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You Are Not Alone:
For Parents When They Learn That Their Child Has
A Disability
by Patricia McGill Smith, Executive Director,
National Parent Network on Disabilities
If you have recently learned that your child is developmentally
delayed or has a disability (which may or may not be completely defined),
this message may be for you. It is written from the personal perspective
of a parent who has shared this experience and all that goes with it.
When parents learn about any difficulty or problem in their child's development,
this information comes as a tremendous blow. The day my child was diagnosed
as having a disability, I was devastated -- and so confused that I recall
little else about those first days other than the heartbreak. Another parent
described this event as a "black sack" being pulled down over her head,
blocking her ability to hear, see, and think in normal ways. Another parent
described the trauma as "having a knife stuck" in her heart. Perhaps these
descriptions seem a bit dramatic, yet it has been my experience that they
may not sufficiently describe the many emotions that flood parents' minds
and hearts when they receive any bad news about their child.
Many things can be done to help yourself through this period of trauma.
That is what this paper is all about. In order to talk about some of the
good things that can happen to alleviate the anxiety, let us first take
a look at some of the reactions that occur.
Common Reactions
On learning that their child may have a disability,
most parents react in ways that have been shared by all parents before them
who have also been faced with this disappointment and with this enormous
challenge. One of the first reactions is that of denial -- "This cannot
be happening to me, to my child, to our family." Denial rapidly merges with
anger, which may be directed toward the medical personnel who were involved
in providing the information about the child's problem. Anger can also color
communication between husband and wife or with grandparents or significant
others in the family. Early on, it seems that the anger is so intense that
it touches almost anyone, because it is triggered by the feelings of grief
and inexplicable loss that one does not know how to explain or deal with.
Fear is another immediate response. People often fear the unknown more than
they fear the known. Having the complete diagnosis and some knowledge of
the child's future prospects can be easier than uncertainty. In either case,
however, fear of the future is a common emotion: "What is going to happen
to this child when he is five years old, when he is twelve, when he is twenty-one?
What is going to happen to this child when I am gone?" Then other questions
arise: "Will he ever learn? Will he ever go to college? Will he or she have
the capability of loving and living and laughing and doing all the things
that we had planned?"
Other unknowns also inspire fear. Parents fear that the child's condition
will be the very worst it possibly could be. Over the years, I have spoken
with so many parents who said that their first thoughts were totally bleak.
One expects the worst. Memories return of persons with disabilities one
has known. Sometimes there is guilt over some slight committed years before
toward a person with a disability. There is also fear of society's rejection,
fears about how brothers and sisters will be affected, questions as to whether
there will be any more brothers or sisters in this family, and concerns
about whether the husband or wife will love this child. These fears can
almost immobilize some parents.
Then there is guilt -- guilt and concern about whether the parents themselves
have caused the problem: "Did I do something to cause this? Am I being punished
for something have done? Did I take care of myself when I was pregnant?
Did my wife take good enough care of herself when she was pregnant?" For
myself, I remember thinking that surely my daughter had slipped from the
bed when she was very young and hit her head, or that perhaps one of her
brothers orsisters had inadvertently let her drop and didn't tell me. Much
self-reproach and remorse can stem from questioning the causes of the disability.
Guilt feelings may also be manifested in spiritual and religious interpretations
of blame and punishment. When they cry, "Why me?" or "Why my child?", many
parents are also saying, "Why has God done this to me?" How often have we
raised our eyes to heaven and asked: "What did I ever do to deserve this?"
One young mother said, "I feel so guilty because all my life I had never
had a hardship and now God has decided to give me a hardship."
Confusion also marks this traumatic period. As a result of not fully understanding
what is happening and what will happen, confusion reveals itself in sleeplessness,
inability to make decisions, and mental overload. In the midst of such trauma,
information can seem garbled and distorted. You hear new words that you
never heard before, terms that describe something that you cannot understand.
You want to find out what it is all about, yet it seems that you cannot
make sense of all the information you are receiving. Often parents are just
not on the same wavelength as the person who is trying to communicate with
them about their child's disability.
Powerlessness to change what is happening is very difficult to accept. You
cannot change the fact that your child has a disability, yet parents want
to feel competent and capable of handling their own life situations. It
is extremely hard to be forced to rely on the judgments, opinions, and recommendations
of others. Compounding the problem is that these others are often strangers
with whom no bond of trust has yet been established.
Disappointment that a child is not perfect poses a threat to many parents'
egos and a challenge to their value system. This jolt to previous expectations
can create reluctance to accept one's child as a valuable, developing person.
