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Does mass AS diagnosis help or hurt the neurodiversity movement? - Printable Version +- Aspies For Freedom (http://www.aspiesforfreedom.com) +-- Forum: Research (/forumdisplay.php?fid=60) +--- Forum: General research discussion (/forumdisplay.php?fid=43) +--- Thread: Does mass AS diagnosis help or hurt the neurodiversity movement? (/showthread.php?tid=19345) |
Does mass AS diagnosis help or hurt the neurodiversity movement? - Jeanie - 05-22-2010 04:41 PM A few flexible/possible observations followed by the main question: Seems that the curbies like mass dx because it makes their precious children (and precious all children are!) "seem less different," and if they can other parents into their current maybe they feel they have more political strength,...or? Seems that some (not all) autistics encourage mass dx by "social pressure" of not including "borderline divergent" people into certain groups of friends unless one is a declared autistic,... or? Seems that many doctors are in favor of mass inclusion into AS dx's, thereby a hoped for resultant increase in tx's,...or? Seems that big business (or should I say, largely "non-profits [lol]" and hopeful pharmaceuticals) are in favor of mass dx, also reflected in the increasingly wide inclusion (of what is AS) proposals for the DSM V,...or? We can see potential or possible reasons (and be sure there's more) where each "group" might like to pull others into their mass dx current, but just because one more (and one more and one more) person gets a dx does not mean that person will automatically or permanently flow into one current or the other. There are also issues of "increased numbers" vs. "resources" etc. So... Question: Does mass AS diagnosis help or hurt the neurodiversity movement, and if you've got an opinion on it why do you think as you do? Thanks for your thoughts! Edit for specifics of dx = AS RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Jeanie - 05-22-2010 05:01 PM Jeanie Wrote: Question:
Does mass AS diagnosis help or hurt the neurodiversity movement, and if you've got an opinion on it why do you think as you do? Thanks for your thoughts!
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Shnoing - 05-23-2010 10:26 PM Jeanie Wrote: Question:
Does mass AS diagnosis help or hurt the neurodiversity movement, and if you've got an opinion on it why do you think as you do?
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - ben1Greer - 09-23-2010 08:32 AM Seems that many doctors are in favor of mass inclusion into AS dx's, theereeby a hoped for resultant sum in tx's,...or? RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - 142857 - 09-23-2010 09:07 AM I feel a bit silly about replying to a post that I only noticed because of a spam-bump. Diagnosis of people who are genuinely on the spectrum is not going to hurt our cause. Overdiagnosis, where diagnosis of AS is stretched to include people who are a bit geeky and shy or socially withdrawn, could be a problem. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - skyblue1 - 09-23-2010 02:58 PM hardly see where it matters, at least for adults who are DX`ed. You can get a more accurate reading on adults than you can with children, IMO RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Ana54 - 10-17-2010 06:48 PM I know; it's a LOT more accurate with adults 90% or more of the time. Kids and adolescents change too fast in most cases. They should always have a confirmation diagnosis as adults. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - dtx - 10-17-2010 06:51 PM My spine hurts every time someone writes 'curbies'. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Semicolon - 10-28-2010 02:24 AM I agree with (1/7)E6. Accurate diagnosis of individuals can only help our cause, while misdiagnosis could easily be harmful. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 10-29-2010 02:11 AM As one who is considering requesting an adult diagnosis I too have been pondering the vested interests of different parties. Not sure if this site is american rather than uk geared - I am in the UK. As such, if I were to receive a positive Dx I would have the term "learning disability" associated with my medical records for life. I already have enough of a problem in dealing with medical crises when they occur and am genuinely concerned that the diagnosis would serve to increase potential communication problems, given that general public perceptions (including those of many medics) are actually based on preconceived ideas that may have few if any links to the real experiences of any one individual. This problem (primarily one of stereotyping) is one that persists in many fields, and one that is particularly problematic in mental health fields (where, in my view, the diagnosis appears to be somewhat like a lottery, depending on the perceptions and presentation of case histories by patients (which can be very variable depending on mood and a host of other factors), individual perceptions and pre-existing biases of medics (and of their training and experiences) and which can result in a multitude of possible diagnoses. At the end of it all, I suspect that one may be little further on in terms of personal