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| ▲ | nwah1 a day ago | parent | next [-] | | Look into the history of autism research and you'll find a history of fraud. People like Bruno Bettelheim simply lied their way to prominence and now we are on a road of ever-expanding diagnostic criteria and an ever-growing autism industry to the point where it is now trendy to self-diagnose on social media. Recall that psychology has had a gigantic replication crisis, and that the founders of the field like Freud and Jung were charlatans, and that there is no agreed-upon mechanistic explanation for autism, and that a primary diagnostic tool is a literal questionnaire, and that psychology and psychiatry have been abused for political reasons by every totalitarian government of the 20th century. Given all this, we should have some humility about this topic. Maybe let's not leap to medicalizing large swathes of the human condition and just accept eccentrics as part of life. And maybe we can normalize the idea that employees have special emotional needs that can be accounted for on an individual basis without medical permission slips or any need for wielding constructed identities. | | |
| ▲ | subroutine a day ago | parent | next [-] | | When I was in grad school, I worked in a lab that performed research on children with Asperger's syndrome (AS), mainly through fMRI and DTI brain imaging techniques. AS was merged into Autism Spectrum Disorders (ASD), but at the time was considered a high-functioning form of autism. I met dozens of children with AS; they were typically between 9-13 years old. All the children I met were clearly autistic. I'm not going to attempt to describe what that means here, but the nature of their disorder was evident, compared to other disorders and compared to the age-matched controls [1]. Back then I'd confidently tell you I could easily pick out the kids in a classroom with an AS diagnosis. These days, I have no confidence I could do so (mostly due to false negatives). [1] anecdote: at the end of explaining the fMRI procedure to the participant children and their parents, I'd ask if the child had any questions. Neurotypical children would usually ask about any reward $ for completing the task. AS kids would usually ask something poignant about the experiment. | | |
| ▲ | nwah1 a day ago | parent [-] | | I agree that there is a "there" there. But I'm not confident in the ability of our culture to define it in a mature way, or use the knowledge responsibly. I don't want to see therapy culture continually creeping into the mainstream. I don't want people to start medicalizing the traits of those in their families and social circles. And since every phenotype exists along a normal distribution, there will always be resemblances and fuzziness, and no clear lines demarcating order from disorder. But it is also obvious that nonverbal people who are stimming most of the day and can barely tie their own shoelaces exist, and these people need to be cared for and studied by responsible professionals in mature and private settings with their loved ones. |
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| ▲ | chamomeal a day ago | parent | prev | next [-] | | I still remember my psychology class in high school pretty well. It was memorable cause we’d spend a week learning about some theories Freud came up with, and then there would be a very short footnote of “turns out it was all totally made up and never scientifically verified in any way”. I was like what? So psychology isn’t science?? Recently a friend explained to me that Freud really wasn’t a scientist, but he was so influential in getting western cultures to think about the mind in new ways that we still learn about him. Like nobody cared about psychology until he get famous | | |
| ▲ | nwah1 a day ago | parent | next [-] | | The 19th century was a wild time. Everything was a science back then. That's why communists speak of the "immortal science of Marxist-Leninism." Marx literally said he was performing science, but that wasn't seen as an absurdity because that is how everyone spoke. It wasn't until the mid-20th century when people started to get more serious about defining science. Philosophers started critiquing it in the early 20th century like the Vienna Circle and Popper, and eventually the definition of what constitutes science was narrowed down to one that was defined as a particular sort of empiricism. That, too, has its own problems. | | | |
| ▲ | jrowen a day ago | parent | prev [-] | | I don't think it's any less science, inasmuch as science seeks to explain the natural world. It's just at a higher level of complexity and a different point in the learning curve than more externally observable levels of science. Would we say that Copernicus was a charlatan or not a scientist because the heliocentric model turned out to be wrong? As you acknowledge, Freud pushed the collective understanding further. | | |
| ▲ | YurgenJurgensen a day ago | parent [-] | | The heliocentric model turning out to be wrong made Copernicus more of a scientist. Freud didn’t even make it to the level of falsifiability. | | |
| ▲ | jrowen a day ago | parent [-] | | Then how do we know that Freud was "wrong" or "inaccurate" or "just made up" or "a fraud"? It's definitely a lot more murky and there are massive gaps in our understanding between biology and neuroscience and psychology, and fundamental differences and limits on methodology that we may never surpass, but his work still has its place on the timeline of progress does it not? What about something like phrenology? It's easy to laugh at it now and consider its proponents charlatans or lunatics but at a time it was considered a worthy avenue of exploration, that turned out to be a dead end, but that's part of science. |
