that one in every 150 children in the US has
hesitation, he said that it would be his privilege to participate an autism spectrum disorder—a tenfold increase over the past
and offer his services on a pro bono basis—an incredible act of decade. It occurs more frequently than childhood cancer,
generosity and caring. Joe said that he knew firsthand what it diabetes, and pediatric AIDS combined. Prevalence estimates are
means to be a parent in this situation and would do anything in similar in other countries throughout the world who track this
his power to help other parents. When he looks through his type of data.
camera to capture the beauty and essence of these parents and Autism imposes many formidable challenges for each child
their children, his eyes, heart, and soul see the families with a and family whose lives it touches. It is a lifelong disability whose
crystal clear prism of love and understanding. Joe’s photos causes are yet to be identified. Autism spectrum disorders are
reveal a great deal about each of the families and bring their characterized by a triad of challenges: communication
words to life. impairments; problems with social interactions; and unusual,
I am grateful to Jessica Kingsley for her confidence and rigid and repetitive behaviors. The three most common
support of this project. disorders on the spectrum include autism, Asperger’s Disorder
When I approached Jessica and her organization to publish and PDD-NOS (Pervasive Developmental Disorder—Not
this book, they immediately agreed to carry this message of hope Otherwise Specified). ASDs range from mild to severe; no two
to families everywhere. With their vast experience in the children display the exact same characteristics. Some children
publication of books on autism, they said that they knew how develop atypically from birth, while a smaller percentage appear
important the message of this book could be for parents of to develop normally and then begin to regress as toddlers. ASDs
children with autism. are four times more common in boys than in girls and
Everyone involved—the parents, Joe, my husband David and impact children from all ethnic, cultural and
I, the publishing team and the project staff—were dedicated to socio-economic backgrounds.
the effort; it was a labor of love that took on a special life of Children with ASDs experience a complex set of challenges
its own. that is difficult to capture in a few paragraphs. Not intended to
Each of the parents whom I interviewed are heroes—heroic in be a comprehensive list, here are some of the major
their never ending efforts on behalf of their children and heroic characteristics often associated with classic autism and
in their willingness to lend their support to others just setting Asperger’s Disorder.
out on the journey. It became clear to me that this book should Children with classic autism have severe impairments in
be named in their honor: Autism Heroes: Portraits of Families language. Fifty percent are non verbal and 25 to 50 percent are
Meeting the Challenge. With candor and courage, they chart a thought to have mental retardation. With limited social
course through the many stages of coping with autism and of interaction and eye contact, children with classic autism appear
overcoming the obstacles. It is a roadmap for other parents and to be detached, lack interest in others and do not share their
a celebration of their commitment. interests with others. Their play skills can be delayed, unusual,
2
noninteractive and unimaginative. They can engage in Asperger’s make the case that it is a difference rather than
stereotyped, repetitive, self stimulatory behaviors, and some a disorder.
children are self-injurious They have a need for sameness in The term PDD-NOS is used when a child’s symptoms do not
their environment and have atypical reactions to sensory input meet all of the criteria necessary for the diagnosis of any other
like bright lights and loud noises. Their problems in language, autism spectrum disorder or other disorders that account for
social skills, and need for routine and sensory issues trigger their symptoms.
