The YAI Network Autism Community

A resource for individuals and families living with autism spectrum disorders

Photo courtesy Field Museum Library

Today’s post is by Springingtiger, who writes about his experiences with Asperger’s over at Springingtiger’s Blog.

I thought I would like to provide a comment on and introduction to a series of blogs –  Mature Autism –  I have started on my blog, Springingtiger’s Blog, looking at my autism from my fifty-six year old vantage point. So exclusively for YAI Autism Community…

Some of you may already know that my wife prompted me to seek a diagnosis of Asperger’s because I was having serious problems handling major changes at my work. It had never occurred to me that I might have Asperger’s. All I knew of Asperger’s was Jerry in Boston Legal and I didn’t think I was like him – although I did have some tics and occasional stimming and an ability to adopt other personas – it came as a surprise to me that others thought I might be. I always knew I was slightly different from most people but to go from “odd person” to “person with Asperger’s” is effectively a change of identity.

I am not sure if the best way of handling change is to undertake an even bigger change but that’s what I did and it inaugurated months of upheaval. I inevitably started exploring my autism and so – instead of controlling odd behaviours I must confess I indulged them. I think I went through a big F.U. stage where I said (figuratively, not literally and not out loud), “I have Asperger’s so I can behave oddly and you have no right to try and stop me so get it roond ye!”  I think this period was necessary for me, but not entirely useful in terms of social interaction. It was good to be able to examine the behaviours I usually try and suppress under the light of autism and the aspects of my self that I cannot suppress. I became aware that my rhythmic behaviours are irrepressible but that I can frequently – when I become aware of them – convert them into something less obtrusive, I think the need is satisfied by the rhythm rather than the specific behaviour. I have also become aware that sometimes the effort of trying to control some behaviours is exhausting and not always worth the effort; however awareness allows me to choose when to make that effort – this is socially very useful.

One of the most useful things I have been doing is re-examining the events of my life in the light of my autism. I cannot change the events of my life but I can now understand much more about why I experienced them as I did and it has brought a new sense of completion. I have looked at my contribution to the events of my life and realised how much autism has played its part – often for the good as well as the bad. The fact remains that what I have done or not done I have done or not done – no one else, me. The choices I made – however ill-informed – were made by me. I can look back and forgive myself for the things I did and particularly my lack of understanding and I must extend that forgiveness to those around me – although some actions remain inexcusable although forgiven – we were all ignorant then.

One of the saddest aspects of life with autism is the frustration of never being able to adequately express thoughts and feelings appropriately and on time. Much of my life has been “too late” because my processing of events has completed minutes, hours or even (three attempts to type “even” small wonder I am an infrequent blogger!) days later and it is socially unacceptable to storm up to someone and bawl them out for what they said last month – may sometimes happen! If it’s frustrating for me how much worse for those with serious impairments – I am reminded very much of a relative with cerebral palsy whose eyes were bright but who had been robbed of speech and physical control – there are intelligent people in this world being treated as if they are stupid merely because they cannot communicate.

I am glad I can now eschew some of the behaviours I indulged in my investigative period and return to my strategies of control. There are actions I can take in my life arising from my awareness to ensure I am properly cared for. Of course some things I just have to accept – although there are adjustments I can make to obviate their effects – lack of spacial awareness, clumsiness, face-blindness, blackouts, tics and an ability to understand things from the point of view of much of society.

In the final analysis these things are part of who I am and I like me.

Words in Maplewood, NJ

Words, a bookstore in Maplewood, NJ, is owned by YAI friend and supporter Ellen Zimiles and her husband Jonah. The couple started the bookstore with the idea that it would be open and welcoming to patrons and employees of all types, including those with autism. True to form, the bookstore, highlighted today in a New York Times blog, has planned a variety of events for Autism Awareness Month.

Below is a news release from Words with all the details, including location and contact information:

When Ellen and Jonah Zimiles needed a name for their new bookstore, it was autism awareness that inspired them.

