Note For Anyone Writing About Me

Guide to Writing About Me

I am an Autistic person,not a person with autism. I am also not Aspergers. The diagnosis isn't even in the DSM anymore, and yes, I agree with the consolidation of all autistic spectrum stuff under one umbrella. I have other issues with the DSM.

I don't like Autism Speaks. I'm Disabled, not differently abled, and I am an Autistic activist. Self-advocate is true, but incomplete.

Citing My Posts

MLA: Zisk, Alyssa Hillary. "Post Title." Yes, That Too. Day Month Year of post. Web. Day Month Year of retrieval.

APA: Zisk, A. H. (Year Month Day of post.) Post Title. [Web log post]. Retrieved from http://yesthattoo.blogspot.com/post-specific-URL.

Showing posts with label Therapy. Show all posts
Showing posts with label Therapy. Show all posts

Friday, August 30, 2019

That AAC on a plane story

I want to talk about a thread that's going viral.

My problems are not with Rachel, but I do have problems.

Problem the first:


Rachel doesn't think this kid's been exposed to much in the way of communication therapy. I don't know about therapy with a focus on speech, but given the father's confusion and how fast the kid responded to a low-tech communication board, I'm quite sure he hadn't been exposed to AAC before.

That's a problem. Yes, thank you for introducing communication supports. As an Autistic AAC user doing AAC work, I am appalled and horrified that people are reliant on a chance encounter with an SLP on a plane in order to be introduced to AAC. Communication access is a human right. I'm glad Rachel got seated next to this father/son pair, and I'm glad she introduced AAC. She did the right things in a situation that should never have happened. There should have been communication access years ago.


I'm happy for this family, that they have AAC now. I'm sad for this family, that this is what it took. A chance meeting with an SLP on a plane.

And you know what else concerns me?

People are sharing this like it's a heartwarming story. It's a terrifying story. Imagine how many doctors and therapists failed this family, that communication access rested on this chance encounter. Imagine how many people still don't have communication access.

This is, in fact, an important story. It's an illustration of just how dire the situation is for autistic people and our families trying to access the human right of communication. We are being "served" by people who don't know to consider communication board, who don't know to consider AAC. We are being "served" by people who see a non-speaking person who grabs things and assumes the way to go is to try to control the "behavior" rather than to provide other ways to communicate that they want those things. And we are being "served" by people who presume that non-speaking means non-thinking.

And no, I don't mean people who presume that non-speaking means intellectual disability. Non-speaking people with intellectual disabilities can use communication supports. I mean people who assume there are no thoughts worth trying to communicate, that the primary "service" needed is control over the person. It's a problem whether or not a non-speaking person actually has an intellectual disability.

So, share away. Just remember it's a story about years of communication denied and systemic problems. It's a story about a kid who didn't get to have his communication honored until he was about 10, who had his attempts at communication treated as "challenging behaviors" instead of attempts at communicating sans speech. It's a story about a chance encounter, and it's a story about everything that had to go wrong for that chance encounter to matter. This is no better than the high school robotics team making a prosthetic for a kid whose insurance denied it: good for the team, but remember why it was needed.

Share this story as an illustration of what's wrong in our system, not just as a story of one person who did a good thing.

Thursday, February 26, 2015

#AutismSpeaks10 Aren't #AutismChampions.

I've been fairly active on Twitter the last few days with the Autistic and allied takeover of the #AutismSpeaks10 hashtag, and now the new tag, #AutismChampions (the s at the end is important, because without it you wind up in a different tag.)

I've also been super-busy offline, and I've been working on some cool advocacy, activism, and art stuff that's not ready yet, so I've not had enough time for that and blogging typically. In lieu of a more typical blog post, here's embeddings of all my original tweets to those two tags. :)

I seriously recommend looking at both tags, though, and maybe retweeting some stuff or adding your own! Warning, though: Some of the stuff Autism Speaks has done is really triggering, and we are talking about it.





(The Chinese tweet is a translation of this.)





(This is Chinese for the TNJU (Tianjin Normal University) tweet.)
































































Friday, January 30, 2015

Response on Stem Cell Therapy

This is a response to a question I was asked. Here's the question.
Dear Alyssa, Greetings from India I found your blog while I was researching about special schools in China. I enjoyed reading your posts. I wanted to know your opinion on stem cell therapy for autistic individuals. What are your thoughts? Do you support it? Do you think its useful, not just in terms of autism but also for other neurological disorders. I would love to know your perspective. Love, Avantika
The short answer is that I don't support stem therapy "for autism"  (it makes no sense) but I do for people with conditions where stem cell therapy makes sense (some heart stuff, liver stuff, sometimes Crohns) who are also autistic.

There's a few different opinions that are all part of the long answer.

  • There's my opinion on stem cell therapy in general.
  • There's science side, is stem cell therapy even relevant to anything about autism?
  • There's my opinion on biomedical treatment of any kind "for autism."
  • There's my opinion on stem cell therapy for other reasons on people who happen to be autistic.
Anyways.
Stem Cell Therapy in General

My opinion on stem cell therapy in general is that it's still pretty experimental, but there are things it's been shown to work at least some with. It's used for some liver stuff, some heart stuff, some neurodegenerative stuff, osteoathritis, and Crohns. What all these things have in common, so far as I can tell, is that adding new cells that work like patients and doctors expect them to work helps with whatever the patient doesn't want their body doing. 

Some people have ethical issues with stem cell research and therapy for various reasons. As a sciency person, I know that most of those concerns don't even apply in quite a few stem cell areas (adult stem cell lines and umbilical lines have nothing to do with abortion, fetal lines coming from "spare" fertilized eggs after in vitro could become people if implanted but it's also not abortion, and I'm pro-choice anyways.) So I think stem cell research and resulting therapies are really cool, as long as they 1) are working towards a goal that the person being treated supports (not a parent, not a doctor, not a caretaker, the person being treated) and 2) there's scientific reason to believe that it can (help) accomplish the goal. The amount of evidence needed is less for treatments that the person being treated knows are experimental, like as part of a study, and more for stuff that we're saying is known to work. Which level of evidence a person being treated wants before they agree to it (and there has to be consent here) is up to the person.

