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Front of the Class

4/11/2013

2 Comments

 
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A young man follows his passion to become an elementary school teacher while coping with challenges associated with his Tourette’s Syndrome.

Brad Cohen, a young man with Tourette’s Syndrome (TS), dreams of a career in teaching.  But, as a child, kids teased him and adults scolded him for his outbursts and tics.  Despite the poor understanding of his condition by most and his father’s lack of acceptance Brad is determined to be a teacher.  When he gets a chance to be a second grade teacher he can finally teach others about TS and show he’s got what it takes to be teacher of the year. Based on a true story. 

Neuropsychological Review
Ariana Tart-Zelvin

In flashbacks throughout the film, Front of the Class highlights a number of tic-related school problems. In one case, Brad is sent out of a test when his motor tics become severe.

His teacher believes that his tics are an attempt to attract attention and he is penalized for interrupting the class. Brad also faced the frustration associated with taking tests under the same conditions as non-impaired students without any accommodations made. In the film, Brad requested allowances that are commonly made for those with Tourette’s syndrome, such as a separate testing room and extended time on tests (Packer, 2005). Eventually, Brad’s mother is told that he should not go to traditional schools, but rather should be homeschooled.  The high rate of comorbidity of Tourette’s with disorders such as Obsessive-Compulsive Disorder and/or Attention-Deficit Hyperactivity Disorder often results in homeschooling among the Tourette’s population (Pollak et al., 2009). 

While academic interference is a serious problem for children with severe cases of Tourette’s, or Tourette’s with related conditions, children like Brad, with more mild, simple tics, have more problems with social rejection.  Brad faced significant social rejection both in school and when he began dating, as he got older.  Children with tic disorders have higher rates of peer problems and are more likely to be considered significantly less socially acceptable by their peers.  Children with Tourette’s frequently report self-consciousness, discomfort in social situations, and shame. Because they may have fewer opportunities to socialize with peers, they can display deficits in social abilities (Friedrich, Morgan, & Devine, 1994).  Despite the rejection Brad endured, he functioned normally socially and remained rather gregarious throughout the film. Children with Tourette’s are also at an increased risk for school avoidance (refusal to go to school), due to social and academic problems (Plapp, 1990). Recent studies have shown that peer rejection is not solely related to tic severity, as only 19% of children who experienced social rejection or bullying reported improvement when their tics remitted (Packer, 2005).  In the film, Brad and his principal educate his peers and teachers about his tics, which improves his social and academic situation.

Brad, as an adult, faces many obstacles in his pursuit of a teaching career, and these problems are commonly reflected in the experiences of other people with Tourette’s Syndrome. In a survey of Canadian adults with Tourette’s, 20.7% reported being fired due to their Tourette’s, 16.8% reported being denied a job altogether, and 14.4% believed that they had been denied promotions or raises because of their Tourette’s (Shady, Broder, Staley, Furer, & Papadopolos, 1995).  Additionally, 48% said that Tourette’s had an impact on their job choice, and only 31% said they were “very satisfied” with their jobs, compared to 56% of the general population.  Despite the odds, Brad demonstrated great perseverance in achieving his professional goals.

The problems encountered by schoolchildren with Tourette’s typically carry over into adulthood; social issues can persist, deficits in academic functioning may remain, and neurotypical adults also hold stigmas against tic disorders.  In the film, Brad has many negative experiences while searching for a job. One of his interviewers assumes that TS always includes coprolalia, which is only present in about 10% of the Tourette’s population, and questions his ability to be appropriate in a classroom.  Many people who interview him for jobs do not believe that he can teach and hold the respect of a class with his tics. He frequently has to remind employers that the Americans with Disabilities Act protects him against discrimination based on his Tourette’s, but he is still frequently rejected from positions without due consideration of his abilities. Even after he is finally hired as a teacher, a parent withdraws his daughter from Brad’s class because the parent questions Brad’s abilities. Brad exhibits exceptional teaching ability once he is allowed to teach a class, but the problems he encounters are not uncommon for people with Tourette’s Syndrome.  This particular challenge that Brad faces, having his abilities questioned in the workplace, is not unique to Tourette’s.  Brad however, despite his disadvantage, accepts this reality and continues to do what he loves. 