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| ▲ | FuckButtons a day ago | parent | prev | next [-] | | Given that we can’t do the latter due to gestures vaguely at everything then it seems like the former is actually a rational reaction. | |
| ▲ | jrowen a day ago | parent | prev [-] | | Maybe let's not leap to medicalizing large swathes of the human condition and just accept eccentrics as part of life. I agree that a healthy dose of skepticism and acknowledgement of our rudimentary understanding is warranted, but it does start to sound a little anti-science. I don't think there's anything wrong with continuing to explore and attempting to explain or put words to these things even though they are near the highest level of complexity in nature and the hardest to empirically evaluate. Are NSAIDs considered to be medicalizing large swathes of the human condition (or caffeine, or alcohol for that matter)? Where is the line between a universally accepted and ubiquitous pharmaceutical and an overmedicalized one? I think we should be moving more towards the question of "do you feel like this medication benefits you or would benefit you?" than "do you check these boxes in the DSM and officially receive this diagnosis". |
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| ▲ | Ancapistani a day ago | parent | prev | next [-] | | Objectively, I understand what you're saying here, and agree that it's almost certainly happening. Subjectively... I see people around me casually doing things that I simply cannot do. I'm 41 years old, and not once do I recall performing any action without actively forcing myself to do it. That includes things as small and trivial as getting up from my desk to use the restroom. I can't relate at all to the concept of a "habit". Combing my hair requires an explicit decision to do so. I usually have to find my brush, since there's no consistent place I put it. When I'm done, I'll forget that I wanted to put it back where it belongs while actively being frustrated with myself for not doing so the previous day. It's glaringly obvious to me that other people don't struggle with the things I struggle with; at the very least, they don't struggle to the same degree. It's exhausting. Oh, and I've never even been diagnosed with autism. I have ADHD. What I described above is classic "executive dysfunction". | |
| ▲ | growingkittens a day ago | parent | prev | next [-] | | I estimate that at least 1/8 of all people I have ever met are on the autism spectrum. Around 1/4 to 1/2 of all people I have ever met have some form of executive function disorder. Psychiatry is in its infancy. To see autism as an "excuse not to deal with life" is just plain bigotry. | | |
| ▲ | Aurornis a day ago | parent | next [-] | | It's tradition to warn first-year psychiatry students about over-diagnosing themselves and everyone around them. There is a well known phenomenon where as soon as students start reading about conditions and symptoms they start seeing it in everyone at rates far too high to be accurate. Fortunately for them, their professors are there to warn them about this effect. They also realize how foolish it was to diagnose everyone with everything based on generic symptoms when they get into practice and see what these conditions look like in real patients. Unfortunately, these psychiatry terms have spilled over into social media without the same warnings. This leads to extreme over-diagnosis by people who learn basic symptoms and start spotting them in everyone. > I estimate that at least 1/8 of all people I have ever met are on the autism spectrum. Unless you are only meeting people in an environment that is extraordinarily biased toward Autism Spectrum Disorder and you’re avoiding mingling with the general population, this simply isn’t possible. > Around 1/4 to 1/2 of all people I have ever met have some form of executive function disorder. You are grossly over-diagnosing. When you see a characteristic in half of all people it’s no longer in the realm of something considered a disorder. You are literally just describing the median point in human behaviors. | | |
| ▲ | growingkittens a day ago | parent | next [-] | | A system with one perspective is a system waiting to fail. Autistic individuals have systemic changes in their mind and body which let them see life from a different perspective. People with executive function disorder have issues with rapid thinking, focusing, and other things that can work in their favor often enough to be passed on. | | |
| ▲ | Aurornis a day ago | parent [-] | | > A system with one perspective is a system waiting to fail. Speaking in cryptic aphorisms doesn't help anything. Psychiatry isn't a field where everyone has a single perspective. There is a lot of debate within psychiatry and much research exploring different perspectives. However, I don't think it's appropriate for a non-psychiatrist to start diagnosing half of the population with a disorder or 1 in 8 people they meet with Autism Spectrum Disorder. An untrained perspective is not on the same level as the professionals and researchers. | | |
| ▲ | growingkittens a day ago | parent [-] | | This boils down to "I think you are wrong because you are not an authority figure." | | |
| ▲ | Aurornis a day ago | parent [-] | | I trust trained professionals with years of experience across thousands of patients to be better equipped to diagnose people with mental health conditions than someone online who diagnoses literally half of the people they meet with disorders, yes. Repeating “psychiatry is in its infancy” over and over again does not elevate your opinion to the same level of trained professionals and academic research. |
