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Experts on Self-Injurious Kids Challenge Dr. Israel's Methods

NEWS: Though some behaviorists endorsed electric shocks for kids who injure themselves decades ago, practitioners long ago moved away from that approach—except for Dr. Matt Israel.

August 20, 2007



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Why would a child smash his head against his desk? Or chomp on his arm? Or smack himself in the face over and over again? A small number of children with developmental disabilities—10 to 17 percent—exhibit self-injurious behaviors. Caretakers used to have few options other than to place them in restraints or force-feed them psychotropic drugs. Then, in the 1960s, some people began using electric jolts and other pain-inducing methods—known as "aversive therapy"—in an attempt to stop these sorts of behaviors.

But by the 1990s, even the pioneers of "aversive therapy" had moved on to other methods. Gina Green, a nationally known psychologist who has worked with autistic children for nearly 30 years, explains: "As our science has developed and research has been done, we've come up with better methods for treating severe problem behaviors." Matthew Israel, however, is still using electric shock. According to Israel, his Massachusetts facility, the Judge Rotenberg Center, is the only one in the U.S. that now uses shock.

Today, the most widely accepted approach to treating these children is known as "functional analysis." It involves analyzing the "function" of a certain behavior. For example, if a child bangs his head, this might bring him some reward—attention, food, games, toys—or a chance to get out of doing work. To stop the child from head banging, his caretakers alter his environment so that he no longer gets the reward.

Dr. Brian A. Iwata created the first comprehensive model of functional analysis procedures in 1982. His model involves isolating each potential benefit of a behavior and then presenting them all to the child one at a time in order to figure out which elements of the environment reinforce his problem behavior. "It's akin to conducting an allergy test by exposure to small bits of things that might cause allergies," Iwata says.

Functional analysis is now used to treat not only self-injury, but most problem behaviors exhibited by children with developmental disabilities. "It's considered best practices" in the field, says Iwata, a professor of psychology and psychiatry at the University of Florida. In California, Dr. Paul Touchette, a psychologist affiliated with the University of California-Irvine, does extensive direct observations of children and enlists the help of people from other disciplines. "It usually takes a team of a neurologist, psychiatrist, and psychologist," he says, along with other staff such as a speech therapist or a physical therapist.

Some causes of self-injury are easier to identify than others; a child's self-abuse could be caused by genetic factors, or it could be the result of a brain injury. A strategy for eliminating the problem behavior may involve both changing the environment and prescribing medication. The work is extremely time-consuming—and expensive. "There are very few very good comprehensive programs for people with autism and mental retardation—even fewer that can handle most severe problem behaviors," says Green.

The question of how the Judge Rotenberg Center uses functional analysis arose last year after the New York State Education Department sent in a team of investigators, then released a report noting that there was "limited evidence of comprehensive functional behavioral assessments in accordance with the Individuals with Disabilities Education Act (IDEA), being conducted." The report cited a statement on the center's own website: "We are very familiar with the field of functional analysis, but frankly we have little use for it."

In a lengthy rebuttal to the New York report, Dr. Israel insisted that his staff does conduct a functional analysis of each student, via observation and interviews with the family, and "designs all of its treatment systems"—which include electric shock—"so that the typical findings of a functional assessment...are already taken into account when the treatment program is applied...By doing this it does not matter what function...or combination of functions, a problem behavior has at any given time."

At the request of Mother Jones, Iwata reviewed Israel's description of his approach. "The procedures described do not amount to any type of functional analysis or functional assessment," Iwata concluded. Israel's "across-the-board rejection of the technology seems unusual for a program claiming to provide state-of-the-art services. In the case of [the Rotenberg Center], it seems that refinements in technology have been selective: The technology of punishment is unlike that used in any other program, whereas other technologies have been left behind."


 

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I applaud the magazine's decision to talk on the Rotenberg Center. However, there is a significant error in the description of "functional analysis". When the "function" of the problem behavior is analyzed, the primary focus is on making the behavior unnecessary by changing the environment (to remove the need or to meet the need without the person needing to act out) and/or teaching the person a better way to communicate the need to the people around him. For example, a nonverbal child who is bored might learn to sign "different" rather than to knock everything off the table onto the floor. (This example comes from the life of my own nonverbal son.) Functional analysis never involves simply refusing to respond the the expressed need, which is what is implied in the article. It does, however, try to make the undesirable behavior an ineffective means of getting needs met (while still meeting the needs).
Posted by:LynneAugust 20, 2007 10:05:18 AMRespond ^
Judge Rotenberg Center workers wear belts with shock devices correlating to the many different children and young adult clients in their vicinity. When the worker reaches for the shock belt to give a harsh and painful zap to a client, often several other clients see this and start acting out in a terrified manner not knowing whether or not they will be the jolted victim. At times, these clients, who didn't previously act out in any negative manner, get blasted with electricity just because they acted out in fear of being shocked. It's barbaric enough to cause fear, intimidation and pain upon autistic clients for undesirable behavior, but it's even worse and of no possible benefit to cause this same fear and intimidation to a large number of clients who just happen to be in the vicinity of another client with a behavior that may be considered undesirable. This wholesale fear through electric shock must be banned.
