Wednesday, August 31, 2011

Compassion?

How about I teach a way to think and learn about compassion?

Nurses have advocated teaching about pain management.  It was thought that if someone had pain, they would tell you about it.  Not everyone can communicate pain.  A very real way to think of it is that if you told me you had a headache. If I could not see your pain, it must not be very tangible, maybe its not real since its not real to me?  You are able to continue talking with me and don't seem to be in pain.  It was through nurses intelligent observation and sensible logical measurements pain became measurable.  The 0-10 scale combined with clear descriptors of qualities of pain, that it became a tangible thing to manage.  

How about anxiety?  It is a type of mental pain.  If you have never experienced a moment of panic, how would you know or empathize?  Here is an extreme way to think about it.  You have just consumed a whole pot of coffee.  Some people are acclimated to that much caffeine so think about enough to feel jittery.  Then go into a closed small dark closet, sit down and will yourself to be still.  Remember there is caffeine racing through your veins, its small and dark.  Soon enough you need to go to the washroom, but the door is jammed, it will not open.  Try being calm and serene, its not happening.  Now all that urge to urinate is creating bowel cramps from the pressure of sitting with a full bladder, but that damn door will not open.  It is not just the anxiety that is the problem, it is the compounded symptoms.  Now the door bursts open and relief is imminent.  Oops, you had an accident on the way to the washroom, you are now embarrassed and no one can understand why.  You are very flustered, you cannot tell them why since you don't want to admit to being silly enough to be locked in a closet.  Maybe you are more jittery, breathless, talking more excitedly (hyper-caffeinated) in attempt to divert attention from your oopsie moment.  Don't you think you are coming across kinda strange flapping your hands around talking mile-a-minute?  Kinda looks like stimming now somehow.  Stimming is a way to relieve anxiety, directs it, and is repetitive thereby calming, something controllable.  

There are ways to relate and teach all emotions in this way.  I've been trying to identify feelings and talking about them with MrD as if they are individual people.  Anxiety comes to town, sometimes accompanied by Scared and Mad.  Mad and Angry are similar but one is stronger than the other.  Sad, Lonely, and Bored are often related, but confusing to decipher.  Happy, Silly, Content are welcome.  Start with the extremes then the subtle becomes more and more clear.  We all learn by starting simple and building on it.  Treating these things this way makes it more logical and then when feelings pop up, it is easier to identify the cast to figure out the story.



Monday, August 29, 2011

Another's shoes

A big part of being Mom to MrD is to be aware of his perspective.  This goes a huge way into figuring out why he struggles.  Sometimes its not enough, but at least I'm trying.  Perspective taking is something I have had to be creative about in teaching my son.  Owning pets really helps, pets have feelings, ideas, and most importantly rights.  If you doubt that, you just need to read about animal abuse stories and think about the atrocities committed.  Animals can go a long way to helping teach compassion.

Perspective is important, so is compassion.  Then there is a line that is overboard and we are ripe to be taken advantage of.  I have found that teaching extreme polar opposite ends of why we have manners and why we do things a certain way helps form a framework to fill in the subtleties that create grey areas.  It seems that the big details help to make it make sense, with time.  Teaching why rudeness is unacceptable means talking about why you would not wear your muddy shoes into another's home, sit at their table and then swing those filthy feet up onto their table.  That shows why feet should never be on the table.  Building on that, sitting on your chair rather than waving your butt at your table-mates while you lean over & kneel badly in your chair picking something up is also rude.  See how the rules and rationale build with concrete examples.  Temple Grandin openly spoke of learning table manners and her mother's frustration with her eating with her mouth open.  It wasn't until Ms Grandin went to a friends home for a meal and was horrified to see others talk and eat with their mouths open.  She told of telling her mother that it was like looking into a open garbage truck and it was aweful.  Only THEN was it real for her mother to complete the teaching of why it is rude.  These types of lessons are everywhere to talk about and learn from.  They are commonly referred to as "teachable moments" and are often more valuable than instruction or formal lessons.