understanding and possibly damaged by the further imposition of biases imposed on one through the process of labelling. That is the down side. The upside? I guess ratification by A.N. Other (with professional "cudos") that there are problems that can create difficulties in life and living. As such, the potential arises for increased personal acceptance and understanding. So what ARE the other positives in real terms with regard to Aspergers or HFA? I guess the formal label allows acknowledgment of difficulties by others, if the dx is shared. (It also allows ammunition to be fired by others when a ready scapegoat is socially useful!) I guess one of my possible motives for a diagnosis is that the "line" of non NT functioning runs through the family and is expressed in various ways by different individuals: speech and language difficulties in early life for some offspring, bi-polar for others, anxiety and depression for some, plus a goodly thread of dyslexia/dyspraxia and unusually high academic acheivements with international recognition for some. So WHAT ARE we talking about when we try to associate with one or other of these conditions? What DO WE WANT at the end of it all? One of my reasons is to allow other family members - present and future - to consider whether, perhaps, they themselves might have similar or overlapping difficulties. A motive that may, possibly, help them to live more comfortably and acceptingly with who they really are, at baseline. It represents, perhaps, a "marker" to acknowledge individual differences and an opening up to the possibility that one might be able to love oneself - and be loveable - for who one really is, rather than for any attempts one may make to "fit in with", to "achieve" in ways that have direct comparisons with neurotypical goals and aspirations. (This latter goal, in my view, creates problems with self acceptance, and results in much of the anxt and anxiety that can often be present and which is recognised in statistics in co-morbidity). Thus, a diagnosis could, perhaps, be a "gift" for certain relatives (albeit a mixed one). The concern about genetic research, the impetus towards "cure" are rejected on one level because there are potential societal benefits for some as a result of individual differences in intellectual functioning. But this denies the enormous levels of emotional suffering and pain experienced by many of those who have such difficulties. Can one really accept such levels of pain - pain that drives some to destroy themselves - as positive, because that self same pain is precisely what drives some individuals towards remarkable discoveries? Personally, if I had a magic pharmaceutical bullet that would allow me to function in a neurotypical way I am actually uncertain quite what I would do as it would effectively mean that I would no longer be quite the person that "I am". Equally, if I had the option of "cure" prior to procreation, I am honestly uncertain what my choices would be. To accept cure seems to deny the validity of many of the very positive attributes of those I love who are genetically linked to me. But to deny cure would be to prevent freedom from quite extreme levels of suffering - and how can one deny this to people that one cares about? Personally, I still feel that the process of labelling is fraught with problems on many levels. I also suspect that in this field particularly that no one syndrome "is an island" - many muddy waters intervene. As someone who worked extensively in the dyslexia field, and who has seen an unprecedented number of case histories and assessment reports I come down strongly on a combination of genetics and in utero environment as causal factors, with a particularly strong emphasis on concerns relating to the endocrine system, pituitary and thyroid problems being at the foremost area of concern in possibly creating "stop/start" patterns of development in utero, affecting brain development in rather different ways depending on the stage of gestation that is impacted on by differential (and probably fluctuating) levels of maternal levels of pituitary and thyroid hormones. Small wonder that such differences would result in different symptomatology and individual characteristics. I would almost certainly be concerned by antenatal screening tests with options to abort a foetus. I would almost certainly be unhappy with genetic screening (with abortion options) that failed to consider in utero factors. I would almost certainly be very happy to have good monitoring of endocrine function during pregnancy with a view (when causal factors are better understood) -to optimising such functions. But then - are we venturing into the realm of accepting biologicaaly engineered "extra bright kids"? We are by now very clearly into the field of philosophy and ethics. Do we want to perpetuate individual variation and the gifts and difficulties that result? Do we want to alleviate suffering for a significant minority of people who would find integration into society much easier if they were in the majority in terms of brain function? RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Marcia - 10-29-2010 02:38 AM Hi, vicstuff, and welcome. A long and interesting first post there. I was