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Although Autism, Asperger's Run in Families, Therapy Makes a Difference

Date: 03/30/2001

It's not unusual for a parent of a child newly diagnosed with autism

to recall a strange uncle who always lived alone, was painfully awkward with

people and had an obsessive interest in bicycles.

Or, for that matter, for that parent to look sideways at his or her

spouse with sudden recognition. The lack of eye contact. The rigid need for

routine. An all-consuming hobby. That hatred of social gatherings. They are

all traits of autism and Asperger's, a milder form of the condition.

Scientists now know that autism and Asperger's syndrome run in

families.

Today, awareness about autism is so high that a child with the

condition is likely to get diagnosed, sooner or later. That wasn't the case

in earlier decades--especially for those on the milder end of the spectrum.

And though it may seem useless to get a label such as "mild autism" in

adulthood, it can also be helpful.

Understanding that one, or one's spouse, has a mild kind of autism can

lead to finding ways to deal with conflicts common in such marriages, says

Tony Attwood, a clinical psychologist in Queensland, Australia. Such

conflicts arise, for instance, because people with autism have great

difficulty understanding the nuances of social communication--nods, smiles

and tone of voice.

Therapy can help--but people with autism and Asperger's are far more

likely to benefit from cognitive behavior therapy than from generic "tell me

about your feelings" therapy, says Attwood. Cognitive behavior therapy helps

people reexamine their attitudes and build new skills for coping.

"The therapy that says 'how do you feel about . . .?' falls flat on

our ears," says Liane Holliday Willey, author of a book about Asperger's,

"Pretending to Be Normal." Willey and her daughter both have Asperger's

syndrome. "We use logic and intellect to find solutions," she says.

There are support groups for people with Asperger's and their spouses.

In L.A., a dozen or so people with Asperger's and high-functioning

autism--members of a support group called Adults Gathering, United and

Autistic--meet regularly to talk about the strain associated with being

different in this highly social world.

Spouses of people with Asperger's can also glean support from one

another through a group set up by Cape Cod resident Karen Rodman, whose

husband has Asperger's syndrome: Families of Adults Afflicted with

Asperger's Syndrome, P.O. Box 514, Centerville, MA 02632,

http://www.faaas.org. Dealing with Asperger's in a marriage can be terribly

difficult, Rodman says.

Many people with Asperger's syndrome do not marry, but of those who

do, Attwood sees two patterns that seem more successful.

"One is: They choose someone who's very similar. They're both

entomologists. They met at university. And their view of a good time is

going to Africa looking at beetles." In other words, the marriage works

because the kind of interest that can consume a person with Asperger's is

shared by the partner.

"Or sometimes," says Attwood, "they take a partner--usually it's the

wife--who is very, very socially skilled. And she scripts her spouse in many

ways--'When your aunt comes to dinner, don't tell the joke about the priest

and the prostitute because she's a Catholic'--acts, in other words, as a

counterbalance to his social difficulties."

For instance, "Jill" (an Altadena resident who prefers that her real

name not be used) helps her engineer husband "Pete" with such social

scripts--reminding him over the phone, for example, to praise his younger

daughter for an achievement in school.

And--pragmatically--she writes her husband lists of the things she

needs to make her happy. "I've told him I need things. I need you to go

walking with me sometimes. To hold my hand sometimes. To read books with me

sometimes. To look at the mountains and go, 'Ooh, aren't they pretty.' And

he does it."

They've devised ways for Pete to keep close to each of his daughters.

With the oldest, he goes to movies. With the youngest, he does soccer. With

the middle girl, though, nothing needs manufacturing: "Ann" has Asperger's

too. They both love computers, and whatever they do just seems to happen,

says Jill.

One day, Jill, Pete and Ann went for a walk, and Pete--remembering his

script--stopped and exclaimed at the beauty of the moon. Ann turned to her

dad and asked him what on earth he was saying, why on earth would he say

something like that.

"I don't get it either," whispered Pete, "but it works."

Author: By Rosie Mestel

Source: LA Times


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