My brain chewing thoughts

It's been quite a long time, that I've been chewing this topic in my brain but wasn't sure, how to put it to words. The topic in question is the discussion about autism itself and quite recent statement from Uta Frith, that the spectrum has collapsed. I would like to share here my observation and analysis. I'm also curious of any other thoughts and points of view, that might have not come to my mind. Just shortly- I'm not diagnosed,  suspected autism (according to ICD-10 Asperger Syndrome, still diagnosed in Germany) I'm awaiting my assessment autumn this year. I expect to receive my answer and "ticket" for getting support that I need. If I'm not autistic,  I want to know, what instead. And there is the dilemma, what should I do with my account here if I'm not autistic. 

But going straight to the point. As Uta Frith said, "the spectrum collapsed" I would say different- it has not collapsed. There is quite big mess in a discussion in media and social media about autism. As a result, there is a confusion and one may ask themselves "what is this autism actually?". The discussion and often "education " provided by activists or YouTube personalities lacks structure. And you can find quite many opposite statements. Example: one says "why everyone pathologises autism, it's just a different way of perceiving world, not a disorder or disability, its a superpower". Other one says: "I'm done with it, autism is being romanticised, it's not just a quirk, it's a disorder and disability". There is also quite much hatred. Often caregivers of severely autistic people criticise mildly autistic people, because they belong to the same spectrum, but their needs are much lower.  

What I think, should be emphasised and clearly stated by everyone taking part in the discussion and education- autism is a spectrum. Spectrum of traits and levels of disability. There are people who need very substantial support, who are obviously and visibly disabled and noone should talk about their condition being "just a quirk" or just a difference. There are people, who can function a bit better, but still need substantial support. And there are people, who seem to function well. Until they have to deal with the big world on their own. And then it turns out, they can't manage it on their own, or they are much more vulnerable than an average person and should be supported while functioning in this big world. Hatred will not help anyone, but destroy the spectrum as it is. For me personally,  I'm not glued to the label "autism", should tge spectrum be splitted,  then be it, but wisely, to not leave anyone without support. There are quite many people,  whose needs change over time. Should they be then rediagnose with other conditions? The spectrum of traits and needs serves them much better. I also have impression, that Uta Frith is only upset about people being misdiagnosed with autism. Yes, misdiagnosis happens. Across all conditions. Is she also upset about people,  or autistic people being misdiagnosed with other conditions? Just a rhetoric question. I was misdiagnosed with tourette and forced on awful meds. Later was confirmed by a team of neurologists that it was not tourette,  but nobody bothered to have me further tested.

The spectrum of needs functions not only in autism. Tgere ate people with down syndrome,  who are also mildly to severely disabled. Does anyone get upset about it? Do people with down syndrome hear "you don't look..."? As I found out, autism may also appear in specific facial features, but they are much less visible than features of people with down syndrome and absolutely not all people on the spectrum have these facial features. 

I hope I will stop hearing, that I "just have trauma" or "just depression" but be taken seriously instead, whatever condition it is. I hope this post will not cause a big argument here.

Parents
  • I also have impression, that Uta Frith is only upset about people being misdiagnosed with autism.

    I agree with the post. My opinions are:

    1. Her most recent hypotheses/opinions are not backed by evidence (not yet at least),

    2. She said "I dont think they are lazy" or something close. Often one says that only if one actually thinks the opposite (may be just my cynicism tho),

    3. Papers talking about overdiagnosis are strange. One uses fMRI but I am unsure this is more precise (for diagnosis). If it were more precise, it would be good news.

    4. The fuss is primarily due to economical reasons. There is 1000% increase in depression since a few decades back but the support is mostly a pill (hence no scandal).

    5. However, if overdiagnosis with autism is real, it could be a big issue. So far, I see the increase more related to increased awareness, revised diagnostic tools, and maybe a society not made for all.

    6. Other researchers may be thinking of autistics with high support needs getting less support due to this. Of all, this is the most legitimate concern imho, but it is of a different kind.

