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Osgood, Tony (2017) Ancient Wisdom? What we think we know about supporting families duringPositive Behaviour Support. In: BILD Centre for the Advancement of Positive Behaviour Support- Coaches Network. (Unpublished)
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TonyOsgood:[email protected]@protonmail.com
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AncientWisdom?
WhatwethinkweknowaboutsupportingfamiliesduringPositiveBehaviour
Support
TonyOsgoodLecturerinIntellectual&DevelopmentalDisabilities,TizardCentre,UniversityofKent/PrivatePractitioner
AnUpfrontAside
Thisisapersonalperspectiveonkeyactions(andreadings)forPositive
BehaviourSupport(PBS)coachesandfacilitatorsinterestedinfostering
supportivemethodswhenworkingwithfamilies.
BeforebecomingalectureratUniversityIspentagooddealofmylifeworkingin
private,voluntaryandNHSservices.Thiswasoftenasfrustratingasyoumight
imagine.WhatIfoundmostinteresting(andsustaining)wereidiographic
solutionsforindividualissuesoflearningandservicedelivery,yetIwasworking
(andtoanextentrepresented)nomotheticparadigms.*Inmorestraightforward
terms,beingpartofabigsystemmadeithardtorespondtoindividuals.Why?
Wewereobligedtomeetcentralisedgoals(oftensetbythoselackingapparent
insightaboutrealpeople**butwhocouldrecogniseaneasy-to-collectdataset
fromahundredmetres–forexample,afocusonthemetricofthenumberof
peopleprofessionalsmetratherthanmeasuringqualityorsuitabilityor
outcomesofsuchencounters).Wehadtofollowrigidpathwaysofcare(don’t
wanderfromthepath,LittleRedProfessional),andatreatmentmodelsteepedin
thetropesofthemedicalmodel(open,treat,close,repeat,open,treat,close,
repeat).Addtothisfrustrationsarisingfromcareermanagers(IfTheyQuestion
TheyShallLeave,IfTheyBowTheyArePromoted),well,Iheard(andmyself
contributedto)muchkvetching.Paperworkwasdominant(Mansell&Elliot,
2001),peoplerequiringservicesalmostunheard.Allthesethingscombinedto
oftengetinthewayofeffectiveworkandperson-centredoutcomes.Thisisthe
priceofworkinginorganisationsconceptualisedasmachines.Ifwethinkof
organisationsasmechanisticprocesses(input,process,outcome)prettysoonwe
allbegintoresembleacogtosomeone(Morgan,1986).
*Idiographicandnomotheticdescribetwowaysofknowing–sotermedbyphilosopherWilhelm
Windelband–broadlyindividualandqualitativewaysofknowing(idiographic)andbroadly
generalisedquantitativeknowing(drawnfromlargenumbers–nomothetic.Insummary,
idiographicisaboutindividuals,Nomotheticaboutgroupsofpeople.
**Families,kidswithdiagnosesofinterestingbehaviour,adultswithdisabilities,youknow,real
people
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SohowdidIcometobepartofamachine?Asafamilymembertryingto
understandthebehaviouranddisabilityofasibling,Irememberthinkingthat
onceIworkedformallyasanemployeeindisabilityservices(youknow,gained
status,somethingoftenlackingforfamilies)Imighthavesomeinfluence.Things
mightchange.Asasupportworker,Ispokewithothersupportworkersandwe
wereprettyclearoncewewereseniorsupportworkers,we’dbeabletoenactthe
changewesought.Asaseniorsupportworker,thesameconversationsoccurred.
Asmanagers,likewise.Asareamanagers,evenmoreso.Inpsychologyservices,
ditto.Eventuallyarecognisablepatternemerged.Wewereoftensoconsumedby
frustrationatwhatcouldn’tbedonewewereblindsidedtowhatmightbe
achieved.
Re-readingHerbLovett’sLearningtoListeninthelate1990skeptusacutely
awareitwasn’tusthatwerebrokenbuttheverysystemsintendedtoenable
goodoutcomes.Communitymodelswerethebrightpromisetoreplace
institutions.Butinstitutionsarenotplaces;institutionsliveasthoughtsand
storiesincommunityservicedesignsandstaff.Gettingoutofinstitutionsdoes
notresultinbetteroutcomesifyouarestillservedininstitutionalways.Lovett
recordedanotefromapersonalcommunicationwithNirje,whohadobserved
‘hierarchiesmakepeoplestupid’.Buthavingnochoiceisachoice,andmany
peopledecidedtowalkouttowalkon(Wheatley&Frieze,2011).Choosingto
listen,todowhatIcould,tobuildrapport,tobeempathic,tobesolution-
focussed,thesewerealsochoices.
Myreasonforsuchpersonalrevelationsismerelytonotethatwhenworking
withparentsandpeopleusingservices,youwilloftenhearthesame(sometimes
angry)frustrationsthatprofessionalsespoused.Noonelistens!Everyone
moanedaboutCommissioners:theykeptbuyingthewrongthingsforthewrong
people.Professionalsareofteninthefiringlineofangryparentsandangry
parentsareofteninthefiringlineoftiredprofessionals.Butprofessionalsare
notoftenexcludedfromdecisionsquitesoreadilyasparentsorpeopleusing
services.Often,noonewaslisteningtoanyone.Everyoneseemedpreoccupied
withtheirownlegitimacyandtheirownvoices,theirownagenda.
Sowhatif–here’sthepointofthisaside–whatifwe’reallofusinamachine,
treatedlikecogs(largelybyotherbiggercogs)?Wouldn’titmakesensetonot
treatothercogsasadversaries(‘don’tgothatway,comethisway!’)butas
collaborators?(‘Ifweallturntheotherwayperhapswe’llgetthingsdone?’)
Now,thisisn’tnew.Anditcertainlyisn’tinsightful.It'soldasthehills,thisartof
listening,thisartofcraftingmeaningbetweenus.Weknowthemorewetalkthe
lessweseemtolearnorhear.Themoreweshutup,themorewediscover.But
justbecausewere-discovertheblindinglyobviousdoesn’tmeanit’snotnovel,
it’snotrevelatory.
AsWillRogersnoted,goodjudgementcomesfromexperienceofbadjudgement.
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TheUpsideofReading
Intheearly1990smanyofusencounteredwhatwastobecomeknownasPBS:
theapplicationofbehaviouraltechnologyinasociallyresponsiblemanner.For
usPBSwasarebalancingofclinicalvalidityatanycost,towardanequal
emphasisonsocialvalidity.
