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ASPartOfMe
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13 Jul 2021, 7:38 am

Spectrum

Quote:
Every two years, the Autism and Developmental Disabilities Monitoring (ADDM) Network at the U.S. Centers for Disease Control and Prevention (CDC) sets out to measure the prevalence of autism among 8-year-old children in multiple states.

ADDM clinicians pore over children’s medical and school records for diagnoses and other information to determine which ones have autism. The researchers use the resulting data to estimate autism prevalence for the 11 states that belong to the network.

This process takes at least four years to yield results.

For the 2018 surveillance year, the ADDM Network adopted a faster method to track prevalence. Under the new system, researchers no longer look for signs of autism in children’s school and medical records. Instead, they pull from three data sources: records of autism diagnoses from clinicians, special-education classifications of autism, and hospital billing codes for autism services. The system omits the ADDM clinicians’ assessments, which were time consuming and labor intensive.

The new method uses half as much data as the old one but still yields similar prevalence results, according to a published comparison of data from 2014 and 2016. The findings appeared in April in the American Journal of Epidemiology.

Spectrum spoke with one of the new system’s developers, Matthew Maenner, about the updated methodology and the new insights it might offer. Maenner is an epidemiologist and surveillance team lead for the CDC’s National Center on Birth Defects and Developmental Disabilities.

Spectrum: What were the problems with how the ADDM Network was ascertaining autism prevalence?
Matt Maenner:
The previous approach was first applied to monitor autism among children in metropolitan Atlanta, Georgia, in 1996. It was designed to identify children who present with autism traits but might be evaluated by practitioners who do not consistently recognize autism. The process was resource intensive, and the quantity of records undergoing expert review had increased dramatically in recent years.

S: What are the advantages of the new method?
MM:

But the new method simplifies data collection and requires us to collect about half as many evaluations and cognitive tests.

This improved efficiency has allowed the CDC to support more study sites than it would have under the previous methods. It also allows the network to report data sooner, to expand its tracking of early identification and to add a follow-up with children at age 16.

The new method also more directly measures community practices related to autism identification and services.

S: How has the process of implementing this new method played out?
MM:

Our team at the CDC rebuilt the ADDM’s data system using modern tools, created documentation and training materials, developed quality-control processes and trained and supported staff at the ADDM sites to use the new method. They were successful — and finished on time.

Data collection went fairly smoothly — especially in light of all the disruptions during 2020.

S: What are the next steps for deploying the new case definitions?
MM:

The network has collected data for 2018, and we are working on the next prevalence reports. The new method has given us the flexibility to pilot a low-cost approach to doing statewide autism surveillance that will produce at least some data for every community in a state. ADDM sites typically monitor autism in only a portion of a state, but we were able to adapt our programs and tools to try to generate county-level estimates for children of all ages through record linkages.

The network also is collecting data for the next surveillance year — 2020 — which will include the same sites as in 2018. Because the communities are the same in 2018 and 2020, it may be possible to observe changes or disruptions in developmental evaluations or services utilized during 2020.

Why are Developmental Disabilities and Birth Defects run from the same department?

Many ND activists will object to epidemiologists tracking autism. They will say Autism is not a disease , this is soo medical model of autism etc. But this is the Center for Disease Control and Prevention tracking diagnosis after all. Does anybody have a better social model of disability driven method of tracking prevalence?


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carlos55
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13 Jul 2021, 1:36 pm

ASPartOfMe wrote:
Spectrum
Quote:
Every two years, the Autism and Developmental Disabilities Monitoring (ADDM) Network at the U.S. Centers for Disease Control and Prevention (CDC) sets out to measure the prevalence of autism among 8-year-old children in multiple states.

ADDM clinicians pore over children’s medical and school records for diagnoses and other information to determine which ones have autism. The researchers use the resulting data to estimate autism prevalence for the 11 states that belong to the network.

This process takes at least four years to yield results.

For the 2018 surveillance year, the ADDM Network adopted a faster method to track prevalence. Under the new system, researchers no longer look for signs of autism in children’s school and medical records. Instead, they pull from three data sources: records of autism diagnoses from clinicians, special-education classifications of autism, and hospital billing codes for autism services. The system omits the ADDM clinicians’ assessments, which were time consuming and labor intensive.

The new method uses half as much data as the old one but still yields similar prevalence results, according to a published comparison of data from 2014 and 2016. The findings appeared in April in the American Journal of Epidemiology.

Spectrum spoke with one of the new system’s developers, Matthew Maenner, about the updated methodology and the new insights it might offer. Maenner is an epidemiologist and surveillance team lead for the CDC’s National Center on Birth Defects and Developmental Disabilities.

