Would You Have A Baby Like My Son?
Published March 29, 2009 @ 12:09AM PT

The question Should some people just not have kids due to their genes? was recently posted over at a BabyCenter forum. Multiple Personality asks:
I know some people IRL with 7 kids, all happy and well-cared for, but all with some degree of mental retardation. Their chromosomes just don't quite combine right. Do you think after the first couple kids and the drs telling them that it was likely due to their genes that they should have quit having kids?
I also wonder about it when I see people's siggys on here. All their kids have developmental delays, deady food allergies, or autism. Should those people take a hint that all their kids have serious problems, so quit bringing more kids that will most likely have serious problems into the world and focus your energy on helping the kids you already have?
Is it cruel to continue to have babies when you know that child will likely suffer and not lead a relatively normal life?
Plenty (100+ comments) have accrued in response to what are definitely bluntly put, provocative, questions. This is a loaded topic, to say that because you have "bad" genes, or "certain" genes, you either should minimize the number of children you have, or not have children at all.
One thing to keep in mind is that, as Sandra Ammodt and Sam Wang wrote in a March 24th guest column, Mugged By Our Genes? for the New York Times:
....you may wonder if your genes are ultimately to blame for your fortunes, good or ill. That’s hardly the case: only one-fourth of the variation in life events is heritable, which means that three-fourths is not. So you have plenty of opportunity to influence your circumstances. Whether that’s better than turning into your parents, we’ll leave to your judgment.
Aamodt and Wang write about the heritability of psychological traits including depression in considering the suicide last week of Nicholas Hughes, son of poets Ted Hughes and Sylvia Plath, "one of the world’s most famous suicides." They note that
"me of the effects that we call “genetic” (or “nature”) are the indirect result of people being drawn to particular environments because of their personality. Or to put it another way, some “environmental” (or “nurture”) effects are actually attributable to genetic tendencies.
While some disorders can be inherited from our parents, our genes don't necessarily "sentence" our children to having "something," and this notion has to be kept in mind in considering the questions raised at the BabyCenter forum.
My son Charlie is our first child and our only child. Between Jim's ADHD and my own "things" (OCD.....I have managed to blog blog blog every day for almost four years straight come June), we figured any kids of ours would have "something." Charlie's autism diagnosis, and the energies, efforts, and decisions we've had to make have changed, and transformed, our lives. I didn't really know when we'd have another child after Charlie was born and, by the time he was diagnosed shortly after his second birthday---and with Jim and me juggling jobs in two different states far away from both of our families----the idea of another child was pushed to the back burner. We saved all the baby stuff from the clothes to the crib and crib bumpers and the stroller and it was only when Charlie turned five and clearly still had a high level of needs, and I was getting deeper into my own job after having taken time off and working part-time, that Jim and I realized, he'd be our only child.
It's been the right decision for our family, though there are plenty of times when I see families with a child on the spectrum and other kids and note their interactions and wonder, what if. Knowing that Charlie will be very on "on his own" one day, after Jim and I are gone, I do wonder how things might be different if there were a sibling to look out for him, though I weigh this against the knowledge that a sibling of Charlie's might well also be on the spectrum. It wouldn't have been easy to have another child on the spectrum, though we could have managed.
Hence my answer to the BabyCenter forum. I'd hesitate to issue a blanket decree that people with children who have "something" should not, ought not, have other children. Families differ in the resources---financial, emotional, and more---that they have to draw on in raising a child with more needs than many. Asking whether "some people just not have kids due to their genes" is really almost the same as asking if "some people" should have kids at all; if people should have any kids at all.
Photo of DNA Bookstack Tech Museum in San Jose, California, by mrkathika.
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Comments (28)
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Beyond the claims that disabled kids should be prevented based on, "What if parents can't handle the pressure?", "What if society rejects the kid?" and "What about sympathy for weather the kid would even want to be alive due to what they are required to deal with?" there is a lot of unspoken concerns.
I think people who have disabled children have their prejudices challenged and other people considering the prospect of having such children sometimes look for conveinient reasons to avoid having to look at what their own prejudices may be.
How the parent sees their kid and presents them to their community has a really big affect on the kids self-esteem and the parents happiness when raising such a kid is largely dependant what choices they make. Society is responsible for the pressures that add to peoples disabilities and society changes with individuals making better choices.
