Alzheimer's and Walking Patterns

Alzheimer's patients walk for different reasons - anxiety, boredom, discomfort or disorientation. Suggestions for resolving these different problems.

If the person with Alzheimer's Disease has enjoyed walking in the past, they will naturally want to continue doing this. Try to make this possible for as long as you can. If you are unable to accompany the person yourself, you may be able to enlist the help of relatives or friends.

Alzheimer's Patients and Boredom

People often walk about if they are bored. Many people with dementia simply do not have enough to do. Being occupied brings with it a sense of purpose and self-worth for everyone, and people with dementia are no exception. Try to find ways to keep the person mentally engaged and physically active, whether through playing games or involving them in your daily chores and tasks.

Energy

Constant walking may also indicate that the person with dementia has energy to spare and feels the need for more regular exercise. There are many simple ways to incorporate more exercise into your normal life without making big lifestyle changes. Try walking to the shops rather than driving, walking up steps rather than using the escalator, or even doing some gardening or vigorous housework. Try to leave the house to get some fresh air at least once a day if you can.

Pain and discomfort

People often walk when they are in pain, in an attempt to ease their discomfort. In the case of arthritic or rheumatic pain, walking can actually help. Alternatively, people may be trying to 'escape' from the pain. If you think this might be the case, ask your GP to examine the person. The need to walk can also be a side-effect of certain medication. Again, ask your GP to check their prescription to see if this could be causing the person to feel restless.

Response to anxiety

Some people walk about if they are very agitated or anxious. They may also be responding to hallucinations, which are a common symptom of some types of dementia. Try to encourage the person to tell you about their anxieties and reassure them in whatever way you can.

Searching for the past

As their dementia progresses, the person may set out to search for someone or something related to their past. Encourage them to talk about this, and show them that you take their feelings seriously.


 


A task to perform

The person with dementia may walk because they feel they need to carry out a certain activity. It may be a task that they have carried out in the past - for example, they may think they have to collect their children from school, or that they have to go to work. This may be a sign that they are feeling unfulfilled. Try to help them find an activity that gives them a sense of purpose, such as helping out around the home.

Confusion about time

People with dementia often become confused about the time. They may wake in the middle of the night and get dressed, ready for the next day. This confusion is easy to understand, especially in the winter when we often go to bed in the dark and get up in the dark.

Try to provide more daytime activities that help the person use up their energy, or perhaps persuade the person to go to bed earlier. It can help to buy a clock that shows am and pm, and keep it by their bedside. Some clocks also show the day of the week and the date. However, if the person's body clock is seriously out of step, you may need to seek professional help.

Sources:

  • Alzheimer's Society - UK - Carers' advice sheet 501, Nov. 2005.

next: Alzheimer's: Impact of Later Stage

APA Reference
Staff, H. (2008, December 13). Alzheimer's and Walking Patterns, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/alzheimers/maintaining-quality-of-life/alzheimers-walking-patterns

Last Updated: February 26, 2016

Eating Disorder Treatment Centers and Therapists

Finding the right therapist is crucial in recovery since you cannot recover on your own or just by having friends and family help you, especially if they have no training in Eating Disorders therapy. A therapist should be professional but casual enough that you or someone you know that has an eating disorder can feel comfortable in their prescence. It usually helps if the therapist has had a past experience with an eating disorder, so they understand more and don't merely regurgitate whatever they have been fed about EDs from textbooks.

Therapists can also be expensive but there are many that work on a sliding scale basis. That means they charge based on your income and also take into consideration whether or not you have insurance that will cover eating disorders therapy. Another lower-cost method of obtaining help is by going to group therapy.

Note: At this point in time, I am only listing Eating Disorder Organizations. I cannot list individual states and providence treatment centers, as there are so many.

  • Academy for Eating Disorders (AED)
    6728 Old McLean Village Drive
    McLean, VA 22101
    (703) 556-9222

  • ANAB Quebec
    114 Donegani Boulevard
    Pointe Claire, Quebec H9R 2V4
    (514) 630-0907

  • Anorexia Nervosa and Related Eating Disorders, Inc. (ANRED)

  • Anorexia and Bulimia Nervosa Foundation of Victoria
    1513 High Street
    Glen Iris Vic 3146 AUSTRALIA
    (03) 9885 0318

  • Asociacion civil de Lucha contra Desordenes Alimentarios (en español)
    +54 627 22580/24290/24291 Int 211
    Sector Desórdenes Alimentarios
    5600 - San Rafael (Mendoza)
    República Argentina
    e-mail: aclda@bigfoot.com

  • The Body Image Coalition of Peel, Ontario, Canada
    Mary Turfryer, Peel Health
    180B Sandalwood Parkway E., Suite 200
    Brampton, Ontario, CANADA L6Z 4N1
    (905) 791-7800 ext.7694

  • British Columbia Eating Disorders Association
    841 Fairfield Road
    Victoria BC Canada
    (250) 383-2755

  • Bulimia Anorexia Self Help Inc.
    6125 Clayton Avenue
    Suite 215
    St. Louis, MO 63139
    (314) 567-4080 OR (314)567-4040

  • The Center, Inc.
    (888) 771-5166
    The Center Inc.
    PO Box 700
    547 Dayton
    Edmonds, WA 98020
    The process of treatment planning includes identifying your main concerns and issues to be worked on, treatment goals and estimated length of time it will take to move through these issues toward resolution. Your counselor will be sensitive in working at your pace while still challenging you to new ways of thinking, feeling and living.

  • Center for the Study of Anorexia and Bulimia
    (212) 595-3449
    Administrator
    1 West 91st Street
    New York, , NY 10024


  • Christy Henrich Foundation
    P.O. Box 414287
    Kansas City, MO 64141-4287
    (816) 395-2611
    The Christy Henrich Foundation is a non-profit organization dedicated to fighting the battle against eating disorders. It was founded in memory of Christy Henrich, an elite gymnast who lost her battle with anorexia on July 26, 1994.

  • Eating Disorders Association (UK)
    First Floor, Wensum House
    103 Prince of Wales Road
    NORWICH, NR 1 1DW
    Norfolk, UK
    01603 621 414
    Offers understanding and support to sufferers and their families involved with the problems of Bulimia and Anorexia Nervosa.

  • Eating Disorders Association Resource Center
    The Eating Disorders Association is based in Queensland, Australia. It is an organization of people concerned about the growing prevalence and seriousness of eating disorders in our society.

  • Eating Disorders Association Northern Ireland
    Bryson House,
    38 Ormeau Road,
    Belfast 7
    IRELAND
    Tel 080 232 234914

  • Eating Disorders Association of WA (Western Australia)
    Unit 13A, Wellington Fair, 4 Lord Street, Perth
    WESTERN AUSTRALIA 6000
    TELEPHONE: 9221 0488
    FAX: 9221 0499

  • Eating Disorders Coalition for Research, Policy and Action
    (202) 543-3842
    Eating Disorders Coalition for Research, Policy and Action
    609 10th St NE, Suite #1
    Washington, D.C. 20002
    EDCoalition@aol.com
    The Eating Disorders Coalition for Research, Policy and Action is a cooperative of professional and advocacy-based organizations committed to federal advocacy on behalf of people with eating disorders, their families, and professionals working with these populations...

  • Eating Disorders Council of Long Island
    82-14 262nd Street
    Floral Park, NY 11004
    (718) 962-2778

  • Family Resources for Education on Eating Disorders (FREED)
    9611 Page Avenue (Web)
    Bethesda, MD 20814-1737
    (301) 493-4568
    A parent-founded, non-profit, organization committed to educating our community about the serious nature and growing prevalence of anorexia, bulimia, and binge eating disorder; providing information about how to recognize and treat eating disorders; and providing resources for support for persons suffering from an eating disorder and for their families and friends.