Relevance to Autism

Going back to what the things being treated have in common, these are conditions where adding new, healthy cells can help with whatever the problem is. Autism does not fit the bill, even a little bit. Even if you hold with the idea that autism is somehow terrible and reducing "symptoms of autism" is the holy grail of treatment, the relevance of stem cell therapies to autism itself is doubtful. Some evidence suggests that we've got extra brain cells and connections in comparison to neurotypical expectations, among other things. 

This isn't a statement about stem cell therapy for autistic people who could benefit for other reasons, like if an autistic person also had Crohns or osteoathritis or any of the other stuff that's getting successfully treated with stem cell therapy, the question would be about relevance to that condition rather than autism.

But no, stem cell therapy is not relevant to autism.

Biomedical Stuff for Autism

Biomedical treatments "for autism" are generally pretty confused about what they're supposed to be treating, how it's supposed to work, and everything in between. Stem cells "for autism" don't look like an exception here. 

At best, such treatments are aimed at reducing discomfort that we have for other reasons (like the fact that autism and epilepsy can occur together, autism and autoimmune stuff can occur together, just by sheer probabilities, unless autism and condition X are not independent (having one affects the chance of having the other) they will occur together for about 1% of people with condition X.) Those treatments would actually help with the condition they're properly meant for, and make autistic people who have that other condition more comfortable. Often, our being in less distress is wrongly taken to mean that we are less autistic, and so people decide that this treatment now reduces "autism." For an autistic person who also has any of the stuff that stem cell therapies are actually good for? The relevant form of stem cell therapy could go here.

At worst, such treatments are actively abusive and have no reason to work. Bleach enemas, chelation, chemical castration, and a lot of other "biomedical" and "alt med" things people do "for autism" go here. If the autistic person in question doesn't have anything for which stem cell therapies are actually relevant, then stem cell therapy may well go here.

Regardless, treatments "for autism" are also rooted in the idea that autism is wrong or lesser, while neurotypicality (or being able to fake it) is ideal. That's directly opposed to the neurodiversity paradigm, so the idea of any treatment "for autism" is not high on my list of good things. 

Rather than trying to make Autistic people be "less autistic," I support giving us the treatment and tools that help us live better lives as Autistic people. If we've got any stuff going on that's causing us problems (I've got asthma, for example,) then treating those problems is just as good an idea for Autistic people as it is for those lacking autism. People tend to prefer feeling good to feeling sick, after all. The problem is when people conflate "feeling better from other stuff" with "less autistic." We're not actually less autistic, and less autistic isn't actually a good goal anyways.

I've talked a bit about what education that's based in teaching us to live well as autistic people could look like, but it's so unusual that finding anything like that is tough. That's also not particularly the point of this answer, but if you're interested, here are a few:

Stem Cell Therapy (when the person is also Autistic)

I don't see how this is different from stem cell therapy when the person isn't autistic. If someone has a condition where stem cell therapy is actually relevant, them being autistic isn't a counter-indicator.

Tuesday, October 22, 2013

Not Tolerating it Doesn't Change It.

Trigger Warning: Ableism, some internalized

Augh something my dad said, practically off-hand, over the summer is coming back and being a problem in my brain right now. He probably doesn't even remember saying it. No, really, I'd bet that he doesn't remember saying it. He'd totally agree with the sentiment, though, because, you know, he said it and it's in line with other stuff he's said. [If you want to know where internalized ableism comes from for a lot of autistic adults, look to the parents. With autistic adults who weren't diagnosed until adulthood, still look to the parents because seriously how good a job can you expect a parent to do when they've been told their kid's brand of weird is something totally different from their kid's actual brand of weird?]
Disorganization after the age of twelve isn't something that I tolerate.”
(I lived with my mom during the school week. She saw my locker a few times, but my dad never did. Thank goodness.)
How are you going to not tolerate it, dad? Really? How are you going to prevent me from being disorganized, me, who, as much as I prefer order (I don't require it, but I do prefer it) I can't create or maintain it. It's been tried. I can't do it.

Are you going to blame the fact that I can't do certain things on the way I was raised? I mean, I know you like to blame stuff on mom, but seriously, are you going to blame the fact that I can't keep myself organized on my mom? She tried to teach me. You... never really tried to teach me to keep organized. Sure, she failed, because it's not something I can do unless someone has some really off-the-wall idea that can magically create the required cognitive skills that I'm fairly sure I don't have, but she at least tried. She kept trying, too. So did (some of) my teachers. Others made jokes about it, some cruel, some not. One helped and made jokes that managed not to be cruel. By helped, I mean that when my locker was the complete mess that it always was, they spent about half an hour with me after school and emptied the entire contents of my locker onto the floor, pulled out the trash and recycling bins from the classroom, and helped me sort through the stuff. It didn't always work out well, since I have a limited ability to sort stuff before my brain decides to be done (my record for room cleaning type activities in a row is 3 hours, after which I slept for a similar length of time and had no more productive abilities for the rest of the day. I had been at full energy when I started. By no more productive abilities, I mean I wasn't even capable of acquiring food, by the way. And that was with my mom helping with the room cleaning activities too.)
As I write this, I'm staring at a pile of stuff on my desk. I don't even know how it got to the point it's at, I don't have enough stuff here that this level of mess should be possible and yet here it is and no I'm not able to fix it myself and my teacher when she saw it just said that I need to clean it and I don't know how.
Much like with my homework problem, there are cognitive skills that I just don't have and that are needed for this. Yeah, it's expected that people can do this. Yeah, because I'm verbal (mostly) and smart, it's expected that I'll be able to. But it doesn't work like that. I'm developmentally disabled. Look up what that means, if you don't believe what I'm about to tell you, but a developmental disability means that there are issues in multiple of: communication, self-care, home living, social skills, community use, self-direction, health and safety, functional academics, leisure, and work.

