Wednesday, July 17, 2013

[R] Evolution

I've been checking out a lot of my old posts as I update our home on Tumblr.  Through this, I have been able to enjoy the first days of twin-dom all over again.  It all comes back so easily, those first days, so full of joy and apprehension and utter exhaustion.  There is so much rawness in those early posts.  So much realness.  I can still smell and feel the hush of the NICU, its low lighting balm against my red-rimmed eyes.

There is anticipatory grieving there, under a blanket of rugged positivity.  There is a lot of crying in the shower, there are a lot of unknowns.  There were two fragile little lives there, with skin like wet tissue that would tear and bleed if you touched it the wrong way.   There were two babies that had to learn to eat, gain weight and not get an infection.  There were two little NG tubes, two little incubators making sure they had the correct amount of oxygen, the correct amount of humidity, the correct amount of light.  One baby was smaller,  whose birth weight of 4 lbs 1 oz plummeted dramatically, whose bilirubin was scarily high at one point, who had an IV long after her twin.  The other baby, the older one, was bigger, more "healthy" looking at first... however his ECG, his oxygenation, his little blue feet would give him away.  He has an extra chromosome and an AVSD, the width and breadth of which we would not know for sometime after his birth.   

Those fragile babies have now grown into robust toddlers.  The littlest has grown into the strongest, trying daily to prove that she is indeed Batman, even though her parents insist she not dive off the top of the couch.  She will climb anything and lift herself into a bridge between two pieces of furniture by just using her ankle.  Her twin is mastering standing on feet that seem too small for his size; feet that are no longer blue as they take their first halting steps towards cruising.  His heart has been mended, the memory of that time fades with the scar on his chest.  There were so many unknowns there in those first days, so much fear presumably stemming from their prematurity and related health concerns.  I am heartened to see in those early posts a glimmer of the future, of the place I am now.  It would have been easy, I suppose, to blame Wyatt's extra chromosome for all of that, for the time that took me away from my family, for the inconvenience, for the drain on our financial, mental and spiritual resources.  There are some who did, there will be some that inevitably will.  In reading those old posts, it became clear to me that I never did that.  "Extra chromosome" is two words out of the paragraph above, two words that bear no more significance that the ones that surround them.  Those babies, fragile as newborn chicks have grown into some pretty kick-ass kids.  Along the way I stopped being a "mommy blogger" and became something else.  There is evolution here.  There is a revolution here.

As I've said before the rhetoric of Ableism runs deep.  The undercurrent of such shapes how we view those that have physical and cognitive differences from the rest of us.  This is where the heart of my regret resides, as the part I am most guilty of and have to forgive myself for, lives here.  I participated not just as a member of the human race, but also as one in a position that really should of known better, a health care professional.  Paternalism, one of the largest branches of Ableism, was embraced wholeheartedly in this house.  We were going to do "what was best".  Coming from a medical tradition, in those early posts, you can see that DS to me was a list of symptoms.  A list of diseases and illnesses to be researched and treated.

I looked at these lists a little closer, as time went on and I realized that almost all the "symptoms" listed were things that could occur to anyone.  In fact, there were more than a few things there that I have personally--and I consider myself to be a reasonably healthy person.  But, according to this list, if I had an extra chromosome and the same conditions, I would be very unhealthy.  Poorly, even.  I had to overcome the rhetoric of "Down syndrome is not compatible with life".  I did that... and wept at my presumptuous past.  Now that I look back, I realize that a lot of that 'grieving' that followed the twins homecoming had nothing to do with what was happening with them medically.  Rather, it had to do with the slow realization that I had disregarded, out of hand, a whole segment of the population, while maintaining the premise of advocate for others.

Thanks to the  culture I was raised and educated in, I actually did believe at one point that those with "severe" developmental delays were devoid of an inner life, possessing only an absence of inner thought beyond certain rudimentary instincts.  Life was described as functions.  Base, bestial.  That rhetoric runs deep even today as many people still believe people with intellectual disabilities are no better than animals. 