Rejection is another reaction that parents experience. Rejection can be
directed toward the child or toward the medical personnel or toward other
family members. One of the more serious forms of rejection, and not that
uncommon, is a "death wish" for the child -- a feeling that many parents
report at their deepest points of depression.
During this period of time when so many different feelings can flood the
mind and heart, there is no way to measure how intensely a parent may experience
this constellation of emotions. Not all parents go through these stages,
but it is important for parents to identify with all of the potentially
troublesome feelings that can arise, so that they will know that they are
not alone. There are many constructive actions that you can take immediately,
and there are many sources of help, communication, and reassurance.
Seek the Assistance of Another Parent
There was a parent who helped me. Twenty-two hours
after my own child's diagnosis, he made a statement that I have never forgotten:
"You may not realize it today, but there may come a time in your life when
you will find that having a daughter with a disability is a blessing." I
can remember being puzzled by these words, which were nonetheless an invaluable
gift that lit the first light of hope for me. This parent spoke of hope
for the future. He assured me that there would be programs, there would
be progress, and there would be help of many kinds and from many sources.
And he was the father of a boy with mental retardation.
My first recommendation is to try to find another parent of a child with
a disability, preferably one who has chosen to be a parent helper, and seek
his or her assistance. All over the United States and over the world, there
are Parent-Helping-Parent Programs. The National Information Center for
Children and Youth with Disabilities (NICHCY) has listings of parent groups
that will reach out and help you. If you cannot find your local parent organization,
write to NICHCY to get that local information.
Talk with Your Mate, Family, and Significant Others
Over the years, I have discovered that many parents
don't communicate their feelings regarding the problems their children have.
One spouse is often concerned about not being a source of strength for the
other mate. The more couples can communicate at difficult times like these,
the greater their collective strength. Understand that you each approach
your roles as parents differently. How you will feel and respond to this
new challenge may not the same. Try to explain to each other how you feel;
try to understand when you don't see things the same way.
If there are other children, talk with them, too. Be aware of their needs.
If you are not emotionally capable of talking with your children or seeing
to their emotional needs at this time, identify others within your family
structure who can establish a special communicative bond with them. Talk
with significant others in your life -- your best friend, your own parents.
For many people, the temptation to close up emotionally is great at this
point, but it can be so beneficial to have reliable friends and relatives
who can help to carry the emotional burden.
Rely on Positive Sources in Your Life
One positive source of strength and wisdom might
be your minister, priest, or rabbi. Another may be a good friend or a counselor.
Go to those who have been a strength before in your life. Find the new sources
that you need now.
A very fine counselor once gave me a recipe for living through a crisis:
"Each morning, when you arise, recognize your powerlessness over the situation
at hand, turn this problem over to God, as you understand Him, and begin
your day."
Whenever your feelings are painful, you must reach out and contact someone.
Call or write or get into your car and contact a real person who will talk
with you and share that pain. Pain divided is not nearly so hard to bear
as is pain in isolation. Sometimes professional counseling is warranted;
if you feel that this might help you, do not be reluctant to seek this avenue
of assistance.
Take One Day at a Time
Fears of the future can immobilize one. Living with
the reality of the day which is at hand is made more manageable if we throw
out the "what if's" and "what then's" of the future. Even though it may
not seem possible, good things will continue to happen each day. Worrying
about the future will only deplete your limited resources. You have enough
to focus on; get through each day, one step at a time.
Learn the Terminology
When you are introduced to new terminology, you should
not be hesitant to ask what it means. Whenever someone uses a word that
you don't understand, stop the conversation for a minute and ask the person
to explain the word.
Seek Information
Some parents seek virtually "tons" of information; others are not so persistent.
The important thing is that you request accurate information. Don't be afraid
to ask questions, because asking questions will be your first step in beginning
to understand more about your child.
Learning how to formulate questions is an art that will make life a lot
easier for you in the future. A good method is to write down your questions
before entering appointments or meetings, and to write down further questions
as you think of them during the meeting. Get written copies of all documentation
from physicians, teachers, and therapists regarding your child. It is a
good idea to buy a three-ring notebook in which to save all information
that is given to you. In the future, there will be many uses for information
that you have recorded and filed; keep it in a safe place. Again, remember
always to ask for copies of evaluations, diagnostic reports, and progress
reports. If you are not a naturally organized person, just get a box and
throw all the paperwork in it. Then when you really need it, it will be
there.
Do Not Be Intimidated
Many parents feel inadequate in the presence of people from the medical
or educational professions because of their credentials and, sometimes,
because of their professional manner. Do not be intimidated by the educational
backgrounds of these and other personnel who may be involved in treating
or helping your child. You do not have to apologize for wanting to know
what is occurring. Do not be concerned that you are being a bother or are
asking too many questions. Remember, this is your child, and the situation
has a profound effect on your life and on your child's future. Therefore,
it is important that you learn as much as you can about your situation.