  • Harvard Eating Disorders Center ((HEDC)
    356 Boylston Street
    Boston, MA 02118
    1-888-236-1188

  • Healing Connections, Inc.
    1461A First Ave., Suite 303
    New York, NY 10021
    (212) 585-3450


  • Healthy Within
    4510 Executive Dr. Suite 102
    San Diego, CA 92121
    Healthy Within is a unique day treatment and outpatient program for eating disorders. Our program provides treatment for adolescent males, adolescent females, adult males and adult females suffering from eating disorders. Our multi-disciplinary team assures that treatment is comprehensive and thorough. Individualized treatment plans, combined with small group therapy, provide a supportive environment where people can practice new behaviors and learn new ways to relate to themselves and others.
    (212) 585-3450

  • HUGS International Inc.
    Contact:
    Linda Omichinski, RD
    linda@hugs.com

  • International Association of Eating Disorders Professionals (IAEDP)
    123 NW 13th St. #206
    Boca Raton, FL 33432-1618
    (800) 800-8126
    fax (407) 338-9913

  • The Marino Therapy Centre
    42 Malahide Road
    Clontarf Dublin 3
    Ireland
    Phone: +353 1 8333126
    Email: marinotherapycentre@gmail.com

  • Massachusetts Eating Disorder Association
    1162 Beacon Street
    Brookline, Massachusetts 02146
    (617) 738-6312

  • Massachusetts Eating Disorders Association, Inc. ((MEDA)
    92 Pearl Street
    Newton, MA 02158
    (617) 558-1881

  • Mercy Center For Eating Disorders
    Baltimore, Maryland
    (410) 332-9800

  • Monte Nido Treatment Center
    A residential treatment facility for women for anorexia, bulimia, and compulsive exercise. Our residential program is designed to meet the individual needs of clients and their families in a way that gives them a higher level of responsibility and "teaches" them how to recovery. To come to Monte Nido you don't have to to be ready to give up your eating disorder. We are here to show you how and help you decide.

  • National Association of Anorexia Nervosa And Associated Disorders (ANAD)
    P.O. Box 7
    Highland Park, IL 60035
    (847)831-3438

  • National Institute of Mental Health
    U.S. Department of Health and Human Services
    5600 Fishers Lane, Room 7C-02
    Rockville, MD 20857
    (800) 421-4211

  • National Eating Disorder Information Center
    200 Elizabeth Street
    College Wing, First Floor Room 211
    Canada, M5G 2C4
    (416) 340-4156

  • The National Eating Disorder Information Centre (NEDIC)
    CW 1-211, 200 Elizabeth Street
    Toronto, Ontario
    416-340-4156
    (212) 585-3450

  • National Eating Disorders Association
    603 Stewart Street suite 803
    Seattle, WA 98101-1264
    1-800-931-2237
    e-mail: info@nationaleatingdisorders.org

  • National Eating Disorders Screening Program (NEDSP)

  • National Association to Advance Fat Acceptance, Inc. (NAAFA)
    P.O. Box 188620
    Sacramento, CA 95818
    (800) 442-1214

  • Promoting Legislation & Education About Self-Esteem, Inc. (PLEASE)
    91 S Main Street
    West Hartford, CT 06107
    (860) 521-2515

  • Quanah Mercredi Society for Eating Disorders
    Ponoka, Alberta
    Canada
    (403) 783-8737

  • Rader Programs
    800-841-1515
    "Most treatment programs utilize a reward and punishment system. We do not utilize such systems because they are ineffective. Individuals with eating disorders have spent enough time punishing themselves already. Rader Programs' approach is centered on the individual. All aspects of the individual's life are explored and addressed in a supportive environment. We do not concentrate solely on the symptoms of the eating disorder or focus on dieting. Instead individual, family, and group counseling, as well as nutritional guidance, exercise training, and educational sessions are all combined to create the path toward recovery."
    Call Rader or visit their web page from the link above for more information on treatment! :)

  • Support And Assistance For Binge-Related Eating And Associated Disorders (SABRE)
    726 Eglin Pkwy NE, #A6
    Ft. Walton Beach, Fl. 32547
    (888) 705-6683 #3016

  • This is a good place to go to find eating disorders treatment centers darn near every where.

  • WINS
    We Insist on Natural Shapes
    PO Box 19938
    Sacramento, CA 95819
    1-800-600-WINS

next: Medical Problems Associated with Anorexia and Bulimia
~ all peace, love and hope articles
~ eating disorders library
~ all articles on eating disorders

APA Reference
Staff, H. (2008, December 13). Eating Disorder Treatment Centers and Therapists, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/eating-disorders/articles/eating-disorder-treatment-centers-and-therapists

Last Updated: January 14, 2014

U.S. Men Have More Distorted Body Image Than Asians

Men in the U.S. and Europe are more likely to overestimate female desire for muscular mates than their East Asian counterparts.Men in the U.S. and Europe are more likely to overestimate female desire for muscular mates than their East Asian counterparts, says a study published today in the American Journal of Psychiatry.

Western men said women preferred a physique with 20 pounds to 30 pounds more muscle than the average man. Yet when asked what type of male body they liked most, women chose men without the added bulk, according to the research by Belmont, Massachusetts- based McLean Hospital, affiliated with Harvard Medical School.

Taiwanese men correctly noted that women don't desire muscle- bound men. The study's findings may help explain why male body image disorders and anabolic steroid abuse are problems in Western cultures, yet almost nonexistent in Asia, said Harrison Pope, head of McLean Hospital's Biological Psychiatry Laboratory.

``Steroid abuse is just not an issue in Pacific Rim countries,'' Pope said in an interview. ``Even though one can easily buy steroids in places like Beijing without a doctor's prescription.''

The researchers, led by Harvard undergraduate student Chi-Fu Jeffrey Yang, asked 55 male university students in Taiwan to select pictures closest to their own bodies, the body they'd like to have, the body of the average Taiwanese male and the body that Taiwanese women prefer.

The results were then compared with results from similar studies done in the U.S., France and Austria.

``Western men are much more concerned about looking muscular than men in the Pacific Rim,'' said Pope, one of the study's senior authors.

Muscle-Bound Statues

The difference in cultures is one possible explanation, according to the article. For example, statues from Ancient Greece typically show men and gods with ample muscle. In China, home to Confucius -- the ancient philosopher known for his wise sayings -- sculptures rarely depict male brawn.

``There's more tradition of muscle and physical prowess in Western culture,'' Pope said. ``Whereas the Chinese idea of masculinity has more to do with fortitude of character and intellect.''

One reason for the difference also could be that Western males, unlike Asians, are bombarded with images of muscular men in advertisements. From 1958 to 1998, about 20 percent of U.S. print ads showed undressed female models, according to the researchers' analysis of two leading American women's magazines.

Undressed Models

The share of undressed male models rose from 3 percent in the 1950s to 35 percent in the 1990s, the study said.

Recent Taiwanese magazines show Western men and women undressed in almost half of the ads while Asian men are unclothed in just 5 percent of the cases.

``This suggests that, at least in the judgment of advertisers, body appearance isn't a prime criterion for defining a Chinese male as masculine, admirable or desirable,'' the study said.

Another possible explanation about why Westerners are so preoccupied with muscles is that women in the U.S. and Europe have more parity with men than their counterparts in East Asia, the study said.

``Nowadays, women can do almost anything that a man can do with one exception: They can't bench press 315 pounds, no matter what the Supreme Court says,'' Pope said. ``It may be a last refuge of masculinity for some men in the West.''

The research contrasts with prior studies showing that Western women overestimate how thin men prefer them to be, said Pope, whose interest in body image distortion began with the study of female eating disorders in the 1980s.

Steroids

He said recent headlines about steroid abuse among professional athletes and U.S. teenagers drew him to the study.

Coaches, parents and drug-abuse specialists have long considered anabolic steroids an issue of concern in professional bodybuilding and at the elite level of sports. Now, as steroids gain a foothold in U.S. high schools, some are starting to place steroid abuse in the same category as marijuana, cocaine and other drugs.

In 1991, 2.1 percent of 12th-graders reported they'd taken anabolic steroids at least once in their lives, according to an annual survey of student drug use commissioned by the U.S. National Institute on Drug Abuse. In 2003, that had grown to 3.5 percent of seniors.

Not all the students using steroids were athletes. Some are trying to emulate male models, not sport stars, according to a recent report from the University of Michigan.

