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Posts Tagged ‘Autistics.org’

Within the autism and autistic communities – the former being domiated by parents of autistics seeking treatment and sometimes cure for autism, the latter dominated by autistic adults who aim to have autism accepted as a matter of neurological diversity -, but also within the wider disability community, phrases like “the voice of” and “speak for” are often used. In autism, we have Autism Speaks, which is a parent-dominated organization, and Autistics.org, which claims to be the real voice of autism because it’s maintained by autistic adults, and in the blind community we have The Voice of the Nation’s Blind, which really is the NFB’s blog. All of these websites claim to speak for respectively severely autistic children who cannot speak for themselves, autistic adults, and the blind in the United States. Do they really do what they claim to be doing? I don’t think so.

It is in an advocacy organization’s nature to have a few people claim to speak for the entire target group of that organization. Even assuming that target group consisted soleley of members who chose to be members of that organization, still they are not all going to Washington to lobby their agendas. All 50,000 NFB members, for example, are not coming to the Washington Seminar. After all, the very point of an organization is so that not everyone has to speak for themselves, in which case they would all be lost in the mass of voices. So the members usually elect a board of directors or representatives for specific events, and these people are supposed to speak for the whole organization. So far, so good. The problem is that the organization’s target group usually is not limited to its members, and even if it were, the organization’s agenda will affect people outside of the target group. For example, the NFB opposes audible traffic signals and tactile warning strips in most circumstances, cause competent blind people are assumed to be able to travel safely without them and having this accommodation in place might send a negative message to others about the blind, to name a few reasons. So at their annual convention, the NFB approves resolutions urging the government to limit the use of audible traffic signals and trctile warning strips. The government listens and audible traffic signals and tactile warning strips are not placed or may even be inactivated. Whom does this affect? Obviously the competent blind travelers for whom audible traffic signals and tactile warning strips are not necessary and who, hence, adopted this resolution. But the NFB has only 50,000 members. There are 1.3 million blind people in the U.S. Many of them may not be as competent at traveling as those in the NFB are. It may not have been intended, but the NFB, with this policy statement, would’ve affected their lives, too. It’s the very reason why there are two organizations of the blind in the U.S. And yet the NFB is calling itself “the voice of the nation’s blind”. Clealry not.

Much in the same way, Autistics.org cannot claim to speak for all autistic people. After all, right now I can only think of five people who regularly contribute articles: Amanda Baggs, Laura Tisoncik, Joel Smith, Phil Schwarz and Michelle Dawson. How can they possibly represent the whole autistic community of North America, much less the rest of the world? Many people might agree with them, but there would still remain many who did not. After all, there are enough autistic people who support the autism community, and many more who don’t think about autism politics at all. And there are also many who don’t have effective communication skills. Who will be speaking for them?

Let’s use an analogy from another group of people who presumably cannot speak for themselves: people with severe brain damage, like Terri Schiavo. In Terri’s case, both Michael Schiavo and the Schindler family claimed to speak for her and to know what she would’ve wanted. But Terri couldn’t have wanted two things, so who was Terri’s real voice? Whom you choose likely depends on your position on such issues as euthanasia. I, for example, would side with the Schindlers cause I’m pro-life, but someone who herself wishes for euthanasia or has a family member who does, might side with Michael Schiavo. My father once made a statement, in a similar discussion to the Terri Schiavo case, only it involved a child, saying that this child really was incapabel of having a will. Hence, it would be a waste of time to wonder what she would’ve wanted: the decision was now with the family. While I strongly disagree with this as a normative thing, it makes quite a bit of sense in defining what actually happens. After all, neither Michael Schiavo, nor the Schindlers, were actually speaking for Terri. They were all speaking for themselves. Perhaps Michael Schiavo couldn’t cope with seeing his wife in the bad state she was in, cause he loved her so much. Perhaps he couldn’t deal with caring for her anymore. Perhaps he wanted her inheritance. This is not meant as a value judgment, it’s just meant to say that he was using his own interest as a frame of refernece. So were the Schindlers. Maybe they couldn’t deal with the possibility of losing Terri. Maybe they hated her and wanted her to suffer. I cannot think of any plausible yet bad reasons for the Schindlers to want Terri to live, but perhaps someone who supports euthanasia can fill me in on that. In any case, they were not speaking for Terri. All they were doing, was speaking from their own perspectives as Terri’s parents. So are autistic children’s parents when they claim to speak for their autistic child – and so are parent’s in general when they claim to speak for a minor. When a parent wants their child to be cured of autism, it really isn’t cause he knows autism is horrible to the child. After all, he cannot look inside his child’s mind and see what autism means to him. When he himself is neurotypical, he also runs a risk of not being able to see the barriers a neurotypical world is imposing on autistic children. What he does know, is how living with an autistic child affects him as a parent. That is in fact what most conventional autism awareness is all about. And I don’t think that’s intrinsically bad. I believe families have the right to speak their minds about how living with an autistic child (or adult) affects their lives. But this is vastly different from speaking for that autistic child or adult. People need to realize and acknowledge that: there is nothing wrong with speaking for yourself, or even speaking for other families with autistic children if they are in the same organization as you and you happen to be a board member, but don’t claim to speak for autistic people.

