Wilde Autistic Logistics
Wilde Autistic Logistics
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         Autistic
      LOGISTICS
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of related interest
Managing Meltdowns
Using the S.C.A.R.E.D. Calming Technique with
Children and Adults with Autism
Deborah Lipsky and Will Richards
ISBN 978 1 84310 908 2
eISBN 978 1 84642 917 0
                      Kate Wilde
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www.jkp.com
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material form (including photocopying or storing it in any medium by
electronic means and whether or not transiently or incidentally to some
other use of this publication) without the written permission of the copyright
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owner except in accordance with the provisions of the Copyright, Designs
and Patents Act 1988 or under the terms of a licence issued by the Copyright
Licensing Agency Ltd, Saffron House, 6–10 Kirby Street, London EC1N 8TS.
Applications for the copyright owner’s written permission to reproduce any
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A CIP catalog record for this book is available from the Library of Congress
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amazing and continual support, love, and wisdom.
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       CONTENTS
     Acknowledgements.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .               9
     My Story.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .    11
     How to Read This Book.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .               17
Chapter 1.
Chapter 2.                                                py
                      Understanding Our Children’s Experience.  .  .
                      Creating Clear and Strong Boundaries.  .  .  .  .
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Chapter 3.            Believe in Your Child’s Ability to Learn.  .  .  .  .                              51
Chapter 4.            Motivation.  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .                  57
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for sharing your life with me. To every staff member at the Autism
Treatment Center of America, thank you for your dedication, your
love, and your excellence in helping children and their families from
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all over the world. William Hogan who I co-teach with, thank you for
teaching with me every day for the last 20 years! To Raun Kaufman
for traveling the world and sharing our amazing work. To Bears and
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     However, there are two people in particular who have poured hours
of love and care into this book. My mum, Elizabeth McCormick, thank
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     MY STORY
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to another. My sister does not even remember watching the movie, but
to me it was the beginning of everything. It was my first introduction
to autism and I was completely intrigued and fascinated by it. I became
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the kind of teenager who only read the Cliffs Notes for her school-
assigned books because she was too busy reading other books on
child development. It was also my first introduction to the concept
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that love and acceptance is the most powerful force for healing and
change. Luckily my 13-year-old brain was still open enough to receive
the powerful truth of this message.
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12   AUTISTIC LOGISTICS
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     years later, I can say that the little boy that I once saw depicted in that
     movie when I was 13 years old, the little boy who was the center of
     a movie that changed my life, is and has been my dear friend for the
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     last 23 years.
          From that point onwards working with children on the autism
     spectrum became my dream, my focus, and one of the great passions
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     a helmet because she would bang her head, and was at least a foot
     taller than me due to the specially designed very high-heeled shoes
     she wore to accommodate her toe walking. I was assigned her for
     the day and within seconds of our meeting she got me in a headlock
     and started walking, dragging me along. She walked straight out of
     the school building and headed for the white line in the soccer field.
     The only knowledge I had about autism and how to be with a child
     with autism was the movie I had watched. It had left me with two
     ideas, Join the child in their own world and love and accept what she
     wanted, which was to walk around the soccer field. So I concentrated
     as much as I could on enjoying the white line and the walking, and
     felt good that at least she wanted me with her. She was assigned to me
     for the rest of the summer, because when she was with me she never
     banged her head. This was my very first sign of the healing power of
                                                             My Story     13
“Joining.” We walked, laughed, played, and had the best time together.
She was my first real-life encounter with autism, and I was hooked.
Special note: The Son-Rise Program® has a special technique called
Joining that is used to help and connect with our children when they
are engaging in their repetitive behaviors/stims/isms. Please go to
www.autismtreatment.com if you would like to know more about it.
[AQ]
My second encounter was with a child of a family friend. He was
three years old when I met him and was such a sweetheart. He loved
to run back and forth and back and forth from one wall to the other
and switch on and off light switches. Again when I was with him I
focused on Joining him in his activities and loving and enjoying being
with him. I noticed how he would look at me and smile when I ran
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with him and was touched by the loveliness of his personality. Seeing
glimpses of his personality shine forth as I joined him consolidated
the idea that there was a complete person inside this silent boy, and
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I wanted to find a way to reach him and help him communicate to
the world. This only solidified my belief that Joining a child in their
activities was an incredible way to connect with them.
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about music therapy the more I realized it was not the therapy for me.
I think it is a wonderful therapy that does great work with children
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     with them. Like most geniuses she had a colorful character and loved
     to push people’s buttons. She was 80 when I met her, and my initial
     interview took place while she was taking a bath. After having asked
     me a few questions about myself, she let me know that I had passed
     the test. What test? I asked. She then informed me that she liked to
     see how people reacted to different situations. The fact that I was not
     fazed by her being in the bath led her to believe that I would not be
     judgmental toward the children I would be working with.
         Although she was 80 and walked with the help of crutches,
     she had a lively mind and soul. As part of my training with her I
     would accompany her on the different lectures she gave in her
     surrounding community. I would carry suitcases of books around for
     her. Amazingly— she carried around the book Son-Rise by Barry Neil
     Kaufman, which was the very story I had watched on television when
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     I was 13! She trained me herself to work one on one with the children,
     and I spent every day working directly with children with autism. I
     was in heaven. I was struck by the intelligence and love each child
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     showed me on a daily basis. It was here that I met a family who were
     going to the United States to participate in a special program for their
     daughter with autism. Although I had no idea what the program was,
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     when they showed us the NBC movie Son-Rise: A Miracle of Love, that
     I realized that this center was run by the family I had watched the
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     movie about, that had inspired me to work with children with autism
     in the first place. Wow! That was a very awe-inspiring moment for me.
     I had come full circle, and it was as if in some way I had come home.
     I knew that I had found the methodology that I wanted to train and
     work in. Until that point I had never encountered two particular traits
     within the same methodology. First, the staff were so sincere in their
     love and delight of the little girl I had come with, you could see it and
     feel it in everything they did. Second, they were also so powerful and
     effective in asking her to change and grow. They asked her to look
     at them, to use the spoken word, to dress herself. They helped her to
     grow so much during that week, and all within the context of truly
     enjoying and loving her.
         I carried on my work with Dr. Rachel Pinney and then, instead
     of pursuing further study I returned to the Autism Treatment Center
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We spent hundreds of hours exploring our own thoughts and feelings
so that we could truly approach each child and each adult with an
open, caring, and accepting heart.
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     One thing The Son-Rise Program® recognizes is that each child
with autism can be so different, motivated by different things, and
have different varying degrees of complex challenges. I needed to
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that they could work in this way with their own children. This took a
lot of time and focus on my part and experience of different children
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          I am now the Director of the Son-Rise Program® and I train the
     staff at the Autism Treatment Center of America to become Son-Rise
     Program Child Facilitators and Son-Rise Program Teachers. I also
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     teach individual and groups of parents to run Son-Rise Programs
     with their children. I do this either via the telephone, going to their
     houses or when they come here to our center. We have parents come
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     to our center from all over the world. I have worked with families from
     Thailand, Singapore, Africa, Malaysia, China, France, Poland, Russia,
     Slovakia, Argentina, and Brazil, to name a few, and frequently travel
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     with our staff to Europe to present the Son-Rise Program®. It has been
     such a wonderful journey and I feel so blessed to have met and worked
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       HOW TO READ THIS BOOK
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ABA, FLoortime, RDI, verbal behavior, Handel, intensive play therapy
or any other. This book is truly for anyone and everyone who wants
help with the following:
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   •    Tooth brushing
   •    Hair cutting
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   •    Dressing
   •    Sleeping challenges
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   •    Hitting
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   •    Tantrums
   •    Toilet Training
   •    Introducing new foods.
Most of these things happen outside of set therapy time. These things
happen every day, every week, every month, and this book is designed
to help with these and other everyday challenges.
    There are many books on the market that talk about these subjects
for the typical child, but not for the child on the autism spectrum.
You may feel that you are at a loss of how to be with your child
outside therapy or school hours; on how to create a harmonious home
experience for you, your child and your family. I hope this book helps
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     you live in harmony with your child and create routines that work for
     you and your family. This I know can be done.
          First, a note about the use of personal pronouns in the book. I
     have used he, him, his or they, them, their when referring to ‘your child’
     or ‘the autistic child’ to avoid the frequent clumsy use of he or she, etc.
     or the slightly distracting alternating between masculine and feminine.
          The first six chapters of this book are perspectives and concepts
     about how to think about and approach your very different child.
     These chapters will give you a different way to think about your child,
     or may help solidify what you already know. Either way I encourage
     you to read these chapters first as I refer to them in the other chapters.
     They will help you understand and put into practice the strategies
     outlined in the other chapters. The whole book will make more sense
     to you if you do.
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          The next six chapters are dedicated to specific subjects such as,
     how to deal with your child’s tantrums, your child’s hitting, pinching
     and biting, toilet training, sleeping, self-help skills, and introducing
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     new foods.
          This book is as much about helping you change the way you think
     about and respond to your child as it is helping him acquire new skills.
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     I believe that you are the most useful and most loving person your
     child has in their life. There is nobody who loves or is more dedicated
     to your child than you. That does not mean that you always know
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     what to do. Many parents feel that they “should” know, but we all
     know that our children are very different and they did not come with
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     a manual. I know that I had to learn all the things in this book myself.
     It was not something I was born with. There is no manual on how
     to respond to your child when they do something that is so different
     from what you were expecting. I hope that this book will be some sort
     of a guide for you as you navigate parenting your child.
          The beginning of each chapter first explores how we are
     responding and what we are thinking about what our children do.
     This is a critical part of the process to help your child acquire the
     skill you are working on. There will also be exercises included in this
     section to aid you in this process. Then each chapter outlines many
     step-by-step practical strategies that you can implement immediately.
     Also for your convenience there is a checklist at the end of most of the
     chapters of action items, so you have them all in one place.
                                             How to Read This Book        19
    If your child does not get the skill you were hoping for this week
there is always next week and the week after. Our children are not on
the same timeline that we are, sometimes they might require a little
more time to understand. The great thing about that is that time is
something you can give them. Most people will try things just for
a day and then declare that they don’t work. I know I have done
that with the many diets I have tried over the years. But we all know
that we have to stick to the diet over time to see results. Try these
suggestions every day for a least a month before you even think of
giving up on them. You would not plant a seed and then after seeing
no growth for just three days throw it out! You know it takes time for
the seed to push down roots and show growth above ground, days
of persistent and consistent watering and sun. These strategies are no
different, give them the time you would a growing plant.
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    I know these strategies work because I have implemented them
myself and seen them work. I have taught countless parents to
implement these strategies and seen them work. These are not theories
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they are well-tested practices that the Son-Rise Program® has been
teaching for over 30 years.
Special note: If you want to read a ‘how to’ book that will explain how
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to use the Son-Rise Program® with your child, you can read Autism
Breakthrough: The Groundbreaking Method That Has Helped Families All
Over the World, by Raun K. Kaufman.
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     Chapter 1
     UNDERSTANDING OUR
     CHILDREN’S EXPERIENCE
This is the most important chapter of the whole book. It will give you
the foundation and concepts that will make all the suggestions and
strategies in this book be the most effective they can be. It will set the
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scene for how to approach and teach your very different child.
     The first place to start in helping our children is to gain an
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understanding of their experience. That their sensory processing
system behaves differently than ours. It is challenging for them to
process sensory input from the world. Their hearing, sense of smell,
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touch, and vision can be radically different from ours. So much so that
just being in the world can be extremely overwhelming, unpredictable,
and chaotic.
     Let’s just take their hearing. They may hear things so much much
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louder than we do, or may hear sounds broken up, like a bad cell
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phone connection. Some children have difficulty filtering out all the
different sounds in their environment, making it near impossible to
focus on just one. Think about all the sounds at the mall. You have the
background music, people talking, the sounds of the air conditioning,
the wheels of all the prams and buggies, the noises from the cash
registers, and I could go on and on. Imagine if you could not filter any
of these sounds? That you heard them at the same volume tumbling
toward you? Would you not want to retreat from that overloaded
experience, would you not want to cover your ears and find a way to
tune it all out? It would be overwhelming for anyone, and that’s just
our children’s audio experience. You can see why our children have a
hard time responding to us.
     Now let’s take a moment and think about our children’s sense of
smell. This can be amplified for our children. Making what is a mild
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     and everyday smell for us unbearable for them. I have seen children
     shut down completely as a way to block out an overpowering smell.
     Think of all the different fragrances there are in the world, so many
     for our sensitive children to navigate. I know for myself that I can get
     a headache just walking through the cosmetic section of a department
     store, because of the strong smells of perfume.
          Then there is the sense of touch. Some of you may have children
     who take off all their clothes as soon as they get home from school. Or
     your child may only wear one particular outfit. Clothes to some of our
     children may feel like sand paper on their skin. Maybe the closest you
     can get to knowing what it is like is when you have a very high fever,
     how your skin feels like it is burning and is sensitive to other people’s
     touch or even you touching it.
          You may notice that your child shows no signs of pain. Or plays
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     outside in the cold snow and show no signs of being cold. Being less
     sensitive, it is clear that your child’s sensory system is processing touch
     and sensation very differently.
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          Let’s talk about vision. I have worked with children who only see
     out of their peripheral vision. Meaning they only see what is to the
     side of them but not what is right in front of them. Others have trouble
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          Now imagine what it must be like for our children on a daily basis
     navigating the everyday sounds, sights, smells, and physical touch of
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that he was just being naughty, we took the approach that he was
taking care of himself and we tried to understand how this behavior
was helping him. This helped us become true detectives in trying to
understand what was going on for him. In the end we found out that
he had an over-sensitivity to the smell of bananas, we found this out
because bananas were at every one of his outbursts. Martin was unable
to communicate that it was the smell that was bothering him, not
because he could not talk but because he did not have the knowledge
himself that the smell was the challenge. It took a lot of “detective”
work to figure this out. Once we knew this, we were able to help him
know what to do when he had an “overwhelming” smell, without
hitting and running away.
     Joe a very intelligent and funny seven-year-old boy with autism
would hyperventilate when he had to walk across a threshold. It
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would take him many false starts before he actually made it through,
whether it was into a lift or a shop. His mom and dad [AQ] would get
very frustrated as it took them so long to do anything when they were
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out. They experienced their son as being controlling and difficult,
understandably as they did not know why. During consultations
together we took the approach that he was doing this for a reason
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cause of his many false starts we could begin to help Joe with the root
cause of what was actually happening for him.
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     sensitivity to sound, touch, or visual stimulation, the unpredictable
     behavior of people is often something that they have to move away
     from and defend themselves from.
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         Have you ever done one of the following?
        •   Taken away your child’s favorite “stim/ism” toy, hoping that if
            it is not there he will stop playing with it and interact instead?
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        •   Taken away your child’s favorite toy and used it so that he will
            eat his lunch to get it back?
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        •   Forced the first bit of food into your child’s mouth, in the
            hopes that he will see that it as really yummy and will want
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            to eat more?
        •   Held down your child to brush their teeth so that he will not
            get a cavity?
        •   Forced clothes on your child so that he could make it to the
            school bus?
        •   Hugged and kissed your child even though he was trying to
            get out of your embrace?
     All of us have probably done one of the above things, because we
     love our children and we want to find a way to help them. However,
     when we do this the opposite of want we want happens. Our children
     get more controlling and less open to what we are suggesting. Why?
                         Understanding Our Children’s Experience               25
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people and begin to create a world for themselves that mainly consists
of interactions with objects, predictable patterns and the seeking of
self-soothing repetitious activities (stims/isms).
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     The way we change this dynamic and help our children move
toward us is to give our children control. We do that by becoming as
predictable and as controllable as the objects they love. This book is
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about the long game, wanting our children to want to eat new foods
and wear clothes, or brush their teeth, to actually enjoy these activities
without us forcing them.
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thing they cherish the most. Or we may hold them down against their
will for reasons they do not understand, giving them more reasons
to move away from us, and not listen to us. When we force or try to
control our children they become more controlling not less. Instead I
suggest you focus your attention in all your actions with your children
on “giving them control.” Creating instead a rock solid trust with your
children. This trust is essential and the foundation upon which we can
encourage them to do the things that are difficult for them. Like sit on
the potty. Eat new foods. Get dressed in unfamiliar clothes and brush
their teeth. Trust is the most important factor when teaching someone.
     Some of our children who have been held down on a regular
basis to have their teeth cleaned or their hair cut may have a reflex of
starting to cry, of running away from the mention of a tooth brush or
the sight of a pair of hair cutting scissors. Not because they are afraid
26   AUTISTIC LOGISTICS
     of the scissors or hate getting their teeth brushed, but because they
     have associated these actions/objects with being held down. It is that
     which they are protesting against. Once we stop doing this, by letting
     our children know that we will give them control over the situation,
     we can begin to help our child make friends with the sight of the
     toothbrush or the hair cutting scissors, or with exploring a new food.
     Once we have helped our child make friends with these activities then
     and only then can we start the adventure of helping them acquire
     the new skill. We can give them this control by using the Son-Rise
     Program® Control Protocol outlined below.
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     children the control they need and never use force. We don’t want to
     get the activity over and done. We want to inspire our children to want
     to brush their own teeth, to love getting their hair cut and trying new
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     foods. The best way to get there that also leaves your relationship with
     your child intact is to create ourselves to be as controllable as possible.
     If we use this protocol in all our interactions with our children we will
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     be giving our children the control they need. In turn you will find
     that they will become more flexible and less controlling. It has three
     simple steps.
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for any indications from your child of “Yes” (it is ok for me for you
to put on my jacket, or “No” (I do not want you to put on my jacket).
Moving slowly toward them with the jacket, look for a sign that you
have permission to put it on them. If your child is verbal they may say
yes or no, if they say no, then it is time to give control, by respecting
their “No.” You may say to them something like this: Thank you so much
for letting me know you do not want the jacket on right now, let’s try again in
two minutes. You then would wait two minutes before you try again. If
they say yes then you know you have permission so go ahead and put
the jacket on.
     If your child cannot talk yet, you are going to look for physical
cues (do this even if your child can talk as they may choose not to
verbally answer you at this time), notice if they are moving away from
you, toward you, or do not move at all as you move toward them. If
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they move away from you, I would take that as a possible “No” and
say something like this: I see that you are moving away, I’ll take that as a
no you do not want me to do this, I’ll try again in two minutes. If your child
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moves toward you take that as a yes and say something like: You are
moving toward me I will take this as a yes, thank for letting me know, I like to
know what you want.
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moved away from me I am going to try to put your jacket on, if you do not want
this just let me know by moving away.
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     Remember, using this Control Protocol with your children is the most
     important ingredient in making every strategy in this book effective.
     “No” means…“No”
     Another important way to give control to your child is to respect their
     “No.” Not just 50 percent of the time but 100 percent of the time. If
     you think about it, you don’t like it if your “No’s” are not respected.
     You gravitate toward and choose friends who will respect your “No.”
     You move away from people who don’t. It’s that simple. The more we
     respect our child’s “No” the move likely they will want to spend time
     with us and do the things we are asking of them. Trust is everything. If
     I trust that when I say no to the person I am with they will stop, then
     I may allow myself to do something that is challenging for me because
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     I know I can stop at anytime. If I do not trust that with a person there
     is no way I will do something challenging with them.
          Dan a lovely five-year-old boy with autism came to our Son-Rise
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     Program® Intensive. His parents were extremely worried about how the
     week would go, because he was extremely reluctant to spend any time
     with any person who was not his mom or his dad and grandmother.
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     They felt that they could not leave him with anyone else or take him
     to any school situation. I was the first child facilitator to work with
     him in our specially designed Son-Rise Program® playroom that has
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     into the bathroom and closed the door, saying very loudly and clearly,
     “No.” From behind the bathroom door I began to talk to him and told
     him my name, who I was why I was here, and where his parents were,
     when they would be back, and that I would love to come in and play
     with him, but that it was up to him. I would be happy to stay in the
     bathroom for as long as he wanted me to. To which I heard him say
     a loud and clear “Good.” I let around five minutes go by before I told
     him that I was going to open the bathroom door, to which he said,
     “No.” I celebrated him for telling me this and did not open the door. I
     did this a few more times, respecting his “No” each time he said it. It
     took me one hour and 45 minutes of being in the bathroom before he
     allowed me to open the door. Once I got the door open I still stayed
     in the bathroom, showing him that I could be trusted and that I was
     not going to make him do anything he did not want to do. After 15
                         Understanding Our Children’s Experience                29
minutes of having the bathroom door open, I told him I was just
going to move to the threshold of the door, to which he did not say
anything, I took that as a chance to try, and moved to the threshold.
Five minutes later I took my first step into the playroom successfully!
Once in the playroom I kept my distance and Joined in with what he
was doing. That day it took me two hours to get into the same room
as him. Later that afternoon it took me only 45 minutes, the next day
I could walk immediately into the room and start playing with him,
and he never ordered me out again. I know if I had not taken this time
initially and given him control he would not have allowed me in later.
     “No” only means “No, not now”, it doesn’t mean “Never.” When
our children indicate “No” we stop. Each time they say no we stop.
However, we always ask again. Wait a few minutes, at least two to five
minutes and then ask again. If they say no again, then ask again. If after
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four or five times of asking them every two minutes they turn you
down each time, wait at least 15 minutes before asking again. We can
give control and be persistent in going for what we want. That’s the
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secret! Give control mixed with persistence.
Take the time in the beginning, it will reap you many many
rewards later. “No” means “No.”
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    Take a moment right now and time what two minutes feels like, it is
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    actually a really long time. If you ask again in 20 seconds, which can
    also feel like a long time, it may feel too pushy for your child and that
    you are not really listening to their no, two minutes is a nice length
    of time to show them that you heard and respect their no.
     EXERCISE 1.2
        The Kitchen
        Go into your kitchen, sit down at your kitchen table or breakfast bar
        and think about what happens between you and your child in this
        room. What does your child do in this room that you do not want
        them to do? There is a list below that is designed to help you start
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        thinking of different situations. Tick the ones that happen between
        you and your child, and add others that I may not have mentioned
        to the list.
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            •   My child keeps going into the fridge and throwing eggs onto
                the floor.
            •   My child keeps going into the kitchen cabinets and the fridge
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            •   My child does not understand that the oven is hot and will
                open and close it even when I am cooking.
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The bathrooms
    •   My child will empty out all the shampoo bottles.
    •   My child will turn on all the taps and flood the bathroom.
    •   My child will throw things down the toilet.
You can avoid these situations by changing your environment. When
thinking about your particular control battles with your child consider
these three solutions: [AQ]
    •   Move the object.
    •   Lock or gate the door or cabinet.
    •   Change access to water.
For example below are solutions for the areas I mentioned above.
The kitchen
    •
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        My child keeps going into the fridge and throwing eggs onto
                           co
        the floor. Solution: Get a sturdy lock and put it on your
        fridge, so that your child has no access to it anymore.
    •   My child keeps going into the kitchen cabinets and the
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        you are not there. Alternatively you could move the food you
        do not want him to eat to another fridge you keep in your
        garage or basement that he does not have access to.
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    •   My child likes cutlery and will take the cutlery out of the
        drawers and line them up on the kitchen floor. Solution:
        Either lock this drawer or put a child lock on it so that he
        cannot get into it.
    •   My child keeps pressing the buttons on the microwave and
        watches the neon numbers go up and down. Solution: Move
        the microwave to a place where your child cannot reach its
        controls.
                move all the light switches so that they are too high for your
                child to reach.
            •   My child will want me to turn the TV on all the time.
                Solution: Get rid of your TV! Or you could have one room in
                your house that has your TV computer and other precious
                things in it, that you keep locked and none of your children
                are allowed in it. This has worked very well for a number of
                families I work with. Their children accepted this concept
                very quickly.
            •   My child will take all the dirt out of the potted plants and
                either eat it or scatter it on the carpet. Solution: Put the
                plants up high so he cannot reach them. Or decide to have
                a plant-free house for a while. This is not forever just for
                now so that you can give more control to your child. You can
                always introduce plants back into the house later, maybe at
                a time when they won’t be irresistible for your child.
            •
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                My child will rip all the pages in the books and magazines
                that are on the shelves or lying around the room. Solution:
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                Put them somewhere where your child will not be able to
                reach them.
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        The bathrooms
            •   My child will empty out all the shampoo bottles. Solution:
                Put them in a locked cabinet. Out of sight out of mind.
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            •   My child will turn on all the taps and flood the bathroom.
            re
     Doing this exercise will make your life so much easier! You won’t be
     spending as much time managing your child. You will have the peace
     of mind that your child can no longer get up to the mischief they
     used to do. You can become the “Yes” Mom and Dad that you want to
                        Understanding Our Children’s Experience              33
be. Not only is that great for you it also gives our children the sense
of control that they crave. And you will have more time to focus on
playing and helping your child learn the skills you want them to learn.
It’s a win-win all round.
            later.
        •   Remove control battles from each room in your house by
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for our special children, their siblings, and for you. Even when we
give our children as much control as possible that does not mean that
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they get everything they want or do everything they want exactly
when they want it. You are still the grown-up who is in charge of
your household not the other way around. I know that for some of
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us reading this book our children may have already taken over the
household and we may feel held captive to their demands and wishes
24/7. Believe me, there is help for those of us who feel this way!