The phenomenon has led to the new psychological diagnosis of muscle dysmorphia, sometimes referred to a "bigorexia" or "reverse anorexia," according to the National Eating Disorders Association, a nonprofit group based in Seattle.

Male body image disorders, rare in Asia with only a single known case, now afflicts as many as 2 percent of Western men, the McLean Hospital study said.

next: Half-Ton Man Seeks Life-Saving Surgery in Italy
~ eating disorders library
~ all articles on eating disorders

APA Reference
Gluck, S. (2008, December 12). U.S. Men Have More Distorted Body Image Than Asians, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/eating-disorders/articles/us-men-have-more-distorted-body-image-than-asians

Last Updated: January 14, 2014

Persistent Perfectionists: The Idea of Perfection Remains Even After Eating Disorders Treatment

eports on the tendency of anorexics to remain perfectionists for at least a year after they have recovered. Perfectionism as a personality trait that puts people at risk for developing anorexia nervosa.

Summary: Reports on the tendency of anorexics to remain perfectionists for at least a year after they have recovered. Perfectionism as a personality trait that puts people at risk for developing anorexia nervosa.

Anorexia Nervosa and Perfectionism as a Personality Trait

It makes a certain kind of sense that folks with anorexia tend to be perfectionistic and obsessive. After all, they are diligently striving for a perfect body; however distorted their body ideals may have become.

Reports on the tendency of anorexics to remain perfectionists for at least a year after they have recovered. Perfectionism, a personality trait that puts people at risk for developing anorexia nervosa.Now comes word that this perfectionism persists for at least a year after anorexics have recovered--suggesting that perfectionism is not a side effect of anorexia but a personality trait that puts folks at risk for developing the disorder, says Walter Kaye, M.D., a psychiatrist at the University of Pittsburgh.

If perfectionism does precede anorexia, it means that prevention programs may be more effective if they focus their efforts on perfectionistic teens. And for anorexia, in particular, every ounce of prevention is worthwhile, notes Kaye: "It has the highest death rate of any psychiatric disorder."

next: Predicting Premature Termination from Bulimia Treatment
~ eating disorders library
~ all articles on eating disorders

APA Reference
Gluck, S. (2008, December 12). Persistent Perfectionists: The Idea of Perfection Remains Even After Eating Disorders Treatment, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/eating-disorders/articles/persistent-perfectionists-the-idea-of-perfection-remains-even-after-eating-disorders-treatment

Last Updated: September 16, 2017

ADHD Medications: Are ADHD Drugs Addictive?

If your child has been diagnosed with ADHD, is it better to rely on behavioral techniques, natural supplements or ADHD drugs?

Should You Being Giving ADHD Medications To Your Child?

If your child has been diagnosed with ADHD, is it better to rely on behavioral techniques, natural supplements or ADHD drugs?With all the controversy surrounding ADHD medications, it is difficult for a parent to make an informed decision for their child. Some experts claim that ADHD drugs are addictive, while others insist they aren't.

If your child has been diagnosed with ADHD, is it better to rely on behavioral techniques, natural supplements or drugs? While behavioral techniques can be helpful alone or in conjunction with ADHD drugs and some children can improve their symptoms with supplements, in this article, we will focus on the facts about ADHD medications so you can make the most informed decision for your child.

The current ADHD medications are Dexedrine, Adderall, Ritalin, Concerta and Strattera. (Strattera is the newest of the five and is not considered a stimulant because it works in conjunction with the neurotransmitter, dopamine.)

As mentioned before, the big concern of parents is that ADHD medications are addictive. This concern can be addressed by comparing ADHD drugs to illegal stimulants that are known to be addictive. In this case, we will compare Ritalin to Cocaine. The difference between Ritalin and Cocaine is in the way the drugs are metabolized. While Ritalin is metabolized slowly, the effect of Cocaine is almost immediate. To the immediate-gratification pleasure-seeker, this makes all the difference in the world because it is the rapidly diminishing high that causes the addict to crave more drugs. Based on this difference, researchers have concluded that ADHD medications metabolize too slowly to be habit-forming.

Since Ritalin has been used in treatment since the 1940's, we can turn to medical case histories to determine whether long-term use of ADHD drugs leads to addiction later in life. According to these histories, less than 1 percent of those who took ADHD medications became addicted to other substances (illegal or otherwise) as adults. In support of this, at a National Institutes of Health conference, Dr. Wilens reported that kids who take Ritalin to manage ADHD have a 68% lower chance of developing drug problems later on.

On the other side of the debate, mental health professionals and parents argue that if a child becomes accustomed to using ADHD medications to manage his problems, he will turn to legal or street drugs to cope with problems later on.

Perhaps what the research indicates is that there is a difference in addiction rates when dealing with a physical versus a psychic (or emotional) problem. Those who meet the diagnosis criteria for ADHD have a real physical problem--a disorder that is characterized by striking differences in brain development. Perhaps the difference parallels what has long been known about those who suffer from chronic physical pain--such individuals do not become addicted to painkillers. By contrast, those who take drugs to escape emotional pain do develop addictions.

The Center for Disease Control lists ADHD as one of the four major health crises in the United States today. (The crises are in order: anorexia, anxiety, depression and ADHD.) Although it is estimated that 17 million people in the U.S. meet ADHD diagnostic criteria, only one in eight are being treated.

This leads us to ask about the implications of those left untreated. According to statistics, 55% of those with untreated ADHD abuse drugs and alcohol, 35% never finish high school, 19% smoke cigarettes (compared to ten percent of the total population), 50% of prison inmates have ADHD and 43% of untreated hyperactive boys are arrested for a felony by age sixteen. Perhaps the problems associated with coping with ADHD symptoms without assistance become too much to bear.

Although this article was intended to give parents more information about ADHD medications, please do not consider this an endorsement. (I have published a variety of articles that offer natural and behavioral means for managing ADHD symptoms.) The choice to put your child on ADHD drugs should be an informed decision that is made by considering all the research out there, the particulars of your child's situation and consultations with your family, physician and qualified mental health professionals.

About the author: Laura Ramirez has a degree in psychology, is the mother of two young boys and author of the award-winning book, Keepers of the Children: Native American Wisdom and Parenting.

Recommended Reading: The Edison Gene: ADHD and the Gift of the Hunter Child by Thom Hartmann. This book advocates techniques, rather than drugs to help parents teach coping skills and learning strategies to their ADHD child. To find out more, click on the book graphic below.



next: Benefits and Risks of ADHD Medications
~ adhd library articles
~ all add/adhd articles

APA Reference
Staff, H. (2008, December 12). ADHD Medications: Are ADHD Drugs Addictive?, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/adhd/articles/are-adhd-drugs-addictive

Last Updated: February 14, 2016

A Brief Manual of Ways To Overcome Depression

This appendix contains brief descriptions of a variety of methods of intervention in cases of depression, which follow from the theory set forth in the main body of the paper. The appendix is written for vividness in "you" language aimed at the sufferer.

Improving Your Numerator

Appendix for Good Mood: The New Psychology of Overcoming Depression. Additional technical issues of self-comparison analysis.Are you actually in as bad shape as you think you are? If you have an incorrect unflattering picture of some aspects of yourself that you consider important, then your self-comparison ratio will be erroneously negative. That is, if you systematically bias your estimate of yourself in a manner that makes you seem to yourself objectively worse than you really are, then you invite needless negative self-comparisons and depression.

Keep in mind that we are talking about assessments of yourself that can be checked objectively. An example: Samuel G. complained that he was a consistent "loser" at everything he did. His counselor knew that he played ping pong, and asked him whether he usually won or lost at ping pong. Sam said that he usually lost. The counselor asked him to keep a record of the games he played in the following week. The record showed that Sam won a bit more often than he lost. This fact which surprised Sam. With that evidence in hand, he was receptive to the idea that he also was giving himself a short count in other areas of his life, and hence producing fallacious negative self- comparisons and a Rotten Ratio. If you can raise your numerator- - if you can find yourself really to be a better person than you now think you are--you will make your self-comparisons more positive. By so doing you will reduce sadness, increase your good feelings, and fight depression.

