conuly: (Default)
conuly ([personal profile] conuly) wrote in [community profile] agonyaunt2024-02-14 12:17 pm

Two parenting letters that made me cranky, for different but equally idiosyncratic reasons

1. Dear Care and Feeding,

My husband and I live in Manhattan and are expecting our first child (a girl) in the fall. I am a white woman from California; he is Southeast Asian and has lived in NYC his entire life. When he was in elementary school, he and his younger sister were part of a scholarship program at one of the city’s best private schools that gave them full tuition as first-generation students being raised by a single immigrant mother. Thanks to the extensive support they received, they were able to attend top universities on full scholarships, and my husband still credits his school for setting him up for success in the tech industry. He has said that when he attended, he “always dreamed” that one day he could give his child the same experience he had. He wants us to put our names on the list for the feeder preschool his sister sent our nephew to, which I understand is necessary to do now because of the high demand for the elementary school.

Our nephew did thrive at the preschool and is now absolutely loving second grade, and I’ll be honest, he’s having experiences that I could have only dreamed of at my underfunded public school. We could also likely afford to send our child to this school, but I feel hesitant about it. The public schools we’re near aren’t great, but they’re more economically and racially diverse, and I really don’t want our child to be an out-of-touch private school brat. On the other hand, I have heard horror stories about the public high school and middle school admissions programs in the city and the toxic culture at even some of the best public schools. I feel like sending my kid down the private school pipeline is not at all in line with my values or how I envisioned raising a child, but the alternative worries me. I just don’t know what to do.

—School Dazed in NYC


Dear Dazed,

I have a lot of thoughts, but I don’t have an answer. Because there is no good answer. I was committed to sending my child to public school: She started out in a magnet elementary school in our urban school district as a kindergartener, and eventually graduated from a magnet high school after four years there. (To give you an idea of what our school system is like, the “alternative” aspect of that high school—to which, like all the magnet schools here, one must enter a lottery to gain entrance—was, and still is, “academically oriented.”). In between those public school bookends, however, there was a lousy private school (which we picked because it was more affordable, nearer home, and way less exclusive than other private schools—and also because it took a while for us to understand how lousy it actually was) and a period of homeschooling. As committed as I was to keeping my kid in public school, I had to take her out of it halfway through first grade—at the urging of her own teacher!—because the school was in chaos after its fragile stability came undone. (Long story, obviously. For a fuller treatment, you can read the chapter titled “Enough Friends” in my 2005 nonfiction book The Middle of Everything.)

I tell you this because I feel your pain. Our public school system, nationally, is broken. The situation in NYC is particularly impossible, infuriating, and heartbreaking (I’m from New York; I was educated in that public school system, in Brooklyn, lo these many years ago, during its so-called Golden Age). And I hate everything about private schools. I couldn’t wait to put my kid back into a public one. If I had a do-over, I would try another public elementary school before giving up. (But I might have had to give up anyway, I recognize that.)

I don’t know what you should do. But I do know that you have to make the decision that you believe will be best for your child in the long run, taking every possible factor into account. I get the feeling that you’re leaning toward your husband’s plan but that you feel guilty about it—or that you don’t feel like you’ve got a good enough argument to counter his. I will say that an argument about the importance of your child being in an economically and racially diverse environment should not be understated—it is hugely important. I believe that my own kid, all grown up now, is the admirable person she is in part because she did not spend her entire life pre-college surrounded by people whose life experience was like her own—because for so much of her education, she was a white girl in a majority-Black school, a college professor’s kid in a school where the majority was eligible for an income-based free lunch program, a kid who’d lived in the same house all her life who had friends whose families did not have stable housing. But I also remember the period of time when I felt that our public school system could not be trusted to educate her.

Part of what I’m saying is that whatever decision you make now need not be a permanent one—that, indeed, few decisions are irrevocable. But I’m also saying that you and your husband might think broadly about all the possibilities and all your reasons for proceeding as you eventually choose to do. And that you should be open to changing your mind if that decision doesn’t end up sitting well with you.

