Saturday 24 July 2010

Further Reading

T and I have been a bit slack about watching films about autism lately, but I've been cranking through books on the subject. I go on Amazon to buy a particular title and due to their fiendishly effective recommendations widget, after I buy one I end up buying half a dozen more. I now have several shelves of autism-related stuff, most of which I don't have time to actually read, between work, helping D with the kids, and other commitments. But it's somehow reassuring to own them.

They fall into roughly three categories: self-help advice books, non-fiction memoirs, and fictional books about autistic characters. Of the advice books, I've lately bought two different ones about toilet-training and two on working with food issues. One of the books on toileting is called, I shit you not, "The Potty Journey." What is it with autism and the word "journey?" I'm growing to hate this insipid, self-important word, which also happens to remind me of one of my least favourite 80s Californian power-pop bands, so regrettably revived of late by "Glee."

Like so many advice books for parents of autistic kids, "The Potty Journey" looks like it was designed on a home-publishing programme with too many breakout boxes, scary-looking charts, heavy-line faux-naif illustrations, and cutesy, quasi-comic fonts. The reader is constantly advised to keep a journal of all the autistic child's wees and poos and the times of the day they occur. (We also have to keep a journal of R's more autistic behaviour in general for his statementing application. He will be the most documented child in East Anglia soon.) How can I ever have a dog and keep up all this recordkeeping too?

I've sort of skimmed over the ones about food issues, but basically the advice boils down to: 1) be patient, 2) keep making new stuff, no matter how discouraging it is when they reject it, and 3) don't get too worked up about it, they won't starve. Which is true, R isn't starving and even though it's a pretty limited diet it is a fairly balanced one. Having said that, we're very worried that all our local supermarkets have stopped stocking Plums' Spinach, Parsnip and Basil puree, which is nearly the only vegetable dish he'll eat. T is having his PA investigate buying a thousand pots of it to keep in storage in case they discontinue the line.

Two of the memoirs I've read recently were excellent, and I recommend them to anyone who might be reading this blog with a kid with autism. The first, "Joe: The Only Boy in the World" by Michael Blastland, is by the parent of a little boy, the titular Joe, who's clearly a much more severe case than R. Joe barely speaks, will only eat Sainsbury's Spinach and Ricotta Tortellini, and is so obsessed with children's videos he breaks out of his house and goes storming into neighbours' homes if he's had even a glimpse of a video he wants to see. Author Blastland, Joe's father, explains how Joe even got himself hit by a car while on one such quest, which led them to homing him in a residential special school because they just couldn't cope with him anymore.

But the pain and suffering are less the issue in the book than Blastland's very considered, coolly reflective contemplation of how Joe's difference forces us to consider what being human is, from a philosophical, psychological, and even evolutionary point of view. Here's a sample:

"The events in his life are sometimes mortifying, sometimes comical, poignant or weird, but above all for me now, they are fascinating. Fascination is one of the great consolations of this life of his, otherwise so frustrating, and I prefer that kind of consolation to pity; but thinking about Joe's uniqueness pays doubly, with a deeper understanding of all our humanity than I could ever achieve by dwelling on my own.

What makes him fascinating? In part, seeing what we have in comparison to what he lacks. He makes much that we take for granted appear suddenly luminous, and we see equally starkly where we would be without it. As one eminent researcher put it, Joe's condition teaches us 'nothing less than the people-ness of people.'

As the sample above suggests, Blastland also writes beautifully, and I felt continually humbled by his graceful, darting prose while reading the book. Now a producer for a Radio 4 programme, Blastland obviously studied philosophy or psychology at university and the training shows. In the end, it's much less a misery memoir than a sui generis essay on the nature of consciousness, told through the prism of one parent's love for his strange, enigmatic child.

I also recently loved and read "Send in the Idiots: Stories from the Other Side of Autism," by Kamran Nazeer, who was himself diagnosed as autistic at a young age, didn't speak until he was three years old, but now is a policy advisor and civil servant living in the UK. I'd quote a chunk but I lent my copy to N, R's one-on-one teacher, to read over the summer. Suffice it to say, it's also brilliantly written, and also very funny in places.

The deal is, Nazeer went to a special nursery in New York City when he was very young with other children with autism. Now grown and with a strong desire to find out what happened to his former classmates, he looks them up four of them. One has become a successful computer programmer who often talks through puppets and has a violent temper. Another is a bike messenger in Manhattan, who has a complex relationship with his male lover who over-fetishizes his autistic lover's gifts, throwing up all sorts of fascinating material about how neurotypicals sometimes romanticize the autistic. Another schoolmate has become a speechwriter, and he and Nazeer become good friends although he illustrates how difficult friendship is even for high-functioning people with ASC. Finally, one former classmate, a girl, has committed suicide and Nazeer visits her parents in a quest to understand what went wrong for her.

I can't recommend Blastland and Nazeer's books more highly – both great reads, both intellectually stimulating as well as emotionally compelling. The fiction I've read recently is much less impressive. I've two recently, both perhaps not by coincidence murder mysteries, both by Americans, and both about single-parent families. One was called "Eye Contact," by Cammie McGovern who according to her author's note has an autistic child herself. In it, single-mother Cara (you never learn how she supports herself, which bugged the shit out of me) has a son named Adam who apparently witnessed the murder of one of his schoolmates, so she and the cops struggle to get clues out of him although he's barely verbal.