struck particularly by your final paragraph as it raises some issues which were discussed in a Radio 4's The Ethics Committee programme which I listened to the other day on iplayer. The ethical issue under discussion related to a woman in a wheelchair and whether she would be eligible for fertility treatment. Ultimately it was agreed that she should receive reproductive assistance and that was on-going as the programme was made. One member of the panel was also in a wheelchair with a condition similar to that of the woman whose situation was being discussed. The woman who had requested fertility treatment was given the option of testing to determine whether any future child would have the same condition (there was a 50:50 chance of that) and she refused the test as she and her husband were happy to accept any child they managed to conceive, regardless of whether or not the child had a disability. In the studio discussion the woman who used a wheelchair herself made the point that to select out disability was to reduce the variations of humanity and also implicitly devalued those, like her, who were themselves disabled. It was a very interesting debate. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Roxie - 10-29-2010 02:56 AM Great post vicstuff. You almost reach a conclusion that suffering is vital. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 10-30-2010 12:01 AM Roxie Wrote: Great post vicstuff. You almost reach a conclusion that suffering is vital.
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 10-30-2010 12:07 AM Marcia Wrote: Hi, vicstuff, and welcome. A long and interesting first post there.
I was struck particularly by your final paragraph as it raises some issues which were discussed in a Radio 4's The Ethics Committee programme which I listened to the other day on iplayer. The ethical issue under discussion related to a woman in a wheelchair and whether she would be eligible for fertility treatment. Ultimately it was agreed that she should receive reproductive assistance and that was on-going as the programme was made. One member of the panel was also in a wheelchair with a condition similar to that of the woman whose situation was being discussed. The woman who had requested fertility treatment was given the option of testing to determine whether any future child would have the same condition (there was a 50:50 chance of that) and she refused the test as she and her husband were happy to accept any child they managed to conceive, regardless of whether or not the child had a disability. In the studio discussion the woman who used a wheelchair herself made the point that to select out disability was to reduce the variations of humanity and also implicitly devalued those, like her, who were themselves disabled. It was a very interesting debate.
It is, indeed, interesting. But the woman in the wheelchair who decided to accept any child they managed to conceive was simply saying that life of any kind has a real value and that a child of any type was more important than not having a child. All completely natural and understandable. She was not being given a real choice. The real choice would to be to ask her whether, if she conceives, she would like to ensure that the child either had, or did not have, a disability. Now that proposition, I think, raises slightly different issues....
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 10-30-2010 12:22 AM vicstuff Wrote: Marcia Wrote: Hi, vicstuff, and welcome. A long and interesting first post there.
I was struck particularly by your final paragraph as it raises some issues which were discussed in a Radio 4's The Ethics Committee programme which I listened to the other day on iplayer. The ethical issue under discussion related to a woman in a wheelchair and whether she would be eligible for fertility treatment. Ultimately it was agreed that she should receive reproductive assistance and that was on-going as the programme was made. One member of the panel was also in a wheelchair with a condition similar to that of the woman whose situation was being discussed. The woman who had requested fertility treatment was given the option of testing to determine whether any future child would have the same condition (there was a 50:50 chance of that) and she refused the test as she and her husband were happy to accept any child they managed to conceive, regardless of whether or not the child had a disability. In the studio discussion the woman who used a wheelchair herself made the point that to select out disability was to reduce the variations of humanity and also implicitly devalued those, like her, who were themselves disabled. It was a very interesting debate. It is, indeed, interesting. But the woman in the wheelchair who decided to accept any child they managed to conceive was simply saying that life of any kind has a real value and that a child of any type was more important than not having a child. All completely natural and understandable. She was not being given a real choice. The real choice would to be to ask her whether, if she conceives, she would like to ensure that the child either had, or did not have, a disability. Now that proposition, I think, raises slightly different issues....
