Edited by author 04-26-2004 05:13 AM
[Ana Burrull 11
03-15-2004 01:03 PM ET (US) ]
>Just because some idiot father decides to feel sorry for himself rather than take action on behalf of his child, and just because some idiot scientists imply that autistic children are like poltergeists doesn't mean that ALL parents and ALL scientists have it in for autistics.
*True.... but the vast majority have. I can count on the fingers of one hand, or maybe both if we're lucky, the number of professionals in the world who truly have any understanding of our situation. And I mean here the non-autistic professionals. (Actually, some non-autistic ones try, and honestly try; most don't though.)
>Also, parents MUST speak on behalf of their autistic children because children in general are not seen as capable of speaking on anyone's behalf - not just their own. Most parents will gladly discuss a child's needs and desires with them and try to act on them.
*That would be a problem of a societal nature then: we tend, as societies, to be rather nasty in how they ascribe abilities and skills to children... very disempowering.
>Take a severely autistic child and he can't even begin to express to the world anything about himself.
*I couldn't do that as a kid, either. Yes, I am a psychologist, yes I am autistic and, yes, I am the father of an autistic child. What we did with our child (my wife is also autistic) was to enrol her in a very small nursery, where she would be in a position to make her own social development without being over-faced by the number of relationships she would have to handle. Nowadays, she can handle more, but she tires easily still. And she made the gains herself, under the watchful eyes of some great nursery staff who consulted with my wife and I whenever there was a difficulty that needed clearing up. My daughter has learned to start saying when something bugs her or when she needs things, although she knows exactly how to get them for herself.
>Adult autistics seem to be offended by society's attention to autistic children. I often hear "I'm not sick - why is everyone trying to cure me?"
*You hear it so often because it happens so often.
>No one is trying to cure you - you already talk, write and speak.
*That is not a sign of being cured, you know???? It is a sign of having developed. Something we're supposedly not able to do without the dubious "help" of a radical behaviourist. For a shitload of money.
*And as Amanda earlier states, the life situation is not great: I am a psychologist but I will never be able to work for anyone given that there is a lot of prejudice about the label. I am qualified at a basic but recognisable level (BA, or equivalent - my "invisible BA Hons" with at least 50% in psychology; one year's worth of work experience, supervised by a chartered psychologist; Postgraduate Certificate in Special Education: Applied Educational Psychology, as an interim award, pending: the five points needed for right to be known as a psychologist come from this lot). And I am in further training too (due to qualify as an MEd psychologist this year). But the prejudices are far reaching. Apparently, unless we become "normal" we are seen as nothings, with no competences and no expertise. So the possible employers to whom I make applications fail to appreciate my abilities. I don't know where you get the idea that we're in such a good position from! The vast majority of us are not.
> You call yourselves autistic or some doctor called you that.
*And how many autistic people do you think you might have offended with that, very likely thoughtless, comment?
> I see you as absolutely ordinary human beings - and I use the term "ordinary" because I mean you are able to have jobs, pay rent and all the other day to day stuff we all do in society.
*Hang on! Most of us, even at the so-called "higher-functioning" end of the spectrum, have some serious support needs because of how societies manage to organise themselves and how they decide on their childrens/adolescents'/adults' priorities. I am currently on a stipend from a very generous educational trust endowed by a very generous government minister (a true socialist). My wife is only able to get "työkokeilu" (work placements), and I can't even get that: I can not give my expertise away! I am essentially a trained psychologist and I cannot get listened to on my specialism, despite being the most qualified person in the town I live in. If we were seen as "ordinary" - don't you think I'd have a seriously good job now, with a really good pay cheque? From what I have been able to calculate, I am worth - with my experience and training - about €200/hour for what I do; I definitely don't get that much. Probably never will: because my expertise and training and knowledge are not respected here in Finland.
> Maybe you are different on some level from everyone else, but in the things that matter- you are like the rest of society.
*Are we? If that were so, we all would have better mental health outcomes simply because society would have accepted us as we are without our having to do all the changing. But we have to do all the changing so, no, I don't think we are like the rest of society, because - well, read Michelle's paper on the standing of autistic people in Canadian society.