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| ▲ | mjburgess a day ago | parent | prev [-] | | You're assuming people sample unifromly and at random from the population. People connect with similar people, form relationships in similar envioronemnts, so your social group is vastly more specialised than it might seem. Autism compounds this greatly because of the double empathy problem, so one should expect an autistic person to have mostly autistic friends and to be in environments where the rate of autism is far higher | | |
| ▲ | Aurornis a day ago | parent [-] | | > You're assuming people sample unifromly and at random from the population. I'm not assuming anything. I literally explained that the only way it's possible is for someone to avoid the general population and only socialize in environments with extreme bias. The more important point is that diagnosing autism is not something you can do by simply meeting people in social situations. It's something that takes training and experience by professionals, not an untrained person who sizes people up as they meet them in a social capacity. | | |
| ▲ | growingkittens a day ago | parent [-] | | Again, psychiatry is in its infancy. Many professionals use outdated models or stereotypes in practice. Living as an autistic individual can make it easier to clock other autistic people, because it's rare to meet someone who functions or thinks the same way you do and sticks out like a sore thumb. For example, "thinking in pictures" is not a universal autistic trait, but it's a pretty well known one. | | |
| ▲ | Dylan16807 15 hours ago | parent [-] | | Being easy to clock won't bring the ratio of something up to 1/8 or 1/4 or 1/2. |
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| ▲ | spicyusername a day ago | parent | prev | next [-] | | I never said autism was an excuse not to deal with life. I did say that it is common for people to see themselves in the descriptions of many psychiatric disorders, because many of the symptoms are experiences that most people can relate to, in some form or another, and then use that as a vehicle to avoid enduring some of life's necessary suffering. | |
| ▲ | LordDragonfang a day ago | parent | prev | next [-] | | > To see autism as an "excuse not to deal with life" is just plain bigotry. Almost all of my social circle is somewhere on the spectrum, and quite a few are diagnosed. So I can say with some authority that there are absolutely some people who use it as an excuse, which is made even more apparent than the people that aren't using it as one. TikTok and other high-information-low-veracity social media is only making this trend worse. It's not bigotry to acknowledge that. (Most of said individuals ended up getting cut out of said social circle, after the people actually making an effort got tired of them constantly using their disability as an excuse not to even try to modify bad behavior) That said, I'm not against diagnosis, or even self-diagnosis. Improved diagnosis is a good thing! But mostly because it makes it easier to understand how you can structure things to adapt to it. Or to quote a coworker's email signature: > “Undiagnosed neurodivergence is like being handed a video game that has been set to hard mode, but having people tell you over and over "it's on easy, why do you keep dying? " Diagnosis is learning the game is on hard mode. It doesn't make it easier, but you can strategize.” | | |
| ▲ | sfink a day ago | parent | next [-] | | I agree completely with this comment, though most often I see it for ADHD. It's a level of nuance that people don't seem to be able to handle, though. People want to be on either the "just suck it up, losers" side or the "the duty of society is to make sure nothing is ever hard for anybody" side. It pisses me off to see people take advantage of the accommodations that are needed by some, and saddens me when people who legitimately need accommodation for some things end up depending on it for everything. It would be nice if there were objective tests that said exactly where someone is, but those are both impossible and would be subverted even if they were possible. | | |
| ▲ | growingkittens a day ago | parent [-] | | There will always be humans who take advantage of a system. Why do you, like the parent commenter, think that is in question here? No one here is espousing the extreme position you put in quotes. | | |
| ▲ | sfink a day ago | parent [-] | | Because I am seeing how this is playing out in classrooms. Tons of kids are requesting accommodations. Some need those accommodations, some don't, and the ones who do often don't need all of the accommodations they're getting. Anyone who pushes back -- eg, a teacher calling out a BS requirement -- is demonized and seen as ableist. Among the kids, anyone who doesn't request an accommodation that they don't need but could get, is seen a foolish. And access to those accommodations produces a lot of kids who don't even try to improve their executive functioning to what it could be. And people know it, so a stigma is developing where people who need it have to prove that they're not taking advantage of the situation. Parents are doing the best they can, but in the end they're still making decisions for other human beings who are not them, and those human beings are going through a time of life that is undeniably hard and requires growing to be able to do all kinds of things they couldn't formerly do. How can the kids know what is reasonable difficulty and what is excessive due to their neural makeup? It's a tricky and nuanced situation, and so I really do see people falling into the opposing extreme camps. I agree that humans will take advantage of any system. That doesn't really have any bearing on how things are going, and whether people are seeing