In my nurse world, we used to get a lot of what we then called "severe autistics" who were brought to hospital due to aggression.  They were quickly medicated, restrained, controlled.  No one stopped to ask the cause of the aggressive episode that precipitated their hospital visit, rather it was just accepted as something that happened.  It was "to be expected".  That was autism when I started my career.  Acting out, feelings of complete sensory overwhelm and overload, these don't seem foreign to me any more.  Through the tireless efforts of self advocates and the extended autism community; these behaviours now have explanations and many, including myself --- through the years, as I gained experience --- have acquired further insight.

Quite frankly, I feel a little this way after a while if I don't pace myself.  If I don't take vacation, if I don't stagger outings, if I don't employ my coping mechanisms, I end up feeling like I am covered in post-it-notes.  I become swamped by psychic and emotional clutter that is inevitably left over from an average day at the office.  Certain clothes hurt.  Sounds grate, smells gag.  I don't have autism.  But I can relate, even if only in a miniscule way.  That had to be learned.  Common ground had to be found and the rhetoric of "devoid of meaningful thought" had to be overcome.  But it did.  I did... and was completely horrified at how I had viewed my fellow humans.

Old ways can be overcome through the tireless efforts of others, it is true.  The rhetoric that we possess about others, whether ableist or cultural in origin, run so deep in our psyches that we don't even know that they are there.  They are.  They can also be found and carefully rooted out through education and self reflection.  Perceptions can evolve.  Language can change.  It is very frustrating in the advocacy world as you often come across people that are so ignorant, so willfully opposed to learning or accepting a potentially new way of thinking about other people that it is very tempting to give up.  It is very easy to assume that some people are beyond hope, beyond reason (and thereby become as close-minded as those that you hope to affect).  I don't have the liberty of thinking that way; I was one of those seemingly hopeless, arrogant people and yet, here I am.  I will forgive myself for subscribing to the ableist rhetoric for so long and continue my personal evolution as my family grows. However, I will not forget.

Changing current perceptions about Down syndrome will require a larger presence of (for lack of a better term) self-advocates.  It is those with DS themselves that will finally spearhead putting the rhetoric down for good.  Then, we can put to rest the notion that people with Intellectual Disabilities/Developmental Delays are unable to champion their own rights and simply refer to them as we would any other advocate.  The next chapter in this civil rights struggle has yet to be written.  I and those neuro-typicals like me won't be the ones writing all of it either;  we will have the privilege of participating, to help things unfold and to amplify the message.

There is evolution hard at work here, even within the revolution itself... 

Monday, July 8, 2013

Picking Rocks

"Ableism is so pervasive that it is difficult to identify until one begins to interrogate the governing assumptions of well-intentioned society. Within the space allowed by these rhetorical premises, ableism appears natural, necessary, and ultimately moral discrimination required for the normal functioning of civilization."
[A]bleism is that most insidious form of rhetoric that has become reified and so widely accepted as common sense that it denies its own rhetoricity—it "goes without saying." To fully address it we must name its presence, for cultural assumptions accepted uncritically adopt the mantle of "simple truth" and become extremely difficult to rebut. As the neologism "ableism" itself testifies, we need new words to reveal the places it resides and new language to describe how it feeds. Without doing so, ableist ways of thinking and interpreting will operate as the context for making sense of any acts challenging discrimination, which undermines their impact, reduces their symbolic potential, and can even transform them into superficial measures that give the appearance of change yet elide a recalcitrant ableist system..."
[Excerpts from  James. L. Cherney's "The Rhetoric of Ableism."]
 
I'm a mother and a nurse, not a scholar.  I'm not going to make any pretensions about that.   I'm also a half-assed gardener and occasionally, I take a pretty picture of something I've grown or of someone to whom I've given birth.  As a "writer" I am one voice in the wilderness of the blogosphere.  I came into this role woefully unprepared and in the process have discovered many things about Down syndrome, our world, our Western society and indeed, myself.  I started this place as a "Mommy blogger" and am slowly growing into a disability advocate.  I started out thinking that I could try to change a few minds and that would help create a world that was more receptive to people like Wyatt.  I wanted to help build a garden where old stereotypes did not linger in people's minds. A world where the phrase "my son has Down syndrome" would not automatically generate uncomfortable looks, apologies or awkward exclamations of sentimental rubbish.