Posted by:KevinAugust 20, 2007 12:37:44 PMRespond ^
In response to Kevin's remark, in which he states that the students get "blasted" with electricity, is completely false and utterly dramatic. It is a two second skin shock applied to the surface of the skin that feels like a sharp bee sting. I know because I've taken it on a few occasions. Also, what is worse? A child ripping her own eyes out (and there is a student there who has done it) or a two second skin shock that stops this horrible behavior immediately? The fact of the matter is that the self injurious behavors that the students at JRC exhibit are not slapping, pulling hair, or mild headbanging. It is behaviors that are killing them, and no other therapy has been effective. NONE. I respect those who do not agree of this form of treatment, but until you see a child who is blind because of their own self abuse, then perhaps you need to obtain more information before you pass such harsh judgment. These kids have been refused or expelled from many other programs because FBA or other forms of therapy did not work, but the GED has. I stand by anything that stops these kids from severely hurting themselves and/or killing themselves. I again want to point out, what is worse? A child banging their head severe enough to knock them unconscious or a two second skin shock. You tell me.
Posted by:JenniferAugust 21, 2007 4:58:44 PMRespond ^
I have posted an extensive response to Ms. Gonnerman's article in the forum under the main article at http://www.motherjones.com/news/feature/2007/09/school_of_shock.html Matthew L. Israel,Ph.D. Executive Director Judge Rotenberg Educational Center www.judgerc.org
Posted by:Matthew L. IsraelAugust 23, 2007 11:35:20 PMRespond ^
And for a fully formatted version of my response to Ms.Gonnerman's article, please see http://www.judgerc.org/ResponsetoGonnermanArticle.pdf Matthew L. Israel, Ph.D. Executive Director Judge Rotenberg Educational Center
Posted by:Matthew L. IsraelAugust 24, 2007 12:25:47 AMRespond ^
To Mr. Israel: It's interesting how the sadist himself is so eager to defend his torture methods. If a child is self-injurious, that child is extremely unhappy and has zero self-esteem. Causing that child even MORE pain just destroys that child further. Over 100 research studies have shown that this kind of corporal punishment is not effective, and backfires in many ways by making the child more depressed or angry or unable to learn. Obviously, Israel, in cahoots with his mindless (and probably abusive) supporters just wants to keep his ugly torture prison going rather than actually helping these most vulnerable human beings. He's making big bucks with his methods, and probably gets off on the sadism, so why change?
Posted by:JackieAugust 24, 2007 5:22:25 AMRespond ^
Please see my response at: http://www.motherjones.com/news/feature/2007/09/school_of_shock.html
Posted by:Ilana Slaff, M.D.August 24, 2007 10:23:25 AMRespond ^
Hi. Mother of autistic son that is a student at JRC. My son failed 6 previous placements at schools specifically trained to deal with Autism, and the last one he was in: The League School of Boston, asked me to get him out of there because he was attacking students and staff and causing terrible harm. A very small percentage of these children present as so violent as my son, but they do exist and he is one of them. This program saved my son's life, as well as the staff that care for him,his school peers, and my family. He came very close to killing my son and his girlfriend while on the highway one day as he took his seatbelt off and attacked them severely. My son tried to take a hunk out of my 82 yr old grandmothers shoulder at a family holiday gathering. This program has been the only one able to stop him in his tracks. So PLEASE back off. Or I will drop him off at your house and relinquish all guardianship rights. And I am dead serious.