Spectrum: What were the problems with how the ADDM Network was ascertaining autism prevalence?
Matt Maenner:
The previous approach was first applied to monitor autism among children in metropolitan Atlanta, Georgia, in 1996. It was designed to identify children who present with autism traits but might be evaluated by practitioners who do not consistently recognize autism. The process was resource intensive, and the quantity of records undergoing expert review had increased dramatically in recent years.

S: What are the advantages of the new method?
MM:

But the new method simplifies data collection and requires us to collect about half as many evaluations and cognitive tests.

This improved efficiency has allowed the CDC to support more study sites than it would have under the previous methods. It also allows the network to report data sooner, to expand its tracking of early identification and to add a follow-up with children at age 16.

The new method also more directly measures community practices related to autism identification and services.

S: How has the process of implementing this new method played out?
MM:

Our team at the CDC rebuilt the ADDM’s data system using modern tools, created documentation and training materials, developed quality-control processes and trained and supported staff at the ADDM sites to use the new method. They were successful — and finished on time.

Data collection went fairly smoothly — especially in light of all the disruptions during 2020.

S: What are the next steps for deploying the new case definitions?
MM:

The network has collected data for 2018, and we are working on the next prevalence reports. The new method has given us the flexibility to pilot a low-cost approach to doing statewide autism surveillance that will produce at least some data for every community in a state. ADDM sites typically monitor autism in only a portion of a state, but we were able to adapt our programs and tools to try to generate county-level estimates for children of all ages through record linkages.

The network also is collecting data for the next surveillance year — 2020 — which will include the same sites as in 2018. Because the communities are the same in 2018 and 2020, it may be possible to observe changes or disruptions in developmental evaluations or services utilized during 2020.

Why are Developmental Disabilities and Birth Defects run from the same department?

Many ND activists will object to epidemiologists tracking autism. They will say Autism is not a disease , this is soo medical model of autism etc. But this is the Center for Disease Control and Prevention tracking diagnosis after all. Does anybody have a better social model of disability driven method of tracking prevalence?


Some autistic adults have the living skills of a 3-year-old & so are classed as disabled. Autism in general is a spectrum of severity and even those mildly effected often need access to disability services.

The label disabled unlocks the help, whether access to special schools, financial welfare, housing or for kids’ free rides at theme parks.

Nobody goes out of their way to help people the public feel dont need it.

However, selfish self seeking ND advocates who think autism is just about themselves and everyone thinks and has the same functioning level as them should be allowed to put their money where their mouth or keyboard is & opt out of such help, including disability welfare.

After all, when they complete their disability welfare form, they are acknowledging & reinforcing to the government which is power & authority including the ultimate decision maker in these things that their autism is disabling. So, they will spend all day on Twitter bullying anyone who dare suggest autism is a pathology & then walk into a welfare office to acknowledge the opposite. :lol:

No doubt they will come up with the old ND excuse of social model of disability as opposed to pathology. But by opting out of financial disability welfare they would be making a powerful political statement that autism is not a pathology or a disability.


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Mona Pereth
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13 Jul 2021, 2:13 pm

carlos55 wrote:
However, selfish self seeking ND advocates who think autism is just about themselves and everyone thinks and has the same functioning level as them should be allowed to put their money where their mouth or keyboard is & opt out of such help, including disability welfare.

After all, when they complete their disability welfare form, they are acknowledging & reinforcing to the government which is power & authority including the ultimate decision maker in these things that their autism is disabling. So, they will spend all day on Twitter bullying anyone who dare suggest autism is a pathology & then walk into a welfare office to acknowledge the opposite. :lol:

No doubt they will come up with the old ND excuse of social model of disability as opposed to pathology. But by opting out of financial disability welfare they would be making a powerful political statement that autism is not a pathology or a disability.

Some autistic people do have a work history and have never applied for "disability welfare" (SSDI or SSI, here in the U.S.A.). Others really can't do productive paid work under any conceivable circumstances. But there is also a large in-between category of autistic people who could do productive work if only the accommodations they need were more commonplace, and if only there were more autistic-friendly ways of applying for the jobs in the first place.

As far as I can tell, very few if any ND activists deny the existence of any of the above three categories of autistic people. You're the one who seems to be denying the existence/validity of the in-between category, dismissing it as "the old ND excuse of social model of disability as opposed to pathology."


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carlos55
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13 Jul 2021, 3:50 pm

Mona Pereth wrote:
carlos55 wrote:
However, selfish self seeking ND advocates who think autism is just about themselves and everyone thinks and has the same functioning level as them should be allowed to put their money where their mouth or keyboard is & opt out of such help, including disability welfare.

