Category Archives: Spontaneous Thoughts

May 15, 2013 – International Day of Families

bucuresti2Today I have been seeing families in Bucharest, Romania. This is my second of eight days of seeing children and families here. I arrived in Bucharest after seeing children in Barcelona and London. Between these three cities I will have seen families from many different countries. All of these families have children with developmental issues; all of these families are dedicated to their children; and all of these families are assuming responsibility for their children and their children’s futures. They are all exceptional and can serve as models for parents and families everywhere, not just families of children with issues, but all families.

In all of my years of travel, seeing children and working with and through families, there is one glaring truth. Wherever the families live, whatever their nationality, whatever their heritage, whatever form of government they live under, whether the family is defined as one parent or two, as only one child or a house full, grandparents or extended family in the home, whatever constitutes the family, they are all united in the care of and dedication to their children and the assumption of responsibility for their children. These families are not looking for their governments to do the job; they rather universally only ask that the government stay out of their way. These are dedicated parents who are absolutely amazingly alike.

In the seventies I was the clinical director of a large United Cerebral Palsy organization. I received grants from the state and federal governments and created model programs and was by most definitions quite successful producing significantly better results than other schools or agencies. But I came to a realization: that whatever I was able to provide for those children within our school and clinics, it was not enough. I also realized that the governments were never going to have the funds to give the children enough, and that expectations were not based on potential, but on the economic realities of what the system could afford to give, and that over time everyone bought into and accepted this distortion of reality and potential. Actually, not everyone–not the families I have been working with all these years. The families who say, “This is my child, this is my son, this is my daughter and I am responsible. I am going to help my child be all they can be. Help me or get out of my way.”

So on this International Day of Families, I am happy to offer up our NACD families from all over the world as models for what families can and should be. All of us at NACD are privileged to be able to know and assist these fantastic families.

Related Links

NACD International

Don’t Get Lost in the Pieces

sagrada-familia-gaudi-sideI have spent this week in Barcelona, lecturing on developing cognitive function in children with Down syndrome, seeing some great families, and getting to know this new Barcelona. I traveled here and actually lived here for almost a year back in the seventies. It is incredible how much has changed in forty years. The city has grown tremendously, added a lot of new modern buildings, dramatically resurrected their port area, and really changed the complexion of the city. Since hosting the Olympics in 1992, the city has become much more diverse in its population and has become a favorite of tourists.

Part of the dramatic change in Barcelona that I was delighted to see is a change in the perception of special needs children. They have come a long, long way from where they were when I was working with children here in the ‘70s. It’s hard to believe when looking at the progressive open mindedness of the educators, therapists, and physicians today that forty years ago special needs children were often referred to by the professionals as “los animales” — the animals. In the ‘70s I left in frustration; but now I’m looking forward to working with both the families and professionals here again.

Today I had a rare day–I actually took the day off before heading to London tomorrow morning and at the insistence of my son, Laird, and his fiancée, Sadie, we went to visit what is truly one of the architectural wonders of the world, the Sagrada Família. The Sagrada Família is a church which began being built in 1882 and was taken over in 1883 by the architect Antoni Gaudí. Gaudí created a design and concept that has led to an ongoing project that will probably not be completed until the first third of the 21st century. Gaudí was inspired by nature and used his understanding and appreciation of nature to guide his work in this incredible, virtually organic building.

We walked around and through this church and looked at literally thousands of amazing design and structural details and more thousands of ornamental details, many of which depicted animals, plants, and people. As you look at it, particularly from the interior, you almost expect it to take a deep breath and come to life. Tending to never get more than a few heartbeats away from my passion, kids, I was compelled to make an association between this incredible building and a child. It is very easy to get lost in all of the amazing pieces of this building, from the great turtles supporting some of the exterior pillars, to the vines and leaves and creatures you discover everywhere, to the magnificent pillars supporting the structure of the church that resemble trees and branches. But if you get lost in the pieces, you miss the amazing aggregate of this totally unique building. I couldn’t help but think about how easy it is to also get lost in a child’s pieces, to see how parents, but more often teachers, therapists, and physicians, can become so focused on some of those pieces and often not see the magnificent totality of the individual. All of us, parents and professionals alike, must always look at the whole child first, the truly unique child, and not get lost in their pieces. Yes, we need to address problems and examine issues; but first see the child. If we don’t, we will never properly address their problems, and we will never help that child to become who they are. We cannot look at a child as a collection of pieces and do them justice. We need to work with them from the top down. See them as the people they are, and from that foundation then address their pieces. And, just like the Sagrada Família, our children are all a work in progress. Somewhere along the way the professionals in Spain started actually looking at all of the children and seeing a child.

