Tammy - A Girl of Extremes

I met Tammy when I was substitute teaching. TammyTammy was in my class the following year and
was twelve years old, nonverbal, without any viableremained there for several more. Initially, I sat with her
communication system; she did not talk, sign, select, orquietly when I could, matching her rhythm, as I mirrored
point to desired pictures or objects and appearedher rocking back and forth. Soon she stopped
unable to discriminate. Tammy refused to participate incovering her eyes, smiled up at me incessantly, and
activities. She resisted assistance. She was angry, shutbecame much more compliant and reachable. Now,
down. Tammy had been in the school for years andshe always wanted to be at my side, so I took the
her progress was abysmal. Staffers reported thatopportunity to walk up hills and on uneven terrain which
they had never heard Tammy talk; however, they toldforced her to open her eyes and self correct her stiff
me her mother reported that she talked at home onawkward gait by alternating her arms and legs to
occasion.keep her balance.
Tammy was extremely stubborn--stiff as aTammy did not improve as fully as I hoped she might
board--eyes closed with hands tightly gripped overbased on my initial naive encounter; however,
them. Since she was unable to see where she wasimprovement did occur and more importantly, although
going, staffers led her rigid body off the bus and up thestill a girl of extremes, she seemed happy. At times,
stairs to the third floor classroom. Hunched over, sheshe would even talk a little, often mimicking something I
twisted her fingers in a circular pattern over her shirt orsaid. On rare occasions--usually when she was
sweater as she rhythmically rocked back and forth,upset--she would speak in full sentences, only to fall
blocking out the world and everyone in it. Oppositional,silent again. Tammy remained resistant to activities she
defiant, and negative--these were words I heard usedhad refused to do for so many years, but if I moved
to describe her extreme behavior.on to something new, she showed interest and a
On the day we met, she had just completed doing herwillingness to make positive attempts.
toileting, tooth-brushing and hand washing routine withLessons Tammy taught me:
hand-over-hand assistance from a staffer, HerSome nonverbal people have contextually and
immobile noncompliant body made motoring nearsemantically intact language ability that they cannot
impossible. As she shuffled back to her chair, handsaccess at will.
covering her eyes, she noticed that I was sitting in herA severely shut down child can be opened up. Lessen
chair. Outraged, her eyes filled with tears as she cried,your demands. (I.e. teach the skill to another child who
"Mary Ann, you are sitting in my chair!" The staffersis not as shut down, as the shut down child sits nearby.
were shocked, as they had never heard her utter aEngage. (I.e. mirror or match my movements and
word in the classroom before. Later in the day, as Iself-stimulatory behavior. You may find that it helps
was reading a book about animals to the class andyou understand and adapt to the rhythm of the
showing them the pictures, a more subdued Tammychild).Establish relationship. (I.e. create cause and effect
spoke again. "Let me see that!" she uttered as sheinteraction; games such as peek-boo. Try to get the
attempted to reach for the book.child to smile.
Amazed and confused, I went home that night andCreate situations that force the child to pay attention.
could not stop thinking about it. Although it was our first(I.e. walking on uneven terrain such as a path through
meeting, I was hooked. Did I inadvertently serve as athe woods naturally forces attending behavior.)
catalyst? Was it just a coincidence that she spoke? IIf an oppositional defiant child refuses to learn certain
decided I wanted to work with children with autism. Iskills, move on. You can revisit the skills once you have
wanted to be surrounded by miracles. I was hopingformed a relationship and he/she is more compliant
Tammy would be my first one.and willing to please.