Communication? Yup. Inconsistent speech does that. Self-care? Yup. Home living? Yup. Social skills? Yup. Not sure what community use means. If self-direction is what I think it is, yup, that's one of the executive functioning problems I have. Health and safety I think I'm decent with, though the pain tolerance thing means I wind up missing major injuries sometimes (like 3-5 broken bones never making it to my medical record kind of missing major injuries.) Academics I've been great at. I don't know how people are quantifying leisure and frankly I don't think you should since different people enjoy different things. Work? I've had jobs and never been fired, so I'm going to go with being OK there.

But yeah, I'm disabled, do you really think the skills I don't have are going to magically appear when you tell me to do a thing I don't have the skills to do? Do you think they're going to appear when you say you don't tolerate one of the outward signs of my not having those skills? It doesn't work like that. I'm developmentally disabled. There are things I can't do. Telling me to do them isn't going to help. It's just not. Telling me how you “wouldn't tolerate” it isn't going to fix it, and frankly it scares me, because there's not anything you could actually have done about it. I don't need “tough love” to teach me to do this stuff. I need someone who can get it done for me because I can't do it.

And yeah, my mom messed stuff up with this sometimes. Seriously, my mom was told I had a different sort of brain weird than I actually do, what do you expect? She was told that I was just gifted. That's a thing that happened. It's not accurate information, but it's what she was given. Working under the assumption that I'm not disabled, of course you're going to have reactions to disability parts that don't work with the actual situation. That's to be expected. I put that on the bad information, not on her. Since dad's statement about “not tolerating” disorganization came after knowing I'm autistic? Yeah, no, that's him. He's actually not good about this stuff. Mom just didn't have the information required to be good. Still doesn't, really, because no one talks about what autistic adults need. I've got a nice pile of things I can tell her don't work, but as far as what does? Yeah, I'm stumped. “Get someone who has these skills to do the things for me” is basically what I've got. Which, you know, doesn't bode well for this idea that I'm supposed to grow up to be super-successful and all.

Wednesday, August 21, 2013

Sometimes We Know.

This was my other contribution to #DearMentalHealthProfessionals.
#dearmentalhealthprofessionals Sometimes we actually have a pretty good idea of what is up with our brains. Because we live in them and all.
This is along the same lines as us not being incompetent just because we have mental health issues. Lived experiences matter. Paper qualifications might be good for an average, but that doesn't mean it trumps an individual with individual experiences.
Now, how does this relate to actually doing a thing?
Well, I've already said how well-researched self-diagnosis (not the same thing as going "I'm so bipolar lol," by the way, though a person who really is bipolar or autistic or whatever else may make jokes about it) can be valid.  If it can be valid (it can,) then maybe "I really think X might be what's up with my brain" is a thing mental health professionals should be taking seriously (they should.) Is there room for error? Sure, there's always room for error. Professionals can be wrong, why would I say individuals can't?
But.
Rather than saying the individuals couldn't possibly know and being determined to prove them wrong, why not ask? Ask why they think they have/are neurology X? Why do they think they might be autistic? Why do they think they might be bipolar, or depressed, or have anxiety? Listen to those answers. If any of the reasons they give are relevant to the thing they think they have, look into it. Really look into it. If it seems like a not-quite-fit, look into the things that often get mistaken for what they think they have. Look into things that have their reasons in common with what they think they have. Even if we don't know the exact thing that is up with our brains, if we think we have an idea, it's going to have some good information in it. Use it.
The fact that a professional was willing to look at what I thought was up? That's why I have a paper diagnosis today. I already knew what was up. But I know how people react to self-diagnosis, often, and I had an opportunity where if the professional was willing to listen, I might be able to get a paper one. She did. And funnily enough, I was right about what was up with my brain.
Because sometimes we actually have a pretty good idea of what is up with our brains. Because we live in them and all.

Tuesday, July 30, 2013

On "Treatments" and "Cures."

Trigger Warning: References to eugenics, ABA, quack treatments

So I got interviewed for a thing, and it's a bit on the down low for now, so that's all I'm going to say about it. But one of the questions was what I thought about people who want to treat or cure autism. Well, it really was if I'm offended by the movement to treat or cure autism. I'm more scared of the damage it does with ableism than offended by it. 