Posted by Ed none on 03/29/2009 @ 07:44AM PT
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Just wanted to underscored your use of the word "convenient," and to note that, while parenting Charlie has had numerous challenges, there are more than a few things about "typical kid parent-hood" that Jim and I are ok about "missing out" on.
Posted by Kristina Chew on 03/29/2009 @ 04:08PM PT
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Exactly, Charlie got a trade off and so did you. It could have just as naturally occured the other way around so that Charlie was the parent with challenges like you got.
The prejudices are believing that the deficiet someone has to contend with of someone else's (someone's child or even a friend) is an idividual's burden that should be a greivence of others who contend with them rather than seeing how it's natural and rewarding as we all share each other's burdens.
Is that similar to what you're meaning or am I misunderstanding?
Posted by Ed none on 03/29/2009 @ 04:30PM PT
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Yes. And I'd add, we often feel that Charlie has to put up with plenty in us, his parents.
Posted by Kristina Chew on 03/29/2009 @ 04:38PM PT
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My take on this has little to do with DNA. I feel everyone should have two or fewer biological children (including zero). The U.S. Census Bureau projects that the U.S. population will surpass 439 million by 2050--a 40% increase. Right now, 71.7% of U.S. women responsibly complete their families with two or fewer biological children.
The number "two" is magical because, even if all women stopped at two biological children, the population would gently decrease. It's a mathematical thing. Some women stop at one or zero, and their sacrifice helps even more. (Of course, 28.3% of U.S. women--according to the U.S. Census Bureau--stop at three, seven, fourteen, eighteen. Their objective seems to be to turn us into a "Less Developed Country").
Posted by C W on 03/29/2009 @ 07:44AM PT
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I had my 3 children very close together. When my oldest (with Asperger's and ADHD) was 13 months, I conceived my second son. When he was 2 yrs 9 months and his brother was 10 months, I conceived my third child. I did not begin to suspect that my son had any type of issue until he was 3 and, even then, I thought he may have ADHD. It wasn't until he reached 5 that I began to question Asperger's. I can say in total honesty, that I had no idea about his Asperger's when I had two more children.
I totally lucked out. My second son and my daughter have no developmental delays or learning disabilities. We ended up with the best case scenario in that Nick has 2 NT siblings who adore him. He and his brother are best buddies. It gives me much relief to know that, after I am gone, there are people who will always be involved in looking after him if this is necessary (we don't know yet).
I often wonder if I would have had two more kids if I knew that Nick had AS. It's not that I wouldn't have been able to love another kid with AS. It would have worried me that, after I'm gone, there would be no one to look after 2 kids, not just one. It is a very serious question that each family must consider.
I feel very blessed that everything worked out well for us.
Posted by Beth Costa on 03/29/2009 @ 09:51AM PT
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thank you for sharing all this, Beth----Jim and I often talk about how, while it would be an incredible relief for Charlie to have a youngest sibling who could "be there" for him, we're also very aware of the difficulties that sibling might have faced, from our numerous moves to find Charlie an appropriate education, for instance. I feel alike blessed, with out different circumstances.
Posted by Kristina Chew on 03/29/2009 @ 04:10PM PT
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I find it disgusting that some people's choice to have children is subjected to public debate like that. I'm nowhere near ready to have kids as of yet, but given that my partner and I are both diagnosed on the spectrum, I don't doubt that we'll be subjected to that kind of judgment should we choose to have (biological) children someday. Not that our decisions will be influenced by other people's prejudices, but it is troubling. The original post in that thread also demonstrated just how slippery this slope is. Allergies as a reason not to have kids? Ugh. I guess my parents shouldn't have had kids because both of their families have such a strong history of nearsightedness. I'm very uncomfortable with drawing a "line" of acceptable and unacceptable difference. The hubris is really astonishing.
Posted by Sarah Ross on 03/29/2009 @ 10:04AM PT
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The public discussion on this topic reminds me of being pregnant and, finding one's body (that is, my body) a subject for public discussion by strangers, regardless of what I felt about this.
