The Highly Sensitive Child: Helping our children thrive when the world overwhelms them. Elaine N. Aron
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ADD, so the student who is thus diagnosed will receive special help—as discussed, high sensitivity is a less familiar explanation for unusual behavior. (There is also considerable controversy among those who study temperament about whether much of ADD is simply normal temperament variation that is, like sensitivity, misunderstood. For an interesting cultural discussion of ADD, with much to say to highly sensitive people as well, take a look at Ritalin Nation by Richard DeGrandpre.)
Autism and Asperger’s Syndrome
Usually, when a child has a serious problem, such as autism or Asperger’s disorder, the parents or pediatrician have spotted it early on. Autistic infants do not smile, imitate facial expressions, follow a pointing finger with their eyes, or mouth the syllables of language. At two or three they have little interest in others or responses to others’ needs and feelings. They apparently do not wish to communicate and do not engage in imaginary play, as far as we know. This is all very different from the behavior of an HSC, who is eager to communicate except when very overstimulated. High sensitivity is found in about 20 percent of the population; autism affects two to four children in ten thousand, and three quarters of them are boys. One is a normal variation, the other is a true disorder.
Asperger’s syndrome affects about one in five hundred children and is five times more common in boys. Such children often exhibit motor problems, such as strange postures, gestures not matching their speed, awkwardness, poor rhythm, and unreadable handwriting. An HSC during the stress of an examination might show poor coordination but not the other symptoms. Children with Asperger’s do seem to wish to communicate, but do so very poorly because they apparently lack an intuitive understanding of how to listen and when to talk. They cannot take hints, understand irony, keep secrets, or decipher facial expressions. They often talk monotonously on a subject no one else is interested in. None of this is true of a normal HSC.
The reason there is sometimes confusion here is that children with autism or Asperger’s are usually very highly sensitive to sensory input. But again, they are not sensitive to social input, or at least not in an adaptive way, which makes them very, very different from HSCs. I do not believe that HSCs are on some normal end of an “autistic spectrum,” although that argument has been made. A better description of children on the more normal end of the autistic spectrum would be those who are socially “odd”—eccentric, pedantic, or emotionally remote.
Again, normal children, HSCs included, are born ready and eager to relate; they are programmed for it. As we will see in Chapter 6, they are probably already emotionally responsive to their mother even in the womb; children with these other disorders are not.
What to Do If You Are Not Sure
If in doubt, have a team of professionals evaluate your child. Start by getting the name of a highly respected professional who takes a team approach, then get the names of the other professionals with whom he or she works. This may be costly, but problems caught early can usually be changed and with far less expense. You need a team because a pediatrician alone may emphasize physical symptoms or solutions. A psychiatrist will be looking for mental disorders that might be helped with medication. A psychologist will want to teach new behaviors but may miss a physical problem. Occupational therapists will emphasize sensorimotor problems and solutions; speech therapists will attend to verbal skills; a social worker will examine the family, school, and community environment. Together, they are great. Indeed, there may be some problem in each area that needs attention. (In my opinion, medication alone is never a sufficient treatment for a behavioral problem in a child, who should be learning how to cope with whatever problem she has.)
A thorough evaluation will take weeks, not hours. Those involved should want reports from you, your child’s teachers or child-care providers, and any professionals who have already seen your child. They should ask for your family’s medical records and history, and someone should observe your child and possibly you and your child together. Above all, they should talk about temperament as part of the total picture and sound knowledgeable on the subject. Unfortunately, many professionals are not, and they can make serious mistakes with an HSC. (See Resources at the end of the book for names of temperament counselors.)
Finally, during and after this evaluation, these professionals should be giving you support and encouragement. You need to be able to trust and respect these people; they are going to have a tremendous effect on your child’s life. If you have doubts about an opinion, get a second one. Those who provide the first opinion should encourage that. Do not be rushed into any treatment unless there is a good reason for speed.
Remember, HSCs are normal kids who most of the time are relaxed and outgoing with those they know well. They listen and express themselves easily. When under stress, they are temporarily out of commission, perhaps very upset. But you will also have seen them feeling good, friendly, curious, and proud of themselves.
Should you look for a “cure” for your child’s sensitivity? No. Temperament traits can be worked with so that the child learns how to cope and fit into a given culture, and parents can learn how to help with that. Trying to cure, remove, or hide a trait, however, is likely to lead to more trouble. Sensitive older boys and men in our society often feel they have to hide their sensitivity, and they do so usually at great personal cost. Variety in temperament is the “spice of life”—and perhaps the best hope of a species’ survival.
A FINAL WORD: HSCS ARE ON THE WAY TO SUCCESS AND HAPPINESS
Do you have any lingering concern that your child may find it difficult to be truly happy or successful? If so, stop worrying. Many highly sensitive people have told me that they believe they feel far more joy and contentment far more deeply than others. And a host of them are prominent professors, judges, doctors, research scientists, widely published authors, famous artists, and renowned musicians.
Yes, your child will be more aware of the problems and the pain in the world. But perhaps the best definition of happiness came from Aristotle: We are happiest when doing what, by nature, we were born to do best. The born dancer is happiest dancing, not quite as happy when baking pies. The born gardener is happiest gardening, not quite so happy trying to write poetry. But one thing all humans were born to do, by nature, is simply to be aware, fully aware. In that sense HSCs are superb humans. Being superb at what they do best by nature provides them with this highest form of happiness, even when, in their case, it may also bring a greater awareness of suffering and loss, even death. You will be part of their working through the consequences of this awareness, which means your life, too, will be deepened.
As we will discuss in the next chapter, parenting an HSC is one of life’s greatest and happiest challenges. You make more of a difference with such a child, and so the rewards are greater, as are the issues to be addressed. If being a parent makes you happy, then using Aristotle’s argument, a child who asks more of you as a parent should be a source of greater joy.
APPLYING WHAT YOU HAVE LEARNED
Appreciating Your Own Child
Now that you are familiar with the trait of sensitivity, its flavors, the other temperament traits, and are rid of some misunderstandings about HSCs, you are in a very good position to take a fresh look at your child. Fill out the following assessment. You might want to do it alone, with your child’s other parent, or with your child’s teacher or regular caregiver (or you can each do it and compare).
I. Types of sensitivity (check off each kind that applies):
__ Physical, low threshold—for example:
Sensitive to fabrics, rough socks, tags in clothes.
Notices low sounds, subtle scents.
__ Physical, intensity—for example:
Reacts more to pain than other children.
Bothered by loud noise.
__ Physical, complexity—for example:
Does