Breen writes honestly of both the triumphs and struggles of life with Elizabeth, allowing the reader to understand her life as the mother of a daughter with special needs. She shares honestly about Elizabeth's challenges and difficult outward behaviours that result from her inability to communicate verbally; Elizabeth's poems and entries to the book share her feelings and perspectives on her struggle to be understood. Breen highlights the many dimensions of her daughter's intelligence, and honours the teachers and therapists who have skillfully taught Elizabeth. The book highlights the need to not overlook the gifts and skills of those who are unable to communicate verbally. Perseverance in the face of difficulties is another theme running through Breen's account.
The form of therapy Breen credits with unlocking Elizabeth's ability to communicate, the Rapid Prompting Method, is somewhat controversial, and has not been scientifically proven to be effective. However, Breen's hopeful tone and insistence that the gifts of individuals with autism need to be unlocked and put to use is worthwhile for those who wish to understand individuals with autism.
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