Posted by Kristina Chew on 03/29/2009 @ 04:11PM PT
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Having been a sister sibling who took care of my brother for 30+ years of his life(birth-adulthood) I have heard a lot of families tell me that they have another child to look after the differently-able sibling.
I think parents should find out how the able child feels. With over 40+ years of being a caretaker I was having a hard time because I never got a chance to have a normal life. Some of my siblings (when adults) would avoid the special families. Some of my siblings were very caring to people at work. I think I learned a lot.
I don't know what the parents of special children should do- each case is unique. I only ask that parents think about the able child and their needs too.
Just like parents in this blog the adult sibling may be taking care of their own special needs child at the same time. My own children remember growing up with my brother and how it affected their lives too. My own child was in autism crisis at the time my brother left. It was hard for my brother to deal with some of my son's crises. It was hard to deal with both in crisis. I had a social worker yelling at me about not being there for my brother. It didn't matter that we responded to his other 3 crises.
It is so easy to think that siblings are plan A. Please think about Plan B too. Siblings do take care of siblings. The adult sibling's temperament is certainly a factor in the equation.
Posted by L I on 03/29/2009 @ 10:14AM PT
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Thank you for this, in more ways than one.
Posted by Kristina Chew on 03/29/2009 @ 04:12PM PT
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Thank you so much. The social worker had no business judging or yelling at you. The question is: how can policies and actions best be helpful to you. It is time for all of society, especially school boards, to begin serving those with special needs. Rev. Bookburn - Radio Volta
Posted by Rev Bookburn on 04/02/2009 @ 05:56PM PT
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@Ed none. I totally agree with your message. It's about parents handling the pressure, the pressures society puts on the child and the family. Your best point is, "would (the kid) even want to be alive due to what they are required to deal with". I think that is a very important point.
You say it very well and it is so true.
Posted by L I on 03/29/2009 @ 10:39AM PT
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People who are against abortion say, what if the aborted fetuses was meant to be side kind of genius who saves the world? I suspect a lot of good innovations came from the creativity of autistic genes.
My ASD husband and ASD son are extremely smart in math and science. My son, may yet, do something extraordinary to solve global warming or something. Who knows?
That being said, if I knew my and my husband's genes could produce someone as disabled as my daughter, I wouldn't have kids. She is so vulnerable.
I hope, someday, my geeky son invents a cyborg to put my brain in so I can live long enough to keep my daughter well cared for, safe and loved.
Posted by B B on 03/29/2009 @ 10:51AM PT
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Hoping I can hang on for that long, too.....
Posted by Kristina Chew on 03/29/2009 @ 04:12PM PT
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If I was told something along the lines of "you have a 50% chance of having a child who will live a short, painful life" then, no, I wouldn't have a child, or another child. I'd foster to adopt, or something. I have asthma, anxiety, autoimmune issues, and an icky neurological condition... but damn, I'd rather be alive with those than have never been concieved.
Whenever this arguement comes up, I feel like it detracts from the real issues- it lets people put the blame on the parents rather than looking at how society choose to, or not to, adapt to people with disabilities and different needs. Suicide isn't just genetics- it's genetics plus environment. Happiness has as much, or more, to do with what's around you than what is in you.
Posted by Erin Monk on 03/29/2009 @ 11:31AM PT
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_Yes_----I am reflecting on your last statement in particular. Certainly I'm grateful to be living now for Charlie's sake----without the therapies and education he's received, I don't think (keeping in mind his numerous struggles) he'd be able to do all that he can d.
Posted by Kristina Chew on 03/29/2009 @ 04:15PM PT
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Every person's life is worthwhile.
Some autistic families I have seen were happier than others with normal lives. The perfect families with the million dollar homes had the hardest time. They strive for perfection.
It is about our attitude, coping skills, acceptance etc. How do we want to live our life? It is also the kid's great smile, sports skills etc. What do we see is great about our kid?
The best advice I heard was from a Fragile X family with a special education teacher mom. She was a single parent-sole support. We all have a picture in our mind of how we want life to be. The mom mourned for a short time because her life was going to be change forever. Then she worked on acceptance and having the happiest child possible. When he finished high school her son said he had the best mom and a happy life. It is a dream both different and regular kids and families can hope for.
So mourn life is changing for you; work toward accepting your new life and try to raise a happy child.