Now, can autistic people, like those on Autistics.org, speak for autistics? Yes, to a certain degree, just like the NFB can speak for the blind to a certain degree. That is, when people with high-functioning autism were to claim that autistics should be valued cause they are so intelligent, they could legitimately be accused of not speaking for lower-functioning autistics – and, even though I’m high-functioning, they wouldn’t speak for me, either. Same if they denied that autistics exhibited self-injurious behavior, like people in the autism community claim. The thing is, with these statements, autistics would be generalizing their own traits to be all-inclusive of autism, like the blind in the NFB consider being able to travel safely without audible traffic signals to be universal amongst the blind.

Shortly after I was labeled autistic, I wondered whether I could still remain an advocate for autistic civil rights. The reason was, and to a certain degree still is, that I do see myself as having problems. While I cannot tell whether these are due to my autism, I assume they are cause my having them led to my being labeled. Then, when I read the Autistics.org website, I realized they didn’t claim autistics didn’t have problems. In fact, one of their aims is to connect autistics with appropriate services. Furthermore, some contributors with more severe disabilities than I were acknowledging their difficulties. So really autistic advocacy isn’t about bragging about how great being autistic is – and it shouldn’t be.

Now, can the people at Autistics.org or any other autistic advocacy agency claim to speak for low-functioning, non-verbal autistics who allegedly cannot speak for themselves? Not directly, cause they can’t tell what these children or adults would’ve wanted any better than their parents or relatives can. All they can do is to offer insight from an autistic perspective. I do feel autistic people are a more adequate “voice of autism” than families, but I don’t think they can speak for specific autistic children, or that tehy will necessarily speak for all autistics. After all, each individual and each organization or online group still has its own goals. So I think Autistics.org has the same right of calling itself the real voice fo autism as the NFB does with the blind: they are autistic people speaking from their perspectives as autistic people, but there will always be exceptions to the assumptions they make about autistic people. So far, I haven’t seen any in specific cases (including cases where the parents said their child was very different from autistic advocates), but I encourage autistic people and their families to point them out, and I assume so would the Autistics.org staff and other autistic advocates.

By the way, I do not claim to be the voice of autism or anything like it. Neither do I claim to speak for the blind – or have I ever claimed this. With regards to autism, I’m not even sure I speak from an autistic perspective – cause, while I’m autistic, I held the same opinion I do now when I didn’t yet know I was autistic and I didn’t think I was. My opinion on audible traffic signals, or my opinion on anything for that matter, should not be interpreted as typical blind people’s opinion. Neither do I claim my position on autism issues is cause I’m autistic – in fact, I’ve been having some serious problems with this concept. When I post factual information (or what I hope is factual) about autism or blindness, this should be interpreted as coming from a researcher’s desk, sometimes with some personal examples thrown in when I feel I have the understanding to do so. I have enough practical understanding of my blindness to speak from a blind person’s perspective when I write about blindness. I do not have this understanding regarding autism yet. Hence, I do not claim to speak from an autistic perspective even if I really do – in the sense that since I’m autistic, I cannot speak from any other perspective. I hope I will eventually get that practical understanding, but more cause I am looking to understand my own situation than cause I want to be able to claim to speak for autistic people.