tantrums and other behavior problems. For the diagnosis to be The documented history of autism begins in 1943, when an
made, symptoms must be present before the age of three. The Austrian child psychiatrist, Dr. Leo Kanner at Johns Hopkins
term high functioning autism, although not officially recognized University, first used the term autism to describe eleven children
as a diagnostic category, is commonly used to refer to children whose behaviors were consistent with what we define as classical
with autism whose intellectual capabilities are within the average autism. The term autism was derived from the Greek word autos
to superior ranges and appear to have a greater degree of that means “self.” In 1911, Dr. Eugen Bleuler first used this term
relatedness and less deviant language. to describe adults with schizophrenia who seemed socially
Children with Asperger’s Disorder have serious challenges withdrawn. In 1944, Dr. Hans Asperger, a pediatrician in Vienna,
related to social interaction and understanding as well as to quite separately from Dr. Kanner and unknown to one another,
restricted and repetitive patterns of thought and behaviors. described the unusual behaviors of four boys that would lay the
Unlike children with classic autism, children with Asperger’s foundation for what is now known as Asperger’s Disorder or
Disorder have average to superior intellectual capabilities, no Asperger’s Syndrome. This disorder would not be officially
significant clinical delays in language development and may recognized for 50 years. In 1994, Asperger’s Syndrome was
have precocious language development. added to the Diagnostic and Statistical Manual of Mental Disorders,
Symptoms include preoccupation with a narrow range of published by the American Psychiatric Association. Now in its
subjects, an unusual, pedantic and monotonous speaking style fourth edition, this manual serves as the guide for diagnosis and
that lacks prosody, and an inability to interpret the subtleties and clinical description of disorders and is widely used by
nuances of language. Children with Asperger’s Disorder have professionals in the field.
difficulties interpreting and responding to nonverbal cues, In 1970, British psychiatrist and parent of a child with autism,
engaging in reciprocal two-way conversations, sharing interests Dr. Lorna Wing, and her colleague Dr. Judith Gould developed
with others, regulating emotions, managing anger, an the concept of autism spectrum disorders. They characterized
inappropriate adherence to routines and rituals and immature autism as a range of disorders based on difficulties with social
empathy. Although they generally want to fit in, they face interaction, communication and imagination. It encompasses
challenges forming peer friendships and are more comfortable children whose symptoms vary in type and intensity. In 1981,
with adults or younger children. In school settings they are often Dr. Wing first used the term Asperger’s Syndrome to
bullied, teased and ostracized by peers. Nearly two-thirds of refer to children who were similar to those that Dr. Asperger
adolescents experience affective disorders including anxiety originally described.
disorders and depression. Problems with organizational skills For many years autism was believed to have a psychological
such as completing a task, motor coordination, sensory input, basis related to the mother’s inability to bond with her child, the
over focus on parts of objects rather than the whole, and “Refrigerator Mom” theory. Although this theory, popularized
stereotyped or repetitive motor movements can also be present. by Bruno Bettelheim, has been discredited and set aside for
Although symptoms of Asperger’s Disorder are present by the more than 30 years, remnants of it still exist today. This
age of two or three, they are usually masked until after the age interpretation coupled with the practice of institutionalizing
of five. Some do not consider Asperger’s as part of the spectrum; children with classic autism gave rise to the stigma that was
others consider it a milder form of autism. Some adults with pervasive and painful to parents and children.
3
In the mid-1960s, a scientifically driven agenda for the However, most children with ASDs are diagnosed at four years
research into the causes of autism began to emerge. Dr. Bernard of age or later. Reportedly, factors related to socio-economic
Rimland, a researcher and parent of a child with autism, wrote a disadvantage, lack of access, and ethnicity may contribute to
book that introduced the concept that autism had a greater than average delays. A relatively small percentage of
neurobiological basis rather than being a result of poor children who are diagnosed early receive the intensive
parenting. The era of scientific research was about to begin. intervention that they need. Services are either inadequate in the
During the same time period, intervention strategies began to hours of therapy provided, unavailable, unaffordable, not
be developed that were targeted at helping children to build publicly funded, or not covered by insurance companies in many
essential skills. Dr. Ivar Lovaas at UCLA would introduce the communities. This is an important example of research
behavioral treatment of autism. ABA (applied behavioral advancing our understanding and the development of
analysis) would set the stage for the development of evidence- interventions, but the resources available to meet this demand
based interventions, and remains the cornerstone of treatment lagging far behind.
for children with autism today. It is therefore critical for parents to know that there are
Public policy reform began to emerge that would promote interventions that can make an important difference for their
greater educational opportunity. For example in the United children and to advocate for these services for their children.