Posted by:Dee CantwellAugust 25, 2007 6:44:03 PMRespond ^
Compare human compassion for humans vs. non-human animals. If most people went to a zoo and saw an bear rubbing its fur against the bars so much the skin was bleeding, they'd wonder, "What is this bear's story? What does this bear need? What changes in the environment need to happen? How can this bear be helped?" If the zoo simply zapped the bars with electricity the average person would see that as at best a short-term solution, but in no way a comprehensive response to complex behavior, in no way a sustainable long-term smart response. So why is it when a human is doing self-injurious behavior some people can't apply the same empathy, compassion, insight they would apply to a non-human animal in a zoo? One step toward human empathy is for us to learn that very troubled people, people showing very unusual behavior, are human beings. There are individuals who have survived extreme self-injurious behavior who have recovered, who have stories to tell about what really helped them. Let's hear their stories. Thanks Mother Jones for your great coverage of this controversy! - David Oaks, Director, MindFreedom International. More info see: http://www.mindfreedom.org
Posted by:David W. OaksAugust 26, 2007 9:27:41 PMRespond ^
REGARDING A DISTORTED PIECE OF WRITING AND OVERT OMISSION OF FACTS, CLEARLY BIASED TO SENSATIONALIZE FOR PERSONAL PROFIT AND GAIN — WITHOUT REGARD TO THE FAMILIES WHO GIVE OF THEIR LIVES, AND TO THE INDIVIDUALS WHO GIVE OF THEIR HEART, TO CARE FOR THESE VERY SPECIAL NEEDS HANDICAPPED CHILDREN. I am a speech and language pathologist and audiologist who entered my profession before the birth of my handicapped identical twin nephews Matthew and Stuart, and have worked more than 30 years with special needs children and adults. We must not dilute the issue. We must be certain that a given treatment of last resort for a given condition is made available to those identified who require it. In the case of a self-mutilating, self-blinding, child with a compulsive, self injurious behavior--SIB as it is known in the medical community—where all other interventions have failed (medical, behavioral, chemical, physical, etc.) we must utilize the treatment of last resort. We cannot allow that child to blind himself, cannibalize his own body parts, or excoriate himself to death. I know of no one who has worked with my sister’s identical twin sons Matthew and Stuart, or has known the inexhaustible sufferings of our family, that has voiced opposition to the use of aversive interventions -- the only therapy that has kept my nephew Matthew alive. On the contrary, they emphatically supported these interventions. There are syndromes in which an individual will compulsively eat off their own fingers (Lesch-Nyhan syndrome for example) — and even when restrained they will chew off their own lips, rip out their own fingernails or even pull their own intestines out of their rectum. The professional nomenclature defines stereotypic movement disorder with the sub-class of severe self-injurious behavior (SIB), obsessive-compulsive behavior, and oppositional defiant disorder. Although not commonly known to the general public, there is legitimate, documented, unbiased, medical information available about these conditions and syndromes and their co-morbidity. Some individuals with these rare, but known conditions, like my identical twin nephews Matthew and Stuart, will engage in acts so horrific they are incomprehensive to people like ourselves. Repeatedly, my nephew Matthew smashed his head into sharp pointed or spiked objects, and finally, strong enough at the age of 16 years, he successfully impaled his head on a sharp point and split it open—necessitating a 5-1/2 months hospital stay at Lenox Hill Hospital in New York City. He was kept barely conscious on multiple drugs and guarded 24 hours a day one-to-one, and yet he re-split his head smashing it directly on the wound and requiring re-suturing. He managed to run into the isolation room of a patient with a deadly contagious disease. And a teacher sent to his room refused to return after just one brief interaction with him—when he grabbed her head and attempted to slam it into the corner of a wall. Although he could be discharged after surgery to repair the gaping hole in his head, no one would take him in fear of his self-mutilating and deadly behaviors, and he languished in Lenox Hill Hospital those many months. My sister, Matthew’s mother, was asked by New York State to sign away his right to an education because they had no placement for him. She refused to do so. Her husband, Matthew’s father, feared for the loss of the family home when he was told by the insurance company that they would no longer pay for Matthew’s hospitalization. Matthew had no education—he had no life. On the contrary, the adverse effects of the psychotropic medications he was forced to take—the writhing movements that he endured—distorting his mouth, face, body, and limb, caused him to become completely unintelligible. He had been a verbal child, but for years he could not tell us his pain as the drug-induced dyskenias contorted his mouth and face. Our family members watched his tortured body and suffered with him. All of us in this family have traveled the agonizing course of waiting every moment of the day and night for one of my sister Lorraine’s, tormented and frantic telephone calls. As a professional and academician who has worked with special needs individuals more that 30 years, rarely have I encountered such monstrous self-mutilation, debilitation and suffering at one’s own hands —in the educational or medical arena. Yet there is an intervention, a two second surface skin shock inhibits the behavior, and reverses years of physical and mental damage, destruction and self-mutilation. Matthew entered Judge Rotenberg Center in Massachusetts where such intervention is utilized to save a child from chewing off their own fingers or tongue, or blinding or excoriating themselves