Do Not Be Afraid to Show Emotion
So many parents, especially dads, repress their emotions because they believe
it to be a sign of weakness to let people know how they are feeling. The
strongest fathers of children with disabilities whom I know are not afraid
to show their emotions. They understand that revealing feelings does not
diminish one's strength.
Learn to Deal with Natural Feelings of Bitterness
and Anger
Feelings of bitterness and anger are inevitable when you realize that you
must revise the hopes and dreams you originally had for your child. It is
very valuable to recognize your anger and to learn to let go of it. You
may need outside help to do this. It may not feel like it, but life will
get better and the day will come when you will feel positive again. By acknowledging
and working through your negative feelings, you will be better equipped
to meet new challenges, and bitterness and anger will no longer drain your
energies and initiative.
Maintain a Positive Outlook
A positive attitude will be one of your genuinely valuable tools for dealing
with problems. There is, truly, always a positive side to whatever is occurring.
For example, when my child was found to have a disability, one of the other
things pointed out to me was that she was a very healthy child. She still
is. The fact that she has had no physical impairments has been a great blessing
over the years; she has been the healthiest child I have ever raised. Focusing
on the positives diminishes the negatives and makes life easier to deal
with.
Keep in Touch with Reality
To stay in touch with reality is to accept life the way it is. To stay in
touch with reality is also to recognize that there are some things that
we can change and other things that we cannot change. The task for all of
us is learning which things we can change and then set about doing that.
Remember That Time Is on Your Side
Time heals many wounds. This does not mean that living with and raising
a child who has problems will be easy, but it is fair to say that, as time
passes, a great deal can be done to alleviate the problem. Therefore, time
does help!
Find Programs for Your Child
Even for those living in isolated areas of the country, assistance is available
to help you with whatever problems you are having. NICHCY's State
Resource Sheets list contact persons who
can help you get started in gaining the information and assistance you need.
While finding programs for your child with a disability, keep in mind that
programs are also available for the rest of your family.
Take Care of Yourself
In times of stress, each person reacts in his or her own way. A few universal
recommendations may help: Get sufficient rest; eat as well as you can; take
time for yourself; reach out to others for emotional support.
Avoid Pity
Self-pity, the experience of pity from others, or pity for your child are
actually disabling. Pity is not what is needed. Empathy, which is the ability
to feel with another person, is the attitude to be encouraged.
Decide How to Deal With Others
During this period, you may feel saddened by or angry about the way people
are reacting to you or your child. Many people's reactions to serious problems
are caused by a lack of understanding, simply not knowing what to say, or
fear of the unknown. Understand that many people don't know how to behave
when they see a child with differences, and they may react inappropriately.
Think about and decide how you want to deal with stares or questions. Try
not to use too much energy being concerned about people who are not able
to respond in ways you might prefer.
Keep Daily Routines as Normal as Possible
My mother once told me, "When a problem arises and you don't know what to
do, then you do whatever it was that you were going to do anyway." Practicing
this habit seems to produce some normalcy and consistency when life becomes
hectic.
Remember That This is Your Child
This person is your child, first and foremost. Granted, your child's development
may be different from that of other children, but this does not make your
child less valuable, less human, less important, or in less need of your
love and parenting. Love and enjoy your child. The child comes first; the
disability comes second. If you can relax and take the positive steps just
outlined, one at a time, you will do the best you can, your child will benefit,
and you can look forward to the future with hope.
Recognize That You Are Not Alone
The feeling of isolation at the time of diagnosis is almost universal among
parents. In this article, there are many recommendations to help you handle
feelings of separateness and isolation. It helps to know that these feelings
have been experienced by many, many others, that understanding and constructive
help are available to you and your child, and that you are not alone.
___________________
Patricia Smith brings much personal and professional experience to the
national parent and disability movement. She is currently the Executive
Director of the National Parent Network on Disabilities. She has served
as the Acting Assistant and Deputy Assistant Secretary in the Office of
Special Education and Rehabilitative Services, in the U.S. Department
of Education. She has also served as the Deputy Director of NICHCY, where
she wrote and first published You Are Not Alone. She has travelled to
almost every corner of the United States, as well as internationally,
to share her hope and experience with families who have a member with
a disability.
Ms. Smith has seven adult children, the youngest of whom has multiple
disabilities. She also has a seven year old adopted grandson who has Down
syndrome.
Adapted from information
published by the National Information Center for Children and Youth with Disabilities
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