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Tuesday, December 18, 2012

The Impact of the Newtown, CT Tragedy on the Autism Community

By: Kari, MA, LPC candidate
 
 


We were all shocked and saddened by the tragic events that unfolded at Sandy Hook Elementary School in Newtown, Connecticut on Friday, December 14th.  Unfortunately, speculation among the media that the shooter, Adam Lanza, had an autism spectrum disorder (Asperger’s Disorder) as well as amateur conjecture about a link between autism and premeditated violence have intensified the impact of this tragedy for many in the autism community. 
 

Simply put, Asperger’s Disorder (also known as Asperger’s Syndrome) is an autism spectrum disorder characterized by normal intelligence and normal or near-normal language development.  Children who are diagnosed with this disorder will likely have difficulty interacting with others and may be described as “awkward” in social situations.  They might have difficulty with basic communication skills, such as eye contact, using and/or interpreting body language or facial expressions, and understanding figures of speech or sarcasm.  They may display repetitive behaviors, such as hand wringing or flapping; have coordination problems; and require more structure and planning than other children.  Further, they will likely have a limited range of interests and may be exceptionally talented or skilled in a particular area.
 

According to the Centers for Disease Control and Prevention, 1 in every 88 U.S. children has autism.   Additionally, autism spectrum disorders are not characterized by violence or a desire to hurt others, and being diagnosed on the spectrum does not make a person dangerous.  In fact, the Autism Society of America released the following statement in response to the Newtown tragedy: “There is absolutely no evidence or any reliable research that suggests a linkage between autism and planned violence.”  It is critically important for all of us, professionals and laypeople alike, to understand that so as not to discriminate against the children and families that make up the autism community.



Wednesday, November 28, 2012

Risks of Sexting

By: Mandy, MSW, LSW
 
 
Consider the following scenario: Jennifer and Adam are 16 years old and have been dating for about six months. Adam sends Jennifer a text message asking her to send him a “special” photo. Jennifer goes to her room and takes a semi-nude photo and sends it to Adam.  

Jennifer has potentially committed 3 felonies: creation, dissemination, and possession of child pornography. Adam has potentially committed 2 felonies: solicitation and possession of child pornography. If he sends the photo to a friend, he now qualifies for a felony for dissemination. Each felony comes with a minimum fine of $2,000 and a minimum sentence of four years in prison. That potentially equates to $6,000 in fines and 12 years in prison for Jennifer and $4,000 in fines and 8 years in prison for Adam (assuming he did not send the picture to any of his friends).  

After completing their prison sentences, both Adam and Jennifer would have to register with the national sex offenders’ database. Not registering would result in ANOTHER felony. Once registered, anyone would be able to search the website and find them along with their crimes of “child pornography” listed there. The law makes no distinction between a 16-year-old girl who consents to taking a semi-nude picture of herself and an adult who photographs or videos children forced to commit a sex act.  

As registered sex offenders, Adam and Jennifer would be banned from school grounds and parks. They could not participate in park district activities. Many colleges would not accept them, and they would be barred from any career that would involve working with minors; they could not be teachers, daycare workers, therapists, or pediatricians. They could not volunteer at their children’s school or coach their little league teams. The charges would show up on every background check conducted for every job they ever apply for.  

As you can see, sexting (sending a nude or semi-nude photograph via text message) has the potential to ruin a child’s life forever. Students must be educated on the legal risks and consequences of sexting, and it needs to be made clear that once a photo is posted online or texted to someone, they can NEVER take it back.
 
 



Sunday, November 18, 2012

Healthy Holidays: Tips for Coping with Grief

By:
Kari, MA, LPC candidate
Mandy, MSW, LSW



Losing a loved one is never easy, but holidays and anniversaries can be especially challenging.  During a time when everyone else is celebrating, it can feel even more lonely and difficult.  However, you can make it through the holidays.  You may not feel like celebrating, and that’s okay, but it’s important not to withdraw or isolate yourself.  Here are some ways that you can cope with and even celebrate the holidays while still remembering your loved one:

  1. First and foremost, know your limits.  Be aware of your ability to handle stress, be realistic about how much you can take on, make time for self-care, and rest when you need to.
  2. Continue family traditions that were meaningful to that person… if you feel up to it.  Don’t force yourself to do something you’re not comfortable with just because you think your loved one would want it that way.
  3. Establish new traditions to commemorate your loved one.  For example:
    • Make or purchase a decoration this year or every year that symbolizes your loved one.
    • Light a candle in memory of your loved one.
    • Consider donating some money or time to a charitable cause in honor of your loved one. 
    • Write a letter or spend some time talking to your loved one. 
  1. Prepare yourself, mentally and physically, for the holiday season.  Planning ahead will help you avoid feeling overwhelmed later on.
  2. Make time for relaxation, but “plan” your downtime (i.e. time of day, what you will do or not do, etc.) to avoid feeling lonely or depressed.  Suggestions:
    • Journaling.
    • Deep breathing.
    • Getting a massage.
You can sign up to receive emails about and discounts on a variety of different activities in your area at www.amazonlocal.com.

  1. Avoid depressants, such as alcohol, extended time alone, negative people, etc.
  2. Let others know what you need (or don’t need!); they won’t know unless you tell them.
  3. Give yourself permission to laugh and enjoy the season as you feel compelled to do so.  We don’t honor our loved ones by forcing ourselves to feel sad, miserable, or guilty.
     
  4. Get support as you need it!  This can come in the form of a family member, friend, counselor, or support group.  If you or someone you know may benefit from counseling (in English, Spanish, or Polish), call (847) 981-3514 or email ParishServices@alexian.net to get more information or request an appointment.

Saturday, November 10, 2012

Myth Busters: Part II - Counselor-Selection Myths Examined

By:
Kari, MA, LPC candidate
Mandy, MSW, LSW

Last time, we discussed the many myths that surround the field of counseling.  This time, we’re looking at some of the myths about finding and selecting a counselor.  So let’s once again join Kari and Mandy, the Myth-Busting duo, to examine some of these misconceptions.

“Counseling is really expensive.”   
BUSTED: The fees for counseling services vary.  The standard rate for no insurance and no sliding scale is $120-150 per therapy hour.  HOWEVER… many counselors accept some form of insurance or offer a sliding scale fee system, which means that the fee can be adjusted/negotiated based on financial need.  Further, some counseling agencies have interns on staff, which are graduate students that are in their final year of training.  They are highly educated and are fully supervised by licensed staff and may be a more affordable alternative.  Additionally, many townships offer low-cost counseling services and/or subsidy programs for their citizens.   
Contact your insurance carrier and/or township for more information. 
“All counselors are the same.”   
BUSTED: Different counselors have different styles and specialties.  For example, you want to look for a counselor that specializes in what you need.  So if what you want is help solving a relationship problem with your significant other, you probably don’t want a counselor that specializes in inner-child work but rather someone who has experience working with couples.  If faith and spirituality are important to you, you can look for a counselor who will be able to integrate that into your therapy.  The bottom line is that there are a lot of different counselors out there, so don’t be afraid to ask questions. 
“Once you pick a counselor, you have to stick with them whether you like it or not.”   
BUSTED: As Mandy likes to say, sometimes finding a counselor is like shopping for jeans… sometimes you have to try on a few pairs before you find the right fit.  Or for you guys out there, sometimes finding a counselor is like finding a great mechanic… sometimes you have to ask around before you find one that you trust.  After a few sessions, if you think the counselor isn’t a good fit for you, then have a conversation with the counselor about that.  You don’t have to settle. 
“Anyone can be a counselor.” 
BUSTED: The State of Illinois does license counseling professionals, and you have a right to ask to see their license.   
“Whaaaat??  So many acronyms… what do they all mean?” 
Psychology
BA: Bachelor of Arts (4-year undergraduate degree; not a license)
BS: Bachelor of Science (4-year undergraduate degree; not a license)
MA: Master of Arts (Bachelor's degree +2-3 years of graduate school; not a license)
MS: Master of Science (Bachelor's degree +2-3 years of graduate school; not a license)
PsyD: Doctor of Psychology (Bachelor's degree +4-8 years of graduate school; not a license)
PhD: Doctor of Philosophy (Bachelor's degree +4-8 years of graduate school; not a license)
LPC: Licensed Professional Counselor (requires at least a Master’s degree; must be supervised by someone with an LCPC)
NCC: National Certified Counselor (requires at least a Master's degree, usually obtained in addition to the LPC or LCPC licensure)
LCPC: Licensed Clinical Professional Counselor (requires a Doctoral degree or LPC +2 years of full-time, supervised clinical work)
LMFT: Licensed Marriage & Family Therapist (specialized license; not required to practice marriage/family counseling) 
Note: Bachelor/Master of Arts does not mean that the person studied art or painting, and Doctor of Philosophy does not mean that the person studied philosophy; these are generic terms.  For example, a PhD could be in anything from Psychology to Chemistry to English Literature… so feel free to ask! 
Social Work
BSW: Bachelor of Social Work (4-year undergraduate degree; not a license)
MSW: Master of Social Work (Bachelor's degree +2-3 years of graduate school; not a license)
DSW: Doctor of Social Work (Bachelor's degree +4-8 years of graduate school; not a license)
LSW: Licensed Social Worker (requires at least a Master’s degree; must be supervised by someone with an LCSW)
LCSW: Licensed Clinical Social Worker (requires at least a Master’s degree +2 years of full-time, supervised clinical work) 
Other
CADC: Certified Alcohol and Drug Counselor (requires at least an Associate’s degree, only qualifies someone to do addictions counseling; this is often obtained in addition to another Master’s-level license)
ICDVP: Illinois Certified Domestic Violence Professional
MAPC: Master of Arts in Pastoral Counseling