Lately, I've been preoccupied with the subject of ableism and how it impacts my son.  Western culture is rife with it.  It is buried, deep within the rhetoric, deep within the language that we use to share our opinions to one another.  When it comes to the subject of advancement of people with intellectual disabilities such as Down syndrome, the tools that we advocates have chosen to use may appear to advance our goals of inclusion and acceptance. Sadly, those tools, in many cases, do the exact opposite.  How we view disability, how we see each other, how we as parent and friend advocates feel about the the world-at-large all impact our efforts. I've also realized that I shouldn't be planting anything for my son, but rather preparing the soil for him to sow a garden of his own.


It was those two quotes above that finally clarified what I had suspected for some time.  We are overgrown with ableist rhetoric, whether we mean to be or not, no matter how "good" our intentions. On the surface, the very words that we choose shape how others perceive us and how we see the world. The grand daddy of them all, the R word, is a perfect example of this.  However, the dialogue goes deeper than that.  Like rhizomes, negative concepts that shape our entire perception of disability are spread throughout our history, dating back to Aristotle.  As Cherney states, ideas such as "normal is natural", "disability is evil" and the "body is able" are rampant throughout the Western world.  Other rhetoric, including those that incorporate socioeconomic or religious ideals (such as "disability is uneducated", "disability is baseborn", "disability is ethnic") seem to sprout up everywhere.

These are all part of our great post-colonial tradition of "less than".  Our everyday language shows that we see others with disdain.  That able and functioning at optimum physical perfection is what we are all supposed to be and anything else is a failure;  lesser;  unworthy.  Even amongst "disabilities" there is a difference.  We in the Western world commonly refer to those that employ physical assistive devices such as wheelchairs and support animals as "differently abled".  Those that have cognitive impairments however are "developmentally disabled".

There's a fossil in there somewhere...As I've mentioned, I come from a medical background.  For years, I embraced a more mechanical definition of disability, which in its most basic form states "this part isn't working as it should, therefore the patient is disabled". The person is seen as broken, malfunctioning, stunted.  This quickly leads to pity disguised as empathy.  Then to romanticism, as an artistic touch is now given to what is "broken".  A more realistic viewpoint is the social model; this way, disability is described by a series of barriers, exclusions and negative attitudes (that includes language).  An individual may have a physical, cognitive or psychological difference from their neighbours, but it is the lack of societal provision that makes it an actual disability.  Humanity is diverse and flourishing;  it is only when a person runs into a situation where their needs are not met, can they be defined as actually having a disability.  Most can easily relate this model to well known things, such as ramps or closed-captioning. However, when it comes to DS and challenges of communication and interpretation, as a culture we cannot seem to move beyond the medical model.  No one seems to want to say that it is society that has disabled these individuals, not their neurological makeup.  Even within the whole of the disability community itself, those with Down syndrome and related developmental disorders are considered less than.

From the medical tradition you also get the -isms:  Infantilism, where those with DS are seen as adult babies,  "Baby Huey", or 'forever children'.  It is probably the most insidious, as it strips all dignity and sense of self and worth from the individual.  They are forever dependent, in the most basic sense.  There is also Anthropomorphism, where those with Down syndrome are referred to in supernatural or angelic terms or possessing traits that are more like "powers".   Quite possibly the most sneaky of them all (and one that I am guilty of as well) is Paternalism, where all decisions, beyond a point where they should be made by the person themselves, are removed and placed in the hands of those who are deemed--by the same abilist society--as being more qualified, be they parent, school, doctor or organization.   This model often decides "what is best" and assumes as Cherney states, that "it goes without saying", based on old, outdated practices and ideas.  For example, we are told that those with DS do not follow "typical" patterns of growth or development and that these ideals should not be applied.  Yet, we still continue to apply them with the attitude of "how else will we know whether the child is behind?",  instead of just allowing the child to develop at their own pace in a loving, supportive, caring environment.  IQ tests are culturally biased and archaic, yet we still continue to use them to determine 'level of cognition' and therefore predetermine a person's 'functionality' and thereby, worth.  Our organizations, both religious and philanthropic, readily fall into this trap too, as they betray their roots as the charities that they were originally founded as, to help "the poor unfortunates".   Regardless of the origin, regardless of some degree of "good work" having been performed, regardless of intent, the result is the same:  an abilist act grown of an abilist system.  Each and every time it is employed, it undermines those with Down syndrome.  It hampers efforts to become more visible, for those with DS to move out of the world of poverty and neglect.