States, the Education for All Handicapped Children Act was passed Children with all types of ASDs can develop skills that enable
in 1975 and renamed the Individuals with Disabilities Education Act them to lead more positive and productive lives. There is no
in 1990. This landmark legislation mandated a free, single approach that addresses the needs of all children—there
appropriate, publicly supported education for all children with is no panacea, but there is hope.
special needs in the least restrictive environment. The number of interventions available has continued to
Over the past two decades, the number of children diagnosed expand—some have the benefit of scientific study and varying
with autism has continued to rise. The debate is robust. Some degrees of validation. Others do not have the validation of
argue that this increase is due to improved diagnostic skills, science to support them but are anecdotally reported to be
decrease in misclassification, the broadening of diagnostic beneficial to some children based on the experience and data
criteria, better documentation of identified cases, and overuse of collected by educators and clinicians. It can be very confusing
the diagnosis or a combination of factors. Others argue that it is and parents must be careful not to forego established treatments
an absolute increase unexplained by these theories. to pursue unproven or potentially harmful treatments.
In its ongoing exploration of the causes of autism, scientific Pharmacological approaches should be used judiciously and very
research is investigating the role of genetics and related carefully monitored. A full range of programs are not available
heritability, vulnerability and susceptibility issues, and the in all communities, but parents must be encouraged to explore
potential role of other factors such as immune dysfunction, all of the available options.
metabolic disturbances, infectious processes and Comprehensive programs capitalize on the child’s relative
environmental triggers. Research is beginning to more strengths and interests, are highly structured and incorporate
rigorously look at the questions of effective diagnostic, education behavioral, developmental approaches comprising evidence-
and treatment models. based best practices. These approaches recognize the
As public awareness continues to grow, the importance of complexities and variations of each child. Education and
early detection and early intervention is gaining greater treatment promote growth in communication, social,
attention. Research supports that classic autism can be reliably behavioral, cognitive, academic and self help skills, and,
detected as early as 18 months in many cases, and that some motor development.
symptoms appear during the first year of life. Intensive early Programs for children with ASDs should be based on each
intervention can enable children to make significant gains due to child’s unique needs. The most appropriate program may be
the neuroplasticity of the developing brain. school based in special education or regular education settings
4
and/or after-school, clinic, or in-home based. With a highly productive as adults. When ready, students can be placed in
structured educational and skill development approach, supervised work experiences in the community. An
program components can include applied behavioral analysis, augmentative communication approach exposes students who
speech and language therapy, occupational therapy, social skills are non-verbal, or who have limited verbal abilities, to a range of
and adaptive living skills, training and adaptive physical communication options that help the teacher/therapist identify
education. Positive behavioral supports based on functional the most useful method of communication. Alternative methods
analysis of problem behavior should be part of the program. can include signing, use of pictures, computer-generated
Progress must be tracked and reviewed in all areas on an language and verbalizations that substitute for actual words.
ongoing basis. These programs demonstrate that children with more severe
Children ages three through five years with classic autism and forms of autism can, and do, make strides in their development.
high functioning autism can benefit from intensive specialized Children with Asperger’s Disorder and high functioning
interdisciplinary preschool programs that provide a minimum of autism require programs and services that directly teach social
25 hours per week of instruction with supportive services skills. Social skills training can be provided in regular education
incorporated into the school day. There is a high staff to student and special education settings, after-school groups, and in
ratio (at least one-to-three) including one-to-one and small counseling and therapy programs. Social skills training helps
group instruction. Preschool programs that emphasize strong children to develop the skills to interact more appropriately with
collaboration among the professional and paraprofessional staff, others, to read facial expressions and body language, to take
and parents as key members of the team, significantly improve other people’s thoughts and feelings into account, and to form
children’s ability to acquire, retain, and generalize skills. In friendships. Equipped with these skills, children are able to tear
addition to one-to-one instruction and behavioral therapy these down the walls of isolation that surround them, reduce their
programs can include naturalistic approaches, specialized anxiety and frustration, regulate their emotions and become
preschools, focus on structured early play activities, language more fully engaged in the world around them.
