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    Skepticism Of Stories To Good To Be True
    By Kim Wombles | June 29th 2011 09:20 AM | 7 comments | Print | E-mail | Track Comments
    About Kim

    Instructor of English and psychology and mother to three on the autism spectrum.

    Writer of the site countering.us (where most of these

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    On a recent post, I was asked how facilitated communication supporters explain the tests that show FC doesn't work. On something so easily shown to be false, why does this persist?

    Why are major organizations like the Autism Society (and apparently Autism Now) supporters of the thoroughly debunked facilitated communication?

    Why can't more people see through feel-good stories where previously locked-away children suddenly start doing college-level work when they get facilitated, or just as bad, rapid prompting?

    Part of it's political correctness. You stand up and call hoo-ey on a disabled person managing to communicate elaborate messages while looking in another direction and having his arm forcibly maneuvered to type the message. Yeah, that goes over well. Some of us intentionally turn a blind eye because we don't want to rock the boat.

    Part of it is we desperately want to believe that no matter how disabled, how impaired, that the "whole" person is trapped inside and with the right method, he will be unlocked.

    And part of it is the reality that if we don't question something, we believe it to be true. We find it hard to imagine that a parent would knowingly co-opt his or her child's communication, that a fraud could be be purposely committed. So feel-good stories must be true. Why would anyone lie? Wouldn't they know they were typing the words rather than the child?

    People do all sorts of things, engage in self-justifying. They even convince themselves they have a telepathic link with the child, that the child is communicating mentally with them, and they are the conduit. In fact, the most ardent supporters of FC do believe just that: believe it's paranormal.

    We cheer on the feel-good stories. We don't look closely. And by doing so we promote the unfortunate co-option of the disabled. They are trotted out on stage with their facilitator and made to perform (or their responses simply keyed in before and played, no effort to communicate made). And no one vocalizes a skepticism that the communication might not be from the person. No, as I wrote above, how can you? Rocking the boat and sounding the bah-humbug doesn't win you friends.

    We owe our children honesty. We owe them the right to be who they are, functionally where they are rather than pretending they are something they are not. When we use a dubious method like rapid prompting or a debunked method like facilitated communication, we are quietly, unobtrusively communicating to our children that who they are isn't good enough for us. FC isn't about the disabled individual. It's about the desperate parent who went down that route, who couldn't live with the reality that the child was as disabled as he or she is.

    The Wendrows couldn't accept that their daughter was significantly intellectually disabled and had language at a one-year-old's level and a trusted psychologist told them about FC. And they bit. And all of a sudden their profoundly disabled daughter was doing grade level work. And they didn't question that. They accepted it. The school, even though its faculty and leadership knew FC didn't work, didn't challenge this jump in performance, didn't test it, didn't question it because the Wendrows were difficult and threatened to sue if they didn't get FC.

    Yes, we may be hardwired to prefer fairy tales to be true, to find patterns where none exist, to believe in connections where none are, but when we do, when we do this where it involves our disabled children, we do our children a tremendous disservice.

    When we cheer on an obviously facilitated individual we harm that person, too. We say it's okay that their autonomy is disrupted and words put into their mouths. We tell them that who they are isn't acceptable. Play along...go along.

    And when someone raises the issue, believers might argue that the individual could be non-compliant and resist being facilitated, so when they don't, it must be communication, it must be legitimate. When a young woman types next to her father, whose hand moves up and down and left and right, there's no reason to think she's not taking cues from him on what to type. And I've seen videos of non-compliant individuals trying to get away while the mom holds on tight to the arm and types; the kid is pulling away, looking in the opposite direction, and yet the mom insists the communication is genuine. I've read teachers argue that verbal kids who they still facilitate actually communicate through the typing, that their speech should be disregarded.

    Facilitated communication, in its new softer guise, will continue to find inroads as long as the members of the autism community allow it a foothold. And being skeptical of other things like vaccines and autism doesn't mean you're inoculated against FC. Oh no. It really, really doesn't.

    We have to be willing to honor people for who they are, not what they can say and not what they can do. We should work hard to help our children acquire new skills, but we should want to make absolutely certain they are actually acquiring them.

    This happens to all of us. Have you ever seen your child test and not perform well? "But, I know he knows his colors; he does them at home all the time!" If a child can't perform the skill when you aren't there and you aren't helping, the child hasn't mastered the skill. It sucks; it hurts, but it really doesn't matter what your child can do at home when no one is watching and you're there to guide him if it doesn't generalize outside the home and away from you (and I'm saying that from personal experience times three--it's a really hard lesson to learn).

    We need to learn to back up, to question, and to let our children learn and demonstrate mastery of skills independently. If they have to be helped, if they have to be held onto in order to do it, it isn't their mastery.

