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Welcome to a long overdue update on our adoption story. It has been a very interesting four and a half months to say the least. Here's your warning on the length and context of this update: there is a lot of information here that should take a little while to absorb, so get a cup of coffee, find a comfortable sitting position and read on ... As many of you who have followed the pictoral journal to this point have thought, things are not as pristine as they appear. From our original journal you learned that we attended an attachment disorder conference in Charlotte in April of 2004. We learned about reactive attachment disorder mainly and the fact that our original idea to adopt three children simultaneously was far-fetched. In fact, we learned that adopting more than one orphaned child who had been in the system more than six months was not a good idea. As you know now, we persisted in our desire to bring home two boys. Now the real story ... Reactive Attachment Disorder (RAD) is a serious problem with many children, especially those institutionalized. There are many indicators which lead a qualified person to label a child as having RAD. Ours have been. We knew that there would be a honeymoon period after our return home and that we should enjoy it. We did. I think the pictures between Sept and Nov indicate the boys were getting adjusted to their new surroundings and were genuinely happy about the change. Then it ended. It was abrupt. It was Wednesday, Nov 17, when something changed, we don't know what, but Zhenia was suddenly very different. We had seen some tantrums, not previously reported in this journal, and they had resolved in at most three days. But this time, by Tuesday, Nov 23, two days before Thanksgiving, things were not resolved and there was no light at the end of the tunnel. Zhenia was defiant and that was that. Carol was at her peak with 'taking the punishment' of his bruising behavior. Carol was given a respite from Wed to Sun across the Thanksgiving break. Adrian cared for the boys completely while Carol was given a well-deserved break 'from the action.' She was exhausted, actually. We had been home for about nine weeks and had assumed a routine that we had not broken since our return. It had worn us down. We were used to frequent restaurant visits, travel as much as twice a month, etc. While we knew these things would come to an end, the relief they offer in this stressful world are not measurable until you remove them. Then, add on the stress of becoming parents and having to learn what we need to do, don't need to do 'while on the job,' we were worn down in two months. We knew then that the honeymoon period had expired. It was time to begin the next phase. Yes, we knew there would be some phases to our experience and knew there would come a time to move to the next one. But, who wants to give up the honeymoon? We rode that horse for nearly two months. It was a fun, rewarding ride. It gave us some time to reflect on our adoption experience of the past six months, integrate the immediate family into our new lives and respond to some of you reading this journal from across the states. However, we needed to determine what care routines were not required to break the idea the boys had that we were mere 'keepers' of them. That's right, in their eyes we were just the next set of orphanage care providers. It was time to attack the problem ... find out if they would be considered having RAD; mild or otherwise. We sought a licensed therapist, the closest being in Greensboro. He accepted our inquiry and we began visiting him almost weekly starting the week after Thanksgiving. He quickly diagnosed the boys as RAD although the mild form, thankfully. So, what is this RAD and what are the indicators? The following list of indicators was 'borrowed' from the Thompson's Children Home website:
I'm sure a lot of you parents will read the list and think, "Oh my!," my child exhibits some of these, but I thought he was attached and could trust me. The reality is that even normal children have some degree of the above list but that doesn't label them with RAD. The folks who work this disorder say at least 1/2 of the list must be evident in a child for the label to be considered. Let me be candid and share with you my assessment of Sasha and Zhenia ...
Well, there you have it ... a quick assessment of the boys and their condition. Were you keeping score? Let me do a 1 to 10 scale for you for each boy which would indicate to what degree I think they meet all these criteria/conditions:
There are 22 items above with at least 15 of them evident to some degree in Sasha and 20 in Zhenia. My assignments of 10 for Zhenia is a bit alarming, I think. But, that's where we are in my estimation. These average to 4.3 for Sasha, 7.3 for Zhenia. A bar graph showing the various rankings for each boys may reveal some interesting characteristics of the diagnosis: Notice that it seems Zhenia is the most affected while Sasha appears less affected. Let me assure you that Sasha will take the longest to heal due to his age entering the system and his built-up shell of control. I actually believe it will be easier to deal with Zhenia because he is exhibiting so many textbook behaviors that the textbook solutions should work quite well. Let's look at RAD from the therapist point of view, the following information paraphrased from Nancy Thomas' book, When Love is Not Enough:
My summary ... something happened in the child's life which the child (in a child's mentality, keep that in mind)
determined was due to a removal of trust. The child decides he/she cannot trust again since that person, likely a
parent, let them down. No Trust, then they cannot let someone control them ... their actions, their feelings,
their ability to determine the course of their lives. They develop a control mentality to cover for the trust
issue. Thus, their heart is now guarded and can't be broken again because they will not trust again. Without
this ability, their future lives become very self-centered and they are unable to see that human beings are not
built to be self-sufficient. Without LOVE, there is little else to live for. God so loved the world, he
gave His only begotten Son, so they all may live. Love is the basis of our existence and thus needs to be a
part of their lives. So, let's fast-forward to the future --> they will, in time if uncorrected, strike out
in various manners which, if they're big enough, will be destructive to other people or things.
So, given all this is true, then what we need to do TODAY is take action to prevent a bad situation from becoming much worse ... for the child, for the parents, for the rest of society. Our task is ...