TheearlyPBStractswerelargelyAmericanandremindeduspeoplewewerein
servicetomatterwhenitcametothedesignofinterventiongoals.Thewaywe
workedandconductedourselves,themannerinwhichweappliedthe
technology,thewaywelearnedtolistentothehopesandaspirationsofpeople
inservicesandinfamilies–allthesethingschanged.PBSgaveourgrowing
uneaseattheapplicationofbehaviouraltechnologyineverydaysituationsa
solution-shapeddesign.ForusPBSandpersoncentredplanning(PCP)werepart
ofacontinuum.Colleaguesconductedasmanypersoncentredplansas
functionalassessments.Weco-authoredasmanyinteractionguidesasbehaviour
supportplans.Wemeasuredsatisfactionasmuchaschallengingbehaviour.
Mainlywemodelleddecenthumanityandappliedwhatweknewaboutwhat
goodsupportis,whilstavoidingwhatgoodsupportisn’t.Thepersonwasthe
arbiterofquality,notcentralisedspecifications.
Inlate1996BrookesPublishinginBaltimorehadaproblemwiththeirpostal
servicetotheUK.Somehow,fourcopiesofPositiveBehaviourSupport:Including
PeoplewithDifficultBehaviourintheCommunityarrived.Amidsttheclinically
rigorouschaptersandcasestudiesofthiseditedvolumeafewthingsstoodout–
primarilythefocusonfamilycontextsinworkingtounderstandandrespondto
challengingbehaviour–becauseeventhoughitisasocialconstructionandnota
legitimatediagnosis(moreaclinicalaccusation),challengingbehaviourcanhurt
lives.Inthisbookwediscoveredfurtheraccountsofcontextualfit–makingsure
ourcollaborativesuggestionsfittheenvironmentandfamily;wefoundaccounts
ofpartnershipworking,groupactionplanning,teachingreciprocity.We
discoveredaccountsofbelonging,socialinclusion,friendshipandToddRisley’s
seminalcallforpractitionerstobeginhelpingpeopleto‘getalife’.Wewere
hugelyrelievedtoreadDonKincaid’saccountofpersoncentredplanning.
In2002anothereditedvolumeonPBSappeared-thisonefocussedonfamilies:
FamiliesandPositiveBehaviourSupport:AddressingProblemBehaviourinFamily
Contexts.Thisbookfurtherexploredtheaccountsofpartnershipapproachesto
behaviouralsupportandteachingnewskills,amendingenvironmentsand
interactions.UnfortunatelyPaulHBrookeshadtheirpostroomproblemssolved
andonlyonecopywasreceived.Whatstruckmanyofuswasthededicationof
authorsdeterminedtosummarisetheirlearningfromworkinginpartnership
withfamilies.Familymemberswrotechapters.
InthesameyearPersonCentredPlanning:Research,Practice&FutureDirections
waspublished.AmongthemanypowerfulchaptersKincaid&Foxwroteabout
correlationsandoverlapsbetweenPBSandPCP.MightPCPcontributeto
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abolishingoperations,thesocialvalidityofPBS,enrichmentofhome,the
collaborationbetweenfamiliesandpractitioners?Mightdrumsmakeasound?
(LikeTerryPratchett’stavernTheBrokenDrum,whenitcomestoperson
centredapproaches,youcan’tbeatcollaboration.)
Nowallthesebooksarealmostancienthistorytomanystudentstoday.(There
againsomestudentsdon’tknowthelegacyofMargaretThatcher.Somedon’t
thinknormalisationisathing.)Buthere’sathought:thereisnothingnewunder
thesun,includingtheevidentneedofhumanstokeeprevisinghistoryandto
forgettheirpasts.Muchofthematerialinthesethreebooksremainsessential
reading.(Maytheychangeyourpracticeastheydidours.)
SeveralofuswerefortunateenoughtoworkwithJimMansellinservices(he
providedaprotractedinductionwhenIworkedinaSpecialDevelopmentTeam
project.Jimdidn’tjusttalkandwrite,Jimdid.That’swhywemisshimsovery
much).Jimwasunfortunateenoughtoinspireustostudywithhim(whetherhe
wantedustoornot)andbydintofashortstrawhetaughtmeduringformal
Master’sstudiesandduringashort-livedUniversityAffiliatedProgramme.In
factheaskedsomeofustoteach–probablysohecouldkeepawatchfuleyeon
us.WhatJimtaughtuswaschallenging:servicesandfamiliesarenotblank
canvasses.Jimtaughtusourjobwasnottoprejudgeanysituationbutratherto
turnup,shutupandlisten.Heemphasisedtheneedtoputknowledgeinto
serviceofthosewhorequiredit:families,peopleusingservices,and
commissioners.Allthetechnicalknowledgeintheworldwon’thelpifyourears
arestuffedwiththefluffofyourownlearning.
Thereisadifferencebetweenknowingfamiliesandworkingwithfamilies.
Knowingafamilymeansyouhaveaccesstotacitknowledge.Workingwitha
familymeansyouhaveaccesstoafile.(Andwhoconductsreliabilitytestson
suchnotes?)
PBSandpersoncentredactioncomplimenteachother,theyprovideatoolboxof
eclecticmethodstolistentothelivesandviewsofpeople,notmerelytheir
discreteresponses.
FamiliesandPBS
Notwofamiliesarethesameanditisthereforeproblematictogeneralise‘wants’
and‘needs’withoutimmediatelythinkingofexceptions(“Well,onefamilyI
workedwith…”).Therearealwayslimitationsinanyresearch(hencethe
wisdomofconsideringasignificantnumberofsuchstudiesorverbalaccounts)
andthelessonswemightdraw,buttherearesomepossiblesummary
conclusionswemightuseasawaytoinformourpractice.
Firstly,familyisasfamiliesare.Forgetdemographicsanddefinitions.Ifagroup
ofpeopleidentifyasafamily-regardlessofnumber,orientation,gender,
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abilities–sobeit.Thesethingsmightnotbeyourchoiceofsituationbuttobe
fairthisreallyisn'taboutyou.Itmaynotbewhatyouwouldchoosetocalla
familybutfamilyitsurelyisnevertheless.Getoveryourself.Beingaskedto
attendafamilyisaninvitationtoengageourempathyaswellasourknowledge:
it’ssomethingofaprivilegeevenindifficultsituations.
