by Cathy Glass
Because of my classroom experience and my research, I had evolved therapeutic techniques which varied a little from those of my colleagues at the clinic. I preferred to see the more seriously disturbed children daily over a shorter period of time, rather than once a week over many months or years. Also I often went to the child instead of having him come to the clinic, so that we could work in the troubled environment. In the initial sessions, I was very definite about setting up expectations for the child. From the beginning we both knew why I was there and what things we needed to accomplish together. On the other hand, the sessions themselves tended to be casual, unstructured affairs. This approach worked well for me and I was comfortable with it.
My research had yielded a reliable method for treating elective mutes. I set up the expectation that the child would speak, gave him the opportunity to do so and assumed he would. However, I was not sure what I could do for Kevin-under-the-table. While the technique had always worked before, I was concerned about its applicability to him. The most critical question, I thought, as I hung up from talking with the social worker, was whether or not Kevin was an elective mute. Had he ever really talked? To a worried or wishful parent, so many noises could sound like words. By my calculations, he would have been a very young child when anyone last actually heard him speak, and then it had only been his immediate family. Could a five-year-old sister be a trusted judge of speech? Could a mother assess the quality of her preschool son’s words, if she only occasionally heard him talk at home? And there was no evidence at all that anyone who might be considered a reliable judge of normal speech had ever heard him. Kevin wasn’t deaf; that had been checked repeatedly by the various institutions he had been in. He could gesture his basic needs but he did not know true sign language. Someone had tried to teach him at Garson Gayer, but a suspected very low IQ was cited when he didn’t learn. For all intents and purposes, Kevin was noncommunicative. Whether his silence was the result of choice or of circumstances or of disturbance or of some organic occurrence in the brain, no one knew.
So what could I do with him? How could I find out?
That first day in the therapy room had been vaguely reassuring to me. Despite his bizarre behaviors, he was aware enough of his environment to do something as canny as count the people leaving the room behind the mirror. That wasn’t a stupid boy’s actions, whatever his reported IQ. And yet he had let me in on the secret. When the others had left, he stopped rocking and responded to me.
Another thing I knew he could do was read. In fact, according to Kevin’s written schoolwork, he read startlingly well for a boy educated in institutions as if mentally retarded. He could comprehend a written text at a seventh-grade level.
Armed with these scanty bits of information, I decided to plow my way right in, assume he could talk and try to get him to. I settled on a tactic that had worked with other elective mutes: I’d have him read aloud to me from the book we’d started in the mirrored therapy room.
The next morning I returned to Garson Gayer. Gratefully, I accepted an alternative room down near the ward rather than go back to the room with the one-way mirror. The other therapists needed that room, Miss Wendolowski said, and I was quite glad not to have it. Kevin and I did not need the worry of ghosts along with everything else.
The room we got was a bare little affair. It was small. I could pace it in four steps either direction. The only furniture consisted of a table, two chairs and a bookcase with no books in it. There was a vomit-green carpet, the kind that wears like Astroturf. One wall was half windows, a nice feature. A broad radiator ran along the length below the windows and uttered a small reptilian sound. All other walls were bare and painted white, a not-quite-white white, gloss two-thirds of the way up for washability and the rest flat paint. That was an institutional painting habit and I hated it. I always felt as if I were in a discreet cage and, when a teacher, I’d felt obliged to hang the kids’ work up there on the flat part and get it mucky, just for the freedom of it. Here there were no pictures on the walls at all, no posters, nothing, save a black-and-white clock that audibly breathed the minutes. And the pale golden September sunshine.
I arrived before Kevin that morning. An aide escorted me down and then left to fetch him. I stood alone in the small room and waited. Beyond the windows I could see a little girl outside in the courtyard. She looked to be about eight or nine and was confined to a wheelchair. Her movements were spastic and her head lolled to one side. I could hear her crying for someone named Winnie. Over and over again she wailed, her voice high-pitched and keening. It was a lonely sound that made my skin crawl.