There's a lot of things that go under those two banners. Some I think are fine, even helpful and needed- helping us learn skills that we're capable of learning, helping us figure out how to work with the abilities we have, helping us find ways to communicate that work for us. Of course, that communication one tends to go under the banner of "therapy" more than of "treatment," but if Paul Offit felt the need to write about facilitated communication not curing autism (he does that in Autism's False Prophets, where he unfortunately also seems to think it's a hack,) someone probably thought it did. Which, um, what? Even good things, when under the banner of "treatment" or "cure," tend to come with a lot of bad ideas wrapped up in them, bad goals that they think the good things will help make happen.
Some treatments I think are harmful- most ABA goes there, since the goal is usually to make us act less autistic thanks to conflations of less autistic with happier and more able to do things. Anything that conflates those two things is a problem. The fact that it's compliance-based also scares me. Really the only ABA that doesn't scare me is the stuff that people call ABA to get insurance coverage but where if you look at what they're doing and what ABA actually is, you can tell it's nothing of the sort. (Not all the things in ABA are ABA themself. Collecting data, for example? That's part of scientific method, which is a cool thing.)
Conflations worry me me, like when people conflate various medical issues that some autistic people have with autism and then think they're treating autism by treating those medical issues. Like everyone else, autistic people are happier and more functional when we don't have various medical issues bothering us, but that's different from being less autistic. I think this also relates to the conflation of happier/more functional with less autistic.
Some treatment terrifies me. Chelation, MMS, and the like go here. If the thing is dangerous, medically warranted under a very few circumstances that aren't actually autism, or is based on bad science (often all of these at once,) it's safe to say that it goes here. So do people who think that giving anyone a "cure" for autism without their express consent would be acceptable under any circumstances. 
I also tend to be scared of people who think it's possible to “cure” autism, since it's not really a statement that makes sense... we're talking about the entire way a person's brain is wired here. Curing the random other medical issues a lot of us have? Yeah, that makes sense. Autism itself, not so much. (Conflating those two things? Go back two paragraphs, conflations are scary.) Preventing autism usually just means prenatal testing and selective abortion, which also terrifies me. It smells of eugenics, especially since forced sterilizations of disabled people, court-ordered abortions for disabled people, insistence that disabled people can't consent, disabled people having court orders that say they can't have sex (because they can't consent)? Those are all things that happen, and those all look like eugenics too. There's a lot of stuff like that, and a lot of it goes under "cure," "prevent," or "treat." 

Friday, May 31, 2013

Massachusetts State House Hearing Part 4 (H78)

I was at the Massachusetts State House for the hearing on May 21, 2013. This is essentially my liveblogging of the testimony on H78, except that it gets put up later. This is in four separate posts, the others can/will be found here:
Lydia Brown's written testimony can be found here.

Trigger Warning: Suicidal ideation, ableism, tragedy/burden talk


H78: An Act to permit the DDS to provide services to developmentally disabled adults. 
 
1st testimony, same as 3rd person from H77. They currently can't do much for adults with IQ above 70 (yeah, I'm doomed if I ever want help.) 46 other states have already made changes that are similar to the ones this bill would do. Broad bipartisan support for this bill. Talks about families struggling to get by and parents worrying. (Meh.) People are meeting criteria for developmental disability, and needing help, but are not eligible for services due to IQ over 70. 
 
2nd testimony: People can lose skills, people can go from 5 days of full time activities to nothing at all. Parents sometimes wind up quitting jobs to supervise (WHY is constant supervision so often assumed to be a thing/people not taught things to not need it? Yes, I get that some people really will need it because of various reasons, but most autistic people can and do get to a point where they don't need it and can be home alone for the day if, say, food is prepared and out. There is generally a workaround for any specific skills.) The bill would determine eligibility based on adaptive functioning instead of on IQ, meaning that there would be more to do with actual needs than before. 
 
3rd testimony, from I think 1st person to testify on H77, the database bill. He's on the board of directors for Aspergers Association of New England, and it's one of their top priorities too. He is autistic himself. His resume is good, but it's a veneer that glosses over many issues. He needs and gets help, now, and wishes he had gotten it earlier. It's never too late- one can teach an autistic adult new things, just as one can teach anyone new things. Services, including the ones that helped him, are hugely important. 
 
Note that ID=intellectual disability, DD=developmental disability, I use the abbreviations because I'm not actually a super fast typist. I'm typically using only one or two fingers on each hand, my right hand is just using the index finger most of the time.
4th: Disability law center person. He's talking about a narrow issue relevant to this issue- where we stand relative to other states in providing services to DD adults. Massachusetts is still trying to fit DD adults into the hole of ID to get services, which causes people to fall through the cracks. Don't just define ID to make it so DD can get in more often, make it so that DD but not ID is still eligible! Found that the eligibility standards for other states were only this picky about ID when there were services meant for those with DD who did not also have ID. Which, if he is correct, means that MA is way the heck behind. Whoops. Considering that disability law is his thing, I'd believe it. (Vermont requires ID or autism, if I recall.)

5th testimony: Aspergers/HFA can and does still need services. Can meant that showering feels like shards of glass to the head, people understanding words but not intent. Can't cook, clean, etc. It's a thing that happens. 75% not working. It's not "mild." It's just a different set of challenges. Even basic services, helping keep the house together, have food, get employment and keep it, could be the difference between homeless and productive taxpaying citizen. I'm pretty sure that this person is not autistic, but is saying mostly reasonable things, I think.
 
6th : Addressing needs for supports in DD but not ID, it depends on the state and is kind of a big issue. There are no services for autistic adults without ID in Massachusetts. We often have awesome skills and just needs a bit of help to be marketable with our skills. Except there is nowhere for us to get this help. We age out and that's it. Age out and transition to nothing. A whole lot of people want to be testifying for this, but can't for whatever reason. Some are autistic themselves, some are family members who are full time caregivers. Everyday living skills are a thing. IQ doesn't mean you have them. And someone needs to help when we don't have them. Heck, there are services I could really use help with that fall under developmental disability stuff. (Doesn't mean the way she's saying the things is great, she is kind of tragedy talk in saying this stuff...)
 
7th: Autistic person. Now only works 3 days a week, looks like it costs money to work, instead of him getting paid. Well, that's an issue. There was a thing that used to have funding, but not anymore as of 2011. If something were to happen to his mother, who is the one paying that money, he doesn't work anymore. Plugs for his show, www.ablevision.org. It apparently did a thing interviewing Temple Grandin. 
Oh, and can we talk about it costing him money to work instead of getting paid to work? THAT'S NOT OK AT ALL. 

 
8th: Also autistic, started off in public school but needed a tutor. School stopped providing the tutor in 4th grade, sat in the back. Eventually wound up in a school for emotionally disturbed children, though not emotionally disturbed themself. No one knew what to do with autism. Went to a residential school for a while. Then community program, graduated HS, takes 1 course at a time in community college and gets help living in own apartment. Says they want to die before parents do because they will have no support. (But if getting actual supports could be a thing? That could be different. Please, I hope it could be different.) IQ tested at 71, so no ID support, but the bill would get them supports. Which they really really need. Seems to feel like a burden, and the whole wanting to die before parents do makes me want to take an axe to society for being a load of ableist fails.