AtaworkshoponSupportingFamiliestwoveryexperiencedbehaviour-support
professionalsworkingincommunityserviceswerescathingaboutmanyofthe
familiestheyworkedwith.Thattheirnegativeexperiencecontaminatedtheir
viewsoffamiliesofchildrenwithIDDandbehaviourthatchallengesseemedin
littledoubt.Everyargumentoffered,eachpieceofresearch,wasmetwitha
stonecoldwallofcynicismbuiltfrommanyyearsofnegativeexperiences.Now
kvetchingisgoodforthesoul.Likeeating,wealltendtokvetch.Butkvetchingso
muchyoulosesightofthepositivesisunhelpful.Nooneenjoyshangingoutwith
aperennialgrouch.BytheendoftheteachingIwonderedwhetherencountering
newfamilieswhileharbouringsuchcynicalviewsmightnotpredicttheoutcome.
Somefamilieshavejustificationforcomplainingthatsupportmighteasilyturn
outtobenotsomuchacollaborativejourneybutmoreajudgementalburden.
Likeresearch,nofamilyisperfectbutthenagainneitherareprofessionals.How
wethinkaboutfamiliesimpactsoureffectivenessasprofessionals.Ifwetalk
overfamilies,they’llceasetospeakandshare.Asifonanextinctionprogramme,
theymightbegintoyell,theirsharingmightfadeaway.Soprotocolsandplans,
howmeetingsareheld,theeaseofreferrals,theseareallartefactsthattellus
whatindividualsandservicesreallythinkoffamilies.
Secondly,researchdoestendtosuggestmanyfamiliesofchildrenwith
disabilitiesseekinformationaboutdisability,aboutservices,about
understandingandbest-practice(Santellietal.,2002).(Families,frommy
experience,wanttoknowwhatishappeningandwhatthefuturemightlooklike,
too.)Santelli’sworknotesadviceaboutkeepingfamiliescoherentisalso
important.RichardHastings’sworkonstressesforstaffandfamiliesneedsmore
attention(e.g.,Hastings&Taunt,2002)-asdoestheinterestinmindfulnessasan
approachoftenhelpfulinsupportingcoping.Inonestudytheinformalsupports
seemedkeytoparentalwellbeing:accesstoserviceswasn’t(White&Hastings,
2004).Onekeypointtheseauthorsmakeisthatparentalwellbeingimpactedthe
child’sbehaviour.
Li-Tsangandcolleaguesnotedthatmanyparentsofchildrenwithdisabilities
experiencejoyaswellasstress.Specialneedsaredifferent,theynote,from
problems(Li-Tsang,Yau,Yeun,2001).Theseauthorsfocussedonseekingto
determinethosestrategiesbeneficialatfosteringadaptivecopingand
constructiveattitudes.Mightchildrenwithdisabilitiesinfamiliesalsobeacting
ascontributorstofamilycohesion?Whattheirstudysuggestedwasa
confirmationofpreviousinvestigations.Realisticpositiveexpectationsofthe
childseemtohelp,asdidgoodlevelofparentaleducation,pragmaticproblem
solving,andresilientpersonalities.Sufficientfinanceshelp.Thekeyfindingof
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thissmallstudywasthatparentswithgoodadaptiveskillssoughtoutlocal
networksofsupport.Soonequestiontoaskishowweascoachesand
professionalscontributetosuchthings.Oftenourapproachandattitudeinform
familyperceptionsofservicesandtheirabilitytocope(Bromley,etal.,2004).
Thirdly,rememberthatnomatterhowskilledtheprofessionalitisdoubtfulthe
‘sharedexperiences’ofdisabilityorbehaviourarethesameasthoseofparents.
Professionaltrainingmightsuggesttopractitionersoneinterpretationofwhatis
seenbutitmaynotbethewholestory[oreventherightnarrative]especiallyif
theprofessionalisn’tgoodatbeingseenasavailabletohear.Parentsmaybe
simplytired,notsad(Green,2007).Itshouldberememberedthatregardlessof
methodsused“wecannotrepresentothersinanyothertermsthanourown”
(VanMaanen,1988,p.12).Sobesttoshareandco-constructtheterms.
Acohesiveblendingofthesepointscanthenbemadeforcommunity
involvementandnotarelianceonservicesystems.Services,asO’Briennoted,
canneverbeenough(O’Brien,1987).Parenttoparentmodelsofferawayof
gainingsupportandunderstandingthatdon’tnecessarilyrelyonbusy
professionals.Expertiseisdispersedinsuchmodels–thereisnosingle
authority.Parenttoparentmodelscanprovideinformationandemotional
support.
Theemotionalsupportprovidedbypeoplewhohaveexperiencedsimilar
situationsisinvaluable.Emotionalsupportmightincludeknowingonecancall
onanallywhoisreliable,whohas‘walkedthesamepath’,whowillprovide
practicalsupport,whowillremindpartnersoftheirabilitytocope,andwho
acceptstheirpartner‘wartsandall’.
The‘informationalsupport’mightincludeknowledgesharedaboutspecialist
serviceprovision,family-focussedplacesandopportunitiestocontributetheir
ownknowledgetoothers.
Anetworkoffamilies(theparenttoparentmodel)isakintoacommunityof
practice–aninformalgroupofpeoplesharingcommoninterestsandskills.
Thesetooprovideemotionalandinformationsupports,butalsoaplacefor
identities.(Beingafamilyincludingachildwithdisabilitiesisoftenexhausting
andjoyful–beinganyfamilyisthis,too,butdisabilitiesbringarangeof
additionaldemands,notleasttherequirementstobringothersintothevery
heartoffamilytraditionsandwaysofbeing.Belongingtoagroupofother
familieswithsimilarexperiencescanhelppeoplewhocompriseafamilytonot
feelsoisolated.Networksorcommunitiesprovideearsandshoulders.)
Thishasimplicationsforhowwelookatfamily-sensitivePBSandits
implementation.Havingparentsaspractitionersorcoachesmayhaveuntold
benefits.
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AgoodexampleofparentsmakingalltherunningistheChallengingBehaviour
Foundation(CBF).Startedbyparents,thishasbecomeasourceofinformation,a
locationtogainsupport,andhasbeenincreasinglyinfluentialintermsofpolicy
andresearchagendas.NotonlydotheCBFofferparentssupport(both
informationalandemotional),theyofferresourcestoprofessionals,policy
makers,trainingandahostofotherfunctions.
Insummary,thereismuchacoachorprofessionalcouldlearnby‘justhanging
outwithpeoplewhoknow’.Buildingintothe‘process’ofworksuchlisteningis
oneoftheearlyinnovationsPBSincluded.Contextsandstoriesaredata.
