Changing gender norms as cause of the IDEA of "autism"?

Page 3 of 4 [ 49 posts ]  Go to page Previous  1, 2, 3, 4  Next

Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 7:05 pm

Jiheisho wrote:
Mona Pereth wrote:
At the time the article was written (2016), autism science was indeed mostly a big bunch of irreproducible false starts, due to small sample sizes. Substantial progress in understanding biological underpinnings began to be made only with the advent of mega-projects like SPARK.


I don't understand this. Lorna Wing's work to define and determine the prevalence of autism was a false start? The research that led to the DSM-IV and DSM-5 was just random?

No, I should have been more specific. The research into possible causes of autism was mostly a lot of irreproducible false starts.

Jiheisho wrote:
And as you point out, the research is continuing with new and larger datasets and tools. To say that autism research was untenable in 2016 is, well, untenable.

It was indeed mostly untenable, as Dr. Wendy Chung explains in the first part of the video that Dvds posted here.

Jiheisho wrote:
Mona Pereth wrote:
The interesting question is how and why these particular kids were deemed to need professional help, in the first place, at that particular time (and not earlier). Another, related question is why Asperger's concept of "autism" was much broader than Kanner's. The answers to these questions would likely have something to do with a difference between American and Austrian cultures at that time.


Could it have simply been selection bias? Asperger was working in a progressive school for children with special needs. He was observing a large population of children in an educational setting and noticing patterns of behavior in a subset. Kanner was in a clinic. He was seeing children with sever disabilities that could not be diagnosed/treated by other doctors and were sent to him.

There was a cultural difference between the men. There was also a difference in personality. And their training could have been very different. However, selection bias can easily account for the children they were exposed to, which would have influenced their concept of autism.

Indeed Robert Chapman's main point has to do with selection bias (although he did not use that term). In Dr. Asperger's case, the most important relevant question is how and why the children at his school were deemed to be sufficiently disabled to need to attend a school for children with special needs in the first place.

Jiheisho wrote:
Mona Pereth wrote:
Asperger might have been an unacknowledged influence on Kanner, via Georg Frankl, who worked at both Asperger's and Kanner's clinics. See Leo Kanner, Hans Asperger, and the discovery of autism by Simon Baron-Cohen in The Lancet, October 03, 2015.


But Kanner did not promote Asperger's work. He sat on it. All the information that was going into the world was through the lens of Kanner. It was but accident that Lorna Wing rediscovered Asperger much later on.

Correct. Kanner did not have a use for Asperger's work, except for a few basic ideas therefrom, because the overall social and cultural situation here in the U.S.A. was different.


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Jiheisho
Veteran
Veteran

Joined: 21 Jul 2020
Age: 62
Gender: Male
Posts: 1,507

19 Oct 2020, 7:56 pm

Mona Pereth wrote:
Jiheisho wrote:
Mona Pereth wrote:
At the time the article was written (2016), autism science was indeed mostly a big bunch of irreproducible false starts, due to small sample sizes. Substantial progress in understanding biological underpinnings began to be made only with the advent of mega-projects like SPARK.


I don't understand this. Lorna Wing's work to define and determine the prevalence of autism was a false start? The research that led to the DSM-IV and DSM-5 was just random?

No, I should have been more specific. The research into possible causes of autism was mostly a lot of irreproducible false starts.

Jiheisho wrote:
And as you point out, the research is continuing with new and larger datasets and tools. To say that autism research was untenable in 2016 is, well, untenable.

It was indeed mostly untenable, as Dr. Wendy Chung explains in the first part of the video that Dvds posted here.

Jiheisho wrote:
Mona Pereth wrote:
The interesting question is how and why these particular kids were deemed to need professional help, in the first place, at that particular time (and not earlier). Another, related question is why Asperger's concept of "autism" was much broader than Kanner's. The answers to these questions would likely have something to do with a difference between American and Austrian cultures at that time.


Could it have simply been selection bias? Asperger was working in a progressive school for children with special needs. He was observing a large population of children in an educational setting and noticing patterns of behavior in a subset. Kanner was in a clinic. He was seeing children with sever disabilities that could not be diagnosed/treated by other doctors and were sent to him.

There was a cultural difference between the men. There was also a difference in personality. And their training could have been very different. However, selection bias can easily account for the children they were exposed to, which would have influenced their concept of autism.

Indeed Robert Chapman's main point has to do with selection bias (although he did not use that term). In Dr. Asperger's case, the most important relevant question is how and why the children at his school were deemed to be sufficiently disabled to need to attend a school for children with special needs in the first place.