the nuance clearly or not. My personal experience is witnessing kids who are taking advantage of accommodations and failing to grow as a result, and how the system cannot distinguish which of those accommodations are appropriate and which aren't. It's also witnessing kids who need accommodation but won't ask for it, because they or their parents believe that muscling through is necessary, or that their problems aren't real. How are those not examples of extreme positions? My point is that in order to get better at this, we need to be doing the hard work of figuring out what's real and what's not, or even how real it is, and what interventions do and don't work. Surely it's not controversial to say that giving a procrastinator twice as much time to finish their tests is not always the right thing? It can hurt as easily as it can help. And yet, it is the right thing for some people, for some situations. If it takes me 10 minutes to solve a quadratic that takes you 5, getting a failing grade is not going to help me learn, nor does it mean I'm incompetent at mathematics. If you don't think people are saying "just suck it up", you're not looking very hard. Same if you don't think people are saying that we should offer any and all accommodations to anyone who requests. |
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| ▲ | growingkittens a day ago | parent | prev [-] | | There will always be humans who take advantage of a system, that is not in question. Believing that "too many" autistic people are using it as an excuse - an entire category of people - is bigotry. |
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| ▲ | moc_was_wronged a day ago | parent | prev [-] | | [dead] |
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| ▲ | deaux a day ago | parent | prev | next [-] | | The audio stuff, the concentration stuff, the always coming late and so aren't difficult to categorize in terms of "normal" and "not normal", when they're basically constant and have been since a very young age. It's simply being in the long tail of the frequency distribution or not, wherever you set that line. > There is no normal experience, only the kinds of experiences that people have. Some people have buckets of experience that are worse or more challenging than others, everyone has shared experiences that cross-sect. A lot of people are in the short head of the distributions when it comes to nearly all of these markers. Some people are in the long tails for a large number of them. Those are the ones we label. Being in the short head doesn't mean one is never awkward or never late or annoyed by certain noises, it means that they're so at a frequency that's common. | |
| ▲ | McGlockenshire a day ago | parent | prev | next [-] | | [flagged] | | |
| ▲ | spicyusername a day ago | parent [-] | | We are commenting on a post where someone created a game that presents normal challenges everyone faces as if it was an "Autism Simulator". It is exactly this kind of generalization that I'm referring to in my comment - "I think autism has become a tag for the shared experiences of things" If anything, we are both equally frustrated by the fact that everyone who has experiences they consider "autistic" will happily jump on the bandwagon, despite the fact that it is a relatively small percentage of the population who has experiences that are sufficiently severe or unusual to warrant any kind of label at all. Nobody likes high pitched noises, everyone is distracted and disorganized, everyone has trouble concentrating or feels overwhelmed when lots of things happen at once, taking lots of medication is hard on the body for everyone, socializing in unfamiliar settings or for long periods feels uncomfortable, interacting with coworkers is weird, many people get lost in the details of things, many people like to spend long periods focused on their interests, some people have really good memories for certain things, etc, etc, etc. That doesn't make labeling yourself as autistic useful unless your experiences are preventing you from living the life you want to live, and even then, its only useful as a tool to find strategies of getting through that life, the label has no value in-itself. | | |
| ▲ | cfiggers a day ago | parent | next [-] | | > the label has no value in-itself Yes. And, as you have eloquently said in your other comments in this thread, the label CAN (not DOES but CAN) readily become value-NEGATIVE, if it becomes in itself an object of fixation that draws time and emotional energy away from the basic, brass-tacks work of living life as best as one can, whatever that has to look like for each individual. It is an obvious error to pretend that this does not or cannot happen—an error no more and no less obvious than to pretend that it must or always happens. | |
| ▲ | jrowen a day ago | parent | prev | next [-] | | I too experience many of these things, and I have been called autistic by numerous people independently, but in that tongue-in-cheek manner of our generation that has watered it down a lot. I'm nothing even close to the people on Love on the Spectrum, or the kids in grade school that were essentially in special ed. I think yeah the language has gotten very ambiguous and the "spectrum" is so wide and ill-defined that we need more and better words, but, I do also feel like it isn't just everyone's shared experience. I do feel like there are a lot of people who don't really experience these things, that aren't stuck in a constant self-conscious hyper-analysis and reflection loop, and are able to just kind of go with the flow a bit more (which is not to say that they don't have troubles or anxieties). Edit: I will also note that I did have a similar reaction to you to this game. I didn't even go past the intro because I felt like I knew what it was. I would call this something like autism-lite, and it probably is pretty widespread, particularly in HN-like circles. It does feel a little bit confusing and even offensive to compare it to "capital A autism," an actual disability, but that's where our lexicon is right now. | | |