and social skills development, and learning-readiness skills. For
children younger than three who have been identified with
ASDs, early intervention can include parent training and
support, behavioral, speech, and occupational therapy, and Important history is in the making for autism, as science, public
strategies to encourage social play. policy, advocacy, best practices in education and treatment, and
In addition to the general components of effective autism public awareness endeavors expand and intensify. Progress in
programs, children with classic autism can benefit from these arenas will surely make the journey less arduous for
functional academics, augmentative communication approaches, children and families living with autism.
daily-living skills instruction, and job-readiness training. I invite you to meet 38 remarkable families who began their
Functional academics help students develop basic math and journeys at various times over the past two decades. With
reading skills that are necessary for living more independently, sensitivity and openness, they have shared their experiences so
for example, making change, reading street signs, and telling that other families may derive strength and support from their
time. Daily-living skills and job-readiness training that focus on insights. They speak of the meaning of dignity, hope
such skills as cooking, cleaning, shopping, using public opportunity and love in their lives. It is a privilege to introduce
transportation, and sorting items prepare students to be more these heroic parents to you.
5
dignity
Cole Calzada Bradshaw
When her son Nick was diagnosed with high functioning autism,
Pam Bentson knew that she would have to work hard to help him
develop a sense of dignity in his life. In the third grade, for the
first time, he looked at me and said, “Mom, I’m different.” He
had never said that before and it was hard for her to hear. She
said to him, “I love you Nick. You are different. It is different for
you, but that’s okay, because I love you, and we will find the right
place for you to fit.” As Pam told me this story there were tears
in her eyes.
I have met many families who have confronted numerous
obstacles yet have found the pathways to dignity for their
children. Parents with older children remember the
misconceptions that prevailed for many years: the “Refrigerator
Mom” theory or the idea that Raymond in Rain Man was the
embodiment of what it meant to have autism. Can you imagine
hearing this diagnosis and at the same time thinking that you as
a parent were somehow responsible for your child’s disability?
Can you sense the frustration of finding very little reliable
information about a subject of such importance? Can you feel
the despair of the parents having such scant resources to rely
upon while at the same time being told that the prognosis for
your child was grim? Thankfully, the times are changing for this
generation of children and for their families.
What does it mean to lead a dignified life? How do parents help a label that limits their child or a label that will enable them to
their children navigate in a world that isn’t always sensitive to better understand their differences? Will lack of disclosure help
individuals with differences? Families recount how insensitive, to protect their child from slings and arrows that could be aimed
uninformed, and distancing the community can be. When at them by uninformed or insensitive peers, family and friends?
children, who otherwise look normal, have disruptive or unusual Many parents have made the decision to be public and this
behavioral problems in public, strangers can be very decision has opened up the pathway to dignity for
unforgiving. Frequently, onlookers attribute the child’s many children.
behavioral problems to ineffective parenting or to the child Teddi Cole remembers this decision. “Now, we’re okay with
being a “bad seed.” They often stand to the side rather than the diagnosis. When Mary was first diagnosed, people said to us,
help, their faces full of judgment rather than empathy. Some ‘Don’t use the A word.’ But that’s sort of treating it like the
parents have told me that, although it’s difficult for them to Scarlet Letter. It’s not the Scarlet Letter. Gary and I made the
admit, they wished at times that if their child had to be disabled, decision early on; we’ve talked openly in our house about autism
that the disability had taken a more socially acceptable form. for as long as I can remember. Mary knows she has autism. She
Some parents make the decision to fully participate in activities knows that she’s had a harder time doing things socially than
outside the home no matter what the cost; others modify what other kids. So we felt that to pretend, not to call it by its name,
they will attempt; while others retreat, saying that it’s easier to would in the long run be harder for her and harder for us.”
