exceptionalgallery

                    

         See What We Can Do, Not Focus On What We Can Not Do.

CA

Therapies Sharing I

* Puberty Nightmare  *奇蹟後所面臨的挑戰 (BEP) * Challenge from Miracles (BEP) 

 

 

 

Puberty Nightmare (2001)

<published in FCSN Newsletter>

 

At the beginning of 1999, exhausted by the last twelve months of VH's intensive skill therapy, I asked his teacher which class would be the best to drop in order to reduce my own day-to-day burden.

The teacher said that the complete set of classes is the reason for the miracle of his increased awareness of the outside world. Dropping any of the classes might stop the miracle. So, the miracle is indeed very expensive in every aspect! To keep the miracle going, I was determined to suffer through the experience!

 

However, something happened: VH entered puberty in 6/99.

I have heard distressing stories about the changes to special need kids when they enter puberty. I kept crossing my fingers wishing this date might never come! However, the day did come, VH developed early and entered puberty at 11and half years old!

 

Since starting puberty, his attitude began to gradually change, despite my self-denying the fact. Here are some examples of the changes:

1.      In 7/99 his attitude toward orders/commands went from bad to worse. The Marble Award System worked only

         when he was in a good mood.

 2.     His language capability started to deteriorate.

   -    He began to bark at anyone who tried to talk to him and was back to saying "NO!“ without explaining why.

   -    He used to try hard to express himself despite his language problem but, starting in 8/99,  he was back to crying

        and screaming instead of using words when he was not  happy.  

 3.     Starting in 8/99 he lost his smile.

         He used to be a happy child with constant silly laughing.  He no longer cracked even a smile.

         This was very sad for me.

 4.     In 9/99 it was noticeable that his physical strength was improving, he no longer had weak muscle tone. And he

         seemed to somehow understand he was stronger because he started to hit anyone who made him unhappy.
       

He started hitting his older brother and his father, who hit him back to try to teach him not touch them anymore. Then, he discovered that his 4 year old little sister to be a good punching bag too.

The frequency and strength of his hitting increased. And he would try to hit her as soon as he saw her. When I, his mother, stood in front of Wendy to protect her, he hit me instead. His punches got stronger and stronger and was getting to the point where he could do real damage, especially to a 4 year old.

 

There seemed no way to deter his behavior. To prevent him from hurting her, I had to get help from his big brother to make sure that either his brother or I were always near him when both he and his sister were at home. To protect his sister and in an effort to change his attitude we put some rules in place: 

-  If he tried to hit his sister, either one of us would stand in front of his sister to take the hit from him.

-  When he hit us, we scolded him instead of hitting him back.

-  If he continued hitting us after scolding, we would use techniques learned from Kuk-Sul martial art class to stop him. 

    He knew he could not fight us because we were his coaches during the class!

-   In this stage, he usually cried for very long time to vent his frustration.

    We could do nothing to stop his crying, and had to sit through his crying left with the feeling that we were ogres!

 

Under these circumstances, I realized that I had to take action before a tragedy occurs.

-         I notified all of his teachers of the private lessons that I might have to give up the classes if his violent behavior
      carried over into the lesson time!

-        I kept calling Teacher Cheuong in FCSN for help.

-        Putting him in an institution is not an option I would ever take.

-        I had considered putting him under medicine control but that is just another form of giving him up.   
     Medicine might turn him into a vegetable or there may be more horrific long term side-effects! 
    
However, with his sister's safety in danger, it might have been the only option I had.

 

Ms. Cheuong advised me to request the help from a behavior specialist. Mr. Mike Wilson, from San Andrea Regional Center. Between 1/00 to 5/00, Mr. Wilson gave me a lot of useful advice. The following actions/reactions are effective with him:

1) Reduce his classes to the minimum maintenance level.

2) I set up a Marble Award System for him on 8/99 and had been gradually raising the bar for his awards to wean

    him off the system. 