—Michelle

Link

************


2. y 4-year-old son is gifted, no question about it (he already knows his multiplication tables). He may also be on the autism spectrum, have ADHD, and/or sensory difficulties (it’s so difficult to tease that apart from normal 4-year-old behavior). But my question is less about that and more about how I make sure we don’t get trapped in an information silo. In trying to learn more about my son’s giftedness and potential neuro-divergence, I’ve joined Facebook groups for “twice-exceptional” (2e) and gifted students and met with a consultant who helps connect families to resources. We’ve also moved him to a small preschool that only accepts gifted students and were planning to keep him there through 1st grade. At first this felt really helpful. Look at all these other people whose kids have issues like mine! They’ve already figured out some of the best providers/evaluators in the area!

Lately, though, I’m beginning to worry. It seems like because all these parents run in the same circles and see the same providers, there’s a real risk for pseudoscience to sneak in and take hold.

Thankfully, these people are not anti-vax (that I’ve seen), but there is so much talk of things like primitive reflexes, auditory processing disorder, school refusal (as if it’s a disorder), oppositional defiant disorder, etc. So many of them homeschool and really believe that’s the only school situation that could work for 2e students. How do I know what things are real (though maybe not well-known in, or dismissed by, the general population) vs. what has gained steam within a particular community with no reality checks? I’ve tried to do some of “my own research” online, but anything that has even a modicum of research behind it has legitimate-looking websites and vocal proponents. Help!

—Gifted and Troubled


Dear Gifted and Troubled,

Keep the focus on your individual kid and what you think he needs. That may not always be what the “average,” “typically developing” kid needs, or what one particular community of parents has decided that their kids need. As you say, behaviors you observe now may be early signs of diagnoses that would benefit from particular interventions—or they may be particular things about a little person who is still developing on their own growth curve. You have to keep watching how your kid develops, what his needs and strengths and coping mechanisms etc. are.

Four is really, really young for you to know in what environments and under what conditions your child can learn. I also think it’s too early to be making sweeping statements like “My kid can only learn in homeschool!” There’s so much variation when it comes to how schools approach and support kids who learn differently. Avoid the temptation to be rigid in your thinking, believing that once a certain label (“2E”) gets applied to your kid, there is a one-size-fits-all ideal or correct approach—to education, or to anything else.

Community has been really important to me as the parent of neurodivergent kids. But I tend to be really wary of those who seem a little too invested in the idea that there is just one “right” environment or one particular approach that will allow kids with particular needs to thrive. Remember that the loudest people in a group aren’t always correct, and that their kids aren’t yours. No one else knows your child like you do. Focus on getting to know and understand your son and how he learns to the best of your ability, and together with trusted healthcare providers, therapists, educators, etc., continue to discuss how best to meet his needs and support his healthy development.

—Nicole

Link
adrian_turtle: (Default)

[personal profile] adrian_turtle 2024-02-14 07:27 pm (UTC)(link)
2) It is actually really hard to distinguish science from pseudoscience, when you're looking at a rare condition that the medical establishment does not take seriously. Everything you hear or read involves motivated reasoning, and we no longer have search engines or public health agencies that can be trusted.

Consider the decades of disagreement between people with chronic Lyme disease and the respectable doctors and medical researchers who believed Lyme disease went away after a month of antibiotics. There were research articles that made sense (to a person who didn't start reading them with some suspicion of their basic premise), and the ones published in respectable scholarly journals generally showed that patients who complained about having chronic Lyme really had anxiety and depression and other problems that could explain their complaints. Do you believe that because it's respectable science? Or believe the people with more direct experience of the problem, who are complaining on websites that they're worried and miserable because doctors don't take them seriously?
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-14 08:19 pm (UTC)(link)
I mean, it's not really, though, once you get into those kinds of circles? There are plenty of practitioners who are willing to diagnose people with things not in the DSM, and plenty of things in the DSM that are controversial even among the most mainstream psychiatrists, or that most mainstream psychiatrists think should be added. (For example, afaik sensory processing disorders aren't in the DSM but are pretty mainstream at this point. Are they actually "valid" diagnoses? I feel like I am pretty good at evaluating sources, and I honestly cannot give you a simple answer to that.)

