People that are more reliant on others in having their needs met, may be more likely to ‘act out’ as a way of communicating or putting pressure on others to have their needs met. This may especially be the case for people with significant hearing loss and co-occurring or multiple disabilities and communication difficulties.
When participants who are Deaf or Hard of Hearing ‘act out’, they are often confused and frustrated at things not being explained in a way that they can understand. This can be in the form of being told “tell you later”, “ go away it’s not to do with you” or “this is woman’s business”.
This frustration and confusion of what others can hear and they can not can cause a heightened sense of rejection and abandonment. The sense of exclusion can trigger a response that may cause conflict and violence because they have been so upset about being excluded in the past. Trauma has resulted from repeated rejection from others, so it now triggers ‘acting out’ if they again feel ignored or rejected.
‘Acting out’ may look different for different people. It may look like an escalation in both physical and verbal expressions of distress, frustration and anger (e.g. yelling, pacing, threatening, invading others personal space, aggressive behaviours), defiant actions, or it may involve the destruction of property.
Some forms of acting out are actually quite clever, but with extraordinarily difficult consequences as highlighted in the case study below.
David was moved into a group home shortly after receiving his NDIS plan. His plan also involved supporting to make trips back home. On one such visit, David went with two support workers to visit family and community. After a few hours, David noticed the support workers talking and assumed they were going to take him back to the group home. David wasn’t ready to leave. He started damaging the support workers car so that they couldn’t leave. His frustration grew and the workers were not able to calm him down. David finally sat down when he saw the police arrive. The police took him back to the group home.
The next week David wouldn’t talk to the workers or get in the car to go out. A cultural and communication broker was engaged to try and resolve the issue. It turns out David had misinterpreted the workers conversation and that they had intended to pick him up the next day as planned. Despite clarifying the issue, David had lost trust in the workers and was deemed too high risk to take out on Country. While family continued to visit, David didn’t go home or attend ceremony for a long time. He became increasingly dis-engaged in life.
At a follow-up meeting with the broker, the group home realised that despite their best efforts, David was not going to regain his trust in the workers. A new worker was therefore found and strategies put in place to build trust and communication with David. The support relationship is going well and they are slowly planning to visit Country later in the year.
What is seen as ‘acting out’ may also be a form of culturally tolerated communication whereby expressing dissatisfaction loudly and verbally is an accepted way to express concern and have one’s needs met. This kind of public behaviour can be seen as threatening and alarming to those who do not understand that people are using an accepted cultural form to register dissatisfaction.
– Mixed Messages p46
Mixed Messages p46 – https://zenodo.org/record/3826158
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