I never knew about this! (I'm guessing it applies to other psychologists as well.)
https://omaha.com/eedition/sunrise/articles/how-to-discipline-children-with-asd/article_db2e30cd-4217-5a32-a71c-c4df7dd50c21.html
(the author is a psychologist)
Q:I am a grandmother with custody of my two grandsons, 6 year old twins. Because of behavior problems at home and school and difficulties relating to other children (they play and communicate with one another just fine), they have been diagnosed with
autism. What is your opinion of the diagnosis, and what can I do to help them? Their therapist has told me that usually means of discipline won't work, but has yet to give me something that does.
A: As opposed to a verifiable physical disease such as cancer, all psychiatric (mental health) diagnoses, including autism — or, more accurately, autism spectrum disorder (ASD) — are based not on "hard" data but on third-party description. As such, a
diagnosis of ASD is a construct and subject, therefore, to unreliability. One psychologist may render a diagnosis of autism while another may render, for the same child, a diagnosis of, say, childhood bipolar disorder or oppositional defiant disorder.
There are several theories concerning autism that attribute its origin to genetics and other biological factors, but none of them have been proven conclusively. The dispute, mind you, is not over what people are reporting — behavior — but speculative
notions regarding etiology, or cause.
For the above reasons, I don't pay much attention to diagnosis. In the first place, in today's health care environment, insurance providers require that mental health professionals assign one or more diagnostic labels to anyone they see. A psychologist
won't get reimbursed if he tells an insurance company that he is counseling so-and-so because of "problems in relationships." Reimbursement depends on the psychologist diagnosing so-and-so with a recognized mental illness like depression.
It is not uncommon for twins during early childhood to develop a "secret language" which they only use to communicate with one another. The phenomenon, estimated to occur with nearly half of all twins (including fraternal), is called cryptophasia. With
or without cryptophasia, however, idiosyncratic, twin-to-twin behaviors can also develop that may ultimately interfere with normal peer relationships during early and middle childhood. In most cases, these difficulties are eventually "outgrown," but this
phenomenon should be taken into account when evaluating young twins who are having difficulty socializing with other children.
If my hunch is correct, then what people are seeing may not be autism (suspending for the moment any question concerning the validity and reliability of the diagnosis). Regardless, the notion that "normal means of discipline don't work with autistic
children" is pure balderdash. That says more about the person making that claim than it does your boys. I've worked with a good number of parents of children diagnosed with ASD. These kids are not a different species; they are human. As such, the same
principles that govern the successful discipline of any human child, applied properly, will work.
What does NOT work with ASD kids is acting like the diagnosis requires that they be handled with kid gloves. The proper discipline of a child, diagnosis or not, requires adults who are ready to step up to the plate and deliver unequivocal authority.
Kid gloves just won't do.
(end)
And (from 2018 - the relevant comment is at the bottom):
https://www.ajc.com/lifestyles/parenting/year-old-defies-parents-every-opportunity/jSOuuZ0PsSo3WfMo1Lyo0I/
Q: We are having no success getting our 3-year-old (her third birthday is in a couple of weeks) to do what we tell her to do. She defies us at every opportunity, whether it’s just ignoring us or telling us “no” or even physically fighting us. We’
ve tried time-out, but she won’t sit, and if one of us tries to hold her in her “happy chair,” she screams and kicks and arches her back and we’re afraid we’ll hurt her if we don’t let her go. We’ve tried taking away privileges, but there
really aren’t that many to take away and she doesn’t seem to care anyway. Are there consequences we haven’t thought of that might turn her around?
A: There are probably consequences you haven't thought of, but I'm sorry to inform you that consequences are not the key to the effective discipline of a child. Rewards and punishments work very reliably and predictably with dogs and other animals. They
do not work such with human beings. When it comes to the discipline of children, behavior modification has been a complete bust (along with every other psychological parenting theory).
The key to effective discipline is a proper parental attitude. Breaking it down, it’s one-third proper body language (as opposed to what the parent-babblers advise, stand up straight and tall when addressing a child), one-third proper speech (when
giving instructions, use the fewest words possible and preface them with authoritative phrases such as “It’s now time for you to….” and “You need to….”), and one-third refusing to engage in non-productive back-and-forth (arguments).
To be more specific with regards to the latter, do not explain your reason for giving a child an instruction. The lack of explanation provokes the universal invitation to battle: “Why?” There is one proper response to that invitation: “Because I
said so.” That very time-honored phrase is nothing more than an affirmation of the legitimacy of the parent’s authority. After delivering that affirmation, walk away. Do not hover over a child, waiting for her to begin complying. That is sure to draw
resistance. If one is in a situation where walking away is impossible, then turn away and pay attention to something else.
My finding is that the proper parental attitude described above, which identifies the parent as the Alpha in the relationship, minimizes discipline problems. They quickly become small potatoes. Consequences may sometimes be necessary, but two facts are
pertinent to this discussion:
1. Without an authoritative attitude on the part of the parent in question, no consequence will work for long.
2. With that authoritative attitude, consequences are rarely necessary.
In the life of nearly every child who is a major behavior problem in the home there is at least one adult who has no problems with the child at all. That is proof that the problem is not located “inside” the child in the form of biochemical
imbalances and other equally spurious fictions. It also proves that the child is not the problem.
So, to parents like yourselves, I advise: Find that person and watch him or her. You’ll save yourself a lot of money that you might eventually spend on therapy.
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