"Where can I start?"
If you or someone you know may benefit from counseling (in English, Spanish, or Polish), and you live in the Chicagoland area, you can contact Alexian Brothers Behavioral Health: Parish Services at (847) 981-3514 or parishservices@alexian.net to get more information or request an appointment.

Thursday, November 1, 2012

Myth Busters: Part I - Counseling Myths Examined

By:
Kari, MA, LPC candidate
Mandy, MSW, LSW


There are a lot of myths surrounding the field of counseling.  Many of them are fun to joke about but are not rooted in reality… at least not anymore.  So let’s join Kari and Mandy, the Myth-Busting duo, as they dissect some of these common misconceptions.

Counseling is NOT:
  • …what you learned about in Psych 101 (Freud).
  • …a never-ending process.
  • …head-shrinking.  (Can your head actually get smaller???)
  • …you being studied and analyzed like a Science project.
  • …advice.
  • …just for the mentally ill.

Now that we know what counseling is not, let’s take a look at what counseling is.

Counseling IS:
  • …evidence-based, meaning that research has shown that these techniques work.
  • …time-limited.  Good therapists are on a mission to work themselves out of business; the goal is always to not be needed anymore.
  • …a collaborative effort between client and therapist.
  • …for “regular folks” who want some support and guidance and/or want to make a change in their life
  • …confidential.  Your therapist cannot discuss your treatment with anyone without your consent (unless there is an imminent safety concern).

Coming Soon!  Myth Busters: Part II – Counselor-Selection Myths Examined

Where to begin?  Alexian Brothers Behavioral Health: Parish Services
If you or someone you know may benefit from counseling (in English, Spanish, or Polish), call (847) 981-3514 or email ParishServices@alexian.net to get more information or request an appointment.  Fees for service vary based on income/financial need.


Friday, October 12, 2012

Decoding "I'm Fine": How Divorce Can Impact Children

By: Kari, MA, LPC candidate
Divorce is an incredibly stressful time… not just for the children, but for everyone involved.  Divorcing parents experience many complicated emotions, some of them conflicting, and there is a great deal of pressure to “keep it together” for the kids.  Some of the more widely-known consequences that divorce can have on children can be alarming, such as decreased psychological well-being in the form of depression, anxiety, low self-image/self-esteem, and other psychological problems (Burns & Dunlop, 2002; Kin, 2002; Marquardt, 2005); depressed educational achievement (Marquardt; King); lowered economic stability (King); juvenile delinquency, early sexual activity, and teen pregnancy (Marquardt).  Nonetheless, it is also important to emphasize that many children and young adults from divorced families do not suffer from major psychological problems, have achieved their education and career goals, and retain close ties with their families. They enjoy intimate relationships and do not appear to be “scarred for life” by the negative effects of divorce.  Unfortunately, in our society, if a child doesn’t display any of those worst-case-scenario outcomes, the assumption tends to be that that child is “fine” and is not in need of help.  However, it is important to know that children of divorce, even those who appear outwardly “fine”, have suffered a loss and need time, space, and support to grieve and adjust. 