Sweetening Your Denominator

When told that life is hard, Voltaire asked," Compared to what?" The denominator is the standard of comparison that you habitually measure yourself against. Whether your self- comparison appears favorable or unfavorable depends as much upon the denominator you use as upon the supposed facts of your own life. Standards of comparison include what you hope to be, what you formerly were, what you think you ought to be, or others to whom you compare yourself.

"Normal" people--that is, people who do not get depressed frequently or for a long time--alter their denominators flexibly. Their procedure is: choose the denominator that will make you feel good about yourself. The psychologically-normal tennis player chooses opponents who provide an even match--strong enough to provide invigorating competition, but sufficiently weak enough so you can often feel successful. The depressive personality, on the other hand, may pick an opponent so strong that he almost always beats you. (A person with another sort of problem picks an opponent who is so weak that he or she provides no exciting competition.)

In the more important of our life situations, however, it is not as easy as in tennis to choose a well-fitting denominator as the standard of comparison. A boy who is physically weak and unathletic relative to his grammar-school classmates is stuck with that fact. So is the child who is slow at learning arithmetic, and the big-boned thick-bodied girl. A death of a spouse or child or parent is another fact which one cannot deal with as flexibly as one can change tennis partners.

Though the denominator that stares you in the face may be a simple fact, you are not chained to it with unbreakable shackles. Misery is not your inexorable fate. People can change schools, start new families, or retrain themselves for occupations that fit them better than the old ones. Others find ways to accept difficult facts as facts, and to alter their thinking so that the unpleasing facts cease causing distress. But some people--people we call "depressives"--do not manage to free themselves from denominators that hag-ride them into depression, or even unto death by suicide or other depression-caused diseases.

artdepap -150 depressi 11-26-9

Why do some people appropriately adjust their denominators while others do not? Some do not change their denominators because they lack experience or imagination or flexibility to consider other relevant possibilities. For example, until he got some professional career advice, Joe T. had never even considered an occupation in which his talent later enabled him to succeed, after failing in his previous occupation.

Other people are stuck with pain-causing denominators because they have somehow acquired the idea that they must meet the standards of those pain-causing denominators. Often this is the legacy of parents who insisted that unless the child would reach certain particular goals--say, a Nobel prize, or becoming a millionaire--the child should consider himself or herself a failure in the parent's eyes. The person may never realize that it is not necessary that she or he accept as valid those goals set by the parents. Instead, the person musturbates, in Ellis's memorable term. Ellis emphasizes the importance of getting rid of such unnecessary and damaging "oughts" as part of his Rational-Emotive variation of cognitive therapy.

Still others believe that attaining certain goals--curing others of illness, or making a lifesaving discovery, or raising several happy children--is a basic value in itself. They believe that one is not free to abandon the goal simply because it causes pain to the person who holds that goal.

Still others think that they ought to have a denominator so challenging that it stretches them to the utmost, and/or keeps them miserable. Just why they think that way is not usually clear to those persons. And if they do come to understand why they think so they usually stop, because it does not seem very sensible to do so.

I'll tell you later about a six step-procedure that can help you change your denominator to a more livable standard of comparison than the one which may now be depressing you.


New Dimensions and Better Ratios

If you can't make the old Mood Ratio rosy or even livable, then consider getting a new one. Folk wisdom is indeed wise in advising us to forcefully direct our attention to the good things in our lives instead of the bad things. Counting one's blessings is the common label for focusing on dimensions that will make us happy: remembering your good health when you lose your money; remembering your wonderful loving children when the job is a failure; remembering your good friends when a false friend betrays you, or when a friend dies; and so on.

Related to counting blessings is refusing to consider aspects of your situation which are beyond your control at the moment in order to avoid letting them distress you. This is commonly called "taking it one day at a time." If you are an alcoholic, you refuse to let yourself be depressed about the pain and difficulty of stopping drinking for the rest of your life, which you feel almost helpless to do. Instead, you focus on not drinking today, which seems a lot easier. If you have had a financial disaster, instead of regretting the past you might think about today's work to begin repairing your fortunes.

Taking it one day at a time does not mean that you fail to plan for tomorrow. It does mean that after you have done whatever planning is possible, you then forget about the potential dangers of the future, and focus on what you can do today. This is the core of such books of folk wisdom as Dale Carnegie's How to Stop Worrying and Start Living. Finding personal comparisons which make your Mood Ratio positive is the way that most people construct an image of themselves which makes them look good. The life strategy of the healthy-minded person is to find a dimension on which he or she performs relatively well, and then to argue to oneself and to others that it is the most important dimension on which to judge a person.

A 1954 popular song by Johnny Mercer and Harold Arlen went like this: "You've got to accentuate the positive...Eliminate the negative...Latch on to the affirmative...Don't mess with Mister In-between." That sums up how most normal people arrange their views of the world and themselves so that they have self-respect. This procedure can be unpleasant to other people, because the person who accentuates his or her own strengths may thereby accentuate what in other people is less positive. And the person often proclaims intolerantly that that dimension is the most important one of all. But this may be the price of self-respect and non-depression for some people. And often you can accentuate your own strengths without being offensive to others.

A more attractive illustration: appreciating your own courage is often an excellent way to shift dimensions. If you have been struggling without much success for years to convince the world that your fish-meal protein is an effective and cheap way of preventing protein-deficiency diseases in poor children (an actual case), you may be greatly saddened if you dwell on the comparison between what you have achieved and what you aspire to achieve. But if you focus instead upon your courage in making this brave fight, even in the face of the lack of success, then you will give yourself an honest and respectable positive comparison and a Mood Ratio which will make you feel happy rather than sad, and which will lead you to esteem yourself well rather than poorly.

Because of childhood experiences or because of their values, depressives tend not to be flexible in choosing dimensions that will make them look good. Yet depressives can successfully shift dimensions if they work at it. In addition to the ways mentioned above, which will be discussed at length in Chapter 14, there is still another -- and very radical -- way to shift dimensions. This is to make a determined effort -- even to demand of yourself -- in the name of some other value, that you shift from a dimension that is causing you grief. This is the core of Values Treatment which was crucial in curing my 13-year depression; more about this shortly.

The Sound of a Numerator Clapping

No self-comparisons, no sadness. No sadness, no depression. So why don't we just get rid of self-comparisons completely?

A practicing Zen Buddhist with an independent income and a grown family can get along without making many self-comparisons. But for those of us who must struggle to achieve our ends in the workaday world, some comparisons between what we and others do are necessary to keep us directed toward achieving these ends. Yet, if we try, we can successfully reduce the number of these comparisons by focusing our minds on other activities instead. We can also help ourselves by judging only our performances relative to the performances of others, rather than judging our very selves -- that is, our whole persons -- to others. Our performances are not the same as our persons.

Work that absorbs your attention is perhaps the most effective device for avoiding self-comparisons. When Einstein was asked how he dealt with the tragedies he suffered, he said something like: "Work, of course. What else is there?"

One of the best qualities of work is that it is usually available. And concentrating upon it requires no special discipline. While one is thinking about the task at hand, one's attention is effectively diverted from comparing oneself to some benchmark standard.

Another way to shut off self-comparisons is to care about other people's welfare, and to spend time helping them. This old-fashioned remedy against depression--altruism--has been the salvation of many.

Meditation is the traditional Oriental method of banishing negative self-comparisons. The essence of meditation is to shift to a special mode of concentrated thinking in which one does not evaluate or compare, but instead simply experiences the outer and inner sensory events as interesting but devoid of emotion. (In a less serious context this approach is called "inner tennis.")

Some Oriental religious practitioners seek the deepest and most continuous meditation in order to banish physical suffering as well as for religious purposes. But the same mechanism can be used while participating in everyday life as an effective weapon against negative self-comparisons and depression. Deep breathing is the first step in such meditation. All by itself, it can relax you and change your mood in the midst of a stream of negative self-comparisons.

We'll go into details later about the pro's and con's and procedures for various methods to avoid self-comparisons.


