A Little Talk and a Lot of Pictures
Published May 29, 2009 @ 12:22AM PT

Talk talk talk.
But a picture now---it's worth that proverbial thousand words.
Over the years of being with Charlie, Jim and I've become more and more aware of how much we talk. Jim's a long-time fast-talking Jersey guy (though the real fast talker in the family was actually his mother, when she was better). I started off shy and quiet (liked Latin because I didn't have to converse, just memorize columns of endings and vocabulary) but I'm a reasonably big/fast talker now (gotta keep up). The two of us can let off long bouts of verbiage (and we both go to Charlie's IEP meetings.......).
I'm third-generation Chinese American and my family is more inclined to be quiet. Our family get-togethers always involve food, Chinese and otherwise. Silence has its power too; silence, too, can speak; silence can be a way of communicating, too.
Charlie, as noted here, is a boy of limited words, and with plenty to say. He had apraxia when younger; years of speech therapy (including oral-motor therapy), articulation practice, and physical activity and exercise (to build up his muscles and muscle control) have helped tremendously. Charlie's regularly encouraged to speak in his classroom. In the past few weeks, he's been speaking spontaneously and more often. Yesterday, standing by the kitchen sink, he caught my eye, smiled, and said "Hi." In the YMCA pool last Saturday, he announced "I got the boat today"----the pool was not as busy as usual due to the Memorial Day holiday and Charlie was able to play with some of the pool toys, without anyone hollering "I want that next!" in his ear. And while it's certainly necessary to model talking and speech for Charlie, Jim and I have learned to slow it down and speak at a pace that suits Charlie who, for all of his struggles with articulation and word recall and auditory processing, prefers speech to other forms of communication.
This is why we've yet to seriously start teaching him to use an augmentative communication device though lately some other things have been suggesting that Charlie may soon be ready for one.
Dora's been posting about using ProLoquo2Go on an iPhone or an iPod Touch and the May 27th USA Today recently reported about this, too. Charlie's been very into the blue iPod Nano he got for his birthday of late. We bought him one of the original iPod Shuffles a couple of years ago but he was never interested in it and we deduced that he really needed a visual to go with the music. I like the idea of the iPod Touch for Charlie with its much bigger screen though he hasn't yet figured out how to use a touch screen.
Also: Charlie's been using an activity/picture schedule for the past few years at school. It's just in the past few months that he's been really going to the schedule, looking at what he's to do, and doing it, all on his own. We started having him use schedules in the afternoon after school and on the weekends back in March and, as of the past week, he's also been using it much more independently, turning the pages of the little binder that the cards are in, pulling out the card, turning to us, telling us what he's going to do. Some pages have more than one card on them so he can choose what he wants to do---a small innovation that has been making a big difference.
Charlie pretty much always goes straight to the refrigerator and opens the door after he walks into our house. Often he is indeed hungry and gets something to eat. But sometimes he's gotten some food (even something he likes a lot) and cried out, or seemed distressed. We've divined that maybe he isn't really hungry but, according to his internal schedule, he feels that he has to check that fridge and eat. Thursday afternoon, after checking the fridge and then the schedule, and taking off his shoes and putting away his bookbag, Charlie turned to the page with "have a snack" and "relax" on it. He paused, grabbed the "relax" card, told me he wanted to take a break, and went off to his room. After ten minutes he came out, went back to the schedule, took the "have a snack" card and told me that's what he wanted. And proceeded to open a cabinet and find something to munch on.
It's the "relax" card that has been a major innovation around here. Certainly Charlie does his share of it (with all those long school days and all those walks to the playground, YMCA swims, bike rides, a boy's gotta get some rest). Somehow, though, seeing "relax" as something he could choose to do has made a difference---small and significant---as if telling Charlie, we're not always asking him to be up and about and doing some activity on the activity schedule. That taking it easy is all part of the program too.
And it's very good for us not to be constantly telling Charlie that, but for him to be telling himself.
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Comments (15)
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I love the "relax" card - and especially that Charlie has found it so empowering. Nifty!
Posted by Andrew Dell'Antonio on 05/29/2009 @ 04:51AM PT
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After I wrote this, it occurred to me that I need a "relax" card too!
Posted by Kristina Chew on 05/29/2009 @ 05:15AM PT
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I like your card system of communication while also associating words with print. Charlie likes using it and sounds like he is adapting it to his needs.
Posted by L I on 05/29/2009 @ 07:25AM PT
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There's a few cards too ("Jersey City") that are just print, mostly because I didn't have enough toner in my printer to make new ones with photos----but I kind of think it's helpful to have a few with "just words."