>My question to adult autistics is this:
>If you had a child that did almost nothing, said almost nothing, ate almost nothing - a child who did not evolve - would you not be inclined to try to find someone to help him?
*Help, yes; but as I have said somewhere else... there's help, and there's help. Being a psychologist myself, and being and applied educational psychologist, and - further - being a specialist in autism issues generally throughout the life span, I cannot help thinking that MUCH of what is touted as help (by the ABA lot) is not very helpful: I heard somewhere that, two years after the end of their assessment, many if not all of the original Lovaas group had - despite being "indistinguishable from their peers" - found themselves having mental health problems and, basically, crashing... becoming VERY distinguishable from their peers. Once a behavioural programme to eradicate the "autistic behaviours" has done its job, the expectation on the children to keep those gains becomes to great for them without a support structure around them. Behaviourism applied in that way is doomed to fail, and it is - from MY point of view (as a professional) - very unsound practice. Some learning principles are useful: as a maths teacher (who also taught physics and electronic engineering principles in remedical teaching: not many like me, it seemed), I used to help failing students by building up, bitwise, their skills in the actually processes of "doing the sums", solveing equations and so on, and I used task breakdown and discrete trial learning in order to get them out of the habits they'd learn from what (when I investigated it for myself) turned out to be sloppy teaching.
>When your child turns 5 and is still unresponsive - would you not worry?
*Yes I would, and my first thing here is that, if my child wasn't doing anything before then, I would be worried: why does it happen that a child ends up getting into that state? Who has done what to help and why? And are there some things that have been missed? Finding out is far more involved than most behaviourists will admit.
>When your child is 12 and all he does all day is pace back and forth, moving his hands in an endless repeating pattern, muttering to himself but saying nothing to anyone else would you not feel that perhaps his life was wasting away and you could do nothing to help him?
*I would wonder how in hell a child of any description could have been allowed to stay in such a state with nobody doing anything? And here I am questioning not so much the parents but my so-called fellow professionals - some of whom, quite frankly, are less than professional.
>If you did nothing, wouldn't THAT be irresponsible?
*Ah but, you see, I would not do nothing.
>Autism is never an excuse to allow a child to be neglected or abused or subjected to various medical and behaviour therapies - but it's difficult to imagine any parent doing nothing.
*That often happens because professionals given very bad advice and information at diagnosis and often fail to follow up. Sometimes it's just the system being crap. Sometimes it's the professional being crap. Very rarely is it the parents being crap.
>Another good question - what is autism?
*Y'wha'?
>It seems to a have a pretty loose definition depending on who is labelling and who is labelled.
*Really? You mean that ICD 10 or DSM IV have weird variations according to local dialect? You see, they are where you find a definition of autism; well... a sort of definition.
>In my neighbourhood I know of 3 autistic individuals - one who is 7, one who is 13 and another who is about 35. They all seem to enjoy a similar "Quality of life" in that they are solitary and completely unaware of the world outside them. The child spends his time pacing and flapping his hands, the 13 year old paces in front of his house muttering, the man walks all day, wandering and muttering profanities.
*These are sad and extreme cases, and I have to ask why nothing is being done to secure development.
>Do people who identify themselves as autistic think that these three people are living fulfilled lives? Do you not think that their families would be grateful for their sons to be able to make some other form of life for themselves?
*Firstly, this "who identify themselves as autistic" business: stop being offensive to us and we might just be nice to people like you! Secondly, I for one do not think that these people you mention are enjoying any quality of life if they would like to do more as living beings (and, if Kelly, Maslow, Vygotsky and just about any other reasonable psychologists are to be believed, they do); and for me the problem would seem to be that - if they have had any expectations made of them - they have been too much. Even for these poeple, ABA would usually not be advised. I personally would take the cues from Vygotsky, but most psychologists outside of the profession from with I make my "living" have already forgotten about Vygotsky... "because he was about development, not disorders and treatment". But sound developmental principles, applied properly to begin with, can save a hell of a lot in dealing with "disorders and treatment" psychology in later life.
>This is autism as I see it.
No. It's one facet of it that you see. And, in my line of work (having worked in special education, further education, university/college-level education, and privately), I have seen a lot of what is autism from most parts of the spectrum.
>And wanting to cure it is not to rid the world of autistics as the writer of this article suggested to me when I wrote her.