This chapter will help you regain your leadership of the household
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by helping you create and implement some clear, loving, and useful
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                                                                  35
36   AUTISTIC LOGISTICS
     experience grew I realized that children do not always see the bigger
     picture concerning their overall health, favoring short-term satisfaction
     over long-term goals. They may choose the chocolate because of its
     taste not its nutritional content. They way want to stay up all night
     playing video games, causing them to sleep through all the beneficial
     therapies during the daytime. I now see how carefully considered
     boundaries and rules are important for a child’s mental health and add
     to their comfort and happiness. A child who has enough sleep is often
     less cranky and can benefit more from their schooling and therapies.
     A child who has a balanced diet will most likely have fewer health
     challenges. Creating boundaries and sticking to them is also important
     for a parent’s mental health, empowering them to take charge and
     create the family life that they feel comfortable with.
          Our everyday adult life is edged with boundaries. We must wear
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     a seat belt; we can only drive at or under a certain speed limit; we are
     not allowed to take things from shops without paying for them first;
     we are not allowed to hit or kill anyone; and we cannot enter another
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     person’s house unless they invite us to, or open another person’s mail.
     If we do any of these actions, we do it knowing that if caught there
     will be a consequence to our actions.
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          Imagine what it would feel like if we did not know what we could
     or could not do? We might be driving along at a nice speed of 30
     miles an hour one day and not be given a speeding ticket, then the
                    vi
     next day doing the same and get given a $100 ticket. If the laws kept
     changing then we would not feel safe and secure that our actions
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     would not land us in jail or debt. We would not know how to take
     care of ourselves.
          This is how it is for a child whether they are neuro-typical or on
     the autism spectrum. They want to know what they can and cannot do
     in their environment, because they want to understand how the world
     around them works and that it works in some consistent way. It also
     helps them feel that they are being “looked after”; that their parents
     are taking care of them, keeping them safe, and will not let them do
     something that would hurt them. I remember my niece glowering at
     me after burning herself on a hot pan, and saying crossly: “Why did
     you let me do that?” She had trusted that I would let her know what
     was not safe for her. When we feel safe and know what to expect we
     will explore more, we will learn more and dare to do things that are
     challenging for us.
                            Creating Clear and Strong Boundaries              37
     When we give instructions such as: Don’t play with matches, or knives,
or Don’t jump while eating, we are offering boundaries designed to help
a child begin to understand how to take care of their own bodies.
These boundaries are an important educational tool for our children.
Wherever our children are on the autism spectrum they can understand
and learn these boundaries. It is up to us to set them, and teach them
as lovingly as we can.
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pick the boundaries for our children very carefully, creating as few as
possible. It is important to look at your house and get rid of as many
areas of potential “control battles” as possible (see p.000), creating
                               co
fewer boundaries to enforce.
     When we are setting such boundaries it is the only time what
we suggest that you do not use The Son-Rise Program® Control
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Protocol. This means that if you are setting a boundary where you are
not letting your child play with kitchen knives, you would not stop
setting the boundary if they indicated “No” to you or that they wanted
            vi
the knives back. In this case we have a different bigger picture, where
their physical safety is more important. This is why it is important that
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     toilet water does. Making your child wear their hair a certain way
     everyday may not be one. As it will not hurt your child or anyone else
     if they choose not to. This would be something that you can let go of
     and give your child control over.
          The following exercise is to help you create your boundaries
     within your home in four different categories.
     EXERCISE 2.1
        Create boundaries around anything that could cause physical harm
        to your child, or to another person. Their safety is our number 1
        priority. I would not watch a child play with something that could
        hurt them. I would not watch as a child lean out of a window, or
        innocently put a rope around another child neck to play horsey. We
        would of course stop our children from doing anything that could be
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        physically harmful to themselves or others.
             The space provided below is for you to write down boundaries
        you would like to create for your child in this category. If you are
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        single parent then yippee! only you have to agree on the boundaries
        you are going to set with your children. If you have a partner it is
        important that you do this exercise with them, so that they agree
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        with the boundaries, and are also prepared to follow through with
        setting them.
        _________________________________________________________
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        _________________________________________________________
        _________________________________________________________
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        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
                        Creating Clear and Strong Boundaries               39
When you have written your list, go back and see if you can cross
one or more off your list by eliminating the situation. For example,
if your child likes to lean out of the window you could always lock
all the windows so that your child does not have the opportunity to
do this.
Create boundaries around taking care of objects. This would mean
not sitting back and watching our children rip a book to pieces,
or draw all over our walls. Giving control does not mean that you
watch as your children dismantle every lamp you have or spin your
precious CDs until they are unusable. Your child is intelligent and
can learn what they can and cannot play with.
     The space provided below is for you to write down boundaries in
this category you would like to create for your child. When you have
written your list, go back and see if you can cross one or more off
your list by eliminating the situation. For example, if your child likes
rip your books, put them in a place where they cannot reach them.
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_________________________________________________________
_________________________________________________________
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_________________________________________________________
_________________________________________________________
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_________________________________________________________
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_________________________________________________________
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_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
        written your list, go back and see if you can cross one or more off
        your list by eliminating the situation. For instance, you could get a
        lock for the toilets in your house, so that you child cannot play in
        them when you are not around.
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
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        _________________________________________________________
        _________________________________________________________
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        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
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        _________________________________________________________
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        Create boundaries around when their bedtime is. You are the boss
        when it comes to bedtime. Again, I know that some of you may
            re
        feel like your child will just not go to sleep and do not know how to
        encourage them to do so. Chapter 10 [AQ] will help with you this
        and gives many concrete suggestions on how to do this. For now
        write down what time you would want your child to go to sleep. The
        first step will be to begin with the idea that you can decide what you
        want. How to get there will be discussed in chapter 10.
             The space below is for you to write down what time you want
        your child to go to sleep or stay in their room.
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
        _________________________________________________________
                           Creating Clear and Strong Boundaries            41
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
    _________________________________________________________
     I was doing the most loving thing I could by helping him understand
     that the toilet water was not healthy to drink. I was being “unmovable”
     in that I knew that there was nothing he could do that would make me
     get off and let him do this potential harmful act. He spent 45 minutes,
     kicking me, trying to pull or push me off, slapping me, pulling my hair,
     and screaming “off” at the top of him lungs. While he tried the above
     things with all his might I held two mighty beliefs that helped me stay
     the course with this very persistent little man. “There is nothing more
     important for me to be doing right now than setting this very useful
     boundary for Harry.” “Setting this boundary with Harry is a way of
     loving him and letting him know what is healthy and what is not.” He
     did stop trying and went to play with some books in the playroom.
     By sitting it out and staying longer than him, I communicated to him
     that I was prepared to follow through with the boundaries I created,
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     no matter what he did in response. He therefore learnt that he could
     trust my boundaries and what I said to him. He never tried to drink
     the toilet water with me present again.
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     COMMUNICATE YOUR BOUNDARIES TO
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     situation to them so that when you begin to put them into action they
     will not come as a complete surprise.
            re
            and we will help them find a safe way to do it. This will help
            our children come to us when they want something. The more
            our children see us as useful the more they will move toward
            us and the more opportunities we will have to teach them the
            life skills outlined in this book. In order to offer an alternative,
            we have to know what it is that our children want, so take a
            moment and think about the activity they are doing and what
            they are getting from it. In the example of putting hands in the
            toilet, our child wants to engage with water, so we can help
            them understand that they can play with the water in the sink
            but not in the toilet. Offer them the alternative of playing with
            the water in the sink.
                 If your child likes to rip books, after explaining to them
            that we want to keep the books whole so that they can enjoy
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            them later, we can offer our child some paper to rip instead.
            That way we can keep the books intact and our children can
            enjoy the activity they were seeking. If our children want to
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            play with a bottle of pills, liking the sound as they shake the
            bottle. Offer them another bottle and fill it will rice that will
            make a similar sound as they shake it. That way your child gets
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              For our children who are not yet verbal they may cry in an
         attempt to communicate to us that they really really want to
         do what it is that we are setting a boundary around. They may
         keep throwing our hands up to the place where the markers
         are so that they can draw on the walls. They may hit, bite, spit,
         and much more. This is what they are supposed to do, figure
         out what they can do to get us to let them do what they want.
         This is the time for us to really take ownership of being the
         adult with the bigger picture, and not give in to our children
         wanting immediate gratification.
              We can do this by telling them that even if they do these
         things we will still set the boundary, because we love them and
         want to keep them safe and sound. Go the distance. It may take
         a while for some boundaries to be set, but once our children
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         know that we mean business we will most likely not have to
         set it again. If our children try to push the boundary in the
         ways described above, try to remain calm and easy. A thought
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         that will help us do this is: There is nothing more important for me
         to do with my child right now than to set this boundary, however long
         it takes it will useful for my child to learn.
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TROUBLESHOOTING
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My child will chew on everything, even the woodwork in my house, this is not
good for his teeth and I am afraid he will get a splinter. How do I set a boundary
around this when the woodwork is all over the house?
Give an alternative, get a big box filled with toys that he can chew on.
You can buy some great chew toys for your child (e.g. online at www.
arktherapeutic.com). Have a chew toy available in each room of your
house, or tie a chewy toy around their neck like a necklace, that way it
will always be available when you need to give an alternative.
    Each time your child goes to chew on the wood, gently and quickly
move them away from the wood and offer them a chew toy instead.
Experiment with different chewy toys until you get the one that your
child enjoys the most. If they chew on wood then most likely they
would like a hard chewy toy. Make this exchange each time they chew
46   AUTISTIC LOGISTICS
     on the wood, be consistent with setting this boundary and giving the
     alternative. If you are consistent with this, no matter how many times
     you have to do it, they will get the message and most likely start to
     seek the stimulation from the chew toy instead of the wood.
     My child spits on the window and plays with it with his finger drawing patterns.
     Do I set a boundary around this?
     This is where I would advise you to consider each boundary you want
     to set with care. Your child spitting and playing with his saliva on the
     window does not harm the window, or your child, or anyone else. It
     does not pose as a health risk, therefore it does not seem necessary.
     This may be a boundary that you would want to set with your typical
     child, but I would not suggest it for your child with autism. With
     our children on the autism spectrum we want to set the least number
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     of new boundaries possible. This means that we can still create an
     environment where our children see us as helpful people to interact
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     with rather than people who are constantly stopping them from doing
     things that are important to them.
     My child likes to play with our bottle of dishwashing detergent. When he has it
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     I offer my child an alternative by giving him an empty bottle to play with but he
     will not let go of the bottle of detergent I do not want him to play with. What
     do I do then?
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     If your child has an object that you do not want them to have because
             re
     it is not safe for them or they could break it, swop it for an object that
     they can have. For instance in this case they have a bottle of detergent,
     and you are swopping it with an empty plastic bottle. When you do
     the swop, the key is to do it quickly before your child has a chance to
     hold on tightly. If your child does hold on to the object, do not get
     into a fight and push and pull with them, this will just make it more
     exciting for your child to hold on. Instead hold on to the object you
     want to exchange and move in the direction your child is pulling that
     object. This takes the fight out of the situation. While you are doing
     this say to your child some version of: “ I am going to hold on to this
     until you are ready to let go of it. It is too dangerous for you to have,
     as the contents of this bottle could make you sick if you ate it.” Then
     keep hold of it and move with the direction your child is pulling the
     bottle. This means your child may walk around holding the detergent,
                              Creating Clear and Strong Boundaries                47
with you attached to the detergent bottle, for a few minutes—as soon
as your child lets go, you remove the object. Without the added fight
element your child will soon become bored and let go. Once they have
let go, celebrate them and give them the alternative.
     I have used this technique with children at The Autism Treatment
Center of America countless times—it’s a gem!
My child likes to draw on the walls. I have done what you suggest by giving him
an alternative of drawing on paper, which he accepts some of the time, other
times when she gets hold of a pen he ignores my offer of drawing on the paper
and will draw on the wall. What do I do?
There are two ways to think about this situation:
    •   It could be a “button push,” which means that your child may
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        be drawing on the wall at times just to get a reaction from you.
        For example, they may know that you do not want them to
        do it and want to see what you will do. For instance, some of
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        us will raise our voices, or talk in a high squeaky voice when
        telling our children not to do something. One sign to look for
        to determine whether he is “button pushing” is to look and
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        5. Explain to your child that you are setting the boundary to take
           care of them and be helpful to them.
        6. See the boundary as a loving act not punitive.
        7. When setting the boundary:
            ¨¨
             Be loving and caring in your tone and actions.
            ¨¨
             Explain to them what you are doing and why.
            ¨¨
             Be consistent.
            ¨¨
             Be unmovable—see it through to the end.
                  Creating Clear and Strong Boundaries            49
¨¨
 Create it so they can’t do it straight away again. For
   instance, if they have just put their hands down the toilet,
   sit on the toilet seat.
¨¨
 Give them an alternative. For instance, if they were ripping
   a book, give them some paper for them to rip instead.
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        Chapter 3
I know that you believe in your child. You are at this moment reading
a book in the hopes that it will help you help your child. You would
not be doing so if you did not believe that your child could learn and
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grow. This is one of the most powerful things you can do for your
child. It is this belief that will keep you trying. This belief will fuel
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your actions and what you offer your child. As you embark on this
journey with your child, hold this belief close to your heart. Keep
it beating strong and vibrant. Never let anyone try and convince
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you otherwise. As your child’s parent you are their most important
advocate, their most important cheerleader and coach. Believe that it is
possible for your child to gain the skills discussed in this book such as:
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                                                                     51
52   AUTISTIC LOGISTICS
     what our children are currently doing need not be a template for what
     they will or won’t do in the future.
          Let’s look at the concept of belief. We believe all sorts of things
     without seeing the outcome first. We plant seeds believing that that
     particular seed will grow and flourish before it actually has. This belief
     supports us in watering them and making sure they get enough sun to
     flourish and grow. When our children are babies we believe that one
     day they will walk, so we support them by holding their hands and
     encourage them to take their first step. Just because our children have
     been diagnosed with autism does not mean that they cannot grow
     and flourish and reach their full potential. It just means that they learn
     differently than their typical peers. This belief is the guiding-force that
     will help us try for them. No child learns completely by themselves;
     adults give them opportunities and encouragement. Our children have
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     to try harder and it may take them longer to learn some skills than
     their neuro-typical peers, but that does not mean that they cannot
     learn just as well. Let’s not look at what our children are doing today to dictate
                                          co
     what they will be doing in the future.
          During the Son-Rise Program® Intensive we are often asked by
     parents to work on different self-help skills. One particular week we
                            ew
     were asked to help a little boy called Karim learn to brush his teeth. So
     the staff enthusiastically created games and opportunities for Karim to
     want to clean his teeth. It was the fourth day, and we had given Karim
                      vi
     encouraged him, he had not actually cleaned his teeth. His mom told
     me that she wanted us to stop trying as it was obvious to her that he
     could not or would not do this. Her reasoning was that if he could he
     would have done so by now. I was in the middle of asking her why she
     believed this when one of our staff child facilitators came in and told
     us with great excitement that Karim had just picked up a toothbrush
     and put it in this mouth. Yeah for Karim!
          Karim’s mom did what we all often do, she created a timeframe,
     then when that timeframe was up she decided that he was not going
     to do it. One thing we don’t know is how long it is going to take for
     our children to acquire these skills. One thing we do know is if we
     stop believing in the possibility we will give up and then there is no
     chance they ever will. Focus on what you want for your children and give
     them the opportunities to get there.
                            Believe in Your Child’s Ability to Learn         53
                                       py
     One parent I worked with was amazed that her child put on his
sweater by himself. When I gave him the chance to put on the sweater
himself he did. His mom did not believe he could do this, thus never
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gave him the opportunity.
     Another mom was equally amazed that her child ate his applesauce
with a spoon. I had simply given him the spoon, when he did not take
                 ew
mind that he could do it as he had not done it before, thus she had
not asked him to.
    re
     These are just two examples where our children’s capabilities were
not realized because the adults in their lives did not believe they could
be a possibility. This is why it is exciting to re-examine what we think
our children are capable of.
     You as the parent know the most about your children. You have the
most experience and depth of knowledge of your child. For example:
    •   the color he prefers
    •   the food he will eat
    •   the songs he will sing with you
    •   the fact that he will not let you play with puppets
54   AUTISTIC LOGISTICS
         •   the fact that he bursts into tears every time you sing “Happy
             Birthday”
         •   the fact that he will run and hide or put his hand over your
             mouth when you talk loudly
         •   the fact that he does not play with toys, preferring to play
             with pieces of string, and tapping with his fingers on the floor
             and walls.
     You know this because you have seen so much concrete evidence of
     it time after time. If you experience your child never allowing you to
     play with puppets, I think that is evidence enough to say that at this
     moment in time it is a correct observation. But is not written in stone.
     What is important is to check in with your child periodically to see
     if the puppet situation still stands. Maybe it was a correct observation
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     six months ago, but your child has now moved on and now likes
     you to play with puppets, but because you never questioned this old
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     observation you have not tried to do it in six months. Not questioning
     our observations of our children can lead us to miss out on new
     opportunities for learning and growth.
          Instead of saying:
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         •   He can’t…
         •   He won’t…
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         •   He doesn’t…
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     practice saying:
         •   My child is getting ready to…
     Leaving the door open that he could start doing it at any moment.
     Then we may start to give him more opportunities to do so, and start
     looking for it. Remember that our children are listening to what we
     are saying. You may have noticed that I refer to a certain population
     of our children as being “not verbal yet” instead of the more traditional
     phrase “Nonverbal”. This is because it more accurately describes our
     children. When we label them as “Nonverbal” we are suggesting that
     they will always be that way. I just don’t believe that. Our children are
     forever evolving and changing.
                          Believe in Your Child’s Ability to Learn         55
EXERCISE 3.1
  In the space provided below write a list of ten things you observe
  about your child, and in the next couple of weeks check out each
  of these observations and see if they are still true. Get in the habit
  of doing this on a monthly basis. That way you will be up to date
  and more current about what your child is willing to try, experience,
  and do.
      1. __________________________________________________
      2. __________________________________________________
      3. __________________________________________________
      4. __________________________________________________
      5. __________________________________________________
      6. __________________________________________________
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      7. __________________________________________________
      8. __________________________________________________
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      9. __________________________________________________
    10. __________________________________________________
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     Chapter 4
     MOTIVATION
     The Key to Everything
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Method That Has Helped Families All Over the World says:
   Motivation is the engine of growth. It is the single largest factor
                              co
   in your child’s learning and progress. When a child is following
   his or her own intrinsic interests and motivations, learning comes
   fast and furious. (Kaufman 2014)
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focused nearly all of her attention around food her parents were trying
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to move her away from food and get her into doing something else.
They wanted her to read, learn math, and experience more of what
“the world had to offer.” They did this by introducing subjects and
things that had nothing to do with food. This was not working. She
showed no interest in what they were offering her. This was because
they were completely ignoring what it is that she enjoyed—food.
    The idea is to use your child’s motivations, by marrying the goal
or skill you want your child to learn with what it is they enjoy. We
did that with Gabriella. So instead of trying to get her away from
the subject of food we embraced it and made it the central focus of
everything we offered her. Over the next two years she learnt to speak
through naming all the different foods. She learnt math by cooking
her favorite foods and measuring out the ingredients. She learnt
to be flexible and spontaneous by making up her own recipes. She
                                                                     57
58   AUTISTIC LOGISTICS
     learnt about the different cultures of the world through studying their
     different foods. She even learnt French and Italian!
         It is important to note that this is not about giving rewards for a
     job well done. It is about putting what they enjoy at the center of the
     activity or learning. This is going to be so important as you go about
     encouraging your child to do all the skills outlined in this book.
         Carl was ten years old and he loved staccato rhythms. He would
     tap out rhythms using his fingers on the floor, the walls, and the backs
     of books. His preferred state of being was to lie on a beanbag and
     tap out rhythms. One goal we worked on with him was to encourage
     him to be more active. So I brought in a skipping rope. Instead of
     introducing it to him in a traditional way I showed him how he could
     use the skipping robe in a way that I knew would interest him first. I
     took the handles of the skipping rope and tapped out a rhythm. I then
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     gave it to him and he tapped out a rhythm. Then I swung the skipping
     rope in a way that the rope made a rhythm on the floor. This helped
     him become interested and interact with the skipping rope. We had
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     a lot of fun and by the end of the session he had attempted to skip.
     Hooray for Carl! Putting what he was motivated for at the center of
     the activity helped him reach the goal of being more active.
                          ew
     with the goal we have for our child. This book is about how to help
     our children with their self-help skills, such as taking a bath, sitting
     on the toilet, eating new foods, and much more. These endeavors will
     be so much more successful if we do them in a way that interests our
     children. For some of you it will be immediately obvious to you what
     motivates your child, for others it may not be so apparent. The exercise
     below is designed to help you find out what motivates your child.
     EXERCISE 4.1
         Spend 15 minutes a day for five days just observing your child as
         they play by themselves. Notice not just what they are playing with
         but how they are playing with it. What senses are they predominately
         using? As you observe them notice what they are doing, if they are
                                                           Motivation      59
tapping things with their fingers then that is their motivation. It does
not have to be playing with something in the traditional sense. Our
children play and explore differently. The following list will help you
observe in a particular way. Just tick the boxes that are relevant to
your child.
¨¨
 He touches or taps things in a rhythmic way.
¨¨
 The rhythm is fast.
¨¨
 The rhythm is slow.
¨¨
 The rhythm is staccato.
¨¨
 The rhythm is syncopated.
Add your child’s rhythm in the space provided below.
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¨¨
 He is visually stimulated.
¨¨
 He looks at things out of the corner of his eye.
¨¨
 He lines things up in neat rows.
¨¨
 He likes to arrange things in scenes.
¨¨
 He likes to arrange thing in piles.
¨¨
 He stares at the wall, or ceiling, or at the woodwork, or light
    switches.
¨¨
 He stares intently at his own fingers as he slowly wiggles them.
60   AUTISTIC LOGISTICS
        ¨¨
         He looks at patterns while running his fingers over the pattern.
        ¨¨
         He will watch the credits role down the TV again and again.
        ¨¨
         He will draw.
        ¨¨
         He likes to watch the chalk dust fall.
        ¨¨
         He watches things that move like fans or any electrical
            equipment.
        ¨¨
         He stares at light on floorboards.
        ¨¨
         He watches little things falling through the air like rice.
        ¨¨
         He watches a scarves fall through the air.
        ¨¨
         He closely watches the wheels of a car spin.
        ¨¨
         He watches a piece of string dangle.
        ¨¨
         He waves a belt along the floor watching it move like a snake.
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        Add what your child watches and how in the space provided below.
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        ¨¨
         He likes to engage in physical activities.
        ¨¨
         He runs form one side of the room to another banging his hands
            into the walls.
        ¨¨
         He paces using large steps starting slowly and gathering speed,
            then slowing down and again gathering speed.
                                                       Motivation     61
¨¨
 He flaps his hand, stimulating mainly his wrists.
¨¨
 He flaps his fingers only.
¨¨
 He shakes his head from side to side.
¨¨
 He pushing his tongue against the side of his cheeks.
¨¨
 He chews on any object he has.
¨¨
 He slaps the side of his head, legs, or claps his hands.
¨¨
 He jumps.
¨¨
 He is constantly in motion.
¨¨
 He holds an object most of the time.
Add your child’s particular physical activity in the space provided
below.
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¨¨
 He likes to listen to sounds.
¨¨
 He puts a car up close to his ear and listens to the whirl of the
   car wheels.
¨¨
 He    makes sounds to himself as he jumps, spins, or watches
   things fall.
¨¨
 He listens to the clank of a belt buckle falling to the ground as
   he watches it fall.
62   AUTISTIC LOGISTICS
        ¨¨
         He bangs doors, listening to the click of the door handle opening
            or closing.
        ¨¨
         He says the same phrase or word over and over again, with a
            particular inflection or rhythm.
        ¨¨
         He shakes bells.
        Add the specific sound your child likes to hear in the space below.
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        ¨¨
         He likes patterns.
        ¨¨
         He likes to do puzzles.
        ¨¨
         He likes numbers.
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        ¨¨
         He likes to spell words.
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        ¨¨
         He likes to solve math problems.
        In the space below write your child’s own specific interest in patterns.
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¨¨
 What kind of spaces does he like?
¨¨
 He likes the doors and windows to be open.
¨¨
 He will always close the door.
¨¨
 He will surround himself with cushions.
¨¨
 He will play underneath the table, or in a small play tent or play
    house.
¨¨
 He will play surrounded by a fortress of books or stuffed animals.
¨¨
 He likes to play in a dark space.
¨¨
 He likes to play in a light space.
64   AUTISTIC LOGISTICS
        In the space provided below write down any other kind of space your
        child enjoys.
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        ¨¨
         What type of characters does he like?
        ¨¨
         Plastic Disney characters?
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        ¨¨
         Soft plush Disney characters?
        ¨¨
         Movie characters?
        ¨¨
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                                               Motivation   65
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Does your child show you a color preference?