| ▲ | grayhatter a day ago | parent | next [-] | | > I think yeah the language has gotten very ambiguous and the "spectrum" is so wide and ill-defined that we need more and better words, but, I do also feel like it isn't just everyone's shared experience. We used to have other words. Asperger's used to be a separate condition but was merged into one diagnosis. I wonder if there was a reason the experts who study this decided to go with fewer words? Have you tried adding additional adjectives? That's usually what I do when the word I want is too general, and isn't as specific as I want to be. | | |
| ▲ | gusgus01 a day ago | parent | next [-] | | In the DSM-5, they merged several conditions into one diagnosis called Autism Spectrum Disorder. At the same time, they defined ASD as having levels 1, 2, and 3. Those levels are defined by how much support the individual needs. Level 1 is "requiring support", level 2 is "requiring substantial support", and level 3 is "requiring very substantial support". Asperger's diagnosis would generally correspond with Level 1 ASD. That doesn't really help with the social side of describing it though. | | |
| ▲ | grayhatter a day ago | parent [-] | | There's a small problem with the definition of "requires support", because growing up, I was smart enough, and good enough at masking, that I never "required support." Arguably, I still probably don't. But once I grew up, and started to look for ways to improve my mental health. My life very quickly shifted from, surviving ok-ish. To thriving and improving. So many people insist that it doesn't count unless you're completely or meaningfully incapacitated. But that's stupid place to put the bar. | | |
| ▲ | jrowen a day ago | parent [-] | | I think it's because it did kind of used to mean that. It described people that couldn't mask, couldn't totally function in society, couldn't have the kind of job depicted in the Autism Simulator. It's been expanded officially and colloquially which may not have been the right direction with the terminology. I think the DSM and the approach of trying to follow and fit in with more concretely diagnosable medical conditions may be considered harmful and too rigid. For more mild and gray-area cases, it's really more akin to personality and it should be about understanding the particular combination of traits or symptoms of an individual. I wouldn't be officially diagnosed with OCD, or depression, or BPD, or maybe even ADD, but I can relate to all of those on some level and I feel like learning about them helps me understand myself better (with a grain of salt just like any health thing). It doesn't make me go around telling people I'm disabled and how they need to accommodate or support me, that's just narcissism. | | |
| ▲ | Dylan16807 15 hours ago | parent [-] | | > I think it's because it did kind of used to mean that. It described people that couldn't mask, couldn't totally function in society, couldn't have the kind of job depicted in the Autism Simulator. If you mean "Autism", that might be true. But I don't think "Asperger's" meant that. So we might have taken a step backwards there. |
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| ▲ | jrowen a day ago | parent | prev | next [-] | | I don't really talk about it, I don't go around telling people I'm autistic, whatever it is is minor enough that I'm able to mask easily, if anything I casually reference "my ADD." I sometimes jokingly refer to "my spectrum," but I think that word is not great either because it implies a linear gradation, when I think it's a higher dimensional space like a personality star chart. | |
| ▲ | zelos a day ago | parent | prev [-] | | There's some controversy around Asperger too, which made the name problematic anyway: https://en.wikipedia.org/wiki/Hans_Asperger |
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| ▲ | BlueTemplar 13 hours ago | parent | prev [-] | | "Spectrum", by definition, covers all the range of behaviours, both those that society deems to be a disorder and those that it deems not. |
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| ▲ | btown a day ago | parent | prev | next [-] | | I think that what this game tries to convey is that these challenges, while perhaps universally present, have a distinct and punishing effect for a subset of people. I think that it takes an interesting approach at communicating that even someone who might seem to be functioning “effectively” could be essentially living their life on a knife’s edge of dueling energy/masking mechanics. If your response to the game is to argue about the usefulness/value of the autism label, and to insinuate that it normalizes some kind of “bandwagon” effect, rather than feeling empathy that a colleague sitting next to you might be in mortal fear of what happens if their “energy bar” dips beyond their control - then perhaps we need more of this type of experience and conversation, rather than less. | |