avoid being ostracized. And of late, parents are beginning to tell Parents tell me that they work hard to try to understand their
me that they sense a greater understanding in the community— children’s inner life and unique expression of life. They try to
a more “How can I help?” rather than “What kind of parent are grasp how their children experience those close to them and the
you and what kind of child do you have?” world around them. In so doing, they have achieved tremendous
Lack of acceptance and tolerance by classmates and insights—it is very different from what they imagined in the
neighborhood peers can compound the isolation of already beginning. Some parents try to connect with their child through
sensitive children. Rather than being a haven of learning and their child’s perspective; others work to help their child conform
friendship, school can be a place of bullying, scapegoating, and to the world as they know it; and others try to meet in the middle
despair for the child with ASDs. There are too many stories of to find a place of dignity and acceptance for their child.
the child who finds himself all alone or mercilessly taunted. In this time of greater public awareness, barriers to dignity are
But there are also stories of the children who find acceptance beginning to be dismantled and bridges to public acceptance,
and develop the skills to form positive social relationships in understanding, and help are being built. The powerful stigma
settings that are designed to meet their needs. One parent told that for many decades has limited dignity for those with autism
me that one of the happiest days for them and their son was is beginning to recede. Now we are speaking more openly: there
when he had “real” friends to invite to his bar mitzvah. This was is no shame, there is nothing to hide. Dignity and difference are
in stark contrast to the past, when for birthday parties and other not incompatible.
celebrations his parents would call upon their family and friends All of us need feedback in our lives that tells us we are valued,
to send their children to fill in for the friends that their child that we are accepted and we are loved. Let us work to tear down
simply didn’t have. the barriers to the dignity that these children and families
The issues of dignity are larger than life when parents weigh deserve. It is an important movement that has been long
the decision to disclose to their child that he or she has autism. overdue whose time has finally come.
They question whether this disclosure is helpful or harmful: is it
7
teddi and gary
cole ary Cole knows that she has high functioning autism.
10
11
seemed to make sense: we wouldn’t want her to know that she
had autism. But that’s sort of treating it like the Scarlet Letter.
It’s not the Scarlet Letter. It’s not a label; it’s a diagnosis. When
you have a diagnosis, you know where to go, what to do, how to
work with whatever IT is. Gary and I made a decision early on:
we’ve talked openly in our house about autism for as long as I
can remember. Mary knows she has autism. She knows that she’s
had a harder time doing things socially than other kids. So we
felt that to pretend, not to call it by its name, would in the long
run be harder for her and for us.
12
sally and robert
calzada ally and Robert Calzada have two sons, Eric and Jonathan,
14
15
autism: we must think of it as the four of us who have autism. It
doesn’t stop when he’s at school. It doesn’t stop when he’s
asleep. It never stops. We realize that’s the way it’s going to be.
All the tears, and all the anger and all the cursing in the world—
and believe me there’s that—doesn’t stop the fact that you still
have a job to do, and you have to wake up the next day and
tackle it.
We’re on display everywhere we go. We deal with it everyday
constantly in the stores, in the malls. There are places we won’t
even try to go to—as a family we can’t go to a movie theater.
Sometimes we can’t even go to a Dodgers game and that is one
of the things that our other son Eric really enjoys. We tell Eric
the truth, that his brother is different and that he needs special
attention and that not all of these things fit in his life. Our dream
is for our sons to enjoy their lives together as much as possible.
We want them to do things together as much as possible, swim,
ride bikes, but there are a lot of activities that are off limits for
Jonathan. So we have to be very fragmented as a family. We have
to split up—one of us will go with Eric and one of us will stay
with Jonathan.
16
Robert: One of my favorite times of the day is when Jonathan is life, but I can’t teach one of my own sons.
sleeping. I’ll look at him and I’ll look at Eric, and they are But if you could see all his giggles and smiles, that’s enough
exactly the same. There’s no difference and there’s no ability or to make it through all the bad times. One smile erases a
disability. I bought them both baseball gloves; I think when they hundred tantrums.
were one or two years old. I’ve taught baseball and tennis all my
17
mickianne
bradshaw ickianne Bradshaw learned her son James’ diagnosis
M when he was two years old and she was pregnant with
her second child. In the beginning, she knew very
little about autism. In time, Mickianne developed her own
understanding and acceptance of James and his high
functioning autism. She came to the realization that autism does
not define who James is—first and foremost, he is her
beautiful boy.
