Musings

Fall Speaking Engagements

Lately I have switched gears from blogging to preparing for speaking engagements in the Rochester community.  Below is my full schedule of speaking engagements this fall, with details on how you can attend.  As each draws closer, I hope to send out a teaser on this blog about the topic and content of my speech.  Then, when all settles, I should have some great material to turn into blog posts for my loyal readers through the long Rochester winter.

If you have questions about any of these engagements, you can reach me directly at bryanharrisonphd@gmail.com.  I hope to see friendly and familiar faces in the crowd this fall!

The Children's School at URMC - Teacher In-Service

Monday, October 10, 9 A.M. - 10 A.M., Closed to the public.
http://www.cclc.com/our-centers/rochester/ny/301671/

Greater Rochester Mother's of Twins

Thursday, October 13, 7 P.M. - 9 P.M., Open to Members. Free.
http://www.grmotc.com/

Upstate Special Needs Planning - Disability awareness Week

Monday, October 24, 6 P.M. - 7:30 P.M., 
Open to the public. Reservations requested at 585-899-1253. Free.
http://www.upstatesnp.com/homepage/

Camp Puzzle Peace Family Empowerment Series

Tuesday, October  25, 6 P.M. - 7:30 P.M., 
Open to the public. Reservations required at 585-371-5018.
$25 fee for a 3 series engagement, paid to Camp Puzzle Peace.
http://www.familyautismcenter.com/programs/parent-programs

AutismUp Speaker Series - Confidence & Self-Advocacy

Monday, November 7, 7 P.M. - 9 P.M.  Open to Members. Free.
http://autismup.org/program-calendar/

I'm a guest blogger... again!

Some folks may have noticed that I've been a bit quiet on the blogging front lately.  

There are three main reasons for this: 

  1. Private Practice is really taking off! Thank you to everyone who has made the time to make an appointment with me, those who have made referrals, and those who have recommended me to your family, friends and colleagues. I cannot do this without you!
     
  2. I'm preparing for a few speaking engagements this fall.  Stay tuned to this blog for exact dates and times. I am honored and excited to partner with local not-for-profits and organizations that serve families in our Rochester community.
     
  3. I was asked to write another blog for The Scientific Parent. This time my topic is Developmental Milestones and Delays: When to Seek Help

Like in my previous blog entry for The Scientific ParentWhat is Autism & When Should Parents Seek a Diagnosis?, this time I wanted to provide some concrete information and additional perspective for parents and caregivers. In this recent post, I focused on giving caregivers guidance about whether their children are meeting their developmental milestones on time. This is a worry most parents confront at some point in time, as they watch their child's behaviors around same-ages peers at the play ground, in child care settings, or within the family. Writing this article gave me a great opportunity to address some of the concerns that impact perceptions, such as comparing the child's progress to peers, siblings, family, even the parent's own childhood development timelines. I was also able to tackle the concept of a milestone being continuous, componential, and variable in onset. Read on to learn what I mean. 

So what does it mean to meet a developmental milestone? We tend to view the meeting of a milestone as a binary event: Either they’ve done it or they haven’t. Milestones are rarely all-or-none in the final analysis. Remember the time you spent repeating “dada” or “mama” over and over to your baby as they studied your lips and tongue to try and mimic the sound. There were likely many attempts that came out as “ada” and “da” before they were able to finally say “dada” or “mama.”

I'm on the news!

Each day during the "Week of Miracles," 13 WHAM News profiles a 2016 Golisano Children's Hospital Miracle Kid. Earlier this summer, I had the opportunity to talk with Norma Holland about my work with Fauna and her son Daniel. Their story aired on Wednesday, September 14: 

You can read more about the story here. I also previously wrote about my time with Fauna and Daniel in the BIFF clinic at URMC in my blog and on the website. The work Fauna and I did together is quite literally why I do what I do for a living. I would not be who I am if it were not for the amazing opportunities I have to work with families like them everyday.