If so write in the space provided for below.
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66   AUTISTIC LOGISTICS
     EXERCISE 4.2
        This time notice how your child responds to what you do. As you
        read the list below see if your child likes you to do any of actions. If
        you are not sure, then find out by trying the action with your child.
        If they do, then that’s their motivation.
            ¨¨
             Speaking      in funny voices, like Mickey Mouse and Donald
                Duck
            ¨¨
             Using slapstick humor like pretending to fall on a banana
                skin
            ¨¨
             Big gestures, and big facial expressions
            ¨¨
             Big celebrations
            ¨¨
             Singing to them
            ¨¨
             Playing musical instruments
            ¨¨
             Dancing in big and funny ways
            ¨¨
             Whispering
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            ¨¨
             Using anticipation
            ¨¨
             Talking softly
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            ¨¨
             Clapping hands
            ¨¨
             Pretending to be an animal
            ¨¨
             Reading books out loud
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            ¨¨
             Tickling him
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            ¨¨
             Big squeezes
            ¨¨
             Blowing on his body
        Add any other things that you do that motivate your child in the
        space below.
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                                                            Motivation      67
Now you have just created a list of your child’s own unique motivations.
As you read the upcoming chapters use these specific motivations
to encourage your child to want to achieve the goals in this book,
by putting your child’s motivation at the center of the activity. For
example:
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motivation for Spider-Man and married it with our goal of wanting
him to eat. We started by making up stories about what Spider-Man
loved to eat after he has done his day’s work of being a super hero. He
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was amazing at drawing so we drew cartoons together about Spider-
Man, and every place we could we would draw Spider-Man eating, or
stopping off at the shops to get his favorite foods. These were of course
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all the different foods that we wanted Marcus to eat. We would then
bring in what we started to call “Spider-Man Meals.” We introduced
the food on Spider-Man party plates and while we were playing we
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    For those of you who have highly verbal children these statements
may be obvious. For whose of you whose children are partially or not
verbal yet, these statements may be groundbreaking. If they are, I am
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excited for you! If you can believe these two statements about your
child, it will change everything for the two of you. There is nothing
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70   AUTISTIC LOGISTICS
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     worked with children who, although they have not demonstrated an
     ability to speak, are able to pick the most complicated locks and do
     10,000-piece puzzles without even looking at the pieces. All of this
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     takes great intelligence.
         Close your eyes for a moment and think of all the things that your
     child does that demonstrates their intelligence. Or things that you
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     have seen your child do that surprised you, and you found yourself
     thinking, “I didn’t know he could do that?” These are signs of your
     child’s sometimes hidden intelligence.
                    vi
sensory systems that they cannot always show us that they understand
what we are saying. Many women who have given birth will describe
how they ignore the people around them during giving birth. The
birth experience being so intense, it is impossible to focus their
attention on responding. This is of course not because they did not
understand what was being asked, but because they were immersed
in doing something that demanded their whole attention. It can be
like that for our children. The challenge our children have is showing us a
response that we can understand. A lack of response does not mean a lack of
understanding.
     Today there is an ever growing body of evidence of children
who cannot respond verbally or physically to their parents’ requests,
or events going on around them, who demonstrate through typing
without assistance that they are aware of everything and have thoughts,
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observations, and desires for their lives. Carly is a great example of this
(see her story at www.youtube.com/watch?v=vNZVV4Ciccg). When
asked to contribute to her Grade 10 Individualized Education Plan
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she answered the question “Is there any additional information you
would like to share that you feel it is important we know?” as follows:
“That I am eager to learn and that even if I am not looking at you, I am
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Jump he answers the question “Do you find childish language easier to
understand?” as follows:
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     time he had not been able to show me that he was taking in what I
     was saying to him, but obviously he had. He was also demonstrating
     a magnificent memory.
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          Can you believe that your child can understand you even if they
     do not display the type of clear evidence in the examples above? Can
     you take a leap of faith? I ask you, why not? There is no downside to
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     this. It will not hurt your child in any way. It will only open up doors
     and create understanding for your child and help you work together
     in harmony. It is my experience that the more fully we explain what is
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     going on and really talk to our children on the autism spectrum, the
     more they work with us and become open to our direction.
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children clear verbal explanations at their current age level will help
them understand what is happening and what is going to happen.
     Clear verbal explanations will help our children to want to take
any type of medication, supplements or vitamins we may want them
to take. Do they know how helpful this is to them and how it will aid
their bodies? Do we let them know, or are we sneakily trying to get it
in them without telling them what we are up to. Let them know that
the medicine that you want to give them will take away the pain that
they are feeling and help them be well.
     Clear explanations will help our children understand that we care.
If we do not explain why we are telling them “No” to something that
they want, then how are they supposed to know that we have their
very best interests at heart. For example, let your child know that if
he eats that eighth cookie he will most likely have an upset stomach
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and be sick, and that you are loving him and taking care of him by
not letting him have it. Or that they cannot go outside because it is
raining and if they get wet they may get a cold, and not be able to do
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the things that they love to do, like running and jumping. When we
explain things to our children we give them the chance to know that
we are on their side and are helping them.
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     When you explain the why, what and how of things in detail you
will most likely find that your children will comply more and resist
less. Below is a list of things that would be useful to explain to your
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children. This is just a starter list, not everything is listed below, just a
few suggestions so you get the idea.
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    •   When you are going to leave the house let them know the
        day’s events in the morning, and then remind them 15 minutes
        before you are going to leave.
        ºº Tell them where you are going.
        ºº How long you will stay there.
        ºº If you are going to more than one place in what order you
           will be visiting each place.
        ºº Why you are going there, if it is shopping that you will
           buy food for the week, or just milk. Or of it is to see
           Grandma that you are going to celebrate her birthday, or
           you need to talk to her etc. Do tell them the real reason,
           however mundane or simple it sounds to you.
74   AUTISTIC LOGISTICS
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             is occupational therapy, why it is useful for them to move in
             the ways the therapist is asking them to.
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         •   Why you do not want them to run in the car park and what
             will happen to their bodies if a car hits them.
         •   Exactly how the medicine you are giving them will help their
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     talk to them. When we do not talk to them they do not know what is
     going on. When we do not know what is going on we may become
     cautious about trusting those around us, and may even resist and refuse
     what is happening.
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understand the good and wonderful intentions behind everything you
are offering your child. Giving clear explanations to the children I
work with has always brought me closer to them, and I have found
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them powerfully effective in creating a clear, strong, and trusting
relationship with each child. Enjoy talking in more depth with your
children. Never underestimate the power of an explanation.
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   •   Believe that your child can listen and can understand what you
       say to them.
   •   Remember, a lack of response from your child does not mean
       a lack of understanding.
   •   Give clear verbal explanations to your child at their current
       age level.
   •   Explain to them their day, where they are going, and why.
   •   Explain to them what you are going to do before you do it.
       Such as clean their teeth, brush their hair, put on their jacket.
   •   Explain concepts to them. Such as why it is not useful for
       them to run in a car park, or why you it is necessary to hold
       their hand as they cross the road.
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     Chapter 6
BUTTON PUSHING
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children exploring our reactions to their behavior. What will we do
if they do X? What will happen? Will it be fun? It is all about them
finding out about us, the world around them, and how their actions
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affect their environment. We often give them good reason to continue
to button push, because our reactions can be fun and amusing to
watch. We may shout, jump up and down, speak in a high squeaky
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voice, turn red, or stiff with rage. We can become as funny as watching
a cartoon character.
     When I was younger I knew exactly how to get an amusing
           vi
stiffen, he would point his finger at me, and talk in a stern voice,
start to threaten all sorts of consequences, which I did not want but I
enjoyed the fact that I could invite such predictable behavior in him.
The reaction I wanted was named “the wobble effect” by my sister and
me. When he got angry his whole body would wobble, and whatever
the consequences of my behavior I found this amusing enough to
continue.
     There are many ways that your child may button push. Crying and
hitting are definitely two of them. I will talk about hitting and crying
in the following two chapters. I have dedicated a separate chapter to
each of those subjects. This chapter addresses the other varied things
our children do to try and evoke our often very dramatic response.
Such as, but not limited to:
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78   AUTISTIC LOGISTICS
     little boy would love to talk about eating meat. He would talk about
     eating a “juicy steak of animal flesh” and lick his lips while looking
     intently at the reactions of his family. They were horrified, believing
                    vi
     that they had failed to pass on their own values. They would gasp at
     this statements and shake their head, raise their voices as they lectured
             re
     him about the welfare of animals. He did not want to eat meat; he just
     wanted to watch the horrified reactions of his family.
          I worked with another boy who, due to his food allergies, was on
     a gluten- and casein-free diet. He would tell his mom that he had just
     eaten gluten or casein. Then sit back and smile as she shouted and
     lectured him on how this was not a good thing. He actually never ate
     the food he was not allowed to eat he just loved watching his mom’s
     reaction.
          Another child of five was more dramatic. Whenever he was in
     public and there was a baby he would declare loudly so that everyone
     could hear, “That baby is ugly.” You can imagine the discomfort and
     shocked faces that would arise from such a statement.
                                                        Button Pushing        79
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Let’s say they might be ripping paper or playing with water. They
may be focusing very intensely on this activity not noticing anyone
around them. Even if when you see them doing it you give them a big
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reaction and say “No” to them, your reaction alone does not mean that
it is a button push. If they were doing it by themselves then it is most
likely one of their repetitive activities/isms/stims, and is not a button
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EXERCISE 6.1
    Take a moment to think about your child. Think about anything they
    might do that you give a big reaction to. Now think about whether
    they seem interested in and are looking with amusement at your
    reaction. When you have done that write down your child’s button-
    pushing behavior on the button pushing worksheet on p.000.
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            of power and control in a world that they often experience as
            chaotic. Our children start to realize that they can now “make”
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            another person react. Along with this new found power comes
            a sense of control. When I do “X,” Mom does “Y.” Our children
            begin to think, “Ah ha great! I can have an impact and control
            my world in this way.” As we have discussed earlier, having
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When our reaction is interesting to them then they will continue. The
fastest way to stop your child from button pushing is to deactivate the
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button by changing your reaction. You want to do this on an internal
level as well as an external level. Many times parents tell me that they
were furious with their children but that they managed not to show
it. I have seen no successful way to do this. If you are actually furious
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then it will show on your face and in your body movement. Your
body will stiffen, your eyes change, and your jaw tenses. Your children
know you, and they know the difference between how you sound and
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behave when you are at ease and how you sound and behave when
you are tense, uncomfortable or annoyed. However much you may
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EXERCISE 6.2
    Take a moment to think about what thoughts go through your mind
    when your child does this button-pushing behavior. Go to the button
    pushing worksheet on p.000 in the space provided write down your
    internal feelings or thoughts when your child button pushes. If you
    are having difficulty coming up with an internal thought or feeling,
    read through the ones below to see is any of them sound familiar
    to you.
        ¨¨
         I hate it when he does this.
        ¨¨
         He is only doing this to bug me.
82   AUTISTIC LOGISTICS
             ¨¨
              I can’t stand listening to this any longer.
             ¨¨
              I just do not like it when he does this.
             ¨¨
              I can’t help it if I don’t like bodily fluids.
             ¨¨
              He should know better by now.
             ¨¨
              He is just misbehaving.
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     with what your child is doing. You can do this by softening the
     thoughts you have about the action your child is doing.
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         If they are spilling water on the floor, you could soften your
     thoughts about it by thinking to yourself something like “It is not the
     end of the world it can be tidied up.”
         If they are talking to you about a particular subject that you have
                          ew
     found uncomfortable, or maybe they are telling you that they are
     going to throw all their toys out of the window, soften your thoughts
     about it by reminding yourself that they are saying this not because
                    vi
     they believe it or will do it but because they want to see your reaction.
            re
that this action no longer gets them the reaction or attention they are
looking for.
    Change your reaction in the following ways:
           vi
         •   Wait a few minutes before you take any action. For example, if
             their button push was to wee on the floor, wait a few minutes
             before you clean it up.
         •   If your child is talking to you about a subject that you
             previously found challenging, answer their questions or talk
             about the topic in a calm and understated way.
     Special note: To know how to respond to a button push when your
     child hits you, see chapter 8.
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     reaction from us. So let’s give them a reaction to something we do
     want them to do. Find a time when your child is doing something that
     you want them to continue to do such as;
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         •   Touching you gently
         •   Eating a food item you wanted them to eat
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         •   Dancing
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         •   Singing a song
         •   Looking at you.
     Give them a huge reaction when they do anything you want them to
     do. This is the time to jump up and down, vary your voice in interesting
     ways, wave your arms in the air, and dance in a funny way. Tell them
     know how wonderful this is. Then your child has something to do to
     get your reaction and it just happens to be something you want them
     to do too!!!
         I will illustrate how to do this using the example of a child I
     worked with who was weeing on the floor instead of the toilet. I knew
     this was a button push because while he was weeing he was staring at
     me, eyes shining, waiting for my response. In a situation like this you
     would:
                                                     Button Pushing        85
  1. Relax. Take a deep breath and remember that this is not the
     end of the world. A little wee on the floor will not hurt anyone
     and can be cleaned up.
  2. Remind yourself that your child is doing this only to get a
     reaction from you and that by relaxing you will be closer to
     helping your child not do this.
  3. Don’t externally react to the weeing on the floor. Keep
     verbally quiet about it. Keep your facial expressions the way
     they were before you noticed your child wee on the floor. If
     you were smiling, keep smiling; if you had a relaxed neutral
     expression, keep that. Carry on with what you were doing. If
     you were talking to your child about something, carry on with
     that topic of conversation. If you were in an activity with your
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     child, keep doing that activity. If you were doing a chore, keep
     on doing that chore.
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  4. Wait a few minutes before you clean up the wee. When you
     clean it up do so in a quiet, calm and understated way.
  5. In the next 30 minutes find something that your child is doing
               ew
     that you want to give a really big huge and wonderfully fun
     reaction to. So that if your child wants to continue to button
     push, they can do that activity instead of weeing on the floor.
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EXERCISE 6.3
  Now take a moment and think about how you are going to respond
  differently to the your child button pushing. Go to the button pushing
  worksheet on p.000 and fill in the last two sections, this will help
  you to be fully prepared to respond differently the next time you
  notice your child button pushing.
86   AUTISTIC LOGISTICS
            •   Carry on with what you were doing before your child started
                the button-pushing activity.
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88   AUTISTIC LOGISTICS
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        _________________________________________________________
        _________________________________________________________
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            4. Now write down the new way you are going to respond to
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        _________________________________________________________
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        _________________________________________________________
        Chapter 7
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18-year-olds, 30- and 40-year-olds, and even my 89-year-old granddad
tantrums. Toddlers, teenagers, college students, politicians, celebrities,
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teachers, police officers, everyone does it. If we think it will get us
what we want, we give it a good try. It can be a powerful tool and very
effective. The appeal never seems to diminish. We even seem to like
watching it on TV. It is modeled so frequently in our society and world
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that we have to have many names for this one event. One underlying
belief that the Western world sells is, “I should get everything I want
now.” This supports and fuels the tantrum phenomenon.
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    Our children do not use the tantrum because they are on the autism
spectrum they use the tantrum because they are human beings. Our
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                                                                       89
90   AUTISTIC LOGISTICS
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     response to any one of them. Your child may do the actions above for
     a number of reasons. I would call any one of these behaviors a tantrum
     when they are used in response to your child not getting what he wants.
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     WHY DO OUR CHILDREN USE THE
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     it is usually because it gets them the thing that they want quicker
     than anything else they might have tried. This is the case whatever
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     level of language your child has, verbal, or not verbal yet. I am sure
     you can all remember a time when you were busy cooking or doing
     some other important errand for your family. Your special child is
     either in the kitchen with you or in another room chatting to himself,
     maybe babbling away, maybe reciting a scene from a movie. You go
     about your cooking not paying attention to the language your child is
     producing probably glad to be able to get on with your activity. Then
     suddenly your child starts to scream or cry, your parental antenna goes
     up, and you rush to his aid. Here the unintentional message you give to
     your child is screaming, shouting, crying is more useful than speaking
     to get Mom and Dad’s attention.
          Another example: You are doing your weekly shop, your child
     wants you to open a bag of chocolate chip cookies so that they can
     start eating them, and you give them two cookies. They want more.
                                                      The Tantrum Rescue           91
Maybe they let you know this by saying “More cookie” or nonverbally
by putting the bag in your hand again; you say no, they try again
maybe they even lean in and kiss you. You say no, they start to cry and
begin to make a scene they begin to cry, loudly, the people around you
start to stare and so, in order to avoid this public scene, you give them
another cookie: anything to stop the staring. Here the unintentional
message you are giving your child is: “If I cry I will get what I want.”
It is more effective than any verbal or nonverbal communications.
      Another example: You and your child are playing together and
they are being very interactive with you; how you love this beautiful
time together! Then, suddenly they stop and want to watch a video,
because you so love the interaction you were just having, you do not
want them to, you want to keep playing with them. They are persistent,
handing you the DVD, or verbally communicating, “Play DVD.” You
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stick to your guns and say no: they start to cry; you still say no. Then
after a few more minutes of crying you start to feel that maybe you are
mean not giving them the DVD. You think that you are making them
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sad, you want them to think that you are a good parent; so you pop
the DVD in for them. Again, the unintentional message you give your
child is: “Crying will get me what I want” and that it is more effective
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with your children, you will have your own similar version.
      While helping parents with their children’s tantrums some share
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     can help them. Usually when parents really start to think about all the
     times their children tantrum they can find examples of when they did
     respond. You are not alone in this. I myself have had to work through
     my own feelings about the tantrum. Once I became more comfortable
     with the tantrum and did not feel the need to stop it, I was then able
     to help children find a more effective way to communicate. Once we
     know what we are doing then we can begin to change.
         The first step is to identify how we are thinking and feeling when
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     your children tantrum. The exercises below will help you do that.
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     EXERCISE 7.1
        Ask yourself, What thoughts run through my head when my child
        tantrums? Write down your first recollections. Or wait until the next
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        time your child tantrums and listen to the thoughts that run through
        your head. If you are having difficulty use the list below, just tick the
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   ¨¨
    I hope they don’t call the police.
   ¨¨
    What will he be like if he does this at 18 years old?
   ¨¨
    I’d rather be at work.
   ¨¨
    I don’t think he likes me.
Next question, How do I feel emotionally when I first hear my child
begin to tantrum? The list below is to help you, just tick the ones
that are relevant to you.
   ¨¨
    Sad
   ¨¨
    Annoyed
   ¨¨
    Anxious
   ¨¨
    Numb
   ¨¨
    Helpless
   ¨¨
    Panic
   ¨¨
    Bad
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   ¨¨
    Fed up
   ¨¨
    Angry
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   ¨¨
    Frustrated
   ¨¨
    Calm
   ¨¨
    Furious
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tantrums?
   ¨¨
    I tense my body.
   ¨¨
    I start to hold my breath.
   ¨¨
    My heart begins to race.
   ¨¨
    I tense my jaw.
   ¨¨
    I clench my teeth.
   ¨¨
    I turn around or get up quickly.
   ¨¨
    I start to sigh.
   ¨¨
    My heart sinks.
   ¨¨
    My eyes widen.
   ¨¨
    My palms start to sweat.
94   AUTISTIC LOGISTICS
     Now that you have identified some of your responses to your child’s
     tantrum you can see that it can evoke powerful feelings and physical
     responses. It’s no wonder we want to move fast and get our children
     to stop. Our children pick up on the rich mixture of our physical and
     emotional reactions and use them to their benefit! It is not a malicious
     act, it is their job to find the quickest route to getting what they want.
     They are just being children; all children have a sixth sense about
     their parents, and, as I’ve written earlier, our children are particularly
     sensitive, especially to our attitude.
          The next step is to become, what we call in the Son-Rise Program®,
     a “happy detective,” and find out the reasons for your emotional
     reactions; then you can adopt a different perspective, one that will help
     you respond differently the next time your child tantrums.
          Below are some of the most common reasons why we respond to
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     our children’s tantrums. Maybe you relate to all of them, maybe just a
     few or one in particular. If we are to help our children decrease their use
     of the tantrum, we must first change ourselves. This is not to say that
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     your child’s crying is your fault, we are not in control of our children’s
     actions, but we are in control of how we respond to our children’s
     actions. This is about taking control of the way we think so that we can
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     This is what our children are counting on. If they pick this up within
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     us they know that it is worth carrying on. Even if our children have to
     cry for an hour or more, if they feel that they will get what they want,
     it will be well worth it. Wouldn’t you, if at the end someone was going
     to give you a $1000, would you not be happy to cry? When we want
     them to stop we are more likely to give in and give them the thing that
     they are crying for, thus reinforcing their belief that it works.
          Our society can put pressure on us to fix a child who is crying. I
     have often heard, statements such as “Where’s that child’s mother, why
     is she not stopping that child from crying.” “Will somebody, anybody
     stop that terrible noise that child is making.”
          We ourselves just want a peaceful time. However the more we
     respond to the tantrum the more un-peaceful times in the future we
     will have. Helping our children now with their tantrum by being less
     responsive will help them learn to use another way of communicating.
                                                      The Tantrum Rescue           95
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you are a bad parent. When you do not understand why your child is
crying, the most important thing is to feel calm and comfortable. It is
ok for your child to not be understood every now and then, they will
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not die from this; they are loved, well fed, have a good home, and all
is well. They will get through this, and a good cry never hurt anyone.
     When you are comfortable with not knowing why your child is
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crying, you will have more of your brainpower available to try and
figure out what it is they may be trying to communicate to you.
     Next time when your child is crying and you do not understand
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     their strengths, and all the amazing things they can do. I am sure
     that you can find examples where your child will seek out what they
     want with a powerful determination. As well as examples where they
     are happy in their own world, enjoying their isms/stims. When I am
     teaching groups of parents I will ask them to raise their hands if they
     see their children as being happy while they are isming/stimming.
     Each time, most if not all parents will raise their hands indicating yes.
     Indeed that is also my experience. It seems that we are emotionally
     suffering more from our children’s autism than they themselves.
         Next time your child cries, a change in thinking could be: Thinking
     my child is weak and to be pitied will not serve them. My child is strong and
     capable and can deal with not getting want he wants.
     am sad, I cry from relief, I like to have a good cry during a sad movie.
     There are varying medical benefits to crying, it oxygenates the brain
     and exercises the lungs. Do we know which one our child is doing?
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upset about this as it was ok. She used the word embarrassed so many
times that I came away from the situation with the distinct feeling
that I should feel upset and embarrassed about this. I had actually felt
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completely fine about the episode, but next time I had an accident,
I did feel embarrassed. I had been taught the appropriate emotional
reaction from a well-meaning teacher, and I had been taught well.
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     When my niece was seven years old, she was throwing herself
on the floor, crying and yelling while informing her dad she was
not going to bed. Her dad, getting more and more frustrated at his
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me, and smiled sweetly, “Oh it will with Dad, just give me some more
time.” I love how our children will tell us the truth, and she was right,
it took her 20 minutes, but in the end her dad let her stay up another
hour.
     Now it seems to me that as our children get older something
changes, at seven to ten years old they know when they are putting on
a performance. Then, as they get a little older they begin to take on
the beliefs that we and our world are selling them and they actually
start to believe that it is not ok if they do not get what they want.
By the time they are teenagers they may well start to be generally
unhappy about things not going their way, and they join the unhappy
ranks of our society of adults.
     I would say that a large proportion of children using the tantrum are
not unhappy, they are just communicating that they want something.
98   AUTISTIC LOGISTICS
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          Our children look to us to find out how they should feel about
     a situation. If they are uncertain they look to us to see if things are
     ok. For me, I feel anxious when there is turbulence in an airplane.
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     When this happens I look to the people who I feel are in charge and
     know about turbulence, the cabin crew. I look at their faces and try
     to determine whether or not they are anxious and unhappy about the
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     situation. If they are, I know that I am in big trouble. If they look calm
     and are going about their business is in the normal way, I feel better
     taking the lead from them.
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   Two beliefs that will be helpful to think when you child next cries
and tantrums are:
   •   “I do not know how my child feels, unless he tells me with his words.”
   •   “If my child is unhappy then my comfort and happiness will be a great
       comfort to him, and help him move through this situation.”
Changing thoughts that are unhelpful and have become beliefs,
into new, more helpful thoughts can be understood as our ongoing
program of retraining ourselves to develop new beliefs that will
support our new approach to our children. These new beliefs will help
you consistently implement the techniques below.
TECHNIQUES—WHAT TO DO WHEN
OUR CHILDREN TANTRUM
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Next time your child tantrums do the following seven things:
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   1. Check your comfort level. This is one of the most
      important things to do when our children tantrum. If we are
      uncomfortable, they will know that their crying is working
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      some time to practice and feel real, but just keep reengaging
      the new thought until it becomes more familiar to you. It may
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             around the times when they tantrum. This will give them a
             very important contrast that will help them understand that if
             they want something, the fastest way to get it is to use their
             words or nonverbal communication. We want them to see that
             the dynamics have changed. We now move very very slowly
             when they tantrum, and become very fast and useful when
             they communicate by using their sounds, words, and nonverbal
             communication. If we do this, our children will notice! They
             will shift to the more effective communication.