    We need to be skeptical. We need to be willing to stand up when we see something as horribly wrong as facilitated communication. If we really champion disability rights, then we must do all that we can to safeguard the disabled from being taken advantage of and having their autonomy removed. Facilitated communication robs the individual of the chance to communicate independently. In today's technologically advanced society, there are an abundance of augmentative and alternative communication devices that will allow the nonverbal the opportunity to communicate. There is absolutely no excuse for FC to exist or to be used. If you're holding the device for your kid and are sure he's communicating independently, put the device down on a table or desk and let him use it without you holding it. There's no reason it's in your hands. If the child can't perform the same tasks he was performing when you were holding it, you know that you were subconsciously directing that communication.

    Skepticism of stories too good to be true, especially where there's no evidence that the skill is being independently performed, ought to be something we all aim for. It doesn't mean being cynical; it means taking a stance that allows one to be on the look out for people being taken advantage of.

    Comments

    D'uh, how many still believe in Ouija Boards' messages ??

    D11. Eleven days after Ms. Kim Wombles posted this blog entry, I finally got around to reading it.

    a. Her first paragraph is:

    "On a recent post [Holding Educators Accountable For Evidence-Based Practices: Facilitated Communication Isn't One], I was asked how facilitated communication supporters explain the tests that show FC doesn't work. On something so easily shown to be false, why does this persist?"

    I think the actual question, which I thought was addressed to me, was:

    "Pardon the ignorance, but I thought this would be easy to test. Show a picture to the client, and not the facilitator and then ask the client to type what they saw. How do the pro-FC types explain this?

    Mdoeration (not verified) | 06/27/11 | 22:27 PM"

    b. Early the next morning, Ms. Wombles did post a fairly long comment, which started with:

    "Maybe Arthur will come by and explain it since he continues to support it ferociously.
    In the meantime, I'll offer some of their excuses (being that it is as easy to test as you wrote)"

    c. Later that morning, David N. Andrews M. Ed., C. P. S. E. provided his answer, which starts with:

    "You thought this would be easy to test? You're absolutely right: it is easy to test!

    The test you proposed has been done. Howard Shane did it some years ago. The FC proponents don't like it but they find all sorts of ways to defend their belief in FC from any attack mounted by the real world."

    I am not aware that Mr. Andrews or Ms. Wombles have had any actual experience being involved in these "easy" tests while I have been involved.

    d. As I have publicly disclosed (most recently in a comment to a blog entry of Ms. Wombles on April 9, 2011), Dr. Howard Shane did this "easy" test on my own son Ben with me as the facilitator on May 3, 1994, as I recently wrote in that comment:

    "Then after my son insisted a year later in late April 1994 to hold my hand so he could FC with me over 20 times faster and start to make requests about his future, within days at Ben's initiative, his FC was tested in just one session on May 3, 1994 by Dr. Howard Shane at the Children's Medical Center in Boston, Massachusetts. Then in August 1994, we arranged to have his FC tested by an FC expert in Israel, who saw Ben 5 times over a 10 day period.

    Of all the professionals who tested Ben's FC during this early period of his FC over a period of 1-1/2 years, only Dr. Howard Shane could not validate his FC. It should be noted that in the debreifing right after his testing, Dr. Shane privately told me that "unless [one major variable not considered in his testing was present]" that Ben was not the author of the FC. I immediately told Dr. Shane that Ben told me that this one major variable was present, as I documented in a letter I sent him within a couple of days. Considering this major flaw in the testing of Dr. Shane, I tried to arrange a retesting but eventually I received the several page report from Dr. Shane which failed to mention this one major variable."

    e. Even though testing my own son was not "easy" it should be noted that my own review of the literature shows that the easy test "Show a picture to the client, and not the facilitator and then ask the client to type what they saw" was actually developed by professionals in Australia who were skeptical about FC but still most of the clients tested then did identify the picture only they saw, and there are subsequent peer-reviewed articles where the clients succeeded with this "easy" test. Therefore, since there are such tests that show FC works, I have nothing to explain. I know that there are PhD psychologists who are reviewing the literature for experimental data in support of FC and I hope that eventually there will be a peer-reviewed article with this information. Good scientific research takes time and effort, no matter how good someone may be in Dabating, so please be patient! Even though I disagree with many of the statements in this blog entry by Ms. Wombles, it would take me some time to write up my replies and I do not have time to do so right now.

    Arthur Golden said:

    "I am not aware that Mr. Andrews or Ms. Wombles have had any actual experience being involved in these "easy" tests while I have been involved."

    And of course Arthur Golden's non-awareness of something is necessary and sufficient to discount that either of us might have done this? What sort of weird, twisted version of the appeal to ignorance is this?

    AG: "Therefore, since there are such tests that show FC works, I have nothing to explain."

