Tate's Toothache and My Pity Party

I try hard to be an encourager. The world needs more encouragers. I especially try to be positive when I am speaking to parents of children with autism who are coming behind me. Those with kids younger than Tate need to know that it is not all doom and gloom after the autism diagnosis. But sometimes it is hard. I was born a pessimist. Pessimism comes naturally to me and “looking on the bright side” is something I have to work at. Think Winnie the Pooh’s friend Eyeore and you will have an idea of the way I often think. I have to fight through that gray little rain cloud that is right over my head. It’s just who I am. However I am also someone who has been able to overcome some of that because of lessons Tate and Sydney have taught me. There really are blessings to be found in the face of adversity.

I don’t sit around and feel sorry for myself too often. I simply have too much to do. But yesterday... Yesterday I had a pity party. In attendance were myself, and Tate from the future. He was with me as I sat and cried. He was a middle-aged man and I was a bent old woman. I was still trying to help him brush his teeth and find his shoes. I was still helping him in all the ways a mom helps her child. Her young child. Her five-year-old child. And he was six foot three inches tall.

My pity party began in the dentist office bright and early Monday morning. We were there because I had “guessed” Tate had a toothache. He cannot / will not tell me when he is in pain. He does feel pain. I am sure of that. On Friday Tate made a few references to teeth. They were out of place and seemed odd. But Tate has autism. Let’s face it. Much of his conversation on any topic is odd. Saturday morning Tate texted me that I should take his brother to the dentist to get a cavity fixed. I thought, “Oh, Tate is trying to make a joke.” He hates dentists and he thinks he’s sort of insulting Levi by saying something like that. It’s Tate’s way of teasing. But then there were several more references to the dentist. By now I should have caught on. And then Tate did something Tate VERY rarely does. When I quizzed him about all the references to the dentist and asked him what was up. He admitted that he MIGHT have a problem with a tooth. He asked for a Tylenol. That’s a pretty big deal around here. First thing Monday morning I called the dental office we use and took Tate right in. I like all the staff there. The dentist Tate normally sees was out and we saw another. There, explaining to the dentist that my son appeared to be a young man but she should probably try to communicate with him like she would a five or six year old, my eyes began to leak real tears. I went on to explain that Tate does not tell me when he is in pain so I have to guess. As the dentist investigated to find the problem, I sat and thought. I remembered that when each one of my children were small I had to be vigilant and know when they were hurting based on behaviors. It’s just what good moms do. As my children aged they could tell me when they hurt and eventually they could take care of themselves. My four oldest children are adults. They make their own doctor appointments and bandage their own wounds now when necessary. They don’t call home to tell me about their minor illnesses. They don’t need me in that way anymore. Tate is not there though. Tate will never be there. Tate will always need me and there will come a day when I am not there. I’m 38 years older than Tate.

My pity party was not just about Tate not growing up on the inside as he grows taller on the outside. It was about me. When my kids were little and they hurt, I hurt too. A mother’s empathy for her children can cause her to hurt physically sometimes. As they aged and they were able to take care of themselves some, my empathy for their pain was not nearly as intense as it was when they were small. Over the weekend when I thought Tate was hurting and he was relying on me to identify the problem and help, I hurt for him. Because Tate is never going to grow much older on the inside and be able to mature like his siblings did that leaves me forever stuck feeling the kind of empathy pains for him I would have for my toddlers.

I love the thought from the Bible about everything having a season. Probably the happiest time of my life was when my kids were all small. But now it is time for them to grow up and for me to enjoy them as adults. They will be giving me grandchildren in just a few years. And I will still have an adult sized six-year-old to care for. Life’s not fair. So yesterday I had an emotional meltdown. Several times in the afternoon I broke down and sobbed for the Tate I will never know. The man he will never become. I felt really sorry for myself.