         3. Explain. Tell them that you don’t understand them when
            they cry. That you want to be helpful; it is just that you do not
            know what they want. That when they cry and shout it makes
            it harder for you to know what they are saying. Express this
            in a calm relaxed voice, even if your child is yelling or crying
            loudly.
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         4. Give reasons. [AQ] Tell them why you cannot give them the
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            thing that they are using the tantrum for. Let them know that
            the food they want is not healthy for them and you want them
            to feel good in their bodies so that they can be well enough
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            know that you do not have enough money to buy a new toy,
            but when they get home they can play with all the toys they
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        way we are still showing our children that we are useful and
        are trying to be helpful to them. We also model to them that
        even if they do not get exactly what they want, there are other
        options that could be fun as well.
    7. Be lovingly persistent. Keep doing all the above. [AQ] It
       may take us doing these when our child tantrums a bunch
       of times before they really get that we have changed the way
       we respond. Don’t forget that you have been responding in
       a certain way for the whole of your child’s life, it may take
       them a while to realize that you have changed. Keep persisting
       and showing your child that things have changed and you
       are no longer responding. When they are convinced you have
       changed, they will change. The time it takes to convince our
       children will vary from child to child, all you have to do it
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       keep putting into practice the techniques above.
The following examples illustrate how these techniques [AQ] will play
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out during different circumstances when our children cry and tantrum.
autism. We were about 45 minutes into the session when she decides
she wants to leave the house. She goes to the front door and tries to
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open it. Now, I want us to stay in the house so that we can have a
focused session without all the distractions and the obvious dangers
of the road and cars. So I knew that I was not going to open the front
door and let her out.
    I explain to her that we were going to stay inside until our session
ended at 5pm. I let her know that she could ask her mom when she
returned to go outside, but for now we would be staying inside. I ask
her to let me know what she wanted to do outside and that I would
try and play it with her inside. Upon hearing this she starts to cry
and puts my hand on the doorknob. I first check in with my attitude
and chose to feel comfortable and easy about her using the tantrum.
I make sure that all my movements are slow, so that she can see that
her tantrum does not make me move fast but actually makes my action
slower and me a little confused.
102   AUTISTIC LOGISTICS
            As she was crying I explain, “I will not open the door even if you
      cry. It is important that we stay inside so that we can play together and
      not have to be distracted by all the cars, people and things outside.
      Maybe your mom will take you out later at 5pm.” She then cries even
      louder and throws herself on the floor, kicking her legs and thrusting
      her arms around. As she does this she looks straight at me, watching
      to see what I will do. As she does this I say to her: “Even if you throw
      yourself on the floor and scream we are not going outside.” As I say
      these things to her I am feeling very loving and kind toward her, I am
      smiling and talking in a calm, loving voice.
            She looks at me and then picks up the stool and starts to throw it
      at me, I catch it easily and say to her: “Even if you throws things, the
      door will stay closed and we will not be playing outside.”
            After I say this, Maggie still crying goes into the bathroom and
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      turns on all the taps, rustles the shower curtain, knocks over the
      garbage can and throws the toilet paper into the toilet. She then comes
      out and looks at me. I say to her: “Even if you knock things over and
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      make a mess the door will remain closed and we will stay inside.”
            She leaves her biggest card to last she takes off all her clothes
      bangs her chest and looks at me defiantly with her hands on her hips,
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      as if to say, “Now what are you going to do?” Again I say to her: “Even
      if you take off all your clothes the door will remain closed and we will
      be staying inside.”
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            After this explanation she stops crying and with my help puts her
      clothes back on. None of her usual tricks had worked on me so she
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      goes back to playing. It did not take her any time to transition from
      her tantrum to playing. Once she realized that I was not moved by her
      tantrum she completely stopped, and played with me as she has done
      so before. Wasn’t Maggie so clever in what she chose to do to try and
      get me to open the door? I often marvel our children’s intelligence and
      understanding of how to motivate the people around them. That’s why
      it is so important that we change how we react, instead of focusing on
      changing our child’s reaction.
      It may take your child some time to really believe that you will no
      longer respond to their tantrums, that their tantrum will not change
      the situation, but if you can be lovingly persistent with this approach
      they will eventually get it. By changing in this way you will also be
      teaching them something else, that: Sometimes you do not get want you
      want, and that is ok.
                                                The Tantrum Rescue        103
    Your child could use the tantrum to try and get a number of
different things you either do not have or do not want to give them. It
could be anything, such as:
   •   a food you do not want them to eat
   •   a toy that you do not want to buy for them
   •   a toy that you cannot find
   •   a walk outside, but it is raining
   •   a drive in the car when it is bedtime
   •   a trip to McDonalds or another store when you do not want
       to go
   •   a DVD at 12 o’clock at night.
EXERCISE 7.2
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   In the space provided below write down what it is that your child
   uses the tantrum for that you either cannot or do not want to give
   them.
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   _________________________________________________________
   _________________________________________________________
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   _________________________________________________________
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   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
   _________________________________________________________
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104   AUTISTIC LOGISTICS
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         3. Explain. Tell them that even if they tantrum it will not help
            them get what they want. Let them know the reasons why this
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            is. If they want something in the middle of the night, let them
            know that everyone is asleep and we do not want to wake
            anyone up and it is the time for them to sleep. Or that you
            are not giving them the food that they want because it is not
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            healthy for them and you want them to be healthy and strong
            so that they can do all the things that they love to do.
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Once you have done all the techniques above and your child is still
crying, then I would suggest that you let your child know that it is ok
with you if they continue to cry, as you know it won’t get them what
they want you are going to do something else, but they are welcome
to stay where they are and keep crying if they so choose. Then go
to a different part of the room, or a different part of the house. You
could start doing a household chore or play something by yourself
that you know your child likes. The important thing is that you take
your energy off your child, thus letting them know that their tantrum
is not working on you. Remember it is not about getting your child
to stop, but about communicating to your child that you have moved
on. You are communicating to your child that their tantrum no longer
has currency with you. You are also giving them the opportunity to
experience letting go of something they want—a valuable life lesson.
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Example: How to respond when my child uses
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the tantrum and I do not know why
I have often been in situations where I am working with a child who
cries for long periods of time either non-stop or off and on, and I
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really do not have any idea why they are crying. The example below
is of a little three-year-old named Frank, who would cry on and off for
most of the day, and shows how I used the techniques I have already
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            slowly offering things to find out what he wanted. I then let
            him know that if he had taken me to where the washcloth was
            or said the word, I could have got it for him a lot quicker.
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      With the example of Frank, as with all our children who tantrum,
      it is important to be lovingly persistent and to keep employing the
      techniques above. [AQ] Keep slowly offering things as a way to be
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      useful. Once you feel that you have offered as many things as you can
      think of and your child has declined all of them and keeps pushing
      you away while they cry, then I suggest you tell them that you have
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      tried everything you know to be useful to them, and that you still do
      not understand their crying so that you are going to do something
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      else. Tell them that you are still here to help them and that they can
      come and let you know what they need by telling you or showing you
      whenever they want and you will be only to glad to help them. Then
      take your energy off your child by moving away. Go to a different part
      of the room, or a different part of the house. Quietly begin to do a
      household chore or quietly play something by yourself that you know
      your child likes. The important thing is that you take your energy off
      your child this may help them work through what is happening for
      them. Then come back ten minutes later and start again using the
      techniques I have outlined. [AQ]
           Consistency is the key. Share these concepts and techniques with
      all your family members. It’s like the TV quiz show The weakest link.
      For our child to believe that the tantrum does not work anymore we
                                                 The Tantrum Rescue         107
have to make sure that there are no weak links in our children’s life. It
is important that you and your partner are on the same page. If your
child’s grandparents, aunts and uncles are regularly involved in your
child’s life, then pass this information on to them. You will most likely
be able to tell who is not following your new protocol to the tantrum
as your child will most likely stop using the tantrum with everyone but
this person. So have a chat with that person, see which stage they are
having the most difficulty with and help them out a little.
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Obviously, if this is the reason, we want to be as effective as we can
in helping them have more physical ease. Often there will be other
signs that help you know that this is the case. For instance they may
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hold their head, or rub the part of the body that hurts, and want to
lie down for most of the day. Maybe you just witnessed them fall
over and bang their head, scrape their knee. If your child is a picky
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eater, maybe eating only two food types, or has chronic constipation
or diarrhea the chances are that he is having digestive challenges (see
chapter 12) and may cry when he is in physical distress. If this is the
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case they may start to cry just before they poop or afterwards, or after
they have eaten or drunk something.
    re
    Your comfort and ease are important to apply here as well. When
you are comfortable even with the physical distress of your child,
you have more of your brainpower available to you to be helpful and
present with what is going on for your child. It does not mean that you
are cold or indifferent to any suffering your child might be feeling.
When you panic or become uncomfortable, it becomes more about
you and less about your child. At a time like this your child needs your
loving attention; it is hard to be loving when you are unhappy. When
you are comfortable, you will be more creative and find more ways to
help your child. I know for myself when I am unwell I prefer to be
around a happy person and will move away from people who think
what is happening to me is terrible. My pity does not help my child.
108   AUTISTIC LOGISTICS
      Techniques [AQ]
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          1. Check your attitude and engage one of the useful attitudinal
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             beliefs listed above.
          2. Move slowly—have an energy that is not too loud or too fast
             for your child.
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             hurts and taking any medication you want to give them will
             help them more than crying.
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Stress levels
Your child may just over-stimulated and or too tired. Think about
their day. Have they been to many outside places, school, then on
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to therapy, or swimming, a trip to the mall, etc.? Is the house full of
your relatives or friends speaking loudly? Sometimes our children will
suddenly start crying because they have reached their limit with their
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stress levels. Crying is an expression of this overload and can be an
outlet of the stress building up in their bodies. If you consider this to
be the case, then take them to a quieter room in the house, a place with
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fewer outside stimulants where they can regain some sense of control
over their environment again.
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Inflexibility
    re
Our children have autism, and a common trait amongst children with
autism is that they can be inflexible and need some patterns, routines,
and rituals to remain the same. My godchild Jade who had autistic
tendencies had a bedtime routine that needed to be executed in a
particular order. When I was babysitting her if I was to get the order
wrong, for instance turn down her bed covers before I had moved her
teddy bears, she would begin to cry and there was really nothing I
could do to soothe her. I always did my best to carry out the routine
in the way I knew she wanted it. This was my way of showing her that
I loved her, that I was user-friendly, and that I could be trusted to give
her control. But sometimes her routine changed without me knowing.
In this case I would do the following:
110   AUTISTIC LOGISTICS
      wonderfully to put the sock on, and I immediately put his sock on. As
      soon as the sock was on he asked me to take if off, which I did. We
      did this a number of times and then he started to cry at the same time
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      as telling me to take his sock off and on. This carried on for another
      25 minutes before he stopped asking me and kept his sock on. I have
              re
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              ºº Over-stimulated—if so, take them to a quieter place in
                 your house.
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              ºº Inflexible or in a yes/no contrary pattern—if so, give them
                 control and be user-friendly by responding to their “No’s”
                 and “Yeses.”
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      A mom recently told me a story of her son Dillon, who is now seven
      and after doing a home-based Son-Rise Program® for two and a half
      years is in full-time school without an aide. His teacher just told her
                    vi
      that when a boy was crying at his school he went up to his teacher
      and said to her, “I don’t think he knows that crying is not a useful way
              re
      to get what he wants.” Dillon had been listening to his mom. What a
      powerful tool his mom had taught Dillon, one that will serve him for
      the rest of his life.
     Chapter 8
     HITTING AND
     INTENSE ENERGY
This chapter is about how to help our children when they, hit, bite,
scratch, pinch, pull hair, slap, punch, kick another person, or use any
type of physical force. In my 25 years of working with children and
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adults, I have been hit, strangled, kicked, punched, pinched, bitten,
slapped, head butted, and scratched by little children, as well as by
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adults who were far taller and heavier than me. I have been with a
child who continually tried to hit, bite, and scratch me for over an
hour. I have been with an adult who was much heavier and stronger
                 ew
than me, where I was not sure that I would be able to physically look
after myself. If you are in any of these situations and you do not know
what to do or how to handle it, know that I have been there too,
and through The Son-Rise Program® I learnt attitudes and strategies
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that are highly effective in helping our children learn to manage their
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                                                                  113
114   AUTISTIC LOGISTICS
                                                      py
      not be apparent to you at first glance. Remember earlier I shared that
      our children do things for a reason, if we come from this perspective,
      we can become a detective and look for signs that our children give
                                            co
      us before they hit that will help us know their reason. The four major
      reasons our children hit us are:
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          •    They want to see our reaction to their hitting. They want to see
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what is happening. So from this point forward I will refer to all hitting,
biting, pinching, and physical force as “intense energy.”
     It may seem as if your child very suddenly “out of the blue” hits
you or someone else for no reason that you can see. Indeed, when I
first started to work with children on the autism spectrum, I believed
this too. My training has taught me how to really observe a child and
notice what is going on in their environment, their physical bodies,
and the relationship between what I did and what they did. Once I
could do this it became very apparent that not only were there clear
reasons why our children have intense energy, but also that they give
very clear signs beforehand. The great news about this is that once you
know the signs you will see them and you will never have to get hit,
scratched, kicked or bitten by your child again. You will see it coming
and be able to get out of the way.
                                       py
     Learning to observe and notice the signs is crucial, not only so
that you can get out of the way, but because they are also clues to the
reason your child hit you. Once you know the reasons then you can
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apply the specific strategies that will help your child stop hitting and
using physical force. Each reason will have a different set of strategies
to apply.
                 ew
     Below are four grouping checklists you can fill out to notice the
signs that our children give us that they might be about to have intense
energy.
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Checklist 1: Communication
Check off any of the actions below if you see your child doing them
around the time [AQ] they had intense energy.
    ¨¨
     They pinch/hit/bite/punch right after you have told them
        that they cannot have something.
    ¨¨
     They have had having trouble making their needs understood.
        Maybe they have been physically moving you around trying
        to get you to do something. You were trying to help them but
        you had no idea what they wanted.
    ¨¨
     They hit you during a game. It could have been a rough-and-
        tumble game, a chase or tickle game. Maybe it was even during
        a singing game or a board game.
116   AUTISTIC LOGISTICS
         ¨¨
          They ran around the house or room with increased energy.
         ¨¨
          They yelled sounds louder and longer than usual.
         ¨¨
          They became more intense and faster in reciting their scripts
             from movies or books.
         ¨¨
          They urgently fired questions at you when you know they
             know the answer.
         ¨¨
          They got into a contrary pattern, where they ask for something,
             then say no when you give it to them, then ask for it again
             then say no when you re-offer it, and so forth.
                                          Hitting and Intense Energy          117
                                       py
Look at each which checklist has the most checked off. Then use
the techniques and strategies that correspond to that checklist. If it
is Checklist 1, read the section called “Using Intense energy as a way to
                               co
communicate their wants.” If it is Checklist 2, read the section called
“Using intense energy to see your reaction.” If it is Checklist 3, read the
section called “Using intense energy as a way to take care of their sensory
                  ew
that is not unusual. We can all do things for different reasons. Let’s take
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      head banging, and biting can simply be your child telling you that
      they want something.
          Here’s are some examples. Tommy and his mom were at the toy
      store. Tommy wanted to buy another Thomas the Tank Engine train,
      he asked his mom, “I want train.” Knowing that he already had ten at
      home, his mom said “No you have some at home.” Tommy persisted
      saying, “Yes want train.” His mom said again, “No, you have enough
      trains.” Then Tommy hit his mom’s arm, to which his mom said, “Ok
      then,” and bought the train. Tommy’s mom bought him the train
      because she wanted to avoid a “scene” in the shop, the unintentional
      message she gave Tommy was that hitting is a useful way not only to
      express what you want, but to get what you want.
          I was watching Greg and his dad play together. They were having
      a wonderful time wrestling with one another. Greg’s dad stopped
                                               py
      playing for a bit and told his son he was tired. Greg then hit his
      dad on the head. His dad thought this was Greg’s way to initiate the
      game again so he started wrestling with Greg again saying, “Does that
                                       co
      mean you want to play more?” Again unintentionally giving Greg the
      message that hitting is a way to initiate play.
          Mary was in the kitchen with her mom. She was pulling her mom
                           ew
      by the arm indicating that she wanted something. Her mom had no idea
      what she wanted. Mary was yet to be verbal so it was understandable
      that her mom did not know what she wanted. Her mom was trying
                    vi
      mom and started to pinch her, to which her mom said, “Ok, Ok, Ok.”
      Thinking that Mary’s pinching was a sign of distress, she got up and
      started in an urgent way to offer her things. Eventually she found out
      that Mary wanted some ice cubes. Here the unintentional message was
      I will try harder and faster for you when you pinch me.
          Often when children use intense energy the adults around them
      will move faster and try to “understand” more. Parents tell me that they
      move faster and give their children the things that they want so that
      their child will stop hitting them and to avoid a “meltdown.” I can see
      why you would want that; however, the opposite happens. It actually
      teaches our children to hit more. Our child may begin to think: “Ok
      so the way to get more of what I want, is to hit then everyone tries to
      understand me more and gets me what I want faster.” For our children
      who find communicating challenging you can understand them
                                          Hitting and Intense Energy        119
                                      py
        reversed that and gave them the message that it actually makes
        people respond really slowly, then it would not be useful for
                              co
        them to use. This means that when your child hits you, you
        don’t move quickly to try and understand what they want.
        In fact I would suggest that you tell them in a slow and calm
        way that you do not understand what their hitting means.
                 ew
                                               py
             Now that you know that your child hits as a way to get want
             they want. If they want something to which the answer is “no,”
                                      co
             do the following:
             ºº Know that he may hit you.
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             ºº Step out of the way, so he cannot reach you with his hands.
                If your child is small stand up, so they can’t hit your face
                or pull your hair.
                    vi
•   Offer an alternative.
    Once you have moved out of the way, and explained why you
    cannot give your child what they wanted, offer an alternative.
    For example, if they wanted a cookie, offer a food you do
    want to give them. If they wanted the yellow car, offer them a
    different car or toy. If they want to go outside, you could draw
    them a picture of outside instead, and let them know what
    time they could or will be going outside. This way we are
    communicating to them, that hitting will not get them what
    they want, and that we are trying to be useful to them.
•   Move fast to other forms of communication.
    This is so so important. While we respond slowly to our
    children’s hitting, we want to respond fast to a form of
                                  py
    communication that we want them to continue to use. So we
    are highlighting a form of communication that does make us
                            co
    move fast and does help them get what they want. If we do this
    for what we want at the same time as responding slowly to
    hitting and letting them know we don’t understand that, they
    will start to use the other form of communication.
             ew
                                             py
                made the ‘eee’ sound,” highlightingwhy you responded in
                that way.
                                     co
             If your child indicates needs or wants through moving you
             by the hand or arms, be super-responsive to this, moving
             wherever your child is pulling you. As soon as they move you,
                           ew
             move with them and celebrate them for letting you know what
             they wanted by moving you in this way. This lets them know
             that this is a great way to communicate with you and more
                   vi
                                        py
Checklist 2, which means that your child is most likely hitting you as a
button push. As we talked about in chapter 6, they are hitting you just
                             co
to see your reaction. They want to hear you say that you “hurt them”
or watch your face turn red or you raise your voice. They are interested
in your reaction to their hitting not the hitting itself.
     For example, I was working with a ten-year-old boy with high-
                 ew
me very hard. I already knew that he was doing this so that he could
watch my reaction, as I had had a lot of experience with him and
    re
      having people come hold him down and put him in timeout at school.
      He thought it would be the same with me. When he saw that it was
      different, that I was not going to react in the same way, he had no
      reason to hit me again.
           Our children may hit/pinch/spit to get a reaction from the adults
      around them. Because this is a time when the adults around get lively
      and interesting and pay attention. For instance, when our children are
      playing quietly in the living room either by themselves or with their
      siblings, we may be in the same room as them reading the newspaper
      or doing something else, paying no attention. But when someone gets
      hit/pinched, etc., we start to pay a lot of attention to the person who
      is doing the hitting. We may do one of the following:
         •   Raise our voices, shout and yell.
         •
         •                                       py
             Talk in a high-pitched squeaky voice.
             Put on grave interesting facile expressions.
                                      co
         •   Wave our arms and hands around.
         •   Wag a finger in front of our ‘ face.
                           ew
       love it if you were gentle with me” or “If you are trying to
       tell me something, I can’t really understand what it is from
       you hitting/biting/kicking me.” Then carry on with what you
       were doing. This way we acknowledge what just happened
       and what we want without making it the “major event” they
       are looking for.
   •   Give big and fun reactions to your child when they are being
       gentle.
       We know our children are using intense energy to get a reaction
       from us. So now let’s give them a big reaction when they are
       being gentle with us. The more we react to their loving, gentle
       interaction, the more they will do this instead of hitting us.
           When your child is being is gentle, holding your hand
                                     py
       or hugging you, give big and fun reactions. I don’t mean just
       say thank you for being gentle. That is nice, but add a little
       spice to it so that when your child wants to get your attention
                             co
       and see you react in a fun way they may just touch you gently
       instead of hitting you. You could:
       ºº Sing while you are celebrating them.
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      sensory systems can be very challenged. They may have energy that
      is building up inside them that they do not know how to successfully
      release. Children with autism create unique and interesting ways to
      relieve the build-up of energy and regulate their sensory systems. You
      may see them bang certain parts of their body, or seek pressure on
      their feet and hands by jumping up and down or banging their hands
      on the floor or table. Often a child will dig their chin strongly into my
      shoulder or hands. These and others are all actions our children take
      to try and take care of their sensory system. Also the action of biting,
      squeezing, or pinching actually allows them to release this energy,
      helping them organize themselves physically.
EXERCISE 8.1
                                                 py
          The exercise below is for you to experience how, squeezing, biting,
          pinching can release pressure building up in the body.
                                        co
              •   Clasp your hands together and really squeeze them, again
                  not half-heartedly but will all your might.
                  ºº   Do this three times, each time lasting at least 20
                       seconds.
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What I feel when doing this exercise and what people report is a release
of any built-up tension. It feels good to do this! And is helpful for
the body. Our children are doing this for the same reasons. However,
their need to release energy from their bodies is far greater than ours.
Our children are just using our bodies as a way to help themselves.
The trick here is to help our child use something other than another
person to release their energies. If your child is using intense energy
for this reason, use the strategies outlined below:
    •   Think the following thoughts:
        ºº My child is hitting me in an attempt to take care of their
           sensory system.
        ºº Their actions are not connected to their love of me, or
           their respect towards me.
                                      py
        ºº I can help my child by giving them more sensory input to
           help them balance their bodies.
                              co
        These thoughts will help prepare you to respond in a peaceful,
        calm and loving way.
                 ew
    •   Squeeze them.
        If they are banging their head on you, offer to squeeze their
        head. If they are pinching you, offer to squeeze their hands. If
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        they are biting you, offer pressure on their jawline. If they are
        kicking you, offer to squeeze their foot or tap on the bottoms
    re
        of their feet. You want to offer pressure to the part of the body
        that they are trying to stimulate.
    •   Give them an explanation.
        Let them know that they do not have to hit, pinch, or head
        butt you when they feel a build-up in their bodies. That you
        would be happy to squeeze them whenever they want it. Tell
        them to give you their hands, arms, or feet when they want
        a squeeze, and that you would be happy to help them. For
        example, you could say something like, “You do not have to hit
        me, if you want some pressure on your hands, I can help you
        by squeezing your hands. Next time your hands feel like this
        give them to me and I will squeeze them for you.”
128   AUTISTIC LOGISTICS
                                                py
             ºº Initiate strongly squeezing your child’s hands, feet, or
                head.
                                       co
             ºº Initiate a bear hug, you sitting behind your child and
                wrapping your arms and legs around your child so that
                you can give them a really big body squeeze.
                           ew
                                      py
us neuro-typical people. Sometimes hitting and punching is the last
resort our children use to gain much-needed control in their lives.
     For example, I watched a very wonderful and dedicated mother
                              co
play with her four-year-old daughter named Ellie, who has Asperger’s.
Ellie was playing on the top of a slide with a collection of stuffed
animals. She was very intently and exclusively talking to each of the
                 ew
animals and creating a story where the animals were bathing in a river.
She was paying no attention to her mom only to her story and the
stuffed animals. Her mom, wanting to get her child’s attention, kept
           vi
trying to get in on the action. First, she moved really close to her
daughter and said, “Hey, Ellie, look I have a lovely duck, hey look,
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look the duck is so lovely.” Ellie did not respond but kept playing on
her own. Then trying harder to get Ellie’s attention, she picked up
one of the stuffed dogs and moved it slightly making a “woof ” sound.
