• You and me both  

    I went to TUC union reps connect national training last year.  The general secretary of the TUC was pretty clear about what a threat Reform is to democracy and human rights - the greatest challenge we have to face at the moment.

    To quote the character Jake Balushi in the Blues Brothers film "I hate Illinois ***".

    I really look forward to the day when such people are removed from blocking bridges and swept away with the tide..

  • A close friend of mine who is a GP gave a patient a letter broadly requesting that local employment services do this.

    He mentioned his concern that one day he will get into trouble for such an approach.

    Fortunately his financial situation is such that he can exercise such value driven behaviour without absolute existential dread.

    He's also pretty neurodivergent in my opinion too!

  • Definitely! 

    for some this might be a diagnosis "out-of- work-itiss"

    Many of us will know that the current treatment for this is often medication. Imagine if GPs were able to treat this ‘condition’.

  • From what I can see very few people get any support let alone the support they need and certainly when you're out of full time education the support seems to vanish. 

    Thinking of things like PIP, the way that the forms are set out and how you have to have so many points across a variety of problems before they even consider you, makes me wonder how people support needs are defined now? I'd certainly be in favour of making it clearer what the criteria are and whilst it's fair to reassess every so often, it's such a burden, people shouldn't fear having their benefits taken away because someone's not only moved the goal posts they've narrowed the pitch.

    I saw a frightening thing on Newsnight last night, Reform are saying they want to remove equality legislation, when specifially asked, they said the right things, like we wouldn't be going back to the days of No Blacks, No Dogs, No Irish and of course doors should be wide enough to admit a wheelchair and nobody would be paid less according to their gender, which left me wondering who they will go for? Us probably, among others, I dont' beleive them about the other stuff either.

  • Understood  

    Personally I think that scientists and clinicians alike need to be a bit more creative about what they diagnose and call out social problems by it.  Say for example a GP who regularly sees an individual with depression and anxiety might join the dots for wider social issues for that person, e.g. for some this might be a diagnosis "out-of- work-itiss" and prescribe that the person should be supported to find meaningful and worthwhile employment that they are happy and able to engage with...

    Or "undersupport-itis" maybe...

  • That is so, yet it is a shame that the NHS and social care has deteriorated to the extent that researchers have the need to make the diagnosis fit the support system rather than the other way about.

  • I have empathy for the mole... :-)

  • There is an amusement park game called "whack a mole" that springs to mind as a useful metaphor for this situation.

  • There has been a push from parents of as they define profoundly autistic children that the support for them isn't great enough as they can't leave their child alone at any point ever, not even to go to the toilet. Not being able to gain the necessary supportive equipment due to their current diagnosis not meeting the criteria e.g. for sleep safe beds so that they are safe at night. I think it is probably for this reason it is now being considered.

    But I agree, it does seem to overcomplicate autism. And as I've said before. What happens to the support for everybody else concerns me if this is brought in.

  • Understood and I completely agree.  

  • A lack of collaborative effort and organisation yes :-(   - however this study can't be blamed for that  

  • I agree with your suggestions, but I still don’t think it is helpful to give a diagnosis based on support needs rather than the condition itself.

  • I think the point is those with autism that are non verbal and have significant intellectual disability need round the clock care and supervision to keep them safe etc.

    I completely agree - for this reason 

    does it matter in this context?  - to quote the article "The category is intended to help governments and service providers plan and deliver support, so autistic people with the highest needs aren’t overlooked. It also aims to re-balance their under-representation in mainstream autism research.what counts is are they treated fairly and appropriately supported by society."

    n so far as it is necessary to make personal, valid assessments of what a fair adjustment is then each individual and their circumstances one would have thought would be different and furthermore need updating over time.

    I too am concerned that it might mean cut off definitions for who gets support might leave some excluded who have more "invisible" disabilities but for whom support of a different type and scope is necessary for social equality.

    However making a blanket definition that has inclusion and exclusion criteria might make the case for adjustments stronger and easier to enforce for people and I really wouldn't want to put anything in the way of that.

  • So this means the study will lead to autism experts assigning a diagnosis of ‘profound autism’ when the diagnostic criteria for some include learning disabilities that aren’t related to autism? 

    If the people who need the most support get it, that is a good thing, but it seems to complicate ASD more than it needs to. 

    Governments could rethink how they are going to identify those people who need the most support. Information can be shared almost instantaneously so it seems there is a lack of joint up and imaginative thinking.

  • This is the part I'm really unsure of. I'm not sure how accurate iq testing is to begin with.

    I guess 50 is significantly low though so perhaps easier to determine. I don't know.

  • I think this is why they have suggested it couldn't be diagnosed before 8 years old as a lot of progress can be made prior to this. But yes it would be difficult to properly determine I think.

    It is where Martin's take was interesting as to whether there is truly a profoundly autistic diagnosis or whether it is autism with an intellectual disability.

    I think the point is those with autism that are non verbal and have significant intellectual disability need round the clock care and supervision to keep them safe etc.

  • especially bearing in mind that iq is socially biased to neurotypical standards and expectations based upon the test developers...

  • oh... I see a problem and my mistake, Sorry.

    The roots of being non-verbal in my personal experience is that when I am feeling profoundly autistic myself I am unable to communicate, including verbally. I had concluded perhaps wrongly that this was what others were experiencing too.

    Perhaps there is an intersection between inability to communicate from the effect of autism and intellectual development in "that direction".

    Perhaps some people are able to "work around this" and develop intellectually and via this communication their skills.

    Or their intellectual capacity being already present meant that alternative communication skills developed.

    So much of this involves the environment (including stimulus response) that individuals grow up in and inhabit.

    It all seems a bit confusing to me in terms of root cause analysis.

    Also it seems to me to be unfair to combine intellect and autism when making a statement about what autism is.  Possibly an unfair bias by me as after all things like social communication etc are part of the definition.

    Ah well, perhaps this all will be stimulus to decisions that are meaningfully helpful for people. 

  • Profound autism includes intellectual disability though. This is the point. Profound autism isn't just being non verbal. It is needing significant support due to extremely limited understanding. Someone who is non verbal but has good understanding isn't profoundly autistic.

  • I think this is why it is important that if they do bring this in that there is an iq cut off. As someone with intelligence is not profoundly autistic and are very capable with adjustments e.g. another way to communicate.