9th: Son has PDD-NOS, does not qualify for services by 2 IQ points, but not fit enough to get services to help him get a job. So he's between the cracks. He needs some sort of support, and doesn't get it. He lists as the first of his good qualities that he's "good at improving," and wants the chance to do so. It's his mother testifying, and I don't think she quite gets the whole "Autistic people can hear you" thing. It's a pretty common issue. Can we stop calling us burdens, thanks? 
 
10th: Has a 12 year old daughter with Aspergers. High IQ, wants to go to MIT and study neuroscience, ability to function in the world is not so great but she can't get services because high IQ. Social skills are also a difficult area for her, so I'm a bit worried about the social skills training that she's probably gotten and that may well have made it worse. Social skills classes tend to do that, setting us up to get abused and all. UGH SHE JUST CONFLATED MELTDOWN AND TANTRUM IT IS NOT THE SAME THING NO NO NO STOP NO NO NO THESE ARE DIFFERENT THINGS. There was one person who says his life is miserable, he can't get services because his IQ is too high, but he can't work without services. Another bright, articulate person, no services, can't work without services. It's a thing. Maybe it's getting an interview, maybe it's executive functioning, maybe it's cooking, needs some sort of help is a common thing.

11th testimony is from a mother who is coming in out of order because she is her son's sole caregiver and he's calling her. He's autistic. IQ tests at 71, functioning, social, self care are all things he needs help with. (She said it was at the 2-3 year old level. Um, can we not do the whole mental/functioning age thing? It's creepy.) But his IQ is 71, so he doesn't get services. She's talking about "managing" him and searching for answers, searching for a way to get him help. And there isn't any, because his IQ is one point too high. Talking about "managing" him is also creepy. This mom creeps me out. 
 
12th: Single low-income parent of two working towards a bachelors degree, her 14 year old son doesn't get services because his IQ is too high. He participates in sports and gets some minimal services, but he needs real services that she can't afford to get. She's trying to keep her GPA up so she can eventually pay, but that's not the current reality. He'll be 18 by then and there will be no supports, joining the 75% of their adult clients who are unemployed. He's awesome, but he needs services to be able to stay out of that 75%. Wow, she's pessimistic about what her son can manage. Sports are better than formal social skills training if he's enjoying them, life skills can be learned later as long as there is someone to teach them. Services are important, yes, but the assumption that he will automatically wind up in that 75%? Working while living at home is a thing that can be done, and it gets around some of the potential issues. 
 
13th: Commission of families and advocates representative, thinks it's a tragedy that this is a huge problem not being addressed, so many of us need services and can't get them. References a November hearing that he says is much like this one. I hope he's not talking about the federal one. Ok, looks like it might not be because there was apparently not media coverage of that one. Meh. I guess that's a good sign, because he seemed to think that hearing was important instead of being a complete mess. Which the House one was... actually, what kind of coverage did that have? Oh crud, it might be that one, all the coverage I remember seeing was in autism or disability media. I guess I'm not surprised, he did seem to be calling us a huge problem that wasn't being addressed, and that it's tragic how the problem that is us isn't getting addressed.
 
14th: Shows a picture of a kid, who has a pile of cool traits and is a computer wizard. Also autistic. Needs services. Sounds like he's bolting from his program- I am not so trusting of the program as his mother is, because I know how widespread abuse is in these programs, and people don't bolt from places where they feel safe. Also, his statement was that he was being abducted for one of these- if he doesn't realize that "abducted" is the wrong word for "These people have the legal authority to take me, but not my consent and I don't want to go," that would be pretty telling. Actually, I don't think we have a single word for that. Because it's not considered to be a thing that's wrong, it's considered to be a thing where the person who doesn't want to go is in the wrong. 
 
15th: Wow this is a lot of testimonials on this bill. Has 3 autistic people in a program with IQ over 70 (Out of 200 autistic people in the program). One of them is 14s son. Still needs help with life, did jump out of a moving van. He just said "mental retardation," which, um, isn't actually a diagnosis anymore. Yeah, little bit not good. It could just be because he's old? Ew ew ew ew ew ew he said it again. Not a fan. I... am a bit more suspicious of the program now than I even was before, listening to him and knowing that he runs it.

16th: LYDIA of Autistic Hoya yay yay yay. She's Autistic. I know her. Is here in support of all 4 put fouth by ASNE and Disability Law. Notes that she works with ASAN. National standard is to use developmental disability definition, which is what H78 would make happen. It would allow people who need the services to get them. Not broaden the kinds of services that exist, but allows more people to get them, improving standard of living. Urges the committee to report favorably on the bill due to its importance in getting more people access to things they need. The fact that she supports it means more to me than any of the other testimonies I've seen, honestly.

17th: She's got a son and a brother. Son with formal dx, brother does not. It's a big thing. Typical development and autistic development are different. And supports are needed. He can miss nonverbal stuff. It's not intuitive, and it's hard. Asks "can you imagine?" Of course I can, I live it. It's hard, but it's not unimaginable. Missed part of her and 18th to talk to Lydia. The thing that squicks me here is the whole "can you imagine?" thing. We are right here. We can hear you. We can do a whole lot more than just imagine it, you're talking about this in a room with a much higher rate of being autistic than the general population and we can understand what you are saying. Why is this so hard for people to get? 
 
18th: Says we can't fend for ourselves is what I notice as he finishes. We're not poor defenseless creatures, sir, we just have a different set of needs. I know we need to sound oh so impaired in order to get services and all, but really? Do we have to be tragedy talk and pity talk instead of just being frank about what the impairments are, what access needs and what service needs we have?