Ellie took the dog and placed it again where it had been previously,
all without looking at her mother. This mom loved her daughter and
was willing to keep trying to get her child to play with her. Then she
picked up the dog a second time and put it on Ellie’s head, Ellie took
it off and put it down where it had originally been, without saying a
word. Her mom again picked it up and slid it playfully down the slide,
at which her daughter looked at her, said “No,” picked up the dog,
and put it where it had been. Her mom again picked up the dog and
pretended that it was licking Ellie’s face. Ellie pushed it away from her
face and said “No.” Then her mom rocked the dog in her own arms,
saying, “Oh this dog is so happy it wants to lick your feet.” Ellie said
130   AUTISTIC LOGISTICS
      “No,” and moved her feet underneath her so that her mom was unable
      to reach them. She then took the dog away from her mom and put it
      in its original place amongst the other stuffed animals. Her mom again
      picked up the dog and made the dog tickle Ellie’s armpit. Ellie took
      the dog away from her mom and pinched her mom’s arm.
            At that point her mom moved away from her daughter looking a
      little dejected and stopped moving Ellie’s animals.
            Later, when Ellie’s mom and I were discussing the session, she said
      to me, “I am so glad that you saw that. I don’t understand why she pinched
      me—it came right out of the blue.”
            We often cannot see that we are actually getting in the way of
      our children’s need to create an ordered, predictable, and controllable
      world, or that we are not responding to our children’s already very clear
      communication. Ellie’s mom sincerely did not mean to be controlling
                                                py
      or go against her child, she was just so eager to interact and become
      part of her world that this was all she could focus on as she played
      with her daughter. I am sure we can all relate to that. Remember that
                                        co
      it is very important for our children to feel a sense of safety in a world
      that can be very confusing for them. When this world is repeatedly
      interrupted by others who are unintentionally trying to stop them
                           ew
      from doing what they want, our children may feel a need to go to all
      measures to defend their own wellbeing.
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      EXERCISE 8.2
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                                     py
                             co
If this exercise reveals the reason why your child hits then apply the
following strategies when you play with your child.
   •   Think the following thoughts.
                ew
                                              py
                tell them, “I see you do not want me to touch your toys,
                that’s ok I will not touch them again. I shall go and get my
                own collection of toys to play with.”
                                     co
             ºº If you noticed that they indicated “No” to you, you could
                say to them, “Thanks for saying no, I will not do that
                anymore.”
                           ew
             These are all ways that will help you be more responsive to
             your child’s indications. That way they will not have to use
                    vi
             intense energy to seek the control they want over their play
             or environment.
             re
                                      py
have spoken to parents who deeply love their children and at the same
time can at moments feel scared for their own physical safety. The
techniques below will help you take of yourself and your children.
                             co
You will need to experiment with the techniques below; any one of
them may work, so you will want to find out which one, or which
combination, is the most useful for your child and situation.
                 ew
Once you feel like you can create a safe place for yourself and protect
yourself, it will help you to relax. Feeling relaxed around your child
again is something I know you want, and you can have that again.
Below are things you can do to help you feel more confident that you
can take care of yourself physically.
    •   Since you know your child may use intense energy, be prepared.
        Get a barrier you can put between you and your child so that
        you can protect yourself from being hit. This could be a big
        therapy ball, a big cushion, crash matt, or mattress. Have these
        readily available in the room you and your child most frequent.
        When you see the signs that your child gives that mean that
        they are likely to have intense energy, move calmly over to
        where your big therapy ball, cushion, or mattress is and put
134   AUTISTIC LOGISTICS
             it between you and your child. That way if your child comes
             over to hit you, you can put it up so that you do not get hit.
         •   Try to remove your attention. When your child starts to
             show signs of intense energy try to take your attention off
             your child by going to the other side of the room and start to
             do something else, like reading a book. If possible, leave the
             room. Sometimes it helps our children if we leave them alone
             for a little while to work out their intense energy. This was
             very effective for Olivia.
                  Olivia, a 16-year-old with autism, was bigger and heavier
             than me and would have numerous periods of intense energy
             throughout the day. When she started to show signs of having
             intense energy, whoever was working with her at that time
             would leave the room she was in for a while until she worked
                                              py
             herself through it. We found that our talking to her and trying
             to interact with her would only escalate her intense energy.
                                      co
             When we left for a while it was easier for her to work through
             it, and nobody got hurt. We would leave very quietly and say
             as respectfully as we could that it seemed she could do with
             some time alone and that we would be back soon. When she
                           ew
         •   If you have a child who might follow you around the house
             and use intense energy, find a room in the house where you can
             re
To find a strong loving place inside of ourselves that lets them know
that we do not want them to hit us or be intense with us. We want to
    re
focus this strong energy in their direction so that it “jolts” them, so that
they can clearly hear what you want them to do.
    Once you have firmly and with great conviction said “Stop”,
immediately redirect your child to use his intense energy in another
way. Do this in the same strong and firm way. You could:
    •   Point to the trampoline and tell him to jump on it.
    •   Point to a crash mat or a big cushion and tell him to throw his
        body into that.
    •   Guide him into doing 10 jumping jacks.
The two examples below show what the above techniques look like
in action.
136   AUTISTIC LOGISTICS
          George was a 22-year-old man with autism, six foot three and
      around 260 lbs. He liked to dress up in suits and ties and look at
      himself in the mirror while acting out scenes from the movie Men in
                    vi
      backs for a piggy-back ride, or, as part of acting out a scene would
      attempt to do a “judo drop” on us as they did to each other in the
      Men in Black movie. He was not trying to hurt us, but he did, as he
      was so big and strong. As a way to protect ourselves we employed the
      techniques listed above by:
          •   Putting out our hands and saying “Stop” when we saw the
              signs that he was about to do a “judo drop” on us or get on
              our backs.
          •   Re-directing him by providing something else for him to jump
              onto and “judo drop.” We brought in a standing punching bag,
              and modeled how he could jump onto that instead of us and
              do “judo drops” on it. We did this by actually jumping on the
              punching bag ourselves and doing a “judo drop” on it.
                                             Hitting and Intense Energy            137
After three full days of modeling this for him, he understood what
we were asking him to do. On the fourth day he would start to come
to us, we would say “Stop,” offer the punching bag, and he would go
with it. By the fifth day he was jumping on the standing punching bag
without having to be redirected.
                                          py
she could no longer have him at home. She consulted with me during
this period because she wanted to find a way to bring him back home.
The first place we started was to change his diet. Luckily, the place
                                 co
he was staying at respected this mom’s wishes and let her provide all
his meals and snacks. She completely cut out all sugar, dairy products,
soda, and all sugary/caffeinated drinks. In fact the only drink he
                   ew
was provided with was water. Changing his diet in this way changed
everything for him. He was home within the month. Read chapter 12
for more ideas on how to change your child’s diet.
            vi
yourself whether you are giving your child enough food? Maybe your
child is getting “too hungry,” which could create feelings of agitation
within their bodies that they may not recognize as hunger.
TROUBLESHOOTING
My child bangs his head on the wall, so much so that he often has bruises on his
head. What do I do?
I have worked with numerous children and adults who bang their
heads. To get an understanding of what it feels like to bang your head
I have done this myself, on the wall and the floor. The interesting
thing I found out that it does not really hurt. Our children are very
careful to bang their head in the strongest part, which is the front of
138   AUTISTIC LOGISTICS
      the forehead, or the sides of the head, thus creating a strong sensation
      but no pain. I once worked with a lovely four-year-old, who would
      often bang his head. During my work with him, he would rush over
      to me, check for my hip bone, then my knee bone, and bang his head
      in the softest part of my thigh. He was not silly, he did not want to
      hurt himself. I have watched a seven-year-old boy accidently bang his
      head on the side of a table, clearly hurting himself (not badly). After
      having hurt himself he made sure that he never banged his head in
      that place again.
           Our children are very smart. They are not trying to hurt themselves.
      Head banging can look very painful to us, but remember our children’s
      brains are wired differently to us, what you feel as painful may not
      feel painful to them. If we adopt the belief that there is a reason why
      your child is head banging, then we can observe him more clearly
                                                   py
      looking for signs as to why he may be doing it. If we believe that is it
      is harmful for him, then our immediate response is just to stop it. I am
      sure you have tried this and he still continues.
                                          co
           When a child head bangs it could be that they want/need pressure
      on their head. To learn more about this and strategies to help your
      child read the section of this chapter called “Using intense energy as a
                            ew
      his head after you had just said he could not have something. For a
      fuller understanding of this and how to help your child if he is head
              re
      banging for this reason, please read the section of this chapter called,
      “Using intense energy as a way to communicate their wants.” I wish you well
      in helping your child with this.
      My child with autism will hit his 18-month-old baby sister. I think he is doing
      it to get a reaction out of me, but I cannot just ignore it. What should I do?
      The important thing to do here is to take care of your 18-month-old
      and not give a big reaction to your son with autism. Typically, the
      child who hits gets either a lecture or time in “timeout” and a lot of
      attention for hitting. I suggest changing that dynamic by using the
      following strategy:
          •   Pick up your 18-month-old, ignoring your son with autism,
              and quietly leave the room.
                                         Hitting and Intense Energy         139
                                      py
tried everything but nothing had worked. When they first started
doing consultations with me I suggested the above strategy. On only
                              co
the second time his parents implemented the strategy, he said to his
parents, “Ok I will not hit anymore, I don’t want you all to leave the
room.” It was all about the attention he got after hitting his siblings
not the actual act of hitting. Within two days of implementing these
                 ew
want, or our typical children don’t respect or see our special children’s
attempts to say “no”. Then things can get fraught between them. When
I would babysit my special goddaughter and her brother, I knew that
I could only leave them alone for seven minutes max to do something
like start to cook dinner or put on the laundry. This was because my
goddaughter’s brother, who was so super-friendly would get too close
to his sister and unintentionally disrupt her play. If I had to focus my
attention on something else, I made sure I put my focus back on the
both of them within the seven-minute timeframe. This really helped
and reduced any squabbling that would otherwise have taken place. I
tried to keep her little brother with me as much as I could. He loved
helping me cook. As my goddaughter became more flexible and less
controlling, the timeframe they could be left alone together grew.
140   AUTISTIC LOGISTICS
          It’s time to become a detective again and find out what your
      children’s timeframe is. For now I would suggest not leaving them
      unsupervised alone in a room together for longer that this timeframe.
                                                     py
      My child really likes to play with my hair, which also includes pulling it.
                                           co
      Lots of our children are interested in playing with hair. It is a fun
      sensory activity. If you have a child who finds your hair irresistible
      and is not always gentle, then I would encourage you to not make it
                             ew
      available for your child. You can put your hair up in a ponytail or a
      bun. I work with one lovely mom who wears a swimming cap when
      she is playing with her daughter. I know that might sound like a
                      vi
      dramatic step, but she says it has completely changed her relationship
      with her child as she is no longer afraid that her child will pull her hair
              re
      and can now easily and happily interact with her daughter.
          Another useful step to take is to give your child an alternative. Get
      a doll with long hair or a wig and offer it to your child, letting them
      know that they can play with this hair instead of yours.
    ºº Do not give your child the thing they had intense energy
       for.
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    ºº If you want to, then make sure you ask them to communicate
       either verbally or nonverbally before you give it to them.
       Tell them you gave it to them because they used this new
       way of communicating not because they hit you.
    ºº Be persistent and consistent with uses the above techniques
       each time your child uses intense energy.
•   If you are in checklist group 2, do the following:
    ºº Change your reaction to your child’s intense energy.
    ºº Change it to a “non-reaction.” Be quiet, calm, and non-
       interesting in your response.
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             ºº Explain to them that they could give you the body hard
                that they need squeezing and you would squeeze it for
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                them. They do not need to hit, or kick you to get that
                stimulation anymore.
             ºº Initiated different sensory input throughout the day so
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             ºº Think, my child is doing the best that they can to take care
                of themselves they are not being mean to me. I am doing
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           -- Redirect your child to jump on the trampoline, or
              throw themselves onto the crash mat or another strong
              physical activity.
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       ºº Check your child’s diet.
This is going to be an adventure for you. I hope that you now feel
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TOILET TRAINING
Are you smiling? Are you ready for the adventure of toilet training
your child? If you have been waiting, here it is finally—clear, specific
ideas and techniques that will help you, to help your child to fall in
love with using the toilet! This is going to be different! I will not be
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suggesting that you use the traditional method of asking your child to
sit on the toilet every 30 minutes or every hour. Using this method our
children can feel pushed, and interrupted from their current activity so
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many times that it actually makes the toilet less appealing to them. We
are going to create the opposite experience for our children. One that
is easy, relaxed, fun, and altogether wonderful for you and your child.
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this chapter.
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146   AUTISTIC LOGISTICS
      on your way to making the toilet fun and exciting for your child, if
      your answer is “never” then your first step will be to adopt some new
      thoughts and beliefs about the joy of the toilet.
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           I have seen numerous other situations where similar scenarios
      happen between caregiver and child. The overriding message is poop
      is stinky and horrible. Wee although less offensive than the glorious
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      poop, is often met with a sigh or displeasure when it falls anywhere
      but the toilet itself.
           This way of dealing with poop and wee has been carefully passed
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in me that they think other people think they are a bad parent because
they have not managed to toilet train their child yet. This may translate
into us pushing or needing our children to sit on the toilet. When our
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      forced smile, and so do our children. In short, things gets tense. Have
      you ever tried to wee or poop when you are tense, or feeling under
      pressure to hurry up and get on with it? The opposite usually happens
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      you clam up and shut down.
           If you resonate with feeling frustrated with the efforts you have
      already implemented with your child, I would suggest that you let
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      change the previous dynamic, our children are quick to note any
      internal attitudinal changes in us. Taking a break will also help you
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      de-stress about the issue and let go. Then when you restart you do
      so with a clean state and the benefits of having read this chapter and
      being armed with clear, effective, no-pressure strategies.
           If you, the school, a babysitter or Grandma has either dragged,
      forced, or made your child go to the toilet, then your child probably
      has the “I don’t like the toilet” mindset. To change this mindset
      for your child I would suggest that you take a t least a three-week
      break from toilet training and then restart with the new pressure-free
      strategies in this chapter.
your timing is important. Start toilet training when your child has
passed at least three of the following milestones. This way your child
and you are much more likely to succeed, and the process will take a
shorter period of time.
   •   They are two and a half years old and above.
   •   They have an interactive attention span of at least two minutes.
       Interactive attention span is not how long they can interactive
       with an object, but how long they can focus their attention
       interactively with you. For instance, they are looking at you
       and involved with an activity that includes you. Like a chase
       game, or a tickle game, or building a tower together or drawing
       or having a two-minute conversation together.
   •   They show some awareness that they can feel that they need
       to use the toilet by:
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       ºº hopping around and doing the many unique versions of
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          the “I need to wee” dance
       ºº going off to poop in a quiet corner of the house
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Special note: If your child has reached these milestones but is also
extremely controlling, meaning that their most frequent answer to
any request is “No,” then perhaps it is not the time to focus on toilet
training, but instead focus your energy on helping them become
more flexible. Once your child has relaxed their need for extreme
control, you can begin your focus on toilet training, which will be
met with more flexibility and openness on the part of your child. For
information on how to help your child with their flexibility, see the
Son-Rise Program® Developmental Model. By going to the following
link:        www.autismtreatmentcenter.org/contents/other_sections/
developmental_model.php
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      know when your child poops. A lot of children tend to do this at a
      similar time each day. If your child does not seem to poop at the same
      time each day or does so multiple times, just write the time of each
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      poop down and over a couple of days a pattern usually emerges.
           Write down the times of day your child wees. Nappies make this a
      little harder to know. In order to find that out be prepared to take the
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      nappy off and dress them in underwear and trousers so that you can
      see when they wee. Write the times down in your potty diary. Cross-
      reference this against the times they drank and ate so that you can see
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      our children to sit on the toilet 15 minutes before they usually need to
      go. This is much more effective than the trend in the autism world to
      get a child to sit on the toilet every 30 minutes or every hour. When
      you use the information you gathered from your potty diary you will
      be taking your child to the toilet when they actually need to go. This
      helps our children associate the feeling of needing to go to the toilet
      with an actual trip to the toilet. We are also more likely to catch a wee
      or a poop in the toilet. I have seen so much more success with this
      method. Each of our children is unique, let’s tailor our approach to
      them.
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For the actual toilet you can get seats that you put on the toilet to
make the seat smaller and more suitable for the younger bottom, that
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way our children can sit comfortably without the feeling that they
might fall in. You can buy these in different materials, in plastic, or
decorated with different Disney characters/animals/birds, or soft
and furry material. Think about what types of materials your child
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moves toward easily and happily, and buy one that you think will be
appealing to them.
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Camping potty
    re
If you have an older child, seven years and above, then you can get
a camping potty that you can purchase from any camping shop. This
is a potty that is big enough for an adult to sit on. You can lock it.
There are two different kinds, one that flushes with water and one
that flushes with chemicals. As our children can be very sensitive to
chemicals I would suggest that you get the one that flushes with water.
Again, put this in a room that your child likes to frequent the most.
Or a place in your house which would make it so that you and your
child would always be in easy reach of either your bathrooms or the
camper potty.
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      Tarp/tarpaulin
      Find or purchase some tarpaulin or ground sheets. They are great
      because they are movable and easily washable! Use them to cover any
      carpet or special flooring that you have in your house while you are
      toilet training your child. This will help you feel more confident and
      comfortable in the face of any accident your child may have during
      the day.
      Two-part potty
      Small potties usually come in two parts, the part that you sit on and
      then the container that holds the wee and poop. You can pull the
      container out so that you can dispose of the wee. Even if your child
      is too big for a potty, get one so that you can use the container to
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      catch wee in. This is especially useful for boys. Let’s say your child has
      started to wee, you can catch it easily in this container, then both of
      you can go and pour it into the toilet. This is a great tool and stepping
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      stone to getting the wee in the toilet.
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      If you have a partner, it would be helpful if they are around; if not, ask
      a friend or another family member if they would help out, by either
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      picking up some of your groceries so that you can limit the times you
      have to go outside (where you will have to put a nappy on your child)
      or by taking care of your other children.
never to fall again. Just as you would cheer on a child who fell off his
bike while learning to ride cheer on your child for nearly getting it in
the toilet when they miss. After each accident they are one accident
closer to being potty trained.
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             ºº how the poop comes out of the body through a hole and
                into the potty
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             ºº how it is taken out into the sewer and disposed off
             ºº how great it is that they will not have to wear nappies
                anymore, that they will have move comfort without the
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                wet of the pee and the stickiness of the poop against their
                skin
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                underwear.
      As you explain all of the above, remember you are the ambassador for
      the toilet. Share this great information in a fun and enthusiastic way.
•   Once you have done the wonderful deed and have come out
    of the bathroom, have the other people in the house come to
    celebrate you! Do not force your child with autism to come
    along, if all the other members of your family come they just
    may feel the urge to come and see what is going on. Plan
    with the other members of your family to come and applaud
    every time someone declares that they need to use the potty. If
    your child does not like the sound of clapping but loves music,
    then create a simple potty song that they could come and sing
    instead. A potty song could go like this:
    “Oh I am going to the potty, hip hip hip hooray!
    I am sitting on the potty, oh what a lovely day!
    I get to wee, and wipe and flush hooray hoorah hooray.
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    If you are a single parent and you do not have any other
    children, no worries, you can still do this. Instead of other
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    people coming to cheer you and sing or clap, go to where your
    child is in the house, and celebrate, clap, and sing the potty
    song to yourself. This will mark just as well the wonderful
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    talk about the weather, then write interesting facts about the
    weather on the certificate. These are to be prized and displayed
    by your family.
•   This is not about getting your child to do anything or asking
    your child to do something concerning the toilet, this is just
    about making it fun and a big event in your house. This must
    be a sincere activity, you cannot fake things with your children,
    if you are doing this but not really enjoying yourself, they will
    know. Get behind the fun of this. You have nothing to lose,
    just a good time to be had by you and your family.
156   AUTISTIC LOGISTICS
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      cover the carpets and sofas that your child may be sitting on while
      they are nappy-free. This way you do not have to be concerned about
      ruining your carpet or furniture and can keep a relaxed, easy attitude
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      when your child has an accident.
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      Break it down
      Learning to independently use the bathroom consists of eight stages.
         1. Noticing when you have to go to the bathroom.
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    One mom was shocked to hear that I thought her son Aleem had
no issues with dressing himself or using the bathroom—all eight
stages. I just asked him to do it and he did! His mom had never asked,
she had been doing it for so long for him it had not occurred to her.
    You don’t have to do the stages in order, for instance if your child
cannot do stage 2, I would do that for him and work on stage 3. The
priority is using the toilet—it is ok to pull your child’s trousers down
and wipe them at first, eventually they will learn all these steps.
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important to give our children control (chapter 1), we do not want
to physically force our children to sit on the toilet by dragging them
there, we want them to go there under their own free will. That does
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not mean that we cannot hold their hand or pick them up and take
them into the bathroom, but only with their permission. If they move
away from us, or say no—respect that and try some of the suggestions
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around toileting.
    re
             that you will see this now, and thus have many more real
             opportunities to offer the toilet.
         •   When they show interest in either the potty, the camper potty,
             or the toilet, by either looking at it, walking over to it, or
             touching it. That means we have to keep an eye open to see
             this. If they just walk past the bathroom or by the potty, offer
             the toilet. If they glance over in its direction, offer it.
      How to ask
         •   Verbally—Just ask them any fun way you like. You could say
             one or more of the following suggestions:
             ºº “Honey, it’s time to go visit the potty—hooray! Let’s see
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                if we can wee or poop—I wonder which one will it be.”
             ºº “It’s potty time again! Come on let’s see who will get to
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                the toilet the quickest.”
             ºº “It looks like you really want to pee or poop. Come with
                me to the toilet so we can put it in there.”
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       know that they like. If they like to play with string or play
       dough or cars, let them know that you and a ball of string
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       or some cars are going into the bathroom and that you
       both hope that they join you soon.
    ºº If your child likes visual stimulation, like things flying
       through the air or dropping in front of their eyes, then
       make things fly around the bathroom—or out the
       bathroom door.
    The idea is to find a way to give your child a good reason to
    visit the bathroom.
•   Be persistent—Ask more that once, ask more that twice, it
    may take many times of you asking before your child responds.
    Stick with it. Believe each time that you ask and they do not
    respond that you are one step closer to the time when they
160   AUTISTIC LOGISTICS
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             the varied techniques listed above for a minimum of five
             minutes. It is my experience that even when a child has shown
             no clear interest in me they are aware of what I am doing and
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             saying. I want them to know that I think that using the toilet
             is a fun and wonderful thing that they could do, the more I
             show them this the more likely they will start thinking about
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                  If your child has clearly stated “no,” then respect that and
             let them know that you will try again in three to five minutes.
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          strongest relationship with your child, and you know your
          child the most and have the most time to give to your
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          child.
       ºº You and your child are doing the best that you can.
       Let go of the goal of having your child sit on the potty, and
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       enjoy asking your child to come to the toilet. Focus just on this
       request, and the fun of enticing them there.
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      child is already playing with you. This way your child gets to think
      and explore the concept of sitting on the toilet within subjects and
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      activities that they are already interested in. You can do this at times
      when your child does not actually need to go to the toilet. For example:
          •   Let’s say your child likes to act out scenes from Disney movies,
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              maybe Toy Story or Beauty and the Beast. Have your character
              stop and go to the toilet. Maybe Buzz Light Year has to make
              a wee in outer space and you and your child have to figure out
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        ºº Celebrate them for telling you that they needed to use the
           toilet.
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      TROUBLESHOOTING
      My child will not let me change his nappy—it is always a fight.
      This is most likely a control issue. Doing the following when
      attempting to change your child’s nappy will help.
          •   Explain to your child in detail why it is important for him to
              have his nappy changed:
              ºº that you are trying to help him not get a nappy rash from
                 having poop or wee on his skin for too long
              ºº that a nappy gets full and can only hold a certain amount.
          •   Give your child warning before you attempt to change them.
              They may experience nappy changing is too sudden a transition
              from one activity to another and feel the need to push against
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              it. Give them a countdown before you change them: give them
              a ten-minute warning, then a five-minute, then a two-minute
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              warning; this way they are able to prepare themselves for the
              event.
          •   Experiment with different ways of changing them. In my
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              nappy and lay them next to the towel, [AQ] then pat the towel
              as I ask my child to lie down so that I can change their nappy.
              This way your child can see a visual representation of what it
              is we are asking them to do and they can come under their
              own steam. Or I do it while they are standing up and absorbed
              in their own activity, maybe they are looking at a book, or
              lining up their objects on the table. They do not have to break
              from their activity. Experiment with different ways to see if
              one would work better.
      Maybe it is a sensory issue, are your hands too cold? Maybe they feel
      rough on your child’s skin? Our hands might be sticky from cooking
      or have glue on them, maybe your child is moving away from the feel
      this has on their skin. It could be another sensory issue that is not
                                                       Toilet Training     165
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thing to know about this is that you are not alone, your child is not
the only child on the planet who does this and there is nothing to be
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ashamed of. This activity is done by both the little tikes who are on
the spectrum, and as well as neuro-typical children. The only reason
that you think you have the only child who does this is because no one
talks about it. So let’s talk about it now.
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    What to do:
    •   Decide to feel good about this. Instead of seeing this as
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        our children can poop. We can still come from this place as we
        teach our children that poop is great but not something we eat.
        This will make the situation easier for you and for your child.