After all, when they complete their disability welfare form, they are acknowledging & reinforcing to the government which is power & authority including the ultimate decision maker in these things that their autism is disabling. So, they will spend all day on Twitter bullying anyone who dare suggest autism is a pathology & then walk into a welfare office to acknowledge the opposite. :lol:

No doubt they will come up with the old ND excuse of social model of disability as opposed to pathology. But by opting out of financial disability welfare they would be making a powerful political statement that autism is not a pathology or a disability.

Some autistic people do have a work history and have never applied for "disability welfare" (SSDI or SSI, here in the U.S.A.). Others really can't do productive paid work under any conceivable circumstances. But there is also a large in-between category of autistic people who could do productive work if only the accommodations they need were more commonplace, and if only there were more autistic-friendly ways of applying for the jobs in the first place.

As far as I can tell, very few if any ND activists deny the existence of any of the above three categories of autistic people. You're the one who seems to be denying the existence/validity of the in-between category, dismissing it as "the old ND excuse of social model of disability as opposed to pathology."


Im referring to the absolutes - those with hypocritical views who deny that autism is a disability for those who are really disabled who apply the social model of disability TO ALL & try to enforce those views on others via bullying or suppressing mostly on social media, but at the same time happy to classify themselves as disabled where there is a financial / other incentive, unfortunately i have come across a few.

Of course there are many autistic people who could work but need more help to do so, but that was never my point.

The post was about those who wish the government to officially deny the disability label of autism to serve themselves at the expense of others


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Mona Pereth
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16 Jul 2021, 5:31 am

carlos55 wrote:
The post was about those who wish the government to officially deny the disability label of autism to serve themselves at the expense of others

Who, in particular? Can you point to any examples?

Only a vanishingly small minority of "ND advocates" take such a stance. The vast majority of ND advocates, including all of the founders of the movement as far as I can tell, have considered themselves to be part of the disability rights movement.


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16 Jul 2021, 7:42 am

Mona Pereth wrote:
carlos55 wrote:
The post was about those who wish the government to officially deny the disability label of autism to serve themselves at the expense of others

Who, in particular? Can you point to any examples?

Only a vanishingly small minority of "ND advocates" take such a stance. The vast majority of ND advocates, including all of the founders of the movement as far as I can tell, have considered themselves to be part of the disability rights movement.


Well there’s the ND paradigm for a start. Autism is a difference rather than disability (see link)

The problem is in many cases autism is a disability and while I can understand the motivations of some aspies that don’t want to consider themselves broken and shout that all day on Twitter.

The unfortunate fact is they do share a label (autism) with others clearly disabled and in need of treatments or cures.

(Please see previous comment above )of autistic people with the living skills of 3 year olds requiring round the clock care.

The label disabled is not just a name in our western countries it is a pass to help from disability services.

De-disabling i.e taking someone’s often hard won right to be classed as disabled means the difference of someone loosing their home or ability to eat via loss of welfare payments.

I’ve mentioned this before in the UK tens of thousands of disabled people committed suicide because at the stroke of a pen some official stated having a brain condition that was supposedly mild (many Autistic) didn’t stop them finding work and thus were removed from disability welfare and thrown into a situation they couldn’t handle.

So labels are important



https://en.m.wikipedia.org/wiki/Controv ... y_paradigm


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16 Jul 2021, 1:24 pm

The labels are also just as exploitable.

As much as any wanted to fight for disability status for welfare's sake.
There are those who will abuse it.


It's not the any ND advocates or the any caretakers.

It's those anti-social perpetrators who would gain the disability status of autism just to get away with crime, and will perpetuate the stigma by flaunting it, claiming because they're "disabled" or just "different".


The 'autism-as-an-excuse' people are the ones who made life harder for anyone who's different already.
They can and will take advantage either sides for their own benefit by instilling fear on both sides.

On top of the primal fear of unknown, the ignorant readers who misattributed words and terms, and writers who are using languages that do not inspire either sympathy or pride.


I wouldn't be surprised if some alleged autistic person happened to convince professionals they're autistic when they're not.

It doesn't matter if autism is a disability or a difference, only a 'justification' to get a lighter sentence or only receive a slap on a wrist.


While those who need genuine help have to fight for services or acceptance -- only to be dismissed, have their slots stolen or worse, lumped with the minority who famously commited crime.

Simply because these minority lawbreakers are more famous and louder to declare they're autistic than those who do not break the law -- out of shame, out of inability to, or out of cluelessness.


How would you feel if those with ASPD, who actually commited crimes and had intentionally hurt people, declared they're neurodiverse and accept the fact they will commit crime and will not do any better because it's "natural"?

Or god forbid claim to be disabled and that's why they commit crime, claiming they "do not know any better"?