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 10-30-2010 12:37 AM ben1Greer Wrote: Seems that many doctors are in favor of mass inclusion into AS dx's, theereeby a hoped for resultant sum in tx's,...or?
Sorry to demonstrate my ignorance - but what are tx's? I'm probably demonstrating my aspie ignorance - tx=thankyou's? tx = credits or GP brownie points as assessed within the nhs quota/target system.....?? or Tick boxes? Wish I understood but am probably just demonstrating ignorance or a perceptual gap someplace! In any event I wonder WHY GPs are in favor of mass inclusion. Is it to reduce stigma, is it to increase the opportunity to pick up on family links between conditions, improve stats for research and hence optimise chances of tracking and developing strategies for intervention - or is it because early recognition allows acknowledgment of difficulties, which in and of itself may increase understanding and acceptance both for individuals, families and local communities (which may in and of itself serve to reduce the adverse experiences of many individuals who have specific difficulties of this type).
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - RandomGirl - 10-30-2010 01:03 PM Mass diagnosis means a bigger number for aut15m 5p3ak5 to scare people with (autism rates are 1 in 30... Happy halloweeeen). But there will always be problems wherever the normal/autism line is put. Maybe there should be an autisticness number instead of a line. But there'll be problems with that too (the normal/autism line again). RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 11-02-2010 11:18 PM RandomGirl Wrote: Mass diagnosis means a bigger number for aut15m 5p3ak5 to scare people with (autism rates are 1 in 30... Happy halloweeeen). But there will always be problems wherever the normal/autism line is put. Maybe there should be an autisticness number instead of a line. But there'll be problems with that too (the normal/autism line again).
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Jeanie - 11-03-2010 06:01 AM Vicstuff, Thank you for your very insightful replies!! You really are hitting into the center heart of what I had tried discussing. Yes, as a society there has been just a ton of intervention through the words of, "do no harm." Hmm... I am in the US but I see these issues are apparently international. Tx = treatment (usually as in, professional or medical treatment.) Are you using the abbreviation, GP, for general practicioner? If so, I think it is more the "specialists" that are in favor of mass dx, much more so that the GPs who barely chance to profit other than possible coinciding research benefits as you mention. Yet again, I am in the US where the dollar does the talking. I agree with you RandomGirl on this, with the - /ahem/ "epidemic," and also on not including aut15m 5p3ak5 in any more search engine's numbers. Yes, an autisiticness number on a sliding scale that would also take into consideration the qualitative variations as Vicstuff mentions would be super. I know someone who is working on just such a model...anyways... Vicstuff, back to your first reply in this string and relating it to your most recent... why struggle? Just adapt and re-market. Personally, it's exciting to me that certain shared traits are, well, "better than average." I've learned over time to not be "shy" or "humble" on every occasion because some circumstances absolutely require and necessitate establishing competence first, and answering questions later. ![]() Regarding societal integration and mainstream acceptance of individual differences... Ho = intervention tx on "dis-ease" of the individual - even at an assumption of "no effect" this has already been tested finding ill effects... So in the realm of "do no harm," does this then leave enough room for H1 = profit for many, but not much for the individual... In the meantime among politics and profits, research concepts in neuroplasticity, development, and neurodiversity are going far beyond what was originally assumed...and a good amount of this research is funded in different ways for different purposes...very interesting when these pointed tips start to meet around the same edge! RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Dudus1 - 11-06-2010 03:02 AM vicstuff Wrote: I would almost certainly be concerned by antenatal screening tests with options to abort a foetus. I would almost certainly be unhappy with genetic screening (with abortion options) that failed to consider in utero factors. I would almost certainly be very happy to have good monitoring of endocrine function during pregnancy with a view (when causal factors are better understood) -to optimising such functions. But then - are we venturing into the realm of accepting biologicaaly engineered "extra bright kids"? We are by now very clearly into the field of philosophy and ethics. Do we want to perpetuate individual variation and the gifts and difficulties that result? Do we want to alleviate suffering for a significant minority of people who would find integration into society much easier if they were in the majority in terms of brain function?
