When he was growing up in Oregon, Graham Seaton found it virtually impossible to bring children home from school to play.
"I knew there was something wrong with my place," he recalled. "But I didn't know how to explain what that was."
He knew that he would have to tell his friends why they could play only in his bedroom — and only with the door locked. And that, ultimately, he would have to explain what was "wrong" with his older brother Burleigh, who is profoundly autistic.
"I just didn't have the words," he said.
Now 30, Mr. Seaton said he realized that as a child, he felt he could not ask his parents for those words.
"I was so aware I couldn't make a big deal with my family," he said. "My parents already had enough on their hands."
An estimated seven million "typically developing" American children have siblings with disabilities, according to the Arc of the United States, a leading advocacy group for the mentally retarded. Those children face many of the same challenges — and joys — as their parents, but they also face other problems. Some resent the extra demands placed on them at an early age by their disabled siblings, and many feel neglected by their often overburdened parents.
Some children say they fear "catching" their siblings' disabilities. Others may wish that they, too, were disabled, so that they could get all the attention their siblings do. And many suffer embarrassment about their siblings' inappropriate behavior or abnormal appearance, and then feel guilty about it.
These are difficult emotions for children to struggle with, and Don Meyer, director of the Arc's sibling support project, says the needs of siblings like Mr. Seaton are often overlooked. Most assistance organizations and support groups are intended for disabled children themselves or for their parents.
"These brothers and sisters will likely have the longest-lasting relationships of anyone, relationships easily in excess of 65 years," Mr. Meyer said. "They should be remembered at every turn."
Still, many siblings welcome the early maturity and responsibility that come with having a disabled brother or sister. They are often well versed in the details of their siblings' disabilities, and they take pride in being able to explain them in sophisticated ways. For example, Hannah, 16, of Dearborn, Mich., who did not want her last name used out of concerns for her privacy, said she related better to adults than to children her age because of having to cope with her brother Ian's autism.
But that maturity does not inoculate her from embarrassment about Ian's outbursts, particularly during church services.
"Sometimes he'll kind of start making noises, and then sometimes he'll kick and flail his arms, or he'll start rocking and crying," Hannah said. "My mother will take him outside, but it's still, like, okayyyyy. ..."
Suzanne Ripley, who has two sons with cerebral palsy, says that a child's disability can embarrass parents, too, but that embarrassment can be more acute for siblings, especially those in the throes of adolescent conformity. Young siblings are also prone to teasing from other children, who do not have the social inhibitions of adults.
But Ms. Ripley, the director of the National Dissemination Center for Children With Disabilities, based in Washington, notes that adults can often be just as rude.
"People tend to be uncomfortable with anyone who's different, so they look for a second and then look away," Ms. Ripley said. "Imagine how that would make you feel" as a child.
Parents like Ms. Ripley are likely to seek comfort through talking with others about their conflicting emotions. But children may not have the sophistication to do so or they may feel guilty about acknowledging any negative feelings they have.
Hannah, for example, says she loves her 13-year-old brother and feels terrible about her reactions to his outbursts.
"I know it's not his fault and that's the way he is, and so I shouldn't really be embarrassed, but sometimes I am," she said.
But she said she did not discuss those feelings with her parents.
"They'd get that, 'Oh well, you can deal with it' kind of attitude," she said. "I know they would listen, but they would get defensive."
Ally Cirelli, a 9-year-old in Towson, Md., whose sister is developmentally disabled, says the biggest complaint she hears from her peers is that the disabled siblings get all the attention.
Some are so jealous of their siblings that they wish they had their own disability, and the special treatment that comes with it, she said. But Ally, too, avoids talking to her parents about her feelings. And she is quick to backpedal when she does talk about it, insisting that her sister, Katie, 8, does not embarrass her "all that often," and that she is "really fun" to play with.
Mr. Meyer, of the Arc, says children need a place where they can openly discuss these concerns and emotions. To fill this gap, he started the sibling support project, which is based in Seattle and provides information and holds discussion groups for children around the country. In 2005, Mr. Meyer also published "The Sibling Slam Book: What It's Really Like to Have a Brother or Sister With Special Needs," a collection of candid remarks by 80 children.
Mr. Meyer said that when asked about the most embarrassing moment of their lives, few of the children cited anything having to do with their disabled siblings. Instead, most recounted the usual teenage humiliations: problems in romantic relationships or dealing with parents.
And that, Mr. Meyer says, underscores an important point: "When I talk to parents about embarrassment (about disabled siblings), I ask them to keep in mind that it's an age-related condition," he said. "That's the good news, that a lot of that seems to be resolved by even their late teens."