There's already such cases quite similar -- defending lawbreakers or being wary around some people because someone got an extra Y chromosome or warrior gene or something similar.
Trying to get away with crime or being feared at when innocent for the same reason.


I see this weird pattern that autism -- whether a difference or a disability -- is being treated more or less the same way.

The same fascination around the narratives of violence, aggression and crime, persistent paralleling with psychopathy...


Being tracked? Reported? Wary around stigma?
It doesn't matter if the autism is a quirk or a full blown disability.

It's this weird concept of security and associations -- autism as a perceived threat.
It won't matter if it aligns with pro-cure and promises of so-called normal life, it runs in ignorance and panic.


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carlos55
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16 Jul 2021, 3:27 pm

Edna3362 wrote:
The labels are also just as exploitable.

As much as any wanted to fight for disability status for welfare's sake.
There are those who will abuse it.


It's not the any ND advocates or the any caretakers.

It's those anti-social perpetrators who would gain the disability status of autism just to get away with crime, and will perpetuate the stigma by flaunting it, claiming because they're "disabled" or just "different".


The 'autism-as-an-excuse' people are the ones who made life harder for anyone who's different already.
They can and will take advantage either sides for their own benefit by instilling fear on both sides.

On top of the primal fear of unknown, the ignorant readers who misattributed words and terms, and writers who are using languages that do not inspire either sympathy or pride.


I wouldn't be surprised if some alleged autistic person happened to convince professionals they're autistic when they're not.

It doesn't matter if autism is a disability or a difference, only a 'justification' to get a lighter sentence or only receive a slap on a wrist.


While those who need genuine help have to fight for services or acceptance -- only to be dismissed, have their slots stolen or worse, lumped with the minority who famously commited crime.

Simply because these minority lawbreakers are more famous and louder to declare they're autistic than those who do not break the law -- out of shame, out of inability to, or out of cluelessness.


How would you feel if those with ASPD, who actually commited crimes and had intentionally hurt people, declared they're neurodiverse and accept the fact they will commit crime and will not do any better because it's "natural"?

Or god forbid claim to be disabled and that's why they commit crime, claiming they "do not know any better"?


There's already such cases quite similar -- defending lawbreakers or being wary around some people because someone got an extra Y chromosome or warrior gene or something similar.
Trying to get away with crime or being feared at when innocent for the same reason.


I see this weird pattern that autism -- whether a difference or a disability -- is being treated more or less the same way.

The same fascination around the narratives of violence, aggression and crime, persistent paralleling with psychopathy...


Being tracked? Reported? Wary around stigma?
It doesn't matter if the autism is a quirk or a full blown disability.

It's this weird concept of security and associations -- autism as a perceived threat.
It won't matter if it aligns with pro-cure and promises of so-called normal life, it runs in ignorance and panic.


Yes you are correct there are those who will use an autism label as an excuse. I believe in the US one of the rioters is using autism as a defense for breaking into the US gov building.

Amusingly Julian Assange has developed autism since his arrest, funny because i never heard it before & he always sounded very NT in his earlier interviews and was lucky with girls, not really an aspie trait. :lol:


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16 Jul 2021, 4:20 pm

carlos55 wrote:
Well there’s the ND paradigm for a start. Autism is a difference rather than disability (see link)

[...]

https://en.m.wikipedia.org/wiki/Controv ... y_paradigm[

Actually the linked article says "The neurodiversity paradigm is a view of autism as a different way of being rather than as a disease or disorder that must be cured" -- but it does not say the neurodiversity paradigm denies that autism entails disability.

There is a difference between "disability" and "disease or disorder that must be cured." It is the standard position of the disability rights movement, regarding most disabilities in general, that accommodations should be prioritized over the search for total "cures." Thus the neurodiversity paradigm is consistent with the aims of the larger disability rights movement.

And, for most disabilities, this whole question has been largely a non-issue. For most disabilities, a search for total cures has not been a high priority in medical research, nor are very many people saying that huge amounts of money should be poured into seeking total cures for most disabilities. Other medical research goals are obviously more important, like curing and preventing cancer and Alzheimer's.

Autism is one of the very few exceptions -- one of the very few disabilities (as distinct from deadly, painful, and/or degenerative diseases or injuries) for which there have been loud, influential public calls (e.g. by "Autism Speaks" and various other groups back in 2000 to 2010 or so) for a total cure ASAP. The most likely reason for this was the perception, a couple of decades ago, that there was an "epidemic" of autism.