to death, a “treatment of last resort” when all other interventions have failed. The families of our children may, for decades night and day experience the fear of their child’s torment—and the fear of their child’s death—a slow and tortured death by self-mutilation like J.V., or an immediate death by riding a bicycle into a moving truck like K.B. Fear through the night and every waking moment of the sound of your child’s head crashing through a pane of glass, or in Matthew’s case—a sharp, pointed spike-like projection. It is a matter of public record that J.V. (whose obituary appeared in the New York Times) and K. B. are two children who died when they were withdrawn from this type of therapeutic intervention. K. B. was returned to a New York State facility and drove his bicycle off the grounds into the back of a moving vehicle. J. V. compulsively ripped his flesh to the bone losing the use of his legs and confined to a wheelchair the last year of his life, when his infections could no longer be medically controlled, as the New York Times reported it, he died at the age of about 25. If the therapy is not available to those who desperately need it, others will die just like they did. No one would take Matthew until he was accepted at Judge Rotenberg Center (JRC) where he now resides. When all other treatments have failed, JRC uses a COURT ORDERED, PARENTAL APPROVED, 2-second skin shock therapy, which Matthew has received to control his life-threatening, compulsive self-injurious behaviors (SIB) condition. Matthew has remained not only drug free in his current residence at JRC, he can speak clearly because his twisted and tormenting body movements gradually subsided as he was weaned from the drugs. Shortly before this posting Matthew called, as he freely and frequently does, to talk about his interests and activities. He enjoys his hobbies, dinosaur collecting, birds, his telescope, reading, visits and vacations with his family. Family members frequently visit Matthew on unannounced visits and are always welcome. Matthew participates in life and tells us he is happy and safe. Stuart, Matthew’s identical twin, resides in a residence within New York State. Skin-shock therapy is legal in New York State, but it is unavailable, (which is why New York State sent Matthew to Judge Rotenberg Center in Massachusetts). Because of the medications Stuart is forced to take to "control" his behaviors, he new suffers some of the movement disorders his twin brother Matthew no longer has. These same "drug cocktails", none of which have been approved for use in these conditions, have not altered Stuart’s behaviors, but have only complicated them. Although never having been an epileptic, the medications have altered his brain so that his seizure threshold has been lowered and he has dropped unexpectedly in the New York City subway system -- we were called to an emergency room during a 12-inch snow storm recently because he was unconscious. Despite the medications, Stuart has had multiple and dangerous New York State approved aversive “take-down” procedures. He has been handcuffed and removed from his residence by the police, and has had 5 emergency psychiatric hospitalizations in the past few years. On one occasion he attempted to hold someone's hand over an open flame--almost setting the two of them on fire. We know Matthew is alive, enjoying his life, and safe. He tells us he is happy. We have pleaded with New York State officials to have Stuart placed with his brother at Judge Rotenberg Center. As of this writing, Stuart, (who once worked a full-time job in the community, but has deteriorated in a “positive only” program), is at this moment, in diapers, in an acute care psychiatric facility in New York for having bolted into city street traffic because (as he tells us) a string on his favorite chair was displaced. We know Stuart can die at any time, and Stuart tells us he is miserable. Stuart, like his identical twin brother Matthew, needs the same COURT APPROVED life-supporting skin shock therapy. We would like both boys to be with us. We would like both of them to have a safe and happy life. There is no issue. There is no controversy. No one who has not experienced or witnessed the "Sophie's Choice" brought upon our family should presume to decide for us, or to even consider withholding the only treatment that has kept one of our twins alive. Dr. Phyllis Klein 08/26/07
Posted by:Dr. Phyllis KleinAugust 26, 2007 11:24:40 PMRespond ^
"So in everything, do to others what you would have them do to you, for this sums up the Law and the Prophets." (Jesus, http://www.biblegateway.com/passage /?search=Matthew%207:12&version=31)
Posted by:JonathanAugust 28, 2007 7:47:15 PMRespond ^
I agree totally with David Oaks. I'm also appalled that educated people such as 'doctors' would prefer to have their children electrocuted (or drugged) when there are other, effective, ways of treating children with these problems without the use of fear and cruelty and ample parents across the world who have children with those problems who make use of those alternative methods successfully. Absolutely appalled. Using electric shocks to modify behaviour is draconian, cruel, outdated and totally inexcusable in the 21st century and should be a CRIMINAL OFFENCE. WELL DONE to Mother Jones for exposing cruelty to vulnerable children who have no control over how they are treated by adults. FINALLY, in the UK there has been a lot of calls to ban the use of similar devices for behavioural control of dogs. At the end of the parliamentary debate here: http://www.publications.parlia ment.uk/pa/cm200607/cmhansrd/c m070427/debtext/70427-0004.htm an analogy has been made using an example of cruelty to children. IT SAYS (at the end): "Mr. Khan: The hon. Lady makes an important point. There is clear evidence that when people torture and harm their children, it can lead to their children torturing and harming others when they become adults." HOW COULD PEOPLE DO THIS TO THEIR OWN OR OTHER'S CHILDREN?