| ▲ | ksymph a day ago | parent | prev | next [-] | | I agree that autism has become a label for the "shared experiences of things", and that people often derive their identity from the label to an unhealthy and unproductive degree. However, I strongly disagree that the only use of the label is for developing personal coping skills. I shared your mindset for most of my life, having seen the negative effects of basing one's identity around it, but in the past couple years I've come to see the utility of the autism label and accept it for myself. Its function (in the modern sense) is to be a tag for shared experiences, that's not a side effect. A sizeable portion of the population shares a similar grouping of frustrations with -- and difficulties functioning in -- society at large. It would be great if direct communication, respect for sensory processing issues, acceptance of stimming and other unusual behaviors, etc. etc. were widespread without the need for a special label, but society at large is slow to change; if the label is the catalyst needed for us to be more accepting of those different than us, so be it. The typical reaction from a non-ND person to seeing [non-disruptive] autistic behaviors is one of fear or light disgust; however, give that same person a box to put those behaviors in and they understand how to look past them, and see you as a human. That's my experience, anyway. The loudest champions of autism often have a different perspective, one more based around identity; I see issues with that for the same reasons you describe, but nonetheless the label as a whole still carries utility on a societal level too. | |
| ▲ | grayhatter a day ago | parent | prev | next [-] | | I have asthma. The last time I had an asthma attack that was severe enough that it could have become fatal was when I was 8 at my friend's house with a few cats(*). But, everyone gets short of breath some times. Everyone wakes up with the feeling of a congested chest occasionally. Everybody is limited in the exercises they can do by their lung capacity and exercise tolerance. But because after working very diligently, by your logic, I don't have asthma. Because I can run, and rock climb, and do all the life stuff that I wanna do. Except that logic is fucking stupid! Because when I got covid a few years back, I was using my rescue inhaler constantly because I could feel my lungs starting to close up, felt just like the asthma attacks I would get when I was younger. But because I learned to use the techniques and habits I built up when growing up, and I made sure it never progressed far enough towards an attack that needed medical intervention. I don't have asthma, right? I should have thrown away my inhaler years ago because I was never using it? The culture of treating mental health by different rules, from outwardly physical health, is fucking stupid, and I can't wait for that meme to die! And it's especially egregious when people use that meme to then weaponize it to exclude people from the groups with shared experiences, weaknesses, skills, and needs. If you really feel the need to be exclusive, and tell other people that their experience is invalid, and demand that they preform their rock bottom for you, before you'll believe them. Might I suggest instead of telling other people that the way they describe their life is wrong, instead try adding the prefix subclinical. As in my asthma (through work and effort), is subclinical. E.g. instead of being an asshole who says "that doesn't count as austism" you can say "most people who claim to be autistic are lucky subclinical". Then you still get to invalidate the experiences of others, But you do so in a way that's slightly less hostile and gaslighting. (*): Does the time I was sick count as an attack? Had I ignored those symptoms, would it have gotten worse, would I have needed to visit the hospital? Would you still try to tell me that this is different because I was also sick, so everything else doesn't matter? | | |
| ▲ | entropicdrifter a day ago | parent | next [-] | | Fellow asthmatic here: >I should have thrown away my inhaler years ago because I was never using it? Inhalers expire after a year, so yes, you should have, and you should have gotten a new one. I only learned this after getting a fresh one at the start of COVID because I hadn't had one in several years. Pretty sure growing up I had the same inhaler for like 8 years, so obviously it still works OK after a year, just relaying what my doctor told me 5 years ago. | | |
| ▲ | grayhatter a day ago | parent [-] | | This is good advice! Thankfully the expiration on mine was still good when I needed it. I try to keep mine refreshed every few years or so. It kinda feels bad throwing a barely used one away, but I never regret that when I actually pull it out to use it |
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| ▲ | slibhb a day ago | parent | prev [-] | | > And it's especially egregious when people use that meme to then weaponize it to exclude people from the groups with shared experiences, weaknesses, skills, and needs. > If you really feel the need to be exclusive, and tell other people that their experience is invalid, and demand that they preform their rock bottom for you, before you'll believe them. Might I suggest instead of telling other people that the way they describe their life is wrong, instead try adding the prefix subclinical. As in my asthma (through work and effort), is subclinical. The fact that people have started applying social-justice-y terminology ("gatekeeping," "weaponize," "shared experiences," etc) to medical diagnosis is a clear sign we've gone too far. "You can't question my diagnosis because it's part of my identity! Stop gatekeeping me!" Please. "Austism" is not a settled category and it's okay to argue about boundaries. The irony here is that autistic as an adjective means "unfeeling" e.g. "He rose and stood tottering in that cold autistic dark with his arms outheld for balance while the vestibular calculations in his skull cranked out their reckonings". When sorting out the definition of autism (and similar conditions), we should be a little more autistic. | | |
