Autism: Making sense of it

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Walter and Lynlee von Ballmoos with their autisic sons Reagan (9) (at rear) and Hayden (7). Photo by Craig Baxter.
Walter and Lynlee von Ballmoos with their autisic sons Reagan (9) (at rear) and Hayden (7). Photo by Craig Baxter.
Imagine communicating through a series of pictures, or struggling to communicate at all.

Shane Gilchrist delves into the world of autism.

It may be the school holidays but the von Ballmoos family is unlikely to travel far from their Kaikorai Valley home.

In the words of mum Lynlee, life is "very difficult".

Why? Both her sons have autism.

For Lynlee, husband Walter and their boys, Reagan (9) and Hayden (7), that diagnosis translates into no family holidays (or certainly none near water or other potential hazards), no collective outings to movies, no cafés or restaurants.

In fact, Lynlee says she has no social life.

Why? Well, her youngest is what she terms "a runner and a climber", a boy completely lacking any sense of danger.

Thus they can't visit others unless the premises are fenced - and it needs to be a high fence.

"As for holidays, we can't go camping or anywhere with lakes or rivers nearby. Because of the food situation, we never go out to restaurants. Hayden wouldn't sit at the table, for one, and he wouldn't eat the food."

That makes it tough, not only for the parents, but also for older brother Reagan who, having greatly benefited from a combination of parental effort, intensive therapy, early-intervention educational programmes and strong support at Wakari School, is now keen to share the world enjoyed by other 9-year-olds: he wants to go to the circus, the flicks, McDonald's for lunch ...

"We can't do that together," Lynlee says.

"Either my husband does one and the other person does something with the other child.

"I'll be honest with you. My husband and I have just started counselling, not because our marriage is breaking up but because we have very little time to ourselves. We were very strained.

"We've just started and are finding it really good. We have an hour where we just talk. It's about spending that quality time together."

Yet the von Ballmoos family are not alone.

According to Autism New Zealand figures, more than 40,000 people (that's one in 100) in this country have been diagnosed with an autism spectrum disorder (ASD).

The key symptoms of autism are, broadly: difficulties in relating to other people and situations; impairments in speech, language and communication; repetitive and self-stimulatory responses; and obsessive insistence on environmental sameness.

People with the disability can also have accompanying learning disabilities but, whatever their general level of intelligence, everyone with the condition shares a difficulty in making sense of the world.

As autism has differing degrees of severity and a variety of forms, ASD is often used to describe the whole range and includes the condition Asperger's syndrome.

People with Asperger's syndrome are of average or above-average intelligence and generally have fewer problems with language, often speaking fluently, though their words can sometimes sound formal or stilted.

In the von Ballmoos home, Hayden communicates through pictures.

His autism is severe; he is non-verbal.

To explain what he wants or describe how he feels, Hayden uses a book that sits, always, on a coffee table.

At this stage, there are three pages solely for his use: one is for food, another for activities, the other for outings.

"He'll have a picture of himself - 'Hayden wants' - and he will go through this book and take out what he wants and point to it: `Hayden wants . . . yoghurt'," Lynlee explains.