*Actually, by definition, it IS. By "curing", it would necessarily deplete the number of autistic people in the general population, which - if all prospective autistics were "cured" - would necessarily "rid the world of autistics". Genocide by treatment, I think.
> Curing autism - as I see autism - is to help people achieve quality of life, self-determination, to simply be able to look after themselves as the rest of us "ordinary" people do.
*No, it isn't. See my last point. Autistic people can - AS AUTISTICS - gain those things without having to sacrifice who they are. Otherwise, you might as well suggest that we should cure the blind/deaf/crippled/whatever-other-disabled-group-you-(don't)-like out of society too. Why are people who have a go at us autistics like this not in possession of the cognitive ability to see the errors in their own arguments? Or is it that prejudice is just not that easy to hide, after all?!
>A desire to cure autism neither means that parents should subject their autistic children to a multitude of medical, psychological, behavioural and psychiatric treatments in the hopes that SOMETHING might work.
*A desire to cure autism is the same as a desire to cure ... well, here we go.. cure Jewishness. Ask Hitler, he was (by his own government's rules) Jewish and he tried to cure it... eventually he found his cure: he blew his own brains out.
> I see the autism industry as caring very little for helping anyone except the specialists selling their wares.
*On THIS point, I think we can agree.
>Why can't adults who identify themselves as autistics - people who have the ability to write, read and speak - work together with parents of severely autistic children instead of vilifying them?
*Actually, many of us do work with parents. And they like it that we do, as well as what we do. But when we start to question the ethics of the CAN/DAN/FEAT/ASAT medication/behaviour-therapy lot in their way of nullifying autistics as non-persons (which, to be honest, is what they do) we get people coming at our throats trying to attack our characters... happened recently to Michelle. We don't set out to vilify: they do.
>You are the lucky ones.
Oh? Why? Because I don't feel lucky. Never have. See my point earlier.
> For some reason, even though you are labelled autistic you have the power of self-determination and at the core of it all, this is all any parent hopes for her child.
*And what did we have to go through to get this far? If the psychiatrist who dealt with MY case had had his way, I would have been institutionalised and ended up the same as the three cases you mentioned earlier. Er.... no thanks.
>Shouldn't we all be working together?
*Yes. But people have to be able to see not justas they see, but also as we see. If our viewpoint is not to be respected, why the hell should we be expected to co-operate? In other situations, you wouldn't do it. And nor can we.
> People labelled "autistic" can help parents of autistics a lot in the quest for understanding their children and in finding treatments that are respectful and more importantly useful.
*Yes, we can. if only the FEAT/ASAT/CAN/DAN/etc lot would get the hell out of our faces.
>Parents, in turn, should help in the fight against discrimination against adult autistics because a cure doesn't necessarily mean that our children will be "normal" in society's eyes.
*Actually by definition, yes it does.
> They will likely fall under the same discrimination that adult autistics do now.
*No. Because they would be "cured"...not autistic any more. Please learn some logic.
>I'm sorry this is so long. When I contacted the author she was put off by my desire to cure autism and cut off discussion with me.
*Hardly surprising. Any desire for a cure is essentially a desire to rid the world of people like us. You can't possibly value our help if you want to cure the people would would be the ones to grow up into who we are.
>I think there is a lot to discuss between parents and autistics and I feel I've finally had a chance to say my part and to be heard.
*There is much to say, but I can't see it progressing if autistic opinion is always going to be rubbished by, for example, the likes of Kit Weintraub (FEAT Wisconsin) who gave a good reason as to why behaviourism is a bad idea and why Wisconsin is not a place to bring up an autistic child. You should see what she wrote about Michelle. It was disgusting and vile. I would say that a woman who could write the prose that she did could not possibly be someone who could care for an autistic child: she wants the autism gone.
David N. Andrews
BA-status, AEPiT (U B'ham)
Psycho-educational Consultant and Applied Educational Psychologist
Kotka
Finland
Associate Editor (Finland) - Good Autism Practice journal
Chairperson - Autistic People Against Neuroleptic Abuse (APANA) political pressure group
Private/Independent Practitioner
http://dna1fi.tripod.com/intropage/>Thank you.
Okay.