    ------

    I will review these opinions if I see convincing evidence.

    conditions. Is she also upset about people,  or autistic people being misdiagnosed with other conditions? Just a rhetoric question

    I hope it is okay to reply even though it is rethoric: it is possible there will be some new label created, and a slightly different diagnostic criteria.

  • Slightly tangential but here are some studies I found pretty interesting (some take a little time to check, some take longer, please feel free to thoroughly ignore them):

    1.  WHO-2025 Mental Health Fig. 2.4 on eating disorders, and Section 2.1.2 for children, and figure 2.9 for different continents were all quite interesting.
    2. Depression (World In Data) with UK 2nd worldwide below Syria apparently (from this other map).
    3. Autism (World In Data) Au's relative rise (2023 compared to 1990) is much higher than depression actually.
      1. So this is a correction to my previous statement; but possibly comparable to other conditions anyways, or to depression with wider (unavailable) range? Still to inspect.
    4. WHO article (Info 2021, but updated on 2025) with a nice Overview which I share below (last sentence is a bit weak though):

    Autism spectrum disorders (ASD) are a diverse group of conditions. They are characterized by some degree of difficulty with social interaction and communication. Other characteristics are atypical patterns of activities and behaviours, such as difficulty with transition from one activity to another, a focus on details and unusual reactions to sensations.

    The abilities and needs of autistic people vary and can evolve over time. While some people with autism can live independently, others have severe disabilities and require life-long care and support. Autism often has an impact on education and employment opportunities. In addition, the demands on families providing care and support can be significant. Societal attitudes and the level of support provided by local and national authorities are important factors determining the quality of life of people with autism.

    Characteristics of autism may be detected in early childhood, but autism is often not diagnosed until much later.

    People with autism often have co-occurring conditions, including epilepsy, depression, anxiety and attention deficit hyperactivity disorder. The level of intellectual functioning among autistic people varies widely, extending from profound impairment to superior levels.

    5. Chart on increase over time for many mental health conditions (not autism) Mental Health all charts (World In Data) 

    I just wanted to see more analysis across conditions but the papers focus on 1 at a time. WHO is broader in that sense.

Reply
  • Slightly tangential but here are some studies I found pretty interesting (some take a little time to check, some take longer, please feel free to thoroughly ignore them):

    1.  WHO-2025 Mental Health Fig. 2.4 on eating disorders, and Section 2.1.2 for children, and figure 2.9 for different continents were all quite interesting.
    2. Depression (World In Data) with UK 2nd worldwide below Syria apparently (from this other map).
    3. Autism (World In Data) Au's relative rise (2023 compared to 1990) is much higher than depression actually.
      1. So this is a correction to my previous statement; but possibly comparable to other conditions anyways, or to depression with wider (unavailable) range? Still to inspect.
    4. WHO article (Info 2021, but updated on 2025) with a nice Overview which I share below (last sentence is a bit weak though):

    Autism spectrum disorders (ASD) are a diverse group of conditions. They are characterized by some degree of difficulty with social interaction and communication. Other characteristics are atypical patterns of activities and behaviours, such as difficulty with transition from one activity to another, a focus on details and unusual reactions to sensations.

    The abilities and needs of autistic people vary and can evolve over time. While some people with autism can live independently, others have severe disabilities and require life-long care and support. Autism often has an impact on education and employment opportunities. In addition, the demands on families providing care and support can be significant. Societal attitudes and the level of support provided by local and national authorities are important factors determining the quality of life of people with autism.

    Characteristics of autism may be detected in early childhood, but autism is often not diagnosed until much later.

    People with autism often have co-occurring conditions, including epilepsy, depression, anxiety and attention deficit hyperactivity disorder. The level of intellectual functioning among autistic people varies widely, extending from profound impairment to superior levels.

    5. Chart on increase over time for many mental health conditions (not autism) Mental Health all charts (World In Data) 

    I just wanted to see more analysis across conditions but the papers focus on 1 at a time. WHO is broader in that sense.

Children
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