Getting Hope Back

Negative self-comparisons (neg-comps) by themselves do not make you sad. Instead, you may get angry, or you may mobilize yourself to change your life situation. But a helpless, hopeless attitude along with neg-comps leads to sadness and depression. This has even been shown in rat experiments. Rats that have experienced electric shocks which they cannot avoid later behave with less fight and more depression, with respect to electric shocks that they can avoid, than do rats that did not experience unavoidable shocks. The rats that experienced unavoidable shocks also show chemical changes like those associated with depression in humans.10

It behooves us, then, to consider how to avoid feeling helpless. One obvious answer in some situations is to realize that you are not helpless and you can change your actual state of affairs so that the comparison will be less negative. Sometimes this requires gradual re-learning through a graded series of tasks that show you that you can be successful, eventually leading to success in tasks that at the beginning seemed overwhelmingly difficult to you. This is the rationale of many behavioral-therapy programs that teach people to overcome their fears of elevators, heights, going out in public, and various social situations.

Indeed, the rats mentioned in the paragraph above, which learned to be helpless when given inescapable shocks, were later taught by experimenters to learn that they could escape the later shocks. They showed diminished chemical changes associated with depression after they had "unlearned" their original experiences.

A New Hope: Values Treatment

Let's say that you feel you're at the end of your rope. You believe that your numerator is accurate, and you see no appealing way to change your denominator or your dimensions of comparison. Avoiding all comparisons, or drastically reducing the quantity of them, does not attract you or does not seem feasible to you. You'd prefer not to be treated with anti-depression drugs or shock treatment unless there is absolutely no alternative. Is there any other possibility open to you?

Values Treatment may be able to rescue you from your end-of- the-rope desperation. For people who are less desperate, it may be preferable to other approaches to their depressions. The central element of Values Treatment is discovering within yourself a value or belief that conflicts with being depressed, or conflicts with some other belief (or value) that leads to the negative self-comparisons. That is how Bertrand Russell passed from a sad childhood to happy maturity in this fashion:

Now [after a miserably sad childhood] I enjoy life; I might almost say that with every year that passes I enjoy it more. This is due partly to having discovered what were the things that I most desired, and having gradually acquired many of these things. Partly it is due to having successfully dismissed certain objects of desire-- such as the acquisition of indubitable knowledge about something or other--as essentially unattainable.11

Values Treatment does exactly the opposite of trying to argue away the sadness-causing value. Instead it seeks a more powerful countervailing value to dominate the depression-causing forces. Here is how Values Treatment worked in my case: I discovered that my highest value is for my children to have a decent upbringing. A depressed father makes a terrible model for children. I therefore recognized that for their sake it was necessary to shift my self-comparisons from the occupational dimension that led to so many negative comparisons and sadness, and focus instead on our health and the enjoyment of the day's small delights. And it worked. I also discovered that I have an almost religious value for not wasting a human life in misery when it can possibly be lived in happiness. That value helped, too, working hand in hand with my value that my children not grow up having a depressed father.

The depression-fighting value may be (as it was for me) the direct command that life should be joyful rather than sad. Or it may be a value that leads indirectly to a reduction in sadness, such as my value that my children should have a life-loving parent to imitate.

The discovered value may lead you to accept yourself for what you are, so that you can go on to other aspects of your life. A person with an emotionally-scarred childhood, or a polio patient confined to a wheelchair, may finally accept the situation as fact, cease railing at fate, and decide not to let the handicap dominate. The person may decide to pay attention instead to what he can contribute to others with a joyful spirit, or how he can be a good parent by being happy.

Values Treatment need not always proceed systematically. But a systematic procedure may be helpful to some people, and it makes clear which operations are important in Values Treatment.

next: An Integrated Cognitive Theory of Depression
~ back to Good Mood homepage
~ depression library articles
~ all articles on depression

APA Reference
Staff, H. (2008, December 12). A Brief Manual of Ways To Overcome Depression, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/depression/articles/a-brief-manual-of-ways-to-overcome-depression

Last Updated: June 18, 2016

Natural Alternatives: Defend-OL, Developmental Integration Technique

Defend-OL

Mark sent us the following information about this......

"I am and Independent Business Owner with Rexall. I wanted to inform you of a few products that I have found very helpful with children, especially ADD/ADHD. One of my business partners is a pediatrician and has found these products to be very helpful in about 30% of his patients who then do not need other drugs.

The products are:
Nutri-Kids School Aid - a breakfast nutrient drink mix to improve brain function.
Calmplex 2000 - A homeopathic medicine for stress - helps children focus.
Defend-OL - A homeopathic remedy that has been outstanding for allergies.

I have 4 boys and one had a terrible time in school - just not being able to concentrate. I am thankful that he was not diagnosed with ADD or ADHD, but his grades suffered. After trying the Calmplex 2000 and School Aid, he greatly improved. Even though he does not need it regularly now, on days of tests or upcoming stress, he always asks for Calmplex 2000 as do my other boys.

You can find out more on my webpage when you logon and check out the product catalogue. There are research briefs you can read. www.rexall.com/mgcooke.

Unfortunately these products are only available in the U.S. and Canada, but should be coming to Europe in the next couple of years.

I hope this helps."

Developmental Integration Technique

Nicole wrote to us about Developmental Integration Technique, a few details of these therapy follow from the Developmental Integration Technique Website......
"We bring our children into the world, we love them, send them to school and support them. We expect them to be able to manage. We hope they will do well.

Many of them could do much better if we removed the blocks which limit their abilities. The Developmental Integration Technique is a gentle, non-invasive way of improving their abilities and rewarding their efforts with success. The treatment offered is quite unique and consists of a reflex inhibition programme with the addition of sound therapy and specialised kinesiology. Treatment is individually tailored for each child."

Nicole has just updated us with the following...

"I am delighted to see that you have posted the info about DIT on your web site. I just wanted to let you know that Jack has almost finished his treatment and I am overjoyed at the change in him. The list of improvements is virtually endless and still ongoing. He is just not the hyperactive child he once was. He has calmed down, can sit still, doesn't endlessly fidget, can concentrate long enough to read a book from cover to cover in one sitting, doesn't constantly drive his younger brother to distraction - this was especially bad on car journey which used to be barely tolerable, this weekend we travelled from London to Brighton and back and Jack's behaviour in the back of the car was so different from even 6 month's ago we even found it hard to believe that so much progress could be made in so little time.

If there are people who contact you who would like to know more from a parent's point of view first hand I'd be glad to speak with them as I feel all children with ADHD should have the chance that Jack has had."

You can email Nicole at nicole@mm-and-company.co.uk

Note: Please remember, we do not endorse any treatments and strongly advise you to check with your doctor before using, stopping or changing any treatment.



next: Diagnosing ADHD Takes Time, Insight and Experience
~ back to adders.org homepage
~ adhd library articles
~ all add/adhd articles

APA Reference
Staff, H. (2008, December 12). Natural Alternatives: Defend-OL, Developmental Integration Technique, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/adhd/articles/defend-ol-developmental-integration-technique-for-adhd

Last Updated: February 12, 2016

Cards for Explaining ADHD Child's Behaviour to Others

We have produced a "Hand Out Card" for parents who find they are always having to explain their ADHD child's behaviour to others. These are business card size and a picture of one is shown below.

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Time Out Cards

 In consultation with some of our forum members, I have produced some Time Out Cards which are intended to be used in partnership with your ADHD child's school. The idea is that the teacher agrees with the parents that if your child is finding things difficult to cope with and feels they need a bit of "Time Out" to enable them to regain their focus and attention, the Time Out Card is placed on the Teachers Desk and the child is given an agreed time in which they can be by themselves to calm down before re-joining the rest of the class and getting on with their work. Obviously the parents and school will need to work together to agree how and when these can be used before the child starts to use them. It has also been suggested that some children find these useful to have in the playground, so they can be handed to the teacher on duty if the child feels they need to take themselves off into a quite area for a while. These have been formatted to be printed at roughly a business card size. Each one is personalised with your child's name - example pictures are below. Please note that the colours and designs may vary slightly from the ones below.


Style 1 (Front - Back)

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Style 2

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To obtain these cards directly from us, click here for information.


 


 

APA Reference
Staff, H. (2008, December 12). Cards for Explaining ADHD Child's Behaviour to Others, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/adhd/articles/cards-for-explaining-adhd-childs-behaviour-to-others

Last Updated: May 6, 2019

Appealing Exclusion From School

Procedure for appealing student's exclusion from school in the UK.

