Published on 12, July, 2020
https://www.bbc.co.uk/news/uk-59352983
Melanie Sykes has just been diagnosed as being autistic
She like many here remained undiagnosed until later in life.
very positive article
Are you basing this on her job?
Based on stereotypes of autism, I shouldn't be able to do my job either, as my job requires a lot of empathy and people skills. Something Melanie said on Loose Women really resonated with me actually, when she said people are her interest. I've said this many times that people are a fixation for me, especially meeting people (I get bored once I know them well).
If you question her diagnosis then you are questioning a lot of us. My difficulties are often very internalised, nobody ever sees my struggles until I'm approaching meltdown or shutdown. Even that is usually private at home.
Referring to people as high or low functioning is pretty outdated too these days. Even "high functioning" autistic people have support needs. Just because you cannot relate them to your non-verbal child doesn't mean that they don't exist.
[Username removed by moderator] I've read your posts, and I'm struggling to follow your line of thought. Firstly, let's try dropping the talk of 'identity politics', 'bubbles' etc. I'll ask for forgiveness in advance, as I'm not trying to be insulting, but it's clear that this is an 'identity politics' issue for you. You're defining yourself very much as 'parent of autistic child' and are arguing from the basis of that identity. You talk about wanting respect for people's beliefs. Again, this is very much an 'identity politics' type of response. I do not respect opinions that I consider harmful, nor should anyone. We should, however, not assume bad intentions in others unless demonstrated. So perhaps we should proceed on that basis. I'm going to assume that you've accurately described your personal circumstances and are motivated by trying to help those close to you.
Firstly, the comparison between autism and cancer is disanalogous. Cancer is a disease that causes death; autism is not. That is not a credible position. I am unfamiliar with any serious agency with any knowledge of the topic that is calling for a cure for autism. This isn't because they've been captured by identity politics. It's because that position is inherently implausible. Putting aside the diagnostic criteria, the best description of autism in practice I've seen is an atypical distribution of skills; people with autism tend to be very good at some things and poor at others. I'm unsure about what a 'cure' for that would even look like.
I wonder whether you're confusing autism with comorbidities. Many of the things you've described don't seem to relate to autism directly. From the literature I've read, people with autism are prone to a range of other conditions, sometimes inherently, and sometimes because of the social response to autism. This is why functioning levels are typically considered unhelpful, and why the DSM-5 removed the old diagnoses; when comorbidities were accounted for, there were no meaningful differences. Naturally, a person with multiple comorbidities may have greater care needs, but that doesn't add any credence to the 'cure autism' position, because they are extraneous to the general position.
I agree with you that the 'politics of representation' are difficult, and advocacy groups struggle to cover a range of views. However, here's another problem. Despite being well intentioned, parents don't always accurately represent the interests or feelings of their children. I've known many circumstances where parents have very strongly advocated for certain positions when their child was unable to speak for themselves, and, years later, the child has disagreed. Just because a person is in distress doesn't mean that they would necessarily wish that their neurotype is different, even if that was possible.
A word on context too. A major problem that autistic people face, which is well represented on these threads, is that people aren't believed when they say they feel a certain way. This can be very harmful. I suspect that this is why your earlier conversations became so heated. Saying that someone isn't autistic because they seem to communicate fine is wrong in fact; the diagnostic criteria talks of 'difficulties in social communication'. Finding something difficult doesn't mean that a person can't do it well. The antonym of 'difficult' is 'ease', not 'skill'. The reaction may have been caused by you using a formulation that many people have heard and has caused them harm. It's not that the robustness of the diagnostic procedure shouldn't be challenged, but it is questionable to do so in that particular way on this forum. People who allege domestic violence do need to be challenged as to whether their accounts are true, but to do so when they are seeking help in a refuge may be insensitive.
May I ask out of interest why it would cross your mind (ie "how can you tell")? Just curious.
I also think that diagnostic criteria are evolving butI know there has to be some sort of "cut off". I scored just above the cut off on my assessment. With some people, it may seem that they have more obvious difficulties but many years ago they might not have even got a diagnosis. So I think things are evolving all the time.
I do think as more people explore information which is available and so start talking about their own experiences, this goes to redefining what autism means. For example, when I started reading about autism and aspergers for myself I discounted it in the first instance because I couldn't relate to it. It was about stereotypical male behaviour and from official sources like the nhs. But then as I started reading more (a mixture of first hand experiences and also that of qualified people) it began to make more sense. As I talk about my own experiences this may feed into how other people relate to it too.
Edit - I think I'm trying to say there may be common shared experiences of people with autism which are not in "official" material but it's only since we have more access to sharing information that these are brought to the open more.
On the other hand, I do wonder sometimes if what people describe can be attributed to autism or if it's something else like personality. And then these things get thrown into the unofficial mix of autism. I would say there's plenty I cannot relate to but a lot i can.
I have thought about this before going off on so many branches in my head. I don't know if I have explained correctly what I mean and its certainly not a personal attack on anyone autistic or not.
As in contrast to non-autistic (or Allistic) people being described as Neurologically Typical (or NT); the description of being Neurologically Divergent (or ND) is commonly and regularly used by autistic people here and elsewhere to refer to themselves and others on the autism diagnostic spectrum, keeping in mind that it is not used by or in reference to autistic people alone:
As is also exemplified via the following You-Tube video:
Basically then, from a medical or clinical perspective ~ Leif Ekblad (as the author of the Autism, Personality, and Human Diversity: Defining Neurodiversity in an Iterative Process Using Aspie Quiz paper) was in 2013 addressing the need for neurologically typical, atypical and divergent behavioural traits to be further researched and categorised for more accurate diagnostic criteria ~ in respect of autism as being a spectrum condition that involves people having maximum, moderate and or minimum personal and or social support needs.
And as for:
Oh is THAT what a spiky profile is!!!
If by 'this' you mean what M described as being the 'spiky circle thing':
Then read:
Autism, Personality, and Human Diversity: Defining Neurodiversity in an Iterative Process Using Aspie Quiz
https://journals.sagepub.com/doi/full/10.1177/2158244013497722
And check out perhaps the following website explaining and for taking the Aspie Quiz:
https://embrace-autism.com/aspie-quiz/
M said:The spectrum isn't a straight line from mild to severe = not linear. Usually it is demonstrated with a diagram that I don't know the correct term for but a spiky circle thing.
The same for me and suicide. It would ruin my daughter's life if I died. So I am always trying not to kill myself.
Brill, that's the one! I like how she says we have got to learn each others' language. Her hair looked like a freshly windswept cat!
She does! That appearance on the talk show was good. it was an Irish chat show, it's on youtube somewhere.
she has 2 programmes on Netflix
There's a great comedian called Hannah Gadsby. She is diagnosed autistic. Maybe check her out. One of her interviews on a talk show I seem to remember she discusses how she is fine with being on stage because she is in control. This is also true to a certain extent of myself as a tutor. I know my role. Conversations are on my terms and usually functional.
I feel compelled to reply and attempt to explain why your comments are causing so much upset - I read this thread last night and was also upset by it and the assumptions being made. This is not an attack - this is me attempting to address points you have raised.
Sorry I've run out of steam.
There is also:
The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): A Scale to Assist the Diagnosis of Autism Spectrum Disorder in Adults: An Internation Validation Study
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3134766/
And:
Thanks again. Very much appreciated :-)
But it raises my original point; how robust is the diagnostic process?
Diagnostic tools ~ a guide for all audiences
https://www.autism.org.uk/advice-and-guidance/topics/diagnosis/diagnostic-tools/all-audiences
Preliminary tests for assessment referrals
https://www.autismresearchcentre.com/tests/