            Commitment, trust, intimacy, and communication are a few of the most important building blocks for healthy relationships, and experiencing parental divorce can affect one’s ability to engage in any or all of them.  In particular, Hayashi and Strickland (1998) conducted a study exploring the long-term effects of parental divorce on romantic relationships.  They discussed the “sleeper effect”, which they described as an individual’s vivid memories of parents’ marital dissolution, leaving that individual fearful of marriage, unable to maintain a steady relationship, and “intensely afraid of loss or betrayal” (p. 25).  Further, conflict has a significant role in the impact divorce has on children, more specifically that if there is a high level of conflict pre-divorce, then the children tend to be better off after the divorce (Burns & Dunlop, 2002).  According to Hayashi and Strickland, “the level of interpersonal conflict is more important to a child’s development than the parents’ divorce itself.  Such conflict may erode the quality of relationship the child can have with either parent by forcing [him or her] into loyalty triangles” (p. 26).  This suggests that the parents’ ability to maintain a functional and civil relationship during and following the divorce could help reduce some of the negative effects related to the divorce itself. 

            Despite all of the scary possible outcomes, there is also the potential for positive outcomes related to parental divorce.  For instance, in some cases, divorce is not viewed as a loss but rather as a renewal or transformation (Shulman et al., 2001).  For example, if there was a great deal of conflict and unhappiness in the family prior to the divorce, the divorce itself could provide relief and/or a new beginning for all involved.  Additionally, parental divorce can serve as a powerful learning experience in that children who experience their parents’ divorce may learn to be more sensitive to problems in relationships and have a greater commitment to solving those problems (Hayashi & Strickland, 1998; Shulman et al.).  Further, although some children of divorce may inherit their parents’ maladaptive relationship style, others are able to learn from that template and establish healthier styles (Shulman et al.).  The bottom line is that children of divorce can and do grow up to be “successful adults in relationships and in life” (Johnson, 2011, p. 24), but they need the adults in their lives to recognize and acknowledge the significant impact their parents’ divorce will have on them today, tomorrow, and always.
Decoding "I'm Fine" event, presented by Alexian Brotheral Behavioral Health: Parish Services

References 


Hayashi, G. M., & Strickland, B. R. (1998). Long-term effects of parental divorce on love relationships: Divorce as attachment disruption. Journal of Social and Personal Relationships, 15(1), 23-38. 

Johnson, V. I. (2011). Adult children of divorce and relationship education: Implications for counselors and counselor educators. The Family Journal: Counseling and Therapy for Couples and Families, 19(1), 22-29.

King, V. (2002). Parental divorce and interpersonal trust in adult offspring. Journal of Marriage and Family, 64, 642-656. 

Marquardt, E. (2005). Between two worlds: The inner lives of children of divorce. New York: Crown Publishers.

Mullett, E., & Stolberg, A. L. (2002). Divorce and its impact on the intimate relationships of young adults. Journal of Divorce & Remarriage, 38(1/2), 39-59. 

Shulman, S., Scharf, M., Lumer, D., & Maurer, O. (2001). Parental divorce and young  adult children's romantic relationships: Resolution of the divorce experience. American Journal of Orthopsychiatry, 71(4), 473-478.

Tuesday, October 2, 2012

The Journey of Change

By: Mandy, MSW, LSW


I was given this poem in a class and I was struck by how well the poem illistrates the process and journey of change.

Autobiography In Five Short Chapters 
by Portia Nelson

I
I walk down the street. 
There is a deep hole in the sidewalk 
I fall in.
I am lost ... I am helpless.
  It isn't my fault.
It takes me forever to find a way out.

II
I walk down the same street.
There is a deep hole in the sidewalk.
I pretend I don't see it.
I fall in again. 
I can't believe I am in the same place
But it isn't my fault.
It still takes a long time to get out.

III
I walk down the same stress.
There is a deep hole in the sidewalk.
I see it is there.
I still fall in ... it's a habit.
My eyes are open.
I know where I am.
It's my fault.
I get out immediately.

IV
I walk down the same street.
There is a deep hole in the sidewalk.
I walk around it. 

V
I walk down another street.

Think about the changes you are trying to make in your life. What chapter best describes where you are in the change process? What steps will you need to take to move to another stage? 