    Mr. Wilson told me not to do this, and suggested a change of strategy:

    Whenever he did the work, give him a marble. No matter how small the effort was, if he is trying, then award him.

3) Combine the Behavior Controlling list with Marble Award System. he will get 3 extra marbles if he did not yell or

    hit people that day.

4) Behavior Award System.

    If he earned 10 good behavior tickets in a week, Mr. Wilson would take him out to buy one item he loves

    at the end of that week.

5) He has to describe the activity orally to get a marble. As long as he tries, he gets a marble.

6) Set up prize center.

    He can get one prize for a full cup of marbles. He can pick up any prize from the store and put it in the prize

    center I set up for him at home where he can admire them as much as he wants.

7) Relax the homework from his therapy sessions. 

    It used to be a requirement to complete all homework each day,  now it is optional. There is no way to make him do

    his homework anyway!

   With the above actions in place, he became more manageable but still had a lot of bad days, i.e., he was not
    controllable

 

By accident, I found out that he behaved better whenever he played the piano from 45 minutes to one hour every day.

         With the addition of piano playing, his violence and bad behavior became more under control stating in 3/00.

         For almost two years his piano skills were the only improvement, there was little improvement on his other
      evelopmental skills.

 

With his academic developmental skills seemingly in a frozen state, I decided to work on his social skills. Based on what I learned from Dr. Lee's speech, combined with the book she recommended, I set up play date for him.

-   I asked two very nice boys in my neighborhood to do play dates with him for 6 months in 1999. The result was
    disastrous for these reasons:

-  His speech ability was too low.

    His speaking ability was only around that of a 2 year old and he comprehended at about the 5 year old level.

-  The boys did not have knowledge how to play with him.

    Despite their good intention, the two boys had a hard time engaging him in play.  They were too young to

    understand why he did not respond to them and they became  frustrated!

 

With no way to express himself, the boy's frustration caused him to lose his self-confidence! He usually enjoyed playing with others, but, after the play date failure he refused to be social, preferring to be alone instead.

 

Since the play date experiment with the same physical age group turned out to be a bad idea, I made these adjustments:

 -  Researching for books in training conversation skill I found two books, 'Side By Side', which contain some excellent

     ideas and methods in training Van-Hai's conversation skill.

 -   It is import to get a person with the same mental age as he to do the play dates with.

    * It is a wonderfully coincidental that we have a 5 year old talkative child at home, Wendy, who needs a lot of attention.

      She is the perfect fit for the job.

 

But there is a caveat, he hates to be a charity receiver! 

         If I told him to do a play date with his sister, he would get very upset.

         So I told him to be his sister's baby sitter! 

         The agreement is that he does not have to do homework and he can get a marble if he baby-sits his sister. 

So, in 4/99 he became his sister's  baby-sitter and his sister became his playmate.

 

The moral of this whole story is to be open for new ways to help him.

 

Thanks to Mai-Lin who persuaded me to see Dr. Marinkovich where I discovered he has many allergies.

With the doctor's suggestion, I started a brand-new regimen of treatments and diet control in August, 2000. 

With various experiments on diet control, he stopped his violent behavior in January, 2001.

He once again became a nice natured (although still no smill) child by 4/2001.

 

                  奇蹟後所面臨的挑戰 (BEP)

 

        Challenge from Miracles (English Version)

 

17歲自閉症的兒子, 是從1998(10)12月份開始做技能治療, 2000 (12)開始做飲食的治療. 我是一位職業媽媽, 除了上班, 還需要幫他做治療. 這是非常辛苦的工作, 因為我必須持續不斷幫他做治療, 我不能忘記時間, 任何一件事, 也不能犯錯 所以, 我是沒有休息和輕鬆的時候.

 

我舉兩個例子:

  1. 我如果忘了按時給他吃藥, 打抗拒對食物及環境過敏的針, 他會在用餐之後的兩個小時開始煩躁不安, 無法進行任何的溝通, 直到回復飲食治療為止.
  2. 假若我沒按時做技能的治療, 一個禮拜之後, 他就會忘記了他新學的技能.