Related Links

NACD Down Syndrome
NACD International

He’s My Best Friend’s Boy

NACD BlogYesterday I saw one of my favorite moms. She’s a great, dedicated mom who works very hard with her two boys. Her oldest boy has some significant problems, but he keeps progressing and is on most days her “easy” one. His little brother is very bright, doing great, and tends to drive her nuts. Because he is bright and still a little guy, he still does little kid things that get her; and more often than not, they are designed to do exactly that–get her attention. If asked the following questions, her answers would all be “yes”: Is he smart? Yes. Is he a nice kid? Yes. Is he a good kid? Yes. Is he a sweet kid? Yes. Then why should such a child drive her nuts? If he were her best friend’s boy, and not hers, she would love being around him and he wouldn’t drive her to distraction.

Parents, sometimes you need to take a step back and look at your kids through some new eyes and gain a little perspective. Most of us as parents take our jobs seriously, and often that means we try to give our children feedback on everything they do, all of the time, and particularly, anything and everything they do wrong. It is sadly all too easy to ignore all those things they do right.

Imagine how you would treat your best friend’s child. Your best friend is important to you, and if you were to have their child with you for a day, they would be important to you as well; and so you would want to protect them, take care of them, and give them good feedback. If during your watch they were to do something dangerous or harmful, you would give them feedback; but if they were doing little irritating things, you most likely wouldn’t even particularly notice and very likely wouldn’t comment if you did. You wouldn’t want your remarks and “helpful” input to be perceived as picking on them. You wouldn’t want them to go home and report to their mother that you don’t like them and that you were mean, and that being at your house wasn’t fun. But is it really okay or helpful to be on your own kids all of the time? No, it isn’t.

Most of the time we would all be better off treating our own kids as if they were “your best friend’s boy.” Nagging isn’t providing quality feedback, and getting on them all of the time is not quality feedback. Nagging just creates a negative environment, destroys your credibility, and makes your child wish he or she were someplace else.

He’s my best friend’s boy.

What do you think?

 

The Right Tool For the Job

If the only tool you have is a hammer, you tend to see every problem as a nail.”
–Abraham Maslow

autism_articleMost days confirm the reality that you really can’t have to many tools in your toolbox. Today I saw a fourteen-year-old “autistic” young man. Zach has been on program for a number of years and has done quite well in most respects. His parents have been quite pleased with his development and changes, particularly the changes that have occurred in the past year and most significantly in the past three months, when the pieces really started coming together at an accelerated rate. Zach has come from being a constantly stimming, DSA (Debilitating Sensory Addiction) out-of-it, unmanageable, difficult, non-communicative child to a boy who goes everywhere with his family, interacts socially, and has become a fun, interactive member of his family.

At NACD we have over 3000 tools (methods and techniques) that we can pull out of our toolbox when we create a program for a child. Our challenge is to look at the child globally, then look at the various issues to be addressed, determine priorities, evaluate the time and manpower that can be dedicated to the child, and then apply what we feel are the best tools for the job. Most programs for children like Zack incorporate tools to address their health and diet, gross and fine motor issues, sensory issues, hearing, vision, auditory and visual processing, speech and language, behavior, cognition, and academic function. We could easily use 20-30 different tools in each program.

Part of the process for us is to constantly evaluate, replace, and add to our toolbox. Our perception as an organization is that we can never help a child or a family fast enough or take them far enough. Being an international organization and being able to view the results of the application of many tools with thousands of children covering the full spectrum of ability and disability aids in this process. Through the years, although we have this huge toolbox, we are constantly identifying issues for which there are no adequate tools and thus set out to create the needed new tools.