Training&Families
Trainingisoftenthoughtofasclassroom-based.Trainingisoftendesigned
aroundlearninggoalssignificanttothetrainerortheiremployer,butthesemay
notberelevanttothedifferentcontextsexperiencedbyfamilies.Whilstthis
traditionaltypeoftrainingmayhaveitsplaceasavenueforinformationsharing,
realtraininghappensduringworkinrealsituations.Byrealtraining,Imeanof
courselearning.Goodlearningisachievedbydoingactivitiesinrealsituations.
Coachingistrainingplusmentorshipinrealsituations.Forparents(andformost
people)tocomprehendPBS,rapport,peg-feeds,oranything,ithelpstoseethese
thingsdone.Showinganddoingisremembering.Alltoooftenclassroom-based
teachingisanexerciseinforgetting.(Youshouldcometomylecturesto
appreciatethisfully.)Thereforeifwewishtotrainparentsinspecific
interventions,itmakessensetoteach,do,reflect,primarilyineveryday
situations.
Coachesandpractitionershavetobepresentforfamilies.Familiesaren’tthere
forprofessionals–IamstillamazedhowoftenIspeakwithfamilieswhoare
gratefulforcrumbsfromthecaptain’stable:familiesarethetableandthe
captains.Professionalsaretheretoservenotcontrol.Professionalsandcoaches
havetobepresentphysically,usefully,andpsychologically.Theyshouldnot
strivetobeweirdUncleBartywhoturnsuponlyatChristmasbearinggiftsand
askingforastiffbrandy,butlikeAuntHazel,whocallsinwhenshecan,who
respondswhenasked,andforwhommanyofthesmallrequeststhatlitterfamily
lifearenotsosmalltheyareignored.Beingpresentmeansthelessonswepass
onandthelearningwegainfrombeingpresentarenotseenastraining.The
similaritytopracticeleadershipisobvious.
Trainingandnotdoingisformanypeoplebetterthanrealwork,butmaynotbe
agooduseofscarceresourceorintellect.Learningthroughdoingiskey.Coaches
andfamiliescanlearnfromeachotherthroughwhatwemighttermlegitimate
peripheralparticipation(beingpresent).Trainingisvitalforpractitioners,
competencyinpracticeevenmoreso;butforeveryBCBAwithpristine
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credentials,foreachnewlymintedpsychologistornurse,I’dliketoseedouble
thenumbersofears.
FamiliesAsResources
Ratherthanviewfamiliesasreceiversofservices,wewoulddowellifwe
consideredfamiliesassourcesofexpertknowledge.Inthesamewaythoseofus
whoworkandliveatthepersoncentredactionendofthecontinuumthatPBS
hasbecomeconsiderpeoplewithdisabilitiestobetheexpertonwhattheyneed,
wemightwellbenefitfromanequivalentstartingpointwithfamilies.
Alltoooften,however,weheartalesofthevoicesoffamiliesbeingsilencedor
ignored.Itisasifthestoriesfamiliestellandtheknowledgetheyhaveacquired,
notbeingcertificatedtoUniversitylevel,canthereforebedismissed.Suddenly,
expertknowledgeoutweighslocalknowledge.Suchanapproachisself-defeating
ifourgoalistheameliorationofchallengingbehaviourandanincreasein
understandingofwhatworksbest(Danforth,2000).Ifwemakefamilies
dependentuponprofessionalswedisablefamilies.
Whenbeingtoldthenewsofadisability,“parentspreferprofessionalswhoshow
agenuinecaringattitude,whoencourageandallowthemtotalkandwhoshow
understandingoftheiremotionalresponses.Sensitivitytobothinformational
contentandparents’reactionsiscritical”(Jan&Girvin,2002,p.81);such
sensitivelydoesn’tstoponceadiagnosisismade.
Notacknowledgingfamilyknowledgeisalittlelikewatchingpeopleeatinanice
restaurant.Imagineseeingtouristslookinginarestaurantwindow.These
touristsaretalkingloudlyaboutwhattheysee.Theyspeakabouthowwarmit
looksinside.Howsmalltheportionsseem.Theyarecommentingonthe
behaviourofonefamilygroup–locals-whoaretalking,gesticulating,arguing,
laughing.Thesetouristsareametaphorforprofessionalbutdistancedworkers-
foranyonewillingtocategoriseandmakejudgementsaboutpeopleorplaces
withoutanyfirst-handknowledge.Whilstthetouristsmightsaywesawthis
happen,weheardthatbeingsaid,thatwasthelimitoftheirknowledge.
Judgementsaboutthedishes,thearomas,thetastes,thetextures,freshness
cannotnotbevalidatedorreliable.Judgementsofthequalitiesoftheexperience
aresimplyprojectionsoftheirownperspectives.
Unlessinsidetherestaurant,eating,talking,sharing,howmightanyofussafely
saywhatisreallyoccurring?Thatiswhatfamiliesexperiencetoooften.People
outsideascribingqualitiesandcritiquesoftheirexperience.Ourviewascoaches
andcontributorstosolutionsisasifthroughthewindowandwillbeincomplete,
asimplifieddescription;ourdiagnosesaremerelymetaphorsforwhatwethink
weknow–orperhapstheechoingofancienttropes.
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TheNub*orBehavioursFamiliesMightFindHelpful
Forastart,dumpthedoom.Noteveryfamilyisexperiencingheartacheor
bereavement.Plentyare,butmanyaretoobusyforgingnewwaysofbeinga
familyortoobusy‘doingfamily’tofocusonwhattheydon’thave.They’re
celebratingandenjoyingtheirsituationandmembers(Summers,Behr,Turnbull,
1989).Beforeanydisabilityachildisachildinafamily.Thesonhangingfrom
thefirstfloorwindowsingingoffensiveversionsofthePolishnationalanthemis
neitherangelnordevil.(Norreferral.)Theboyissimplyasonwithafascination
forself-depreciatingnationalanthemsandaloveoffreshair.They’reasonfirst.
(Wesometimeshearpeoplementiontheword‘suffer’,inthatthechild‘suffers’
fromepilepsy,orthey‘suffer’fromFragile-X.Tenminutesinaroomwitha
familyoradvocateandthepersonmumblingsuchnonsensewordsmayhavea
completelydifferentperspectiveonsuffering.Childrenwithdisabilities(perhaps
childrenperse)are“mygreatestjoyandmygreatestheartache”(Myers,etal.,
2009).Becarefulofattributionsandlanguage:wordscanhurtandshapethe
viewsofothers.)