So, how to do those things above ... There are various techniques employed by the clinical community. One is called Holding. You can read about it in a book called Holding Time by Martha Welsh. A few searches on Google will expose that this technique has not met with overwhelming consensus of approval. A couple of unfortunate incidents have given it a bad name. However, my review of the topic, lasting over a week, led me to believe the persons in support of Holding Time were far more able to produce successful arguments than those against. We have implemented this technique since November and I can say it is having the predicted effects. The progress was very rapid in the beginning and although tapering off now, it is still as predicted. Other techniques are outlined in the Nancy Thomas book (mentioned above). These techniques are not unique to caring for children. Parents of normal children could use them also. The difference is that with a RAD child, the 'how you do it' differs. Hopefully I'll get some time to explore that a little more for you in a future journal. Let's get back to the MOTHER issue. This idea or strategy is the most profound change in thinking, at least for me, than anything. My mannerisms, thoughts, experience and all those things that make up how I interact with Carol have had to be exposed and changed to some degree in order to support the MOTHER role. And the things that need to change are not just with the husband but with ANYONE that comes into contact with her when the children are around to hear, see and listen. It's the little things that are killers to supporting the MOTHER issue. Let me provide a couple of examples ... Suppose you were to arrange for a sitter to watch your child one evening so you could go out for dinner with your spouse. The child would be eating with the sitter. Upon return, just a couple of hours later, you pick up your child at the sitters residence and a comment, by the sitter, is made about the child desiring to take the remaining portion of supper home. The sitter says, "I told [the child] that his mother would have to say whether or not he could take the meal home." Suppose you're the husband and you arrive home after work and smell the wonderful aroma of roast beef, potatoes and carrots simmering in the crock pot. You do your duty ... "What a wonderful dinner you are preparing, Mother!" All is well and good; however, just before supper time, something external happens and Mother cannot attend the meal. Father is left in charge. Mother excuses herself and exits. Father is left to feed the children their supper. Father, of course knowing best, divides up the crock pot goodies and eats with his children. Let's take a look at why both actions DEGRADED the Mother of RAD children: In the first example, the sitter unknowingly placed the Mother in the position of being the bad guy to the RAD child. The Mother was given the responsibility from the sitter of saying NO! What should have happened had they been a properly trained respite provider? The sitter would know that the MOTHER must be kept the center-piece of the RAD child's eye. The sitter would have taken the action to say No! This makes them the bad guy, not the Mother. In the second example, the husband didn't think about the purpose of food in the therapy of the RAD children. He, being the hungry man and looking forward to a roast he hasn't had in a while, spread the love of Mother (the food) across the table and happily gulped it down. How did the RAD children view this? The Father came home and became the primary giver, caring person, of the wonderful meal prepared by Mother. Mother was not there. She could not reap the glory the meal created for her. All the thoughts, thanks and clean plates were given to the Father. Believe it or not, the Father should have fixed peanut-butter and jelly sandwiches for supper and been happily satisfied in the RAD children's eyes -- because we all know he wouldn't have been too happy doing it!! But taking this action would have left the power of food in the Mother's wonderful hands. The RAD children would be thinking that they sure wished Mother was there so they could eat whatever was making that wonderful smell come from the kitchen. As you can see, the thought process to work with RAD children takes on a completely different approach than what you would normally think. Innocent, well-meaning actions by those persons in contact with Mother and RAD children are viewed as destructive towards the Mother, toward the Mother that is working as hard in her life as ever to break the shield around the RAD heart. It cannot be stressed too much that every action ANYONE takes around the Mother during this period must be given the type of thought process that prevents a non-intended degradation of Mother. So, how long does everyone coming in contact have to live in fear of degrading her? Good question. The therapists generally agree that it takes about 1 month for every year the child was in the situation leading to RAD. This would mean aobut 5 months for our boys. I'd say we're in about half way now. The coming 2 1/2 to 3 months must be very guarded with respect to keeping the Mother the center of attention. I do ask everyone (immediate family, friends) that comes into direct contact to please consider this plea. Carol and I are tired. We have a ways to go and really look forward to the day when we'll feel like we've broken into those hearts and lifted the burden these children have had for so long. A little comment here or there sends us back 3-4 days. It happened this week. For those of you helping us directly so far, we cannot thank you enough. We certainly know all the right things won't be said at the right time. We know everyone is trying and also wondering exactly what they can do. I'd encourage you to contact us directly (eMail is best right now; see below) to let us know of anything that bothers you with respect to things we've done or said. Our ability to ensure our family and friends are not mistreated is deminished right now. You know where our focus is. Our plight is well known. The biggest thing going for us is that there is a light at the end of this tunnel .... you will still be around as you are then ... and we want two little boys there with open, loving hearts to join you. If you're now wondering what you can do to help, I have great news! Pray for starters. We can use all the prayers that can be offered. Second, you could consider becoming a respite care provider. We have some instructional videos which describe the what's and how's for this valuable service. You should feel welcome to request to review the videos without feeling you're commiting to actually providing this type of care. We certainly know that most folks are not cut out for it. Perhaps, even though you may already know you're not able to provide respite care, the video would be helpful for you to understand our situation. Please contact us via the form below. More coming soon ... as I have time. My purpose here is to provide a couple of different audiences some information about our situation. First, family and friends are directly invited to help us make the Mother the most important person in the children's lives. Second, for those folks about to adopt older children, this journal should help you with expectations for similar circumstances. Third, this journal serves as a historical artifact for the boys. They are not an experiment but rather a work in progress. God has brought them to us, given us the means to acquire them and certainly the grace to understand our situation and endure it. We look forward to your prayers, comments, suggestions and criticisms.
Comments? Please share them with Carol and Adrian ...
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