Despondent

Occasionally I think things are getting better, but then I have the even worse sense that I have been kidding myself.  Secundo had an OT session today, the first since I sent out an SOS email to his psychologist and OT pleading for something more effective than 1-2-3 Magic, which we've been doing it for years, and has been at times very painful emotionally, and still involves a lot of hands-on disruption to the entire household to get him to stay removed until he is calm.  And in the meantime, all family members have been subject to far too much physical and verbal abuse. And yet, some hours, some days, his behaviour is delightful.

The OT session in the morning was awful.  He wanted to play "murdering" games; most of his games are about violence.  He is becoming more articulate about that which is probably a good thing in the long run.  But as she usually does, the OT challenged him about various aspects of his play until he was threatening her, throwing things, and eventually hurt himself with a toy he was brandishing, collapsing in sobs into a ball on the floor.  I wondered if these sessions really were the right thing to do.  But to do nothing seems a guarantee for more friction and distress.  I set up a play in the afternoon for him with a friend at the other boy's house.  The boys clearly adore each other, the mother seems comfortable or is very good at disguising any misgivings she has, but the step-father, not for the first time, made comments at pick-up overlaid with disapproval.  And I am probably far too sensitive, but I take it very hard, picking up my child and feeling that he has been unwelcome at any level.  So much effort goes into helping him to negotiate other people, but our efforts feel pretty worthless at times.  As I said, perhaps I'm too sensitive.

Primo spent a while in the car with me and at times we chatted.  That is always manna from heaven.  The conversations inevitably evolve into the world of computer games, and even then, they don't make much sense in ways that I expect conversations to make sense.  And so the foggy, frustrated, bored, guilty, anguished build-up in me.  I'm hoping for another familiar feeling that often comes after these low points, when something changes quite suddenly (at least with Primo), and he shows skills and awareness that only weeks before, it was hard to ever imagine him possessing.  I'm really hoping that this is the pattern, that a wave is going to come and pick me out of this trough.

Always back to "labels"

Yesterday, I heard Bernard Henri Levy on Start the Week, one of my favourite podcasts, pontificating about all that is wrong with the world.  I've heard him speak once before on a very specific issue (a murder) and don't remember much of what he said; I was certainly not astounded by his fatuousness as in this latest instance.  The point where I switched off was when he equated modern, medicalised societies, which tend to eradicate the notion of "evil" in favour of a range of treatable pathologies, as "totalitarian" -- doctors controlling us all with little pills.

I had an epiphany of sorts about the burden that this kind of thinking contributes to my own very personal circumstances.  I suppose because to some degree I would be one of Levy's natural constituents, a leftie-type who values intellectual critique, almost reflexively suspicious of much that modern western capitalism "offers", always on the lookout for a bigger picture or a deeper issue.  I transpose his observation a little here from pills (although I could easily get worked up about that -- another blog topic perhaps) to the difficult distinction between personality and disorder -- the medicalisation of personality, I suppose.  Having a child diagnosed at 2 with a pervasive developmental disorder, I've had plenty of experience with this one.  I've now realised that I need to become more articulate about why I can accept his diagnosis, his "label" as helpful and don't see it as reductive, as some kind of denial of his humanity.  Again, the topic for another blog.

To wander away from my incredulousness at Levy's simplistic thinking, this question of whether or not to "label" one's child has been more burdensome with S.  This blog was basically born from this struggle, which often seems to boil down to: am I inadequate as a parent, or is there actually something unusual about this child?  It has been a terrible uncertainty to live with.  Only a few weeks ago, the psychologist once again made it known that she considers him to have ASD traits.  Whereas with P, being told this gave me a map to work with; with S, I feel the most gut-wrenching, paralysing confusion, because it just doesn't seem to fit, but I have no better explanation.

A few days ago S had a friend for a sleepover, a lovely, compliant, cheerful little boy who is simply not interested in conflict or trouble for trouble's sake.  It had a positive effect on my 2, whose behaviour improved a lot while he was here.  About an hour after he left, without any conscious thought process on my part, I found myself impulsively typing "opposition defiant disorder" into Google.  The contrast between the 2 boys was so striking that the term just welled up into relevance.  I've mentioned that  Q and I joke that whatever the diagnostic specifics of this term, it always sounded right to us, but we've never been encouraged by any professionals to see S as fitting with this profile.  But he does, he does, he does.  I've gone to site after site and he is so much the child they describe.  And I felt that same sense of being presented with a map; all the distressing crap that goes on in the day now has a name and even though we were pretty much doing what they recommend, we have greater understanding of why we are doing it, and so it gets easier to handle the disruptions, feeling now as if we are really on a path to changing his behaviour for the better.