    •   Make it harder for them to do this activity.
        ºº Put your child in clothing that makes it difficult for them
           to stick their hand into their nappies and retrieve their
           poop. For example, you can put them in a onesie and then
           in a jump suit that fastens at the back or dungarees. Or
           one-piece PJs and cut the feet off so that you can put it on
           backwards so the zipper is at the back. That way they will
           not have immediate access to their poop.
166   AUTISTIC LOGISTICS
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      My child will smear his poop in the middle of the night.
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      I have worked with many families where this is the case. In 95 percent
      of these cases it was all about what happened once the child had
      smeared. The parent would clean up their child by giving them a bath
      and spend up to 30 minutes or more with their child. This became
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      attention and the fun bath time the children stopped smearing. What
      might help you to achieve this? There are two possible ways to try:
              re
My child is fully toilet trained. He will play with his poop while it is in the
toilet bowl.
If your child can independently sit on the potty and will use this
as a time to smear then give them an alternative substance to play
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with. Poop has a certain texture and is strong smelling—put a bowl of
similar texture substance by the potty. It could be silly putty, plasticine,
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play dough, mashed-up bananas, add into it an essential oil—pachouli
is particularly strong smelling. Tell you child that playing with his
poop is not healthy for him but he can play with this substance instead
as long as he wants to.
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bathroom. His hands were starting to become very irritated from the
contact with the poop. His parents felt that they could not be with
    re
him every minute. We decided to put a bowl next to the toilet with
the plasticine in. We explained to him that his hands were irritated
because of the contact with the poop and that he could help heal his
hands by playing with the plasticine rather than the poop and that
we were going to leave that for him to play with instead. His parents
modeled this for him by giving him the bowl of plasticine anytime
they were actually in the bathroom with him, and reminded him each
day of its presence. By the end of the week he had stopped playing
with his poop!
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      Even though my child will wee in the toilet, each time he poops he asks for a
      nappy and does it in there instead of the toilet.
      Pooping is an intense physical experience for us all. I can only imagine
      that is it a more intense sensory experience for our children on the
      autism spectrum. A lot of our children have digestive tract challenges,
      which can result in them either having a lot of diarrhea or constipation,
      thus pooping is more of a challenge for them. We all have our own
      rituals and ways we like to poop.
           The most effective way to deal with this issue is to take away the
      nappies, stop buying them and get rid of the spare ones you have in
      your house. The slow way is to pick a date in the future where you tell
      your child that as they are getting bigger it is time for them to begin to
      transition from pooping in the nappy to pooping in the toilet—make
      this a happy fun declaration. That in two weeks time, they will only
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      have one nappy a day to use. Tell them that they can ask for it and use
      it at any point in the day, but once it is used there is no more until the
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      next day. Then after doing that for two weeks, let your child know
      that the nappies are now all done.
           The fast way is to go straight to the stage of having no nappies
      in the house. If you have a younger sibling who uses nappies that are
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      a similar size make sure that they are in a place in your house that
      your child with autism does not have access to. You can get rid of the
      nappies in two ways, the slow way or the fast way, the choice is yours,
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      at all:
          •   The day before you use the last nappy decorate your toilets in
              a way that you know will motivate your child. For example, I
              know of a lovely family who decorated their toilet with Dora
              the Explorer stickers—their daughter loved it. Another tied a
              series of bows around their toilet as their child loved ribbons.
              One created a speech bubble coming out of the toilet that said:
              “Welcome Max’s Poop! I am excited to receive the very first
              poop from Max! Thank you Max.” Followed by a big smiley
              face.
          •   Stand clear and solid in your decision not to have nappies in
              the house. If your child senses that you are not sure about your
                                                    Toilet Training      169
    decision, they will hold out for the nappy. If they feel that you
    are rock solid, they will move on.
•   When they ask for a nappy, let them know in an excited and
    congratulatory voice that you do not have any more as they
    now are so clever that they have graduated to the toilet. That
    your toilets are now ready and excited to have your child’s
    poop. Then let them know that you decorated the toilet for the
    occasion and ask them to come and have a look.
•   Then model sitting on the toilet and request your child to do
    the same.
•   If they say no, then tell them that they do not have to poop
    right at this moment they can go at any time that they please,
    but the nappies are no longer available.
•
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    It is important that you give your control at this time and
    do not force them in anyway to sit on the toilet. I would tell
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    them they can poop on the toilet whenever they are ready and
    then leave them alone in the toilet. I have so many stories of
    children pooping in the toilet once they are alone and no one
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    or distress, they are just using the tantrum in the attempt to get
    a nappy. If you have read chapter 7 you will already know how
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      My child will disappear to another part of the house and poop alone.
      This may be because they do not want the people around them to react
      in the loud “Oh did you do a stinky pooh?” way that they may have in
      the past, preferring to retreat. If that is the case, then just inform your
      child that you think that their pooping is a wonderful healthful thing
      and it is ok for them to do it around you and in the bathroom.
           Sometimes our enthusiasm gets in the way! Pooping is a big
      sensory experience and it may be that our children want to be left
      alone and be private, and the only way to achieve this is to go off on
      their own. If you sense, having read so far that your trying to engage
      and interact with your child as they try and poop is not working,
      experiment being quieter. One lovely girl I worked with was clearly
      holding in her poop and not responding to my fun and lively requests
      to sit on the toilet. So I changed tack, I lowered my voice and my
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      energy, told her that she could take all the time she wanted pooping in
      the bathroom alone, and I left and sat quietly in the other room giving
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      her some space. Seven minutes later she sat on the potty, it took her 15
      minutes to finish pooping. It obviously took time and concentration
      on her part, and was easier for her when I was not around.
           If you have changed yourself in the ways above and your child is
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      still pooping away from you in another part of the house, investigate
      and see if you can find out what it is about this place that is appealing
      to your child. One family I was working with had a boy of six who
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      pooping on the toilet soon after that. Something about the cool air
      helped. Remember, there is always a reason as to why our children
      are behaving in their unique way—our job is to believe that and then
      attempt to find out.
           If you cannot see what the reason is maybe they started this off
      by accident one day and now they have become rigid in wanting to
      always do it that way. First put a potty in the exact place that they
      are pooping in, let them know that you put it there so that they can
      poop in it. Every couple of days move the potty slightly closer to the
      bathroom, these slight changes may help your child accept the change
      of pooping in a different place.
                                                             Toilet Training     171
My child will not wash his hands after he uses the toilet.
If your child will not wash his hands in the sink, start with taking a
wet washcloth to wherever he has run to after using the toilet. Using
the Control Protocol of explaining, giving warning, and looking for
permission, wash his hands with the cloth or a wet wipe. This will
help him get used to the fact that we wash hands after we go to the
bathroom.
    Once you have done that for a while, next time you are in the
bathroom, start to run the taps before your child had finished using
the toilet. Make it fun for your child to want to come over to the sink
before they leave the bathroom.
    •    If your child likes bubbles, fill the sink will a little water and
         make some bubbles.
    •
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         Get some soap in the shape of their favorite character.
         Fill the sink with a little water and put some trains at the
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         bottom and ask your child to rescue the fish.
    •    Model washing your own hands with excitement. Afterwards
         you could mention how clean they feel and how nice they
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smell.
      notice your reaction to him peeing on the floor. Do you shout “No”
      and rush over to him in a dramatic way? If you do, it is most likely this
      dramatic response that he is looking for. Next time your child wees on
      the floor do not respond in any way. Wait a few minutes before you
      even clean up the wee. Then the next time your child does something
      that you really want him to do, like look at you or talk to you or
      actually wee in the toilet, give a really big dramatic positive response
      to it. If our children want us to react in a big dramatic way, let’s do it
      when they do things we want them to continue to do. See chapter 6
      for lots more on button pushing.
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      the toilet successfully why does it matter whether he sits, stands, or
      crouches? We actually don’t know how every person uses the toilet
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      once they are in the privacy of their individual stall, or in the privacy
      of their home. Different cultures had different kinds of toilets; in some
      countries the correct way of using a toilet is to crouch above a hole in
      the ground. Celebrate that they are using the toilet successfully and
                             ew
      let this be. It is obviously working for them. Later, when our children
      are able to connect with us more deeply or understand things more,
      we can invite them to sit as well.
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      My child takes all their clothes off before peeing or pooping on the toilet.
               re
      I have seen many children want to take all their clothes off to go to
      the bathroom. Whilst this is fine in the safety of your own house it
      is more challenging when you are in a public toilet or at school. The
      way to help your child with this is one step, or one piece of clothing,
      at a time. In my experience, children who do this have one thing
      in common: they have challenges with different kinds of textures on
      their skin, and can be tactile-defensive. Sound familiar? If this is the
      case, I would suggest that you start the brushing protocol with your
      child (see p.000 in chapter 9) [AQ], which will help them with their
      underlying sensory challenges.
          So what do I mean by helping them one piece of clothing at a
      time? Get your child used to wearing something when they sit on
      the potty, you might first start with something very small, as they sit
                                                                 Toilet Training         173
on the potty put on a pair of funny glasses yourself and offer them
to wear a pair, or you could start with a hat, or a special pair of potty
socks. Once your child accepts this then add another piece of clothing,
start small and then work up to the bigger stuff like pants.
My child had potty skills and now has completely lost them—why is that?
This is not uncommon for our children. Our children’s bodies are
different and react differently to their experiences. This could be due
to one of a number of things.
    It could be because there are added stresses going on in their
current lives. Check to see if anything has changed in their external
environment. Maybe they have moved to a new school, or there is
construction happening close to your house. If you see that it could
be related to environmental changes, do what you can to ease the
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challenge. If, for example, your child has just started a new school,
be patient with your child while they adjust. Make their time outside
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of school calmer and more predictable, this will ease the transition.
Know that once they have adjusted you can start to toilet train again.
The second time around will not be nearly as time-consuming or as
challenging as the first. They have not lost the skill, they are just not
                    ew
focused their attention on learning this skill, potty training may take a
second seat for a while. Once this new skill has been integrated, your
child will pick up their potty-training skills again.
    Above all be patient with you child, know that they are doing the
very best that they can.
If my child learns to wee on the potty, will they be able to transfer it to the toilet
easily?
My answer to that is yes. I have worked with over a thousand different
children and adults, with varying diagnoses, and I have never come
across a situation where a child will wee in the potty but not in the
toilet. The concept we want to help our children have is that their wee
and poop goes into a container and that they keep themselves clean
and fresh.
174   AUTISTIC LOGISTICS
              ways.
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SLEEPING
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percent of typically developing children).
     When our children do not sleep that means we do not either! Sleep
is essential, not only for your child but also for you. Without sleep our
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common sense goes right out the window. Problems can escalate as we
are unable to create a reality checking balance, we can even “invent”
problems where there are none. We can be irritable, irrational, and
                 ew
easily move into temper. This is not helpful when parenting a child
on the autism spectrum who wants predictability and consistency.
It is also not helpful for your marriage, or for your health. It is not
           vi
     Sometimes you may feel that your life is just too difficult. That you
just cannot manage your everyday with your child. I wonder how this
might change after two weeks of good sleep, or a month of sleeping
through the night? The chances are you would feel very different
about your child and your situation! Your head and body aches would
decrease. That brain fog you have lived with for years would clear. You
would probably find the energy that has been eluding you and manage
your everyday with your child with more ease!
     A month of sleeping through the night! Doesn’t that sound good!
Is it not music to your ears? For those of you who are seriously sleep-
deprived I bet it is something you would choose over tickets to the
World Cup Final or winning the lottery! If the answer is no, then
you do not want it enough to get it. Our sleep is so often dependent
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176   AUTISTIC LOGISTICS
      on how much our children sleep. Between what we think and what
      we imagine our children are thinking we give ourselves 101 reasons
      to not sleep and stay up with our children. Do any of the following
      thoughts sound familiar to you? Maybe your children are verbal and
      actually tell you these things, or maybe you believe that these are what
      they are saying based on your interpretations of their actions.
      Things you may imagine your children are telling you.
          •   I am up so you should be up.
          •   I’m not tired enough to go to sleep yet.
          •   I am too scared to sleep by myself.
          •   I will not like you if you leave me to sleep by myself.
          •   I think you are really mean for not staying up with me.
      Things you may believe about your child.
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                                       co
          •   My child will not go to sleep unless I lie with him for the first
              five hours.
          •   My child will make a lot of noise and wake up the neighbors.
                           ew
          •   My child will make a lot of noise and wake up his little sister.
          •   My child will stay up and sleep all day instead of going to
                     vi
to sleep herself, Joanna would pull the covers off her and say, “Stand
up.” If she did not stand up she would pull her arm or hair until she
got out of bed. She would then [AQ] demand that she put the TV on
and get her some food. Her mom felt that she had no choice but to do
what her daughter was demanding.
Ian, a five-year-old boy diagnosed with Asperger’s, would declare
forlornly with one tear running down his cheek: “Where has all the
love gone, there is only hate here now,” whenever his parents suggested
the idea of him sleeping by himself in his own room. He was brilliant
at being dramatic and pulling on his parent’s heartstrings.
Alfie, a 14-year-old boy with autism and epilepsy would stay up until
2am every night. His mom was very concerned about leaving him in
his room alone in case he had a seizure, so she would stay up with him
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playing until he fell asleep each night. She had three other children to
take care of and she was up at 6am each morning, Alfie however slept
on until 10am, waking refreshed, unlike his mom.
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All three of these families had their children sleeping through the night within a
week of applying the techniques in this chapter.
Some of the techniques outlined below may be familiar to you, they
                   ew
are effective and simple; there is no magic or rocket science here. They
do however require a commitment on your part to follow through and
not give in to an easy night or a quick fix. That’s why it is important to
             vi
start to really want and visualize a good night’s sleep, for you and your
child. Imagine how it would change your life and help your child!
     re
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      lives of our children, we have something concrete to move toward and
      create. The more we want something to change the more likely we will
      follow through with the necessary steps to make it happen, even when
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      faced with the determination and persistence of our crafty children.
      soccer, but putting themselves to sleep was not one that was on my
      list. In the Son-Rise Program®, we have successfully helped hundreds
      of children learn to put themselves to sleep. Our children simply never
      learnt that skill, and we can easily teach it. Many of us do not give our
      children this opportunity. Instead we do some version of the following
      routines:
          •   Rocking them lovingly to sleep in your arms.
          •   Lulling them to sleep by putting them in the car and driving
              them around.
          •   Letting them fall asleep in front of the TV, or on the sitting
              room couch.
          •   Lying down beside them with your arms stroking their back.
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When our children wake up at nighttime and indicate that they want
food or drink, some of us may go downstairs and get them a drink or
cook them food. By doing this we teaching them that nighttime is a
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time to eat. They may ask us to sing a song, or want to see bubbles,
so we oblige teaching them nighttime is a time to play. Our children
can sometimes be at their most interactive and affectionate during the
                ew
night. This may be due to the fact that nighttime is often when our
houses are quiet, with the rest of the family sleeping and they have
our undivided one-on-one attention. I can understand wanting to take
           vi
      Dairy products
      There have been studies that have linked a sensitivity/intolerance or
      allergy to casein, a protein that is found in all dairy products, to night
      waking, in particularly night laughter or night talking. If your child
      wakes up in fits of laughter over nothing that you are party to, or
      babbles or chats to himself, I would suggest that you try eliminating
      dairy products from his diet for at least three months and see if that
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      makes a difference. (See chapter 12 for ideas on how to do this.) If
      your child is sensitive to dairy it can also cause lethargy during the
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      day, causing them to sleep during the day and be up at night.
      Sugar
                           ew
completely from her diet, she started to sleep through the night for
the first time in her life. Her parents employed no other strategies, this
was the only thing they did.
their evening meal and no later than an hour and a half before their
official bedtime. Once this is over there is no additional food offered
or given before bedtime. Their parents have used this since they were
            vi
very young and they have always both slept through the night with
ease (including the period of time when my goddaughter had her Son-
    re
Rise Program®).
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      created the idea of “bedtime buddies.” You buy a large or mid-sized
      soft teddy or doll. Each of you, Mom and Dad take a T-shirt that you
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      have slept in for a couple of nights and put it on the “bedtime buddy.”
      This is so great because your child’s new bedtime buddy will actually
      smell of you, bringing a little of Mom and Dad into their own bed.
                           ew
      prepare them for sleep. Turn off any computer games or TV that
      may excite. Turn on some peaceful music, “Sleepy Baby” from Brain
      Technologies is specially designed to promote sleep (REF??). [AQ]
      Put this on at a low volume in the background and see if you notice a
      difference, not only in your children but yourself. Play peaceful quiet
      games with your children, stay away for games such as tickle, and rough
      and tumble. These games can energize and over-excite our children.
      If they ask for these games, explain to them that it is nearly bedtime,
      so you would love to play tickle or rough and tumble tomorrow. Now
      you would love to cuddle with them and read a book, or do a puzzle.
           If it is summertime draw some of the curtains, letting them know
      that bedtime is approaching, if it is winter, dim the overhead lights, or
      turn them off and put on a smaller lamp.
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we go in, and either get into their beds, or have them get into ours
they will most likely stop crying and go to sleep. Or if we go to them
and stay with them, they will stop crying and then the rest of the
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household will not be disturbed. This, however, is just a temporary
band aid, and will only ensure that this continues for years to come.
The solution is to help them sleep by themselves by not going to them
                   ew
suggest a different mindset. One that will help you stand strong in
your conviction that letting your child cry is not a mean or terrible
    re
thing but actually is a loving and helpful act for your child. It always
helps if we can think of the bigger picture. Which is that you love your
child. Your child knows that you love them. You have not abandoned
them. Most of our children can’t even conceive of a world where we
would not be there. You are right here. You have provided a wonderful
warm and caring home for your child. They are safe, and all is well.
Crying themselves to sleep a couple of times will not harm them or
your relationship. It will actually help them and your relationship. As
I talked about before, helping your child sleep through the night will
help them focus and connect more to you. It will help them learn new
things and process the things they have already learnt. All of these
benefits will help your relationship with them. The best thing you
could do for them in this moment is to teach them to fall asleep by
themselves. If we give them the opportunity to do so, they will learn
184   AUTISTIC LOGISTICS
      this. Letting them cry in the short term will serve them much more in
      the long term.
           Another point to keep in mind. I was helping one mom with her
      worries about letting her child cry in the night and not going to him
      and taking him into her bed. When I asked her why she felt she could
      not do that, she said he had enough to deal with and he deserved
      the comfort of his mom during the night. Afterwards she burst out
      laughing. I asked her why she was laughing. To which she said, “Who
      am I kidding? Half the time in the middle of the night I am tired and
      grumpy, hardly the comforting mom I just talked about.” We chuckled
      together at the reality of this. We are tired and understandably we are
      not at our best in the middle of the night. This realization helped her
      to resist going to her son in the middle of the night and to change his
      sleeping routine.
         •
           In short form:
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             It is ok if he cries, it will not scar him for life, we have all at
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             one point or another cried ourselves to sleep and woken up
             the next day perfectly fine.
         •   It is an important life skill he is learning that he will use every
                           ew
             his body, which will promote health and leave him rested for
             his therapies or school.
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to their room. Keep doing this, if we persist our children will get it.
     Francis was three years old and had always slept in his parents’
bed. They implemented all the strategies in this chapter. They had to
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take him back to his own room 30 times the first night, only six the
second and none at all on the third night. Since then he has slept in
his own room all night. It takes less time that we think. Think about
                 ew
     Some of our children will just leave their bedrooms after you have
finished their bedtime routine and left their bedroom. First consider
    re
      All the reactions listed above, or other versions of the same, make
      it fun and interesting for your child to leave their room. The idea is
      to make it completely boring and uninteresting for your child, by
      remaining calm and easy and keeping your fun and playful side only
      for the daytime by doing one of the following.
         •   Take your child back to their bedroom each time they
             come down. Do this is an easy but uninteresting way. This
             means: do not engage in a lengthy conversation with them;
             do not engage in any attempts by them to play a game with
             you; do not get them food or water, or let them watch any
             TV. (Of course if they are sick then tend to any needs they
             might have.) You may have to do this up to 30 times in the
             course of one night, but if you do it religiously straight away
             each time, it usually only takes three or four nights for them
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             to change this habit. If your child is one of those who keeps
             coming out frequently, it may serve you to stay right outside
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             their room for a while so their trip outside of their room
             remain uninteresting. Remember, if you invest the time now
             you will reap the benefits later. This method is effective no
             matter how old your child is. In the initial few days that you
                           ew
             start doing this make sure that you keep activity in the rest
             of the house to a minimum. If your child really likes TV or
             computer games, do not have anyone in your house using the
                    vi
       may have a child who gets up at night and goes down into the
       rest of the house and plays with appliances that are dangerous
       for them. Your child may do this without waking you, so it
       would prove necessary and helpful to your child to lock their
       door to keep them safe. If you want to do this, know that you
       are doing this to benefit your child not to punish them in any
       way. Let them know that their door will be locked and why
       this is so. Put a camera baby monitor in your child’s room so
       you can see what is going on in there. Make sure your child’s
       room is completely safe for them (see secret 6.) If your child is
       potty trained put a camping potty (see p.000) in their room so
       they can use it if necessary. This is to help them stay in their
       room and learn to sleep through the night.
If you have an older child or adult who you can have a conversation
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with and can reason with them, create a “staying in their room” deal.
Give them control over what time they are to stay in their room, give
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them a choice of three times. Make all the times you give be times you
want them to be in their room. Giving them the choice will help them
feel that they are in control. For example, tell them that now they are
older they can choose when they are to go to their bedroom and stay
                 ew
in there for the night out of the following times: 8pm, 8.30pm or
8.45pm. Also have them choose the time in which the lights will be
turned off, for example, 8.30pm, 8.45pm or 9pm. If you have a child
           vi
that will constantly change their minds, then let them know that once
we have picked a time then it will be that time for the whole month,
    re
at then end of that month they can choose again if they wish from the
same timeframes.
     The above negotiations will help your child feel that they are
choosing their bedtime, and thus help them stick to their agreements
more easily instead of railing against your authority.
          Explain to your child that they are old enough now to sleep the
      whole night in their own room and you are going to make their room
      warm and cozy for them. Maybe you buy a new comforter or duvet
      cover with your child’s favorite character, car, or football team on it.
      Maybe you get them a night-light or a new soft toy to sleep with, or
      some new bedtime books to read to them. Show these things to your
      child with great excitement, while you are actually in their bedroom.
              style.
          •   If your child likes to chew on things, make sure there is nothing
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              choke on.
          •   You can also fit their bedroom with a camera baby monitor so
              you can see what they are up to when they are crying in the
              night without actually physically showing up. This will give
              you extra peace of mind.
If you don’t stop and leave them to fall asleep by themselves, you rob
them of the opportunity to learn this important life skill.
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     There is one circumstance where it would be prudent not to stick
to your bedtime routine—if there is some kind of an emergency such
as a fire. Which of course is obvious! Even when your child is sick you
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can still stick to your routine, and have them sleep in their bedroom. If
you need to tend to your child during the night, giving them medicine,
helping them if they are having a coughing fit, make a bed up for
                  ew
yourself in their room. That way you can still nurse them through their
illness and keep them used to sleeping through the night in their own
bed without you. Many parents tell me that their children get off their
            vi
bedtime routine and start to sleep in their bed again after a bout of
illness. This does not have to be the case.
    re
      your child. In the younger age groups I have suggested that you give
      your child a bath before bedtime, the warm water can (serve to) help
      soothe your child. However you can bath your child at any time of the
      day, it does not have to be part of the bedtime routine.
         6.45pm       Bath-time
         7.10pm        Lie with your child in their bed while you both listen
         to some soothing music played quietly in the background, rub
                    vi
not want her mom to interact with her, but she also wanted her mom
to sit on the sofa while Joanna divided her attention between dropping
“magnetic letters” in front of her eyes and watching TV. Each time her
mom tried to get up she would scream and pull her down onto the
           vi
      The first night she was put to bed at 7.30pm, when her mom left her
      room she was wide awake showing no signs of being sleepy. Her mom
      left anyway, teaching her that playtime was over and that nighttime
      had begun. Half an hour later she started to cry, she cried for her mom
      for approximately two hours. She stopped crying but she stayed awake
      playing in her room until 2am. Her mom found her asleep in one
      corner and picked her up and put her in her bed. The next day she did
      not cry for her mom, she played in her room, and was found asleep in
      the same corner at midnight. Over the two weeks she slept earlier and
      earlier, until she slept from approximately 8pm until 7am.
           Nighttime was no longer interesting to her. Her mom, TV, and food
      were no longer available to her. In their absence the only interesting
      thing to do was to go to sleep. The more she slept the more her body
      got used to sleeping the more she was able to sleep. Her mom wished
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      she had done it years earlier. She was so amazed at simply how easy
      it was to do.
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      TROUBLESHOOTING
      Why is it not a good idea for my child to fall asleep watching TV in their
                            ew
      bedroom?