1. How can I appeal?

You must appeal in writing to an independent appeal panel, setting out the grounds on which your appeal is made. Please complete the appeal form EXC/02 sent to you with this booklet and send it, together with any other relevant documents, to:

The Chief Clerk to the Appeal Panels, Conciliation and Appeals Unit (CAU), County Hall. Or the address which will be in your letter from the school advising you of the exclusion.

We must receive your EXC/02 form and your written grounds for appeal within 15 school days from the date that you receive the letter telling you of your child's exclusion. The letter will be from the School Discipline Committee and will tell you the latest date for the Chief Clerk to receive your completed form. We will then set up a hearing for you with an independent panel of three people.

You will lose your right to put your case to an independent appeal panel if:

  • your appeal is not received within 15 days
  • you inform the Local Education Authority in writing that you do not wish to appeal

2. How will I know about my right of appeal?

When the school Governing Body's Discipline Committee decided not to reinstate your child they should have sent you a letter. The clerk of the Committee should have informed you of your right to appeal against their decision within one school day of their hearing at the school. The letter should have explained:

  • the reasons for their decision
  • your right to appeal to an independent appeal panel, and the date by which your appeal must be
  • received by the Chief Clerk
  • the address of the Chief Clerk to the Appeal Panel who you have to send your appeal to
  • it is a requirement that your appeal set out your grounds (reasons) for appealing

You can appeal to the appeal panel even if you did not put your case to the Discipline Committee.

Student Services, on behalf of the LEA, should have written to you within 3 working days of the Discipline Committee meeting. This letter will also tell you the last date for your appeal to be received. No appeal can be accepted after this date.

3. What are school exclusion appeal panels?

These are independent panels set up by the Conciliation and Appeals Unit (CAU) on behalf of the Local Education Authority (LEA) to consider appeals from parents and carers.

Your appeal will be against the decision of the school Governing Body's Discipline Committee. They will have decided to uphold the headteacher's decision to exclude your child permanently from school.

4. How do I decide whether I have grounds (reasons) for appeal?

You have grounds for appeal if:

  • you do not believe your child did what he or she is accused of doing
  • you do not believe the school has acted reasonably by excluding your child permanently from school for what he/she is accused of doing

To help you decide whether you feel you have grounds for appealing against your child's permanent exclusion from school you may find it helpful to know what guidance has been given to schools about exclusions. The Department for Education and Skills (DfES) has issued the following guidance to schools. Schools must have regard to this guidance, which is included in the revision of circular 10/99 issued in January 2003.

1. Introduction

1. A decision to exclude a pupil should be taken only:

  • in response to serious breaches of the school's behaviour policy; and
  • allowing the pupil to remain in school would seriously harm the education or welfare of the pupil or others in the school.

2. Only the headteacher or teacher in charge of a PRU - ESC in Hertfordshire (or, in the absence of the headteacher or teacher in charge, the most senior teacher who is acting in that role) can exclude a pupil.

3. A decision to exclude a child permanently is a serious one. It will usually be the final step in a process for dealing with disciplinary offences following a wide range of other strategies, which have been tried without success. It is an acknowledgement by the school that it has exhausted all available strategies for dealing with the child and should normally be used as a last resort.

4. There will however be exceptional circumstances where, in the headteacher's judgement, it is appropriate permanently to exclude a child for a first or 'one off' offence. These might include:

  • serious actual or threatened violence against another pupil or a member of staff
  • sexual abuse or assault
  • supplying an illegal drug
  • carrying an offensive weapon

Schools should also consider whether or not to inform the police where such a criminal offence has taken place. They should also consider whether or not to inform other agencies, eg Youth Offending Team, social workers, etc.

5. These instances are not exhaustive, but indicate the severity of such offences and the fact that such behaviour can affect the discipline and well-being of the school community.




6. In cases where a headteacher has permanently excluded a pupil for:

  • one of the above offences, or
  • persistent and defiant misbehaviour, including bullying (which includes racist or homophobic bullying), or repeated possession and/or use of an illegal drug on school premises

The Secretary of State would not normally expect the governors' Discipline Committee or an Independent Appeal Panel to reinstate the pupil.

2. Drug-related exclusions

1. In making a decision on whether or not to exclude for a drug-related offence the headteacher should have regard to the school's published policy on drugs and should consult the school's drugs coordinator. But the decision will also depend on the precise circumstances of the case and the evidence available. In some cases fixed- period exclusion will be more appropriate than permanent exclusion. In more serious cases, an assessment of the incident should be made against criteria set out in the school's policy. This should be a key factor in determining whether permanent exclusion is an appropriate course of action.

2. Schools should develop a policy that covers not only illegal drugs but also legal drugs - volatile substances (those giving off gas or vapour which can be inhaled), and over the counter and prescription medicines - which may be being misused by pupils. This might say for example that no drug should be brought in to school without the school's knowledge and approval. Where legal drugs are concerned, again an assessment of the seriousness of the incident is necessary before deciding what action to take.

3. Factors to consider before making a decision to exclude

1. Exclusion should not be imposed in the heat of the moment, unless there is an immediate threat to the safety of others in the school or the pupil concerned. Before deciding whether to exclude a pupil, either permanently or for a fixed period, the headteacher should:

  • ensure that an appropriate investigation has been carried out
  • consider all the evidence available to support the allegations, taking account of the school's behaviour and equal opportunities policies, and, where applicable, the Race Relations Act 1976 as amended and the Disability Discrimination Act 1995 as amended.
  • allow the pupil to give his or her version of events
  • check whether the incident may have been provoked, for example by bullying or by racial or sexual harassment
  • if necessary consult others, but not anyone who may later have a role in reviewing the headteacher's decision, for example a member of the governors' Discipline Committee.

2. If satisfied that, on the balance of probabilities, the pupil did what he or she is alleged to have done, the headteacher may exclude the pupil.

3. Where a police investigation leading to possible criminal proceedings has been initiated, the evidence available may be very limited. However, it should still be possible for the headteacher to make a judgement on whether to exclude the pupil.

4. Alternatives to exclusion

1. Exclusion should not be used if there are possible alternative solutions available. Examples of alternatives to exclusion schools may want to try include:

  • using a restorative justice process, which enables an offender to redress the harm that has been done to a ''victim'' and enables all sides with a stake in the outcome to participate fully in the process. This has been used successfully to resolve situations that could otherwise lead to exclusion.
  • internal exclusion (also known as internal seclusion), which can be used to diffuse situations that occur in school that require a pupil to be removed from class but may not require exclusion from the school premises. The exclusion could be to a designated area within the school, with appropriate support, or to another class on a temporary basis, and may continue during break periods
  • a managed move: if a school feels that it can no longer manage the behaviour of a particular pupil, the school may ask another school to take over his or her education. This should only be done with the full knowledge and co-operation of all parties involved, including the parents and the LEA, and in circumstances where it is in the best interests of the pupil concerned. Parents should never be pressured into removing their child from school under threat of permanent exclusion, nor should pupils be deleted from the school roll to encourage them to find another school place. Section 9 of the Education (Pupil Registration) Regulations 1995 details the only lawful grounds for deleting a pupil's name from the school roll.

5. When exclusion is not appropriate

1. Exclusion should not be used for:

  • minor incidents such a failure to do homework or to bring dinner money
  • poor academic performance
  • lateness or truancy
  • pregnancy
  • breaches of school uniform rules or rules on appearance (including jewellery and hairstyle), except where these are persistent and in open defiance of such rules
  • punishing pupils for the behaviour of their parents, for example where parents refuse or are unable to attend a meeting



6. Who will consider my appeal?

We will set up the independent appeal panel of 3 people. They will be:

  • a lay member (someone who has not worked in school in a paid capacity, although they may be a governor or a volunteer) - they will be the chair of the panel
  • a governor of a maintained school (either currently serving or having served at least 12 months in the last 6 years, but not a teacher or headteacher)
  • a headteacher of a maintained school or ESC (either currently serving, or having served within the last 5 years).