At Home with Our Little (Newborn) Girl

During my 5th year of graduate school, my Better Half gave birth to our first child. Becoming a father was the moment where I considered my life as complete as it could be.

Hey Baby! Hanging out with my Little Girl.

Hey Baby! Hanging out with my Little Girl.

I worked to shift my work-life priorities so that I could be more present for my family. My Better Half stayed home with our Little Girl for 12 weeks after giving birth, and during this time, we talked about me also staying home with our Little Girl two days a week for a few months after my wife returned to work full-time. Those Tuesdays and Thursdays meant so much to me that thinking about them always makes me cry. I miss those days so much.

Snuggled up for a walk around the neighborhood.

Snuggled up for a walk around the neighborhood.

For most of March and all of April 2012, I had a chance to do it all with my Little Girl. Messy meals, naps that never happened, naps that lasted for hours, inconsolable missing mommy moments, giggles for reasons only she knew, walks around the neighborhood, silly pictures, and dirty diapers. There were moments I was scared and worried that I could not do it, but those moments faded the longer I had the chance to figure it out (mostly) on my own.

Being with her, learning her faces, needs and dislikes; it gave me a strong base to build upon.

I had a big conference presentation to prepare for in mid-May, so my Better Half and I talked about transitioning our Little Girl to daycare 5 days a week so that I could focus more on my research. This was a decision that sort of had to happen, but it was still a really hard one to make. I remember sitting there the first Tuesday without my baby not wanting to write or read anything and thinking how much I missed her stinky diapers, her way of hamming it up when she wanted something, and her way of being her self with me in those small moments.

The process of parenting often feels fraught with doubt, but I felt so grateful and blessed to be able to stay at home two days a week with our Little Girl. I know this experience made me a better therapist, too, as it deepened and broadened the base of experiences I can draw upon when relating to caregivers who spend longer stretches of time at home with their children.

Faith in Data

I was first introduced to Dan Habib's work at a film viewing of Including Samuel that he hosted at the Dryden Theater at the George Eastman Museum here in Rochester about 7 years ago. I've followed him ever since, and I recently watched this video about inclusive education which rings true to the ideals many families hold dearly. One comment in the video really struck home because it reminded me of how data helps us know how and when to push and adapt our practices.

I’m going to push you until you give me what’s inside of you
— 7:48 minutes into the video

That’s what I’m talking about! And I buy what’s she saying hook, line, and sinker because it’s backed by the collection and recurrent use of data. I’ve been sitting on this idea for a while, and this video has inspired me to write it up. By way of analogy, this quote made me think about my favorite verse in the entire bible: 

Even so faith, if it has no works, is dead, being by itself.
— James 2:17

I remember very vividly my sophomore religion teacher, William Jauquet, dropping bible verses on us, and he tersely summarized this verse as “faith without works is dead.” I believe this line wholeheartedly, and I try to apply it to my work as a psychologist as such: “Even so therapy, if it has no data, is non-falsifiable, being by itself.”

So what am I trying to get at here?

I want to provide care that is informed by data and to measure clinical change. This is why I am giving clients and their families forms to complete on a routine basis to help gauge their progress and to better adapt our work together.

Since my practice just started (3 weeks in, hooray!) I am seeing a lot of new clients for the very first time. These intake appointments have been a great opportunity for me to collect data from clients and their families using standardized measures, and to integrate this data into my practice as an index of clinical change. I am working to screen for a range of clinical concerns and to have on-going, data-driven discussions about client's unique symptoms and to measure their personal progress. I hope this data-informed approach will be useful to my clients, and also provide me with real-time feedback so I can better meet their needs.

This is what I would love to hear more about from folks who read this blog:

  • What measures do you use as part of your work? Recommend them to me.
  • What domains/aspects do you think are important to measure? How do we do this?
  • How often is too often/too little/just right for measuring change in your opinion?

I’m wearing my clinical scientist hat here and would love to hear more from you!