 

他的社交能力非常的差, 2000 (12), 4年的時間, 他說話和理解的能力停留在5歲孩子的階段, 我絞盡腦汁也無法找到任何的方法來改進他的能力, 至於他自己, 他也是非常的努力學習, 但是沒有任何進步, 他自己也感覺有很大的挫折, 我深深體會到, 除非他的腦部有奇蹟式的改善, 否則他將永遠無法脫離自閉症的問題.

 

在此我要特別的謝謝BEP04009 的媽媽, 2004年底4月時告訴我有關優質大腦計劃的資料, 聽來似乎優質大腦計劃能改善腦部的功能, 這是我一直在尋求的奇蹟.

 

2004714, 我兒子(經過測試他的腦部功能平均值比較低)開始了優質大腦計劃保養的計劃, 在兩次的治療後, 我是又驚訝又快樂, 因為他不需再使用飲食的治療, 換句話說, 他可以去任何地方, 吃任何東西, 而沒有敏感的徵兆, 除此之外, 他在技能方面有明顯的進步, 這些進步是我一直在祈禱的.

 

例如:

  • 他不需要提示, 就可以用不止一個句子來表達自己.

 

  • 在面對情況改變時, 他可以接受理由說明, 而不會感到煩燥不安.

 

  • 能聽講故事的錄音帶, 也會看些漫畫書.

 

  • 他有興趣去觀察其他的小孩子.

 

  • 不再亂發脾氣.

 

  • 能保持平靜的心, 去接受很多的更正.

 

  • 他懂得幽默, 看到男孩子走錯到女孩子更衣室, 會覺得很好笑.

 

  • 2個月的優質大腦計劃治療後, 他能適當的回答問題.

 

  • 他可以立即使用口語方拼出4個字的單字, 在嚐試5次之後, 他可以拼出5個字的單字.

 

  • 在三個月治療後, 他的身高長高了2.5 .

 

 

就整體而言, 我覺得他就像一朵初放的花朵, 這是我從來不敢夢想的改變. 但是, 當我把他和其他做優質大腦計劃密集式治療的小孩比較, 他的進步沒有其他的小孩快. 所以我讓他在 20041027 2005216日參加了優質大腦計劃密集式的治療, 他再次的表現出明顯的進步及改善.

 

在語言方面:

·   在前兩個月, 他由訓練出來的句子縮減成自發性的單字, 但用字比過去的恰當. 兩個月後, 他可以使用自發性的句子, 而且說的比過去好.

 

行為方面:

·   他拒絕別人用特殊孩子的方式對待他 (命令式的方式). 在他同意做任何事情之前, 他要求給他所有的理由, 時間和計劃.

 

社交語言:

·    他從零歲進步到三歲的功能, 以前, 他是答非所問, 或不回答, 現在可以簡單合適的回答.

 

閱讀能力:

·    由三年級的程度進步到可以開始做到四年級的功課.

 

算術

·    算術的理解能力, 過去他四年一直在做一個步驟的加, , , 除混合運用題, 目前已經突破瓶頸, 開始學習下一步的課程.

 

週圍環境

·    他對四週環境的人, , , 更注意

·    他變得很敏感, 他很容易受到無知的人和喜歡欺負別人的人所傷害.

 

同時他開始搜尋舊的記憶:

·    在當他遭遇一件事, 他會想到幾年前發生的情況.

·    他能將目前的事件與過去經驗連串起來.

 

從外表看來, 所有的事情是很好的, 但事實, 我卻必須面對極大的挑戰, 因為, 他已經17歲了, 他的生活, 習慣和行為都是建立在低功能的階段, 雖然他現在有很大的進步,但他卻很難接受以下的改變:

 

  • 同樣的一件事, 過去是得到很多的讚美, 為什麼現在變成不夠好?

 

  • 為什麼我現在要做更多, 而且更難的功課?

 

  • 為什麼我現在的行為要和一般正常的孩子一樣, 但以前不須要?