Jiheisho wrote:
Mona Pereth wrote:
Asperger might have been an unacknowledged influence on Kanner, via Georg Frankl, who worked at both Asperger's and Kanner's clinics. See Leo Kanner, Hans Asperger, and the discovery of autism by Simon Baron-Cohen in The Lancet, October 03, 2015.


But Kanner did not promote Asperger's work. He sat on it. All the information that was going into the world was through the lens of Kanner. It was but accident that Lorna Wing rediscovered Asperger much later on.

Correct. Kanner did not have a use for Asperger's work, except for a few basic ideas therefrom, because the overall social and cultural situation here in the U.S.A. was different.


OK.



Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 7:57 pm

carlos55 wrote:
The author alludes to a golden age of autism in the past where autistic people were more accepted.

It would be a great exaggeration to call it a "golden age," but there was indeed an era, in the not-too-distant past, when the more mildly disabled autistic people (especially those of us with talents of one kind or another) were seen as oddballs but not as having a "disorder." I know this because I grew up during that era here in the U.S.A.

carlos55 wrote:
I have a hard time believing that a society that sent kids to work up chimneys and be poisoned in match factories, where wife / child abuse was accepted, would be
kind to those who had communication difficulties and had trouble standing up for themselves

How "kind" society was to such individuals depended on a lot of factors, including their social and economic class, their educational level, their talents if any, and what kind of school(s) they attended. For many kids, especially those who grew up in rougher neighborhoods, it was undoubtedly a nightmare.

I should point out that Robert Chapman, the author of the article with which I began this thread, does NOT want to go back to the days before "autism" was defined. Instead he wants to build an autistic community/culture. See his article Autism Isn’t Just A Medical Diagnosis — It’s A Political Identity.


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Jiheisho
Veteran
Veteran

Joined: 21 Jul 2020
Age: 62
Gender: Male
Posts: 1,507

19 Oct 2020, 8:07 pm

Mona Pereth wrote:
I should point out that Robert Chapman...wants to build an autistic community/culture.


That is depressing--and a little bit ironic.



cyberdad
Veteran
Veteran

User avatar

Joined: 21 Feb 2011
Age: 58
Gender: Male
Posts: 36,036

19 Oct 2020, 8:28 pm

I thought it was well established that autism has polygenic determinants. the author's case is not very strong but strangely I have been hearing murmurs in the grapevine about DSMV considering a working group to look at whether autism should be considered a gender specific diagnosis whereby autism in females is classified as a different diagnosis to males?

All quite weird



Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 8:54 pm

Jiheisho wrote:
That is depressing--and a little bit ironic.

Why?


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Jiheisho
Veteran
Veteran

Joined: 21 Jul 2020
Age: 62
Gender: Male
Posts: 1,507

19 Oct 2020, 9:08 pm

Mona Pereth wrote:
Jiheisho wrote:
That is depressing--and a little bit ironic.

Why?


Why is it depressing or why is it ironic?



Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 9:31 pm

Jiheisho wrote:
Why is it depressing or why is it ironic?

Both.


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Jiheisho
Veteran
Veteran

Joined: 21 Jul 2020
Age: 62
Gender: Male
Posts: 1,507

19 Oct 2020, 9:49 pm

Mona Pereth wrote:
Jiheisho wrote:
Why is it depressing or why is it ironic?

Both.


I thought you were going to say both.

The irony is that culture is the problem, at least by the hypothesis he presents.

The other is serious.

Chapman is an advocate. He has his own agenda. I don't agree with his narrow conception of autism and advocacy always presents a narrow perspective (it is the nature of the thing). Yes, he does recognize some other aspects, but in very passing ways. But I would not be one of the voices that would be heard in his world. I am certainly not looking for a leader to follow.

I don't fit the NT world. Chapman's autistic world does not sound like a place for me either. So where?

I am looking for a broader framework to think about autism. An open system, not a closed one.

Of course, I could just be going through a rough patch and am feeling pretty low. I find few people in the NT world that can deal with complexity. I don't find it much different with Chapman. Living in a vacuum is tiring. Kindred souls are hard to find.

That is the depressing part...



CarlM
Veteran
Veteran

User avatar

Joined: 21 Oct 2019
Age: 68
Gender: Male
Posts: 851
Location: Long Island, NY

19 Oct 2020, 10:04 pm

Mona Pereth wrote:
Personally, I have another hypothesis about why the concept of "autism" arose when it did. I think a big factor is the development of mass education.