This bill is important. I want it passed. I also want people to remember that we can hear them and understand them. No, really. We can. Intellectual disability doesn't prevent that, and neither does autism. It just messes with how fast we can process it/which things we notice more, seriously how many times do we need to tell you this?

Monday, May 27, 2013

Massachusetts State House Hearing Part 2 (H76)

I was at the Massachusetts State House for the hearing on May 21, 2013. This is essentially my liveblogging of the testimony on H76, except that it gets put up later. This is in four separate posts, the others can/will be found here:
Lydia Brown's written testimony can be found here.

Trigger Warnings: Abuse, ABA, possible presumptions of incompetence.

H76
An Act to provide equal access to medical treatments essential to children with autism. Member of Autism subcommittee testifies.
Requires coverage for ABA (ew) and AAC devices (yay!) It would allow more children to receive services. This person has a child with autism and said that the diagnosis was hard to hear. (I blame societal ableism for this.) She also notes the number of autistic people who are not speaking (this is what AAC is for) and the tendency to avoid eye contact/engage in repetitive behaviors (um, not actually an issue unless you make it one, so SHUT UP.) Also notes SIBs, which are potentially problematic, but ABA isn't going to fix the root cause.
2nd testimony: ABA program director (EW) is supporting the bill. "Autism and those affected by it."... CAN WE NOT. Really, can we not use that euphemism? Because that's what it is. Talks about all kinds of things that therapists like to help with, helping a person with their first job or learn to shower independently. Not talking about suppressing stimming. I hope they know better than to try, but I doubt it. Also talks about how education is lacking for us, which is an issue. They think ABA is a form of "good" education for us, I disagree. By the time they've changed it enough to be not directly abusive, I'm not sure they can really even call it ABA anymore. They have to call it that, though, because insurance. Which is an issue that also needs fixing.
3rd testimony: I think it's the first person from H75 again. Wanting to get the EI coverage to carry through so that people can get helped. It's apparently a bipartisan bill. Talking about how this affects everybody. This is apparently also a high priority thing for the ARC, will need to look up who all they are. Notes again that 50% of us are nonverbal or have very limited speech, wants to have iPads and other AAC devices covered. (I'm not sure I believe the 50%... maybe just kids at/below a certain age, because I do know speech delay is a thing?)
4th testimony: Everyone's saying how great ABA is, how effective it is except for Autistic adults, who are all "This gave me PTSD, stop it." But no one listens to us... and this person isn't bringing up our issues with it at all. Heck, even Carly Fleishmann has brought up some issues, says it might be the cause of her OCD, but no, this person doesn't bring that up at all because ABS is apparently wonderful. early intervention can apparently mean huge savings over the course of a lifetime- savings over what alternative, might I ask? It's not like I've seen much in the way of education for Autistic people that is actually good. Oh, good, she's talking about the communication thing. Notes that all the behaviors get worse when communication isn't possible, which is a bit of a "well, duh" but needs stating and is a better point to hit than how "awesome" ABA is. Because trying to ABA away a behavior that is trying to communicate a thing? Really not OK.
5th testimony: Therapist, director of something. Finds that demands for services increases with these sorts of things because awareness is increased and people figure out that this would be useful. I'm not entirely sure what the aim of that point was. Maybe so that the government knows that there is a big demand even without everyone knowing it's a thing that exists, so it's important due to high demand that's just going to increase.

I'm not entirely sure how I feel about this bill. ABA being the thing that is covered really squicks me, but I want an iPad or other AAC device in the hands of every autistic person who can use them. I guess it's going to come down to "if parents and service providers make good choices, this can be very good, and if they make bad choices/presume that lack of speech means incompetence, this will be very bad." That's about the current status quo, though. Meh. I know it's super important, though, because of the AAC thing and that it covers non-dedicated devices (things like tablets that can be used for more than just AAC.) So I want it passed because of that bit. I just don't trust anything with ABA as a big thing. Which means I never trust the government agencies related to autism. Ever.



Monday, May 13, 2013

No, Really. Communication Is IMPORTANT.

Trigger Warning: Reference to Quiet Hands and other abuse, presumptions of incompetence

