This article originally appeared in Vol.
1
No.
2
(Feb., 1993) of the
Facilitated Communication Digest,
[pp. 3-4].
ACHIEVING
INDEPENDENT TYPING
Marilyn Chadwick
Facilitated Communication Institute
The long-term goal of facilitation training is independent typing. The easiest way to
think about this goal is the fading of physical support. This means repositioning the sup-
portive hand along a continuum: hand; wrist, forearm, elbow, upper arm, shoulder, touch
of the clothing. It also means giving less resistance, going from heavy to light pressure.
For some, the progress of fading is substantial in the first six months. For others,
fading occurs over a longer period of time and requires the continuous attention of both
the facilitator and the facilitated communication speaker. It is important during this process
that the facilitator and facilitated communication speaker view this goal of physical fading
as both "doable" and beneficial. Success demands the active role of both the facilitator
and facilitated communication speaker.
Exploring independence begins when facilitation is started. This is not to say that
the facilitator is necessarily going to fade back in the first session. Both the facilitator and
the facilitated communication speaker need to become comfortable and established with
the process. As the facilitating pair develop success in using the technique, they should
also to work together to make good decisions about how and when to fade support.
The very same questions the facilitator asks concerning initiating facilitation are
helpful in mapping the road to independence. What does the person's independent
movement look like? When providing physical support, what type of positioning is
required, and what kind of resistance is needed? Can the facilitated communication
speaker pull back after letter selection? How often and in what way does the facilitated
communication speaker look at the letters when spelling (i.e. how much does the individual
need to be prompted to look at the letters)? What kind of verbal encouragement is
helpful? How does the person indicate that s/he has something to say? How often and in
what circumstances does the person initiate communication in this way?
This information allows good long term planning with the focus on two key ques-
tions: What needs to change for independent pointing? How can the concept of indepen-
dence be fostered? While the process will certainly vary from individual to individual
because the answers to the above questions are different in each situation, planning may
be helped with the following suggestions:
-
Begin with more than one facilitator. This helps build the "can do" attitude in the facili-
tated communication speaker. It also provides to the facilitated communication speaker a
wider range of experience in using the skill.
-
Talk about independence from the very beginning. When introducing the technique, explain
that in time it can lead to typing independently. Build that expectation into the concept in a
way that conveys confidence in the person's ability to achieve it.
- Build the facilitated communication speaker's confidence, focusing on the person, not
the process. The facilitated communication speaker must gain trust in him/herself, not in
facilitation. This means providing positive feedback, and developing situations where the
facilitated communication speaker's control is possible and successful.
-
Provide a consistent time in the schedule when the skill of fading back is specifically
worked on. Ask the person to try some independent typing in each session.
-
Use routine, predictable information first, such as name, address, date, or YES and NO.
Copying or multiple choice exercises can be utilized. Work toward more open setwork and
then expand to various situations.
-
Look for ways to change the support and empower the control of the facilitated com-
munication speaker. Physical and verbal support should lead toward independence and not
dependence. The facilitator should continuously review how support is given and how it
can be changed.
-
Identify roadblocks to independence. These can include: lack of finger isolation; poor
visual focus; low/high muscle tone; impulsivity; or difficulty in initiating. Develop interim
strategies,( e.g. have the person hit a space or the table after each selection to deal with
hypertonicity), or provide practice (e.g. establish times where the person works specifically
on looking at the keyboard.) In this way, the roadblocks are minimized.
-
Facilitated communication speakers should have an active role in planning the way to
independence. Solicit their ideas and opinions about what will work well and how to proceed.
-
Be patient, supportive, and expectant. Help the facilitated communication speaker know
that it does take time and perseverance to become independent in typing but that others
have achieved it.
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