EricEmersonnotedpsychologistscouldeasilybemoreplumber,lessIvory
Tower,meaningbeingpresentwhenneededandspecificwhenasked(Emerson,
Hatton,Bromley,Caine,1998).ThisissoundadviceforanycoachandPBS
practitioner,too.Somysecondpointistobeuseful.Notsolelytoyour
organisation,nortoyourbankbalance,buttothefamily.Whatcanyoubringto
theparty?Familiesusuallywantpartnersnotcritics.Findingapartnerwho
listensremains,fortoomanyfamilies,aremarkableevent:itwouldbegrandto
witnessremarkableeventsbecomecommonplace.
*Meaningquintessence,onlywithoutthehubris.**
**BeingEnglish,andofacertainage,meansWinnie-the-Poohisnotsomuchafavourite
childhoodcharactermoreaguru.Example?Listentothis:“Idon’tseemuchsenseinthat,”said
Rabbit.“No,”saidPooh,humbly,“thereisn’t.Buttherewasgoingtobe.WhenIbeganit.It’sjust
thatsomethinghappenedalongtheway.”Nowthinkofthepromisescommunitysupportedliving
madeatinception.Another?(Thisisabouthubris,akapomposity,akasuperiority.)‘Youcan'thelp
respectinganybodywhocanspellTuesday,evenifhedoesn'tspellitright;butspellingisn't
everything.TherearedayswhenspellingTuesdaysimplydoesn'tcount.’Nowthinkofallthose
timesyou’vebeentemptedtoinsertthetermestablishingoperationsordifferentialreinforcement
intoconversationwithparents.***
***OneofthepiecesofadviceIgivetostudents(whotendtoignoremebecausethey’reyoung
andI’mold)istoreadbeyondthecoreliterature.HenceIrediscoveredthewisdomofPooh
becauseIdidn’tfeelguiltyatnotreadingonlypeer-reviewedjournalsandexpensiveacademic
books.Itfollowsthattounderstandtheimportofsocialvalidityandcontextualfitstudents
shouldn’treadCooper,Heron&HewardbutratherKesGrey&NickSharratt’sEatYourPeas.In
thereyou’llfindthedifference.
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LanguageAsCode.ActiveListeningisaninterpretiveactandhasbeenwidely
discussedinPBSformanyyears.Itismostoftenmadementionofwithin
reactivestrategies.It’steachingappearslesscommonthanit’smention.In
summary,tobeanactivelistenerrequiresustoceasebeingliteralistandtoseek
whatmightbemeantnotwhatissaid.Applyingthiswithfamiliesmightbe
helpfultocoachesandpractitioners.Languageisacode.
Whencoachesorpractitionersareaskedintoafamilythatinvitationisoften
crouchedintermsofspecificbehaviours.Thebehaviouritselfmaybeimpactful
butweruntheriskoffallingintothedisputed‘weakcentralcoherence’
schemataifwe’resofocussedonwhatissaidwefailtohearwhatismeant.
Neurologically-typicalsarenotoriousfor‘notmeaningwhatwesayandnot
sayingwhatwemean’(muchtothefrustrationofmanylivingtheirlivesonthe
spectrumwecallautism).Beingawareofthenuancesofcommunicationandour
ownresponsibilitiesinourcommunicationpartnershipssetsapartthosewho
achieveandthosewhostruggletoformgoodrapportwithfamilies.
Whatthisalsosuggestsisthatthelanguagewechoosetouseshouldnot
obfuscateorconfusepeoplebutilluminateunderstanding.Sosheathyour
stimulussatiationanddiscriminativestimuliandspeaktoeachinamannerthe
situationrequires.Toooftenlanguageisusedtobelittletheknowledgeor
experiencesofparents.Onetoomanypositivereinforcementsandyourunthe
riskofbecomingasignalforbeingshownthedoor–andmoreimportantly,
excludedfromtacitknowledgeheldbyfamilymembersyourexpensive
vocabularymightalienate.Coventryisnice,butaninadvertentoreven
intentionaluseoftechnology-speakwillmeanyou’llbevisitingthatparticular
cityalone.Languagecanhelpyoualignwithfamilies.
Behonest.Sometimesbehaviourisawful.It’sfrighteningandmystifying.Butit’s
goodtoknowthatbehaviourislawfulevenwhenawful.Yourjobistokeep
remindingfamilymemberswhomightbeattheraggedyedgeduetosleep
deprivationandsneersfromneighboursthatthisissomethingtheycanworkout
andworkthrough.Thelastthingtodo,though,istodownplaytheawfulness.
Don’ttellfamilymemberstojust‘buckup’orcheerfullyto‘workthroughit’.
Don’ttellthemtheattributionsabouttheirdaughterhittingherselfaremerely‘a
socialconstruction’.Youhavetobehonestinacknowledgingthatthecrap
doesn’tsmelllikeperfume.Itstinks.But…workingtogethermeansfinding
solutions.
Don’tbeahero.Beahost.Thisisatrickyone.Whodoesn’twanttobeahero?
ButasWillRogersissaidtohavenoted,beingaheroistheshortest-lived
professiononearth.Ienjoyinterdependence.Sure,Icouldlivealoneandwrite
pastichesofGreatRussianNovels(theyalldieinthesnow,youknow)butbeing
inafamilyandbeinglovedisfarmorefunthanindependence,atleastforme.
Wepractitionersmightdowelltorememberitisn’tusupat3amtryingto
implementastimuluscontrolprogrammeforakidwithsuddenlyfivearms,six
legsandtheabilitytospitthroughtheeyeofaneedleatseventeenmetres.
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Listeningtothesetalesmeansouranalyticalexpertisemaynotbeofprime
import(‘LetmejustreaduponthatforyouintheJournalofAppliedBehaviour
Analysis…Hereitis.Look.Youseewhatyoudidwrong?’).*Howcanyousupport
thefamilytolearn,reflect,andgrow?Heroesarefineonthecinemascreen
butinreallifeenablersandteamplayerstendtotrumpmostcrises.
ComeDownFromTheCrossWeCouldUseTheWood.ThislinefromTom
Waitsseemssoundadvice–it’seasytoblameourselveswhenpeopledon’t
listen,whenourcarefullycraftedplansheadSouthforawhile,andwhenpeople
giveusshort-shriftforgenuineefforts.Ratherthanbemoan,gnashteethor
condemn,getyourownsupport.Nooneisanisland(thoughplentyofpeopleare
abitruggedandpronetostrongwind)sogetyourselfsupport.Everyoneseems
tokvetchabouteveryoneelse–that’sfine,butdon'tdoittoyourself.Ihearda
story(IthinkfromaDavidPitonyaktalk**)ofonepersonadvisinganotherto
‘treatothershowyouwouldwanttobetreatedyourself’butanotherperson
notedmostpeopletreatthemselvesterribly–alwaysblamingthemselves,never
gettingenoughfamily-time,workingallhours.You’reallowedtogetsadbut
thengiveitback.Workouthowtoavoidfeelinglikethatinfuture.Thebottom
lineisPBSandABAmakerocketscienceseemsimple.Humansarecomplicated!