Rocks Not surprisingly most of the Down syndrome advocacy movement is borne of this ableist system, myself included.  We allow the rhetoric to continue by ignoring demeaning language such as the R-word,  by describing our loved ones in childish terms, by giving them "angelic" or "superhuman" qualities, by romanticizing the medical definition of disability and by continuing to make all decisions for them.  We, the people that are supposed to be helping, are only perpetuating stereotypes.  Pictures of good looking kids with catchy sayings may sound like a good idea (and I won't deny that there was a certain purpose served by this initially), but they are not.  My son's extra chromosome is not kitsch, it is not property, it is not made of love.  He is not an angel and he himself is not perfection incarnate.  I did not design him either, nor do I believe a supreme being handcrafted him for our family... I only had the pleasure of providing half of his genetic material.

I've run into a lot of nationalism too.  Recently I read a Letterman-style "Top 10" list of reasons why one particular country was the best in which to raise a child with complex needs.  The article will no doubt be shared far and wide within the advocacy communities and it saddens me, as the article itself is so rife with inconsistencies, poorly researched half-truths and flat out falsehoods that it actually turned my stomach to read it.  Blogging communities seem to be often divided among these national lines as well.  There also seems to be some kind of hierarchy in the advocacy world;  the more disabled your child/loved one/you are, coupled with the amount of "time served" you have in this community, the more of an "expert" you are. Assuming there is such a thing in the first place. Politics within the movement itself are rapidly threatening its very life;  I don't know whether to laugh or cry when I see those calling for inclusion acting very negatively and exclusive in their practise. 

Finding your niche...But what about the world outside?  Much of what gets published about Down syndrome or special needs in the mainstream these days might as well be misery peddling. Subjects that go well beyond simple anticipatory grieving seem to be de rigueur and are now perpetuating the negative stereotypes that we are fighting so hard against. Initially, I'm sure this trend was meant to be a way for parents to find fellowship in what can be some very long and seemingly isolating days.  But, how much negativity can one person read surrounding a certain condition before they start applying those traits to that condition?  In our sensationalist world, unless a piece about disability keeps things at status quo (ie: 'less than'), it is not publishable.  Full of anger towards your child's diagnosis?  Blame your child's diagnosis for your own personal issues?  STOP THE PRESSES!  Depression, disgust,  having to "force" one's self to play with one's own child... these are are all things that go well beyond the realm of a grief reaction or situational crisis and in the end only feed our detractors and probably belongs in a therapist's office.  In the end, which is worse?  Our own community disparaging those that they claim to represent, or those outside that hate our kids? 

Then there is the stereotypical "Down syndrome superstar", who by having a prom date or scoring a goal or participating in a major life event, allows all to feel misty, paternal feelings.  Add a little more anthropomorphism, in the guise of "angels" and "my child has made me a better person" and you have the  domain of inspiraporn, which is just more ableist rhetoric.  The reality is that not every child will be a superstar and the effects of the extra chromosome will vary from child to child, as well as the resources and supports made available to them.  I'm personally guilty of this one, not realizing that the reason I felt the way I did when Wyatt was diagnosed with his AVSD (and probable chromosomal disorder) in utero, was the ableist society in which I lived.  If my culture had not continued to push the idea of the "hardship" or the "broken child", would I have been as sad as I was initially with his diagnosis?  Would I have grasped blindly for for the first sign of positivity,  the first glimmer of "hope" in the form of staged photo-ops and over the top inspirational motifs?  Let me put it another way:  if one truly accepts people with intellectual disabilities and developmental delays as equals, these stories would not be news.  However, many cling to them desperately, willing to overlook the weeds of ableism and instead renaming it a wildflower of "awareness".


