“In
crisis circumstances, we have to ‘ride out the storm’ and to use the sailor’s
term, ‘batten down the hatches’. You are not going to be able to prevent the
storm and there is no point in wishing it away!”.
Professor Andrew McDonnell’s new book, The Reflective
Journey: A practitioner’s guide to the Low Arousal approach, is a fabulous
‘how to’ guide enabling families and professionals, supporting highly anxious
and challenging people, to apply low arousal strategies in their everyday practises.
With child anxiety and mental health issues more prevalent
than ever, families are being left significantly vulnerable from not receiving
the provision they need in trying to raise a child with such challenging and
individualised needs.
Working with both adults and children with extremely
‘challenging’ behaviour myself over the past 10 years, I have always had the
belief that ‘all behaviour is communication’. Yet, the power of this book is
that it instantly flips this narrative on its head and made me realise what
Psychologist Albert Bandura had claimed: ‘all behaviour is about perception’. How
the adult ‘perceives’ what the person is trying to communicate. As you
may have noticed I have already referred to the term ‘challenging behaviour’
several times in this review; however, McDonnell takes a new stance and I am
going to follow suit and from now on refer to it as ‘behaviours of concern’.
This choice of words provides a more ‘neutral’ definition and therefore
inevitably changes how we begin to observe these actions.
As so many of the current literature in the Speech and
Language Therapy and Psychology fields focuses on assessing ‘why’ a person is
behaving in an aggressive or unexpected way, The Reflective Journey takes
a refreshing approach by probing the reader to first look within themselves at
their own actions. If we as parents and professionals are going to support the individual
to adapt their behaviour, then it has to start with us!
But what is the Low Arousal Approach?
The Low Arousal philosophy advocates interaction, distraction,
diffusion and physical avoidance strategies to manage, rather than change the
undesirable behaviours.
As an eternal student to my profession, I’m continually on the
look-out for new therapy techniques to add to my ever expanding toolkit, but I
have to be honest and admit that I am usually the person on the training workshop
who is thinking, just get to the bit where you tell me the strategies, so I can
‘get going’ on the therapy side of things.
What was so thought provoking about this book, is the due to
the two clear parts it has been divided into, the strategies to use with my
students were not introduced until the second half and until that point had
somehow, surprisingly, managed to restrain my own eagerness into first considering
how essential reflecting on my own behaviour is, before trying to support the
behaviours of the people I am working with.
I should have guessed that was the journey the book would take
me on because the clue was in the name ‘Reflective’ and highlights
the importance of ‘thinking’ before ‘doing’!.
I cannot remember a time when a work-related or ‘educational’
book as it were, kept me so engaged. By the end of the first chapter my head
was already buzzing with questions about how my own actions, tiredness,
tolerance levels and stress etc. over the years may have subconsciously leaked
into my interactions with my students. Now, I do pride myself on my ability to
‘leave my personal issues at the door’ so to speak and to put my work face
on each day – but I am only human after all! What was great about this book, is
that it pulled all of those influential factors to the forefront of my Speechie
brain and has since reading it, made them a lot more prominent when I am
managing behaviours of concern. In my personal life, as well as my professional
one!
I felt that the overall aim of The Reflective Journey was
to empower any reader, regardless of experience, to be able to apply the
low arousal approach by the end of reading a series of simple steps and I don’t
feel it disappointed in achieving this.
Prof. Andrew McDonnell is an amazing Clinical Psychologist who
has over 30 years’ experience testing low arousal techniques in countries
across the world and after founding the Studio 3 organisation in 1992 is
continually advocating for practitioners to move away from the more traditional
‘hands-on’ strategies towards a more humanistic and person-centred style. Low
arousal is now the chosen approach in many services throughout the country.
In crisis situations our primary focus is always to ensure
that everyone around is safe; though now, rather than just feeling we can
merely ‘batten down the hatches’, this book has provided both parents and
professionals supporting children with ‘behaviours of concern’ with easy,
effective and empathic strategies to ‘ride out the storm’.
A final point to take away: Our
children and students can be very hyper-vigilant, they are constantly on the
look-out for any perceived threat, which inevitably increases anxiety and
arousal levels. So always remember, they can sense how we feel about
them! And how we ‘perceive’ them!
The Reflective Journey: A practitioner’s guide to
the Low Arousal approach can be purchased from the Studio3 website for
£17.99
Other products related to the Low Arousal approach and managing behaviours of concern that I would highly recommend include:
- Managing Family Meltdowns: the Low Arousal approach and Autism (Woodcock and Page 2009) £12.99
- No Fighting, No Biting, No Screaming: how to make behaving positively possible for people with Autism and other Developmental Disabilities (Hejlskov Elvén 2010) £14.99
- Managing aggressive behaviours in care settings: understanding and applying low arousal approaches (McDonnell 2010) £30.99
and don’t forget to check out Bo Hejlskov Elvén’s amazing Youtube series on implementing Low Arousal strategies
Highly Specialist Speech and Language Therapist
Small Talk Speech and Language Therapy
natashahallam@smalltalk-ltd.co.uk