| ▲ | grayhatter a day ago | parent | next [-] | | > The fact that people have started applying social-justice-y terminology ("gatekeeping," "weaponize," "shared experiences," etc) to medical diagnosis is a clear sign we've gone too far. Standing up for people that you see being mistreated, insulted, or disrespected isn't "social-justice-y" it's basic human dignity and compassion. The way you choose to disagree shows how much respect you have for other people. I don't agree with you is very different from, you're wrong to think that or say that. Every single person should object when they see someone punching down. | |
| ▲ | grayhatter a day ago | parent | prev | next [-] | | > The fact that people have started applying social-justice-y terminology ("gatekeeping," "weaponize," "shared experiences," etc) to medical diagnosis is a clear sign we've gone too far. "You can't question my diagnosis because it's part of my identity! Stop gatekeeping me!" But at least you've found a way you can feel superior to both groups right? It's not social justice, it's just basic fairness. I've never been called weak or out of shape when I couldn't keep up with my friends when running. People are happy to adjust their expectations when I share that I have asthma, so it's harder than it might look. But I have been called lazy because I was unable to start on a task because I didn't have enough dopamine. Tell someone you have ADHD and many will suggest just making a list, or ask, "have you tried eating gluten free?" Before going on to explain they think in's over diagnosed. Please, tell me my asthma is over diagnosed, or my conversation and treatment plan with wy physician is inappropriate? It's stupid that we blame people for admitting that things are harder than they expect. And telling someone they "don't seem autistic" or "don't look like you have asthma" are equally fucked up, but as a perfect case example, this thread. So many people are gladly willing to minimize and discount someone's description about mental health, but not lung health. That is all I'm objecting to. > Please. "Austism" is not a settled category and it's okay to argue about boundaries. The irony here is that autistic as an adjective means "unfeeling" e.g. "He rose and stood tottering in that cold autistic dark with his arms outheld for balance while the vestibular calculations in his skull cranked out their reckonings". When sorting out the definition of autism (and similar conditions), we should be a little more autistic. There's a bit of room between what I'm suggesting, and what you're replying to. I'm actually thinking we should be a little bit less autistic, because clinging too tightly to the literal written definition of individual words, limits the flexibility required for reasonable communication. What I said was; it's inappropriate for anyone to tell somebody else that the way that they describe their experience is wrong. but what I believe you're objecting to is; anybody can be autistic if they want to. Which is not what I said. the two phrases "I have very mild case of autism" and " I identify with a lot of the symptomology of autism and find that it's community and its skills and techniques to be very effective and beneficial in my life" should be treated as equivalent phrases. if you tell somebody that they're wrong to say either you are the asshole. You are rejecting their description of their life. You may disagree if they qualify for a medical diagnosis of autism. But unless someone claims that, your just arguing against a straw man that you created. (rhetorical you) | |
| ▲ | dns_snek a day ago | parent | prev [-] | | > it's okay to argue about boundaries Yes, if you have something to add - something more substantive than just a snotty dismissal of the autistic experience rooted in the superficial observation that everyone occasionally experiences the "same" things. > The irony here is that autistic as an adjective means "unfeeling" The real irony here is your insistence that you have something to add to this discussion while leading with a decades-old myth that people with autism don't feel emotions. |
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| ▲ | CityOfThrowaway a day ago | parent | prev | next [-] | | Completely agree. On the autism spectrum, I'm almost certainly very low. But going through the simulator felt like... yeah this all sucks but is very much in the realm of things that I experience and feel on any given day. It didn't feel enlightening, it felt deeply familiar. It's definitely the case that some people have a much larger magnitude of experience or persistence of experience. And for some, it's at levels that do make functioning in society quite difficult or impossible. And yet, I think the point you are quite rightly making is that many people who are decidedly low on the spectrum are now adopting the identity of autism as a way to explain why life is hard. I don't know why people feel inclined to adopt the label. I don't care that they do, they can call themselves whatever they want. But I do wonder if there are more productive ways of perceiving yourself, if you are indeed very much capable of functioning in society. | |
| ▲ | bippihippi1 a day ago | parent | prev [-] | | Is this confirmation bias? Do you think Autistics are a small group so you're finding a way to argue that? Why do you care if a person you think has minor struggles labels themselves autistic? |
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| ▲ | JohnMakin a day ago | parent | prev [-] | | Then there's actually people who live their entire existence and every waking moment on the spectrum, and compensating for it - which is what the topic of discussion is. You minimizing it or thinking it isn't real isn't entirely helpful to discussion and frankly is pretty insulting. | | |