      It is not uncommon for households to have not just one or two TVs,
      but a TV and a DVD player in every bedroom. It could be a great
                      vi
      temptation to leave your child to fall asleep in front of the TV, replacing
      yourself as a sleeping device with the TV. The difficulty with this is
              re
      once your child wakes in the night they will need the TV on again to
      lull themselves back to sleep. The idea we are looking for here is to
      teach your child how to soothe themselves to sleep using no outside
      mechanism. There have also been studies that show that watching TV
      and playing computer games can decrease the amount of hours a child
      or adult sleeps (e.g. REF??) [AQ]. Concluding that if you reduce your
      child’s screen time you may help increase their sleep time.
on the doors of the neighbors who may be affected and explain the
situation. That you are helping your child with autism learn how to
sleep through the night in their own bed, which means that they may
cry for a couple of days, and that you would appreciate their support
in this matter. Then you could bake them some cookies, or offer to
help them with some task, inviting their co-operation and generosity.
This communication often helps nourish others’ understanding and
kindness.
    I am sure that some of you who read this suggestion may be
thinking “Ok, that is totally not me, I can’t do something as forward as
that.” If you are one of those people, remember that you are doing this
for your child. Remind yourself of all the benefits they will be getting
by having a good night’s sleep, and take the plunge. Sometimes we
have to leave our habitual comfort zones and do daring action to get
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what we want. Or, you might be surprised, as many parents are, that
your child does not cry at length and this issue never arises! Or, your
child only cries for one night, which the neighbors have certainly
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already heard.
My child will fall asleep in his bed but then will come into my bed in the middle
                   ew
One thing for you to consider is that our children can become very
attached to routines. In my experience I have not heard a child on the
     re
          •   Teach your child that bedtime is for sleeping not for playing.
          •   Leave your child’s room before they are actually asleep. Thus
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            py
        Chapter 11
SELF-HELP SKILLS
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and how to encourage our children to do these tasks for themselves.
     When you think of attempting one of the above-mentioned
activities, does it fill you with delight or dread? Is it something you
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want to get over as quickly as possible? If this is true for you, then the
first place to start is with a change of attitude.
     Sometimes we can view the self-help skills of self-grooming as a
                  ew
this time with our children as important and valuable will completely
change the way you approach the activity, thus changing the way your
    re
child responds. The following perspectives may help you embrace its
importance.
    •    They are a step toward their independence. The more our
         children take care of themselves, dress themselves, clean their
         own teeth, take a bath, the more self-sufficient they become
         taking a great step toward their independence.
    •    They will translate into you having more time. The more
         our children can do things for themselves, the more time we
         will have to take care of the other things we want to do for our
         families and for ourselves.
    •    They can help strengthen your relationship. Whether
         we are changing our children’s clothes, brushing their teeth,
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198   AUTISTIC LOGISTICS
             accidently scratch anyone as they reach out and play with their
             peers. If our children learn to have fun keeping themselves
             clean and presentable, they are more likely to develop a pride
                    vi
         •   They are fun activities for you and your child. I would
             suggest that you do not label self-grooming skills as a task or
             chore. When we think of doing a chore, it is usually something
             we want to get over and done with as quickly as possible.
             Tasks and chores are usually associated with the interaction
             of objects, such as ironing, washing the kitchen floor, and
             mowing the lawn, rather than something we do that includes
             another person. So perhaps we can shift our perception to
             seeing the development of self-help skills with our child as
             an activity or game. Now we might think—A game? How
             can a self-grooming activity be a game? A game is something
             you do with another person, how is this different? There are
                                                         Self-Help Skills       199
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it fun and motivating for our children. We will be the most successful
at that when we sincerely believe that the activity is fun. The way to
do that is to believe that “fun” or “enjoyment” is in our attitude not
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the activity itself.
     People like to do different things, they like snooker, swimming,
skiing, cooking, reading, movies, eating out, tango dancing, tap
                  ew
would enjoy the same activities. Soccer might arguably been the most
universal and widespread game enjoyed by people around the globe,
    re
but even that is not enjoyed by everyone. It is what the person actually
decides to believe about the game that makes it fun and exiting for
them. Maybe it was something the whole family played and it was the
warmth of the whole family playing together that brought enjoyment
to the game. Maybe it was the thrill of being celebrated for being
good at a particular sport that added to the fun of the game. What we
associate with the game can be more meaningful than the actual act of
the game itself. In short this means that we are in charge of how much fun we
have at any given moment, with any activity.
200   AUTISTIC LOGISTICS
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                 when you are brushing your teeth it might be the minty taste
                 of your toothpaste. Or the way the toothbrush feels as it
                 glides across your teeth. As you are getting dressed it may
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                 be the feel of the clothes on your skin. Or the perfect way the
                 buttons fit into the button-holes as you do them up.
             •   Remind yourself. The next time you are about to do this
                           ew
                 activity for yourself, remind yourself of the one thing you like
                 about it and begin to anticipate its delight. Actively build
                 this excitement as you walk to the bathroom, or room in
                 which the activity is to take place.
                    vi
                 the activity you like the most, slow it down and really savor
                 it as if you are eating your favorite food.
             •   Celebrate. Once finished, celebrate yourself for doing a
                 particularly great job. Celebrate yourself out loud as you look
                 in the mirror and admire the great job you just did.
             •   Share the celebration. Share what you enjoyed with a
                 member of your family. Talking about what you enjoy makes
                 it bigger.
      The more you actively look for enjoyment the more likely you will
      find it. Enjoyment will build the more you decide to experience it,
      and when you talk about your enjoyment you confirm this to yourself.
      It’s like watering seeds: when we water the seeds of enjoyment, it is
                                                            Self-Help Skills       201
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child is really motivated by, complete Exercise 4.1 (p.000) which will
help you get a clear understanding of what your child likes.
     For example:
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    •   If your child likes it when you talk in a funny voice, make
        funny voices as you/they brush their teeth.
                   ew
    •   If they like the movie Cars, get a toothbrush with the car
        characters on it.
    •   If your child loves numbers, then count out loud or draw
            vi
      Our child’s prior experience with one of the above may have been
      unpleasant enough for them to decide that they will not go near it
      again. Sometimes they may try to avoid the bathroom altogether. It
      may have been a time where they got soap in their eyes, the water was
      too hot, or a scratchy towel feeling rough on their skin. Whatever it
      was it was enough for them not to want to experience it again. What
      we can do to minimize this?
          •   Use unscented hypoallergenic products that do not smell.
          •   Make sure that the towels you use are fresh from the tumble
              dryer so that they are soft and fluffy, rather than rough or
              damp.
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         Exchange them for unscented products.
      ºº Does it have a particular sound that may be overwhelming
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         for your child? Maybe a loud fan or hot water system? Does
         your bathtub make a loud echoed sound when a bottle of
         shampoo falls into it? Find out if there is anything you can
         do to minimize these sounds.
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EXERCISE 11.2
  Before you start working on a self-grooming skill with your child,
  take the time to observe your child interacting with all the toiletries
  you use. Notice if they move toward some more than others. Notice
  which ones they seem to avoid.
      If your child is highly verbal ask them about their experience,
  you could ask all or some of the following questions.
      •   Why do you like this toothpaste?
      •   Why do you not like this toothpaste?
      •   Why do you not want to take a bath or a shower?
      •   How does the shower feel on your skin?
204   AUTISTIC LOGISTICS
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      them to cut or wash their hair, they most likely will associate these
      activities with being held down, and with the struggle and lack of
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      control that ensues. You might believe that your child is frightened
      of the toothbrush or nail clippers as they start to cry or run and hide
      when they see them, not understanding that it is the struggle of being
      held down that they are running from rather than the activity itself
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      to something else. If you want your child to love brushing their own
      teeth and allow you to easily brush their hair, then I would recommend
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      that you stop holding them down or forcing these activities upon
      them as soon as possible. The idea is to we want to inspire our children
      to want to brush their own teeth, to love getting their hair cut and
      getting dressed. This is possible by putting into practice the following
      strategies.
       we can make them nice and clean and keep them healthy and
       strong. Open your mouth so that we can brush those lovely
       teeth.”
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       mouths, say “Yes”, and show no signs that they do not want
       you to brush their teeth, go ahead and gently brush their teeth.
    4. If they say “No” or indicate no by moving away or pushing the
       toothbrush away, stop. It is very important that our children
       feel that we will listen to their “No’s.”
The Control Protocol works! Giving our children control and
respecting their “No’s” helps them to become flexible and open to
activities they had previously resisted. This is true for every child I
have worked with, without exception. However, it does not mean that
it happens overnight. Once we give our children control in this way
they may want to test us, to see if we really mean it. Even if they say or
indicate no for a few weeks will we still stop and not force them. Stay
206   AUTISTIC LOGISTICS
      the distance. Once your child really believes that you will not force
      them anymore, they will begin to open up and try because they trust
      that you will stop if they say no.
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      or a character, pretend that you are cleaning the characters or soft
      toy’s teeth. This way your child begins to associate the object with
      something pleasurable and fun, and may begin to move toward rather
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      than away from it. See each self-grooming category below for ideas
      on how to do this.
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      TOOTHBRUSHING
      Concerned for your children’s teeth?
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      Giving your children control over whether you brush their teeth or not
      may sound unreasonable to you. You may think that if you give your
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      child control in this area they will just never clean their teeth again,
      and then they will get cavities and that is another ordeal all by itself.
      If you want your child to clean their teeth easily without you forcing
      them, then giving control is the only way to go. There is just no other
      way around it. You child has to feel that they can control what is
      happening in order to open up to the teeth-cleaning experience. Once
      they know that their “yes” or “no” will be respected then they may
      dare to explore an experience that may have been painful for them.
          The way to do this is for you to let go! Let go of them having clean
      teeth for this present moment, and hold on to the dream of your child
      making friends with the toothbrush and cleaning their teeth without
      a fuss. Giving control is a very clear technique that will help pave the
      way for your child to let go of any resistance they may have and to
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become open to new experiences. Once they are more open, you will
have the highest chance of your child not only allowing you to brush
their teeth but also brushing their teeth themselves.
    Control coupled with fun, delight and persistence will win in the long term
over pressure and force.
    For those of you who are not quite sure, could you give your child
control over cleaning their teeth for just two weeks? Which would
mean that for two weeks whenever your child says or indicates “no”
to you brushing their teeth you stop. You stop “pushing” your child to
clean their teeth. During those two weeks you focus instead on making
brushing teeth a fun and motivating activity for your child. You drop
the “forcing” but you pick up the idea of helping your child, “make
friends with the toothbrush.” Using the concepts and the ideas listed
below. At the end of two weeks, if you are still not convinced that
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this is the way to go, you can go back to your old system. You have
nothing to lose and a lot to gain. Read to the end of the toothbrushing
section and then decide.
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    During this two-week period there is a lot you can do to help
clean your children’s teeth other than brushing. Make sure that they
drink lots of water to help clean out their mouth. Have them munch
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on apples that help clean the plaque on their teeth. Feed your children
healthy foods, lay off soda and sugar, major culprits in helping rot
your children teeth.
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Be gentle
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For those of you who brush your child’s teeth yourself, be aware that
it can be a very painful experience. If you are rough or slip by accident
and the toothbrush bangs into their gums, it hurts big time, and it
could be this pain that your child is moving away from. If you have
held your child down and forced a toothbrush into their mouths, this
has most likely happened many times.
Model toothbrushing
It is important to show or model toothbrushing and how fun it can be!
Have the whole family brush their teeth in a dramatic way. Just before
you want your child to brush their teeth have the whole family declare
that they are going to brush their teeth. Then all of you go into the
208   AUTISTIC LOGISTICS
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      of brushing your teeth without it happening to them. That way they can
      engage in the activity without the need to protect themselves against
      the brushing. Our first intention is to simply get our child to enjoy the
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      toothbrush. At the beginning it is important not to ask or attempt to
      brush your children teeth. We are just playing and exploring. If they
      sense you are about to brush their teeth they will most likely move
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      away from the experience. Once they have relaxed and are enjoying
      playing with the toothbrush we can start to ask them to brush their
      own teeth or have us brush their teeth. We want our children to feel
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      Spelling game
      Part 1. You spell out different words with the toothbrushes.
      Part 2. You ask your child to spell out a letter or word using
      toothbrushes.
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Microphone game
Part 1. You hold a toothbrush under your chin like a microphone. You
can hold one under your child’s chin as they sing too.
Part 2. Ask your child to hold a toothbrush under his or your own
chin as you sing their favorite song.
Drum game
Part 1. You bang and tap rhythms with the toothbrushes, take two
toothbrushes and bang out interesting rhythms on different surfaces.
Part 2. Ask your child to hold the toothbrush and bang it also.
Story game
Part 1. Write a story about the case of the missing toothbrush, where
your child’s favorite character is the detective who solves the mystery.
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Part 2. Ask your child to act this out, have your child find the
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Joke game
Part 1. You take two toothbrushes and pretend that they are two
people telling each other silly jokes.
Part 2. Ask your child be the puppeteer of one of the toothbrushes.
Gift game
Part 1. You decorate a toothbrush with stickers, and give to Grandma
as a gift.
Part 2. Ask your child to decorate a toothbrush and give it as a gift.
210   AUTISTIC LOGISTICS
      Character game
      Part 1. You make different characters talk about their favorite
      toothbrush. Maybe Buzz Lightyear’s is red with moon and stars on it,
      and Dora the Explorer’s has a backpack. You can draw each character’s
      toothbrush.
      Part 2. Ask your child draw the patterns the characters like on actual
      toothbrushes.
      Singing game
      Part 1. You make up a song with actions. Have one of the actions
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      be brushing your teeth. When you get to that part of the song, put
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      Race game
      Part 1. Get some wind-up “chatter teeth.” Wind them up on a small
      table and try to brush their teeth before they fall off the table.
      Part 2. Invite your child to try to do the same.
      Persist
      While you are modeling tooth-brushing and helping your child make
      friends with the process, do still ask your child to brush their own
                                                      Self-Help Skills     211
teeth or offer to brush them for them each morning and night. As you
offer:
    •   Be excited. This could be the first time that your child
        willingly lets you clean their teeth without resistance. Or
        maybe it will be the first time that they hold the toothbrush
        and put it in their mouth.
    •   If they say or indicate no, then give them control.
        Highlight in a big way that you are giving them control. You
        might say, “Thank you so much for telling me ‘no’ you will
        not brush your teeth.” Make a big “happy” show of putting the
        toothbrush away. Let them know that you are happy to give
        them control in this way. This will clearly give the message
        to your child that we are listening to them and give them a
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        heightened sense of control. Remember, the more control we
        give the less controlling our children will become.
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GETTING DRESSED
Allow plenty of time
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      One of the first areas they wanted help with was how to help their
      child get dressed in time for the school bus. Unable to get him dressed
      in time they had on many occasions either missed the school bus
      altogether or sent him to school with his pajamas on. They wanted to
      know how to accomplish this at the same time as giving him control.
           What was happening was that every time they asked him to put on
      an item of clothing he would say, “Yes, I will do that but you have to
      sing a song to me first.” Once they had sung the song he would invent
      another thing that they had to do, such as pretend to be an airplane
      and fly him around the room. This could go on and on and on. They
      both felt that they were being controlled by him, and wanted to know
      how to shift this dynamic.
           I asked them about his morning routine. They would get him up
      and he would play with his toys while they made him breakfast, then
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      he would eat breakfast and get to play again, then they would go
      and try and get him dressed for school. I asked if he was hungry and
      motivated to eat and play with his toys. They said he was. The solution
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      we evolved was just to change the order of his routine. I suggested that
      they get him dressed before he ate breakfast or played with his toys. I
      suggested that they explain this change in his routine to him the night
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      they said, “Yes, I will get you that as soon as you are dressed.” When he
      asked to play with his toys, they said, “Yes, you can play with your toys
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      as soon as you are dressed.” They had put his toys away out of reach
      until he was dressed so that he could not just help himself to them.
           The second time I consulted with them, I asked how the new
      strategy went. They said it was unbelievable, he took to it straight
      away and it only took one day to implement and now he gets dressed
      easily every day. Also he dresses himself instead of making them dress
      him. One simple change transformed their morning from stressed to
      easy.
           Create a rule that your child needs to be dressed and washed
      before they do anything else in the morning. That means that your
      child will get dressed before breakfast, before any TV or computer
      time. This will encourage your child to get on with the process of
      dressing, especially if they are motivated by another activity that they
      can only do after they are dressed. Doing it in this way may even give
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your child some time to play after they have dressed, washed, and
eaten, thus transforming a previously stressed morning.
    In order to make this happen make sure that the TV and the
computer are unplugged and not accessible to your child until they
have dressed and eaten. If your child has already left their bedroom in
the morning take their clothes to wherever they are, explain to them
that they can have the TV or breakfast once they are dressed. Set
your boundary lovingly but firmly (chapter 2), and they will soon get
familiar with the new morning routine.
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what they will be wearing. If you have a highly verbal child, you can
include them in the decision-making process. Giving them this choice
may result in them being more motivated and flexible to wear them
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the next day.
Making it happen
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them to dress themselves, just ask. Start with little steps and build-up
to the big things such as zippers and buttons.
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    While you are teaching your child to dress themselves make sure
you start with easy-to-handle clothes such as sweat pants and shirts
without buttons. Start with little steps such as:
    •   Help them step into their underwear and ask your child to pull
        them up. If they try a little, celebrate their effort and do the
        rest. Next time ask them to do a little more, keep challenging
        them until they are able to get them all the way up. Do the
        same with their trousers/pants.
    •   Hold out the trouser legs and ask them to step into them. Do
        the same with their shirt and sweater showing them where to
        put their hands. If you start the morning earlier, thus allowing
        yourself more time, you will have the time to help your child
214   AUTISTIC LOGISTICS
      As you are bring the trousers over to them you could playfully wave
      them in the air, making them do a trouser dance. Try making a fun
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on.” Or you could explain how you put on the sweater by saying
something like, “Ok, first I have to find the holes for the arms… ok
great, that’s arm number one. Now let’s find arm hole number two…”
By doing this you are verbally walking them through the process you
take to get dressed. In the morning you could take your clothes into
your child’s room and get dressed together.
My child will wear clothes at school but will not wear clothes at home.
This is usually an indication that your child may be very sensitive to the
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way the clothes feel on their skin. Meaning that the different textures
of their clothing may feel very uncomfortable. They may be able to
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             on the clothes that may be overpowering for a child who has
             an overactive sense of smell.
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      The suggestions below will help to motivate your child to want to
      wear clothes.
         •   Sometimes when children take their clothes off we
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             them that putting clothes on would warm them up. Model this
             by saying, “Oh, I feel a little chilly,” and then put on a jumper.
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       ºº Stop before you get the snack and say a version of, ‘Oh,
          you are naked, let’s get dressed before you eat your snack.
          The snack is sticky and your body will get dirty [or the
          snack is hot and it might burn your body]. That’s why we
          wear clothes to protect our skin.”
       ºº The idea here is to think up a reason why it is important
          for your child to put their clothes on. This way we are
          communicating to them that we are helping them by
          asking them to put their clothes on.
       ºº Be persistent with asking them, bring their clothes to them
          and help them put them on. As you continue to ask them,
          keep telling them that yes you will get them a snack once
          their clothes are on.
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       ºº You don’t have to get them fully dressed, begin with just
          putting on either a T-shirt, or trousers and gradually work
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          up from there.
       ºº It is very important to get them the snack or whatever
          they were asking for as soon as they put on the item of
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          clothing.
       ºº It is ok if they take the clothes off as soon they get the
          snack, the idea is to give them as many experiences of
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It is important to feel easy and relaxed when your child is not wearing
clothes. If we get uptight and uncomfortable, our child will pick up
on this and push against our need for him to wear clothes. Thoughts
that will help you feel relaxed when your child is not wearing clothes:
   •   It is ok that my child is not wearing clothes. They are doing
       this for a reason and I know some steps to take to help my
       child wear clothes.
   •   Encouraging my child to wear clothes is a process; it does not
       have to happen right this minute.
   •   The more calm and accepting I feel, the more opportunities I
       will create to help my child wear clothes.
218   AUTISTIC LOGISTICS
      My child has challenges changing into different clothes for different seasons: We
      have a battle every change of season.
      Our children can get very attached to routine, becoming inflexible
      when it is time for a transition or change. It is most likely that your
      child is protesting against change. To help your child make the
      transition easily do it as a gradual process. For example, during the
      summer months have your child wear some light shirts and jackets
      with long sleeves, and full-length trousers. That way it won’t be so
      alien to your child when the summer ends and you ask them to wear
      autumn/winter tops and trousers. As the summer ends have them
      wear these tops more often and gradually swop them for progressively
      heavier material. You can do the reverse in the winter months. This
      way is it is not so much of an immediate change for your child.
           Make wearing a coat fun. Weave wearing a coat into the everyday
      games you play with your child. You could:
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          •    While playing a chase game with your child, grab your child’s
               coat and wrap him it in giving him a squeeze once you catch
               him.
          •    Next time you play a “going to sleep” game with your child,
               have his coat be the comforter.
          •    Try wearing his coat and have him wear your coat.
          •    Put the coat on his favorite characters or soft animals and take
               pictures of them in silly positions.
          •    Make a tent out of your coats and invite your child to play
               with you inside.
                                                           Self-Help Skills       219
At times my child is so absorbed in his own activity that it is hard to get him
away from it so that I can get him dressed.
Go with, rather than against, the activity your child is engrossed in.
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When you move with your child’s interest they will more likely allow
you to dress them. In this case there is no need to move your child’s
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attention away from his activity. You can simply get him dressed
where he is. Let’s say your child is standing at the table absorbed in a
Thomas the Tank Engine book, dress them as they are standing. Use
the Control Protocol (p.000) and let them know they can still look at
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BATH-TIME
Yeah! It’s bath-time! Images of bubble bath and little yellow ducks
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come to mind. Bathtime is traditionally at the end of the day. This can
be useful as it washes off the dirt collected from the day and can have
a calming effect on our children, which helps soothe them for sleep.
You, on the other hand, may feel tired and a little stressed from a full
day. If you sometimes feel too tired to face giving your children a bath,
there are a couple of options for you:
    •   If you have flexibility, you could pick a time of day that suits
        you better. Maybe it would be more relaxed and easy for you
        to bath your children in the morning, or even midday. The
        choice is yours.
    •   If you do not have that flexibility, nighttime being the only
        feasible time to bath your child, then it would be important for
220   AUTISTIC LOGISTICS
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      ahead of time that bathtime will be soon. Then give them a ten-minute
      warning and then a five-minute warning, so that it will not be such a
      surprise when the actual bath time comes.
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           Similarly, if you know you want to get your child in the bathtub
      in 30 minutes’ time, do not introduce an activity for your child that
      is challenging to move him on from. I would suggest that you put
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      all electronics away and do not start a big puzzle or another similar
      activity that your child my want to finish completely before moving
      on.
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it with them will help them take a bath. If you let them bring it with
them chances are they will move more easily to the bathroom and into
the bath.
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Make it fun!
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    •   There are so many bathtub toys on the market right now you
        are really spoilt for choice. Remember to marry your child’s
        motivation with any bathtub toy you buy (see chapter 4).
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      HAIR WASHING
      Hair washing can be particularly challenging for our children for
      numerous reasons. They can be particularly sensitive to different kinds
      of touch on their head and scalp, making the sensation of water being
      poured on their head unpleasant. The surprise of the water being
      poured on their head from a place they cannot see may give them a
      feeling of being out of control, thus their refusal to have their hair
      washed is an effort to reclaim control over the situation. Previous
      experiences of getting soap in their eyes may have put them off the
      whole experience.
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      What harm can come of this? So your child has dirty hair for a while.
      This is not the end of the world. The oils that will be produced by
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      not washing their hair will be nourishing and healthy for their hair
      and scalp. As a society we can over-wash our hair, eliminating all the
      natural oils that are there for a reason. The benefit of doing this will
      outweigh a few days of dirty hair. Giving your child the chance to
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      gain control over this experience will, by not washing their hair if they
      say or indicate no, open them up to exploring and making friends with
      having their hair washed.
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          I worked with Millie a young girl of four who refused to have her
      hair washed. Wanting to give her control, we kept offering to wash
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      her hair in different and creative ways; but if she indicated or said no,
      we respected that and did not push or force her. She refused to let us
      wash her hair for three weeks. Those three weeks reaped big rewards
      in two ways. We were dedicated to giving her control, knowing that
      this was the most useful thing we could do. Knowing that respecting
      her “no” was building a deep trust between us. This meant that we
      had to be more creative in how we went about washing her hair. This
      ultimately led us to the idea of putting a mirror in front of her so that
      she could see the water falling on her head, taking away the surprise.
      This helped her accept hair washing. Giving her this control not only
      led to her allowing us to wash her hair, but also built such a strong
      sense of trust between her and her parents that she started to allow
      them to do other things. Today she is a teenager who takes great pride
      in making her hair look good.
                                                      Self-Help Skills     223
Get creative
Try different ways to wash their hair:
    •   Try using a mirror as in the story above.
    •   You could wet their hair by having them lie down in the
        bathtub. This again gives your child more control.
    •   You could use a jug and have your child watch the water being
        poured over a doll’s hair first and then attempt to pour it over
        their head.
    •   Bring any plastic dolls you have into the bath and wash their
        hair, then ask your child to participate in washing the doll’s
        hair.
