by Temple Grandin, PhD and Debra Moore, PhD
Young adults on the autism
spectrum face significant challenges as they transition to adulthood,
with many being socially isolated, unemployed, and lacking
services. Unfortunately, research suggests that the vast majority of these young
adults will be residing in the parental or guardian home during
the period of emerging adulthood. It is clear that more needs to be done to
help them thrive to the best of their abilities and attain a
high quality of life. "The Loving Push” by Drs. Grandin and Moore addresses these issues with a direct, yet empathetic and positive discussion of ways in which
parents and professionals can enhance the potential of "spectrum kids"
of any age and help them achieve productive and meaningful adult lives.
The authors convey a critical message that, more than other children and youth, those
on the autism spectrum must overcome "learned helplessness" and move beyond their comfort zone in order to reach
their full, unique potential. Pushing is necessary,” the authors write, “because those on
the spectrum are unlikely to automatically pick up the mundane but necessary
tasks of daily life without us intentionally nudging them and providing them
with information, encouragement, and persistence.”
"The Loving Push" consists of Three
Parts: Part I -The Path to Success Starts Here: Restoring Hope; Part –II:
Stretching Your Child & Avoiding Pitfalls; and Part III: Preparing Your
Child for Adulthood. Each part features Chapters containing important
information, lessons, tips, and advice on how to “Lovingly Push” youth on the
spectrum to reach their potential and achieve a successful transition to
adulthood. The book begins by sharing 8 inspiring profiles of persons on the
spectrum and using their real-life stories to illustrate the three essential
components of success: “Avoiding Learned Helplessness, Learning
Optimism/Resisting Habitual Negative Thinking, and The Critical Impact of
Mentors.” The section on “Getting Families and Schools to Work Together” is
especially important, given that transition planning is a critical part of
preparing students for life after high school and producing the best outcomes.
Young adults on the spectrum are particularly vulnerable during the initial
years in the transition to adulthood when there is a shift in service provision
after leaving high school. The authors recommend that teachers, parents, and
professionals “lovingly” guide, push, and mentor our children and youth as early
as possible, and for as long as possible.
The book also addresses
the issue of co-occurring anxiety and depression. The authors discuss counseling and evidence-based psychotherapy
approaches such as cognitive-behavioral therapy (CBT) and “mindfulness”
techniques to reduce stress, and improve mood and psychological well-being.
Group support for children, teens, and parents is referenced, as well as important commentary on
“Psychotherapy Approaches Not Recommended.” Tips and cautions about medication
use for anxiety and depression are also discussed.
“The Loving Push” devotes
considerable attention to the problem of compulsive electronic gaming and how
it can turn kids on the spectrum into “media recluses” and social isolates.
Since children and youth on the spectrum tend to engage in restricted and
repetitive behaviors, they are at higher risk for developing addictive game
play patterns. Preoccupation with video games and trouble disengaging from them
limits the opportunity for learning critical social and problem-solving skills.
This Chapter warns parents and educators about the dangers of video games and
screen-based media and lists steps they can take to minimize the negative
effects of compulsive gaming.
Far too often, parents and
teachers of kids on the autism spectrum focus more attention on teaching
academic and behavior management skills than on daily living skills. Parents
are often surprised to learn that daily living skills are more important than
autism symptoms, language or IQ when it comes to employment and life satisfaction.
Part III (Preparing Your Child for Adulthood) discusses the building blocks for
independent living such as household skills (i.e., cooking, cleaning),
driving or using public transportation, educational/vocational preparation, and
social/community connection. Explicit teaching of these
life skills prior to the transition to adulthood is crucial if we expect kids on the spectrum to have the necessary skills to live independently and negotiate adult life.
The central theme of “The Loving Push” is that the focus of intervention/treatment for spectrum kids must shift to promoting the adaptive behaviors and basic life skills that can facilitate and enhance ultimate functional
independence and quality of life in adulthood. This includes helping them learn the skills needed to meet new
developmental challenges such as independent living, vocational engagement, post-secondary education, and self-supporting employment. Drs. Grandin
and Moore provide a much needed “push” in this direction. As the authors’ note,
“With more and more young adults on the spectrum entering adulthood everyday,
we don’t have time to lose.”
"The Loving Push” is a valuable resource and must read guide to preparing spectrum kids for a successful transition to self-reliance and independence in adult life. The book is not only highly recommended for parents, caregivers, and families, but also for professionals in private practice, schools, colleges/universities, and community settings who work with children, teens, and adults on
the spectrum.
Lee A. Wilkinson, PhD, is author of the award-winning books, A
Best Practice Guide to Assessment and Intervention for Autism and Asperger
Syndrome in Schools and Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT. He is also editor of a text in the APA
School Psychology Book Series, Autism
Spectrum Disorder in Children and Adolescents: Evidence-Based Assessment and
Intervention in Schools. His latest book is A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition).
© Lee A. Wilkinson, PhD