| ▲ | spicyusername a day ago | parent [-] | | Every waking moment on the spectrum
If it's a spectrum, everyone is on it somewhere. thinking it isn't real isn't entirely helpful
I neither said the category of shared experiences we typically call "autism" wasn't real nor said it wasn't helpful to use labels like autism. | | |
| ▲ | munificent a day ago | parent | next [-] | | Autism is called a spectrum disorder not because it ranges on a smooth continuum from "no autism" to "lots of autism". It's because there a handful of associated symptoms for autism and different people have a different mixture of them. You don't need an equally large amount of all symptoms in order to be autistic. Think of it more like a light spectrum where there are different mixtures of hues for the symptoms, but autism still implies some amount of significant overall intensity. In short, it's a spectrum, not a continuum. If you experience some or all of the symptoms associated with autism but at a level that doesn't significantly impair your overall functioning, then that's not a diagnosis of autism. Just like everyone who gets sad isn't depressed and everyone who worries doesn't have generalized anxiety. That's just normal human variability and life challenges. | | |
| ▲ | waterhouse a day ago | parent [-] | | I have encountered this definition of "spectrum", as a vector of numbers that go 0 to 100, rather than a single number that goes from 0 to 100 (which you call "continuum" IIUC). But... I mean, if you asked 100 people what they think a spectrum means in this context, how many of them would think it meant "vector" rather than "real number"? I would guess fewer than 10. I consider myself a fairly well-informed nerd, but I think I had encountered many usages of "spectrum" describing a single trait for many years, and I think this is the second time I've ever encountered someone using the "vector" definition (the first one was also using it to describe autism). Has this linguistic battle already been lost? Does it improve clarity to call it a "spectrum" and insist on using the "vector" definition? (I've personally been using the phrase "collection of imperfectly correlated traits") | | |
| ▲ | sctb a day ago | parent | next [-] | | I think the word "spectrum" is reasonable, as it implies a broad range. Or it's analogous to the rainbow with a variety of colours. But what people consistently misunderstand is that there is a fundamental dichotomy at the diagnostic level. Speaking from the perspective of the DSM, which I prefer because it's at least concrete and has medical relevance in North America, you meet the criteria for Autism Spectrum Disorder ("on the spectrum") or you do not ("not on the spectrum"). In other words, the diagnostic criteria themselves do not constitute a spectrum, especially not a linear one. Maybe people are confusing this with the DSM's three levels of support needs. | |
| ▲ | munificent a day ago | parent | prev [-] | | I agree, the terminology is confusing. It is extra confusing because the intent is to capture both: 1. Different autistic people may vary in which symptoms are most severe while all still being autistic. 2. Different autistic people may vary in the overall severity of all symptoms and how much it impacts their quality of life. (At the same time, there is still a distinct cut off where you are not considered to have autism if it doesn't manifest significantly in your life.) The latter point is why "Asperger's" is now simply lumped in with ASD. But that tends to obscure the former point which is also important. Perhaps "cluster" would have been better, but here we are. |
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| ▲ | KPGv2 a day ago | parent | prev | next [-] | | > If it's a spectrum, everyone is on it somewhere. No, because the endpoints of the spectrum are not defined as 0% autistic and 100% autistic. The spectrum definitionally only includes people diagnosed with autism. Your approach is like saying "there is a 'how bad is the cancer' spectrum" where 0 is "no cancer" as opposed to something like "cancer but easily curable." No reasonable definition of "cancer suffering spectrum" would include "doesn't even have cancer." | |
| ▲ | footy a day ago | parent | prev | next [-] | | > If it's a spectrum, everyone is on it somewhere. This is faulty logic. Just because it's a spectrum doesn't mean every single human is on the spectrum. | |
| ▲ | JohnMakin a day ago | parent | prev [-] | | No, you're just heavily implying it and minimizing it. I'm telling you it's extremely insulting. You can take that for what it is or don't, I don't really care. | | |
| ▲ | bippihippi1 a day ago | parent [-] | | he's saying that the label Autism includes different traits that various people have or don't have. He's falsely using that semantic manipulation to imply that people use it as an excuse not to deal with the conplexities of life. saying "that's insulting" doesn't impact his assertion. you have to meet their logic where it is to disagree. lucky this case was so easy. | | |
| ▲ | spicyusername a day ago | parent | next [-] | | No, I'm not using any tricks (or implications) to argue that people often use psychological diagnosis (self or otherwise) as an excuse not to deal with the complexities of life. I'm arguing that directly and asserting that web sites like the one posted are exactly the kind of things that make it easy for people to do that because they are relatable to basically everybody. | |
| ▲ | whatevertrevor a day ago | parent | prev [-] | | Not disagreeing with the content of what you said. However, sometimes telling people they sound insulting (unintentionally) has its own value, outside of the logical debate-making about the content of what was said. |
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