“It’s common for people who are teaching those with autism to tell them, ‘Use your words,’” says co-owner Jonah Zimiles. “When we were trying to think of a name, we kept coming back to that – the power of words. It summed up our mission perfectly.”

That mission is to be a bookstore and community gathering spot that fosters an atmosphere where everyone is welcome, especially those with autism and special needs.

This April, for the second year, Words will observe Autism Awareness Month with several events and speakers, including internationally respected experts Bridget Taylor, co-founder and executive director of Alpine Learning Group in Paramus, New Jersey, a premier school for those with autism, and Michael Rosanoff, assistant director of Research and Public Health at Autism Speaks, the nation’s largest autism science and advocacy organization.

There will also be an evening of recognition devoted solely to autism teachers and service providers featuring Sharon Reeve, director of the Applied Behavior Analysis program at Caldwell College, who will speak about continuing education for autism caregivers. And Autism Awareness Day will be an afternoon of open conversation about autism in our communities featuring remarks from Maplewood Mayor Vic De Luca.

“The events being held at Words for Autism Awareness Month play an important role in furthering Maplewood’s commitment to diversity,” said Mayor De Luca. “They’re a great resource for our residents as well as the surrounding communities.”

Other events include a discussion of biomedical alternatives in treating autism, and a performance by group Sing SOS! whose album “Songs of the Spectrum” features well-known artists such as Jackson Brown and Dar Williams. All proceeds from its sale go to autism charities.

A full-service, independent bookstore located in Maplewood, New Jersey, Words has one of the largest collections of special needs books in the state. And as part of its mission to serve individuals with autism and their families, Words also works with local schools to offer internships to young people with autism to provide them with the experience they need to find full-time employment.

“So far, ten youngsters with autism have worked at Words,” said Mr. Zimiles. “And we hope our efforts will encourage other businesses to hire those with special needs.

Mr. Zimiles continued to explain that “these events at Words for Autism Awareness Month are just one more way we are out there increasing autism awareness–we are dedicated to making our community a model of inclusion.”



Autism Awareness Month Schedule of Events
*The Latest in Autism Research

Michael Rosanoff, assistant director of Research and Public Health at Autism Speaks, will discuss the latest scientific developments in autism research. Autism Speaks is the nation’s largest autism science and advocacy organization.

Thursday April 8, 7:30pm

*Understanding Biomedical Alternatives in Treating Autism

Barbie Zimmerman-Bier, assistant professor of Developmental Pediatrics at UMDNJ and a behavioral pediatrician, will speak about using biomedical alternatives such as diet changes to treat autism.

Wednesday April 14, 7:30pm

*Autism in Fiction – Words Book Group

This month’s book group will discuss Jodi Picoult’s House Rules. Publisher’s Weekly says, “Picoult’s research is impeccable and she deals intelligently with charged questions about autism and Asperger’s.” All are welcome to attend.

Thursday April 15, 7:30pm

*Autism Awareness Day

Join us for Autism Awareness Day at Words. Speakers and performers include: Maplewood Mayor Vic De Luca, Mary Beth Walsh, a theology lecturer who will speak about “Autism and Faith,” and health & wellness coach Risa Olinsky who will discuss “Caring for the Autism Caregiver.”

Throughout the day, the group Sing SOS! will perform songs from their album “Songs of the Spectrum.” The album features well-known artists such as Jackson Brown and Dar Williams, and all proceeds from its sale go to autism charities.

Sunday April 18 from 2pm – 6pm

*Autism Service Provider + Educator Appreciation Night

A special event for all teachers, therapists, and caregivers who work with individuals who have autistm – Words appreciates you! This evening, meet your colleagues and enjoy a 20 percent discount on all books in the store. Sharon Reeve, director of Graduate Studies in Applied Behavior Analysis (ABA) at Caldwell College will speak, and light refreshments will be served.

