私の午後の担当の子供は 今年の９月から学校に就学します。
それに向けて グループセラピーに彼は入って 毎日頑張っています。
本当に 彼なりに頑張っていました。
最初の一週間は ストーリタイムのたった３分間も座っていられず、
一緒に座って彼の気を本にひきつけたりしていました。
２週間目 何とかるトーリータイムの時間は座ると言うことがわかってきてくれて
一緒に絵を見て楽しんだりしていました。
３週間目 本の中の絵を指差し「Look Snack!」 自分から本を楽しみ始めました。
４週間目 本を読んでいた先生が「本のどの場面がすき？」と言う質問をしたら
彼が「Book is good」と 自分から答えてくれました。
（こうやって全体的に見てみるとすごい成長していますね！）
このころから クラフトの時間、サークルタイムの時間 私のヘルプなしで自分でかつどうにさんかできるようになりました。
グループセラピー（２ヶ月目）突然 世界が開け 自分の周りにはクラスメートが
いるんだと気がつき、「Hi」と挨拶できるようになったり、隣に座ってる子にちょっかい？を出すくらい
とてもフレンドリーになってきたのです。
ところが先週 この新しい世界が彼にとって あまりにも楽しくて そして辛い世界に変わりました。
彼の脳に入ってくる 新しく広がった世界の情報は膨大すぎ、前頭葉の情報処理がパンク状態でした。
クラスにはっても、彼なりにお友達つくりをしようとするのですが、
お友達を叩いたり（彼の中ではHiといってるつもり） 大声を上げて皆の視線を集めたり
お部屋から逃げ出して皆の気を引いたりしていました（ココに鍵ありました）
彼の感情のコントロールが すっごい楽しい！から落ち着ける状態になれず
座る時間になっても座れず、座っても私と押し競饅頭ゲームみたいになってしまうのです。
上司に何度も相談して対策を練るのですが、今回はどれも彼の助けにならず
本当に皆で沢山話し合いました。
グループの中にいるので 団体行動したいのですが、うまくいかず、
彼なりにきっと悔しかったんだと思います。
先週金曜日 部屋を脱走すること１０回目 ついに他の先生から
個人のセラピー部屋に戻ってください と言われてしまい
もうショック！！！ こんなにがんばってココまで来たのに。
彼なりに 一生懸命だったのに、、、、、
私のセラピー部屋に彼と戻ると、今までのハイパーモードが嘘のように落ち着いたのです。
もうこれを見て 涙が出ました。
こんなに彼は苦しんでいたんだと。
私は 彼の心の声に気がついてあげることができませんでした。
大反省です。
（そうです、脱走は お部屋に帰ろうとしていたんですね。私たち大人は 彼は追いかけっこのゲームをしていると思い込んでいたんです）
もう、情けなくて 自分の愚かさに 久しぶりにトイレで泣きました。
泣き出したら止まらなくなってしまい、まるで起き上がりこぼしのように
下を向くと涙が自動的に出てきてしまた。
これを見た担当の子供が
「Oh No! What happne?!」
子供から ハグとキスをもらいました。（本当にかわいいですね。でも私は先生失格です！）
私は心から誓います。
もっと強くなります。
もっと勉強します。
もっと 頑張ります。
もっと 大きな視野と心で子供と接します。
来週から さらに小さなグループ たった２人のグループに入ります。
仕切り直しです。
そして、今週末 トロントに エンジェルセラピーで結構有名な方の息子さん
http://www.charlesvirtue.com/ACP.html がトロントでセミナーを開いてくださるので
それに参加してきます。
天使たちとこれから どうやっていくか相談してきます（笑）
この アイディアがどう転ぶかわかりませんが、素敵な導きに感謝し
頑張ってきます。
同じ空の下で、沢山の光を送ります。
2010年3月8日月曜日
ODD
今日 職場の同僚と話していて 初めて聞いた言葉
Oppositional Defiant Disorder (ODD)
ADHDの３０％～４０％の中でこの症状がみられるとか。
勉強になりました（＾＾）
Children With Oppositional Defiant Disorder
All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child’s social, family and academic life.