Fearanduncertainty(andperformanceanxiety)areoldfriendstothose
supportingpeopletounderstandchallengingbehaviour.Socutyourselfabreak.
Don’tBeReductionist,BeExpansionist.InPBSwe’reallowed(nay,expected)
tothinksystemicallytosomedegree.Duringyourexploring(assessment)of
situationsdon’tsimplyfocusontargetbehaviourstoreduce,plantoincrease
family-enhancingbehavioursandaccomplishments.Whilstthechildmaybethe
focus,familymembersareequallyimportant(alliesbringaboutchange).Once
you’venailedthedefinitionsoftheissue,nailthecontexts,too.Younever‘treat’a
singlebehaviour,youworkwitharepertoireandfamily.Youwillfindyourself
beingasourceofinformation–aboutmarriageguidance,aboutstressreduction,
abouteducation,abouthistoryandfutures,aboutlove.Oftenchallenging
behaviourismerelyasymptom.
Reducingbehaviours,increasingothers,arebothsimpleandcomplex:whatPBS
strivesforisafargreatercomplexity.Thissometimesfreakspeopleout.PBS
aimstolookbeyondthechallengingbehaviourtolifestylesandfutures.PBSis
focussedonrobustsciencebutalsohope.PBSlooksatbehaviour,butalsothe
accomplishmentsofextra-ordinarylives.
*WillRogers:‘Anignorantpersonissomeonewhodoesn’tknowwhatyoujustread’.
**Imightbemistakenhere.However,Itendtoattributeeverythinggoodandinsightfulinthis
woundedworldtoDavidPitonyak–whoremainsasourceofinspiration.
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Loveisakeyfeatureinfamiliesandweoverlookitatourperil.Butloveisnever
simpleorelegantorpronetoformulation.Loveoftenfeaturescontradictionsand
fears.Beingaparentofteninvolvesincompatibleobjectivesandstates.“Parents
whowantsimultaneouslytoloveandhealtheirchildrenareoldhandsat
finessingthefactthatcaringrequiresthatwebelieveincompatiblethingsatthe
sametime.Thatis,parentscanacceptthevalueandimportanceoftheirchild’s
obsessionsandthebeautyoftheirdifferentwaysofexperiencingtheworld
aroundthem,evenastheyworktofreethemfromrestrictions...”(Silverman,
2012,p.235).Thismeansagreedplanscanchangesuddenly.Learntodance.
Insummary,then,
• Buildpartnershipswithfamiliesandotherprofessionals:worktoachieve
cohesion
• Respectfamily-centredprinciplesthroughyourexploringandyourdoing
• Supportthefamilytovoiceafuturethatismeaningfulforthem
• Repeatthemantra:thisproblembehaviourisjustalearningissue,solet’s
getteachingalternatives
• Communicationiseverything–forthechild,forthefamily,foryou
• Functionalassessmentisessentialtounderstandfunctions:a
questionnaireoftenwon’tcutit.Getinthereandlook.Justhangoutwith
peoplewhoknow
• Everychildisanindividualandeverysupportplanistoo.Don’tcutand
paste
• Ensuretheplaniscollaborativeandfitswellwithreality.Socialvalidity
mattersasmuchasclinicalvalidity
• Alignplanswitheverydaylife.Makethempartofthefamily
• Bethere,bepresent,beuseful.Don'tassessthendisappear,reviewand
critique.Beavailable
• Checkthingsareoncourse.Adjust,amend,learn:isthisstillwhatthe
familyneed,whatworksforthefamily?
• You’retheretoservenotdirect
TheabovebulletpointsareofcourseAncientHistory.Thesearederivedfroma
remarkablechapterwrittenbyLucyshyn,Horner,Dunlap,AlbinandBenway
backin2002(Lucyshyn,etal.,2002).BeforeiPhones,already.Thatold.Canwe
remembertoremember?
Alternatively,thereisasimplermethodthanmemorisingAncientWisdom(no
matterhowgooditis):thebestmethodmightbetoturnup,shutup,andlisten,
asJimadvised.It’seasiertoaskfamilieswhattheywantfromyouandifthey
cannotsay,activelylistenandofferaninterpretation.Often,eachmemberwants
differentthings.That’sthemomentyoubegintocraftcoherenceandclarity
(Bromley,2008).
Theaboveprinciplesarenotnewbutancient.Ifhistoryteachesusanythingitis
peoplestruggletolearnfromhistory.Howcanweavoidbeingforgetful?Perhaps
weembedwhatweknowinwhatwedo.ThusAncientWisdombecomes
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everydaypractice.Forexample,ifwebelittlethesubjectiveexperienceofpeople
wesupport,wemaysimplybewritingourselvesawarranttodowhatweplease.
Becauseourvoiceshavemoreauthorityasourwisdomisdrawnfrom
nomotheticscience,whereastheirsissimplysubjective.
Adoptingablindadherencetoprinciplesthatserveduswellinancienttimesis
itselfanerror–ifevolutionarypsychologyteachesusanything,itisthatpatterns
ofoldbehavioursareoftenasusefulastheappendix(thinkxenophobia–when
thatburstsopenyousurenoticeit,evenindemocraticsocieties).Science
necessarilychallengesoldtropes–that’sessential.Butaswerushtocapture
researchfundingtoreplicatestudiesordiscovernewthings,wemightstanda
riskofforgettingusefulolderthings.
(Someofusaresufficientlyoldtorememberourteacherswarningaparentthat
sparingtherodspoilsthechild.Wemayhavewantedtoreassureourparentsthat
particularperspectivewasnothingmorethanapainfullie!Butweknewfew
listentomouthyorsarcastictenyearoldsinEnglishprimaryeducation.Now
manysubscribetoit’soppositethroughevidence:usingtherodspoilsthechild
anddoesn’tparticularlyhelpthepersondoingthehitting.Andyetwesee
authoritarianpoliticiansdominateelectionsinmanyplaces.Soonethingis
worthconsideringthough:“ItisnotGodwhoisauthoritarian,butus”(Blaug,
2000,p.96).)