Like, if the question she as asking was "Is this in the DSM?" I would agree with you, but if the question she's asking is "are people using this diagnosis going to provide care and advice that is based on the best current knowledge and useful for my child?"... it gets a lot more complicated very fast.
Edited 2024-02-14 20:24 (UTC)
adrian_turtle: (Default)

[personal profile] adrian_turtle 2024-02-14 08:35 pm (UTC)(link)
Like, if the question she as asking was "Is this in the DSM?" I would agree with you, but if the question she's asking is "are people using this diagnosis going to provide care and advice that is based on the best current knowledge and useful for my child?"... it gets a lot more complicated very fast.

You're right, and a lot of people don't realize to what extent it's a question about the doctor rather than the diagnosis.
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-15 03:04 am (UTC)(link)
It reads to me like she's saying that she knows vaccine denial is bad, but she also know there's lots of routes to fall into similar patterns of bad medical beliefs that are less obviously bad, and she wants help figuring that out. Which seems like a good thing to ask, because it is easy to fall down those rabbit holes, when they haven't been widely publicized everywhere for years, and it isn't always easy to tell when you are.

(Auditory processing disorder, after all, isn't in the DSM-5. But reactive attachment disorder is, and echo chambers that have bought into that one have killed kids. So you really can't just go by some kind of clear, simple standard to know what's safe. And going by what your doctors tell you only helps if you know your doctors aren't caught in the echo chamber.)
Edited 2024-02-15 03:05 (UTC)
laurajv: Holmes & Watson's car is as cool as Batman's (Default)

[personal profile] laurajv 2024-02-17 03:23 am (UTC)(link)
Right! And it's also leaving out that we know past DSMs have contained harmful and misguided diagnoses due to then-current thinking on various bits of human variation. Something being a legitimate diagnosis under a particular medical system _doesn't mean it's actually OK or "real" or that it's non-harmful to consider it valid_. While I don't know that the current DSM contains such diagnoses....I'd be a fool not to consider the possibility that there's things in there pathologizing normal variation.
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-17 03:35 am (UTC)(link)
Right! And there's also the even trickier question of... at what point is using a diagnosis that pathologizes normal variation bad? Like by some standards, everything in the DSM is pathologizing normal variation; we just have to pick an arbitrary line on one side of which is normal and on one side of which isn't.

If you get your kid a diagnosis for something that is "just normal variation" but it gets the accommodations that make them thrive better... is that bad? At what point does sort of getting a medical label for everything your kid does, like can be endemic in 'twice gifted' sort of circles, cross over from "using the system to help your kid" to "collective Munchausen's by proxy"? How can you tell if using the diagnosis actually is a net good for your kid?

Like I don't have answers for LW but I'm glad she's asking. (Probably my only answer is to keep asking; as long as you keep asking those hard questions, and looking for answers even if you don't like them, that will be insulation from echo chamber effects.)
zana16: The Beatles with text "All you need is love" (Default)

[personal profile] zana16 2024-02-15 01:19 am (UTC)(link)
It’s not an easy fact check to know whether her son is in the autism spectrum. In my area it takes at least a year to get in to see a developmental pediatrician, and that’s only if they’re under 3. For over 3, it’s longer. And that’s just the medical diagnosis; schools do their own testing.
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-15 03:24 am (UTC)(link)
I mean. It isn't, though. If you google "Is auditory processing syndrome in the DSM?" you will get lots of trustworthy results telling you it isn't, right away. So I'm not sure that example's doing what you want it to.
dissectionist: A digital artwork of a biomechanical horse, head and shoulder only. It’s done in shades of grey and black and there are alien-like spines and rib-like structures over its body. (Default)