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17 Jul 2021, 1:03 pm

Mona Pereth wrote:
carlos55 wrote:
Well there’s the ND paradigm for a start. Autism is a difference rather than disability (see link)

[...]

https://en.m.wikipedia.org/wiki/Controv ... y_paradigm[

Actually the linked article says "The neurodiversity paradigm is a view of autism as a different way of being rather than as a disease or disorder that must be cured" -- but it does not say the neurodiversity paradigm denies that autism entails disability.

There is a difference between "disability" and "disease or disorder that must be cured." It is the standard position of the disability rights movement, regarding most disabilities in general, that accommodations should be prioritized over the search for total "cures." Thus the neurodiversity paradigm is consistent with the aims of the larger disability rights movement.

And, for most disabilities, this whole question has been largely a non-issue. For most disabilities, a search for total cures has not been a high priority in medical research, nor are very many people saying that huge amounts of money should be poured into seeking total cures for most disabilities. Other medical research goals are obviously more important, like curing and preventing cancer and Alzheimer's.

Autism is one of the very few exceptions -- one of the very few disabilities (as distinct from deadly, painful, and/or degenerative diseases or injuries) for which there have been loud, influential public calls (e.g. by "Autism Speaks" and various other groups back in 2000 to 2010 or so) for a total cure ASAP. The most likely reason for this was the perception, a couple of decades ago, that there was an "epidemic" of autism.


Nearly all those statements in the paradigm are simply based on Pseudoscience.

The problem arises when pseudoscience clashes with real science or the real world.

People are welcome to believe what they want until they start encroaching on others or get in their way.

For example as I mentioned denying that autism is a disability or a problem for some can cause real world problems for many people.

Generally speaking society places greater value on the young or children so the 18 with the living skills of a 3 year old is generally thought of as in greater priority than the 80 year old with Alzheimer's.

With the rise of prevalence in recent years rightly or wrongly recorded autism has moved up to a mid ranking “condition” possibly on the same level as diabetes, but below cancer and heart disease.


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17 Jul 2021, 6:52 pm

carlos55 wrote:
Nearly all those statements in the paradigm are simply based on Pseudoscience.

No, they are basic definitions and a priori value judgments. The question of whether a given impairment should be thought of as a "disease that must be cured" or just a "disability" -- or even a "disability" at all -- isn't primarily a scientific question in the first place. It is primarily a societal/cultural question whose answer is determined, to a large degree, by how a given society functions. That's the point of the "social model of disability."

carlos55 wrote:
For example as I mentioned denying that autism is a disability or a problem for some can cause real world problems for many people.

Why do you keep saying that the ND movement denies that autism is a disability (at least in today's world)? I keep pointing out to you that that's a fringe position even within the ND movement. For example, ASAN, the leading autistic rights group here in the U.S.A., describes iitself as an organization that "seeks to advance the principles of the disability rights movement with regard to autism." This implies that autism is a "disability."

carlos55 wrote:
Generally speaking society places greater value on the young or children so the 18 with the living skills of a 3 year old is generally thought of as in greater priority than the 80 year old with Alzheimer's.

An 18-year-old with the living skills of a 3-year-old is most likely intellectually disabled as well as autistic. So, why isn't anyone pushing hard for vast amounts of money to be spent on research toward a cure for intellectual disability? Why the focus on trying to cure autism, but not on trying to cure intellectual disability?

In any country in which the government pays for health care, an "80 year old with Alzheimer's" costs the government an awful lot of money over many years -- and there are an awful lot of 80-year-olds with Alzheimer's, which adds up to a huge amount of money spent on their health care. Given that, plus the fact that most of us dread the prospect of becoming an old person with dementia, it certainly does make sense to spend lots of money on research toward cure/prevention of the most common kinds of dementia such as Alzheimer's.

Back to autism: It turns out that "autism" is many different conditions, not just one condition or even just a few different conditions. That being the case, the amount of medical research needed to find complete "cures" for all of these conditions would likely be extremely costly. So it makes sense for any such "cure" research to be focused on the most severely disabling kinds of autism and intellectual disability, rather than seeking radical cures for "autism" generally. For the rest of us, and especially for those of us who would be capable of productive paid work with suitable accommodations, it makes sense to find other ways to improve our lives.

Moreover, thinking of autism in general as a disease, rather than as a disability in need of accommodations, tends to result in a lot of dehumanizing attitudes that make our lives harder. Remember, autism affects our entire personalities. So, if autism in general is considered a "disease," then our entire personalities are considered to be "diseased."


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18 Jul 2021, 4:47 am

Mona Pereth wrote:
carlos55 wrote:
Nearly all those statements in the paradigm are simply based on Pseudoscience.