Now,theaboveperspectivesmayseemcommonsense(remember,common
senseisnotaprotocol,itisnotsocommonitshouldn’tbeconsideredasuper
power),butcommonsenseismerely,asJimManselltaughtus,clinicalintuition.
TogainthisremarkablepoweronehastomerelypracticePBSandperson
centredapproachestimeandtimeagain,andreflectonwhatdidn’twork,what
did,andhowtodomoreofthelatter,lessoftheformer.Aristotlesaidwe
becomeexcellentatwhatwepractice.Foradeadphilosopherhecontinuesto
haveapoint.Themoreexperiencewegainandthemorewelearnfromlistening
topeoplewhoseliveshavebeendevalued,themorewelistentofamilymembers
whosewordshavebeentoooftenignored,themorewelearntotalkandwalk
gently.
AndThenComesLeadership
Leadershipcomesafterhavinginvestedinlisteningtofamilies.Familiesare
likelytolistentotheadviceofcoachesandpractitionersiftheyhavebeenheard
themselvesandifsufficientrapporthasbeenbanked.
Inreality,leadershipisnotfixedandisnotassociatedwithoneperson.The
conceptofdispersedleadershipcomesclosesttothemodelthatseemsbestto
workinfamilysituations:atdifferenttime,differentindividual’sdescribethe
visionanddirectiontowhichallmembersalignwithtofollowandwork
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towards;assituationsalter,differentpeople’sleadershipsskillsdrawnfrom
theirparticularknowledge–specifictothatsituation–cometothefore.
Leadershipisgrantedbythegroupnotimposed.Whatkeepsaleader
temporarilyrelevantare‘willingfollowers’.Asanymanagerwilltestify,
leadershipisfundamentallyimportantbutvastlydifferentfromleadership.
Whilstorganisationsadopthierarchicalmodelsofmanagement,functional
familiesmaynot.Whatworksfororganisationsmaynotbeefficientinfamilies.
Itisultimatelyfutiletoassumeleadershipisgrantedduetoyourqualifications,
certificationorappointment,orindeedyourgenderandage.Ifonlyyouhavethe
finalsayon‘allthingsbehavioural’you’vesimplycreatedabenevolent
enslavement.Allthatmighthappenisaprompt-dependencyhamperingthe
family.
AnadditionalhazardisfoundinAncientWisdom:Deweysuggestedthatthose
withspecialprivilegesoftenacquiremyopiaintermsofcognition(Dewey,
1988).WhilstIamnotarguingcoachesandpractitionersadopttheRoman
modelthatsawtriumphantparadingCaesarsbeingfollowedbyslaves
whisperingrememberyouaremortal(Blaug,2010),itisinterestingtonotethat
evenwithintheexcessesofRomesomethoughthadbeengiventothehuman
tendencytoimagineourselvesallpowerful.Butthoseinleadershippositions
needevenmoretolearntolisteninordertoremainrelevantandnotcorrupted.
Corruptionhereimpliestheoldmeaning,namely“thegeneralfailuretoorientto
thecommongood,acrisisofmoraljudgementandanaggrandisedandhubristic
distortionofindividualthinking”(Blaug,2010,p.2).
SuttonusestheAmericanvernaculartoprovideawarningoftheeffectsoftoo
muchleadershipandnotsufficientlistening.He’saStanfordprofessorandhas
earnedcertainlatitudeinlanguage:hewarnsofadopting‘anasshole’persona
(Sutton,2010,2011).Sutton’sworkmightbeexpressedsimply:thoughmostof
usarebornpossessingone,thereisneedforustoresistbecomingone.Sutton
suggestsorganisationsandpressuredsituationsoftenresultinsuchapersona
developing:thelitmustest,Suttonargues,istoseeifthesuspectlicksup,kicks
down.Doessheorhecontributetothegrowthofpeersandshoulders
responsibilityforcreatingsharedsolutions?
Leadershipisanidentityweclotheourselvesin(orfindourselvessodressed)
butlikeallidentities,thesechange.Wengerarguesidentityisadevelopingsense
ofbelongingsomeplacewithsomepeople(Wenger,1998,p.72-85).Identityis“a
pivotbetweenthesocialandtheindividual”whichavoids“asimplisticindividual-
societydichotomywithoutdoingawaywiththedistinction”(ibid,p.145).For
Wengeranidentityisaconstantpractice,produced“asalivedexperienceof
participationinspecificcommunities”(ibid,p.153).Becausewearemembersof
multiplecommunitiesofpracticeorsocialgroups,ouridentityisnotfixed
(coach,mother,daughter,colleague,friend)butnuancedandmany,attuningto
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differentsituations;weare,ineffect,chameleons.(Astaunchradical
behaviouristmayusementalistictermsfrequentlyifconditionsallow.)
Garfinkelsuggesthumanscanbeorganisationally‘incarnate’(Garfinkel,1967)
whileAhrnesuggestpeoplethatjoinsocialgroupingsororganisationsmight
becomehalf-humancentaurs,absorbingandembodyingthedominantidentity
rolesoforganisations(Ahrne,1994).Ouridentitiesthenareforgedbycontexts.
Ourrolesinformwhatwedoandhowwedoitandwhomwethinkare;ourroles
andplacesinsocialgroupsandorganisationscontributeto“makinguppeople”
(Hacking,1995).
Thisimplieswecaneachcraftanenablingleadershipstylemoreeasilyifwe
experiencebeingenabledourselves.Ifweexperiencebullyingmanagement,
authoritarianfigurescruellyhurtful,nobodyshouldbeintheleastsurprisedas
toitseffectoncultureandidentity.(Culturecanbedefinedintraditionallybroad
anthropologicalterms,ascomprising“theideas,beliefsandknowledgethat
characteriseaparticulargroupofpeople”(Fetterman,2010,p.16).Cultureishow
familiesdothingsandwhotheythinktheyare.Therearebenefitsforcoaches
fromtakingethnographicmethodswithfamilies.)
Identityissomethingcraftedinthedoingofwork,intheexchangesof
relationships,inplaces.Wengerarguesidentity“isalayeringofeventsof
participationandreificationbywhichourexperienceanditssocialinterpretation
informeachother.Asweencounteroureffectsupontheworldanddevelopour
relationswithothers,theselayersbuilduponeachothertoproduceouridentityas
averycomplexinterweavingofparticipativeexperienceandreification
projections”(Wenger,1998,p.151).Socialgroupscombinewithasenseofselfto
obligeustowriteourselveseachday,oftenusingsharedtropes(Giddens,1991;
Linde,1993).