[personal profile] dissectionist 2024-02-14 09:00 pm (UTC)(link)
As a medical researcher, this is something I deal with often: it actually can be really difficult for the average person to tell science from pseudoscience. In large part this is because those peddling pseudoscience have gotten a lot more clever about it, and they’ve learned about 1) taking advantage of predatory journals in order to get publications that look legit, and 2) wrapping their pseudoscience filling in tortillas of scientific fact that make the whole burrito appear legit. In many cases, people now need to have specialized knowledge in that field in order to understand why something is wrong, and we can’t realistically expect the general public to have the time and ability required to learn the subject at that level of complexity.
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-14 09:13 pm (UTC)(link)
And to be fair, it's also because it's often quite hard for the average scientist to tell science from pseudoscience - outside their field they often aren't any better than laypeople, and inside their field there will be all kinds of other personal/internal politics biases in play. Pseudoscience that fools other scientists often looks different than what fools laypeople, but especially with things like developmental and conduct disorders, there's enough of a recent history of downright bad science being what is promoted by the scientific establishment that I have sympathy for people who aren't willing to take that as good evidence either. Oppositional Defiant Disorder, after all, is in the DSM. (Usually the alternatives outside the establishment are even worse, but that doesn't do anything for the problem.)
dissectionist: A digital artwork of a biomechanical horse, head and shoulder only. It’s done in shades of grey and black and there are alien-like spines and rib-like structures over its body. (Default)

[personal profile] dissectionist 2024-02-15 12:33 am (UTC)(link)
Agreed on all counts.

And the sad fact about ODD is that autistic Black children are far more likely to be diagnosed with ODD than correctly diagnosed with autism, and it has severe ramifications in how they’re perceived by others and treated by the educational system. Even if a condition is real, the ways in which it’s diagnosed or misdiagnosed can cause massive issues, and clinicians and scientists aren’t free of bias.
melannen: Commander Valentine of Alpha Squad Seven, a red-haired female Nick Fury in space, smoking contemplatively (Default)

[personal profile] melannen 2024-02-15 01:29 am (UTC)(link)
Yeah, I feel like that's one where even if there is some kind of underlying organic syndrome that it was originally trying to describe, the misdiagnosis has been so rampant and damaging that they'll have to start from scratch with a new term if they want to figure out what it's actually good for.
full_metal_ox: A gold Chinese Metal Ox zodiac charm. (Default)

[personal profile] full_metal_ox 2024-02-15 04:45 am (UTC)(link)
Oppositional Defiant Disorder: the new drapetomania.
lilysea: Serious (Default)

[personal profile] lilysea 2024-02-15 09:37 am (UTC)(link)
I had to google drapetomania

and I read the wikipedia entry

and went

o.O

(I had heard of this racist, colonialist bullshit several years ago, but I had forgotten about it in the intervening years)
sporky_rat: It's a rat!  With a spork!  It's ME! (Default)

[personal profile] sporky_rat 2024-02-15 02:21 am (UTC)(link)

wrapping their pseudoscience filling in tortillas of scientific fact that make the whole burrito appear legit

I love this phrasing, it's so evocative. Can I borrow it occasionally?

dissectionist: A digital artwork of a biomechanical horse, head and shoulder only. It’s done in shades of grey and black and there are alien-like spines and rib-like structures over its body. (Default)

[personal profile] dissectionist 2024-02-15 03:06 pm (UTC)(link)
Go for it! It made me smile when it appeared yesterday (thanks, subconscious!) even though the subject matter is so frustrating to me. (Not frustrated at the general public, but frustrated at the pseudoscience peddlers who are doing so much harm, often deliberately.)
laurajv: Holmes & Watson's car is as cool as Batman's (Default)

[personal profile] laurajv 2024-02-17 03:24 am (UTC)(link)
i wish this was reddit so i could upvote you
dissectionist: A digital artwork of a biomechanical horse, head and shoulder only. It’s done in shades of grey and black and there are alien-like spines and rib-like structures over its body. (Default)

[personal profile] dissectionist 2024-02-17 04:49 am (UTC)(link)
Aw, thanks! That made me smile. :)
minoanmiss: Minoan Bast and a grey kitty (Minoan Bast)

[personal profile] minoanmiss 2024-02-14 06:11 pm (UTC)(link)

as a former kid of color whose parents wasted spent inordinate amounts of money to keep me out of NYC's public schools I feel like I should have an emphatic response to #1 but I really don't know. Different kids are different. But I feel like LW can affect whether or not her kid is an "out of touch private school brat" even if she sends them to private school. I dunno, though. There are people who have called me an out of touch private school brat, maybe with more justification than I wanted to admit to at the times.

contemplates

dangercupcake: orange gerbera daisy (Default)

[personal profile] dangercupcake 2024-02-14 06:51 pm (UTC)(link)
I work at a private school in NYC, and attended NYC public schools for most of my education. The private schools are just like the public ones but with less physical violence. THey have exactly the same problems.