I am having a rant. Professionals have this thing where for whatever reason, AAC isn't on the radar, and apparently sign language isn't on the radar either. It's why Carly Fleishmann's intelligence surprised people, I think, even though it's not shocking at all that a person can think. Or you'll hear people actually say that a kid can't learn sign language because they are autistic. It doesn't work like that, sign language is actually one of the things they use as an alternative to speech for autistic people. Neurodivergent K uses it after seizures until speech works again. My mother used it with me when I was really little and not talking much yet, but I talked pretty early and unfortunately don't remember much of it. Evie knew some signs, though maybe seizures messed with that because seizures can mess with pretty much everything. Maybe she went into a longer-term shutdown of a sort due to higher demands. Maybe some of both. But she is autistic, and she was able to learn them.
As a part time AAC user (yeah, I'm not always capable of oral speech, the things you can't tell from the fact that I blog include speaking status,) this is really important to me specifically, and as an Autistic person who supports the rights of everyone, this is also really important to me. As far as I'm concerned, communication (not necessarily oral speech, it's not going to consistently work for everyone and there are people it will never work for at all and that's OK) needs to be priority number ONE once food, water, and shelter are taken care of. This is not an exaggeration. Yes, it comes before stopping S.I.B. (Self Injurious Behaviors) in my book, because there is always a reason for those and if a person can tell you why they are hurting themself that's going to be pretty useful. If they can tell you about the problem before they start hurting themself, that's even better, especially if you listen and fix it, which you should. (Remember, everybody communicates. Not everyone does it in ways that are easy for you to understand, but everyone communicates.)
Now, why do I think it's so important? Well, like I already said, if a person can tell you about a problem explicitly, you can fix it. That's a big thing. When a person isn't being taken care of properly, is maybe being abused? (That happens a lot, often by teachers and caretakers.) Communication means they can tell people about it, maybe even get it fixed. People are more hesitant to abuse someone who is capable of and willing to report them. It still happens, unfortunately, because ableism is rampant in our society, but it's marginally safer and much easier to fight. Communication opens up self-advocacy and plain old activism both. Communication that other people understand makes it even easier. Communication means the person can tell you what their goals are, which means that working on the things they want to be able to do is now a thing. Self-determination, autonomy, eventually perhaps independence? All the stuff parents talk about wanting for their kids is a lot easier (or just plain old requires) some form of communication that others can understand, so it has to come first.
Acting less autistic? Only going to ever be useful if the person is trying to pass for neurotypical, which isn't even possible without oral speech. Quiet hands? Abusive, straight up. Forcing eye contact? Also abusive, also shown to hurt listening ability. Same with same? I guess it's maybe useful for pattern recognition and such, but it's a lot easier to figure out if the person understands if they can tell you. Which means you can move to the next thing faster. Which means education is a thing- real education, not the "We're going to teach you the same thing 200 times because why not?" that a lot of therapy seems to look like.
And yet people don't think of it. They are often shocked to discover that we can communicate. I don't get it. There are actual studies showing that AAC is a thing that works, that sign language is a thing that works, that autistic people who have some sort of AAC/sign are more likely to start using oral speech and do so sooner. This knowledge is out there. And no one thinks to use it. Are they that determined to believe us incompetent?

Thursday, April 11, 2013

Wait, What?

When I was nine, my school had me sent in for a neuropsych evaluation.
From then until my eventual diagnosis, the fact that this evaluation did not give me a diagnosis was the strongest argument anyone had that I was not, in fact, autistic. It was a meh argument at best, considering that there are papers written about the reasons that girls don't get diagnosed, but nothing based on how I actually act was going to hold anything resembling water, so that's what they used. Because even with those things, apparently I shouldn't have spoofed a neuropsych evaluation? (Yeah, no, it's totally possible to spoof a neuropsych eval by being female, verbal, and gifted, even now. When the person is trying to show their Autistic traits so they can get a diagnosis, and I was not.)
But.
Apparently.
I might not have even spoofed the person evaluating me.
They might have just decided not to write down the diagnosis anywhere.
I was talking to my mother about autism stuff, and, well, one of the things that came up was the evaluation I'd had when I was nine, with the school trying really hard to get me labeled with something, anything. They had been pushing for that for a while, too. Because they could tell something wasn't typical. (They were right, too. It's called being Autistic.)
And the person evaluating me knew that the school was pushing for a diagnosis, that I wasn't actually struggling in any of my classes. They picked up on the part where my mind works fast, and I think they noticed the pattern recognition. Two things that really stick out to me from my evaluation were the fact that they commented on my need to snack during the evaluation and one test where they asked me to use a key that matched each of ten symbols with a digit and to decode as much of the page as I could in a set amount of time. I started, trying to fill in all the "1"s. And they stopped me to tell me that I had to go in order. Which made no sense to me. I think I told them so.
But what is running through my mind now is what my mother told me.
The person who did my evaluation asked to talk to my mother afterwards. They told her that there were some "findings" they wanted to talk to her about, that they were not putting in the report they were sending to the school. And every finding that they mentioned to her? I wasn't the only one in the family to do it (Not shocking, since I'm not the first Autistic in the family. My aunt almost certainly was, my great-grandmother probably was, her sister almost certainly was, they aren't even the only ones.) Also, the ones that she specifically remembers line up with "this kid is autistic!" pretty well. Stims, generally. The fact that my motor skills had some (stated to be subclinical but considering that I know they left things out...) differences lines up too.
I won't say that the neuropsych person knew exactly what label it was that they were choosing not to give me because I don't know that, but I've talked to some people who did neuropsych stuff since I found this out.  Findings that they don't quite know what to do with go in the report, with further action suggested. Consultation with an expert suspected to be relevant, further testing in general, something. And that's not what happened. They talked to my mother about them, told her they were leaving some findings out of the report, and did so. I don't know what they knew or suspected, but that sounds like a conscious choice to keep me hidden.
Yes, I hid, but I may have had some help from a neuropsychologist who left some autistic traits out of a report when I was nine.