The work of disability advocates and the mainstreaming of children with special needs in schools and in the wider society has fostered more awareness of — and less discomfort with — disabilities.
Ms. Ripley, for her part, says she has noticed a change in public attitudes, especially when she is struggling to maneuver with her sons in public places.
"I'm finding that people are more and more helpful," she said. "That didn't used to happen."
Tuesday, November 17, 2009
The needs of siblings
Most young siblings experience lack of parental attention, isolation, ignorance about disability, difficulty coping with their experiences, and the financial impact of disability on the family. Many studies on siblings of children with a chronic illness indicate that siblings are at risk for negative psychological effects.[1] When we talk to siblings, parents and professionals, the picture that emerges is that many siblings are struggling to cope with the emotional and practical demands that being a sibling entails. Even though they have these needs that require attention at different stages of their lives, young siblings are often marginalized by their families, society[2] and service providers.
Lack of parental attention
Siblings grow up in a family where, regardless of the age of the sibling, the majority of family resources, parental attention, and professional services are directed, indefinitely, towards another child (i.e. the disabled child). Throughout their lives, siblings' needs come second to that of another person. Many siblings feel that they get a lot less attention from their parents compared to their disabled brother or sister. In the majority of families the attention gap is real, yet even when parents do all they can to share attention out, siblings still feel that they get less attention. As a result, siblings often experience feelings such as intense jealousy, resentment towards their disabled brother or sister, and believe that they are not seen to be as important or special as their brother or sister. Siblings may receive more negative attention from parents than peers in a similar situation.[3] Parental depression and anxiety is prevalent in parents of disabled children[4] and affects the amount and quality of attention parents can provide. Other parents devote huge amounts of time to disability causes which can take their time away from siblings. Significant loss of parental attention will have negative implications for siblings' self esteem, academic performance, and behavioural and emotional development. Siblings themselves can have their own health and learning needs overlooked, as they may not appear significant in comparison to those of the disabled child.
Ignorance about the disability or condition
Siblings rarely receive accurate and age appropriate information about their brother or sister's disability or medical condition. It is common for siblings to lack the basic knowledge and information they need to understand the circumstances in which they find themselves; in the absence of accurate and appropriate information they may develop their own theories to make sense of their situation. This can be the cause of self-blame and guilt and a range of erroneous views that can extend even into adulthood. In situations where disabled children with challenging behaviour hurt siblings or damage their belongings, siblings often believe that this is because the disabled child doesn't like them; this 'taking it personally' will continue until the sibling has a full understanding of the condition and its effect on behaviour. Siblings of children with life limiting conditions are least likely to be well informed about their brother or sister's condition, even though children who are informed about prognosis show less anxiety than those who are not informed[5]
Isolation
Until siblings meet other siblings at sibling groups they often believe that they are the only ones. It is not enough to point out another sibling and say that "He or she also has a brother with autism". Siblings need to hear other children talking about their experiences of family life in order to really know that other people understand what it is like for them. The majority of adult siblings who contact Sibs have an average age of 40 - the stage in their lives when they need support with future care issues. Their sense of relief at being able to talk to another adult sibling is palpable; almost always having their unique experiences and feelings validated for the first time. 40 years is too long to feel you have to cope alone; it is not acceptable for parents of disabled children and should not be acceptable for siblings either. Difficulty with having friends back to their home can limit opportunities for time with peer group outside of school.
Difficulty coping
Siblings can experience challenges that other children do not and they regularly find themselves in situations that can be difficult to manage; situations such as dealing with a brother or sister's challenging behaviour or coping with feeling embarrassed in public when people stare. A study of adolescent siblings of children with severe disabilities found all were struggling to cope with their situation.[6] Many young siblings can give the appearance of coping during childhood and indeed seeming more mature and well-adjusted than peers. At sibling groups however, it often becomes apparent that many coping siblings have internalized their feelings. Siblings, through their close relationship with the disabled child, often experience prejudice, bullying, limited family activities and exclusion from mainstream activities. The extent to which siblings manage to cope can crucially depend on their individual character and resilience. The situation can be exacerbated if the parents/carers themselves have difficulty coping and cannot adequately support the siblings. Many siblings are young carers, providing help with things like personal care, communication, translation at medical appointments, and entertaining their disabled brothers and sisters. About a third of children at young carers' projects in the UK are siblings.[7] Siblings of children with a life limiting condition have to deal with the additional issues of anticipatory grief and bereavement, and often grow up in 'houses of chronic sorrow'.[8]Over a third of Sibs enquiries are from or about siblings of children with autism, a group of siblings who may be at increased risk of negative impact[9] due to the nature of the disability and its effect on family dynamics and family stress levels.[10]
Financial impact
Siblings are more likely than their peer group to be raised within a family that experiences poverty. 93% of families of disabled children in the UK are struggling financially.[11] Family expenditure to meet the needs of the disabled child means that fewer resources are available for the needs of siblings.
