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Autism in the blood
(Filed: 21/01/2003)
Samantha Peters always assumed her father's
obsessive rituals were normal. But, she tells Olga Craig, when her own
two boys were diagnosed as autistic, the truth came out
'How does it make me feel?" asks John Peters, his face
contorted in anguish. "Guilty. So very guilty. As though I have infected
my grandsons with Aids. I feel deep, brooding, suicidal, soul-destroying
guilt."
His shoulders hunched, he rocks back and forth on the
sofa, his gaze focused in the distance. His hands fidget and flap. He is
agitated, and not simply because of his words, but because our
conversation has veered into uncharted territory. John Peters, who three
years ago, at 56, was diagnosed with Asperger's syndrome, a mild form of
autism, cannot cope with the unpredictable, the unexpected. Just as he
cannot cope with chips that have pointed ends, which must be squared
off; just as he cannot cope with frowning, which was why he sellotaped
his only child's forehead so that she could not grimace; just as he
forced her mother to eat from the dustbin for disobedience.
The silence in the living-room of the Peters' Newport
home is shattered by the slap of the door thumping the wall as it is
shoved open. Two small boys charge in: the larger dark, his face a
thundercloud, his gaze averted so that he will not have to look at
anyone; the other fair, dressed in a girl's strappy silk nightgown.
Acis, eight, who is autistic, is in a fury because
earlier in the day someone in the household mentioned going to
McDonald's. Now that the trip is in doubt, Acis explodes in a rage. From
the kitchen come the sounds of flailing fists and anguished shrieks. "He
can keep this up for hours," Samantha says, "his language can be foul.
No one will be able to convince him that the world will not end without
a trip to McDonald's. As far as Acis is concerned, his will." Like John,
his grandfather, he cannot abide disruption to his plans.
Harry, six, his more placid brother, has Asperger's
syndrome. Touch, indeed any physical contact, distresses him unless he
is cajoled. So, too, does the feel of any material that is not soft,
like silk. Then again, he will not wear anything that is not red or
black. He is searching for his dark glasses, so that he, too, will not
have to look at anyone directly.
From an armchair in the corner of the room, Samantha
Peters, the boys' mother, smiles in a loving but long-suffering maternal
manner, first at John, her father, then at her sons. "Welcome to the
house of fun," she says wryly. "Welcome to the Addams Family."
Samantha distracts Harry with a feather boa and shoos
Acis into the kitchen where the daily two-hour battle of wills over
dinner will begin. Tonight, it is Jacqui, the boys' grandmother, who
will be referee.
"McDonald's would actually be so much easier," she
says. "McDonald's is autism heaven. Nothing changes. The food is always
exactly the same - the portions the same size."
Bizarre bedlam best describes the world inhabited by
the male members of the Peters family. It is a world in which the
outbreak of World War III would elicit mild interest, but an ornament
moved from its spot will result in tantrums, tears and unending angst.
If anything, things are even more difficult for Samantha and Jacqui, the
womenfolk. More than 30 years of life with John has meant that both, at
times, struggle to differentiate between normal and odd behaviour.
"The other day my Mum said to me: 'Sam, is
such-and-such normal behaviour? I just can't remember,' " Samantha says.
"When you live with three autistic people, each with their own strict
routines, sometimes you forget what normal behaviour is."
This is a highly intelligent family (John and both boys
have IQs above 150 and Samantha holds degrees in law and English) in
which autism, a genetic disorder in the development of the brain, reigns
supreme. It is also a shocking example of how a man may reach 56 yet
remain undiagnosed with a disorder that now affects one in a hundred
people. What makes the Peters' story all the more astonishing is that,
despite his wildly eccentric behaviour, John Peters' condition was only
recognised when a specialist testing the boys turned to their mother and
said: "And by the way, you will need to get help for your father, too."
Finding help, however, is not easy. Specialists in
Autism Disorder Spectrum (ADS) work only with children. John's sole
medication is anti-depressants. They work up to a point. They have not,
for example, prevented him from buying a dog collar, attaching it to a
rope and trying to hang himself in the living-room. "But at least he now
understands himself, why he is so different," Samantha says. "That, at
least, is a relief."
John is unlikely to be an isolated case. Autism was
first diagnosed in this country in the early 1960s, but even now its
tests are designed for young children. The result is that there are
thousands of people in their fifties and older whose condition has never
been recognised or treated. Instead, because of their bizarre and
anti-social behaviour, they have spent a lifetime being labelled
eccentric or treated as outcasts .
The degree to which an individual is affected by ADS
varies widely. Their obsessions differ enormously, but all have extreme
difficulty with interaction. Often they must memorise appropriate
responses to given situations to avoid behaving in what we deem an
eccentric manner. Increasingly, they withdraw, the pain of striving to
behave "normally" and failing having become so intense that isolation is
preferable.
John Peters is neither an ogre nor an unloving husband
and father: he is, rather, a sensitive, caring man trapped in a world in
which obsessions overwhelm and govern his ability to communicate.
For Samantha, an only child, her early years were less
bewildering than one might expect. "Don't forget, I had nothing to
compare my home life with," she says, "no reason, as a child, to think
my family differed from anyone else's. The truth is, my father, though
there was not an iota of malicious intent, forced us to inhabit a
bizarre, alien world."