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Long after I quit my obsession with ASDs, I remained an avind reader of Autistics.org. It has little to do with autism itself, but is related to the fact that everyone, regardless of their difficulties, should have their needs recognized and their individuality validated as people with real difficulties, which is of course grounded in my own experiences. This autobiography is the most striking example of what I mean. This woman has been in about the most difficult circumstances for getting the help she needs, and she’s still suffering from this at age 41.

She’s by far not the only adult with Asperger’s Syndrome who goes undiagnosed for this long. Tony Attwood predicts that, in the next so many years, there will be a rise in people born between the 1930s and 1970s getting diagnosed with AS because their disorder was not yet recognized when they were children cause it wasn’t even in the DSM. There were, obviously, high-functioning autistics being diagnosed back then, but these were the people with more severe communicative disabilities (Kanner’s autism) who didn’t emerge as high-functioning till they learnt to talk. The most famous example of this is Temple Grandin. For those who spoke by age three, their main characteristics in childhood were behavioural and social problems which often did not lead to the belief that the child was autistic cause many do show some form of social interaction besides their good language abilities. No-one even in the professional world outside of Austria and Germany knew that AS is a form of autism in its own right till Uta Frith translated Hans Asperger’s original article (dating from 1944) into English in 1980. So, not surprisingly, many parents did not recognize their children’s need for help and crafted their own theories. Of course, this particular woman lives in extraordinarily difficult circumstances where her stepfather has as much a problem of his own with his paranoid theories as she does with her AS, but it is pretty understandable that parents make up theories when they see behaviour in their child that they cannot explain and that, furthermore, even the professionals they consult cannot explain, and these professionals most likely still don’t understand the behaviour when the child becomes a young adult and herself requests help cause, most likely, they haven’t heard of AS by then yet. In fact, the woman whose autobiography I read was pretty early, first hearing of AS at age 29 (ie. in 1994) in exactly the same year that it was put into the DSM.

There are other factors relating to this particular story that are concerned with the psychiatrists’ focus. When they see bad behaviour, they diagnose bad behaviour and, when they don’t care to take a closer look, the person gets sent off without a proper diagnosis. Recall that this woman saw most of her 70 psychiatrists only once, which doesn’t allow for enough time to make *any* valid diagnosis whatsoever. I recall the opposite of this story happening in 2003, when Menno Oosterhoff (a Dutch psychiatrist) “diagnosed” Volkert van der Graaf (Pim Fortuyn’s murderer) with AS via the media without ever having seen the man.

Then, once the woman finally got it through to anyone that she wanted to be evaluated for Asperger’s Syndrome, she was denied access to most doctors cause they demanded she bring her parents. While I see the important role parents play in an AS diagnosis – mostly, to validate that the person has been exhibiting the behaviour since childhood -, there is no reason why a doctor should refuse to see a patient at all cause he cannot (yet) meet the patient’s parents. After all, if there initially is no reason to think of AS based on not meeting symptoms, there is no need to get the parents involved to see if the person’s met criteria since childhood, and if she does turn out to meet the symptoms now, she is at least validated in the fact that she does have social and behavioural problems corresponding to AS, even if the doctor may not be able to diagnose her with the disorder cause it’s not clear whether it’s learnt or has always been there. Having a doctor at least state that her problems are real, might get her some of the help she needs, even if a label may be needed for directed services.

And even if there were no label to be stuck on this woman – if she didn’t have Asperger’s Syndrome or any other clinically identifiable condition -, it’s still quite obvious that this woman needs help. In the Netherlands, the word “psychosocial problem” is in the CIZ guidelines. I’m not sure how much can be achieved on the basis of “psychosocial problems”, but we have to recognize that people are not fitted to the mould of the most recent edition of the DSM. Just like Aspies existed long before 1994 or even 1944, there are many people in the world who have genuine mental health problems but may not fall within a category in the DSM-IV. Are these people left to their own resources as “non-mad”? Apparently, and that’s exactly why I keep being an activist for valuing each individual with his or her own individual difficulties and needs, regardless of my own situation and whether I’m ever going to get a step closer to any form of clarity on it.

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