Saturday, September 29, 2012

Pathologizing Cultural Differences in the School Setting: Students with Language and Cultural Barriers



By: Kari, MA, LPC candidate

Privilege makes life easier (Rosenblum & Travis, 1997).  My work focusing on behavioral concerns in the school setting allowed me to see that general education (mainstream/standard school curriculum) students are privileged in comparison to their English Language Learner (ELL) and Special Education (SpEd) peers.  They are privileged in the sense that they are less likely to be singled out by their general education teacher as having a behavior problem or suspected of being “on the spectrum”.  They are privileged in that it is easier for them to learn the curriculum, both because it is taught in their native language and/or because they do not have any disabilities that would impact their learning, education, or development.
Those students also seem completely unaware of their privilege, which, according to Rosenblum and Travis (1997) is to be expected.  They take for granted the fact that they understand English, the language in which all standard school curriculum (other than foreign language classes, of course) are taught in this country.  Even in situations in which these students struggle through the difficult curriculum, they never seem to stop and think about how much more difficult it is for their classmates who are concurrently learning the English language on top of that challenging curriculum.
A further complication is that teachers seem to have evolved their own variation of profiling in which students labeled as ELL, learning disabled (LD), behavior disorder (BD), etc. are singled out for more acute observation, disciplinary action, alternative placement (i.e. special education or alternative school), or intervention, as they are assumed to be “trouble”.
           Throughout my experiences in a number of different schools, both public and parochial, I observed students with cultural differences and/or language barriers (CD/LB) in their general education classrooms, noting not only their behavior but also how they are treated by the classroom teacher/teaching assistants and other students. 

Common Teacher Concerns
            The most common concerns with which teachers approached me included issues of defiance, aggression, motivation, social, and autism spectrum disorder.  While some concerns of this nature are legitimate, I have seen many cases in which such concerns are due to cultural differences or a language barrier rather than a true behavioral disorder.
Defiance
            Defiant is defined as “boldly resistant or challenging”.  When a teacher would approach me with concerns about defiance, the issue was typically described in one of the following ways: (a) “[The student] does not follow directions” or (b) “[The student] needs a lot of prompting to complete tasks”.  However, in situations where a language barrier is present, the child oftentimes simply does not understand the direction and, therefore, is not defiant; he or she simply cannot comprehend what is being asked of him or her until physically shown/guided.  Once the student realizes what he or she is supposed to do, the direction is usually followed without resistance.
            A true-life example from my work experience took place in a kindergarten classroom.  I was supposed to be pulling a group of students for an intervention, but the teacher asked if I would help in the classroom first.  The students had just finished measuring an object of their choice and had drawn a picture of that object at the top of their paper.  They now had to copy a sentence that was written on the chalkboard: “The _____ was _____ cubes long.”
            I was walking around the room checking the students’ work when I came across one little boy whose paper was blank other than his drawing.  I complimented his picture and then told him it was time to copy the sentence, to which he replied: “No, I no copy.”  Noting his heavily-accented English, I sat down next to him.  I pointed to his illustration and asked what he had measured.  He indicated that he had measured his Reading book.  I pointed to the sentence on the chalkboard and prompted him by saying: “The book was… how many cubes?”  It then appeared to dawn on him that he needed to write the sentence and fill in the blanks, and he immediately began to do so.
            Looking back on that situation, I realize how easy it could have been (and was, in the case of his teacher) to misconstrue his lack of understanding as task refusal or disregarding directions.  However, upon closer examination, the fact that he had just not understood at first became apparent.  Once the time was taken to ensure that he understood, he was more than willing to do the work, and he took great care to complete it correctly (i.e. very careful letter formation, wanted it to look just so).

Aggression
            Aggressive is defined as “characterized by or tending toward unprovoked offensives, attacks, invasions, or the like”.  When a teacher would approach me with concerns about aggression, the issue was typically described in one of the following ways: (a) “[The student] does not use his/her words/uses inappropriate words to solve problems” or (b) “[The student] hits/pushes others”. 
            Although a child may occasionally behave aggressively, he or she may not be deserving of a label of “aggressive”, as there may be another explanation other than the child’s character.  For instance, it is reasonable to assume that a CD/LB student could become extremely frustrated.  The child may “lack alternative skills that would allow them to choose a socially-acceptable behavior to deal with a provocative situation in an assertive rather than aggressive manner” (Zirpoli, 2006, p. 4).  Children who are still learning English may be frustrated by being unable to effectively communicate their feelings verbally, thus leading to aggressive behavior in a child who may otherwise have no aggressive tendencies.