Today is a new day. His sore tooth turned out to be related to a broken wire and twisted bracket from his braces, not a cavity. It’s fixed and his pain is gone. My worries about his pain are gone and my spirits are lifted. Today I am not sitting with the future Tate dwelling on what will never be. Today I dropped my sweet son off in front of his school and as the car door closed I said, “I love you Tate.” I expected to hear, “I love you too.” Instead I heard, “I know.” As I pulled away I smiled ear to ear, happy that he knows he is loved.

For more about trips to the dentist, click here: Cleaning, Filling and Straightening the Teeth of Autism

Autism and Empathy

Not too long ago I accompanied my dad to a doctor appointment. It was wet and very cold outside. The parking lot and sidewalk were a bit slippery. As my dad and I were walking into the building a car pulled up, and a very frail, elderly woman got out of the car. She crept slowly toward the front door, one very tiny step at a time. She looked like she might topple over, as she was so unsteady on her feet. I stepped toward her and offered her my arm. She gladly took it. I could see she was not going to make it far without some help, even after we entered the building. I walked her very slowly to the office she needed. She was afraid her husband would not know where she had gone so I walked back to the front doors to let him know she was waiting in the office. I waited for what seemed like a long time. Then, I saw him, slowly approaching the front door of the building. This man was bent and decrepit, walking with a cane. Every step was almost painful for me to watch. I stepped through the doors, back out into the cold, and offered the man my arm. He was just a bit gruff, and declined, indicating he had the cane. I explained to him his wife was waiting at the end of the hall in the office. He thanked me and told me his wife never would have made it without help down the hall. He said he always helped support her if she had to walk more than a few steps. This elderly man was barely able to keep himself upright, and moving as slowly as I’d ever seen someone move, yet he was normally his tottering wife’s support! I walked with him to the office. I chatted with both of the older folks for a few more minutes. As I left, I stopped and quietly urged the receptionist to use a wheelchair to help the woman get back to her car.

I have thought about those folks several times since then and wondered how they are doing. They appeared to be long past the ability to live independently. I hope they are safe and well, and together.

What made me stop and offer my arm to the woman? What made me return to ask her husband if he needed help and then almost physically ache when I saw how difficult it was for him to walk? What made me press the receptionist to help them with a wheelchair? What makes me wonder about them from time to time? It’s a kind of caring concern called empathy. Having compassion for someone and being able to put yourself in their shoes motivates people to stop and help others. Those two elderly people touched my heart. But where does empathy come from? Is it something that we are born with? Is it something we are taught? Does it grow gradually over years, starting small and then building?  

My four boys. They are alike, yet so different.

I’ve discovered a few things about empathy since I started raising kids. One of those things being: how it is acquired. Years ago I might have argued that empathy will not come naturally to children and has to be taught. And then my second son was born. From his toddlerhood on I saw a kid whose heart was tender and caring. He wanted nothing more than to make others happy. If he had a cookie he’d give it away. While I was trying to teach my other children to share, I was trying to teach this little guy to stick up for himself. I remember showing him that he should break his cookie in half and give half away but keep some for himself. He is one of the most caring people I have ever met. But I cannot really take credit. For him, it just seemed to be there from the beginning. My other children did have to be taught empathy and they have all become such caring and wonderful people. It took a little longer for some of the kids to learn to put others’ needs before their own than it did for the others. Being the parent of seven I saw a lot of different personalities and was amazed often at how differently they all learned and needed to be taught. Sometimes I just wanted to “knock” some empathy into them, showing that I myself needed to become quite a bit more empathetic at times.

I said all of the above to finally get to this. One of the characteristics of autism is aloofness, the lack of interest or concern for others. It is also hard for a child with autism to generalize the things they learn. In other words, something a child learns in one situation will not be applied in another setting. So teaching Tate about compassion and empathy has been very hard. I see progress though. He sometimes asks me if I feel better if he knows I have an ache or pain. He has started carrying the laundry hamper down to me when it is full without being told because he knows it makes me happy and it hurts my back to carry that full hamper. He has learned to try to listen to his friends at school when they talk to him because he knows it is important to them. Once in a while Tate offers to share things like cookies with his siblings and that is fairly new. All these things have been taught to him individually. I could not just explain the golden rule to him and expect him to apply it to his life. I have to teach it to him for each scenario I’d like to see him use it in.