Leadershipinfamiliesrequireseachoftheleaderstochallengepeopleandsay
enoughtalk,whoisgoingtodowhat?ThereisastoryassociatedwithJeanVanier
toldbypeoplewhoknowhim:followingoneinspirationalspeechonbelonging
andrenewalofL’Arche,Vaniercalledleadersofcommunitiestoameetingwhere
heslammedhisfistonthetable:“Sowhatarewegoingtodo?”Leadersknow
whentostoptalkingandstartdoing.
Leadersconstructmeaninganddirectionfromexistingknowledgeothersposses.
Theygivevoicetowhatisalreadythere,andifneedbe,askdemanding
questions.
WhatCounts?
Workingwithfamilieshastaughtmanyofustospeakless,soitfeelsrighttostop
writing–youmustbeboredbyallthefootnotes–butithasalsotaughtplentyof
ustospeakfromwithindifferentparadigmsandtropes,andtorespectthosewe
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don’tknowenoughabout.Weknowthescienceofbehaviourisafundamental
startingpoint,butweknowhumanshavedifferentunderstandingsthatcan
enrichourwork.Therearedifferentpathstothesameend.
Myexperienceoffamiliesanddisabilityandbehaviourcomesfrommystory.
Dismissingthisexperienceasunreliablebecauseitisnotpartofarobust
researchprojecttellsyoumuchaboutthenomotheticandidiographicviews.My
experiencesalsocomefrombeingapractitioner.Thishasobligedmetofindthe
humaninthescience,andloveamidstobjectiveformulations,whethertheseare
peer-reviewedornot.Becauseobjectiveissubjective:valuesandnarrative
informthedataweselect.Mylessonsarisefrommyworkingforchange
alongsidefamiliesandstudents.Itcomesfrommakingmistakesandnot
followingmyownlearningthenrememberingtodoaquicksteptoavoidSutton’s
warning.
Whatwecountmightnotcounttofamilies.Whatmatterstofamiliesmight
notmattertothemetricsofeffectivenessouremployersseek.Ourrolethenisto
supportbylisteningthoserequiringaccesstoourexperience,andtoeducate
thoseresponsiblefordesigningprovisionandservices.Becausecurrentmetrics
ofefficientservicedeliverydon’taccountforlove.
DavidPitonyakasksustothinkaboutthis:if,whenyougethome,thepersonyou
areexpectingisn’tthere–ifyourparents,boyfriend,girlfriend,flatmates,
husband,wife,partner,childrenaren’tthere–ifyourfamilyisgone–andinstead
thereisastrangersittingatyourtable,Davidsuggeststhechancesareyou’dbe
prettytakenaback,notalittleupset.Theremightbechallengingbehaviour.
WhereisthepersonIlove?youmightholler.Thestrangeranswersdon’tworry,
I’managencynurse;wehaveyoucovered.Howdoyoufeel,Davidwantstoknow.
Howdoyoureact?
PhilipLarkinwroteapowerfullyquietpoemcalledTheMower;wefindLarkin
sombrebutmovedbysmallthings.*Difficulttomeasuresynapsesmakeme
wonderifthehedgehoginthepoem,anditsuntimelyfate,representmorethana
favouritegardencreature’sdemisecausingthepoettowonderatthefragilityof
preciouslives.
Thesmallthingsafamilyseeksarenotsmallthingstothem.Thesmall
reductionssignedoffbycommissionersarenotsmallthingstofamilies.
Austerityhaswroughtapathofhurtthroughfamilies.Thisisinevitablewhenwe
thinkservicesaretheonlyanswertotheneedsoffamilies.Ourapproachto
takingtimetolistentofamiliescanaddsalttothewoundornot.That’suptous
inlargemeasure.It’shelpfultoreflect,asLarkinsays,whilethereisstilltime.
*http://www.wussu.com/poems/pltm.htm
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We’realwaysseekingsummaries,or‘takeaways’,keypointstohold.Butsimple
summariesinvariablyendupelegantlywrongbecausetheyarenotnuancedto
contexts.Butbroadly,coachesandpractitionerswillbenefitfromlistening
carefully–withoutprejudice–tofamilies.Parkingwhatyouknowbecausewhat
youknowmaynotbewhatfamiliesneed.Whatyouknowcanfillyourearswith
flufftosuchadegreeyouwillnotbeabletohearwhatissaidandwhatismeant
bythecodeoflanguage.Leadershiptendstofollowlistening.
ThebenefitsofPBSaremany:contextually-sensitiveuseoftechnologycanbring
claritytocomplexsituations.Youcan,asapractitionerorcoach,beexactlywhat
thefamilyneed,orpreciselywhattheydon’t.Therearemanypowerfulexamples
ofthepositiveimpactonfamilyandfriendshipsPBScan,atitsbest,enable(e.g.,
Fleisher,Ballard-Krishnan&Benito,2015).Butlet’snotbezealotsforPBS.Letus
behonest.ThereareexamplesofawfulnessthatclaimtobePBS(inhospitals,in
units,incommunitywork)thatAncientWisdom(andbooks)mightsuggestbear
thesamesimilaritytoPBSaspornographydoestolove.Wehavetoremember
thatvaluesasmuchassciencewerethefoundingprinciplesandremainthe
primarymethodsofPBS.
Challengingbehaviourisnotwhollyaboutbehaviour.Listeningtofamilies*can
widenouroptionswhenseekingtounderstandandrespondtobehaviourthatis
impactful.Thesemayincludeworkonstoriesaboutwhothechildisandwhat
familymeans.Often,achallengingbehaviourisbothoperantphenomenaeasily
reducedtocontingencyformulationandasymptomofanunquietlife,an
unheardcomplaintoranunmeasuredjoy.Challengingbehaviourisacalltoarms
toteachnewwaysofdoing,newwaysofbeing,andareminderforusto
rememberwhatwe’veforgottenweknow.Challengingbehaviourhasmultiple
meanings.
Behaviourmatters,butlivesmattermore.Responsesmatterbut
accomplishmentsmattermore.Ourknowledgematters,butservicematters
more.
*Winnie-the-Poohonlasttime?“Ifthepersonyouaretalkingtodoesn'tappeartobelistening,
bepatient.Itmaysimplybethathehasasmallpieceoffluffinhisear,”explainedPooh.Now
thinkoftiredparentsnotlisteningtoyou-thefifteenthprofessionalthey’veencounteredinas
manyweeks.Imaginethesheerdensityoftheflufflikelytoaccrueintheearsofparentswhofeel
aloneandunheard.
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