The appeal panel is independent and must be fair to both sides. A person will not be allowed to be on the panel if they are:

  • a member of the LEA or the Governing Body of the excluding school
  • an employee of the LEA or the Governing Body (unless they are employed as a headteacher in another school or ESC)
  • someone who has, or who has had, a connection with an interested party (which might raise doubts about whether they can act fairly)
  • the headteacher of the excluding school (or if they have been the headteacher in the last 5 years)

7. When will my appeal hearing take place?

The appeal panel must meet to consider your appeal no later than the 15th school day after the day on which your appeal was lodged.

8. What arrangements will be made in advance of the hearing?

The Appeals Section of CAU will write to you regarding the time, date and venue for your appeal hearing, which will be held in private.

Appeal hearings will always take place during the school day, normally starting at 10.00 a.m. Occasionally they may last all day and into the evening.

If you have any matters to raise or documents you wish to produce for the hearing, which were not included with your notice of appeal, you are asked to submit them to the Chief Clerk no later than 6 working days prior to your hearing.

You, the school, and the LEA representative will be sent written evidence 5 working days before the hearing. This will include the statement of decision by the Discipline Committee, your appeal form, your grounds for appeal and any other written evidence you send us. It will also include any written representation from the headteacher, Governing Body and LEA.

You will be sent details of all those attending the appeal panel hearing and their role. You will also be sent an Order of Proceedings (a running order) for the hearing.

9. What will happen at the appeal hearing?

Your hearing will be held in private and will be reasonably informal so that all sides can present their case effectively.

The appeal panel will conduct the hearing, and a clerk will be on hand to provide independent advice on procedure for all parties. The clerk will also keep a record of the proceedings, who attended, and any decisions made. The clerk will also ensure that no side is alone with the appeal panel without the other sides also being present.

At the start of the hearing the chair of the panel will outline the procedure to be followed, and explain that the panel is independent from both the school and the LEA. The panel will closely follow current legislation and DfES guidance in both the way it conducts itself and the decision it makes.

Following introductions by the chair of the panel, the clerk will explain the order in which the sides can state their case. After each presentation the chair of the panel will take the lead in establishing the facts. The other sides will then have the opportunity to ask questions, followed by panel members, who may want to clarify an issue or ask for more information.

Generally the order of proceedings will be as follows:

  1. The school's case
  2. Questioning of the school's case (by the parent, LEA representative and panel)
  3. The parental case
  4. Questioning of the parent's case (by the school, LEA representative and panel)
  5. The LEA's case
  6. Questioning of the LEA's case (by the school, parent and panel)
  7. Summary of case - school
  8. Summary of case - parent



10. Who will normally attend the hearing?

The following are allowed to attend a hearing and present their case verbally:

  • you as parent or carer (or the excluded pupil, if over 18)
  • a legal or other representative acting on your behalf
  • the headteacher of the excluding school
  • a nominated governor
  • a legal or other representative of the school's Governing Body
  • a nominated Local Education Authority officer
    (The headteacher, Governing Body, and LEA may also make written representations.)

You are entitled to bring more than one friend or representative, but you will need to inform the Chief Clerk no later than 5 working days prior to the hearing. The panel will want to consider a reasonable limit on the numbers attending.

11. Can my child attend the hearing?

Yes - an excluded pupil under the age of 18 will normally be allowed to attend the hearing and speak on his or her behalf, if he or she wishes and you agree. However, the panel cannot compel your child (or other witnesses) to attend.

12. Can any alleged victim of my child's alleged behaviour attend the hearing?

Yes - if the victim of your child's alleged behaviour wishes to attend, then he or she will be given the opportunity to be given a voice at the hearing, in person, through a representative, or by a written statement.

13. How will the panel consider the evidence and any witness statements?

Physical evidence: if the school's case rests largely or solely on physical evidence, and if the facts are in dispute, the school should keep the physical evidence, if possible, and make it available to the panel. If there are difficulties keeping any physical evidence, photographs or signed witness statements will be acceptable to the panel.

New evidence: all sides may put forward new evidence about the incident that led to the exclusion, including evidence that was not available to the headteacher or the Discipline Committee. However, the school may not introduce new reasons for the exclusion.

Witness statements: to help them reach a decision, the panel will usually need to hear from those involved, either directly or indirectly. The governing body may wish to call witnesses who saw the incident, and these may include any alleged victims or any teacher (other than the headteacher) who investigated the incident and interviewed pupils.

Written statements: in the case of witnesses who are pupils of the school it may be more appropriate for the panel to be presented with written statements. Pupils may only appear as witnesses if they do so voluntarily and with their parent's consent. Panels will be sensitive to the needs of child witnesses and will make sure that the child's view is properly heard.

Anonymity: all witness statements must be named and signed, unless the school has good reason to want to protect the anonymity of pupils. The general principle remains that your child, as the accused person, is entitled to know the substance and source of the accusation. The panel will consider what weight to attach to written statements, whether made by adults or pupils, as against oral evidence.

How long will witnesses stay? It is for the panel to decide whether any witnesses should stay for the whole of the hearing.

14. How will the appeal panel consider appeals where there is police involvement or criminal proceedings taking place?

Where there is police involvement, or criminal proceedings are taking place, the appeal panel must decide:

  • whether to proceed to hear the appeal, or
  • whether to adjourn (postpone) the hearing pending the outcome of any police investigation and/or any criminal proceedings that may be brought

In order to help them decide on this the panel will consider:

  • whether it would be helpful to know what charge, if any, is to be brought against your child
  • whether relevant witnesses and documents are available
  • the likelihood of delay if the hearing were to be adjourned
  • the effect any delay might have on any complainant, the excluded pupil or the school
  • whether an adjournment or a decision to proceed might result in injustice.

If the panel do decide to adjourn, the clerk will ensure that the panel meets again at the earliest opportunity. If the panel reconvenes following any criminal proceedings, it will take regard of any relevant information about the outcome of those proceedings.

The panel will be aware that both the police and the courts apply the criminal standard of proof known as 'beyond reasonable doubt'. However, the headteacher, Discipline Committee and Independent Appeal Panel will apply the civil standard of proof known as 'balance of probabilities'. The DfES does not consider that the case law imposes a higher standard of proof on schools than the simple balance of probabilities.

If a pupil has been acquitted of any charge relating to the conduct for which he or she was excluded, such an acquittal might be because of a legal technicality, or the stricter standard of proof required by a criminal court. The panel may still conclude that the pupil did do what he or she is alleged to have done.




15. How will the appeal panel reach its decision?

The appeal panel will decide if:

on the balance of probabilities your child did what he or she is alleged to have done (if more than one incident of misconduct is alleged, the panel will need to decide in relation to each one)
considering all relevant factors, permanent exclusion is a reasonable response by the school to that conduct

The appeal panel will then consider the basis of the headteacher's decision and the procedures followed, having regard to the following:

  • whether the headteacher and Discipline Committee complied with the law and had regard to the Secretary of State's guidance on exclusion when they excluded the pupil and directed that he or she should not be reinstated
  • whether there was evidence that the process was so flawed that important factors were not considered or justice was clearly not done
  • the school's published behaviour policy, equal opportunities policy, and (if appropriate) anti-bullying policy, special education needs policy and race equality policy
    the fairness of the exclusion in relation to the treatment of any other pupils involved in the same incident

Once the panel has satisfied itself on the above matters it will consider whether, in their opinion, permanent exclusion was a reasonable response to your child's behaviour. If they conclude it was not a reasonable response, they will then go on to consider whether this is an exceptional case where reinstatement is not a practical way forward.

In deciding whether or not to endorse the exclusion decision and whether or not to direct reinstatement, the panel must balance the interests of the excluded pupil against the interest of all other members of the school community.

Racial discrimination: if you are claiming that there has been racial discrimination, the appeal panel will consider whether there has been discrimination in relation to the Race Relations Act.

Disability discrimination: if you are claiming that there has been disability discrimination, the appeal panel will consider whether your child is disabled and whether there has been discrimination within the meaning of the Disability Discrimination Act. Appeal panels will consider the Disability Rights Commission's Schools Code of Practice which provides guidance on the Disability Discrimination Act.