The other book I read was "House Rules" by Jodi Picoult, because someone offered me 50 quid to review it, knowing I had an autistic kid. In this one, the autistic person is a teenager who -- because of his inability to make eye contact and a bunch of circumstantial evidence -- becomes the main suspect when his tutor is murdered. Picoult, who writes these big airport novels you always see fat women reading on the beach in the summertime, clearly did her research, but fucking hell it was a grind to read. I guessed the twist by page 200 (it's like 500 pages long) and then slogged through to the end in the interests of journalistic ethics.

I found in both books the need to paint mothers of autistic kids as ferocious, brave lionesses rather annoying, smacking of flattery, self-flattery in McGovern's case and of subjects interviewed in Picoult's. I was also deeply annoyed to find both books trotting out that old, deeply discredited theory that MMR vaccinations may have triggered autism. It's just simply irresponsible to keep printing this rubbish. Also in both books, the autistic kids are on gluten-free, casein-free diets which the Americans seem to be obsessed with as the cure-all for autism, although there's very little evidence they work at all. But I suppose it's a good thing popular fiction is making the condition better known and understood for a mainstream audience. I just wish people read more books like Blastland and Nazeer's.



Pets

Like a lot of amateur bloggers, I sort of lost momentum, and real life, in the shape of a big bunch of work and travelling, intervened. Now the itch is back. I’m staying home until August, and it’s been good to hang out with the family for a change instead of a lot of twitchy, harassed journalists. T and I had a lovely time travelling abroad together in June – I went for work, and he took an opportunity to sunbathe fairly guilt-free for a week.

The kids coped pretty well at home with D while we were gone. We Skyped them a bit, and R got a bit upset sometimes when we had to sign off (“no no no no no no…” he says heartbreakingly every time I say I have to go now), but little E seems to take it in her stride. The other day is a case in point. D and the kids drove me to the local train station so I could come up to London for 24 hours. I leaned through the car doors to give each a kiss goodbye and R, spotting the overnight bag, immediately twigged I was off for some time. “No no no no no no…” he pleaded, interspersed with little shouts of frustration, nearly making me cry. E, on the other hand, bossily instructed me to close the door and waved cheerfully. “Bye bye, mummy!” she said happily. Later, D asked her if she knew where her parents were. “In London,” she said. “What’s daddy doing there?” asked D. “Working,” said E. “What’s mummy doing?” “Shopping.” Little tyke’s got my number.

R turned three at the end of June, but we didn’t have a birthday party because we had a big naming day party planned for the middle of July. So for his birthday, I made a chocolate cake (roughly equal proportions of cake and frosting, just the way he likes it). He’s totally sussed the blowing out the candle trick. He’s also worked out how to tear wrapping paper off presents, and looks avariciously at every new, brightly wrapped parcel. T’s parents got him an electronic drum kit, which E, a little Karen Carpenter in the making (hopefully without the eating disorder) commandeered straight away. Naturally, he liked the remote-control car I got him the most.

R is going through a mildly aggressive phase at the moment, with me mostly. He’s really cut down on hitting or kicking his sister, and hardly ever thrashes at adults, but he bites me a lot, either when he’s excited and wants to play, or when he’s cross at me manhandling him into his chair for meal times, or trying to put his nappie on, or for just making him do anything he doesn’t want to do. I try to put him in the naughty box or make him have a timeout every time he bites me, as advised by FAE, but sometimes there just isn’t time.

Also, I’m starting to wonder if he’s getting too big for manhandling. If he doesn’t want to do something – like eat – perhaps we should just let him decide. In fact, we’ve had some successes in letting him set his own agenda a bit. During one breakfast he refused to eat and kept insisting on being allowed to get down from the table. Finally we gave in, and 10 minutes later he decided that, as breakfast was waffles that day which he loves, he did want breakfast after all.

He’s also getting better with animals. We went to some posh people’s house so T could play in a cricket match, and there were two spiky little terriers there. R immediately waded in and started giggling maniacally while trying to kick them. I think he thinks they’re big cuddly toys and he likes to see them move, so he kicks them, not getting that that hurts them because of his problems with empathy and theory of mind. Finally one had enough and jumped at him, barking madly, just when my back was turned for a second, no doubt after some kind of provocation from R. I think it may have nipped him, but we couldn’t see any bite afterwards. R screamed hysterically. T and I tried our best to console him (which took a while) but we were both secretly hoping he’d learned a lesson to be a bit more careful and wary of dogs, especially ones he doesn’t know. Strangely enough, ever since then he’s been more cautious around them, but thankfully still takes just as much delight in watching their antics.

We had to put our beloved cat Kylie down about a week ago. I ushered the children in to say goodbye to her before we took her for her last ride to the vets. Even then, R tried to bash her to make her move, which broke my heart in all sorts of ways. E, by way of contrast, was very nice to her and said, “Bye bye Kylie!” in a very sweet, solemn voice. I’m not sure if we’ll get another pet for a while. I think it’s best to let R grow up a little more first. Everyone seems to think we should get a dog and that that would be the best choice for R. The thought of walking the thing every day fills me with dread, because I’m fundamentally lazy and sedentary. Wouldn’t a gerbil do? Is there a pet you can get that’s doesn’t need walkies but is very robust and forgiving? Maybe a robot gerbil. Now there’s a business opportunity…