Learning to love
unconditionally…
All I knew of autism was rocking and flapping and sitting in the
corner. I read an article in either Time or Newsweek that said
autistic children look at their parents as if they’re “flesh-covered
bags.” That’s how they referred to it, and that’s what I thought—
and it was devastating. I remember sitting next to his little
toddler bed and crying while he slept. It was like I was mourning
the loss of the child I knew, and that went on for a while, and
eventually, over time, I realized he was still the same.
James was still the same beautiful boy he had been before they
told me he was autistic. Nothing had changed except for how I
looked at him, and I had to fix that. As time goes on, you do. You
realize you just have to roll with it. Now that I know who he is,
it’s nothing like what they said in the books—absolutely nothing
like that. I can’t imagine him any other way, honestly. He is who
he is.
I had read that children with autism couldn’t bond with their
mothers; that if I left the room, he wouldn’t care, as if I was just
another object like a block. That was very scary, but it turned out
to be far from the truth. He’s a cuddly lovable child; he bonds
with me. The main thing was that I wanted a relationship with
my child.
We’re very close; I’m very close to both of my children. I just
grew with James. As I learned more, I let go of the “have to cure,
have to make him better, have to make him like all the other
kids.” I started to embrace his odd behavior. There’s so much
push to make them normal, to put the square peg in the round
hole; I don’t think they belong there. For me, I know my son
doesn’t belong there.
If he wasn’t doing as well as he is, I don’t know how I would
feel. Because this is an ongoing process: as he grows and I
become more comfortable with who he is, as he continues to be
successful at school and in the community—and he has friends
now—I’m feeling more comfortable with who he is. This doesn’t
mean I’m leaving it here and stopping, or that we’re not going
to grow anymore. We are still working. He’s still a kid—we have
to fight to do his homework or make him participate in events.
I think my definition of success is a lot different than it used to
19
20
be. There are things that still break my heart: when he talks
about driving—and he talks about driving all the time—and
what kind of car he’s going to get. I don’t know if he’s going to
drive. And that’s a hard one to deal with, because that’s his
mission in life, right now at age eleven. For me, success for him
is living on his own and having a job. I think he wants that too,
and that’s success.
You have to let go of the dreams you had when your child was
first born. You have to accept who they are, and it makes you
accept a lot of other things in life. I’m much more patient with
people. The things that were important before, the material
things, you realize how unimportant they are. It opens your
heart to learning to love unconditionally.
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22
dr. anila
guruji r. Anila Guruji and her late husband Dinesh, an
24
have to work, but I want him to. I want him to be self-sufficient If any other parent is reading this, I want to say never give up
and support himself as much as he can. My goal has always been on your child. You always have to struggle, but just keep on
to make him the best he can be. going. The strength will be there with you.
25
Exploring the Variety of Random
Documents with Different Content
does not stop the leakage the valve should be taken out for
inspection.
If the horizontal valve and sleeves are taken out at any time,
great care must be taken in replacing them to use the same
thickness of jointing material as before or the distance the valve
opens will be altered.
See that the pipe from the pump to the vaporizer valve box is
inclined upward all the way from the pump. If this is not so, an air
pocket will be formed in which a certain amount of air will be
compressed upon each stroke of the pump. This will cause the oil to
flow in slowly and not suddenly as it should. If the oil tank be
emptied of oil at any time, air will get into the suction and delivery
pipes of the pump and it will take some time before the oil going
through the pump and pipes will be free of this air; for awhile
thereafter, the engine will not work properly, as the air, by being
compressed as the pump works, will interfere with oil being pumped
in suddenly. It is best, if the oil gets below the filter in the tank, to
work the pump by hand for about 10 minutes, holding the relief
valve (on the vaporizer box) so as to get air well out of the pipes.