Posted by:paulaUKAugust 29, 2007 8:37:15 AMRespond ^
I worked at JRC for almost 2 years. I've seen the good, the bad, the ugly...all under the same roof, and extending to almost every residence I supervised. I saw everything from corruption to torture. Yes, a school collecting Millions $$$ in different states' funds to deprive children of clothing, entertainment, and food. The head honcho, mentioned in the above article, uses that money to accumulate his wealth in properties, all of which are listed as being his, meaning under his name, and not under the Judge Rotenberg Center. Maybe his culture plays into it, since most are running this country, and do whatever they please. Let's get to an example of how to become a real-estate guru (20-30+ residences), using a non-profit organization to accumulate your wealth. The following are estimates, and can probably be found out because they're state funds provided by states sending these students to JRC. When I was there, I was given a figure of $200,000 per student coming from NY, and that can range up to $300,000+, depending on if the student needs staff 1-1, 2-1 with him/her at all times. A conservative estimate per additional staff needed to a student is $100,000 per year....but staff will never earn more than $40,000 per year working full-time with various students, so there's profit right here. When states are footing the bill, organizations love to charge $$$. This is ridiculous, since most of the time, these students never have a staff 1-1 with them 24 hrs./day because JRC is known for understaffing houses by all those who work there. Now, you take a house with 4 bedrooms, double-bunk beds, or 2 beds per room, and that adds up to 8 students. Take the 8 students and multiply that by $200,000 (minimum) = $1.6 million dollars. Next, you go out house hunting, and you find a run-down home, or foreclosed homes for about $100,000-$300,000. Next, you renovate/furnish the house up to desired operating condition...beautiful furniture, nice art, wired with cameras, mics, video equipment, etc. You just made out with a top-of-the-line, fully furnished house for yourself, after using it a few years in the program, and you throw the remaining $1.3 million into the program. So, since you're making out in Real-Estate, you decide to take a cut in pay, even though you still get an annual Salary to accompany your Jewish lifestyle. ;) In addition, with the remaining money ($1.3 million), you deprive students of clothing, force them to eat foods they don't like, or put them on portions, and then you purposefully put students into situations to break their contracts, at the last minute, so that you can prevent them from participating in any kind of social activities (ex: movies, trips, etc.). There's no oversight over how money's spent, how much is spent on each student, or where the money's ultimately going. That school is run by the seat of its pants...literally. Parents are manipulated into believing that all's well, when their lower-functioning son/daughter can't express himself/herself when being tortured, deprived, or ignored. This self-righteous master of deception lives the ultimate lifestyle...real-estate, $$$, the ability to manipulate employees, and free will to torture students. From my experience supervising many of the residences, as needed, they always put the least amount of staff necessary to a house to avoid having to employ all of its staff. Many times, this left staff at risk of becoming frustrated and abusing students, or causing students to notice this and attempting to attack staff. Many times, we used JRC’s intranet site to post our concerns/opinions, but they were either ignored and never posted for others to see, or you were looked at as a threat to the "status quo". Let's get into aversives... I have never in my life seen the torture that goes on in this school. Many times, I would personally stand in front of a camera when I suspected that a student was going to exhibit a behavior so that I wouldn't have to administer a GED (shock). Many times, I felt guilt, pity, or shame for being a part of this system, which derives its profit from the misery of others. Yes, it's said that parents have to give permission to go on GEDs (Graduated Electronic Devices), and that the judge also has to approve the treatment, but those kids are the ones ultimately being tortured. If I had to be on those devices, and was administered more than 1 per day for ridiculous JRC socially-unacceptable behaviors (ex: nagging, failure to raise my hand to speak out in class), I would have gone insane and killed someone. There have been students receiving up to 50+ more/day. I'm surprised that many of those kids actually tolerate such cruel form of torture. I feel for them because on many occasions, when I had to rotate their GEDs on an hourly basis, I noticed scars that were months old, and marks that would remain with them, possibly, for the rest of their lives. These marks were actual burns from this device, which is powered by a battery (12v, 24, and even 36v), and lasts for 2 seconds. I administered one to myself in training just to see what it would be like to be giving them to the students. The 12v alone will bring a tear to your eye, even if you don’t flinch, and leaves a red burn mark…imagine a 24v, or even a 36v device. These GEDs can either be placed on your arms, around your waist, on your lower legs, in the center of a special shoes, on a board from which you can't remove your hand, or even in a glove. There are artists at the school who build these devices, and are constantly trying to come up with new methods under Mr. Torture’s approval to get the most aversive effect from its administration. By the way, I won't get into the countless times staff grab the wrong device on their belt, and zap an innocent kid...many times off camera, or out of view of cameras, therefore couldn't be proved unless someone else saw it. I caught a supervisor once covering for another staff under him, and even denying it happened to protect the staff, but what about the innocent student? This happens all the time... The problem is that many times, as you see in pictures, one staff is given multiple devices for multiple students, and in the moment, when a behavior is taking place, staff's trying to administer the GED right away, therefore grabbing the wrong device, and not taking time to check whether it's the offending student's device. There are also people working in the video department that are there for editing. I'm sure they can make things disappear when they want them to. I needed the video once to prove my innocence on something I said during my shift, and when I asked about the video, they said that they didn't have it anywhere. All residences are rigged with cameras, and microphones....everything you say and do is monitored, and recorded. So, how does the video disappear, unless it suits the people making it disappear? I guess when the powers that be want to make you look guilty of something...they know how to get away with it. Why do you need video editors when the video at this place, and all residences, should never be manipulated in order to protect students, and staff when situations arise? You would only need video editors if you want to be manipulating video...common sense. In the end, These people who work there (staff or EE's) are encouraged to write nice letters to all participating agencies associated with them, the parents, etc...all in order to keep their jobs, and the school open. There are many things I could go on about, but if they found out who I was, I would be legally responsible, since they make us sign papers, as they do all employees, to never say what goes on there, to avoid a lawsuit , and prosecution against us. However, being one of God's own, human laws don't apply to me, especially when it concerns inhumane treatment. I'm here to motivate, and teach people on how to fight against laws, policies, and procedures of unethical human beings who deceive people to make $$$.