Posted by Kristina Chew on 05/29/2009 @ 07:37AM PT
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Trying to encourage Charlie to use word and picture/word communication. Multi-sensory. Long exposure to these cards might get Charlie to read as you hope. Great idea.
Posted by L I on 05/29/2009 @ 09:11AM PT
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We implemented visuals and visual schedules three years ago in the classroom, but only a few months ago for structuring home time as well. It has made a huge difference in everyone's quality of home life. Knowing what to expect, and also having some control over his environment, has blown my son's mind and made him a very happy boy. Sounds like Charlie is very happy, too, and I'm glad for all three of you.
Posted by Shannon Rosa on 05/29/2009 @ 03:39PM PT
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@Shannon. I think that is an excellent idea about the structuring home time schedule. It is about having control over one's environment. It's good preparation for the work/school world.
My other son mentored at work an autistic software programmer who was having trouble with work productivity. Often the programmer self-stim himself or had his head on the table because he felt overwhelmed. The boss would be upset that the programmer wasn't working and getting paid for it. My other son broken the big job down into parts with time limits for each job. The programmer got to pick the job he was comfortable doing. My other son uses this method with all workers now and productivity has increased in the company. People are happier too because they know what is expected of them(feeling of job security).
It is about sitting around feeling overwhelmed or knowing there is something you can do. It's about needing to do a short time job because you are having problems with overstimulation etc. It's also about having two big job assigned and you are given one of them to do all by yourself. Or the feeling like you could work 2 hours at the moment.
Jobs today are about getting the work done.
Posted by L I on 05/30/2009 @ 11:03AM PT
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Charlie's been taking the schedule book and another binder with extra cards/choices and putting them around him on the couch while "relaxing" (vegging out) and looking rather pleased. And tonight I started to think of what I might do with putting photos of places he's been too and other things on an iPod, without having to print everything out and laminate and velcro!
Posted by Kristina Chew on 05/30/2009 @ 09:01PM PT
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Sounds like Charlie is working on communication too. It will be interesting how he figures everything out. It will give clues to you too.
Charlie is pretty lucky to have someone like you trying new things and encouraging him. Since every person is unique it takes patience to find a way.
Posted by L I on 05/31/2009 @ 10:55AM PT
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The USA Today article was on @leslieclark on twitter and her 7 yr old son. We dont have an ipod or iphone, should probably look into these things. Not sure how to get either kid interested in music, maybe for Charlie it was easier since no TV to distract him. Matthew got out his communication book from yrs ago and was looking thru it the other day and then brought me my weights, which was strange since whenever I do it he wants to put it away.
Have you ever considered or pursued Special Olympics? With getting home after 3:30 and needing time to relax I am not sure we could do SO, and there is nothing really close to us, but I think by high school it is something to consider.
Posted by Bonnie Sayers on 05/29/2009 @ 04:10PM PT
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We've thought often of Special Olympics---tried basketball (way too advanced and fast paced) and swimming (the coach gave us the strong sense that Charlie needed more skills before he could participate). Frankly it just made doing sports seem too stressful and to take the fun out of it! But hopefully someday.
Posted by Kristina Chew on 05/30/2009 @ 09:03PM PT
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Awesome. I'm reminded of With the Light where the teacher used a system like that to teach Hikaru and there was a little girl who needed to learn how to use the toilet and they used pictures of toilet paper to help her communicate that.
How cool.
Posted by Shondolyn (Synesthesia) Gibson on 05/29/2009 @ 09:12PM PT
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That is so cool your example. It sounds like someone understood autistic thinking and used a method that the child was interested in.
Autism - The Way I See It
Different Types of Thinking in Autism
by Temple Grandi
http://www.templegrandin.com/templegrandinart.html
"The thinking patterns of individuals with ASD are markedly different from the way in which 'normal' people think. Because of this, too much emphasis is placed on what they 'can't do.' While impairments and challenges do exist, greater progress can be made teaching these individuals when parents and teachers work on building the child's strengths and teach in a manner that is aligned with their basic pattern of thinking".
Posted by L I on 05/30/2009 @ 11:21AM PT
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yes, it's a wonderful manga, probably one of the best things about autism I read (besides these blogs). It had a teacher in it who really tried to understand all of the kids he worked with and help them in their way. They even tried to get Hikaru into a large social gathering, perparing him just a bit at a time and teaching him the dance steps for it. It was great!
Posted by Shondolyn (Synesthesia) Gibson on 05/30/2009 @ 04:30PM PT
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I heard some great things about that manga---ok, on the summer reading list (at last).
Posted by Kristina Chew on 05/30/2009 @ 09:04PM PT
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