    It is very easy to find a test that will show that something inert/ineffective will work: that's not to say that the test is reliable, nor that inferences based on the results of that test will be valid. When, however, certain basic tests have been conducted in which the following conditions have been presented (Fac AND Cli see same picture; Fac AND Cli see different pictures; Fac OR Cli sees nothing - other sees picture; Fac AND Cli see nothing) and the results have come back in which the typed output from FC in those dyads exclusively indicates what the Fac saw and entirely fails to indicate what the Cli saw (unless the Cli saw it too!) ... there is absolutely no reason to believe that FC works (i. e., that the Cli is the originator of any messages produced through FC)

    Fac = facilitator
    Cli = client!

    D12. As he has disclosed in recent comments on LBRB, David Andrews teaches about FC, albeit against its use. I presume he is teaching his students the information in his comment #3, in which case there is a problem with him meeting the standards laid out by Professor James Todd who recently wrote (in clear reference to Eastern Michigan University Professor Emeritus Sandra McClennen, to which I strongly disagree that it applies to her):

    "Academic freedom, as typically conceived, does not extend to knowingly teaching falsehoods."

    However, David Andrews might not be at the level of "knowingly" but instead he might be too trusting of the biased (or worse) statements of others. I look forward to the publication of an unbiased review article about the experimental data in support of FC and then I hope David Andrews, if he is a reasonable person, will realize the error of his ways. Meanwhile, I think it is meaningless to debate this issue in this format of blogs.

    D13. My statements in D11. are based on a review of the actual published research about Facilitated Communication while the reply of David Andrews seems to be based on purely hypothetical possibilities which I do not find takes into account all of the actual published research. I realize that all of the published research does not include all of the evidence but I do not think any unpublished evidence is relevant to the above statements of David Andrews. On the other hand, I have actual personall knowledge of unpublished evidence not yet included in the published literature that I take into consideration in my opinion about FC, noting thay my statement in D11.e. was solely based on published literature. I do not think that David Andrews has disclosed any actual personal knowledge of unpublished evidence about FC, even though my last comment was an obvious opportunity for him to so disclose.

    D14. At this time I wish to mention some of this unpublished evidence, which I realize that David Andrews could not "knowingly" take into consideration until now. While there is published literature about allegations of sexual abuse made through the use of Facilitated Communication with opinion statements that such allegations were false, and I have personal knowledge of 2 cases of allegations of sexual abuse made through FC, one of which was retracted the next day through FC and the other was proven in court to be false, I also have personal knowledge of 2 other cases where FC stopped sexual abuse for which there was substantial evidence but the families decided to not pursue criminal charges after the sexual abuse was stopped. One victim was severely traumatized and continues to suffer from that trauma 18 years later. I was "dead" serious when I recently publicly retracted my 3 year-old public statement, made after the Wendrow case, to not encourage the use of FC, because I did not wish to risk being an accessory to murder, even though such risk might only be a hypothetical possibility. I do wish to note that my concerns about such risk are directly based on recent New York Times articles about abuse including the lethal restraint of 13 year-old Jonathan Carey, nonverbal with autism, in 2007 at the O.D. Heck Center. The O.D. Heck Center is where the Wheeler study on FC published in 1993 in Mental Retardation was conducted in 1992.

    "In today's technologically advanced society, there are an abundance of augmentative and alternative communication devices that will allow the nonverbal the opportunity to communicate. There is absolutely no excuse for FC to exist or to be used. If you're holding the device for your kid and are sure he's communicating independently, put the device down on a table or desk and let him use it without you holding it. There's no reason it's in your hands. If the child can't perform the same tasks he was performing when you were holding it, you know that you were subconsciously directing that communication."

    I do not hold the device but I touch my 8 year-old son on his shoulder and when I take my hand off, he stops typing. The same thing happened with his special education teacher. I understand Professor James Todd considers touching the shoulder to still be FC. In a recent assistive technology report, my county AT specialist wrote:

    "Teacher expressed concerns that they are not using "facilitated communication." Does not want to guide student to correct spelling."
    "Parent is concerned about leading student during keyboarding"
    "Parent is questioning whether she is actually guiding student with physical touch. Has incidents where she feels she has guided him. Is questioning herself."
    "Student is typing answers to questions using some pressure on shoulder or forearm by adult. Video of mom using this method is available."

    I just noticed this past Thursday that page 4 of this report, in very small print at the very top of an otherwise blank page so I missed it before, states:

    "Trial of DynaVox 3100 reviewed on 4/19/11
    Student is currently using a personally owned keyboard for communication utilizing Informational Pointing strategies with success
    Dynavox 3100 returned to OS and file was closed."

    I never agreed to have the AAC device returned and have the file closed! I never said the $17 keyboard with large letters, disconnected from any monitor so I have to look at the keyboard and read out the letters, was a "success" and AT of a voice output device should be stopped! What should I do? Since Professor James Todd is near Detroit, I wish I could get him involved to help me.

    Mom in Detroit suburb

    kwombles
    If you'll email me at kwombles@gmail.com, I can pass your information on to Dr. Todd.
    “Nothing in the world is more dangerous than a sincere ignorance and conscientious stupidity.” --MLK, Jr.