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Patrick had turned 19 – but his father was still keeping him from independence

“Don’t you understand he’s autistic?” Steve shouted down the phone. “I manage all his affairs, and I need medical information to put on his benefits forms.”

Patrick had completed mainstream schooling despite having mildly autistic traits. Now, after his A-levels, he seemed to have sunk into a pervasive depression. He presented as flat and apathetic; he told me he spent his days and nights shut in his room, surfing the internet. When I tried to find out what his hopes for the future were, all he could think of was travelling to Australia to see a girl he had met on social media. But he couldn’t even do that, because he didn’t have any money. And he didn’t believe he’d ever be able to get a job to allow him to earn any.

All this was puzzlingly at odds with the reasonably bright young man in front of me, who I thought could easily find employment. I tried some motivational interviewing and problem-solving, but nothing helped him break out of his torpor. He wondered if pills might be the answer. I prescribed an antidepressant, but it was no surprise when he returned to report that it had made little difference.

Before his next appointment, I got a call from his father, Steve. He wanted to know what was going on, and became belligerent when I explained that, because Patrick was 19, I couldn’t talk to him without his son’s consent. “Don’t you understand he’s autistic?” Steve shouted down the phone. “I manage all his affairs, and I need medical information to put on his benefits forms.”

When Patrick returned for follow-up, I asked whether he wanted me to speak to his dad. He shrugged, eyes downcast, and made no comment. I probed further, and gradually began to assemble the true picture.

Steve, unemployed, had survived for a number of years on an intricate array of benefits designed to help parents with disabled children. Now that Patrick had left full-time education, Steve was converting this to a package of allowances intended to support disabled adults and their carers. All the money went into Steve’s account; Patrick rarely saw a penny. If he asked for any money, the volatility of the reaction depended on how much his father had been drinking. Steve’s livelihood relied on having a disabled son. He had too much vested in this to allow Patrick to find his own way in the world.

There proved to be more. Patrick’s parents had divorced many years previously and his mother had subsequently died. The house that father and son occupied was jointly owned by Patrick’s mother’s estate and a maternal uncle. Her will specified that, once Patrick reached 21, the house was to be sold and he would inherit his share. At that stage, Steve could find himself with nowhere to live, and a son with independent means – but only if Patrick were allowed to assume control of his own affairs.

I’d learned enough. Patrick was subject to an unhealthy degree of control from his father. His depression reflected his disempowerment: he was unable to see how to break free. With his consent, I arranged to talk to Steve. It was a prickly consultation. Steve had a firmly held set of beliefs – Patrick was incapable of living independently (he couldn’t even make toast for himself!) – that justified his role in managing his son’s life. All my suggestions as to how to help Patrick acquire skills and independence were met with aggressive scorn.

Fortunately, the notion that some adults can be as vulnerable as children to abuse is now well established. Patrick agreed to a confidential referral to the safeguarding team. There followed a series of meetings to define his goals: to assume independence while, if at all possible, preserving his relationship with his one surviving parent. Over the ensuing year, the safeguarding team worked patiently to support Patrick in extricating himself from the enmeshment. Despite resistance on Steve’s part, they managed to retain his co-operation.

The crunch point was always going to be the house sale, but sadly Steve’s alcoholism caught up with him before then. Patrick is now free, and is making his own way in the world, albeit as the orphan he had never wished to be.

This article first appeared in the 02 March 2017 issue of the New Statesman, The far right rises again

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What Jeremy Corbyn gets right about the single market

Technically, you can be outside the EU but inside the single market. Philosophically, you're still in the EU. 

I’ve been trying to work out what bothers me about the response to Jeremy Corbyn’s interview on the Andrew Marr programme.

What bothers me about Corbyn’s interview is obvious: the use of the phrase “wholesale importation” to describe people coming from Eastern Europe to the United Kingdom makes them sound like boxes of sugar rather than people. Adding to that, by suggesting that this “importation” had “destroy[ed] conditions”, rather than laying the blame on Britain’s under-enforced and under-regulated labour market, his words were more appropriate to a politician who believes that immigrants are objects to be scapegoated, not people to be served. (Though perhaps that is appropriate for the leader of the Labour Party if recent history is any guide.)

But I’m bothered, too, by the reaction to another part of his interview, in which the Labour leader said that Britain must leave the single market as it leaves the European Union. The response to this, which is technically correct, has been to attack Corbyn as Liechtenstein, Switzerland, Norway and Iceland are members of the single market but not the European Union.

In my view, leaving the single market will make Britain poorer in the short and long term, will immediately render much of Labour’s 2017 manifesto moot and will, in the long run, be a far bigger victory for right-wing politics than any mere election. Corbyn’s view, that the benefits of freeing a British government from the rules of the single market will outweigh the costs, doesn’t seem very likely to me. So why do I feel so uneasy about the claim that you can be a member of the single market and not the European Union?

I think it’s because the difficult truth is that these countries are, de facto, in the European Union in any meaningful sense. By any estimation, the three pillars of Britain’s “Out” vote were, firstly, control over Britain’s borders, aka the end of the free movement of people, secondly, more money for the public realm aka £350m a week for the NHS, and thirdly control over Britain’s own laws. It’s hard to see how, if the United Kingdom continues to be subject to the free movement of people, continues to pay large sums towards the European Union, and continues to have its laws set elsewhere, we have “honoured the referendum result”.

None of which changes my view that leaving the single market would be a catastrophe for the United Kingdom. But retaining Britain’s single market membership starts with making the argument for single market membership, not hiding behind rhetorical tricks about whether or not single market membership was on the ballot last June, when it quite clearly was. 

Stephen Bush is special correspondent at the New Statesman. His daily briefing, Morning Call, provides a quick and essential guide to domestic and global politics.