To stop the engine.—Turn the crutch-handle regulator to
“Shut.” Close the automatic lubricator. If it is desired to stop the
engine for a short time only, put the lamp back under the vaporizer
to keep it hot.
Setting the oil engine and the generator.—The engine and
generator should be so located that the distance from center to
center of pulleys should be as nearly correct as possible when the
generator is at the middle point of the base rails, so that the proper
tension of the belt may be obtained within the limits of adjustment
allowed by the rails.
The two pulleys should be accurately in line and the belt not too
tight. The generator base should rest on a wooden frame to
separate it from the concrete pier. Both engine and generator should
be held firmly in position by anchor bolts.
For the generator bearings a quantity of the best dynamo oil is
furnished; the commutator should be clean and smooth, and the
brushes should fit the surface. The commutator should be cleaned
occasionally with a little paraffin on canvas, and the brushes should
be adjusted, so that when running at full load no sparking occurs.
All electrical connections should be firmly made and kept
thoroughly clean. A cover should be kept on the generator when not
in use. If the machine be damp it should be allowed to dry before
running at full load.
Note.—A few new installations have been supplied
with 5-kw. gasoline electric sets, and future
installations will be similarly equipped. Wherever
installed, pamphlets on the care and operation of the
gasoline sets have been furnished, containing full
instructions for the guidance of those concerned.
APPENDIX NO. 3.
THE STORAGE BATTERY.
CONDENSED INSTRUCTIONS.
1. Excessive charging must be avoided. A battery
should not be undercharged, overdischarged, or
allowed to stand completely discharged.
2. Keep the electrolyte at the proper height above
the top of the plates.
3. The daily and weekly readings should be
regularly and accurately taken and recorded.
4. Inspect each cell of the battery carefully at
regular intervals.
5. If any low cells develop do not delay in bringing
them back to condition.
6. Do not allow the sediment to get up to the
plates.
7. Do not allow impurities, either solid or liquid, to
get into or remain in the cells.
8. Have the battery room well ventilated, especially
while charging.
9. Never bring an exposed flame into the battery
room during or shortly after the gassing period of a
charge.
10. Keep the floor and other parts of the battery
room clean and dry.
11. Keep the iron, copper, or other metal work
about the battery room free from corrosion.
12. Keep all connections clean and tight.
13. Post a copy of these condensed instructions in
a conspicuous place.
APPENDIX NO. 4.
SUBMARINE MINE CABLE.
Temperature. δ Temperature. δ
°F. °F.
10 1.1252 55 1.0113
11 1.1224 56 1.0090
12 1.1196 57 1.0068
13 1.1168 58 1.0045
14 1.1141 59 1.0023
15 1.1113 60 1.0000
16 1.1086 61 .9978
17 1.1059 62 .9956
18 1.1032 63 .9933
19 1.1005 64 .9911
20 1.0978 65 .9889
21 1.0952 66 .9867
22 1.0925 67 .9846
23 1.0899 68 .9824
24 1.0873 69 .9802
25 1.0846 70 .9781
26 1.0820 71 .9759
27 1.0794 72 .9738
28 1.0769 73 .9717
29 1.0743 74 .9695
30 1.0717 75 .9674
31 1.0692 76 .9653
32 1.0667 77 .9632
Reduction of copper resistance to 60° F.
Temperature. δ Temperature. δ
33 1.0641 78 .9611
34 1.0616 79 .9591
35 1.0591 80 .9570
36 1.0566 81 .9549
37 1.0542 82 .9529
38 1.0517 83 .9508
39 1.0492 84 .9488
40 1.0468 85 .9468
41 1.0443 86 .9448
42 1.0419 87 .9428
43 1.0395 88 .9408
44 1.0371 89 .9388
45 1.0347 90 .9368
46 1.0323 91 .9348
47 1.0300 92 .9328
48 1.0276 93 .9308
49 1.0252 94 .9288
50 1.0229 95 .9269
51 1.0206 96 .9250
52 1.0182 97 .9231
53 1.0159 98 .9211
54 1.0136 99 .9192