 

  • 他開始拒絕獎勵方式, 而寧願做自己要做的事.

 

  • 他經常半夜起來看電視, 因為父母都在睡不能阻止他.

 

  • 他有一些錯誤解釋的長期記憶, 我們經常為此而爭執.

 

  • 他想和其他人一樣上大學, 但他不夠努力用功唸書.

 

  • 他開始拒絕做功課, 直到媽媽很生氣.

 

  • 每次媽媽要求他做功課, 他總是推三阻四的找各式各樣的理由不做.

 

我經常感到很挫折, 不知如何處理他才對我需要一些指導以及調適來面對這新的年青人目前我對待他, 像對待一個六歲的小孩, 有著不合適的記憶, 而他就像一個地雷一樣, 讓我感到疲憊!

 

我用以下兩個方法和我的兒子一起面對挑戰:

 

·    我需要很大的耐心去聆聽他表達他自己的想法.

表達對他而言, 是新技能. 他需要極大的努力才能表達他自己, 另外, 我還需要揣測他的想法, 這就是我得以探知他舊有記憶的一些錯誤的認知, 經由聆聽, 以及耐心的揣測, 我才知道他真正得需要.

 

·    我告訴及解釋給他聽, 為什麼有些事必須用某些方式去做.

如果他不同意, 我會告訴他在正常的環境下會有如何的後果; 如果他還是堅持己見,則讓他去做, 並以對待正常小孩的方式, 讓他開始面對應有的後果, 我不會保護,除非預知後果會造成重大傷害.

 

我想只有在我的注視下, 讓他自己學著如何面對新的環境, 是唯一能讓他成長的方式,雖然, 我面臨著許多的挑戰, 但我還是非常的慶幸, 看到我的孩子終於有一個充滿希望的未來.

 

Note : The Brain Enhancement Program (BEP)

          imporves a child's learning capabilities by

          improving the integrated functions of the

          brain neuron systems. 

 

 

  Challenges from Miracles(BEP)      

                                    By JS Tarng  5/20/05

My 17 year old autistic son started skill therapy 12/1998 and began diet therapy10/2000.  Working full time and maintaining these sessions was extremely stressful because the sessions were continuous and required me to be sure I did all that needed to be done. I could make no mistake or forget anything. Subsequently there was no possibility of a break. No time at all for me to relax or rest.

 

For example:

·         My son has bad allergies triggered by certain foods and by the environment. If I forget to follow through on the diet therapy (enzyme) and allergy shots, he becomes irritated about two hours after a meal and all communication with him stops. He just shuts down and does not recover until the diet therapy is back on track.

·         If I fail to follow through on his skill therapy, any progress he had made fades away after only a week.

 

His social skills are poor. His comprehension and speech ability has stayed at the 5 year old level for four years, since 2000. I had drained my brain and could not figure out or find any method to improve his abilities. For his part, he tried very hard but made little progress and was extremely frustrated with his lack of ability. I realized there was no way for him to get out of autism unless there was some sort of dramatic improvement of his brain power.

Then, thanks to mother of BEP04009 case, something did happen. She told me about the BEP program in April, 2004. It seems the BEP can improve brain function and is exactly the miracle I had been looking for. On 7/14/2004, my son, whose brain function is low, started the BEP maintenance program. After only two sessions of BEP I was very surprised and extremely happy that he no longer needed to continue the diet therapy he was on. This means he can eat anything and go any place without having allergy problems. Besides the cure of allergies he has started to show amazing improvement in his skills. These were the dramatic changes I had been praying for: 

·         Expresses himself using more than one sentence and needs no prompting.

·         Accepts the reasons why a situation may suddenly change and not nag me to death about it.

·         Listens to the talking tapes and reads his comic books.

·         Observes other children with interest instead of indifference.

·         Does not get unreasonably mad.

·         Accepts numerous corrections and works until he perfects the instructor’s lessons, all the while he holding his temper.

·         Thought it was funny when a boy inadvertently went to the girl’s rest room. He recognized the humor.

