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 am waiting on the report by the UK government by Wes Streeting to see why autism and adhd has risen in the manner that they have been reported to. Are online tests and particularly private online tests a new thing for autism that happened during covid that led to any of this increase in numbers. 

    www.gov.uk/.../review-launched-into-mental-health-autism-and-adhd-services

    It can seem at times that autism is getting to be just a different brain type whether you have issues or not. That is probably not the case but it can increasingly seem that way. Also, with online social media influencers it seems like a lot of NT people have taken up hobbies for monetising which looked more special interests before. Sensory gadgets are being sold for NT people as well. It seems like some blurring is going on.

    I think that the new diagnosis is good to include sensory as it noted by Kanner himself, but wasn't in the DSM 4. Behavioural aspects was that could lead to it. I think that the aspergers/autism merge can be confusing to some, but people with higher needs should be able obtain the support they need.

  • It can seem at times that autism is getting to be just a different brain type whether you have issues or not

    Just different type is not clear enough. Extrovert is just different to introvert. Both are normal. I have misunderstandings on daily basis, im more vulnerable to any sort of bullying and abuse, which happens till this very day. So for me it's not just me being different. It's my inability to understand,  that someone was rude to me or arrogant (someone has to tell me) or that I said or done something inappropriate. I'm fine with getting constructive criticism, I don't get offended. I often feel guilty for saying something inappropriate. I also have misunderstandings in non-verbal communication. I can explain something technical very well, but fail when it comes to simple human interaction. This is an example of difficulties although I don't have any intellectual disability. So it's not just a different type for me, or quirk. I'm more vulnerable and need support group, therapies etc. Otherwise I can and I do eagerly do home chores, I can cook and I take care of my family members. But I need additional explanations for simple interaction. Otherwise I have no idea, if it was a joke or serious or the person was angry or tired or none of that.

  • I understand that, but people like this which I will quote from are speaking out-

    "“It may soon encompass people like me, for example. I have not changed but having some borderline autistic traits, I may soon be absorbed by autism – because it is itself changing.”

    www.theguardian.com/.../uk-increase-autism-diagnoses-neurodiversity

  • Prof Ginny Russell, at the University of Exeter, said: “I do think it’s going to continue until maybe everyone is categorised as neurodiverse.”

    I think she meant "categorised as neurodivergent", but could be wrong.

    All brains are different (neurodiversity) but neurodivergence is at a significance distance from the norm (and for autism involves disability). But aside from the wording, I fear her prediction is correct.

    Her paper "Autism Diagnosis as a Social Process" has an interesting abstract and being a researcher she likely knows a lot, I guess I may read it.

Reply
  • Prof Ginny Russell, at the University of Exeter, said: “I do think it’s going to continue until maybe everyone is categorised as neurodiverse.”

    I think she meant "categorised as neurodivergent", but could be wrong.

    All brains are different (neurodiversity) but neurodivergence is at a significance distance from the norm (and for autism involves disability). But aside from the wording, I fear her prediction is correct.

    Her paper "Autism Diagnosis as a Social Process" has an interesting abstract and being a researcher she likely knows a lot, I guess I may read it.

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