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	<title>Comments for Keith Karabin.com</title>
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	<link>http://keithkarabin.com</link>
	<description>...yes, really</description>
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		<title>Comment on BLACKBIRDS: Miriam Black, Mental Evaluation by The Stones of Miles&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2012/06/29/blackbirds-miriam-black-mental-evaluation/comment-page-1/#comment-7374</link>
		<dc:creator>The Stones of Miles&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Fri, 10 May 2013 10:55:05 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1373#comment-7374</guid>
		<description>[...] Miriam Black: Mental Evaluation [...]</description>
		<content:encoded><![CDATA[<p>[...] Miriam Black: Mental Evaluation [...]</p>
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		<title>Comment on Fantasy Communication and Real Contact by Chatting on the Bleeding Edge&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2011/11/18/fantasy-communication-and-real-contact/comment-page-1/#comment-7264</link>
		<dc:creator>Chatting on the Bleeding Edge&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Fri, 12 Apr 2013 10:51:53 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1162#comment-7264</guid>
		<description>[...] I once believed…we need weapons in the war against disconnection and misinterpretation.” -Me, Fantasy Contact and Real Communication [...]</description>
		<content:encoded><![CDATA[<p>[...] I once believed…we need weapons in the war against disconnection and misinterpretation.” -Me, Fantasy Contact and Real Communication [...]</p>
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		<title>Comment on Psychotherapy Horror Stories by Keith Karabin: Uncut. Uncensored. Unmasked.&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2011/10/13/psychotherapy-horror-stories/comment-page-1/#comment-5189</link>
		<dc:creator>Keith Karabin: Uncut. Uncensored. Unmasked.&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Mon, 18 Mar 2013 09:53:14 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1085#comment-5189</guid>
		<description>[...] pieces on the personal value of Halloween as a tradition and why Christian values should allow it. Psychotherapy Horror Stories from 10/13/11 – What can psychotherapists learn from horror movies? For the Love of Fear from [...]</description>
		<content:encoded><![CDATA[<p>[...] pieces on the personal value of Halloween as a tradition and why Christian values should allow it. Psychotherapy Horror Stories from 10/13/11 – What can psychotherapists learn from horror movies? For the Love of Fear from [...]</p>
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		<title>Comment on Mental Evaluation: Jared Lee Loughner by The Final Exam: Year One&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2011/01/20/mental-evaluation-jared-lee-loughner/comment-page-1/#comment-4712</link>
		<dc:creator>The Final Exam: Year One&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Thu, 07 Mar 2013 11:41:25 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=749#comment-4712</guid>
		<description>[...] prefer, “an article about gratitude or your recent life with cane story” over the “take on Jared Loughner or an analysis of depression. It’s not so much how good/bad those articles might be, it’s that [...]</description>
		<content:encoded><![CDATA[<p>[...] prefer, “an article about gratitude or your recent life with cane story” over the “take on Jared Loughner or an analysis of depression. It’s not so much how good/bad those articles might be, it’s that [...]</p>
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		<title>Comment on Keith Karabin, BADASS: Working Title by My Favorite Failing Five&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2010/07/29/keith-karabin-badass-working-title/comment-page-1/#comment-4711</link>
		<dc:creator>My Favorite Failing Five&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Thu, 07 Mar 2013 11:41:09 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=518#comment-4711</guid>
		<description>[...] Keith Karabin, BADASS – It’s no “On the Road,” but it was my attempt to define where I fit in the world of professional therapy while also highlighting the ambiguity with which a journeyman therapist is confronted when simply trying to discover what to call himself. Final answer: Psychotherapist is most accurate and inoffensive to authorities. [...]</description>
		<content:encoded><![CDATA[<p>[...] Keith Karabin, BADASS – It’s no “On the Road,” but it was my attempt to define where I fit in the world of professional therapy while also highlighting the ambiguity with which a journeyman therapist is confronted when simply trying to discover what to call himself. Final answer: Psychotherapist is most accurate and inoffensive to authorities. [...]</p>
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		<title>Comment on The Green Lantern vs. DHS by Now, Let&#8217;s Review&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2011/06/30/the-green-lantern-vs-dhs/comment-page-1/#comment-4710</link>
		<dc:creator>Now, Let&#8217;s Review&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Thu, 07 Mar 2013 11:40:18 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=889#comment-4710</guid>
		<description>[...] The Green Lantern vs. DHS Published on 30 June 2011 [...]</description>
		<content:encoded><![CDATA[<p>[...] The Green Lantern vs. DHS Published on 30 June 2011 [...]</p>
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		<title>Comment on Worldview Change: A SmallSmall Thing by A Small Death; A Global Voice&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2012/04/06/worldview-change-a-smallsmall-thing/comment-page-1/#comment-4640</link>
		<dc:creator>A Small Death; A Global Voice&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Fri, 01 Feb 2013 11:03:37 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1290#comment-4640</guid>
		<description>[...] dearly believe in, I interviewed Jessica Vale about her time in Liberia working on the documentary Small Small Thing, which told the story of Olivia Zinnah, her mother and Liberia’s culture of rape and [...]</description>
		<content:encoded><![CDATA[<p>[...] dearly believe in, I interviewed Jessica Vale about her time in Liberia working on the documentary Small Small Thing, which told the story of Olivia Zinnah, her mother and Liberia’s culture of rape and [...]</p>
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		<title>Comment on Wordless by Keith</title>
		<link>http://keithkarabin.com/2013/01/18/wordless/comment-page-1/#comment-4627</link>
		<dc:creator>Keith</dc:creator>
		<pubDate>Sat, 19 Jan 2013 02:35:02 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1546#comment-4627</guid>
		<description>Rick, your words always bless this space. You&#039;ve now given me much to ponder, with both stories. My educated guess is that the mechanism behind your method &#039;s success is Daddy-love. It is a power unto itself.</description>
		<content:encoded><![CDATA[<p>Rick, your words always bless this space. You&#8217;ve now given me much to ponder, with both stories. My educated guess is that the mechanism behind your method &#8216;s success is Daddy-love. It is a power unto itself.</p>
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		<title>Comment on Wordless by Rick A. Carroll</title>
		<link>http://keithkarabin.com/2013/01/18/wordless/comment-page-1/#comment-4624</link>
		<dc:creator>Rick A. Carroll</dc:creator>
		<pubDate>Fri, 18 Jan 2013 13:08:33 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=1546#comment-4624</guid>
		<description>That&#039;s a lot to think about, Keith!  My first response is look for non-verbal communication, which can be so subtle you&#039;d never recognize it for what it is.  When I was taking the ABA training, our instructor told us a story of how one child he was working with would stand next to the water fountain, somewhat randomly, throughout the day after play.  He would then get more and more agitated, until he tantrumed.  Eventually, the therapist figured out what the kid was saying - the water fountain was the only source of water in the room, and his hands were dirty from play.  By standing next to the water and waiting, not trying to give him a cup or anything else, he was telling the therapist in his own way that he needed water for something.