Posted by L I on 03/29/2009 @ 02:24PM PT
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I just can't imagine my life without Charlie and Jim always says the same---life with Charlie has transformed us, and continues to do so, in ways we're still learning about.
Posted by Kristina Chew on 03/29/2009 @ 04:17PM PT
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I'd've had my kids. I chose to do so. I'd choose to do so again, knowing what I know now. No question. It's the sign of true maturity and yes, courage, for a person to make a decision and accept the consequences of that decision, for better or for worse. Right now, conception via the usual route is a complete crapshoot. There are consequences for throwing those dice. If you do not embrace those consequences--whatever they are--and accept them for whatever they are, you will end up fighting a futile, useless, frustrating battle with anger, hate, and anxiety the rest of your life. It is what it is. Deal with it.
And it's nobody else's business what your "is" is. Not even people who are hung up on reproductive replacement capacities or what the "costs to society" are of an autistic person or whether or not someone with "faulty" genes has a "right" to reproduce. If an asshole who's killed or raped someone or started a war or defaulted thousands out of billions or behaved in general like a socially acceptable narcissistic sociopath can sire or birth children with impunity, without social comment, I'm pretty sure my son has that right, as well.
Posted by Emily Willingham on 03/29/2009 @ 06:39PM PT
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@Nicole, I thought this statement was very powerful."It lets people put the blame on the parents rather than looking at how society choose to, or not to, adapt to people with disabilities and different needs". The author of The Good Earth had a mentally retarded daughter. I was very inspired by the author's life. Pearl Buck loved China of the 1940's because differently-able children were part of the society. There was no stigma. People didn't see the difference. All children were thought of as normal. That is how I see my brother and son. I see the person first. The disability has to do with the paperwork to get SSI, DVR benefits etc.
@ Emily, I agree with your great comment,"If you do not embrace those consequences--whatever they are--and accept them for whatever they are, you will end up fighting a futile, useless, frustrating battle with anger, hate, and anxiety the rest of your life". Resist and deal with a frustrating battle with anger, hate and anxiety. Or find acceptance, peace, love. The smart people figure this out sooner than others. I always marvelled at the joy everyone in the accepting families experience.
My older son who had battle cancer said something important to me. Not everyone is strong enough to deal with hardship, mom. My older son is so good with differently able people. I may accept some things well but I am not going to do well with everything. I am only human, strong, weak, fragile. It is only important to acknowledge which of these we are at the moment. How would everyone rank themselves on an autism acceptance scale?
Being thrust into a caretaker role at age 8 for my newborn brother I didn't have time to think but do- just deal with it. My mom couldn't deal with it. I had no training, no support. I just tried to understand him as a person. I dealt with it some how but it was a daily struggle for me. Could I handle the next crisis? How could I make him feel happy in a tough world that tried to crush his spirit? If I threw a birthday party would people come? Depending on the person I think the quality of life of differently abled people can be affected when each day is a struggle for the caretaker because you feel overwhelmed.
After I got married and had an autistic son I had to deal with the past and the present together. It helped me to see other families accepting of the situation. Everytime I asked a family why they were so happy, the answer was the same. Acceptance. It was at that point that I realized we all make choices- to accept or not to accept. Even if we don't make a conscious choice, the choice would then be made on its own.
So I think being aware of the choices we can make and understanding the consequences of accepting or fighting the situation is important to know. Sometimes you are so busy doing that you should have thought first about your game plan- accept or resist the situation. This is something I would mention to a family with a newly diagnosed autistic child if they wanted advice.
Posted by L I on 03/29/2009 @ 08:20PM PT
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thank you-----
Posted by Kristina Chew on 04/05/2009 @ 06:28PM PT
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Here are two excerpts from Pearl Buck's book, The Child Who Never Grew, 1950's. She was crusading for her daughter, Carol, who suffered retardation due to PKU. Pearl Buck was the first person to bring to national attention, Why is there children like these? At that time these children were despised in the U.S. It was a cultural shock to leave China and come to America. Her book was written 50 years ago, and it sounds as current as if it had been written today. A parent's feelings are timeless. Pearl had lived in China in the 1920's & 1930's.
