Issue with therapy... or therapist??

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GrandTuringSedan
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26 Jan 2013, 3:29 pm

My son and I were both DX within the past year. We are experiencing a pretty severe learning curve on the subject.

His therapist seems convinced that when my son appears distressed, he smirks from time to time. Usually this is when he is put in a situation where he is uncomfortable talking about something and is being pressed for a more appropriate response, usually close to shut-down. The therapist insists this is evidence that he is mocking his distress to get out of the situation, that he is being manipulative. All of the focus then turns to the goal of getting him to react appropriately and stop faking shut-down to get out of it.

I had the brilliant insight of actually deciding to ask him why a smile would sometimes flash accross his face in session when he is distressed. He told me at those times his mind flashes to something funny he saw in one of his minecraft videos. Since he can't escape the situation, he escapes in his mind.

I have no reason to doubt his account of things. This kid is not a good liar. And not a single bit of attention is paid to the fact that he is experiencing a type of distress that his therapist has likely never experienced. I'm convinced this therapist doesn't know what she is doing. She probably has a list of justifications for not having to consider what I or anyone else has to say (that I'm not objective, I'm bitter about my autism, or 'of course your son is going to lie about it, he's manipulative', etc.) Overall, they seem to be more interested in who's who than in what's what.

It's frustrating that they are not willing to test their own ideas. It's scarry because if I didn't know better, I could have simply believed her and my son would be pegged as having character issues instead of sensory issues.



Anomiel
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26 Jan 2013, 3:43 pm

GrandTuringSedan wrote:
The therapist insists this is evidence that he is mocking his distress to get out of the situation, that he is being manipulative. All of the focus then turns to the goal of getting him to react appropriately and stop faking shut-down to get out of it.
[...]
It's frustrating that they are not willing to test their own ideas. It's scarry because if I didn't know better, I could have simply believed her and my son would be pegged as having character issues instead of sensory issues.



OMG change therapist now. If she already has her mind set on that, she will not change it.
Re: "Inappropiate" facial expressions, she's flummoxed by that, really? http://tinyurl.com/adsuq3t



cathylynn
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26 Jan 2013, 3:47 pm

i agree with nomial. this therapist tends to see the worst in people. ditch her ASAP.



psychegots
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26 Jan 2013, 4:22 pm

Agreed, dump that arrogant bozo of a therapist.



InThisTogether
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26 Jan 2013, 9:39 pm

I agree with the others who have said to get rid of her. If she is going to assume that an incongruent affect immediately means manipulation, she is not the right therapist for you guys. Doesn't mean she is a bad person. Just means she is not right for you. From years of working in psych, I can tell you that some therapists can do wonders with people with a particular diagnosis and screw up royally with another. It sounds like she is better suited to work with something other than AS.

Also, how old is your son? My daughter is 7 and I can tell you I don't think it would be possible for her to fake shut-down at this point. I don't even think she is aware she does it.


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Bombaloo
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26 Jan 2013, 11:32 pm

Inappropriate laughing or smiling is a common occurrence among people with ASD. I would dump her for not knowing that and attributing it instead to manipulation. As some here have said, manipulation takes sophisticated social and emotional skills. Kinda the opposite of a child with ASD.



GrandTuringSedan
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27 Jan 2013, 1:45 am

InThisTogether wrote:
Also, how old is your son? My daughter is 7 and I can tell you I don't think it would be possible for her to fake shut-down at this point. I don't even think she is aware she does it.


My boy is 11. He is pretty sophisticated in some ways, but it probably wouldn't occur to him to be deceptive. He is terrible at lying and so justice-minded he probably wouldn't be able to tolerate manipulating someone, especially an adult.



GrandTuringSedan
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27 Jan 2013, 2:35 am

Bombaloo wrote:
Inappropriate laughing or smiling is a common occurrence among people with ASD. I would dump her for not knowing that and attributing it instead to manipulation. As some here have said, manipulation takes sophisticated social and emotional skills. Kinda the opposite of a child with ASD.


What absolutely floors me about her approach is that it only centers on trying to make him appear nt. There hasn't been any talk about what his perceptions are, the intensity of the experience when he gets overwhelmed, only that he isn't doing what's expected, it's a matter of character and solved with a power struggle.



Bombaloo
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27 Jan 2013, 9:22 am

GrandTuringSedan wrote:
Bombaloo wrote:
Inappropriate laughing or smiling is a common occurrence among people with ASD. I would dump her for not knowing that and attributing it instead to manipulation. As some here have said, manipulation takes sophisticated social and emotional skills. Kinda the opposite of a child with ASD.


What absolutely floors me about her approach is that it only centers on trying to make him appear nt. There hasn't been any talk about what his perceptions are, the intensity of the experience when he gets overwhelmed, only that he isn't doing what's expected, it's a matter of character and solved with a power struggle.

It sounds like she doesn't really think autism is a neurological condition but rather that your son is just choosing to exhibit certain characteristics and she can convince him to stop. That seems like it could be downright damaging. There are so many stories here about how hard some ASD kids this age struggle to deal with their differences. He doesn't need his therapist making him feel worse by berating him for behaviors he can't control.