The door opened and the aide pushed Kevin in. Then, without entering himself, the aide asked me when we’d be through. Thirty minutes, I replied. He nodded, jangled his keys a moment and seemed ready to say something else. But he didn’t. Instead he closed the door and I heard the key turn in the lock. That startled me. I had no key of my own to let us out and I hadn’t expected to be locked in. A small twinge of panic pinched my stomach and I had to take a deep breath before I could accept the fact and turn to face Kevin.
He stood paralyzed with fear. His eyes darted frantically around the room. I was between him and the table and I could see him weighing the danger of passing me to get to safety.
He was a tall youth. It was the first time I’d had a real look at him, and he was a big boy, nearly a man, although an aura of youngness clung to him. He was at least as tall as I was, but thin and frail looking, like a winter cornstalk. Brown hair fell lank over his forehead. Adolescence had ravaged his skin, leaving him with lumpy features and cheeks smothered in acne. Thick-lensed glasses slid down his nose, in spite of a black elastic strap to keep them in place. His eyes were gray and lifeless as a city puddle. He wore church-box clothes, a hopelessly too-small red-checked flannel shirt and gabardine trousers that barely covered the tops of his socks. He looked more like a cartoonist’s caricature of a boy than a real person.
God, he was ugly.
A moment of hopelessness washed over me as I looked at him. Stepping aside, I allowed room for him to pass. Relief flooded his features and he dived past me and under the table.
The chairs went up, seats facing outward, backs tight against the table. I stood watching while he fashioned his cage. He was not shutting me out. He smiled pleasantly at me and gestured in a friendly manner, and I knew it was not me that he felt so compelled to protect himself from. The disquieting fact was that there was no one else in the room, nothing but the walls and the pale sunlight.
I pondered how to work with him, whether to sit on the floor outside the makeshift barricade, as I had in the mirrored therapy room, or whether to join him under the table. After another moment of indecision, I dropped down on my hands and knees and crawled under the table too. He welcomed me with a pleased smile, moved over to make room, of which there wasn’t much, until we both sat hunched together like gnomes in the semidarkness.
We were only inches from one another. He smelled rather gamey at that distance, and so I just sat for a few minutes, accustoming myself to the lack of light and the cramped space and the odor. Kevin began to rock slightly, his arms clasped tight around his knees, his chin resting atop. He stared at me without wavering.
Well, now what? I really was feeling awfully pessimistic at just that moment. Leaning out, I pulled my box of materials into the cage with us. Taking off the lid, I searched through it for the book we had been reading.
It’s scary, I said to Kevin as I dug through the junk in the box, to start talking when one has been silent so long. But the easiest way to start is to jump right in.
There were other kids, I said, whom I had worked with, who hadn’t been speaking either. I told Kevin about them, of how they had felt before they’d started talking again, of how scary it was the first time and how sure they’d all been that they couldn’t do it. But they could. Every single child had been able to talk in the end, I said, and nothing bad had happened to any of them for it. There was no
thing to be frightened of. They all were, because that was the way it felt in the beginning, but there actually was nothing to fear in the end. It was just a feeling.
I spoke in a slow, easy voice, letting it reek with confidence. I lounged back to the extent one could lounge back while sitting under a table with a large fifteen-year-old, so that he could see how relaxed I was, how certain I was of success.
Opening the book, I feigned great interest in it, looking at all the illustrations and I kept talking, oozing self-assurance like a car salesman. Then I laid the book on the carpet. What we’re going to do, I said to him, is have you read to me. Let’s start here.
Kevin looked at me in alarm.
‘Right here, I think,’ I said. ‘I read those chapters yesterday, so we’ll have you start right here. Chapter Seven: The Tide Goes Out.’
Kevin grabbed my arm and shook his head violently. His eyes were dilated wide with horror.
‘Yes, I know. It’s not something you’re used to doing. But that’s okay. Nothing will happen. And everybody’s a little afraid when they first get started. That’s natural.’ I tried to sound very casual, as if this were a most usual thing. Kevin, however, knew it to be highly unusual. He had the look of a frightened horse, that wild, whites-of-the-eyes expression, with his head turned to one side.