Motivation
            Lazy is defined as “averse or disinclined to work”.  When a teacher would approach me with concerns about motivation, the issue was typically described in one of the following ways: (a) “[The student] does not complete assignments [on time]”; (b) “[The student] does not ask questions/asks inappropriate questions”; (c) “[The student] does not make an effort”; (d) “[The student] demonstrates poor class performance/grades”; or (e) “[The student] is often off-task”.             
            Depending on the child, the underlying issue may or may not be one of motivation:  
            We might have to reconsider any belief that students don’t do their best in class due to lack of
            motivation…  Language anxiety results in 1) failure or confusion and 2) avoidance…  Students lose
            concentration, tend to forget what they have learned, [and] repeat careless mistakes…  They often
            skip classes, come to class late and/or without preparation, postpone their homework, avoid
            studying… [or] pretend to be indifferent.  (Goshi, 2005, p. 64-65)
Although this particular article was centered on general education students in a foreign language class, the concept is applicable to ELL students learning English, as well.
            Another possibility is that teachers may inadvertently convey the message that they do not have high expectations for a particular child, either through the removal of (rather than helping with) difficult tasks or verbal/nonverbal cues.  Once the student becomes aware of this, he or she may lose motivation and stop trying, thus creating a self-fulfilling prophesy.

Psychosocial
            Anti-social is defined in the dictionary as “opposed or detrimental to social order or the principles on which society is constituted”.  When a teacher would approach me with concerns about socialization, the issue was typically described in one of the following ways: (a) “[The student] avoids playing with others during recreation time”; (b) “[The student] does not engage with other children”; (c) [The student] has no concept of personal space”; (d) “[The student] does not share with/grabs things away from others”; or (e) “[The student] says inappropriate things”.
An alternative definition for anti-social is “unwilling or unable to associate in a normal or friendly way with other people”.  A language barrier can make it very difficult for those children to express themselves and communicate with their peers.  Conversely, cultural differences may lead to a certain degree of peer rejection.  Either way, “lack of peer group acceptance contributes to loneliness, social dissatisfaction, and social withdrawal(Perren, Von Wyl, Stadelmann, Bürgin, & Von Klitzing, 2006, p. 868).  It may not be that the child is choosing not to interact but that he or she cannot do so effectively.
            Another possibility is that the problem is developmental rather than pathological.  Perhaps the child just does not know that something that they say or do is wrong, either because they have seen the inappropriate behavior performed by adults at home or because they have never seen the appropriate behavior modeled.  For instance, there was a first-grade student who was sent to the principal’s office for threatening to cut off another boy’s genitals.  In a tone that expressed confusion over why he was in trouble, the boy told the principal that he had not said what he said out of anger and that he had not meant it.  The principal asked him where he had even heard that before, and the boy explained that his “daddy says it all the time”. 
            Children in general are very impressionable, but a CD/LB child, who is in great need of guidance on appropriate behavior and verbiage, will be even more so, so inappropriate modeling at home is especially detrimental.  Thus, that is important information to have so that interventions can be planned accordingly.

Autism Spectrum Disorder
Autism spectrum disorder (ASD) is defined as “the tendency to be absorbed in oneself; a condition in which one’s thoughts, feelings, and desires are governed by one’s internal apprehensions of the world” (Penguin Reference, 2001).  ASD seems to be a favorite “go-to” diagnosis among teachers, at least in some of the schools where I have worked.  Nearly every teacher who has approached me has, at some point, said: “This student must be on the spectrum.”  Further, most of the students about whom that statement has been made are relatively new to this country. 
When a teacher would approach me with concerns that a student is “on the spectrum”, the issue(s) was/were typically described in at least one of the following ways: (a) “[The student] avoids playing with others during recreation time”; (b) “[The student] does not engage with other children”; (c) “[The student] has flat affect”; or (d) “[The student] does not/rarely make(s) eye contact”. 
There are several alternative explanations for this go-to diagnosis, some of which were mentioned in previous sections.  Difficulty relating to other children can be attributed to cultural differences and language barrier.  If a child has a hard time communicating, it will be difficult for him or her to bond with peers.  Lack of affect may be due to, again, a lack of understanding, although it is also possible that cultural display rules are playing a role.  For example, “Japanese norms lead people to… display fewer facial expressions in general than is true in the West” (Aronson, Wilson, & Akert, 2007, p. 97).  Furthermore, eye contact and other body language can be attributed to differences in cultural norms: “…in other parts of the world, direct eye gaze is considered invasive or disrespectful” (Aronson et al., p. 97).  Thus, it is clear that these seemingly tell-tale signs of ASD may not tell the whole story.