Wednesday, April 21, 7pm – 9:30pm

*Advancements in Autism Education

Bridget Taylor, co-founder and executive director of Alpine Learning Group, a non-profit education and treatment program specializing in serving individuals with autism, and Jamie Pagliaro, executive vice president of Rethink Autism, will speak about the tools, programs, and training available to help parents take control of the care and treatment of children with autism.

Monday April 26, 7:30pm

All events are free and open to the public, and take place at:
Words Bookstore
179 Maplewood Avenue
Maplewood NJ 07040
973-763-9500
words@wordsmaplewood.com
Find Words on Facebook

On April 2, International Autism Awareness Day, the documentary A Mother’s Courage: Talking  Back to Autism will premier on HBO. The film, narrated by Kate Winslet, documents an Icelandic mother’s journey as she searches for answers about her son’s autism. The film is directed by Fridrik Thor Fridriksson (the Oscar nominee Children of Nature).

Among the experts featured in the film are:

  • Dr. David G. Amaral, research director, MIND (Medical Investigation of Neurodevelopmental Disorders) Institute
  • Dr. Simon Baron-Cohen, director, Autism Research Centre at the University of Cambridge
  • Dr. Geraldine Dawson, chief science officer, Autism Speaks
  • Dr. Temple Grandin, best-selling author, animal scientist and autism advocate, who was recently the subject of an HBO Films biographical drama
  • Joseph E. Morrow, co-founder and president of ABC, Inc., a school that provides applied behavioral techniques for children with special needs
  • Soma Mukhopadhyay, who developed the Rapid Prompting Method to teach her autistic son Tito, now a published author
  • Portia Iverson and Jonathan Shestack, parents of an autistic child and founders of Cure Autism Now

Learn more here and, if you watch it, be sure to let us know what you think!!!

It’s official–Asperger’s syndrome is now folded into the autism spectrum. For many people with the disorder, this will mean easier access to services, funding and health care, which is great news. But others fear that they will lose a chunk of their identity or a vibrant community. One thing we can be sure of, the term “Asperger’s syndrome” will continue to be used both by Aspies themselves and educators and other professionals in the field.

The New York Times published a collection of letters weighing in on all sides of the debate. What do you think? Will this change in diagnosis affect you or a loved one? How will you address this in your personal or professional life? Are there benefits to be gained by coalition-building, outside of additional funding opportunities? Let us hear from you!

Eric’s Dad

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Jeff Stimpson

Today’s post is by Jeff Stimpson, author of the books Alex: The Fathering of a Preemie and Alex the Boy: Episodes From a Family’s Life With Autism.

My wife Jill’s cousin Allen died yesterday. He died of a heart attack. He was 48, and he has a son with autism. “Had.” I guess I meant to write “had” there.

They lived in Chicago, and I saw Allen and his son Eric on New Year’s Eve. “Is it okay if we come?” Allen asked about the party at Jill’s sister’s. Allen (secret history of heart trouble, we’ve since found out) came in the door with Eric, who is 16 and for about two years has lived in a residential school. Alex got excited when he laid eyes on Eric, and tried to say hello with more energy that he had summoned to say hello to anyone all evening. Allen took Eric’s hand and steered him toward the computer in the back bedroom. Eric isn’t much for parties, and of course he isn’t much for most people. He was close to his dad. “Eric, calm down,” I remember Allen telling him in a coffee shop. “Eric, it’ll be okay.”

And I guess it usually was okay, though we didn’t see them much. I was hoping we’d see them more in the years ahead. Because, after all, we had so much in common.

“You shouldn’t feel guilty,” I e-mailed to Allen dad two years ago, about putting Eric in a residential school. “I don’t feel at all guilty,” Allen e-mailed back. I hope Allen  wasn’t pissed at my comment – he didn’t seem pissed at all on New Year’s Eve, though he had less than a month to live – and I kind of thought I had a right to say something like “guilty” to him because we were the only two dads of kids with autism in the family. Allen and I were only a year apart in age.