Smoothing the pages out, I pointed to the first word.‘We’ll start with just this one word, okay? Forget the rest of them. Just look at this one. What is it?’
He rocked a little harder and the table shuddered.
‘Here, look at it. This one word. Give it a try.’
Kevin regarded the page. He still had his frightened-horse look. Bringing a hand up, he rubbed his forehead and then pulled his palm down across his face, dragging it out of shape. Then tentatively, he put one finger under the first word.
Seconds passed.
‘What is that word? Look at it. What is it?’
Kevin took a deep breath.
‘The first word is always the hardest one. After that, it’s a cinch. You’ll see.’
He started to rock again. I could hear his breath coming shallowly, the fear rattling up through his throat.
‘Only that first word. That word. How does it start? Come on. Get that word.’
Kevin was taking me seriously. He was going to try. Bringing his other hand down, he ran it along the perimeter of the book, then stopped it to steady the page. Cautiously, as if the book might leap up and nip him, he bent over it until he was hunched almost double. In the gloom under the table, that movement obscured what little light we did have on the page.
He took another deep breath. All the while I kept urging, kept talking to keep the silence at bay. I didn’t want him to hear the silence and know it was stronger than I was.
A third big breath, shakier this time. He lifted his hand and wiped the sweat off on his shirt front. A wet stain had been left where his finger was on the page. Frantically he tried to erase it, and when he couldn’t, he glanced over at me to see what my reaction was. Then he put his hand back over it to cover it.
He needed another minute to rock. It was not easy to do in his hunched position and the whole table shook.
‘Let’s go. Let’s have a try.’
He opened his mouth. No sound, not even a breath. Seconds drew into minutes. He closed his mouth again.
My constant patter continued. Come on, come on, come on. Let’s go. Let’s try.
Again Kevin began taking breaths in preparation. His mouth opened and closed like a fish’s as he would get ready to try and then lose courage. He started to tap the word with a finger, and that small steady, penetrating sound soon filled up the space around us.
‘Have a go. Come on, Kev, you can do it. I know you can. This is just the way it happens, give it a try.’
A funny noise joined the cacophony of taps and tries. Kevin’s teeth were chattering. At first I had to sit back a little to identify the sound, and that made him look over at me. I could see them chatter. I smiled. Kevin lurched back over the book again with determination. He had begun to believe me. He was going to get that word.
Sweat beaded on his upper lip. His hands shook. Big, dark circles dampened his shirt under his arms and down the center of his back, and the smell was incredible. Still he opened and closed his mouth in abortive tries. He made big, wide circles with it, as if trying to stretch it into working order.
Minute after minute after minute was filled with his grimaces and with my nonstop patter until I felt like we were caught in a time vortex. Kevin undoubtedly thought we were caught in hell. The cords of his neck were taut. Veins stood out at his temples. His face was crimson.
I could hear the mechanical respirations of the black-and-white clock on the wall. Leaning out from under the table, I looked up at it. Twenty-three minutes had passed.
The aide would be returning soon. In an attempt to startle Kevin out of this nonproductive cycle he’d gotten trapped in, I whacked the floor with the flat of my hand. Often enough that worked with other children and we would leap right over the first word. But not this time. Startled, Kevin only bumped his head on the underside of the tabletop. Rubbing it tenderly, he bent forward and attacked the word anew. He brought a hand to his mouth and tried to force his lips into the shape of the word. The word was ‘every’ and soon it required both hands to stretch his lips back into the shape of an e. Sweat dropped from his face down onto the page. The ever-present sound of his teeth chattering echoed in our enclosure.
I slid back out from under the table and sat up straight, rubbing the tense muscles in my back. The thirty minutes were nearly over and we weren’t going to have success. If he hadn’t been trying so desperately, I don’t think I would have felt as disheartened as I did, but it was apparent Kevin cared. Unfortunately, caring wasn’t enough.
‘Well, we’ll call it a day, shall we?’ I said and reached in for the book. ‘It’s not such a big matter that it didn’t work out this time. That happens lots. We’ll try again tomorrow.’
He looked at me. Tears puddled up and then ran down over his cheeks.
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