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53 of 62 people found the following review helpful:
2.0 out of 5 stars
Axline AND Dibs' mother are both victims..., May 18, 2003
...of an inaccurate perspective. In terms of writing quality and emotional "pull," this book deserves 5 stars. And, like Freud, it is important to read -- in the correct context. Axline was a pioneer of play therapy (for individuals and groups), and I think there is no doubt that it is a fruitful method for interacting with troubled children. In my practice as a psychologist, I have certainly found play therapy to be extremely productive because a) it is the natural "language" of children, and b) it is also one of the most important ways children learn.So...yes, I believe Dibs (as presented by Axline -- we do have to rely on her description) closely fits the criteria for Asperger's Syndrome, a syndrome on the autistic spectrum where very bright children capable of complex thinking may be quite impaired in basic social, motor and communication skills. And I do believe her therapy with him was very helpful because she provided a model for social interaction, one-on-one (group situations were probably too overwhelming) that allowed him to increase his positive interactions with others (which, in turn, increased their positive response to him). I sympathize with reviewers who are outraged at the use of "refrigerator mother" theory in the book -- and with the reviewers who experienced the pain of unloving or abusive parents. No, an unloving or uninvolved parent cannot "cause" autism. However, it is also true that no autistic child was ever helped by a lack of love or being locked away from others. What both Axline and many reviewers have not taken into account, though, is the degree to which love between parent and child is developed interactively: Dibs mother blames herself because he was an unwanted child (and Axline agrees with this assessment), but it is clear that people unprepared and unwilling to be parents would need an outgoing, engaging child to "seduce" them into affiliation. Faced with a difficult and unresponsive child, with no experience of nurturing, it is not uncommon for parents to find interacting with their child so aversive that a "refrigerated" relationship develops. (Particularly if, as an astute earlier reviewer noted, one or both of Dibs' parents had ASperger's syndrome.) Dibs' sister, outgoing and charming, allows them to experience "success" as parents, so they, naturally, interact more warmly with her. It might be said not that "rerigerator mothers" cause autism, but that autsim in a child can sometimes lead to refrigerated parents. It is important to be fair to Axline, I think. If Dibs was at least 15 years old when the book was written, she was working with him in the late 40's or early 50's -- and for her time, she showed considerable compassion for Dibs' parents. Moreover, many reviewers are suspicious of the book, thinking that she claims to have achieved her results in 7-12 sessions. Careful reading shows that Axline worked with Dibs approximately once weekly for nine months. Even allowing for illness and vacations, 30 or so sessions with a highly skilled therapist can support massive change in a young child. I'm inclined to believe that what "worked" for Axline was her modeling of social interactions at a pace slow enough for Dibs to absorb skills that led to positive reinforcement when he used them at home and at school. In addition, I think play therapy would have greatly ameliorated the anguish he undoubtedly experienced at being unloved. In return, his mother was able to feel more successful and therefore more loving, which led to a slow but continual improvement in their relationship. I have always wanted to hear Dibs' point of view. He would, presumably, be in his mid to late 50's now, and I often wonder how adulthood has been for him, how he remembers Dr. Axline, and what he thinks of this book.
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