Posted by:Notorious ForeverAugust 30, 2007 5:49:44 PMRespond ^
What people have to understand is that this program works or seems to work for the most severe behaviors; as I have seen when I worked there. The GED's are weaned off as the students get better meaning that if a student gets there and is exhibiting major bouts of agression and self destruction then they have a definitive plan that they can follow to learn not to keep doing the same behaviors, of course, I am oversimplyfing. Over a time, I have seen marked improvements; one only has to view the website to see the before and after videos. It's not for someone with a weak stomach. The parents are the ones that should chose what treaments they want for their kids. Noone else should judge; unless they have a child like this and know of the enormous burden this is to a family; to have a nice place to come to; that are truly experts in this kind of treatments. Dr. Israel is not a monster; or a quack that likes to see students suffer; quite the contrary.
Posted by:TeriAugust 31, 2007 11:34:48 AMRespond ^
"The parents are the ones that should chose what treaments they want for their kids." FANTASTIC. Parents who (with the exception of the psych relations of a victim who happen to be JRC fans) have no scientific knowledge? THEY should choose 'treatment' for mental disorders? VERY logical. NOT. DUH. Strangely, many thousands of children with the same problems across the civilized work never get to Matt Israel's particularly unusual and globally rare "school" and have never heard of it, and never get to experience the thrills of being tortured by electric shocks - and yet manage eventually to survive without JRC. I wonder how you explain that, Teri? HOW MANY CHILDREN DID YOU, THATS YOU, ZAP? When Matt Israel goes down, which he will, all of you apologists for torturing children, who helped to do so, will hopefully go down with him. You can plead as other cruel people who have tortured people in the past have pled "I was only following orders", but I think the world has tired of that one.
Posted by:jesuschristwotsgoingonAugust 31, 2007 7:26:46 PMRespond ^
When dogs gnaw at their own skin and people see that as unhealthy, people may put a collar around the dog's head. Maybe people could likewise put lightweight, freely moving armor on children to prevent them from harming themselves.
Posted by:JonathanSeptember 2, 2007 9:11:46 PMRespond ^
Dee and Kleina and Jennifer: ? Why is this the only facility in the US that uses this barbaric method? Do any institutuions in the European Union use this technique? Why not? Whatever happended to restraints or drugs? Surely, if nothing better exists, then cushioned restraints, padded cells, and calmative drugs are better than repeated shocks for years on end? If the shocks work so well, are there any documented cases where self-abusive children are cured? How many months have you worn this shock device and how many shocks have you received?
Posted by:GhandiSeptember 2, 2007 10:19:53 PMRespond ^
Geez, for the upteenth time; I worked in the office and I never had to admininster any kinds of treatment. I am just explaining to you; how I saw the treatment work and how I saw significant improvements in those students. I am not apologizing for anything I have said; nor do I need too. Zapping is only used in the editor's article for sensationalism. The devices are simple and effective. What you have to understand that these students don't just have mental disorders. They have a multitude of behaviors that are life threatening. I guess maybe you have never been to a mental hospital ? This is a far cry from that. These students have 7-8 things wrong with them and change day to day; sometimes. Its too bad that most of you; don't know how good they treat the students and how much they want to help them. They don't relish in the fact that they have to discpline them for their own benefits. I am very confident that the school will be here for a very long time and that there will be more students to benefit from Dr. Israels's expertise.
Posted by:TeriSeptember 4, 2007 11:46:18 AMRespond ^
"Zapping is only used in the editor's article for sensationalism." WATCH "TERI" for "the umpteenth time" WORKING HARD TO DEFEND CRUELTY TO CHILDREN AT THE PLACE IN WHICH SHE *CHOSE* TO WORK. IT IS CONSIDERED ILLEGAL, CRIMINAL AND CRUEL EVERYWHERE ELSE WITH THE EXCEPTION OF JUST ONE PLACE - JRC, who has got away with it. FOR THE MOMENT.
Posted by:AppalledSeptember 4, 2007 3:52:23 PMRespond ^
Both Gina Green and Brian Iwata are hypocrites because they both have been affiliated with the New England Center for Children (NECC), which is even worse than the J. Rotenberg Center (JRC). At NECC they have a staff-intensive unit for children with self injury - the problem is that most intakes into the staff intensive unit come from other least restrictive units at NECC. That means that they are the ones reinforcing self-injury. Then after they have built up a huge history of reinforcement for these behaviors over the years, and the kids become bigger and the behaviors less manageable, who do they call to take these children? - The Judge Rotenberg Center.
Posted by:VinnieSeptember 8, 2007 1:50:12 PMRespond ^
I just have some questions and comments: 1. Why does New York State maintain this school on the list of NYS-Approved nonpublic schools? 2. If this is a TRULY professionally-acceptable way of dealing with children with severe disabilities, then why are there not more of these facilities? 3. How much of JRC's "tuition" is actually going to the Matthew Israel/JRC Defense Fund? 4. If parents really want their children to be subjected to this unacceptable treatment, then perhaps they should pony up the $$$ out of their own pockets rather than hide behind IDEA. 5. It's interesting that when one hears about these tactics in a noneducational setting, it's called CHILD ABUSE. 6. When functional analysis is CORRECTLY done, it DOES work. I don't think that 3-6 months, for example, of positive behavior support is nearly enough to allow positive behavior supports to work. Quite bluntly, it's bull[deleted] what these parents are saying; if they were doing what they were supposed to be doing, then it most likely would have worked. My gods, Skinner (who Matthew Israel was supposedly a student of) must be turning over in his grave. I bet Hitler, Stalin, Pol Pot, and Milosevic are loving it, though...