"Bucket of Rocks" shared with
permission from Chiotsrun.com
What this civil rights movement needs is more visibility.  Not from parents or people like me, but from the self-advocates themselves.  That is why I share almost everything from VATTA blog on our Facebook page.  It is the people with Down syndrome who need to create the language that describes them, it will be the self-advocates that create the new rhetoric to promote neurodiversity.  It is happening.  Slowly, seeds are germinating.

As one of my children has Down syndrome, I've had to evaluate my perceptions of disability over and over.  How will this affect Wyatt?  How can we, as his parents, best guide him to adulthood and allow him the freedom to advocate on his own behalf, whatever form that may take?  To reach "his full potential" on his own terms, not our abilist ones? At what point do I stop "parenting" and become "paternalistic"?  For now, I guess, my job is to continue to expose the rhetoric and ableism while nurturing the creation of a new construct, a new set of definitions that not only include neurodiversity but were created within that community.  Despite how disheartening all this can be sometimes, despite how physically and emotionally exhausting it is, I will continue to prepare the soil of this revolution.  My family will continue to explore the world of Intellectual Disability and Developmental Delay the only way we can, through the eyes of others, including our son.  I must persist with preparing this earth for my kids as they grow.  I know, one day, my son will communicate "It's ok, Mom... I've got this" and I will happily put down my bucket and drink a Mojito in the shade.  Until that time however, there is much work to be done.  All are welcome to offer a little sweat equity;  there is a lot of weeds to clear, soil to turn and rocks to pick...

"Picking Rocks.." shared with permission from Chiotsrun.com
---------------------------
Cherney, James L. "The Rhetoric of Ableism." Disability Studies Quarterly 31.3 (2011):  The Rhetoric of Ableism | Cherney | Disability Studies Quarterly. The Society for Disability Studies. Web. 03 July 2013.

Wednesday, July 3, 2013

Wordless Wednesday: Summer Kisses

Follow Me! Flower Rock On Ball! I'll Take You for a Ride I Gives You This. Little Brother, Big Brother Kisses for Little Brother Kissy Face

Monday, July 1, 2013

In the News - June 2013

Every month I compile a list of the stories I post on Down Wit Dat's Facebook page. They are stories of activism, of inclusion, of advocacy, of education, of hope and awareness.  Every day advocacy was a theme this month, as were reflections on motherhood.


Legend:
AUDIOindicates an audio clip
APPEAL indicates an online petition or plea
BLOG indicates a blog post
EVENT indicates a scheduled event
LINKS indicates links or resource materials
PHOTOS indicates photos
STUDY indicates a study or discovery
THREAD indicates an online discussion thread
VIDEO indicates a video or movie


VIDEORestraint and Seclusion: Hear Our Stories
VIDEO#justiceforethan
BLOGMy Not-So-Great Story: A Personal Experience with the NDSS & The Buddy Walk. Guest Post by Stacey Calcano
APPEAL
BLOGProof that Tolerance is Usually Just a Matter of Education...
BLOG
In the News - May 2013
VIDEOThe Autism Project: Mothers with ASD ask why scientists are missing girls


