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The
Significance of Work
Therapeutic
Environment
Autistic people have difficulty recognizing the sense and
the significance of their activities, their actions, and their
situation in life. This is why they often withdraw into the
simple structure of their "autistic world" and fall back into
stereotypes and rituals. What they need is a clearly structured
environment whose processes they gradually get to know and
whose sense they can clearly grasp. Such a structure is offered
by a rural farm community. On a farm the natural order of
events is visibly recognizable. These last for a longer length
of time, but they are not a lifeless structure: they change
periodically and in rhythms. In this context, rituals and
stereotypical sequences of activities, common among all autistic
adults, cannot develop so easily. This biological order of
events has a rhythmic structure. It requires of everyone who
works in it the ability to vary their actions and react to
natural events and processes (which have not been prescribed
by a therapist!).
Agricultural activities take place in the open air. For this
reason they are well suited to the motor needs of autistic
adults and promote certain motor processes that do not correspond
to the stereotypes, compulsive behavioral patterns, and rituals
peculiar to particular individuals. This becomes quite evident
during work breaks and less structured leisure situations.
During these periods, stereotypical, ritualistic behavior
reappears in most farm residents. The need to orient oneself
to the times of the day (e.g., opening up the stalls in the
morning) and to the seasons of the year (planting time, harvest
time) requires a different way of putting rhythm into farm
life and the order of events there. This holds true not only
for the residents, but also for the co-workers, who have to
adapt to these given elements of life in their daily work
as well.
Types
of Work Offered
The typical types of work offered for the handicapped (occupational
therapy, manufacture of parts or components for industry)
lack certain important features:
-
Meaningfulness
- Discernible
relevance of the activity for the community
- Promotion
of personality development
- A
connection between the individual process and the end product
Normal
people find their work satisfying if they can develop social
contacts at the workplace, receive social recognition, and
earn money. Autistic people as a rule have no relation to
money and few opportunities to spend it for the satisfaction
of their own needs. They also suffer from their social "contacts"
at the workplace more than they enjoy them. Finally, social
recognition is of no particular importance to them.
Identical (stereotypical) repetitions of simple work processes
stabilize (undesired!) autistic behavior and prevent educational
development through work (= rehabilitation). The concept of
educational development through work implies, however, that
-
the residents experience the meaning of their own activity
through their activity (for example through repairing a
fence, harvesting crops, or weaving)
- they
themselves (their persons and what they achieve through
their work) are needed by the community (for example, in
feeding animals, preparing meals, or doing laundry)
- they
can bring about changes (for example, when doing the haying,
spinning wool, or cleaning out a stable)
- the
work is directed toward processes of nature that are continually
changing and require an ever new attitude or focus (vegetable
seedlings are planted, kept free of weeds, and harvested)
- the
work is real and its results are used in the community (in
the kitchen, for example).
Work confronts the residents with reality. They have to go
out of themselves in order to make something or change something.
The endangered "I," the unstable concept of the self, can
stabilize itself in work which can only be done by a team.
Work becomes a medium: co-workers and autistic residents work
in common at a task that has to be done because
-
animals are hungry
- the
noon meal has to be prepared
- the
sheep have to be driven into the stall
- the
hay has to brought into the barn before it rains...
Through the medium of work a relationship can gradually develop
between the (autistic) workers and the non-autistic co-workers.
Work must not be "misused" for the purpose of therapy. Work
itself is therapy and contributes to rehabilitation. The relationship
between co-workers and residents can change: In a cooperative
work relationship, in which co-workers and residents are working
together at a common task that has to be finished by a certain
time (unloading hay, for example), it is not necessary for
the co-worker to act "therapeutically" in the narrow sense
of the word, i.e., to direct his "therapeutic energy" toward
the resident. The work itself is the challenge; its successful
performance is the positive consequence. In addition, agricultural
work makes the way from the raw material through the different
stages of shaping it by hand to the end product that is actually
used by someone, visible, even to the autistic residents.
Its significance is evident.
Example
Potatoes are planted and fertilized. The rows are weeded.
The new potatoes are dug out and put in the cellar. Later
they are peeled and boiled. Finally they are eaten. All of
these processes can be followed on the farm.
Autistic people -- especially the severely handicapped ones
-- live in a kind of permanent present. They have trouble
imagining what will happen later on. They lack the faculty
of Imagination. When they work year after year in the natural
rhythm of life, it is possible for them to learn, by looking
and experiencing, how one potato that has been planted produces
many others that can then be eaten. As the years go by, this
work in the natural rhythms of life, the rhythms of the days
and of the seasons, will lead to a stabilization of the inner
life of the residents. Even the autistic who are more severely
handicapped gradually come to see what will happen and can
get ready for it. All the residents work 25-30 hours per week.
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