An autism glossary.
Diagnosis. This is a word that has become fascinating to me. For a long while, "autism" was thought to be distinct from "Asperger's syndrome." But then it was revealed that Asperger was--literally--a Nazi. He supported the Nazi party. Several different kinds of quirky behavior were subsequently lumped under one umbrella, "Autism Spectrum Disorder." But if you hear the letters ASD, you may think of the phenomenon called "classic autism," a scenario that is characterized by *profound* isolation and a rigid need for repetitive behavior. Many professionals I've encountered argue that certain minor symptoms should *not* fall under the ASD umbrella. Instead, these symptoms should be called "quirky behavior."
Caretakers. I am not a social person, and I really hate the stream of caretakers that makes its way through my house. I hate that one of the current caretakers--a celebrated "behavior technician"--greets me by reporting that he is "living the dream!" I hate that I then have to expend emotional energy to pretend that I do not find his sarcasm unprofessional and inappropriate. I hate that--when my child calls me "Mom"--I have a stranger disrupting the conversation to demand that I get labeled "Papa." "Mom" seems fine to me. But the *absence* of a stream of professionals would be a fate worse than death. You must appreciate "the devil you know." The weirdness of having caretakers is captured in a movie called "His Three Daughters." One of the central daughters routinely struggles with caretaker boundaries--and occasionally seems to resent the caretakers. At the same time, she plots to win a caretaker's allegiance with free food. ("It would certainly be helpful if that woman there in Dad's bedroom didn't secretly hate us....")
Shame. I was a totally clueless parent for so, so long. I rejected "ABA therapy" because it had an aura of dustiness--one cliche about ABA was that it used overbearing philosophies, it was out of date. The cliche was wrong--and, by not doing a bit of additional research, I made at least two years of Josh's life harder than they needed to be. Also, I avoided getting treatment for depression because (1) it seemed possibly easier just to wait for a change in the tide and (2) I imagined that I didn't really have a right to be depressed. Feeling ambivalent about some parts of parenting seemed to be something like a failure. How self-indulgent! An ally observed that primary parents with special-needs kids are (a) uncompensated, (b) "on call" for every minute of every day, (c) socially invisible, and (d) unlikely to succeed in more than a small fraction of any given day's "job-related" crises. Yesterday, my husband received a text from a family friend--the text offered congratulations on the "Blue Wave." "You did it!" And I paused to note that I had been feeding the political tactician--I listened to his concerns about Vivek late at night--I was polite to the donors who were looking for a friendly trip to the theater. No one offered a congratulatory text with regard to my role in the Blue Wave. I just happened to notice that.
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