So it could be that I've become a victim of Levy's totalitarian, medicalised society, that I can't function without a bunch of artificial distinctions about individual difference to tell me how I should behave.  But I also know that there is a huge qualitative difference between my settling upon these labels for my boys.  ASD is fundamental to a person's experience of the world; ODD is more or less a secondary condition that arises from other difficulties, usually ADHD I've discovered, but that I'm happy to say is clearly not in play here.  I could beat myself up well & truly over one of the other cited causes -- authoritarian parenting -- but I really do know now that that is simplistic as well.  I can certainly accept that we have fallen into bad patterns where stressed parents have reinforced these tendencies; that is the whole reason I went looking for help, knowing that I was losing the battle to have a supportive, nurturing relationship with my child.  We have more to discover, but this weekend, having both read through the most concise descriptions of ODD and its management, Q and I have experienced a calmness and a conviction that has been nothing but good for us, and will be nothing but good for our children.

Two confessions

Here are a couple of things that must sound dreadful. My day started with me just flattened by the emotions stirred up during S's "mini-assessment" yesterday. I became more convinced that the psych's suspicions were right, that I had just been interpreting things with an inadequate framework for understanding AS. I was sobbing before I was out of bed. I felt incredibly bleak. I had to start adjusting to the new reality taking shape before me.

S didn't want to go to kinder as usual, and P was fighting going to school. I had nothing in the tank; I told them there would be a new toy if they went. Immediate change of attitude; S even went and got himself something for "show and tell" (no-one has discussed this with him, he must be copying his brother's routine from school last year). He apparently had a terrific day, played really well with a new boy, and when I arrived he was happily playing with a girl he knows quite well, even if he was telling her she was dead for not following some crucial instruction (so he was mimicking a computer game like P does). He told me he'd played with everybody. He seemed relaxed, happy. I should have been happy, and I was really, but here is the dreadful-sounding part; I almost would have found it easier if he'd been the unhappy, mal-adjusted child that I'd braced myself for. At school pick-up, I found myself with another lovely son. We had to bring home a friend of his whose father couldn't get there on time. All 3 boys were happy and well-behaved together.

I do not know what to think or feel. On top of this, Q has had to go to a work function tonight, and I always pace myself carefully on such evenings. The boys had a lot of computer time, a lot of leeway to play, were up a bit later so that they'd be just that much more tired when I tried to get them to bed. The next dreadful-sounding bit; sometimes I feel almost too nervous to do things with them. They are so unpredictable, I get confused, I get drained, I get frustrated, I get angry. I don't know what to expect, and sometimes I just hold back and try to make it to the end. On nights when it's just me like this, I wonder how single parents cope, I wonder if I make more sense to them, or if maybe I'm not as alone as I feel.

"Stupid Pooheads!"

Why should this insult hurled at yours truly delight me so? P has been trying ever so hard for a few months now to get angry, as opposed to losing control. When things are really not going his way, he puts on quite a pantomime of pouting lips, crossed arms, hitting or even throwing things. Trouble is, he looks incredibly cute because he's really not very good at it; all the more reason to play my part, put on a stern, disapproving look, and let him go for it. And after my hand-wringing about the lack of connection I sometimes feel, these outbursts are characterised by his worried little eyes frequently meeting mine to see whether he's gone too far! I gave him a great deal of rope indeed; my instinct is that he needs to be able to do this if he is to have control of his emotional life.

Having brought to an end his pre-bed play session with S, his response was one of these performances. That in itself represented progress; generally, a play session cut short (as he felt this one to be) results in a melt-down; he is usually crushed by not having done everything he intended to do, no so much because of running out of time, but because of being distracted, and I think that that sense of disorganisation really upsets him. So yes, this was actually a good step forward for him. His brother's resistance was, unusually, weaker (just too tired I think), and so I focused on getting him to bed and warned the shouting gesticulating P to get into his or leave the room. He disappeared for a while, then stood in the doorway trying, I think, to look defiant with those searching, uncertain eyes. I told him to go where I couldn't see him (S and I were having a lovely cuddle), but instead he came in, uttered the aforementioned insult in an uncertain voice, and climbed into his bed. When S dropped off, I gave him a kiss and told him I loved him.

I had watched him "play" after school earlier with a boy he speaks about a lot, from a different class. I thought he'd made a mistake, that this kid did not in fact like him, as P trailed around behind the boy, who ran around making gun noises and looking at no-one in particular. To my amazement, on the way out, this boy asked his mother if P could come over for a play, and repeated the request to me. I don't know this child, but based on what I saw, as well as from what I've seen of P's other playmates, there seems to be a group a young boys with rudimentary social and play skills who are reinforcing each other's weaknesses rather than gaining skills from their more able peers. I don't mean to be completely negative about their play, but it does seem that the kids who are less able to connect spend time with other kids also lacking the ability; that might suit some, but others might flourish, I suspect, with some guidance. It may seem a long bow to draw, but showing me that he knows how to be angry, well, it is part of skilling up, of becoming more discerning about his lot, of being able to act on his emotions rather than being swamped by them -- isn't it?