Posted by:Someone who knowsSeptember 27, 2007 1:22:48 PMRespond ^
MATT ISRAEL - a PSYCHOLOGIST. Giving modern evidence of how unintelligent and cruel psychologists can be. How can people this cruel just get away with it? http://scienceblogs.com/corpuscallo sum/2007/03/arch_gen_psychiatry_torture_vs.php "Conclusions Ill treatment during captivity, such as psychological manipulations, humiliating treatment, and forced stress positions, does not seem to be substantially different from physical torture in terms of the severity of mental suffering they cause, the underlying mechanism of traumatic stress, and their long-term psychological outcome. Thus, these procedures do amount to torture, thereby lending support to their prohibition by international law."
Posted by:UghSeptember 29, 2007 6:32:23 PMRespond ^
Surely the challenge that Dr Phyllis Klein poses should be pondered by everyone who simply condemns Dr Israel's work without a full understanding. There does appear to be a need for full accountability and transparency at the Judge Rotenberg Centre as public funds running into millions of dollars seem controlled by one man. Additionally, claims that students were shocked for minor infringements should be thoroughly investigated. Finally, such treatment given in extremis can be salvific as Dr Klein reports on her nephew, Matthew, but it should NEVER be used arbitrarily!
Posted by:Gareth SmithDecember 20, 2007 2:57:21 PMRespond ^
Surely the challenge that Dr Phyllis Klein poses should be pondered by everyone who simply condemns Dr Israel's work without a full understanding. There does appear to be a need for full accountability and transparency at the Judge Rotenberg Centre as public funds running into millions of dollars seem controlled by one man. Additionally, claims that students were shocked for minor infringements should be thoroughly investigated. Finally, such treatment given in extremis can be salvific as Dr Klein reports on her nephew, Matthew, but it should NEVER be used arbitrarily!
Posted by:Gareth SmithDecember 20, 2007 2:57:22 PMRespond ^
I also am a former employee of JRC. Dr. Israel is not involved in any way with the way the staff or students are treated. He walks around the school rarely, only when showing off the beautiful grounds or the constant construction and remodeling that takes place. He also experiments with staff's psyche's. It should be made known that staff are also treated unfairly, if you smoke or are overweight you are encouraged to join a "wellness" program or be treated like crap. The legal fees to defend the program have cost so much that staff are fired for no good reason. For instance, in one month you can receive a bonus for high evaluation scores and the next they are fired for "low" evaluation scores. The place is nothing but a sick and twisted experiment played out by Dr. Israel and his minions. CLOSE THE PLACE DOWN!!!!!!!!
Posted by:NamesDoNot MatterDecember 22, 2007 8:05:24 PMRespond ^
First of all My heart goes out to all of the parents, who despite your bests efforts to raise a child in a nurturing and loving enviornment.Only to discover the child is a monster. I in no way mean that as an insult. I have seen specials about these situations in which the parents tried to convince authorities to put their behind bars because it was evident that the child was going to kill someday.Only to have their fears realized.One father came home to find his wife bludgened to death in the bathtub. Killed by their son. I don't know why you can't get it through the thick heads of the critics,That these are not just average kids.They are the worst of the worst...why can't you get that through your head. It is such an insult to the parents of these kids for others to compare their situation to allergies, or a simple skin condition as (David W.Oaks)would like to believe. this story makes me so thankfull for the children i have. My main point is: is it's an antichrist concept to simple blame,shame,and punish anyone trying to do good. The author of this article should be ashamed of her self imposed profesionalism.Sensationalism has replace good honest fact finding.Maybe they should put Ms. Gonnerman in a house with five of these CHILDREN for a week without their electrodes.Food and water would be provided just like always.However the door would be locked with no way out, so you would really know what their parents feel. I WOULD LOVE TO READ THAT STORY .... How about it Jennifer; are you ready to put you money and life where your mouth is.. Reading this article I also see room for improvement on the Judges part. the technology does exist for one remote to be used for all with laser precision. And yes as a matter of public funds an audit should be called for.To acess how much is actually being spent on each patient.For $200,000.per patient. Why wouldn't all you critics open another clinic. Same concept,more compassion.I'll tell you why. Your to lazy to take any initiative yourself because your to wrapped up in your own petty little problems to try to help someone else.It's easier just to b!@#$ about someone else. On another note, maybe it is time for mr.Isreal to step down. the burnout rate in this kind of proffesional field is second to none..
Posted by:dakotaJanuary 6, 2008 3:05:59 PMRespond ^
Monsters? Worst of the worst? Dude, these aren't monsters. These are children, troubled children who have enough problems without having pain inflicted on them. I don't know why you can't get it through your head that these people are and have been HURTING CHILDREN. Before they even had GED they used hot sauce, vinegar, spankings with spatulas, withheld food and did things that you can't even do in a prison. Can you honestly tell me that's truly helpful and effective? Or have people forgotten that disabled people are people! Shocks and pain does not deal with the real causes behind this behaviour. It's not a simple matter of their being monsters. That's a horrible uncompassionate attitude to take showing very little understanding what it is like from the perspective of people who really cannot always speak for themselves. I really don't think these things are acceptable! There really has to be a better solution!