When the perfect baby you adore suddenly becomes a stranger: One mother describes how she fell into a black hole when her son was diagnosed with Down's Syndrome
BLOG
Communication and Support Through Hard Things
BLOG
Respect
BLOG
Multiple Choice Test –
EVENTPeel students with disabilities participate in inclusive track and field event
BLOG
Just your average moms next door
Exclusive screening of Finnish music and disability documentary for Cork
BLOG
BLOG
Without Love
BLOG
A Dog By Any Other Name
BLOG
“Time to Listen”: Autism and the simplicity of relationships
APPEAL
Action Alert: Contact Governor O’Malley of Maryland
to Demand an Independent Investigation Regarding the
Death of Ethan Saylor - See more at: http://www.ndss.org/About-NDSS/Newsroom/Recent-News/Action-Alert-Ethan-Saylor-Update/#sthash.2UoMhRDE.dpuf
Call to Action:  Contact Governor O'Malley of Maryland to Demand an Independent Investigation into the Death of Ethan Saylor
PHOTOS100 Words: The Life Of A Sibling With Disability
VIDEO
Dying girl intubated as she awaits lung transplant
BLOG
What is this "Normal" of Which You Speak?
BLOG
We Are in This Together
BLOG
VIDEO
BLOGLike a Person
Like A Person
BLOG
Non-Speaking People Who Type
BLOG
a letter to my son
BLOGPotential, Disability, and Human Worth

Real Hope for Syria
APPEAL
Call to Action: Va. Lt. Governor Candidate E. W. Jackson
BLOG
The Simple Humanness of Jude

APPEAL
Call To Action: Frederick County Sheriff Department Accreditation Committee
BLOG
Don't be a Dick*
VIDEOBirch School Investigation

“A Doorway to a New Life”: A Conversation with George Estreich About Down Syndrome, Writing, and the Stories that Make a Family
BLOG
The Murder of Alex Spourdalakis
BLOG
Autism, language, and othering
BLOG
Hug your child tonight
BLOG
Holding Onto Light
VIDEOU. research giving hope of better treatment for patients with Down syndrome
No, It’s Not Okay for Bill Maher to Make Fun of Special Needs Children, Even If They’re a Palin

Raising a Child with Special Needs: What About Your Needs?

Do Medical Textbooks Intentionally Offer Outdated Descriptions of Down Syndrome? and Other Questions for George Estreich
We need answers in my brother’s death
BLOG
The (prom) politics of pity
BLOG
Dear expectant parent with a prenatal Down syndrome diagnosis
The photo that broke a mother’s heart
EVENTSeedlings for Justice
BLOG
By George
BLOG


Don't label people with Down syndrome
BLOG
The Discourse of Police Brutality - 14-year-old attacked for a "dehumanizing stare."

Learning disability charity: abuse went unreported for too long
BLOGIt’s Not Your Fault

BLOG
His Name was Alex Spourdalakis

Frederick County’s silence cannot be the last word on two deaths
VIDEOPutting the ‘R’ Word To Rest
BLOG
Junior High Tactics
APPEALPut a stop to institutions such as Winterbourne

Taylor woman charged with starving son to death
BLOGI’m Removing My Prenatal Testing Halo.
BLOG
I’m Just a Mom – Not a “Special Needs Mom.”

BLOG
Slippery Slope
BLOG
Where Have You Been, Barbara Walters?
VIDEOSome workers at Goodwill paid as little as 22 cents an hour
Inclusive Schooling: Are We There Yet?
BLOG
Muddying the Water: Alleviating Pain ≠ “Recovery”
BLOG
Community and Identity
BLOG
Bigotry and #Autism Advocacy- The (undefined) line we all think we avoid crossing
BLOG
Stop
BLOGLove Simply, Just Because
VIDEOCarly Fleischmann: Video about autistic Toronto teen wins international acclaim
BLOG
Sweet Spots
BLOG
Consent is King

APPEALHave You Contacted the Governor of Maryland?

BLOGTired of Labels

Building Networks for a ‘Good Life,’ Even After the Caregiver Is Gone
BLOG
A Cognitive Crip Strikes Back: A Big Picture of the Disability Problem
BLOG
Raising Ghosts
BLOG
We Are Like Your Child
BLOG
Disability and Society’s Role

The “R-word” has been banished…new criteria for intellectual disability
BLOG
Driven to Distraction

This month:

June seems to have been even busier than May.  Slowly, I've been filling our home on Tumblr:

I've been able to welcome new friends on our Facebook page, Group and Twitter as well:

 
...And that's the news.  Keep the stories and information coming!


Happy Canada Day to all, both at home and away.
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