Exceptional circumstances: there may also be exceptional cases where the panel considers that your child's permanent exclusion should not have taken place, but that reinstatement in the excluding school is not a practical way forward in the best interests of all concerned. Examples of this would be:

if you have made it clear that you do not want your child to return to school
if your child has become too old to return to school
where there has been an irretrievable breakdown in relations between your child and teachers, between you and the school, or between your child and other pupils involved in the exclusion or appeal process

Balancing the interests of your child and the whole school community may suggest that reinstatement would not be a sensible outcome. In considering whether such exceptional circumstances exist the panel should consider representations from the governors, the headteacher and from the parent (or pupil if 18 or over).

16. What can the appeal panel decide?

The appeal panel may:

  • decide to uphold the school's decision to exclude your child
  • decide to uphold your appeal and direct your child's immediate reinstatement
  • decide to uphold your appeal and direct reinstatement at some future date (which must be reasonable under the circumstances)
  • decide that there are exceptional circumstances or other reasons which make it impractical to direct your child's reinstatement but that otherwise it would have been appropriate

In any case where the panel decides that reinstatement would have been justified but is not practical, the reasons and circumstances leading to that decision will be set out in the decision letter. This letter should be added to the pupil's school record.

17. What happens after the hearing?

The appeal panel members will decide on your appeal on their own following your appeal hearing. Only the clerk will remain with the panel to advise on points of law and to record their decision (but the clerk plays no part in the decision itself).

You will be informed of the appeal panel's decision by the end of the 2nd working day after your hearing. The letter will include the reasons for the panel's decision.

The decision of the panel is final.




18. What if I have a complaint about the outcome of my appeal hearing?

If you have any queries about your hearing, or the letter from the Chief Clerk informing you of the panel's decision, please contact the Chief Clerk at the address shown on page 13. However, it is not possible for the Chief Clerk or the County Council to change the decision of an independent panel.

You cannot complain simply because your appeal has been unsuccessful. However, if you feel that you were not given a fair hearing, or that procedures were incorrectly followed, you could complain to the Local Government Ombudsman about maladministration by the appeal panel at the address below.

The Ombudsman can only make recommendations if he or she finds there has been maladministration on the part of the panel. Where the Ombudsman finds that there was maladministration he or she might recommend a fresh hearing (if this were practical) and the LEA would normally be expected to comply.

19. What if I feel the decision of the appeal panel was wrong in law?

If either you or the Governing Body consider that the panel's decision is perverse, you may apply for a judicial review. This must be done promptly and no later than three months from the date of the decision.

If a judicial review were granted, the court would consider the lawfulness of the panel's decision. If it found the panel's decision to be unlawful or unreasonable (in the narrow legal sense of 'unreasonable' i.e. irrational or perverse), the court could quash the decision and direct the LEA to hold a fresh appeal hearing before a newly constituted panel.

20. What if I want advice which is entirely independent of the County Council?

The Conciliation and Appeals Unit (CAU) is a unit within the Children, Schools & Families (CSF) department which operates entirely independently from any other service within CSF. It is separate and independent from the LEA's school admission service. It does not therefore become involved in the allocation of school places or in providing advice to schools on exclusion procedures. We seek to provide impartial advice to parents on the statutory appeal process.

If you would like to speak to someone who can help you but works entirely outside the County Council you could contact the Advisory Centre for Education (ACE) at the address below.

21. Further information: useful addresses

Advisory Centre for Education (ACE), 1c Aberdeen Studios, 22 Highbury Grove, London, N5 2DQ
Helpline for exclusions Tel: 0808 8000327 (Freephone)

Local Government Ombudsman, Millbank Tower, Millbank, London SW1P 4QP
Tel: 020 7217 4620, Fax: 020 7217 4621


 

 

 

APA Reference
Staff, H. (2008, December 12). Appealing Exclusion From School, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/adhd/articles/appealing-exclusion-from-school

Last Updated: May 6, 2019

A Lesson in Change that Changed My Life

Alan Adla on how after a big change in your life, you don't take things for granted anymore.

I was in an ambulance, bumping down a mountain road for an hour-and-a-half. Someone on a gurney was moaning at the top of his voice. It was me.

I was gripped by something that comes upon us from time-to-time, whether we like it or not: change. It wasn't something I felt I really needed.

I was aware of being tripped up by change for the first time when I was seven years old. One day I was playing with my friends and the next I was in bed with a case of polio. I got over that, but a year later, my dog died from eating leftover Chinese food and I got introduced to the biggest change there is. I suddenly realized that death is permanent. It won't go away; nothing you do can bring your dog back.

Then in my teens, I chose a profession that has change at its very core; I became an actor. People in other lines of work sometimes don't change jobs until years have gone by. Actors change them every few weeks. M*A*S*H, of course, went on for eleven years, but that was an oasis that only made a desert of change seem even hotter. Every new job is another set of challenges, with new skills to master, or fail at in a public way. And every few years the kind of part you were once right for is only right for the generation behind you.

You'd think after forty years or so of a life like this that I'd be used to change. But it still could surprise me when it made its blunt and unforgiving entrance. I suddenly had to leave the familiar place I was in and go into the unknown. I did know that if I didn't accept change I couldn't grow, I couldn't learn. I couldn't make progress at anything unless I was willing to go through this dark tunnel of uncertainty. So I went through it, but usually I went through it warily, sometimes even a little suspiciously.

It took a lesson on top of a mountain in Chile to make me accept change in a way I never had before. I think I even began to like it.


continue story below

I was in an observatory, in in a remote part of Chile, interviewing astronomers for a science program called Scientific American Frontiers. The show often called for me to do dangerous things in far-off places, and I was always a reluctant adventurer because I'm a cautious person. This wasn't dangerous; it was just talk, but suddenly something inside me literally started to die. My intestine had become crimped and its blood supply was choked off. Every few minutes more and more of it was going bad, and within a few hours, so would the rest of me.

The astronomers brought me down the mountain and hustled me to the closest town; not a very big one, but amazingly, there was a surgeon there who was expert in intestinal surgery. I had only a few hours. There was no chance to fly to a larger city.

It's not just that I'm cautious; I usually practice a form of caution almost indistinguishable from cowardice. And yet I wasn't frightened. It happened too quickly for fear to set in. Knowing I might not wake up from the surgery, I dictated a few words to my wife and children and grandchildren. And then I went under.

I woke up a few hours later with a deep understanding that this surgeon had given me my life. I was grateful to him in a way I had never been grateful to anyone before; I was grateful to the nurses and to the painkillers; I was grateful to the soft Chilean cheese they gave me to break my fast. The first bite of that bland cheese, because it was the first taste of food I had in my new life, was gloriously complex and delicious. Everything about life tasted good to me now. Everything was new and bright and shining.

I hadn't asked for this change and I certainly wouldn't have picked it if I had a choice, but it actually transformed and excited me.

When I got home, I saw that I was paying more attention to things. The way the cheese tasted when they finally let me eat again became the taste of life for me. And I began doing more of the things I care about and caring more about whatever things I did. It didn't matter if what I was doing was an official, important enterprise -- or a game on a computer screen. I gave it my attention. My sense of taste for everything had been heightened.

It's only been two years since that night in Chile. Maybe this will all go away, and maybe I'll take life more for granted again. But I hope not. I like the way it tastes.

Copyright © 2005 Alan Alda


About the author: Alan Alda played Hawkeye Pierce in the television series M*A*S*H and has acted in, written, and directed many feature films. He has starred often on Broadway and his avid interest in science has led to his hosting PBS's Scientific American Frontiers for eleven years. He was nominated for an Academy Award in 2005 and is the only person to win Emmy awards for acting, writing, and directing. He is married to children's book author/photographer Arlene Alda. They have three grown children and live in New York.

For more information, please visit www.alanaldabook.com.

next:Articles: Radical Common Sense

APA Reference
Staff, H. (2008, December 12). A Lesson in Change that Changed My Life, HealthyPlace. Retrieved on 2024, October 5 from https://www.healthyplace.com/alternative-mental-health/sageplace/a-lesson-in-change-that-changed-my-life

Last Updated: July 17, 2014