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 11-06-2010 08:09 PM I absolutely agree! I would never want to "stamp out" the diversity of the gene pool in this context and am convinced that many of the most original thinkers who have made quite remarkable contributions to society are not in fact neurotypical. I also suspect that we are not dealing with a unique diagnostic category where aspergers is concerned. I still, however, am absolutely convinced that there is a strong argument for research and development with regard to endocrinological functions during pregnancy which, I believe, may have a radical impact on the development of the foetus in utero - in particular, with regard to the development of neurological functions. The basic links are well recognised in medicine, with an existing awareness that both maternal levels of thyroxin and levels within the newborn can radically affect development, which can result in growth problems, and intellectual "cretinism" (in old fashioned terminology - however repugnant). One typical feature in the newborn is an enlargement of the tongue, which affects the capacity to feed (and later, to talk)...which can be one element of dyspraxia, affecting the ability to speak also. It is the tennet of my argument, that endocrinology is one of the least well practised areas of medicine. The question here, is what is a "healthy pregnancy". If results are evaluated simply in terms of life, death and physiological factors only, then the qualititative differences between those with difficulties such as dyspraxia, dyslexia, aspergers, autism, and probably also a host of psychological and psychiatric diagnostic categories will never be "linked in". It may be that the concept that there are "genetic factors" involved in many of these syndromes would be modified to recognition perhaps that the genetic factor may in fact be a propensity to differential endocrine functions - or, that a genetic factor may, in fact, be less extreme in expression if maternal levels of thyroid and other hormones are monitored and kept at optimum levels. Now to me, that kind of research would be valuable: it would quite simply mean the equivalent of having a well nourished foetus developing in the womb. Thyroid function is essential to every aspect of functioning. I suspect that when it is not optimal throughout pregnancy the "fine tuning" of development goes slightly askew. At the current time, there is a VAST difference in the clinical criteria generally adopted for the treatment of thyroid problems in the UK - and those being adopted in the United States, in Denmark and in Sweden. The result is that routinely people in the UK who have symptoms and experience difficulties that are related to thyroid problems are told that their test results are "normal" - when in fact they are far from "normal". The result is that in later years many people struggle with severe symptoms, losing as much as a decade of quality of life before their thryoid levels fall to the level where they are finally diagnosed and treated. If medicine is so unable to deal with and treat adults (who can talk, complain and tell medics about their symptoms) - then how likely is it that they will diagnose it early enough to ensure that levels are sufficient to ensure quality of life for mothers and for the unborn child? RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - Aeolienne - 11-29-2010 09:54 PM One danger that hasn't been mentioned in this thread so far is that people don't take it seriously. They assume that so many children have been labelled as Asperger that it's nothing more than an eccentricity in personality. RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - vicstuff - 11-30-2010 11:57 PM Aeolienne Wrote: One danger that hasn't been mentioned in this thread so far is that people don't take it seriously. They assume that so many children have been labelled as Asperger that it's nothing more than an eccentricity in personality.
RE: Does mass AS diagnosis help or hurt the neurodiversity movement? - AspieMomma - 01-01-2011 09:45 PM Ideally, mass DX --> mass awareness (an "awakening" of autism, particularly in the unDX adults) --> autistic culture similar to deaf culture. I have had some experience with deaf culture, and I think that is the best possible thing autistics could experience, a home culture. We all feel so displaced, but from where? We don't even know, because it is something that is in its infancy. If we had access to a culture of our own, then there would be more advocacy from within. Without diagnosed autists, autistic culture suffers, advocacy suffers. There needs to be somebody to oppose things like prenanatal screening, and to oppose selective abortion. It is deaf culture that ultimately changed society's perspective on deaf people, not their parents, not the researchers, the deaf themselves. If you called someone deaf and dumb, you'd get quite a reaction! Yet it is rare that the average person would bat an eye at the term "idiot savant." I understand a deaf person's desire for a deaf child. I love having an aspie kid, I relate to him in a way that is so special, that's just ours. I'm a little sad at the idea of not having an aspie daughter one day, but sadly I probably can't have more kids. |