No, they are basic definitions and a priori value judgments. The question of whether a given impairment should be thought of as a "disease that must be cured" or just a "disability" -- or even a "disability" at all -- isn't primarily a scientific question in the first place. It is primarily a societal/cultural question whose answer is determined, to a large degree, by how a given society functions. That's the point of the "social model of disability."

carlos55 wrote:
For example as I mentioned denying that autism is a disability or a problem for some can cause real world problems for many people.

Why do you keep saying that the ND movement denies that autism is a disability (at least in today's world)? I keep pointing out to you that that's a fringe position even within the ND movement. For example, ASAN, the leading autistic rights group here in the U.S.A., describes iitself as an organization that "seeks to advance the principles of the disability rights movement with regard to autism." This implies that autism is a "disability."

carlos55 wrote:
Generally speaking society places greater value on the young or children so the 18 with the living skills of a 3 year old is generally thought of as in greater priority than the 80 year old with Alzheimer's.

An 18-year-old with the living skills of a 3-year-old is most likely intellectually disabled as well as autistic. So, why isn't anyone pushing hard for vast amounts of money to be spent on research toward a cure for intellectual disability? Why the focus on trying to cure autism, but not on trying to cure intellectual disability?

In any country in which the government pays for health care, an "80 year old with Alzheimer's" costs the government an awful lot of money over many years -- and there are an awful lot of 80-year-olds with Alzheimer's, which adds up to a huge amount of money spent on their health care. Given that, plus the fact that most of us dread the prospect of becoming an old person with dementia, it certainly does make sense to spend lots of money on research toward cure/prevention of the most common kinds of dementia such as Alzheimer's.

Back to autism: It turns out that "autism" is many different conditions, not just one condition or even just a few different conditions. That being the case, the amount of medical research needed to find complete "cures" for all of these conditions would likely be extremely costly. So it makes sense for any such "cure" research to be focused on the most severely disabling kinds of autism and intellectual disability, rather than seeking radical cures for "autism" generally. For the rest of us, and especially for those of us who would be capable of productive paid work with suitable accommodations, it makes sense to find other ways to improve our lives.

Moreover, thinking of autism in general as a disease, rather than as a disability in need of accommodations, tends to result in a lot of dehumanizing attitudes that make our lives harder. Remember, autism affects our entire personalities. So, if autism in general is considered a "disease," then our entire personalities are considered to be "diseased."


Quote:
No, they are basic definitions and a priori value judgments. The question of whether a given impairment should be thought of as a "disease that must be cured" or just a "disability" -- or even a "disability" at all -- isn't primarily a scientific question in the first place. It is primarily a societal/cultural question whose answer is determined, to a large degree, by how a given society functions. That's the point of the "social model of disability."


Sounds like semantics psychobabble & word play to skip over the fact that autism for many is a serious disability.

Quote:
Why do you keep saying that the ND movement denies that autism is a disability (at least in today's world)? I keep pointing out to you that that's a fringe position even within the ND movement. For example, ASAN, the leading autistic rights group here in the U.S.A., describes iitself as an organization that "seeks to advance the principles of the disability rights movement with regard to autism." This implies that autism is a "disability


Quote:
Why are Developmental Disabilities and Birth Defects run from the same department?

Many ND activists will object to epidemiologists tracking autism. They will say Autism is not a disease , this is soo medical model of autism etc. But this is the Center for Disease Control and Prevention tracking diagnosis after all. Does anybody have a better social model of disability driven method of tracking prevalence?


The general sentiment many feel. i.e trying to remove autism as a disability

Quote:
An 18-year-old with the living skills of a 3-year-old is most likely intellectually disabled as well as autistic. So, why isn't anyone pushing hard for vast amounts of money to be spent on research toward a cure for intellectual disability? Why the focus on trying to cure autism, but not on trying to cure intellectual disability?


Autism cannot be separated from ID, epilepsy, self harm etc... Autism is not a biological diagnosis rather set of behaviours, its just a 1940`s parking space for a brain condition they didnt understand.

The biological event that caused autism caused the ID, just like the stroke that caused someone to have a cool French accent or artistic ability they never knew they had, killed or paralysed the other person.


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18 Jul 2021, 7:06 am

Hmph.
I won't debate the damnable semantics here.

Because the semantics are usually pointless -- like the label incel.

We're not debating about names and legal definitions, do we?
Unless someone here is directly involved in writing updates in the DSM, inquiring formal services or legal matters related to it -- it's irrelevant to dismiss, validate or define neurodiversity on such basis.


Basing neurodiversity by semantics is not medical nor scientific.
But one thing is certain; it is perception and consciousness based on positively inclined attitudes.
From where it matters, it doesn't make it less real, doesn't? The rest is up to the individual and the space it occupies under -- to make it inclusive, exclusive, safe or toxic, relevant or superficial.


