When a child is born with a visible disability the hands of the community are extended to the family offering assistance and comfort. The hands help to prepare a way for the child and they applaud as he reaches goals and milestones. The hands touch the shoulders of the parents and convey words of encouragement and praise for the extraordinary care they have given. When the family grows weary the hands are there to raise them up. In the evening the hands are folded in prayer for the family and the family feels their warmth and strength. When a child is born with Fetal Alcohol Spectrum Disorder the hands of the community are also extended, but it is not assistance that they offer- for their fingers are pointed in blame. The child grows and reaches milestones but is rarely applauded- the fingers point only to his behaviors. The hands surrounding the parents convey words that are harsh and full of criticism. The hands are used to cover the words that slip from mouth to ear in the community. The family grows weary. In the evening the hands attempt to fold in prayer but the fingers still point in blame and the family feels alone.