John Peters could not bear to see a frown; such a
facial expression sent him into a screaming rage. "I don't have a single
frown line, which is unusual for my age," Samantha, 36, explains,
rubbing her smooth forehead. "That was because Dad taped it with
sellotape. He put it on my fingertips, too, in case I dirtied the
paintwork."
The memories now come thick and fast. "Certain foods
could be eaten only off certain plates - he would whip off the
tablecloth and send the crockery flying if we got it wrong. If any piece
of food touched a green vegetable it had to be thrown out. He had a bag
in which he kept his cutlery and glasses - they were not to be touched.
He would hold my jaw to ensure I chewed food twice, no less, no more.
Liquids had to be swallowed in one gulp, not two.
"He hoarded all sorts. Nothing could be thrown out. He
could not bear physical contact, if someone brushed against him he went
berserk. If we did not cut chips into oblongs there would be fists and
rages. For everything there were rules, and if we disobeyed or
questioned, there had to be punishment.
"I once saw him forcing my mother to eat from the
dustbin because she had disobeyed a rule. What is frightening now is
that I recall accepting that Dad had to punish her. You see how his
behaviour became my normality."
With age and more social contact, Samantha quickly
realised how different her family was. Neighbours labelled the family
freaks, they became "the Addams Family". Samantha rebelled and left
home.
"That was the most difficult time for Mum," she says.
"You must understand that my father loved us, loved us obsessively. He
just cannot show it in the way that we expected or wanted. He would buy
anything my mother wanted, showered her with gifts . . . what he could
not give was affection in the normal manner."
By her side John shuffles uncomfortably. For him, the
memories are equally painful. "People think we have no feelings, no
self-awareness," he says anxiously. "But I love my family desperately.
It is just that for me, these small things take on the utmost
importance. To have my routine, my order, changed is a major trauma. It
overrides everything else. The perspective goes. Then I see I have hurt
and upset them. So I try to win their love with things."
Samantha smiles. She wants to tell a story. First, very
gently, she explains that she is telling this anecdote as an example of
her father's difficulty in understanding others' feelings rather than
with any sense of resentment. When she was pregnant with Acis, she ran
downstairs one morning in tears, telling her father she thought she was
miscarrying because she was bleeding. "My father, engrossed in the
television, replied: 'That reminds me, can we have gravy with dinner
tonight?' " She grimaces. "You can imagine how that hurt . . . but Dad
could not understand that."
When Acis was born, Samantha (who is now separated from
the boys' father) naturally had no reason to suspect that he would
inherit a genetic disorder. He slept little and screamed constantly. He
hated being cuddled. Faces terrified him. Although clearly bright, he
did not interact with other children. Harry, by contrast, was placid,
but he, too, could not interact, and both boys were disruptive in
school. Slowly, like their grandfather, obsessions came to dominate
their lives.
"I shall never forget Harry's first day at school,"
Samantha says. "He would not wear the uniform. Either he would go
wearing what he wanted or not at all. I ended up taking him to school
dressed in a black vest, black underpants and red wellington boots. The
other mothers looked at me as though I was mad, but what could I do? It
was the only way to get him there. Some of them complained that they
didn't want an autistic child in their child's class - as though the
boys were infectious."
In time the boys' eccentricities worsened. Although
both attend mainstream school and are doing well academically, their
behaviour remains disruptive and their lives are dominated by strict,
unalterable routines. Acis will eat only toast, chips, sausage rolls and
sausages - which must be from Asda. "He can tell the difference." He
will drink milk, but no other liquids.
Henry will eat fruit and vegetables as well as Acis's
diet, but he will drink only cola, and that, too, must be from Asda.
Each boy has his own special "coming home from school routine", and
since they vary so much and must be adhered to, Samantha now collects
Acis and her mother picks up Henry.
Henry, who eventually agreed to wear his red and black
uniform (which now means he will wear no other colour) must be given a
bag of chips, a bottle of cola and his dark glasses the moment he leaves
the school gates.
Acis, who can now control his aggression in school,
flies into a rage the second he leaves. "He takes a large bag filled
with rubber gloves to school, in case he has to touch something he
doesn't like, toys that he must be able to feel during the day, and all
sorts of items he needs to be surrounded by - the other day he asked if
he could have an oxygen cylinder. He generally throws the bag at me and
screams.
"He then runs home so that he can make sure the
suitcase he keeps by his bed is safe. He is terrified the house will
burn down and his belongings will perish. He is less worried about us
perishing."
As Samantha is talking her father answers a knock at
the front door. When the caller asks if Samantha is in he replies,
"Yes," then closes the door again. As far as he is concerned, he has
answered, politely and truthfully, the caller's query. "You see," says
Samantha. "For him, what has just happened is logical. And, in a way, I
suppose it is."
John does not return. Instead, he has retreated to his
garden shed, where I join him. It is where he hoards belongings. Where
his order reigns. Inside, he gazes at the orderly rows of files, the
boxes of photographs, the paraphernalia of a lifetime. "The loneliness
is a killer," he says sadly, fingering a phial filled with Samantha's
baby hair. "But if you keep upsetting people by the way you are, then
you withdraw. It is a lot easier to go away by yourself than to keep
trying and failing."
"People are often horrified to learn that Dad and the
boys are all autistic," Samantha later says, "but there is one blessing.
Often Dad is able to explain, in a way that they understand, that they
are not stupid or bad, just that they are different . . . special. It
helps their self-confidence and makes them feel much less isolated. I
could not bring them up without him."
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Good food - just what the doctor ordered
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Belts will be tighter this season
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