Between the two definitions -- textbook and social context, which reflects real life more relevantly? :lol:

The status and text definitions of disability and differences itself defined and spoken by science, accomodations in which the professionals and government is responsible for?

Or the attitudes around disability and differences defined by the unpredictable mass consciousness whether or not they choose to consume any media related to it?


Both are based in reality. Stats are important, but so is perception and reactions towards the label.
One is formally documented, controlled and artificial, the other is informally observe, subjective and organic.

Any denials of either these two are either miseducated or unaware and fed with outdated BS.
Only a fool insists another to prioritize against the other. :roll:

Note I'm not here to 'uplift' people of knowledge, this is simply my thoughts. Take it as you will.


I think anyone who cannot separate or distinguish medical from social definitions, especially those who immediately perceives it as some political agenda, are either incompetent or unaware to be in any advocacy scenes (and likely does not deserve any influence -- like what happened in the west 10+ years ago), too rigid/close-minded or too conditioned to a certain doctrine and/or context against paradigms (conditioned to fight against X side because it's political, or thought one's POV is more real than the other), or has more language issues than I do -- a person with below average verbal IQ.


It's easier to get the point of disability, wherever it's through text book definitions or social implications.

But heck sure not all people will ever get the point of neurodiversity the same way. :twisted:

Some people understands it's purpose beyond it's definitions from any websites.

Some people only sees it as some conspiracy against gate keepers who claims 'severe autism is only real autism' with zero sums games in their heads, because autistic should not have any human rights movement families who loves the person behind autism and scientists who works for the greater good. :lol: :lol: :lol:


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18 Jul 2021, 12:42 pm

Edna3362 wrote:
Hmph.
I won't debate the damnable semantics here.

Because the semantics are usually pointless -- like the label incel.

We're not debating about names and legal definitions, do we?
Unless someone here is directly involved in writing updates in the DSM, inquiring formal services or legal matters related to it -- it's irrelevant to dismiss, validate or define neurodiversity on such basis.


Basing neurodiversity by semantics is not medical nor scientific.
But one thing is certain; it is perception and consciousness based on positively inclined attitudes.
From where it matters, it doesn't make it less real, doesn't? The rest is up to the individual and the space it occupies under -- to make it inclusive, exclusive, safe or toxic, relevant or superficial.


Between the two definitions -- textbook and social context, which reflects real life more relevantly? :lol:

The status and text definitions of disability and differences itself defined and spoken by science, accomodations in which the professionals and government is responsible for?

Or the attitudes around disability and differences defined by the unpredictable mass consciousness whether or not they choose to consume any media related to it?


Both are based in reality. Stats are important, but so is perception and reactions towards the label.
One is formally documented, controlled and artificial, the other is informally observe, subjective and organic.

Any denials of either these two are either miseducated or unaware and fed with outdated BS.
Only a fool insists another to prioritize against the other. :roll:

Note I'm not here to 'uplift' people of knowledge, this is simply my thoughts. Take it as you will.


I think anyone who cannot separate or distinguish medical from social definitions, especially those who immediately perceives it as some political agenda, are either incompetent or unaware to be in any advocacy scenes (and likely does not deserve any influence -- like what happened in the west 10+ years ago), too rigid/close-minded or too conditioned to a certain doctrine and/or context against paradigms (conditioned to fight against X side because it's political, or thought one's POV is more real than the other), or has more language issues than I do -- a person with below average verbal IQ.


It's easier to get the point of disability, wherever it's through text book definitions or social implications.

But heck sure not all people will ever get the point of neurodiversity the same way. :twisted:

Some people understands it's purpose beyond it's definitions from any websites.

Some people only sees it as some conspiracy against gate keepers who claims 'severe autism is only real autism' with zero sums games in their heads, because autistic should not have any human rights movement families who loves the person behind autism and scientists who works for the greater good. :lol: :lol: :lol:


Edna I’m not against everything ND stands for like general acceptance and accommodations, but just about every disability representative organization does that so ND is nothing special in that regards.

Help for the blind for example would probably like more acceptance and accommodations for blind people.

I just don’t support their ideology that autism is a natural difference when it’s clearly a disability for many.

They use Pseudoscience terms as a means to promote that idea and try to suppress anything that shows autism as a real severe disability whether via Twitter bullying of parents of severely autistic children or any media footage real or movie characters that show this.

It’s almost like they try to own the top part of the autism spectrum and which to hide the severe part, as if society doesn’t know they already exist.

This is all linked to their anti cure stance as a principal that they try to impose on others and society in general when that should be a personal matter.

They would be best sticking with promoting acceptance of autistic behavior, accommodations and promotion of opportunities for autistic people and leave the science to the scientists.