However, the opportunities (academic, afterschool, networking, internships) that are available to private school kids far outstrip those available to public school kids - and they are HANDED to private school kids, whereas in public school you have to research and struggle and do most of it yourself.

Public schools are SO much more diverse; but privte schools have the same racial, ethnic, religious problems and issues. Private schools are BAD with disabilities, regardless of what kind they are, unless they are specifically for that one disability. eg there is a private school for autistic kids in NYC - but the school I work at has zero autistic kids; ADHD kids get transferred out or quit extremely quickly; I am the only person on campus who walks with a cane and therefore cannot access many parts of the campus.

I think like anything else, it really depends on what the kids need. If your kid needs the opportunities, a private school is better. If you kid needs to be socialized, a public school is better. If you want the prestige (lol) of high test scores or an "impressive" school name - private school, but that might not be what's best for the kid. Etc etc.

I know folks who went to competitive public schools and thrive; and those who dropped out and got their GEDs. I know folks who went to private schools and thrived; some dropped out etc etc.
dangercupcake: orange gerbera daisy (Default)

[personal profile] dangercupcake 2024-02-14 06:55 pm (UTC)(link)
Oh, I also want to say - four is NOT too young to figure this out. By the time he was four, my adhd/autistic nephew had already been kicked out of two private schools. My sister did a ton of research about the public schools in his area, and he ended up in one that had a lot of services for 'special ed' kids, and when his teacher there ended up at a different school in the area, she transferred him over - same services, but the other school also had a sensory gym (!). It was 100% easy for us to tell what he needed by the way he learned and what worked for him.

(Autism evaluation in NYC starts at two years old for early intervention purposes. It is free through the state/county. There is no reason for kids to suffer through the wrong type of education or care when there are so many options that can be accessed if you only KNOW the services are there.)
kiezh: Tree and birds reflected in water. (Default)

[personal profile] kiezh 2024-02-14 07:49 pm (UTC)(link)
Re: Letter 2

I wish people with neurodivergent kids would remember that neurodivergent adults exist. How about seeking out accounts of what it's like to have auditory processing disorder from people who've been coping with it, and looking at their techniques and coping mechanisms to see if they might help your kid? I think you're wildly unlikely to find anyone who has ever actually identified as having "oppositional defiant disorder", though you may find people who were traumatized and abused as children in the name of that diagnosis.

Maybe looking at how ND adults talk about diagnoses they received as children (or claimed for themselves as adults) could give you some context on which ones are useful and which ones are shiny labels for shitty treatment of children. Maybe noticing that ND adults exist could also help you not be a terrible parent as your kid grows up and continues to be weird. (Maybe you might even notice some things that run in your family that you never thought of as weird or diagnosable, and some coping mechanisms that are useful for you too. My brother recently got an autism diagnosis in his 40s, after his toddler got one. I was not surprised. (I don't have an autism diagnosis, but I am somewhere in the same ND neighborhood and have known that for a long time. It's all over my family, just rarely named or discussed.))
ambyr: a dark-winged man standing in a doorway over water; his reflection has white wings (watercolor by Stephanie Pui-Mun Law) (Default)

[personal profile] ambyr 2024-02-14 11:41 pm (UTC)(link)
I do know at least one adult who identifies (and was diagnosed) as having oppositional defiant disorder. The diagnosis came in his 30s, not as a child, and he found it helpful in navigating his work and family life. (This is not to deny that the diagnosis can be badly misused.)
kiezh: Tree and birds reflected in water. (Default)

[personal profile] kiezh 2024-02-15 02:02 am (UTC)(link)
Interesting! My understanding was that being under 18 was one of the diagnostic criteria - that it's specifically a "kid is belligerant toward authority" diagnosis. (Also that it's disproportionately applied to Black kids, Latino kids, etc. and was essentially a medicalized "bad kid" label.)

