Laura E. Marshak Ph.D ● Indiana University of Pennsylvania ● marshak@iup

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Laura E. Marshak Ph.D ● Indiana University of Pennsylvania ● [email protected] Protecting and strengthening marriages and couples’ relationships while raising children with Autism Spectrum Disorders Cigna Autism Awareness Series December 8, 2011

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Protecting and strengthening marriages and couples’ relationships while raising children with Autism Spectrum Disorders. Cigna Autism Awareness Series December 8, 2011. Laura E. Marshak Ph.D ● Indiana University of Pennsylvania ● [email protected]. Background for this talk. - PowerPoint PPT Presentation

Transcript of Laura E. Marshak Ph.D ● Indiana University of Pennsylvania ● marshak@iup

Page 1: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Laura E. Marshak Ph.D ● Indiana University of

Pennsylvania ● [email protected]

Protecting and strengthening marriages and

couples’ relationships while

raising children with Autism Spectrum

DisordersCigna Autism Awareness SeriesDecember 8, 2011

Page 2: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Background for this talk Brief professional and personal background

A few thousand surveys and many in-depth interviews

1500 surveys sent to autism support group

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Page 3: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Two couples with children on the spectrum “We had no choice but to throw our

marriage overboard.” -Parents of 2 children, one with ASD

“My husband and I have a Friday night date night. Cooking is my passion, so I cook us a gourmet meal every Friday. Oftentimes, we each have a child on our lap, but we still sit together with lighted candles and a glass of wine.” - Mother of 5 children (married 25 years). One child has autism & one has Down syndrome.

Page 4: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Myth and reality

Research studies on the impact of autism

on marriages

“You can grow apart or closer depending on if you work together.”

-Father married 56 years

Page 5: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Learning to make marriages better

(even if you are already so busy): ● Important to change your part of the

“dance”● One new strategy at a time● Change is reciprocal● Less draining (to make a few changes)

than living with ongoing problems

Page 6: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

"Guilt is to motherhood as grapes are to wine.” -Fay Weldon

…And then there is fear and grief

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Making it Work

“Finding a place for disability in the family, but keeping disability in its place.”(Gonzalez, Steinglass, and Reiss,1989)

Page 8: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

1. Keep autism in its place (avoid 100% immersion)

“The first place I found support was through an Internet group. That was my lifeline and I used to be online till two, three, four in the morning. There was one mom whose kid was born a week apart from mine, and our diagnoses were happening at the same time…we shared this same experience so intimately at night. She was my “husband” and I was hers. I remember finishing a conversation with her and going in to talk to my husband who was working. I was mad that he was working because he had something else to do and I only had this.”

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2. Tend to your marital “garden”

• Marriages and relationships can’t do well if they are not tended at all.

• Couples are entitled to take a little time for a good relationship even if their child still struggles.

• Law of diminishing returns

Page 10: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

20 minutes a day : 2% of your day

the rest of life

you

your relationship

1010

Page 11: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

3. Make sure there is connection that is not only about your children

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4. Become a team

“Don’t take complete responsibility for the care of your child. Involve your husband in the different aspects of raising this child with a disability: doctor appointments, IEP meetings, goal setting, physical care, etc. Insist that your husband educate himself about the disability so he can make informed decisions as part of your child’s team. Share in the responsibility…burn out comes quickly.”

Page 13: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Making space (and giving up some control) Sometimes we have an inadvertent role in having a

partner who doesn’t help much.

We decide we can do it better and faster.

Some people need to make room for their spouses to parent and give up some control. (John Gottman)

If criticized too much, partner pulls further away.

Sometimes the partner is fearful of “doing it wrong.”

There are parents who listen at the door to make sure their partner in interacting appropriately, insert themselves interactions and end up getting the opposite of what they want.

Page 14: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

What are fair and livable roles?

Element of choice Equality of workload Equality of time demands Balance of power Opportunities for personal time/space No one assumes total responsibility

Page 15: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

5. Embrace differences

Emotions Expectations Child-rearing Ideas about treatment

Page 16: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Accept some differences in child rearing. (Don’t turn your partner into an assistant.)“ I actually value his different child rearing habits. As much as children need consistency, I think they also need to experience two different ways of doing things… As an illustration, there was a picnic one time and the kids got into a condiment fight where they were squirting ketchup and mustard at one another. Well, the men (there were only guys there) stripped all the kids and hosed them down! What mothers would have done that?! I don’t think any. But the kids were fine and had a great time. Guys think of a different way of doing things.”

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Page 17: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Accept differences in emotionalresponses to a child’s disability

“I think men get a bad reputation for not accepting disabilities. We may respond differently, but every father I have spoken to knows his child has issues. We are just as hurt and traumatized by the knowledge when we learn about it but are expected to take strong roles and not react strongly. Part of this is to keep balance, I think. I have always accepted my son’s diagnosis; I recognize he has problems, but in my eyes he is not disabled. He is, I think, ‘differently-abled’ and needs help relating that to the real world.”

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Page 18: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

6. Save a corner of life for yourself

“We give up our interests and take on a new identity only to feel sorry for ourselves later and blame our spouses.”

-Mother of a child with Autism

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7. Learn to manage emotions (sadness, anger, anxiety, guilt)

We can’t look to our partners to make us feel better about aspects of raising children on the spectrum.

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Watch Out For “What-ifs”(difference between worry and planning)

What if he doesn’t get better? What if she ends up …. What if….

Our body responds to these thoughts

as if they were actually happening.*

But how will I ever…

But how will I ever…

Someday it could…

Someday it could…

What if she doesn’t…What if she doesn’t…

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Avoid Getting Overwhelmed: How do you eat an elephant?

“Sometimes things get overwhelming. Sometimes I cry simply because there is too much to do or remember. But I find myself to be a better parent if I do not get caught up in how much there is to do but rather look at how much I have accomplished today.”

Page 22: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

8. Protect romance and sexual intimacy

“What romance? I have to sleep with my child as she is afraid at night and will look for me if she awakens and I’m not there.”

“Typical times to make love are just not available to us due to our children’s sleeping problems. However, we developed the attitude to take opportunities when they present themselves, like when the kids are out. It may not be ideal, but it can be romantic if you let it be, kind of like being teenagers again.”

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Page 23: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

9. Practice realistic expectations and realistic

forgiveness.

“I have a special needs child; I can’t have a special needs

husband.”

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One mother said to me…

Page 24: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

“With forgiveness we can love imperfect people and

allow them to love imperfect us.”

~ Fredric Luskin

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Page 25: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

“The advice I give to couples who sail into a storm and are fighting is: Don’t hack at your boat in a storm. If you are in the middle of a crisis, don’t take the very support you have and start whacking at it, because that is dumb. You should love, nurture, and care for that other person or you are not going to make it through the storm.”

-Parent of three children with fragile X syndrome

10. Don’t hack at your boat in a storm.

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Page 26: Laura E. Marshak Ph.D  ● Indiana University of Pennsylvania  ●  marshak@iup

Contact and book Information

[email protected]

•www.marriedwithspecialchildren.com

•Married with special needs children [A couple’s guide to keeping connected] is available through Amazon and Woodbine House. It was written by Laura Marshak and Fran Prezant.