There’s a scene in a Chinese movie called The Shower in which a big man with autism calls and calls and calls for his father, who has just died. I watched the scene once. I never mentioned the scene to Allen, but I bet he would’ve had a hard time watching it, too. They couldn’t find a way to tell the big Chinese man that his dad was gone. They couldn’t explain dead to the big man, and he’d always lived with his dad. How will they explain Allen’s death to Eric?

“That school for Eric may be the best thing that happened for their family in the last five years,” I told Jill. I can imagine what it’s been like at the end of visiting days for that family, driving way and watching Alex pace and cry in the window. Did he pace and cry? Or was he happier there after he got used to the place and made friends and began not to see his father as the center of a world he didn’t really understand?

“Eric.” I meant to say “Eric” there.

Tips for discussing death, dying and grief with people who have autism spectrum disorders

“Death, Bereavement and Autism Spectrum Disorders,” from the National Autistic Society of the U.K.

Read a Social Story about death from polyxo.com.

New News?

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Erica Pitman, LMSW

Today’s post is by Erica Pitman, LMSW, social worker at the YAI Autism Center.

Impacts of Autism Diminished through a Specific Early Intervention Approach

A recent study conducted at the University of California and other sites around the country and funded by a grant from the National Institute of Mental Health (NIMH), indicates that early intervention for children diagnosed with autism improved their I.Q. scores and levels of functioning.

To families who have children with autism, this news may not seem altogether groundbreaking. Families of children with autism and other disabilities have been fighting for early intervention services for many years, asserting the needs of their children to their local district administrators, pediatricians, educators and therapists.  Parents are often their children’s best advocates.

What is newsworthy about this story is the effectiveness of a specific treatment modality that has not yet been buttressed by a large-scale research study. The model tested was The Early Start Denver Model (ESDM), created by Dr. Sally Rogers of the University of California-Davis M.I.N.D. Institute and Dr. Geraldine Dawson of Autism Speaks. The study looked at this form of intervention for children between 18 and 30 months old over a two-year period. This study compared the Denver Model against more traditional therapies, such as Applied Behavior Analysis—currently, the most common form of treatment for children with autism, and that which is the most outcome-oriented, based upon existing research.

The ESDM was shown to improve general intelligence skills, increasing I.Q. scores by up to 18 points, patterns of communication and social interaction. This was achieved by training parents to interact and teach their children in a very specific way. The therapy took place predominantly in the home by the parents, and through skills that are transferred from the parents to their children. Thus, parents can more easily carry over therapeutic concepts into daily interactions with their children, increasing the likelihood of generalization and impact. This study marks the first controlled study of a specific intervention modality for children suspected of having autism who are younger than 2 ½ years old.

The study was reported by CNN on November 30, 2009 and included several comments from Dr. Fred Volkmar of the Yale Child Study Center who praised the study as “well done” and “important.” Dr. Volkmar is also a member of the YAI Autism Center’s Advisory Council. While the results of the study are exciting and provide new information for many families, this information brings with it questions, feelings of uncertainty and naturally, some underlying levels of anxiety. While parents have turned to ABA for their children’s therapy, the Denver Model suggests that a blending of the principles of ABA, or a similar community intervention, with a more relationship-based approach yields more significant effects in terms of I.Q., language and social interactivity. This is the ultimate trifecta of autism symptomology for many families.

It is important to consider the implications of this news. Will families now seek out the Denver Model over traditional ABA hours? Will government-funded services prefer this approach due to its efficiency—delivering improved outcomes in fewer hours?

Dr. Charles Cartwright, Director of the YAI Autism Center, sees big potential for the ESDM to work in tandem with other therapies. “The Denver Model is a short-term intervention for very young children and involves the entire family in the therapeutic process,” he said. “It can lead into ABA or other therapies that can continue throughout a person’s life.”

We want to hear your thoughts! Comment or post questions in the form below. Learn more about The Early Start Denver Model here and studies conducted by U.C. Davis here.

Jeff Stimpson

Today’s post is by Jeff Stimpson, author of the books Alex: The Fathering of a Preemie and Alex the Boy: Episodes From a Family’s Life With Autism.

