At a parent group meeting, a mother asked “since my daughter’s mental age is about a third grade level, why is she starting her period? This doesn’t seem possible.” All children go through puberty regardless of IQ or social skills. The brain does not tell the body to stop growing if the boy or girl’s developmental level is younger than their age. Puberty is a stage of development just like moving from being an infant to a toddler. Puberty is considered to begin around age 12 for girls and age 14 for boys. The physical changes of puberty are centered on the development of secondary characteristics and the onset of menstruation (in girls) and ejaculation (in boys).
For girls, the physical changes usually begin between ages 7 and 14. Girls begin to have growth spurts, develop breasts, pubic and underarm hair, and have vaginal discharge. It becomes increasingly important to have good hygiene by taking a shower or bath each day, washing your hair, underarms, and vaginal area. A girls menstruation (period) usually follows within a year or two of these changes. The average age a girl starts menstruating is around 12 or 13 but some girls start as early as 9 and others are as late as 17 (Strong, DeVault, Sayad & Yarber, 2005).
For example, as a parent sees their daughter start to develop physical changes of puberty, it is essential to start talking to her about menstruation. A father called Indiana Resource Center for Autism concerned that his daughter screams loudly and runs around the room every time she sees the sight of blood even if the cut on her finger is small from a piece of paper. She doesn’t become calm until they put a bandage on the cut. How will she react about blood from her vagina? It was discussed that the term for the menstrual pad would be called a very large bandage. This language would help their daughter transition to starting to menstruate. In addition, the family decided it was going to be essential to start practicing the steps from wearing a pad to changing it regularly before the important day came. Here are some ideas to assist in that process.
•Put red food coloring in her underwear to show what the blood might look like when she starts her period.
•Have her mom model for her the steps to wearing and changing a sanitary pad. If possible, include other girls in the house as well.
•Mark the pad and panties with a different color to show where the pad should be placed in her underwear.
•Go to the store and buy a few different kinds of sanitary pads. One could try different sizes, thicknesses, wings or no wings, fragrances, and brands. View www.kotex.com to identify some of the options this company has available.
•Make a visual schedule of how often the sanitary pad should be changed. Remember her school schedule. Try to arrange the changing time with the times that she would change classes (normal breaks in the day) at school. The more the schedule is the same at home and school, the easier the transition will be.
•Watch a video on a teens health website if they want to know why the menstrual cycle is necessary: http://kidshealth.org/teen/sexual_health/girls/menstruation.html.
•If your daughter learns best with facts, go to the bookstore to buy a book on getting your period. See references at end of article. Having a full explanation of her menstrual phases may help your daughter transition to this part of her life. For others, the information may be overwhelming. As a parent you have learned what manner your daughter learns best. Apply the information you already know about her to this stage called puberty.
•Plan a celebration party for when she starts her period. Growing into a woman is exciting and should be celebrated.
For boys, the physical changes usually begin around age 13. Some boys start prematurely at age 12 while others begin as late as 17 or 18 years of age. Generally, boys’ puberty lags behind girls by two years. The secondary characteristic for boy’s includes: growth spurts, bigger hands and feet, increased muscle mass, deepened voice, facial and underarm hair, and more hair in the pubic area. Their penis and testicles also develop (Strong, DeVault, Sayad, Yarber, 2005). Like girls, it is imperative to be showering or bathing each day. Be sure to wash hair, underarms, and in genital area.
At puberty, boys begin to ejaculate semen. Many boys are unnerved by the first appearance of semen which will probably occur while sleeping (e.g., wet dreams). It is important to differentiate to your son that he is not urinating in bed. One parent shared that her son didn’t want to disappoint her because he was a “big boy” now and didn’t wet his bed. So when he started having nocturnal emissions (e.g., wet dreams), he was afraid to tell her because he thought she would be disappointed. His behavior escalated and he refused to go to bed at night. In addition, boys may have erections at odd or unplanned times. This is part of puberty and one should not be alarmed. Unplanned erections will go away during puberty.
What can parents do about these changes in boys?
•Don’t overreact or under react. Remember your son probably doesn’t have any idea of what is happening to him when he has nocturnal emissions. Change the sheets or have him help you.
•Use a calm voice. Don’t yell. Use the time to explain what is happening during puberty with your son. Relate the nocturnal emissions to other changes he is experiencing (secondary characteristics), then explain that this is part of puberty and growing into being a man.
•Go to the library or bookstore to read about how boy’s bodies change from being a teenager to a man.
For parents, when talking about boy and girl body parts use the medical terminology. Language concepts are difficult for many individuals with autism spectrum disorder. Therefore, if they learn the word “pee pee” to mean penis when they are young it will be awkward and inappropriate for them to still be calling their male genitalia “pee pee” when they are young adults or men. It is best to start with the medical terminology from the beginning. Get used to saying the words such as penis, testicles and pubic hair for boys and vagina, breasts, and menstruation for girls. Here are other critical points to ponder:
•Before you can effectively communicate your values about sexuality to your children, you need to know what you believe and why.
•You are the main educators of sex for your son and/or daughter. Whether you are comfortable or not, wouldn’t you rather they get factual information from you than to follow a classmate’s or friend’s advice? See www.familiesaretalking.org for information.
•You must be “askable” (Gordon & Gordon, 2000). This means one should be prepared for any question or incident that involves your son or daughters sexuality. Always say, “That is a good question.” You can decide to answer the question immediately or say, “We’ll discuss it when we get home.” If you answer with a positive tone, then your child will continue to ask questions. Also, remember to answer the questions simply and directly. Don’t give too much information to your adolescent.
•Children are not perfect. They make mistakes and it’s up to us to turn their mistakes into lessons.
Remember to use the same teaching strategies that you have used to teach your children other skills. Just apply these strategies to teaching them about menstruation and nocturnal emissions as they go through puberty. Some of these strategies may include visual schedules or check off lists, videos, facts in books, pictures of what is happening to their bodies, stories to predict what might occur, or specific terminology. Think of puberty as just another stage of development. Embrace this time and move forward. 作者: 潼妈 时间: 2013-6-12 14:08 标题: re:谢谢大家给我回帖，让我在黑暗中看到一点点... 谢谢大家给我回帖，让我在黑暗中看到一点点光明，得到大家的鼓励.我虽然很辛苦，但看到潼潼哪怕一点点进步心里也是莫大的欣慰，潼潼很喜欢吃肉和喝汤，身体很壮，力气也大，凡是自己想要的东西会自己拿，攀高爬低时身体平衡很好，但多动坐不住，自己有要求时会简单表达，很喜欢笑，是很美丽可爱的小姑娘，她本来两三岁时候会仿说很多儿歌和古诗，但四岁时一下子不说话啦，在幼儿园不合群，到五岁我才知道有自闭症，马上送到当地的自闭症康复中心但程度严重被拒收，好不容易才又送到一位自闭症家长自己开设康复中心，一直到六岁才又重新开口叫妈妈，现在进了特教学校，但是十个阿拉伯数字教了差不多十年也不会，中文字也不认得，可是我带她到外面时教她认的树木和水果却能惊人准确的学会，文化知识这方面我已经死心了，只希望在生活自理方面能学会。作者: 何子 时间: 2013-6-12 17:35 标题: re:对什么孩子来说，生活自理都是最重要的。... 对什么孩子来说，生活自理都是最重要的。
只是要求可以不同一些。