Posted by:SynesthesiaJanuary 7, 2008 8:43:11 PMRespond ^
No one person can understand the pain that a family must undergo- watching a child working at destroying himself. That said- how is knowing that your child is being shocked- literally- into good behavior any better? Do you truely believe in your heart of hearts that this electric shock doesn't hurt? If it didn't would it have any effect? Didn't the center invent its own shock device because the one in common use wasn't effective because it wasn't strong enough? How many of the staff and family are ever actually shocked and how many have ever even felt the shock of an electric fence? Bee sting- balderdash !!! The shock they deliver in some cases burns and scars- there would be a weakness post shock preventing a response other than compliance. Police tazer criminals and the public cries out in outrage that this is dangerous and barberic. Yet there in Massachusettes judges give permission for even non-verbal disabled children to be shocked. Kids who have violated a rule are forced to dump a portion of their food. Not to mention the old practices- hitting, pinching and twisting limbs. I don't know about the allegations that Matthew Isreal has become wealthy on the shock riddled bodies of his charges- but that would be no surprise. Parents cannot admit to themselves the horror that they have unleashed on their children so they must defend it. When you are desperate you resort to desperate means. I have however seen the families that no matter what would never let this happen to their child.And yes they are dealing with the horrific things seen in the videos. Right back at you- what is better? Being in a stuperous daze from medications or being hit with the shock of a cattle prod for even small offenses or even worse when a staffer makes a mistake and pushes the wrong button? Looking at the photo gallery- seeing the faces of children attached to the belts of staff- on the shocking devices made my heart weep. WHAT HAVE WE BECOME TO ALLOW THIS???
Posted by:SaddenedFebruary 4, 2008 8:15:46 AMRespond ^
All the pro-JRC comments I've seen are describing severe self-injury. My question is - what percentage of JRC students have any history of self-injury severe enough to cause permanent damage (such as going blind) or endanger their lives? I know it's not every child, likely not even most. How do you argue the ethics for the kids with milder problems than that?
Posted by:EttinaFebruary 13, 2008 5:45:16 PMRespond ^
I must point out that this article by Jennifer Gonnerman is a one sided hatchet job that gives great emphasis to just about anything negative you can think of about JRC and Matthew Israel and gives zero emphasis on all of the positives that far outweigh all the negatives. Ms. Gonnerman deliberately designed this article so that it would anger the readers. She set the tone of the article right from the first sentence, opening with “Rob Santana awoke terrified.” In response to this unfair article, many people lashed out at the school. The very few parents and former student whom had the courage to come on here and tell their story were quickly greeted with snide remarks and viewed in the least favorable light possible. Early on, a former student had the courage to come on here and tell his story. In return, several people made snide remarks towards him, made fun of him because his spelling wasn’t perfect, and one person even assertively suggested that this former student was really a staff person hired by Matthew Israel to pose as a former student whom benefitted from the treatment. If I were to read this article with no previous knowledge of JRC or Matthew Israel, I would lash out at the school and I would certainly waist no time in lashing out at those who dare say anything positive about JRC or Matthew Israel. In June of 2006, Geraldo Rivera, host of the FOX newscast, Geraldo at Large, did a story on JRC, and although in his closing summation, Mr. Rivera expressed his displeasure for the treatment, he equally presented both sides of the issue, which is what Ms. Gonnerman should have done, but did not. I believe that both Rob Santana and Antwone both deserve a fair amount of attention, however, those who support and benefitted from the treatment deserved equal amount of attention, and that did not happen. Those who so intently oppose this treatment either do not have the ability to have an open mind or have established their unwillingness to have an open mind. It is possible to have an open mind and in the end, still disapprove of the treatment. Those who read this article and wish to post negative comments about the school should first take the time to look at the school’s website “www.judgerc.org.”
Posted by:JRC SUPPORTERMarch 24, 2008 2:14:03 PMRespond ^
Teachers are often angry parents get upset. Well, there are reasons. Special education for severely disabled children should be terminated. Not because the kids don’t require an education, but because they aren’t getting one. In fact, the entire special education system is a sham. Let me explain. First teacher burnout and attrition are rampant in special education. Can the burned out lead the blind? Naturally, teachers cite clogged caseloads, behavioral issues, paperwork and pushy parents as prime reasons for leaving the job. But quitting says more about quirky personalities holding special education credentials than occupational burdens. A quick solution: Administer personality tests before sending teachers into classrooms. Frankly, I prefer obsessive-compulsive teachers. They get things done.
Posted by:HeidiApril 5, 2008 5:23:13 PMRespond ^
Do it you worthless filth do it. Your existence isn't worth anything and the world will be
Posted by:Autistic Adult With PTSDApril 11, 2008 4:11:53 AMRespond ^

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