In children with Oppositional Defiant Disorder (ODD), there is an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures that seriously interferes with the youngster’s day to day functioning. Symptoms of ODD may include:
Frequent temper tantrums
Excessive arguing with adults
Often questioning rules
Active defiance and refusal to comply with adult requests and rules
Deliberate attempts to annoy or upset people
Blaming others for his or her mistakes or misbehavior
Often being touchy or easily annoyed by others
Frequent anger and resentment
Mean and hateful talking when upset
Spiteful attitude and revenge seeking
The symptoms are usually seen in multiple settings, but may be more noticeable at home or at school. One to sixteen percent of all school-age children and adolescents have ODD. The causes of ODD are unknown, but many parents report that their child with ODD was more rigid and demanding that the child’s siblings from an early age. Biological, psychological and social factors may have a role.
A child presenting with ODD symptoms should have a comprehensive evaluation. It is important to look for other disorders which may be present; such as, attention-deficit hyperactivity disorder (ADHD), learning disabilities, mood disorders (depression, bipolar disorder) and anxiety disorders. It may be difficult to improve the symptoms of ODD without treating the coexisting disorder. Some children with ODD may go on to develop conduct disorder.
Treatment of ODD may include: Parent Management Training Programs to help parents and others manage the child’s behavior. Individual Psychotherapy to develop more effective anger management. Family Psychotherapy to improve communication and mutual understanding. Cognitive Problem-Solving Skills Training and Therapies to assist with problem solving and decrease negativity. Social Skills Training to increase flexibility and improve social skills and frustration tolerance with peers.
Medication may be helpful in controlling some of the more distressing symptoms of ODD as well as the symptoms related to coexistent conditions such as ADHD, anxiety and mood disorders.
A child with ODD can be very difficult for parents. These parents need support and understanding. Parents can help their child with ODD in the following ways:
Always build on the positives, give the child praise and positive reinforcement when he shows flexibility or cooperation.
Take a time-out or break if you are about to make the conflict with your child worse, not better. This is good modeling for your child. Support your child if he decides to take a time-out to prevent overreacting.
Pick your battles. Since the child with ODD has trouble avoiding power struggles, prioritize the things you want your child to do. If you give your child a time-out in his room for misbehavior, don’t add time for arguing. Say “your time will start when you go to your room.”
Set up reasonable, age appropriate limits with consequences that can be enforced consistently.
Maintain interests other than your child with ODD, so that managing your child doesn’t take all your time and energy. Try to work with and obtain support from the other adults (teachers, coaches, and spouse) dealing with your child.
Manage your own stress with healthy life choices such as exercise and relaxation. Use respite care and other breaks as needed
Many children with ODD will respond to the positive parenting techniques. Parents may ask their pediatrician or family physician to refer them to a child and adolescent psychiatrist or qualified mental health professional who can diagnose and treat ODD and any coexisting psychiatric condition.
See also:
eAACAP Oppositional Defiant Disorder Resource Center
This resource center offers a definition of the disorder, answers to frequently asked questions, and information on getting help.
For additional information see other Facts for Families:
#6 Children Who Can't Pay Attention/ADHD
#16 Learning Disabilities
#4 The Depressed Child
#38 Manic‑Depressive Illness in Teens
#52 Comprehensive Psychiatric Evaluation
#33 Conduct Disorder
#65 Children's Threats
#66 Helping Teenagers with Stress
#00 Definition of a Child and Adolescent Psychiatrist
Oppositional Defiant Disorder
Melvin Oatis, M.D.
(Apr 2008)
duration: 02:21
Oppositional Defiant Disorder (ODD)
ADHDの３０％～４０％の中でこの症状がみられるとか。
勉強になりました（＾＾）
Children With Oppositional Defiant Disorder
All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child’s social, family and academic life.
In children with Oppositional Defiant Disorder (ODD), there is an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures that seriously interferes with the youngster’s day to day functioning. Symptoms of ODD may include:
Frequent temper tantrums
Excessive arguing with adults
Often questioning rules
Active defiance and refusal to comply with adult requests and rules
Deliberate attempts to annoy or upset people
Blaming others for his or her mistakes or misbehavior
Often being touchy or easily annoyed by others
Frequent anger and resentment
Mean and hateful talking when upset
Spiteful attitude and revenge seeking
The symptoms are usually seen in multiple settings, but may be more noticeable at home or at school. One to sixteen percent of all school-age children and adolescents have ODD. The causes of ODD are unknown, but many parents report that their child with ODD was more rigid and demanding that the child’s siblings from an early age. Biological, psychological and social factors may have a role.