·         Expresses himself well instead of saying nothing when someone might suddenly ask him questions. (After 2 months treatment)

·         Can orally spell 4 letter words immediately and 5 letter words after five tries, something he could never do before.

·         Grew 2.5 inches after 3 months’ treatment.

Overall I felt he was like a flower blooming in front of my eyes. This was the change I had been dreaming for and never dared to hope for. But when I compared his improvements with the other children, I felt his improvements were not as fast as some of the other children under the BEP intensive treatment. So, I put him in another BEP intensive treatment program (10/27/04 to 2/16/05). Again, there are some amazing changes:

·         Speech
His spontaneous speech seemed to condense from sentences to words for the first two months, but the words better described the situation. After two months, he returned to using sentences with more sophistication than before.

·         Behavior
He refuses to be treated like a special child, following orders without reasoning. He requires all the reasons, timing and schedule behind all activities.  

·         Social language
Improved from nothing to a 3 year old level.

·         Reading/language skill
Exited 3rd grade level. He has ability to start 4th grade level.

·         Reading comprehension
Exited 5 year old level. Starting at 6 year old level.

 

·         Math
His math comprehension exited from the old level, where he stayed fours at the same level, to the next level. He can do straight calculation questions, which can be multiple numbers, but he cannot do questions requiring two steps nor can he choose several numbers out of list of numbers. I guess this is caused by his poor (but improving) reading comprehension level. 

 

·         Environment and people
He is more aware of his surroundings and the people around him. He is sensitive and, sadly, gets hurt easily by bullies and people’s ignorance.

 

·         Old memories
When he encounters an event or item now that he had run into several years ago, he can relate the current encounter with the historical one. 

 

Everything looks rosy from an outside point of view. But in fact, I face tremendous challenges because he is already 17 years old and has a set of routines and habits developed based on his low level of capabilities. Although he has a greater ability, he has hard time accepting some of the changes: 

·         Why is it not good enough now but it was excellent before?

·         Why does he need to do more homework and more difficult homework than before?

·         Why does he have to behave like a normal person now when he did not need to before?

·         He refuses the award system, preferring to do what he likes.

·         He wakes up at midnight to watch TV knowing his parents are asleep and cannot stop him.

·         He has some old memories buried in some place with his own incorrect interpretation. We had fights over them.

·         He wants to go to college like other people but he is not working hard enough to reach the goal.

·         He refuses to do homework until mom starts to yell.

·         Every time mom asks him to do something he dilly dallies and comes up with tons of reasons for not doing what is asked.

Very often I feel very frustrated and unsure how to handle him. I need some kind of a guideline on how to deal with this new young man. Right now, I treat him as a 6 year old boy with an unsuitable age level memory (like a buried bomb). I feel exhausted dealing with him! I have been using the following two methods to work with him, and my son seems reasonable so far.

-          Listen carefully to what the young adult has to say.
It requires tremendous effort and patience to get the young adult to talk about what he/she really wants because it is a new skill for him/her to express properly. In addition, the parents need to read between the lines. In this way, the parents may learn that the young adult has some misinterpretation of the old memories that have just surfaced and the parents, reading between the lines, can now help the young adult with what he/she really needs or wants. 

-          Give the young adult the facts of why he/she has to do things in certain way.
If the young adult does not agree, tell him/her of the consequences in the real
environment. If the young adult still insists on doing his/her way then let him/her learn the real consequences. Do not shield him/her from the damage, unless, of course, the consequenses may injure someone. Learning the hard way, under the protection of the parents, might be the only way for him/her to learn. This scheme is much better than what he/she might encounter without the parent’s guidance and protection.      

 

Although I have to face many challenges arising from the miracles of BEP, I am still very happy to see my son have the promise of a new and better life!

 

 Note: The Brain Enhancement Program (BEP) 

            improves a child’s learning capabilities by

            improving the integrated functions of the brain

            neuron systems.

 

 

www.exceptionalgallery.com All rights reserved.

 

CA