    •   Have your special child and their sibling take a bath together,
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        wash their sibling’s hair and have him express delight in the
        process, before you wash your child’s hair.
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    •   Talk through a favorite puppet or figurine; have that figurine
        ask your child to wash their hair. I have seen children be more
        open to responding to requests when they are made through a
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    •   Pour the shampoo into your child’s hand and have them
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        massage it as best they can into their own hair. This would
        give then complete control over the process.
      HAIR CUTTING
      We all have a vision of the way we want our children’s hair to look.
      There is nothing wrong with this, but sometimes somewhere along
      the line we may have put hair cutting into the category of a health
      necessity. Is it really? If your child is refusing to have their hair cut ask
      yourself if it is necessary. Can you put aside your desire to have your
      girl with a cute haircut or your boy to have the more traditional short
      hair? Nowadays it seems that every style is accepted. I see boys with
      really long hair (my 14-year-old nephew has hair nearly reaching his
      bottom) shaved heads, and Mohawks; I see girls with traditional bobs,
      short pixie cuts, and long locks. If you can put aside your ideal vision
      of how you would like your child’s hair to be, in favor of giving your
      child control, it will decrease the amount of stress you both experience.
      This is something that you can let go of.
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           The benefit of your child being willing to have their hair cut will
      mean that it will be less likely to fall into or cover their eyes. This
      will make it easier for them to look at and communicate with the
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      people around them. You may be able to keep it in a style that is easy
      to manage, keep clean, and looking nice, which may help them look
      more appealing to their peers. Giving control by respecting our child’s
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      “no” now, is the path to helping them move toward being willing to
      have their hair cut in the future
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      While you let go of cutting your child’s hair, encourage your child to
      make friends with the process. Below are some fun game suggestions:
          •   Line up some old Barbies, and soft toys and play hairdressers.
              If your child does not interact in imagination games yet, do
              this activity yourself while they are in the room. It does not
              matter if they show no signs of being interested in what you
              are doing. Remember to have fun and enjoy playing, and trust
              that your child will notice your enjoyment.
          •   If your child can interact in imagination games, play hairdressers
              and include your child in the game. Remember that it is not
              about cutting your child’s hair, it is to help your child become
                                                    Self-Help Skills     225
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hairdressing cape and began to explain to Billy that he was going to
help cut my hair he looked a little quizzical. When she produced her
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hair-cutting scissors he ran into the bathroom and closed the door. We
gave Billy complete control, letting him stay in the bathroom alone
for as long as he needed. While he was the bathroom, we made sure
we made plenty of fun noises about having my hair cut. We “aahed,”
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     About ten minutes into the haircut he opened the door less than
an inch and looked through. When we turned to look at him he closed
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          Once your child has made friends with the process and is relaxed,
      start to ask if you can cut their hair.
          •   Begin with just one little snip.
          •   Celebrate them if they allow you.
          •   Wait a few days and see if you can cut two little snips.
          •   Work up from there, cutting more as time goes on.
          •   Once your child is comfortable with you cutting their hair,
              progress to a hairdresser.
      If they refuse to let you cut their hair, give control and know that
      your child needs more time getting comfortable with the hair-cutting
      process. Try again in a couple of days. Keep going with the process,
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      with your persistence and an attitude of letting go. It is most likely that
      in their own time your child will manage a haircut and maybe even
      allow you to take them to a hairdresser.
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      Having your child’s hair cut at a salon
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      pictures so that you can show them to your child while you explain
      in detail what is going to happen. Remember to share this with great
      excitement that they are lucky that they are all grown up and ready to
      have their hair cut in a real salon. As well as explaining, you can act it
      out together. Pretend to get in the car and drive to the salon. Pretend
      that you are the hairdresser and greet your child, get them into a cape
      and sit in the special hair-cutting chair. Pretend to wash their hair, cut
      and dry it. You could even ask the salon if they are willing for your
      child to come in afterhours to explore the salon. That way they have
      a chance to get familiar and make friends with the place where they
      are going to have their hair cut without the stress of actually having
      their hair cut.
                                                       Self-Help Skills      227
   If you find that the smells and the lights of a salon are just too
much for your child, ask if one of the hairdressers will come to the
house to cut your child’s hair. You have nothing to lose by asking.
NAIL CUTTING
Nail cutting is the same process, give control and make friends with
the process. It will also be extremely useful to explain and demonstrate
to your child how the nail clipper works.
    •   Print out your child’s favorite characters from the internet and
        clip their nails.
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    •   Make paper handprints of all the family and have your child
        clip their fingernails.
Once you feel that your child is relaxed with the nail clippers and fully
understands the process, begin to try and clip their nails. Start with the
hand, as it is easier for your child to see what is going on. Again, start
with one clip and build-up to doing the whole hand or foot.
    Try clipping their nails when they are in the bathtub. The heat and
the water make the nails softer which might make it an easier sensory
experience for your child.
228   AUTISTIC LOGISTICS
      ADOLESCENT HYGIENE
      This section is for teenagers and young adults, who are high-
      functioning, meaning that they can hold a conversation, ask and
      answer questions, read and write to some degree. It tackles the self-
      grooming skills of wearing deodorant, changing clothes, cleansing
      their adolescent skin and brushing their hair. I will address these skills
      as a group versus individually.
          Everything I talked about previously in this chapter will be relevant
      for your teenager or young adult, the process of giving control and
      making friends with the process is relevant for each of the above self-
      grooming skills. The difference here will be taking into consideration
      their age and stage in life.
      about how their body changes. Read and discuss these books with
      them, answer their questions and bring up any questions that they
      may have but have not asked. Try your best to do this in the most open
      way, the more your child has real information about what is happening
      the more likely they will be at ease with what is happening.
          Be excited and delighted when discussing the changes that they
      are going through. So often our children are told this information in a
      tight and uncomfortable way, adding to or creating a lack of openness
      and comfort in our children’s view of their own bodies. The more
      relaxed we are, the more likely our children will be relaxed. If you
      are in a family situation where the father can talk to the son and the
      mother can talk to the daughter that would be ideal. Adolescents are
      often more willing to hear this type of information from a same-sex
                                                       Self-Help Skills      229
adult. If however you are a single parent, your openness and comfort
will be enough. I encourage each of you to be the person who talks to
your child, do not leave it up to the school or caring professional as
no one can care for your child as much as you. This way you also get
to pass on your own values to your child.
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things you do so in a fun, exciting way. Explain that these changes are
perfectly normal and wonderful, and a sign that they are growing into
a beautiful woman or handsome young man.
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Growing up is fun
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a teenager or young adult. Let them know that with this new stage
in life comes with new fun self-grooming activities, such as wearing
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deodorant and choosing how you want to wear your hair, even maybe
wearing hair gel. That, now they are a teenager or young adult they
get to choose different fun things at the chemist [AQ] and then they
get to use them on a daily basis.
     Make a special trip to the chemist [AQ] with them to pick out their
new products. Let them have control over what they choose, they will
more likely use it if they feel that they have chosen it. Couple this trip
with a celebratory event marking this milestone in their development.
Maybe it will be a trip to their favorite restaurant or a family dinner at
home in their honor.
230   AUTISTIC LOGISTICS
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      For instance, they could come round and talk about which deodorant
      they use, or what type of gel they use on their hair. It is important that
      it is a person that your child looks up to and identifies with being cool.
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            When your child is clean and doing the hygiene activities you
      want them to, comment on how nice they smell or cool and handsome
      they look.
                           ew
      together, discuss how each person presents differently and ask your
      child how they would like to present themselves. You could do this
      with pictures of your family members, discussing the difference
      between how each person looks, what style of clothes they like to
      wear, whether they are messy or tidy, etc., again asking your child how
      they want to present themselves.
    For all you dads out there, share and model how you enjoy taking
car of your beard.
    Moms, share with your daughter how fun it is to find the perfect
skin cream for your face and how good your face feels afterwards.
    Model how you wear deodorant making sure you smell good
before you leave the house. Model all the steps you do to take care of
your adult body that you previously might not have thought to share
with your child. Now is the time!
   •   Let them bring their ism/stim toy into the bath with them.
   •   Make it fun! Try some of the fun bathtime ideas.
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         •   Make a special trip to the chemist [AQ] so that they get to pick
             out their new products.
         •   Make it cool to be clean.
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         •   Model how you love doing all these new hygiene activities.
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     Chapter 12
Is your child a picky eater? Do they eat only three different food items,
or limit themselves to just one? Maybe it’s a certain brand of chocolate
chip cookie, grilled cheese sandwich, or chicken nuggets only from
McDonalds. Maybe your child’s diet is a little more varied but does
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not consist of a single vegetable or fresh fruit. Does your child have
chronic diarrhea or constipation, or maybe both? If you want to find
a way to introduce new foods into your child’s diet then this is the
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chapter for you. These techniques have helped countless parents help
their children eat not only a varied diet, but also a healthy one.
     Just last week I was consulting with a family whose child previously
                  ew
ate only white bread, cheese sticks, and pizza. They implemented
all the suggestions in this chapter. Now he eats, fish, chicken, beef,
chickpeas, rice, quinoa, broccoli, green beans, tomatoes, kale, onions,
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and loves his fresh “green juice” drink with a dash of lemon juice.
They have seen an increase in his ability to focus and interact. His
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                                                                     235
236   AUTISTIC LOGISTICS
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      in numerous books detailing the effect these two proteins have on
      children with autism. Putting it simply some children with autism
      have a permeable gut, which means that there are tiny holes in the
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      lining of their intestines. The proteins from gluten and casein enter
      our children’s blood stream through these holes. These proteins then
      cross the blood—brain barrier and create morphine-like states in our
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      children. So for our children these foods are like drugs. No wonder
      our children have a hard time focusing and interacting with others!
          Some of you may be thinking, “Wow! All my child eats is wheat
                     vi
      actually craving them like you would any addictive drug. Take heart,
      once you remove these food items from your child’s diet the cravings
      will disperse and they will start to eat other foods! This chapter will
      guide you through how to do this.
      Sugar
      Sugar is thought to be extremely addictive, and is often a major
      ingredient in processed foods. In the early 1800s, the average
      American consumed about 12 pounds of sugar per year. According
      to US Department of Agriculture (USDA) statistics, the average
      consumption of sugar, including corn sweeteners such as high fructose
      corn syrup, increased to more than 150 pounds per person by the year
                                                Introducing New Foods       237
                                         py
is often associated with dysbiosis and an excessive intake of sugar or
refined carbohydrates. Candida overgrowth can cause many common
symptoms including impaired memory and concentration (Truss 1981,
                               co
1984) [AQ].
     Sugar can also create energy high and lows in our children’s bodies.
When working with children who have just eaten sugar, I will usually
                  ew
helping our children focus, interact, and learn new things. Which is
another excellent reason to reduce your child’s sugar intake.
    re
      Go to an autism doctor
      In order to know if your child has sensitivities to gluten or casein,
      or to any other food types, it will be useful for you to consult with
      an autism doctor. One who believes that diet plays an important
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      role in your child’s autism and one who knows what test to use to
      identify any food sensitivities your child may have. One way to find
      out information about who would be a good autism doctor for your to
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      consult with would be to use the numerous message boards online and
      ask other parents who they would recommend and why.
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      AUTISM DIETS
      If you find that your child has sensitivities to certain foods, then
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      eliminating the offending foods from their diet will not only help them
      with their health challenges but will help them open up to the new
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      foods you want them to eat. There is much information about certain
      autism diets on the web and many books written on the subject.
          Below are four of the most cutting-edge autism dietary
      interventions for autism. Each diet is designed to help your child with
      different health issues. I am not suggesting that you put your child on
      one these diets, just that you research and educate yourself and come
      to your own conclusion That way you can make the most informed
      decision for your child.
          •   Gluten-free casein-free diet (GFCF)
          •   Specific carbohydrate diet (SCD)
          •   GAPS diet
          •   Body ecology diet
                                             Introducing New Foods         239
Here is a great website that talks in depth about these and other autism
diets for your child: http://nourishinghope.com
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       with parents online who have put their children on the diet
       will help you be the most educated in its usefulness for your
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       child. Our children are expert on picking up our doubts. If
       they sense that we do not really mean that they will not be
       eating their usual food, they will wait us out by not eating. If
       we have doubts, we will let these doubts talk us into giving
                 ew
       giving our children the food that we know they will eat when
       they are refusing to eat anything else. What we forget is that
       these food are harming our children and are contributing to
       their autism. They do not nourish them. We also fear that they
       will never eat again. Our children may give us their best effort
       to convincing us of this. However, I have never experienced a
       child who has never eaten again because they were put on one
       of the above diets. I have however encountered many parents
       who will give their children the foods that they are craving.
           I worked with a mom of a four-old–year old boy called
       John. He would only eat cheese, fish crackers and chicken
       nuggets, and was extremely constipated. She decided to
       put her child on a gluten- and casein-free diet but was very
240   AUTISTIC LOGISTICS
             scared and concerned about her child not eating. She took
             the plunge and began. Three days later her child had still not
             eaten anything and was lying on the floor listless looking very
             sorry for himself. Concerned that she would give in to her
             fears and give him the food he knew he would eat, she called
             me for support. We talked about her fears that John would
             never eat again, and that she should as his mother give him
             any food he wanted. By the end of the call she had reaffirmed
             her commitment to helping him by not giving him foods that
             were harmful for him even though he wanted them. She also
             held the belief that he would not starve himself forever. She
             emailed me the next day saying that he ate his first slice of
             gluten-free toast that morning for breakfast. Her attitude and
             commitment made a difference. By the end of the first week
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             on a gluten- and casein-free diet John tried ten new foods,
             including cucumbers, lettuce, and green beans, and his eye
             contact had greatly improved. Now those are food types that
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             really are nourishing for John’s body.
                 We want to communicate with our attitude that we really
             are not giving them the old food. Our children need to sense
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            child not to eat. Now educate yourself on the foods that your
            child can eat. Also the different meals and recipes you can
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            create and cook for your child. Below are some web resources
            that will help you with this. [AQ]
                The DVD “Let’s Go Shopping: Special Foods for Special
            Needs ADHD, PDD-NOS, Autism, Celiac Disease & Down
            Syndrome”—will guide you through the shelves of a health
            food store. The mom who created this DVD has a son with
            autism, and her son actually asks for his “green algae drink!”
         3. Get your kitchen ready. Get all the food you do not want
            your child to eat out of the house. If you they are in your
            house, your child will find them and eat them. I have heard
            numerous stories of children finding foods that have been
            hidden in attics and garages. If these foods are not in your
            house, it will also be easier for you not to give them to your
                                         Introducing New Foods          241
    child. This also helps to eliminate any control battles that may
    arise once your child finds the food.
        What about the other members of your household, your
    other children, and your partner? To make this transition the
    most effective for your child with autism make it family-wide.
    Sugar is not healthy for your other children or spouse. I know
    of two great parents who went on the same diet they put
    their daughter on and they both lost 25 pounds. They report
    feeling, healthier, happier, and more able to focus. This is good
    news for the whole family. That does not mean that everyone
    has to go on a total diet, just when they are in the house.
    When your other children are at school or elsewhere they can
    eat what they want. This will also save you from cooking many
    different meals.
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4. Explain to your child why you are changing their diet.
   Let them know the reasons behind these new foods. If your
                          co
   child has food intolerances, they will have had some internal
   discomfort. If they are constipated or have diarrhea, this will
   also be the case. Let them know that the new foods will help
   them feel more comfortable. It is ok if they do not appear to be
             ew
   listening, trust that they are (see p.000) [AQ]. Let them know
   that you are on their side and are doing this to help them.
   My godchild had many food allergies at different stages in
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   her life that have caused her physical pain, as well as physical
   consequences such as diarrhea. Knowing this she has been
re
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           My suggestion to you would be to keep to real foods instead of
      packaged products. If you provide meats, grains, and vegetables for
      your child, it is more likely that they will eat a healthy and varied diet
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      once the allergies are removed from their diet.
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      within their control only. Ever had someone thrust a fork with a piece
      of food on it close to your face with the insistence that you taste it?
              re
they will try the food themselves without my insistence. You may find
that your child comes over looks at it and walks away, again trust them,
    re
it may take them four or five times of looking at the food before they
decide to take a bite. If we get in the way of this process, they may
not try at all.
    Another way is to put a piece of food on a fork and offer it to your
child from a few feet away. Then let them come to the fork and decide
for themselves whether they are going to just look at it, touch it, put
it up to their lips, or eat it. All of these actions are steps in the eating
process. All exciting! All worth celebrating!
      house. This will help your child get used to the new look and smells.
      The more familiar your child is with the food the more likely they will
      investigate it. (Put in study of children taking a few times becomes
      they will try the new food.) [AQ] Having food readily available may
      also tempt them when they are really hungry. I would encourage you
      to make this available food plentiful. Put at least two bowls in the room
      your child is in. The bowls can contain foods such as quinoa, rice (if
      this is permissible on the diet you have chosen), cut-up cucumbers,
      nuts, cooked vegetables, a little cut-up chicken.
           Remember, love the new food yourself ! When you are with your
      child stop every now and then and munch on some of the food. If
      your child has been very controlling around trying new foods, do
      not attempt to offer the food to them, just model how delicious it is.
      If your child is hungry, the combination of available food, you eating
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      it in a tempting way, and having control can be very powerful in
      encouraging your child to eat the new food.
                                        co
      Get creative
      There are so many different ways to cook and present each food. You
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      never know which way your child will like. For instance, I do not like
      cooked carrots but I love raw carrots and there are many more ways to
      be creative with carrots:
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          •   grated
          •   diced in small squares
          •   cut-up in shapes to create pictures like a face or a space rocket
          •   cooked whole
          •   baked
          •   steamed
          •   mashed with a little salt and pepper
          •   sautéed with a little garlic and oil
          •   carrot soup.
                                              Introducing New Foods          245
For a child who has challenges with textures try to offer foods that
only have one texture. For example, a tomato has three textures: the
skin, the pips, and the flesh. If you offer an apple or other fruits, peel
it and take out the pips. The same goes for vegetables. With meats, try
also to make it one texture, cutting away the fats and making sure it is
one color. This may help your child eat the food presented.
     There are many different ways to encourage your child to eat the
same food. Don’t give up! If your child does not eat it one way, try
another.
     Consider ways to make the grain or meat or vegetable tastier.
Sautéing the food adds flavor, herbs and different seasoning can make
the food more appealing to your child. Just because it is healthy does
not mean that it has to be tasteless.
Experiment
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Experiment with how many foods you put on your child’s plate at
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mealtimes. Some children will only eat when there is one food type on
a plate. If there are more than one, they refuse to eat. If your child has
challenges with textures, this will probably be the case.
                 ew
    Print out pictures of things that your child really likes and put
them on the plate next to the food. This could encourage your children
to come over and start investigating the food.
           vi
    Let them get up from the table and run in-between bites. Often our
children have to move; if we put them in a situation where we do not
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allow them to move, they may reject the food, however hungry, just
so they can leave the table and move. If you let them get up and run,
you may just find that they come back in a few moments for another
bite. Moving can aid in digestion, for some of our children who are
having digestion issues they are probably taking care of themselves in
the most amazing way.
    You might be thinking: “But then how will he ever learn to sit
and eat at the table?” Let’s work on one thing at a time. Let’s first help
them eat a healthier diet; once we have done that, we can work on
helping them to sit and eat at the table.
    Sometimes sitting down beside your child while they are isming/
stimming and letting them know that they can carry on with what
they are doing and that you are just going to help them eat, works
wonders. After you have explained what you are going to do, gently
246   AUTISTIC LOGISTICS
      put the spoon or fork up to their mouths and wait for them to open
      their mouths. You can also gently say, “Open your mouth so I can help
      you eat this yummy food.” If your child does this, then proceed and
      feed them this way; if they do not, or push you away, give control and
      do not force-feed them in any way.
          Examine your family mealtime from a sensory perspective. If you
      have a big family, chances are that it is loud and over-stimulating for
      your child with autism. If this is the case, consider the idea that your
      child is not ready to thrive during family meals. It may be easier for
      your child to concentrate on eating their meal if they are in a non-
      distracting environment. I would suggest that you give your child their
      meal before the rest of the family. In the kitchen with just you or
      your partner, or in another room in the house. Close the door of the
      kitchen or room so that he cannot wander all around the house. In this
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      smaller and quieter environment you will be more able to concentrate
      on helping him eat.
                                       co
      Bring the new food into playtime
      Get a little loose with what you can do with food. The more your child
                           ew
      touches and interacts with the food, the more comfortable they will
      become with the idea of eating it. Below are some ideas for you to try.
      Remember to modify them to suit your child’s motivations.
                    vi
          •   If your child likes trains, you could pretend the vegetables are
              passengers waiting to board the train.
              re
          •   You could also pretend that the vegetables are cargo being
              dropped of at different stores.
          •   You could attach a balloon to paper food parcels making hot
              air balloons that land on your child’s plate.
          •   If your child likes to draw, cook some carrots and beets and
              use them as vegetable paints or crayons.
          •   Juggle with grapes or berries or apples.
          •   Have your child’s favorite characters dive into a bowl of quinoa
              to save an animal from drowning.
                                                   Introducing New Foods    247
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around eating to fade away. That’s when the eating can begin.
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TROUBLESHOOTING
My child will sometimes refuse to eat even the food he likes.
I have worked with many children who once they have gone without
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food for too long will reject all offers. Sometimes our children are
unable to tell us that they are hungry, or maybe do not recognize the
feeling of hunger inside themselves. This can affect their blood sugar
             vi
levels and they can begin to get very lethargic, or they can shut down.
One way to help a child eat under these circumstances is to spoon
     re
food into their mouths while they are involved in another activity.
They may be stimming/isming by flipping pages in a book, drawing,
or lining up letters. While they are doing this, quietly sit beside them
and without interrupting their activity feed them. Of course, we
would still give them control and look for permission. After you have
explained what you are going to do, gently put the spoon or fork up
to their mouths and wait for them to open their mouths. You can also
gently say, “Open your mouth so I can help you eat this yummy food.”
If your child does this, then proceed and feed them this way; if they
do not, or push you away, give control and do not force-feed them in
any way. Most times I find that a child will allow the food if they can
concentrate on something else. This helps to get food into the system
and bring balance to their blood sugar.
248   AUTISTIC LOGISTICS
      My child will only eat pureed food. How do I get him to eat solid food?
      This could be a combination of a sensory challenge and the autistic
      challenge of dealing with change. The key here would be to slowly
      increase the consistency of the food toward solid food. Going straight
      from pureed food to solid or lumpy food is too big a jump. Increase
      the thickness first without making it lumpy. If your child allows this
      then, slowly make it lumpy and work from there.
          If your child only eats pureed food and has shown no ability to
      chew, it may be because of low muscle tone in the mouth. If this is
      the case, there are many exercises that you can do with your child to
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      increase the muscle tone of his mouth. The idea is to get the mouth
      active and build-up stamina in the muscles, that way your child will be
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      able to sustain the activity of chewing. Some ideas:
          •   Have fun blowing musical instruments. The lip whistle [AQ] is
              a great toy as it makes a noise if you blow in or out. You can
                            ew
              also have fun with the penny whistle, kazoo, and harmonica.
          •   Encourage your child to drink through a straw.
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          •   Have a race to see who can blow a tissue paper ball through a
              straw into a goal the quickest.
              re
                                  py
    ºº Explain to your child with autism his new diet and why it
       is going to be so great for him.
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    ºº Explain this new diet to the whole family and the benefits
       for them.
•   Keep it to mostly “real” food, by avoiding packaged foods as
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    much as possible.
•   Give control when introducing new foods.
       vi
•   Love the new foods! Model eating them and how yummy they
    are.
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Autism Micro Tutorials: Bite sized Son-Rise Program® Techniques by the
Autism Treatment Center of America (DVD)
                              co
Games4Socialization: Using the Son-Rise Program® Developmental Model by
the Autism Treatment Center of America (DVD)
Breakthrough Strategies for Autism Spectrum Disorders by Raun K. Kaufman
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(DVD)
Inspiring Journeys of Son-Rise Program Families (Free DVD)
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      REFERENCES
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Cespedes, E.M., Gillman, M.W., Kleinman, K., Rifas-Shiman, S.L., Redline, S.,
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Dworak, M., Schierl, T., Bruns, T., and Strüder, H. (2007) ‘Impact of singular
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     excessive computer game and television exposure on sleep patterns and
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Fleischmann, A. (2012) Carly’s Voice: Breaking Through Autism. New York, NY:
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Gais, S., Lucas, B., and Born, J. (2006) ‘Sleep after learning aids memory recall.’
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Higashida, N. (2013) The Reason I Jump: One Boy’s Voice from the Silence of Autism.
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Kaufman, R.K. (2014) Autism Breakthrough: The Groundbreaking Method That Has
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Kern, K., Trivedi, H., Garver, C., Grannemann, B., Andrews, A., Savla, J., Johnson,
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Mehrabian, A. (1972) Silent Messages: Implicit Communication of Emotions and
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Rosenthal, R. and Babad, E.Y. (1985) ‘Pygmalion in the gymnasium.’ Educational
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           References   255
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