"Eastern practices, particularly in China and Japan, are an instructive contrast. Mrs. Buck, who grew up among the Chinese, had seen the deformed accepted for themselves. Their infirmities were not ignored, and sometimes were even made the subject of nicknames, and this attitude apparently effected a sort of catharsis for the infirm. The sufferer felt no need to hide himself, for he was accepted without pretense. The Chinese believed, too, that a person who was handicapped had compensations. Thus a blind person was respected and sometimes feared, for it was thought he had a perception far beyond mere seeing. The Chinese, also, do not have institutions for the aged, the insane, or mentally defective. Such persons are cared for at home, as long as they live. But as to the West, Mrs. Buck pertinently remarks: "Ours is an individualistic society, indeed, and the state must do for the individual what family does in older civilizations."
"After several years of intense involvement, Mrs. Buck realized the age-old truth that she must stop thinking of herself and her sorrow, cease struggling against life, and slowly come into accord with it. "So long as I centered in myself, life was unbearable. When I shifted that center even a little, I began to understand that sorrow could be borne. ... Sorrow fully accepted brings its own gifts." The fact that Mrs. Buck can now bravely publicize her child's case (although the story is far from complete, as it stands), would indicate a major step in philosophic detachment. And who can say how much the perception and sympathy which enables her to contribute so definitely, in her books and public work, to the welfare of human society, has been developed through this deeply-moving experience? Thus all share in each other's Karma, and benefit. Mrs. Buck claims that the body of human knowledge has also been added to through patient work with her child."
I found this book a very beautiful experience to read and very inspirational.
Posted by L I on 03/29/2009 @ 09:10PM PT
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Ya know, that really is a loaded question, lol.
My answer: I don't know. I already have one kinda like yours... ;)
The reason has nothing to do with him. It has to do with the rest of the world. We have no extended family, per se, and no one to watch over him after we are gone.
What services are there for adults? Who is out there to advocate for our kids, when they are on their own?
NO ONE.
So why would I want to bring a kid like mine (or yours) into a world where he could feasibly end up in a cardboard box in an alley?
When the world changes, I would say yes to that question. But right now....
Posted by Moi Bloggg on 03/31/2009 @ 05:41AM PT
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I am in the same position as you. You and I are family because we have more in common than those who share our genes. I wish we had a society where we had a blueprint to bring people like us together to create vibrant rewarding communities.
Posted by B B on 03/31/2009 @ 10:46AM PT
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It seems to me that people should only have as many children as they can provide properly care for and nurture. I have heard of families having as many as 5 autistic children - I know I couldn't care for and nurture that brood but hopefully their parents can.
I know parents with autistic children who have chosen to have more - but do things differently. The next-born were not vaccinated on the recommended schedule (no HepB at birth, for example) and watched very carefully for signs of casein intolerance to mother's milk, etc. One baby did have to be taken off mother's milk, but is otherwise did fine and is not autistic. None of these families' subsequent children have been diagnosed as autistic. It's not all genes, there are environmental factors, too.
Posted by Amom whoblamesva... on 04/01/2009 @ 07:39PM PT
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Whether or not a couple wish to pass on their genes is a question for them and them alone, but I think that pre-natal testing for disability should be abolished: if you don't want a disabled child, then either use a condom, or keep your legs crossed. If you would abort a child that you found would be disabled, then you should (IMHO) not have a child. To terminate a pregnancy because the child is disabled is to say that disabled lives are worthless.
In the Autistic Rights Movement, we hear this sort of thing from the likes of "Autism Speaks" - an organisation of parents and carers (autistic people are not welcome) who describe an autistic child as "the worst calamity that can befall a family" and have had members that have said that they would rather their child died of measles than take a chance on them developing autism.
I am an aspie father - not sure whether my son is copying me or has inherited some traits, but either way, they're what makes him who he is.
Posted by Phil Culmer on 04/04/2009 @ 11:42AM PT
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My sister once said that someone said to her that the reason we have these boys with autism is our punishment. (My husband was married when we got together and he quickly divorced his wife.) Others have said they are blessings and we have these boys because God chose us specially to be their parents. Who knows?
I do know you can never judge who will make good parents and how good or bad their offspring will be. Even GOOD genes can produce a psychopath
Posted by Sharon Faulk on 04/05/2009 @ 06:20PM PT
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