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18 Jul 2021, 2:42 pm

carlos55 wrote:
Edna3362 wrote:
Hmph.
I won't debate the damnable semantics here.

Because the semantics are usually pointless -- like the label incel.

We're not debating about names and legal definitions, do we?
Unless someone here is directly involved in writing updates in the DSM, inquiring formal services or legal matters related to it -- it's irrelevant to dismiss, validate or define neurodiversity on such basis.


Basing neurodiversity by semantics is not medical nor scientific.
But one thing is certain; it is perception and consciousness based on positively inclined attitudes.
From where it matters, it doesn't make it less real, doesn't? The rest is up to the individual and the space it occupies under -- to make it inclusive, exclusive, safe or toxic, relevant or superficial.


Between the two definitions -- textbook and social context, which reflects real life more relevantly? :lol:

The status and text definitions of disability and differences itself defined and spoken by science, accomodations in which the professionals and government is responsible for?

Or the attitudes around disability and differences defined by the unpredictable mass consciousness whether or not they choose to consume any media related to it?


Both are based in reality. Stats are important, but so is perception and reactions towards the label.
One is formally documented, controlled and artificial, the other is informally observe, subjective and organic.

Any denials of either these two are either miseducated or unaware and fed with outdated BS.
Only a fool insists another to prioritize against the other. :roll:

Note I'm not here to 'uplift' people of knowledge, this is simply my thoughts. Take it as you will.


I think anyone who cannot separate or distinguish medical from social definitions, especially those who immediately perceives it as some political agenda, are either incompetent or unaware to be in any advocacy scenes (and likely does not deserve any influence -- like what happened in the west 10+ years ago), too rigid/close-minded or too conditioned to a certain doctrine and/or context against paradigms (conditioned to fight against X side because it's political, or thought one's POV is more real than the other), or has more language issues than I do -- a person with below average verbal IQ.


It's easier to get the point of disability, wherever it's through text book definitions or social implications.

But heck sure not all people will ever get the point of neurodiversity the same way. :twisted:

Some people understands it's purpose beyond it's definitions from any websites.

Some people only sees it as some conspiracy against gate keepers who claims 'severe autism is only real autism' with zero sums games in their heads, because autistic should not have any human rights movement families who loves the person behind autism and scientists who works for the greater good. :lol: :lol: :lol:


Edna I’m not against everything ND stands for like general acceptance and accommodations, but just about every disability representative organization does that so ND is nothing special in that regards.

Help for the blind for example would probably like more acceptance and accommodations for blind people.

I just don’t support their ideology that autism is a natural difference when it’s clearly a disability for many.

They use Pseudoscience terms as a means to promote that idea and try to suppress anything that shows autism as a real severe disability whether via Twitter bullying of parents of severely autistic children or any media footage real or movie characters that show this.

It’s almost like they try to own the top part of the autism spectrum and which to hide the severe part, as if society doesn’t know they already exist.

This is all linked to their anti cure stance as a principal that they try to impose on others and society in general when that should be a personal matter.

They would be best sticking with promoting acceptance of autistic behavior, accommodations and promotion of opportunities for autistic people and leave the science to the scientists.

Do understand I'm referring to people who do -- not specifically you or anything. :lol:


Did you.. Actually went to twitter and some? :o
And the whole social platform overall?
I wouldn't recommend that though.

If someone's staying at such places, I wouldn't recommend staying unless they know what they're doing.


The statement and representation of "autism is a disability" that emphasizing the disability.

10+ years ago, exposing it would benefit narcissistic parents, ableists, social-darwinists and some rhetoric.

Along with the associations of disability as a whole -- one with self loathing, pity, unworthiness, the idea of burden, uselessness and themes of being a center of conflict.

Can you or anyone honestly say this isn't the case at large now? Because I don't know yet out there.
There won't be a largely agreed talks and choices around pro-cure if not.
There will always be toes stepping toes, ideas imposing on others.

But one thing is certain; the reversed became true. Where favoring 'autism' benefits the narcissistic, anti-social, egoism and other sentiment.


You can keep saying pseudo-science or point on science.
The fact remains; humans are caught up at this polarizing dynamic, pseudo-science or not.

The human ego, in a collective sense, is very adaptive to it.


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18 Jul 2021, 4:00 pm

Part of this discussion seems to assume Autism must always be a difference or it must always be a disability. Why can't it stretch to include both? It's a spectrum...why can't the severity levels encompass both disability for some and difference for others?

I think it is clear that Autism is not expressed the same in every Autistic. And that makes sense to me. As Mona Pereth pointed out, Autism is not just one condition. And, as this WebMD article observes, Autism is not well understood.

(I don't think Elon Musk is disabled!)


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