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1. Define denial
“Denial is how people cope when they have no other way of dealing with an
overwhelming situation. Rather than face stressful circumstances, people pretend the
stressor does not exist.” (Gorham, p. 34)
a) Feelings of denial
“Denial is characterized by feelings of confusion, numbness, disorganization and
helplessness." (Seligman & Darling, 1989 as cited by Gorham p. 34)
2. What are some reasons that make discussing a diagnosis painful and difficult for
parents?
The diagnosis might contain in its objective medical terminology a perceived stigma for
them
“Parents who reject a diagnosis may not be rejecting the idea that their child has
problems...discrepant views of the child or child’s needs were identified in 90% of
situations of escalating conflict.” (Gorham, p.35 & p.36)
Asking parents to describe behaviors they observe at home will help determine if the
parent is in denial or has taken a defensive posture.
Noting positive behaviors, traits and abilities might allow a parent to recognize that you
also see strengths in the child.
Waiting allows parents to absorb information at their own pace, not the proscribed time
limits that sometimes distress busy case managers.
Asking why allows the space for parents to articulate their emotions and fears and also
offers them partnership in a process where their support is crucial
Encouraging parents gives them support at a time when they might be experiencing
feelings of overwhelm, inadequacy, fear and grief. Recognizing their care and courage,
offering resources like parent groups, informative web sites and counselors who might
specialize in working with parents and children can be helpful. Sharing anecdotal
information about children and teens who have successfully engaged in school with the
support of a carefully constructed IEP based on teamwork can bolster their sense of what
is to come.
Resist the temptation to use evidence to be right. To that end do not overwhelm parents
with medically supported evidence in the form of jargon filled reports from medically
trained evaluators who completed the assessments resulting in a diagnosis that meets the
criteria for a disability and the development of an IEP. Despite the pressure you and other
educators may feel to develop a plan that can be implemented sooner rather than later for
the benefit of the child, fall back on the previously discussed strategy of giving parents
time to absorb this outcome rather than confront their denial and rush them into
acquiescence with the experts.
By being calm and kind human beings who can support parents through this process and
offer them additional resources during this crucial period of feeling groundless and
uncertain, we can plant the seeds for a mutually respectful collaboration that will benefit
their children.