Positive aspects of being a sibling
Being the sibling of a disabled child can also bring positives, such as increased maturity, increased tolerance of others and enhanced communication skills. However, these skills and attributes may be acquired at a cost of the above to siblings.
More research is needed
There is a need for further research on the needs of young siblings who currently have a disabled brother or sister. The variables that affect psychological adjustment in siblings are wide ranging – such as the parents' ability to cope, the sibling's temperament, the nature of the disability, the family's communication style, parental depression, amount of caregiving required for the disabled child, and the amount of care being provided by siblings. From our experience it would seem that being a sibling today is harder now than it was 20 or even 10 years ago due to the increased numbers of disabled children with complex medical needs, the diminished availability of extended family for support, the inadequacy of services for families of disabled children, and the fact that the majority of siblings are the only sibling in the family.
1. Rossiter, L and Sharpe, D (2002), Siblings of children with a chronic illness: A meta analysis, Journal of Pediatric Psychology
2.Burke, Burke, P (2004), Brothers and Sisters of Disabled Children, Jessica Kingsley Publishers Ltd
3.Lobato, D and others, (1991), Preschool Siblings of Handicapped Children: Interactions with Mothers, Brothers, and Sisters.
4.Veisson, M (1999), Depression symptoms and emotional states in parents of disabled and non-disabled children, Social Behaviour and Personality.
5.Waechter, cited in Walker C. L, (1993), Sibling bereavement and grief responses, Journal of Pediatric Nursing.
6.Opperman, S and Alant E, (2003), The coping responses of the adolescent siblings of children with severe disabilities, Disability & Rehabilitation.
7.Dearden, C and Becker, S (2004),Young Carers in the UK. The 2004 Report. London, Carers UK.
8.Bluebond-Langner, M (1995), The Worlds of Dying Children and their Well Siblings.
9.Macks, R.J and Reeve R. E (2007)The Adjustment of Non-Disabled Siblings of Children with Autism, Journal of Autism and Developmental Disorders.
10.Fisman S et al. (1996). Risk and protective factors affecting the adjustment of siblings of children with chronic disabilities. J Am Acad Child Adolesc Psychiatry.
11.Harrison, J and Woolley, M (2004), Debt and Disability: The impact of debt on families with disabled children(York: Contact a Family & Family Fund).
Lack of parental attention
Siblings grow up in a family where, regardless of the age of the sibling, the majority of family resources, parental attention, and professional services are directed, indefinitely, towards another child (i.e. the disabled child). Throughout their lives, siblings' needs come second to that of another person. Many siblings feel that they get a lot less attention from their parents compared to their disabled brother or sister. In the majority of families the attention gap is real, yet even when parents do all they can to share attention out, siblings still feel that they get less attention. As a result, siblings often experience feelings such as intense jealousy, resentment towards their disabled brother or sister, and believe that they are not seen to be as important or special as their brother or sister. Siblings may receive more negative attention from parents than peers in a similar situation.[3] Parental depression and anxiety is prevalent in parents of disabled children[4] and affects the amount and quality of attention parents can provide. Other parents devote huge amounts of time to disability causes which can take their time away from siblings. Significant loss of parental attention will have negative implications for siblings' self esteem, academic performance, and behavioural and emotional development. Siblings themselves can have their own health and learning needs overlooked, as they may not appear significant in comparison to those of the disabled child.
Ignorance about the disability or condition
Siblings rarely receive accurate and age appropriate information about their brother or sister's disability or medical condition. It is common for siblings to lack the basic knowledge and information they need to understand the circumstances in which they find themselves; in the absence of accurate and appropriate information they may develop their own theories to make sense of their situation. This can be the cause of self-blame and guilt and a range of erroneous views that can extend even into adulthood. In situations where disabled children with challenging behaviour hurt siblings or damage their belongings, siblings often believe that this is because the disabled child doesn't like them; this 'taking it personally' will continue until the sibling has a full understanding of the condition and its effect on behaviour. Siblings of children with life limiting conditions are least likely to be well informed about their brother or sister's condition, even though children who are informed about prognosis show less anxiety than those who are not informed[5]
Isolation
Until siblings meet other siblings at sibling groups they often believe that they are the only ones. It is not enough to point out another sibling and say that "He or she also has a brother with autism". Siblings need to hear other children talking about their experiences of family life in order to really know that other people understand what it is like for them. The majority of adult siblings who contact Sibs have an average age of 40 - the stage in their lives when they need support with future care issues. Their sense of relief at being able to talk to another adult sibling is palpable; almost always having their unique experiences and feelings validated for the first time. 40 years is too long to feel you have to cope alone; it is not acceptable for parents of disabled children and should not be acceptable for siblings either. Difficulty with having friends back to their home can limit opportunities for time with peer group outside of school.