Thursday, February 21, 2013

Autism in the Blood? Autism Parenting


Trigger Warning: Early Intervention, Possibilities of Eugenics
Leslie, the same person who wrote "How did I know my daughter was autistic?" and possibly "Wholeness and Completion" (unsure, but the daughter's name is the same and the writing has the same extra commas,) also wrote the final article of the December issue, "Autism in the blood?," discussing blood/genetic testing for autism.
For a blood test, the reasoning seems straightforward enough. If we can diagnose earlier, interventions start earlier. Considering what the current interventions tend to look like, that worries me. If the ways that we changed our educational methods for autistic children were ways that worked better for them, instead of making them more convenient for the teachers, parents, and caretakers, being aware that the kid is autistic sooner would be awesome. So this is a mixed bag for me. In an ideal world, this would be really cool. Just as a matter of curiosity, I'd love to know which blood tests currently can and can't tell that I'm autistic. But with the ways that autism is currently handled, I am not comfortable with giving them any information on my genetics that could help them figure this out. Get me a world where knowing you're autistic ASAP is definitively better, not for "acting normal" as most therapies prize, but for navigating a world not designed for you, and we'll talk. In a world where one of the things I am most grateful for is how long it took people to realize that I'm autistic? Not so much.
I still think that the "oh hey, more genes associated with autism means more evidence that autism is genetic" thing is cool, though. The more evidence we have behind genetics for how autism comes about, the better I can smash people who try to tell me that I'm vaccine-injured or something.
The other big worry I have, which wasn't addressed at all despite the fact that the study about it was mentioned, was the issue with prenatally predicting autism. Australian scientists really did develop a genetic autism test using 237 genetic markers that is 70% accurate for, well, white people. (Bayesian inference and an assumed 1% autism prevalence rate gives an actual 2.5% chance that a fetus that tests positive will be autistic. It takes 99% accuracy to make it a 50-50% chance that the kid who tests positive will actually be autistic given a 1% prevalence rate, for reference.) Since the Australian one was designed as a prenatal test, my worry, of course, is selective abortion. The idea of people aborting because the fetus is likely to have a brain wired like mine is terrifying, and it's not something the author is talking about. I envy her innocence, I think.
She's talking about tests and hoping to diagnose toddlers and getting them "closer in relation to their peers by the time they enter school." I'm reading that and wondering: "closer how?" If we're talking about getting whatever forms of communication we can up so that they have similar overall communication abilities (AAC is success here) then I am all in favor. If we're talking about looking normal, I am decidedly not in favor. I don't think we need to abandon all teaching for autistic kids, but I do think we need to be taking a look at what therapies we're using as a higher priority than getting potentially harmful ones to everyone. Take a look at the correlations between ABA and PTSD before we keep calling it the gold standard and getting everyone to cover it?
Increasing social and language skills is great. Make sure you know the cost of the teaching methods, and make sure it's social skills the way they are actually done, not compliance or the way you wish social skills worked. Compliance opens people up for a lifetime of abuse, the way you wish social skills worked isn't going to make them any more friends than the way they think it should work, maybe fewer. Their natural ones will at least work with other autistic people.

Monday, February 18, 2013

How old is your child?

I got my first curebie spam to my Facebook page. This is, at the least, the start of my reacting. I might have more. We will see.

"How old is your child?"
Did you even read my page before you sent me your things? I have to say, I doubt it. You and your curebie spam, telling me that you can hugely improve a nonverbal boy. I thought that telling you I didn't trust ABA but that if you were talking AAC, I was listening might give you an idea. I thought the fact that I capitalized Autistic and used it as a noun might tell you something. "Yes, That Too is an Autistic blogging about anything. Anything seems to be mostly related to autism/disability. Updated daily at midnight EST." Does this not suggest, perhaps, that I might not want your miracle cure? Does this not suggest, perhaps, that I might think your miracle more likely abusive than not? Miracle curebies, I know what you think of neurodiversity advocates. I am one, hear me roar. Or... hear me laugh at you, really. 
"How old is your child?"
Is that really the question you want to ask? Did you really just compare autism to cancer? Do my eyes deceive me? No, I think you did, and I think you denied it, and I think you're condescending too.
"How old is your child?"
I think you need to read my tagline, and perhaps not assume that being an Autistic is the new synonym for Autism Mom. And I think you need to not try telling me that it is in the diet, this miracle that fixes autism. It's not. It never was a. Diets don't rewire brains. You have no college degree, no qualifications, you said as much, but you say you have the solution, and...
"How old is your child?"
I am 20. I am an adult. I am no child, I have no child. There are no children here for you to make your claim for, and you will not see them when there are. 
Your side of the tracks, as you call it, is not better. It is one where children are taught they are broken and adults silenced if they try to disagree. It is one where I could not function the way I do, and where people burn the,selves out trying to prove themselves not to be who they are.
"How old is your child?"


Oh, and by the way, parents: When I am so insistent that people recognize that Autistic adults exist, this is part of why. That page says, right on the top, that I am an Autistic blogging about things, and (yes, we had an actual conversation in messages here) I still got "How old is your child?"

Saturday, February 9, 2013

More Than Two Options

Trigger Warning: Passing mentions of ABA and similar therapies

I keep seeing people (mostly people who support therapies that base themselves heavily on compliance, like ABA) arguing that not doing these therapies means leaving Autistic people untaught and providing them with no help. I don't know how it happened, but I keep seeing people assume that there is a binary choice. We can:
  1. Provide intensive therapies to teach an Autistic person "skills" that are really more like "acting neurotypical" 
  2. Do nothing.
The idea that there are only two choices is reflected in comments people make about how compliance based therapies are necessary . No, they aren't. Teaching is important, education is important, learning is important. Compliance-based therapies are not, and are often in direct opposition to what we really need to learn. People tend to compliance type therapies are needed and important because either compliance is convenient or because they do not realize that compliance in the sense it is used in most autism therapies is not a prerequisite for teaching or learning and can inhibit education! Yes, really. Some people consider education to be learning how to learn and think, and that is not something that can be taught through compliance. Only compliance and rote can be taught that way, and the cost of compliance is unreasonable.

What people are missing is a third choice, the choice of providing supports (some of which might be therapy-related) to autistic people in order to help us navigate the world as autistic people and to set the boundaries we need to set. Before you ask, yes, there is a difference between this and most therapies, which tend to ask autistic people to act like their non-autistic age peers or to repeat the same tasks over and over. Acting not-autistic is usually either impossible or requires so much work that little else can be done, the repetition leads to boredom, frustration, and eventually acting out from frustration. Remember, every behavior is the act of an autonomous being who has reasons for acting as they do, and understanding why violent outbursts happen is going to be much more useful than simply punishing them. For everyone involved.

When someone gives you a binary choice between ABA or similar therapies and doing nothing, call them on it. Either they are willfully misleading you or they have been misled. When someone tells you that no therapy is dooming a child to a life of suffering, call them on it. Either they are willfully misleading you or they have been misled. When someone tells you that compliance based therapy is the only way to teach a disabled person, call them on it. Either they are willfully misleading you or they have been misled. There is an option C.