A child presenting with ODD symptoms should have a comprehensive evaluation. It is important to look for other disorders which may be present; such as, attention-deficit hyperactivity disorder (ADHD), learning disabilities, mood disorders (depression, bipolar disorder) and anxiety disorders. It may be difficult to improve the symptoms of ODD without treating the coexisting disorder. Some children with ODD may go on to develop conduct disorder.
Treatment of ODD may include: Parent Management Training Programs to help parents and others manage the child’s behavior. Individual Psychotherapy to develop more effective anger management. Family Psychotherapy to improve communication and mutual understanding. Cognitive Problem-Solving Skills Training and Therapies to assist with problem solving and decrease negativity. Social Skills Training to increase flexibility and improve social skills and frustration tolerance with peers.
Medication may be helpful in controlling some of the more distressing symptoms of ODD as well as the symptoms related to coexistent conditions such as ADHD, anxiety and mood disorders.
A child with ODD can be very difficult for parents. These parents need support and understanding. Parents can help their child with ODD in the following ways:
Always build on the positives, give the child praise and positive reinforcement when he shows flexibility or cooperation.
Take a time-out or break if you are about to make the conflict with your child worse, not better. This is good modeling for your child. Support your child if he decides to take a time-out to prevent overreacting.
Pick your battles. Since the child with ODD has trouble avoiding power struggles, prioritize the things you want your child to do. If you give your child a time-out in his room for misbehavior, don’t add time for arguing. Say “your time will start when you go to your room.”
Set up reasonable, age appropriate limits with consequences that can be enforced consistently.
Maintain interests other than your child with ODD, so that managing your child doesn’t take all your time and energy. Try to work with and obtain support from the other adults (teachers, coaches, and spouse) dealing with your child.
Manage your own stress with healthy life choices such as exercise and relaxation. Use respite care and other breaks as needed
Many children with ODD will respond to the positive parenting techniques. Parents may ask their pediatrician or family physician to refer them to a child and adolescent psychiatrist or qualified mental health professional who can diagnose and treat ODD and any coexisting psychiatric condition.
See also:
eAACAP Oppositional Defiant Disorder Resource Center
This resource center offers a definition of the disorder, answers to frequently asked questions, and information on getting help.
For additional information see other Facts for Families:
#6 Children Who Can't Pay Attention/ADHD
#16 Learning Disabilities
#4 The Depressed Child
#38 Manic‑Depressive Illness in Teens
#52 Comprehensive Psychiatric Evaluation
#33 Conduct Disorder
#65 Children's Threats
#66 Helping Teenagers with Stress
#00 Definition of a Child and Adolescent Psychiatrist
Oppositional Defiant Disorder
Melvin Oatis, M.D.
(Apr 2008)
duration: 02:21
2010年3月6日土曜日
Assistance Dogs
http://www.nsd.on.ca/ourdogs.php
カナダで 自閉症のための援助犬を養成しているのです。
こういうのを見ると へ～、世の中本当に自閉症に対してすごく理解が出てきたんだなぁ
なんて改めて思ってしまいます。
犬を飼うと決めたとき 相棒がこのWbサイトを見つけやる気満々になった私。
家のワンコも Assistance Dogにするぞ！！！
（↑かなりきあいはいってます）
きっとココまでの援助犬にするには相当の忍耐とトレーニング
知識が必要なんでしょうけど、、、、、
自分の犬が 沢山の子供達、人と出会い何かお役に立てたら
ほんとうにすてきだなぁ～、、、なんて夢見て頑張ってます。
カナダで 自閉症のための援助犬を養成しているのです。
こういうのを見ると へ～、世の中本当に自閉症に対してすごく理解が出てきたんだなぁ
なんて改めて思ってしまいます。
犬を飼うと決めたとき 相棒がこのWbサイトを見つけやる気満々になった私。
家のワンコも Assistance Dogにするぞ！！！
（↑かなりきあいはいってます）
きっとココまでの援助犬にするには相当の忍耐とトレーニング
知識が必要なんでしょうけど、、、、、
自分の犬が 沢山の子供達、人と出会い何かお役に立てたら
ほんとうにすてきだなぁ～、、、なんて夢見て頑張ってます。
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