Before mass education, I would imagine that most children learned their social skills explicitly from their parents and other relatives. After the advent of mass education, children were expected to learn more and more of their social skills on their own and with each other, on the playground. After a generation or two of this, an inability to pick up social skills in the latter way began to stick out more and more as a disability, whereas previously it had been a non-issue.

That might one of the reasons why the concept of "autism" began to emerge in the 1940's.

Then, in the late 1970's and early 1980's, a lot of middle-class women moved into the workforce, resulting in the rise of pre-school. Thus, middle-class kids were now expected to pick up social skills on their own at an even younger age, and, if they didn't, parents heard about it from their kids' pre-school teachers. Hence the great expansion in the number of kids deemed to be "autistic."

But I think there's some merit to Robert Chapman's hypothesis also. Before the 1990's or so, it was more-or-less accepted that certain professions (engineering, computer programming, accounting, library work, museum work, proofreading, etc.) were havens for "nerds" or "geeks" -- terms which then meant "socially awkward" as well as "intellectually-oriented." There was then a sharp rise in social expectations in the workforce, for everyone, including programmers and engineers.


I thought Chapman's idea about Nazism having something to do it was far fetched. I think most societal changes have driven the increase in the growth of autism diagnosis. The primary one being less acceptance of an it-is-what-it-is education of struggling students.

In the early history of autism in the US, autistic kids were often excluded from public schools. An impressive series of changes to the US educational system have occurred since then. Certainly this has been the main driver in getting more US kids diagnosed. I had no IDEA (actually a name of one of the acts) there were so many legislative acts improving education for us: Special education in the United States


_________________
ND: 123/200, NT: 93/200, Aspie/NT results, AQ: 34
-------------------------------------------------------------
Fight Climate Change Now - Think Globally, Act locally.


Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 10:47 pm

CarlM wrote:
I thought Chapman's idea about Nazism having something to do it was far fetched. I think most societal changes have driven the increase in the growth of autism diagnosis. The primary one being less acceptance of an it-is-what-it-is education of struggling students.

In the early history of autism in the US, autistic kids were often excluded from public schools. An impressive series of changes to the US educational system have occurred since then. Certainly this has been the main driver in getting more US kids diagnosed. I had no IDEA (actually a name of one of the acts) there were so many legislative acts improving education for us: Special education in the United States


I agree that the main driver of childhood autism diagnoses, and of the very idea of "autism" itself, has probably been the evolution of the public school system (and, more recently, preschool).

When I was little, special ed did not exist. After my year of kindergarten in the local public school, my parents were told that I had to either (1) repeat kindergarten or (2) attend a smaller, non-public school. Luckily my parents were able to send me to a small Lutheran parochial school.


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Mona Pereth
Veteran
Veteran

Joined: 11 Sep 2018
Gender: Female
Posts: 9,098
Location: New York City (Queens)

19 Oct 2020, 11:30 pm

Jiheisho wrote:
The irony is that culture is the problem, at least by the hypothesis he presents.

But humans cannot survive without a culture of some kind. Fortunately, cultures can be changed, sometimes for the better.

Jiheisho wrote:
The other is serious.

Chapman is an advocate. He has his own agenda. I don't agree with his narrow conception of autism and advocacy always presents a narrow perspective (it is the nature of the thing). Yes, he does recognize some other aspects, but in very passing ways. But I would not be one of the voices that would be heard in his world. I am certainly not looking for a leader to follow.

What do you mean when you say that you would "not be one of the voices that would be heard in his world"? The autistic community is not homogeneous, ideologically or otherwise. We have plenty of debate here on Wrong Planet, for example, on all sorts of topics. Do you feel somehow excluded even here on Wrong Planet? Also, the autistic community does not revolve around any one particular leader.

Jiheisho wrote:
I don't fit the NT world. Chapman's autistic world does not sound like a place for me either. So where?

How and why does it not sound like a place for you? The autistic community described by Chapman does not revolve around him personally.

Jiheisho wrote:
I am looking for a broader framework to think about autism. An open system, not a closed one.

Please tell us more about the kind of framework you are looking for.

Jiheisho wrote:
Of course, I could just be going through a rough patch and am feeling pretty low. I find few people in the NT world that can deal with complexity. I don't find it much different with Chapman.


I would be interested in your thoughts about my own Longterm visions for the autistic community.


Jiheisho wrote:
Living in a vacuum is tiring. Kindred souls are hard to find.