Difficulty coping
Siblings can experience challenges that other children do not and they regularly find themselves in situations that can be difficult to manage; situations such as dealing with a brother or sister's challenging behaviour or coping with feeling embarrassed in public when people stare. A study of adolescent siblings of children with severe disabilities found all were struggling to cope with their situation.[6] Many young siblings can give the appearance of coping during childhood and indeed seeming more mature and well-adjusted than peers. At sibling groups however, it often becomes apparent that many coping siblings have internalized their feelings. Siblings, through their close relationship with the disabled child, often experience prejudice, bullying, limited family activities and exclusion from mainstream activities. The extent to which siblings manage to cope can crucially depend on their individual character and resilience. The situation can be exacerbated if the parents/carers themselves have difficulty coping and cannot adequately support the siblings. Many siblings are young carers, providing help with things like personal care, communication, translation at medical appointments, and entertaining their disabled brothers and sisters. About a third of children at young carers' projects in the UK are siblings.[7] Siblings of children with a life limiting condition have to deal with the additional issues of anticipatory grief and bereavement, and often grow up in 'houses of chronic sorrow'.[8]Over a third of Sibs enquiries are from or about siblings of children with autism, a group of siblings who may be at increased risk of negative impact[9] due to the nature of the disability and its effect on family dynamics and family stress levels.[10]
Financial impact
Siblings are more likely than their peer group to be raised within a family that experiences poverty. 93% of families of disabled children in the UK are struggling financially.[11] Family expenditure to meet the needs of the disabled child means that fewer resources are available for the needs of siblings.
Positive aspects of being a sibling
Being the sibling of a disabled child can also bring positives, such as increased maturity, increased tolerance of others and enhanced communication skills. However, these skills and attributes may be acquired at a cost of the above to siblings.
More research is needed
There is a need for further research on the needs of young siblings who currently have a disabled brother or sister. The variables that affect psychological adjustment in siblings are wide ranging – such as the parents' ability to cope, the sibling's temperament, the nature of the disability, the family's communication style, parental depression, amount of caregiving required for the disabled child, and the amount of care being provided by siblings. From our experience it would seem that being a sibling today is harder now than it was 20 or even 10 years ago due to the increased numbers of disabled children with complex medical needs, the diminished availability of extended family for support, the inadequacy of services for families of disabled children, and the fact that the majority of siblings are the only sibling in the family.
1. Rossiter, L and Sharpe, D (2002), Siblings of children with a chronic illness: A meta analysis, Journal of Pediatric Psychology
2.Burke, Burke, P (2004), Brothers and Sisters of Disabled Children, Jessica Kingsley Publishers Ltd
3.Lobato, D and others, (1991), Preschool Siblings of Handicapped Children: Interactions with Mothers, Brothers, and Sisters.
4.Veisson, M (1999), Depression symptoms and emotional states in parents of disabled and non-disabled children, Social Behaviour and Personality.
5.Waechter, cited in Walker C. L, (1993), Sibling bereavement and grief responses, Journal of Pediatric Nursing.
6.Opperman, S and Alant E, (2003), The coping responses of the adolescent siblings of children with severe disabilities, Disability & Rehabilitation.
7.Dearden, C and Becker, S (2004),Young Carers in the UK. The 2004 Report. London, Carers UK.
8.Bluebond-Langner, M (1995), The Worlds of Dying Children and their Well Siblings.
9.Macks, R.J and Reeve R. E (2007)The Adjustment of Non-Disabled Siblings of Children with Autism, Journal of Autism and Developmental Disorders.
10.Fisman S et al. (1996). Risk and protective factors affecting the adjustment of siblings of children with chronic disabilities. J Am Acad Child Adolesc Psychiatry.
11.Harrison, J and Woolley, M (2004), Debt and Disability: The impact of debt on families with disabled children(York: Contact a Family & Family Fund).
Posted by A Sibling at 11:24 AM 0 comments
Subscribe to:
Posts (Atom)


.jpg)