Overall, the film portrayed a highly accurate depiction of a person going through life with Tourette’s Syndrome.  Typical challenges are presented along with common mainstream reactions in response to the disorder.  This family friendly film is appropriate for all ages to watch and serves as an excellent educational resource.  

References

Friedrich, S., Morgan, S.B., & Devine, C. (1994). Children’s attitudes and behavioral intentions toward a peer with Tourette Syndrome. Journal of Pediatric Psychology, 21(3), 307-319.

Packer, L.E. (2005). Tic-related school problems: impact on functioning, accommodations, and interventions. Behavior Modification, 29(6), 876-899.

Plapp, J.M. (1990, January). Tourettes and School Refusal [Letter to the editor]. Journal of American Child & Adolescent Psychiatry, 29(1), 149-150.

Pollak, Y., Benarroch, F., Kanengisser, L., Shilon, Y., Ben-Pazi, H., Shalev, R. S., & Gross-Tsur, V. (2009). Tourette syndrome-associated psychopathology: Roles of comorbid attention-deficit hyperactivity disorder and obsessive-compulsive disorder.  Journal of Developmental & Behavioral Pediatrics, 30(5), 413-419. 

Shady, G., Broder, R., Staley, D., Furer, P., & Papadopolos, R. B. (1995). Tourette Syndrome and employment: descriptors, predictors, and problems. Psychosocial Rehabilitation Journal, 19(1), 35-42.



2 Comments
Christopher Lee
3/4/2016 07:25:26 pm

Brad Cohen started experiencing the symptoms of Tourette's syndrome, which is an inherited neuropsychiatric disorder; characterized by multiple physical (motor) tics and at least one vocal tic. In my opinion, this review is a very good analysis of how Brad's Tourette's syndrome affected his daily life, both socially and emotionally; as well as how he overcame the obstacles to become socially accepted. This review also notes to highlights the fact that Brad's development of symptoms as a child was just thought to be attempt to attract attention. Thus, he wasn't given the proper medication or proper accommodations; such as extended time and being in a separate testing room. Even as a child, Brad's own father believed that Brad's developing Tourette's wasn't real; rather he thought it was just a lack of self control.
The director of this movie, Peter Werner, was also very accurate in his depictions of someone with Tourette's. One example is that Brad correctly defines Tourette's syndrome as being "a brain thing that causes me to make these strange noises, they're like sneezes, irrepressible." The film is so accurate of depicting one's life with Tourette's syndrome that the director even includes a scene where Brad's interviewer assumes that Tourette's syndrome always includes coprolalia; which is used to describe involuntary vocalizations that are obscene or socially inappropriate. From learning about neurological disorders, the interviewer is definitely wrong because coprolalia occurs in only about 10% of people with Tourette's syndrome. (Shyminksy)


Reference
Shyminksy, Ken. "Coprolalia, Part 1: The Nature of Coprolalia."TSParentsOnline. N.p., n.d. Web. 04 Mar. 2016.

Reply
Anne Posillico
3/6/2016 07:30:04 pm

In the movie Front of the Class, Brad Cohen experiences the hardship and discrimination that comes with living with Tourette’s Syndrome. TS is a neuropsychiatric disorder that is inherited and that triggers the nervous system and causes people to uncontrollably make sudden noises and movements. These noises and movements are called tics. About 100,000 people have TS in the United States and can be debilitating depending on the severity (WebMD). The part of the brain effected by Tourette’s is the basal ganglia, which controls movements. Brad Cohen, the main character in Front of the Class, experiences Tourette’s Syndrome throughout his entire life and experiences the difficulties that come with it. Like the review said, while Brad is in an interviews for his teaching career, he is accused of coprolalia, which in the involuntary use of obscene language. Coprolalia could be a tic for some people with TS. However, as mentioned in the review, only about 10% of people with TS experience this kind of tic and Brad does not have it. Some studies show a trend that people with TS also experience Attention Deficit Hyperactivity Disorder. (ADHD) When brad was younger, his doctor thought that was what he had until his mother did some research and discovered TS.

"Tourette's Syndrome." Webmd.com. WEBMD, n.d. Web. 6 Mar. 2016.

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