People make useful tools out of all kinds of things, I guess!
lilysea: Serious (Default)

[personal profile] lilysea 2024-02-15 09:42 am (UTC)(link)
A friend's kid has Pathological Demand Avoidance and no history of abuse by adults

however, friend's kid has found SCHOOL very traumatic right from the get go

so either the Pathological Demand Avoidance arises from friend's kids autism and ADHD

or the Pathological Demand Avoidance arises from the trauma of dealing with other kids at school who were not in the least bit neurodivergent friendly

or from dealing with teachers who expect the response to "JUMP!"

to be "How high?"

and not "Why should I? Justify yourself!"
joyeuce: (Default)

[personal profile] joyeuce 2024-02-15 11:41 pm (UTC)(link)
PDA is generally regarded as part of the autism spectrum, I think. I strongly suspect my daughter (diagnosed autistic) has it, but the county I live in won't diagnose it because it's not in DSM-V or ICD-10. (In other parts of the UK, it is diagnosed.)
p_cocincinus: (Default)

[personal profile] p_cocincinus 2024-02-15 05:32 am (UTC)(link)
Has he heard of Pathological Demand Avoidance? I've only seen it discussed as a symptom of ASD/ADHD, but it makes sense to me as an actual thing where ODD seems to be largely flung at children who aren't being supported properly and are thereby not great about being properly obedient little monkeys.
mrissa: (Default)

[personal profile] mrissa 2024-02-14 10:15 pm (UTC)(link)
One thing that strikes me as important for the husband of LW #1 to take on board is that he can't give his kid the experience he had. He literally can't. Even if they do decide to send the kid to the same school, the reason that multiple philosophies worldwide have come up with variations on not stepping in the same river twice is that it's true and important. So whatever metrics they use to evaluate that school as one of their choices for their kid need to based in the present, not on how it went for LW's husband, who went to school long enough ago that he is able to have fathered a child now.
viggorlijah: Klee (Default)

[personal profile] viggorlijah 2024-02-15 01:29 am (UTC)(link)
School refusal is a real thing! It’s a sort of social anxiety focusing just on school. My kid is happy at school when she gets there but getting there is really hard, and there are other versions. It’s like selective mutism - people go oh it’s just kid behaviour, but it’s to an extreme that is really hard. She sounds like she still wants to feel like her kid is the Good kind of neurodiverse, quirky and smart, and resistant to that oh hey kids struggle in lots of surprising ways and academics is only a small part of that.
p_cocincinus: (Default)

[personal profile] p_cocincinus 2024-02-15 05:34 am (UTC)(link)
Yes! My anxious kiddo experiences it as separation anxiety, and it's not just school but also activities she loves. It's stressful for both parent and kid.
carbonel: Beth wearing hat (Default)

[personal profile] carbonel 2024-02-16 12:01 am (UTC)(link)
If I'd had just a bit more intestinal fortitude as a smol, I would have done school refusal back in the 1960s. I sometimes fantasize about that.
joyeuce: (Default)

[personal profile] joyeuce 2024-02-16 12:16 am (UTC)(link)
Yes! My kid enjoys most lessons and activities at school, but really struggles with the whole concept of having to be in this huge place with so many other people and rules and so few safe spaces.
p_cocincinus: (Default)

[personal profile] p_cocincinus 2024-02-15 05:50 am (UTC)(link)
Honestly I think Michelle missed a really big piece of information in her response, which is LW's child hasn't even been born yet. She hasn't MET her child, she has no idea what her child's needs or desires or personality will be like, and right now is an excellent time to keep her options open. Sure, if it makes your husband feel better, put your names on the feeder preschool list. Baby's not going to preschool tomorrow; you can decide whether you want to take the spot when it's actually offered to your actual child. Even if you do take it, it doesn't actually lock you into the elementary school, it just lets you decide if you want to keep going. Maybe there will be an option that makes more sense when you get there, or maybe you and your family will move to Vermont in three years and all of these discussions will be moot. The future's not set in stone, LW. You're fine.