Tate will do what he is told usually. He does want to please people. Like most people with autism he is a rule follower. He just has to be told the rules. The hardest part of teaching him to help others is getting him to recognize, without being told, what someone’s need is. Being young is part of it of course. Probably a lot of thirteen-year-old boys would walk right past an elderly woman who could have used their assistance because they do not realize what is needed. But there are many things Tate should have mastered a long time ago that he still struggles to understand.

For example: For years we have worked on the etiquette that surrounds doorways. It just seems to come naturally for his classmates to catch a door that is about to close and then hold it for the next person to grab. I don’t imagine anyone has ever had a door holding lesson for any of those kids. Instead they were taught to be kind and polite as a general rule and have begun to care for those around them and they act on those feelings throughout their day. They would never consider letting a door slam on a classmate. They can think about how that might feel and empathize with the one behind them.

When Tate comes to a door, if another person is holding it, he just squeezes through, never reaching to help with the door. If he approaches the door at the same time as another person he never offers to open it. He waits for them to open it for him. If he did have it open and another person was right behind him he’d just let it fall closed. He wouldn’t wait for them to reach out and grab it and he certainly wouldn’t hold it open for them. It is not that he is UNKIND. It is just that he does not think about being KIND. It does not seem to occur to him. Tate’s teachers and schoolmates have worked with him on this type of etiquette a number of times over the years and so have I. I remind him lately in the mornings before he exits my car to hold the door for the student behind him when he enters the school building. So, he has started trying to calculate his entry into the building so no one is around him at all. He slows his pace if someone else is walking up so he won’t have to try to figure out which of the etiquette rules applies. All these things that everyone else learns easily are still a mystery to him.

Tate might be able to quote the golden rule, but he needs to be taught how it applies in every situation individually. And he won’t just learn it by example. He has to be taught with direct instruction. We can teach him to hold the door for someone, teach him to share a package of cookies with his siblings, teach him to be attentive when his friends at school are talking to him, and teach him to take turns with a video game, but when a new situation comes up, one he has not been taught about before, he probably will not step up and behave as if he cares about anyone’s interest but his own. There will be literally hundreds, maybe thousands of things he will need to be taught. It becomes more evident to me every day.

This morning, my husband and I went out for breakfast. We finished eating and were just visiting when my husband noticed there were a lot of people in the lobby waiting for tables. So, instead of lingering at the table, making others wait longer, we jumped up and gave up our table. That is not something anyone had specifically taught us as children. We do it because we want to be kind and compassionate. We want to treat others the way we would want to be treated. Empathy comes naturally to us now. We have generalized that golden rule to all situations throughout our day. Can you imagine what it would be like if you could not generalize the things you learn in one situation and apply them to another? Can you imagine what it would be like if you had to be taught what was expected of you in every situation you might run into? Can you imagine what it would be like if your family were constantly becoming exasperated with you for not doing the right thing when you do not even know what the right thing to do is? People with autism are not necessarily rude or uncaring. Sometimes they appear rude or uncaring because they just do not know what is expected of them nor can they figure that out based on similar experiences. And so I teach empathy. And I explain empathy. And I have empathy for the one I am teaching empathy to. He is like the elderly lady I helped down the hall in so many ways, and I am like the man. Tate needs my support and guidance to make it a short distance, yet I am wobbly on my own proverbial feet at times. I can drive him right up to the door of empathy and I have to hope others are there to offer him their arm or even a wheelchair and help him make it down the hall. 

You might also like: Kindness and Mistletoe
And.... I wrote another blog post expanding on the door thing: It's not that complicated!