During this past year, and particularly the last three months, we have all seen not just a Zachary who is progressing, but a Zach who is changing. His affect is now that of a typical child; his DSAs have diminished dramatically; he is engaged; and his speech and language have improved about 1000%. This dramatic change was started with a recommendation from us a year ago that the family purchase Zach a fantastic new tool, the iPad. Prior to Zach’s discovery of one of the greatest tools ever created for our special needs children, there was nothing that Zach could do independently or appropriately engage with or in. He needed to have someone engaging him every waking minute of the day, or he would fall into his DSA pit. Zach’s family was successful in teaching Zach to play with the iPad, starting off with 5-10 second exposures to basic cause and effect apps and then gradually increasing the frequency and duration of exposure, as well as the complexity and variety of apps. During this period Zach was able to start using our NACD Simply Smarter Kids-Memory app. With the development of Simply Smarter Kids we had for the first time a tool in our toolbox to actively work on Zach’s short-term memory and working memory. Although we have dozens of 1:1 processing activities as well as software and online programs to address these processing issues, we did not have a really great tool to use with a child at his level of function. With the proper tool we were able to really start teaching Zach how to process what he heard and saw and to think and raise his global level of maturity. Simultaneously we used our TSI (Targeted Sound Intervention): Focused Attention program, which helped Zach to separate and isolate words and language from the world of background noise and interference. Once we had Zach really hearing language and getting his auditory processing moving, we were able to use our new NACD Home Speech Therapist—Speech Therapy for Apraxia app with Zach so that he is now developing the ability to speak and even sing intelligibly. Today was a good day. I’m delighted with the changes in Zach and his prospects for the future, and I’m really pleased with the effectiveness of the new tools in our toolbox. All problems are not nails and hammers can’t fix everything; and it is so sad and tragic that so many practitioners are so content to keep using the same tool over and over again and keep trying to pound that nail.

Politicians and Educators: Wake Up and Stop Screwing Up Our Kids

58I finished my day today with a really terrific family. Three months ago I saw their nine-year-old daughter, Mandy, for the first time; today was their first revisit. Mandy’s parents brought her to us because of a plethora of issues, including a full range of academic problems and memory issues, being fearful and distractible, having fine motor, gross motor, and coordination concerns, avoidance behaviors, difficulty with peers, sensitivity to sounds, tics, etc.–a fairly typical mixed bag of issues.

Today I saw a new Mandy. After three months of home program/home school, Mandy advanced a full academic grade level. Her short-term memory, working memory, and executive function has moved from being of significant concern to being “typical” and should continue to move forward; her motor skills have improved; she is much more confident and tolerates the noisy world much better. These are outcomes that we tend to expect. But because of the changes Mandy’s parents have seen in her, they both decided to come in themselves for assessments and programs.

Both of these parents are smart, great people, and although they are both about 40, neither has really recovered from the experience of school.They both have issues and baggage, largely created by the school/educational experience, issues that they have been carrying around and trying (largely unsuccessfully) to cope with since their days in school. Both have poor self-esteem, are insecure, and are a reflection of our educational system–a system that, rather than helping all of us unique individuals succeed, has done an absolutely incredible job of ignoring a basic fact that we actually have brains and that there are these wonderful things called “potential” and“brain plasticity.”Neuro/brain plasticity is an innate brain function that is basic to who and what we are and what we can be, as is breathing.Brain plasticity is not a new concept or new information. It has been acknowledged since the late 1800s.It has been at the foundation of our work at NACD since the organization’s inception in the late ‘70s. So how can it be that our educational system is and has been focused on curriculum and not building and developing brains and unique individuals? The system still maintains a “the-more-we-throw-at-them-the-more-we-hope-sticks” educational model, believing that to achieve better outcomes they just need more hours per day and days per year to throw more crap at students. Then the mindset appears to be: “It’s not working, so lets’ do more of it, and let’s throw a couple of hours of useless homework on top just to make sure that the majority of kids not only don’t really learn anything, but let’s teach them to really hate learning everything and teach them that they are broken in the process.”

We all have incredible potential. Those in control of public and most private education need to forget about coming up with another 1000 reading and math programs, throwing out more books and replacing them with modifications of what they have just thrown out. Forget about throwing more random crap at kids with the hope that some of it will stick. Stop taking kids who love learning and teaching them to hate learning anything. Please acknowledge that we are all amazing and unique individuals with incredible potential. Please stop trying to fit us all into a narrow model and calling us diseased (LD, ADD, ADHD, dyslexic , Asperger’s, etc.) if we don’t fit their perception of who and what we should be and with a little attention to just the basics of developing brains and turning kids on to learning, we can change their futures and our future.

Mandy is just getting started. She’s going to be a happy, confident star, as most of our children could and should be, and her brave parents are going to learn that they are actually quite smart and that it isn’t too late for them to raise the bar and achieve, feel good about themselves, and be great.

Related links:

The NACD Simply Smarter Project – http://www.nacdtheproject.com/
The Learning Environment by Robert J. Doman Jr. – http://www.nacd.org/journal/article16.php
NACD Education Video Series – http://www.youtube.com/playlist?list=PLDC00943D1D09709A