Being compassionate is not the same as being another person. It is the understanding that their experiences are similar but different than our own that is a milestone with Auspergers Autism.  From there we learn about lying, which is another milestone.  You have to understand other people have different perspectives or lying is irrelevant. Then begins discussions about lying, white lies, blatant lies, and trust, or erosion of trust as a result of lies.  The children's story about "Henny Penny, The Sky is Falling" is now relevant again.  The trick is finding less juvenile examples that are equally interesting.



Saturday, August 27, 2011

CopyCat



I have noticed that mimicry is a favorite way of learning social skills for my son.  He can repeatedly and accurately recite things that he thinks are hilarious from TV's The Simpsons and The Big Bang.  I make sure to watch some with him & we can talk about wether it is appropriate or rude.  The truth is that often rude things are funny, BUT we have to know why it is rude to appreciate the context.  We are human, sometimes we laugh when we see a stranger fall down, or when someone bends over & their pants split.  Misfortune is fodder for comedy.  If we can't laugh, we'd be crying all the time!  Sometimes it is healthiest to step back from a day of misfortune and laugh at it rather than rolling over & showing our belly and wallowing in it indefinitely.

Mimicry is how we learn to retell jokes in a funny way, or to tell a story without killing it with boredom. Mimicry is the oldest form of flattery.  Mimicry is learning, and so is repetition.  Repetition builds familiarity and memory.  We learn musical lyrics, times tables, tying our shoes with repetition.  Often saying we can't do something is a lie we tell ourselves, maybe we just don't want to do something.  This is exactly why I have forced my son to join into social situations when he doesn't want to.  It is like trying new foods, you have to taste it first to know if you will like it, sometimes repeatedly.  Occasionally I feel like a Bad Mom forcing my son to step up and do something himself like paying for a dollar store item.  I can see and feel his anxiety building.  I do prepare him in advance & we talk through the steps.  Talking about something is not the same as doing it.  Many of us have similar anxiety in driving situations.  I used to have anxiety about parallel parking, merging, and driving with a median on my left.  With practice and repetition skills gets better and the anxiety backs off.  Social skills are like that too.

Understanding Anxiety is key to succeeding the job of controlling it.  It is a huge misconception to say we can beat anxiety, or overcome anxiety, it never really goes away.  Anxiety isn't a bad thing unless it is uncontrolled, it is linked to our "fight or flight" survival instincts.  Do we run & hide or do we fight.  Anxiety has to be toned down, beaten back, owned in order to control it.  Everyone has to learn to do this themselves.  Anyone that goes through life avoiding anxiety often ends up with more severe punishing circumstances like hoarding, addictions, being housebound, panic attacks...  I strongly think that anxiety is a root of many labels in the Diagnostic and Statistical Manual of Mental Disorders manual that doctors reference to.  That book is also known as DSM-IV-TR, is a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders.  People that live with mental disorders are not at fault for their problems, they are just different and need help and acceptance.

Meditation or relaxation techniques are essential tools to control anxiety.  Many times I have had to step into a surprise situation and tell myself, "OhshitwhatdoIdo...take a deep breath."  Taking-a-deep-breath-blowing-it-out-slow, repeat, gives a pause long enough to let my brain help me deal with the surprise.  It also enables oxygen to be available to my brain to make decent decisions.  Hyperventilating begets oxygen overload with full adrenaline charge which feeds anxiety and horrible physical symptoms (heart racing, slightly dizzy, feel lousy, feel scared, paralyzed and numb with overload).  That's great if a tree is going to fall on you, it gives you immediate energy & strength to try to jump out of the way.  Not so good if a neighbor dog confronts you aggressively, or a stranger in a parking lot comes up to your car screaming at you crazily.  It takes time to learn skills, learning to identify our issues is hard.  If life were easy, we would be bored.