A panel has concluded that there’s still no proof that special diets help or don’t help kids with autism, or that food allergies or sensitivities or gut problems cause autism. The panel, chaired by a Harvard doctor, included 28 experts in 12 scientific disciplines; it evaluated scientific evidence regarding gastrointestinal disorders in all forms of autism.

One pivotal question remains: Did the panel examine pretzels?

For that’s what we’re trying this week to kick Alex of: Utz Dark, original golden thins, even minis. He’s been munching them for years, leaving almost as many on the floor as he got to his mouth – often with a splattery crash of an upsetting bowl, a crash I’ll hear for the rest of my life – and, as with Elmo, the time has come for the heave-ho from Alex’s life.

Yes, we’ve heard all the talk about wheat and salt and all the other stuff that’s supposed to hinder those with autism, but we stuck with pretzels all these years for the same reason we’ve stuck with Elmo and allowed Alex to wear deliberately mismatched socks and only khakis: Because we’re working on other stuff with him, things like better sleep and losing baby teeth and, soon, eating at the table. When parenting a child with autism, you pick your battles.

So the news of this panel was heartening, at least to us. They noted that many parents and medical professionals have reported improvements in autistic behaviors after dietary treatments, but stipulated that these observations aren’t based on controlled, scientific studies.

One of the panel’s strongest statements was that “gastrointestinal woes” often worsen autism-related behaviors. Signs of gut disorders (I prefer to call them woes, but that’s next year’s battle) may include frequent clearing of the throat or swallowing; sobbing for no reason; sighing, whining, or groaning (what do you know: most of the people I’ve ever worked for have gut disorders!); grimacing or wincing, or gritting teeth (see previous note); constantly applying pressure to the abdomen by leaning against furniture or pressing with hands; self-injurious or aggressive behavior; and bad sleep, among others.

The panel recommends that if a child with autism is on any kind of restricted diet —due to dietary treatment, food sensitivities, or food aversions — the child should be evaluated by a nutritionist.

We’ll do that. Note to Elmo: How about a show on gastrointestinal woes?


Well, the coverage of the new autism study by the Centers for Disease Control and Prevention has not abated.

Now the experts at the YAI Autism Center are weighing in. Dr. Charles Cartwright, Director of the YAI Autism Center, and Dr. Brigida Hernandez, Director of Research for the YAI Network,  were guests on WABC-TV’s “Tiempo” on Sunday. The interview is broken into two parts – here is part two.

Let us know what you think!

On Friday, YAI Autism Community reported that the Centers for Disease Control and Prevention had released the results of a study that found that 1 percent of 8-year-olds in the United States have autism. The study has created quite a stir in the media, as well as in the healthcare and education communities. The policy implications of this study will no doubt be unfolding for years to come. For now, the CDC has released a transcript of a press conference with Dr. Catherine Rice, the lead author of the study. The transcript is unedited and there are definite errors (“springing” instead of “screening”), but it’s an informative and interesting conversation. Best yet, there’s an MP3 version of the talk, so you can hear Dr. Rice speak in her own words.

In its coverage of the study, the Wall Street Journal interviewed Dr. Philip H. Levy, the YAI Network’s CEO and President, on the increased rates in autism. If you don’t subscribe to the WSJ, you can read the article for the next five days or so before access is limited to subscribers only. Dr. Levy brings up an interesting point in the article: In a drastic turn about from autism theories of previous decades (and research into most developmental disabilities), studies suggest a correlation between older fathers and increased rates of autism.

Let us know what you think!

According to a Centers for Disease Control and Prevention study released today, at least one in 110 children have an autism spectrum disorder. Boys are around five times more likely to have the disorder than girls, the agency reported. This ups the previous estimate of one in 150 children. Read CBS’s coverage of the study or download the full report here (PDF).

As this is posted, YAI Network autism experts are being interviewed by major media outlets on this important news story. We will post links to the news stories on YAI Autism Community as they become available. Don’t forget to add us to your Google Reader or other RSS feed to stay up-to-date.