I&#039;ve found that most non-verbals are attempting to communicate, it just isn&#039;t easy to see.  I love that rapport building technique up there, especially the parallel talking.  I feel that will be -extremely- effective, and is a wonderfully non-intrusive way to put the &quot;work&quot; of building the relationship on the child.  It makes it the child&#039;s responsibility to let you into his or her world, to share in the experiences of play.  I can&#039;t say enough how brilliant I think that is.  By showing that you want to be part of the world, but not forcing your way into it, lets the child know that you are seeking a social experience and, if the child is as well, it&#039;s within their power to allow that.

In the end, I&#039;ve found that giving an autistic child control, or the illusion of control, over their experiences yields the best results.  Their lives are often so structured, so rigid, that they never feel like they are in control of anything, and who likes that?  With my sons, giving them little things they can control about what we&#039;re doing makes all the difference and leads to rituals that help them moderate without the need to self-stim.  

For example, when we read stories at night, I have a little piece of paper pinned near my desk that has the days of the week, and under each day one of the boys&#039; names (except for Sunday, which has my own).  Each night, we look at whose turn it is, and then that boy gets to pick the story.  He goes upstairs by himself to the bookshelf, picks something, brings it back down, and we read the story.  Then we talk about the book, and look at who gets to pick the story tomorrow.  Then the one that picked the story gets to take that book to bed with them, while the other gets to pick a different so that both boys can read to themselves in bed (if they want).  This little thing has made a -huge- impact at night.  One, the visual schedule is a constant reminder of turn taking, the story selection gives the child direct control over the event, and then reading the story turns that choice into a special thing that everyone is enjoying - because the boy picked that story.  That power over the story, and everyone&#039;s enjoyment for story time, is pretty powerful.

