In the July/August edition of The Therapist magazine, Dr. Ira Heilveil wrote about the role of a Marriage and Family Therapist in the lives of those affected by autism. He discussed the ways each relationship within the family unit might be impacted.
Dr. Heilveil says siblings may:
-Suffer real or perceived withdrawal of attention from parents
-Engage in maladaptive or excessive “good” behaviors
-Fear that autism is contagious
-Fear that their own children will someday be autistic
-Grieve the brother or sister they wanted to have
-Feel ashamed that their sibling is not like the siblings their friends have
This is one of the many layers within the autism onion: siblings.
For me, there is fear for the future. My parents won’t be around forever, so what then? How will life be for me as a care-taker someday? There is an intense investment in my brother’s progress. The better he does now, the better off things will be then. There is pain, sadness, heartbreak. There is a sense of responsibility; I’m his oldest sibling. I’m trained in ABA. There is confusion. There’s anger when people don’t do right by him. Then there’s anger when his disability overshadows the needs of other family members. There’s disappointment when others fail him. There’s frustration that I can’t do more to help him. Then there’s frustration when life revolves around him at the expense of other people. There’s pride in his accomplishments. There’s compassion and sensitivity. There’s hope. There’s joy in his affections. There’s just so many things. It’s a complex, tangled ball of emotions.
theautismonion.com 
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