That is the depressing part...

Yes, "kindred souls" are hard to find, probably for all of us, even within the autistic community, simply because we are all so different from each other. I haven't found very many "kindred souls" either. But I think our chances of finding "kindred souls" are higher within the autistic community than just about anywhere else. In the meantime, the huge variety of autistic people results in a relative absence of conformist social pressures in the autistic community compared to the NT world (or at least most parts thereof).


_________________
- Autistic in NYC - Resources and new ideas for the autistic adult community in the New York City metro area.
- Autistic peer-led groups (via text-based chat, currently) led or facilitated by members of the Autistic Peer Leadership Group.


Edna3362
Veteran
Veteran

User avatar

Joined: 29 Oct 2011
Gender: Female
Posts: 13,727
Location: ᜆᜄᜎᜓᜄ᜔

21 Oct 2020, 3:50 am

Mona Pereth wrote:
The autistic community is not homogeneous, ideologically or otherwise. We have plenty of debate here on Wrong Planet, for example, on all sorts of topics. Do you feel somehow excluded even here on Wrong Planet? Also, the autistic community does not revolve around any one particular leader.

Just commenting;

This is what I can agree on. :lol:
Because the idea of autism parents here are different, the idea of neurodiversity even exists differently.

Although...
I kinda feel out of place sometimes due to the fact that certain NT cultures and attitudes ARE just different, or same yet for different reasons from the NTs I grew up with.


_________________
Gained Number Post Count (1).
Lose Time (n).

Lose more time here - Updates at least once a week.


ASPartOfMe
Veteran
Veteran

User avatar

Joined: 25 Aug 2013
Age: 68
Gender: Male
Posts: 39,637
Location: Long Island, New York

21 Oct 2020, 5:27 am

Mona Pereth wrote:
When I was little, special ed did not exist. After my year of kindergarten in the local public school, my parents were told that I had to either (1) repeat kindergarten or (2) attend a smaller, non-public school. Luckily my parents were able to send me to a small Lutheran parochial school.
.

After 2nd grade my parents were told the school could not help me, they were given the choices of 1. Home school me 2. Private school. They found a Yeshiva that accepted me. The public school readmitted me for fifth grade. I believe if my parents were not teachers the recommendation would have been institutionalization.


_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


carlos55
Veteran
Veteran

Joined: 5 Mar 2018
Gender: Male
Posts: 2,103

21 Oct 2020, 8:10 am

ASPartOfMe wrote:
Mona Pereth wrote:
When I was little, special ed did not exist. After my year of kindergarten in the local public school, my parents were told that I had to either (1) repeat kindergarten or (2) attend a smaller, non-public school. Luckily my parents were able to send me to a small Lutheran parochial school.
.

After 2nd grade my parents were told the school could not help me, they were given the choices of 1. Home school me 2. Private school. They found a Yeshiva that accepted me. The public school readmitted me for fifth grade. I believe if my parents were not teachers the recommendation would have been institutionalization.


So how did you two fit in with the rigid settings of a classroom environment?

Fortunately I was young enough to miss School corporal punishment as it was scrapped by the time I started school. Many others older less so


_________________
"The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends upon the unreasonable man."

- George Bernie Shaw


ASPartOfMe
Veteran
Veteran

User avatar

Joined: 25 Aug 2013
Age: 68
Gender: Male
Posts: 39,637
Location: Long Island, New York

21 Oct 2020, 8:27 am

carlos55 wrote:
ASPartOfMe wrote:
Mona Pereth wrote:
When I was little, special ed did not exist. After my year of kindergarten in the local public school, my parents were told that I had to either (1) repeat kindergarten or (2) attend a smaller, non-public school. Luckily my parents were able to send me to a small Lutheran parochial school.
.

After 2nd grade my parents were told the school could not help me, they were given the choices of 1. Home school me 2. Private school. They found a Yeshiva that accepted me. The public school readmitted me for fifth grade. I believe if my parents were not teachers the recommendation would have been institutionalization.


So how did you two fit in with the rigid settings of a classroom environment?

Fortunately I was young enough to miss School corporal punishment as it was scrapped by the time I started school. Many others older less so

The private school was smaller and able to give me more individual attention. Because of the small class size the teachers were able to see what was going on and prevent bullying. I always advise autistics to seek employment at small companies. I was also seeing a psychologist during that time(diagnosis forgotten 55 years later). When I got back to public school for 5th grade one of two peak bullying years commenced.


_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.