I truly think ceding that control to the non-verbal will go a long way in helping you build that rapport and communication.  Non-verbals have even less control over their environment, most often.  Giving them the power, or the feeling that they have it, will really make an impact.

Of course, this is all in my very unprofessional opinion and based on personal observations that are anecdotal at best.  You probably know the mechanics for why it is working so well for us, I just know that it does.</description>
		<content:encoded><![CDATA[<p>That&#8217;s a lot to think about, Keith!  My first response is look for non-verbal communication, which can be so subtle you&#8217;d never recognize it for what it is.  When I was taking the ABA training, our instructor told us a story of how one child he was working with would stand next to the water fountain, somewhat randomly, throughout the day after play.  He would then get more and more agitated, until he tantrumed.  Eventually, the therapist figured out what the kid was saying &#8211; the water fountain was the only source of water in the room, and his hands were dirty from play.  By standing next to the water and waiting, not trying to give him a cup or anything else, he was telling the therapist in his own way that he needed water for something.</p>
<p>I&#8217;ve found that most non-verbals are attempting to communicate, it just isn&#8217;t easy to see.  I love that rapport building technique up there, especially the parallel talking.  I feel that will be -extremely- effective, and is a wonderfully non-intrusive way to put the &#8220;work&#8221; of building the relationship on the child.  It makes it the child&#8217;s responsibility to let you into his or her world, to share in the experiences of play.  I can&#8217;t say enough how brilliant I think that is.  By showing that you want to be part of the world, but not forcing your way into it, lets the child know that you are seeking a social experience and, if the child is as well, it&#8217;s within their power to allow that.</p>
<p>In the end, I&#8217;ve found that giving an autistic child control, or the illusion of control, over their experiences yields the best results.  Their lives are often so structured, so rigid, that they never feel like they are in control of anything, and who likes that?  With my sons, giving them little things they can control about what we&#8217;re doing makes all the difference and leads to rituals that help them moderate without the need to self-stim.  </p>
<p>For example, when we read stories at night, I have a little piece of paper pinned near my desk that has the days of the week, and under each day one of the boys&#8217; names (except for Sunday, which has my own).  Each night, we look at whose turn it is, and then that boy gets to pick the story.  He goes upstairs by himself to the bookshelf, picks something, brings it back down, and we read the story.  Then we talk about the book, and look at who gets to pick the story tomorrow.  Then the one that picked the story gets to take that book to bed with them, while the other gets to pick a different so that both boys can read to themselves in bed (if they want).  This little thing has made a -huge- impact at night.  One, the visual schedule is a constant reminder of turn taking, the story selection gives the child direct control over the event, and then reading the story turns that choice into a special thing that everyone is enjoying &#8211; because the boy picked that story.  That power over the story, and everyone&#8217;s enjoyment for story time, is pretty powerful.</p>
<p>I truly think ceding that control to the non-verbal will go a long way in helping you build that rapport and communication.  Non-verbals have even less control over their environment, most often.  Giving them the power, or the feeling that they have it, will really make an impact.</p>
<p>Of course, this is all in my very unprofessional opinion and based on personal observations that are anecdotal at best.  You probably know the mechanics for why it is working so well for us, I just know that it does.</p>
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		<title>Comment on Mental Evaluation: Jared Lee Loughner by Top Five Things That DIDN&#8217;T Happen in 2012&#160;&#124;&#160;Keith Karabin.com</title>
		<link>http://keithkarabin.com/2011/01/20/mental-evaluation-jared-lee-loughner/comment-page-1/#comment-4591</link>
		<dc:creator>Top Five Things That DIDN&#8217;T Happen in 2012&#160;&#124;&#160;Keith Karabin.com</dc:creator>
		<pubDate>Fri, 04 Jan 2013 11:26:23 +0000</pubDate>
		<guid isPermaLink="false">http://keithkarabin.com/?p=749#comment-4591</guid>
		<description>[...] was impossible. Then, I started to recall things that I had read when researching the article on Loughner, like how the media attention is part of the motivation for these killings. Yes, the media has a [...]</description>
		<content:encoded><![CDATA[<p>[...] was impossible. Then, I started to recall things that I had read when researching the article on Loughner, like how the media attention is part of the motivation for these killings. Yes, the media has a [...]</p>
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