Why is This Happening?
There are several possibilities as to why this is occurring, some for which the teachers are responsible and some for which the students themselves are responsible. The first possibility is related to implicit personality theory, which is “a type of schema people use to group various kinds of personality traits together” (Aronson et al., 2007, p. 102).  In a school, some teachers tend to assume that a student needing SpEd or ELL services will also have a behavior issue by default.  As I mentioned previously, if such assumptions manifest in such a way that allows the student to realize them, a self-fulfilling prophesy situation may transpire.
Another possible explanation has to do with attribution theory, which applies to both teachers and students.  I will discuss how this pertains to students in a moment, but some teachers tend to infer that the child is behaving in a certain way became of something internal (i.e. attitude, character, or personality) as opposed to something external (i.e. the situation of being a CD/LB student). 
On the other hand, the reasoning for this may lie with something the student is doing, either deliberately or subconsciously, which is consistentwith self-awareness theory.  Self-awareness theory is “the idea that when people focus their attention on themselves, they evaluate and compare their behavior to their internal standards and values” (Aronson et al., 2007, p. 133).  A student may have done very well in school when he or she lived in another country, so he or she may not be used to struggling/failing in school (thus increasing frustration).  “If you feel you can’t change your behavior, being in a state of self-awareness will be uncomfortable because you will be confronted with disagreeable feedback about yourself” (p. 133).  This can lead to cognitive dissonance, which has a negative impact on self-esteem.  In order to alleviate the discomfort, people tend to change their opinion of a behavior rather than the behavior itself (Festinger & Carlsmith, 1959).  Therefore, a student may engage in self-handicapping in which he or she “create[s] obstacles and excuses for themselves so that if they do poorly on a task, they can avoid blaming themselves” (Aronson et al., p. 153).  Thus, the student has made an external attribution for his or her poor performance.
In all fairness, though, general education teachers have a plethora of things that require their attention, including the rest of the students in their classroom (many of which, these days are overcrowded).  According to the two-step process of attribution, a person may originally make an internal attribution about another person’s behavior but may later begin to consider alternative, external (situational) attributions for that behavior.  Nevertheless, this process can be delayed due to lack of time, energy, and motivation (Aronson et al., 2007).  Most teachers want their students to succeed and want to help them get the help that they need to do so.  However, teachers are also extremely busy, overworked, and undervalued, which could explain the delay between the initial and follow-up attributions. 

Conclusion: Implications for Mental Health Professionals
Respect for a person’s identity is… not just a courtesy we owe people.  It is a vital human need.  When we affirm people’s identities, we help them affirm themselves.  When we respect their defining human qualities, we help them respect themselves.  Conversely, a person or group of people can suffer real damage if the people or society around them mirror back to them a confining or demeaning or contemptible picture of themselves.  Non-recognition or misrecognition can inflict harm, can be a form of oppression.  (Nelson & Prilleltensky, 2005, p. 58)
This concept is important because it has serious implications for all of us in the mental health profession.  We need to be aware of cultural differences and how they can be misconstrued as a psychological defect/disorder.  Treating these differences as something that is “wrong” can do more harm than good for the client/student and may even cause them to doubt/shy away from the therapeutic process as a whole. 
            Further, mental health professionals who work with children need to be wary of the fact that teachers may not always be so culturally sensitive when it comes to referring children to therapy.  The word of the teacher is important, but it can also be biased.  I have seen many teachers hasten to (inappropriately) utilize the Conners' Rating Scale (a measure of ADHD) at the first sign of behavioral issues, the results of which are then sent on to the child’s student file, pediatrician, and/or therapist (if applicable).  Such biased reports/results can impose a label on the child that need not be there, and mental health professionals need to be cognizant of that possibility.
Finally, the American Counseling Association (ACA) requires all counselors to possess multicultural/diversity competence, which the ACA (2005) defines as “a capacity whereby counselors possess cultural and diversity awareness and knowledge about self and others and how this awareness and knowledge is applied effectively in practice with clients and client groups” (section E.8).  Similar sentiments can be found in the ethical guidelines of the American Psychological Association (APA) and the National Association of Social Workers (NASW).  In essence, mental health professionals must be aware of and sensitive to diversity and practice accordingly. 

References