Capturing Joy

 This time in Jan 2022

With my Haas Scholars Cohort on the UC Berkeley Campus. 

We were back to in-person meetings though fully masked indoors. 


Kevin, 2nd from Left, just got into Columbia Law. 
Huge Congrats Kevin! You will surely change the world with your work on prison reform. 


Freezing Rain

Ground temperature, below-freezing
Air temperature, above-freezing
liquid raindrops fall, temperature bends.
Drops hit the ground, instant freeze
Freezing rain, slick roads of unease.

Local vs Distributed Information

[Concepts in Sensorimotor Research]

Class Discussion  in my Multisensory Processing seminar class, see details of paper here. 


Implications for autism. Application and interventions is my big thought always.

I think by now it is pretty established that there are glitches in multisensory processing in autistics.

Past studies indicate TBW (Temporal Binding Window) larger in autistics - individual cortical columns were strong, but not talking to columns in other domains.


I want to highlight that this paper says that this balance between distributed vs local information can be a tool to explore differences in multisensory processing. The paper also goes on to say that this can be used to develop effective interventions aimed at improving performance on tasks requiring coordination between different sensory modalities.

So how exactly can we start to do this. What kind of experiment design can we set up so that we get to big goal of interventions. Do we first check for what regions of the brain are involved in autistics, while we do a task.


Melancholy

Melancholy creeps upon my heart
A feeling, deep and dark, it starts
A longing for something lost
A sorrow that comes at any cost.

Joy is the hope that comes with the belief that anything is possible

Contemplation, one line a day. #MentalHealth


 

A tempest tossed

 

A tempest tossed


In a world of noise and chaos,

My mind is a storm, a tempest tossed.

The overwhelming sensation,

Meltdown, a state of frustration.


My senses heightened,

Sounds and lights, so brightened.

A cacophony of noise,

A confusion that destroys.


A feeling of impending doom.

As I try to find an escape room.


But there is no escape,

From this overwhelming state.

I am trapped in my mind,

A prisoner of my own fate.


Is there a glimmer of hope,

A lifeline to help me cope.

To regain control, and continue on

But in the middle of the meltdown, all that is long gone. 


Apraxia, dyspraxia, oral-motor apraxia, Aphasia

[Concepts in Sensorimotor Research]

Pretty much every SLP I've been to over the years, has mentioned these terms. So what exactly are they. 

Apraxia, dyspraxia, and oral-motor apraxia are all related to deficits in motor planning and execution, but they differ in their specific manifestations and underlying neural mechanisms.

ADI - Autism Diagnostic Interview

Lexicon [Measures]- ADI

 The Autism Diagnostic Interview-Revised (ADI-R) is a semi-structured, and standardized interview designed for caregivers of autistics to gather information about the individual's behavior and development in key areas related to autism. The ADI-R is typically used for diagnostic purposes and for aiding in the assessment and treatment planning for autistics. [See posts on other Screening/Diagnostic Measures]


Limitations
  • Limited applicability for nonspeaking individuals: The ADI-R is primarily designed for individuals with some level of spoken language skills.. Alternative assessment tools, may be necessary to complement the ADI-R in evaluating these individuals.
  • The test is designed for a mental age of 18 months. [See post why Mental Age is problematic]
  • Lack of emphasis on strengths and abilities: The ADI-R primarily focuses on identifying deficits and autism symptoms. A comprehensive assessment should also consider strengths and positive attributes that can contribute to a more holistic understanding of the individual.
  • Does not factor in co-occuring condition and other complex health issues. 
  • Limited assessment of current functioning: The ADI-R primarily focuses on gathering retrospective information about the individual's behavior and development. While it provides valuable insights into early childhood behaviors, it may not capture the individual's current functioning or changes in behavior over time. Assessing current symptoms and adaptive functioning requires additional measures or observations.
  • Reliance on informant report: The accuracy and reliability of the information collected depend on the informant's memory, observations, and interpretation. There may be instances where informants may not have complete or accurate knowledge of the individual's behavior, especially in cases where the informant is not the primary caregiver or when there are multiple caregivers with different levels of involvement.
  • Subjectivity and biases: The ADI-R is susceptible to subjective biases, both from the interviewer and the informant which can influence reliability of results.
  • Language and cultural factors: The ADI-R was developed primarily in English-speaking populations and may not fully capture cultural and linguistic variations. Cultural and language factors can influence the interpretation and reporting of behaviors, potentially leading to variations in the assessment outcomes for individuals from different cultural backgrounds or those with limited language abilities.

Joy is the courage that comes with facing our fears and overcoming them

Contemplation, one line a day. #MentalHealth


 

Congratulations Keivan Staussun


Congratulations Keivan Stassun,
A leader in astronomy and physics,
Your work brings insight and precision.
Appointed to the National Science Board with distinction,
By the President of the United States, none other!!

Founder of the Frist Center for autism and innovation,
You strive for inclusion and recognition,
Your dedication and passion, a true inspiration,
Your contribution will leave a legacy of innovation.

Possibility-Mindset

Possibility has always been a big driving force of the more positive aspects of my life (Hari-As-Possibility), so it had inspired a series of poems written over the years. Here is one. 

Possibility Mindset

A possibility-mindset is key

Unlocking doors, sight unseen

A fuel that drives us to believe

Anything is possible

We conceive not just perceive

…. travel those possibilities into doors of opportunity


Possibility Mindset…

….the spark that ignites our passion

… the fire that burns within

It's the courage to 

…  take a stand

…  strength to begin

…..chase our dreams

And find success in the things we seek


With a possibility mindset, there's nothing

That we can't achieve it seems





Joy is the peace that comes from forgiveness and letting go of grudges

Contemplation, one line a day. #MentalHealth


 

Snow Flurry

Ice from the clouds, in a frozen rain
A snow flurry falls, with a icy refrain
Pebbles of spray, scatter with a sound
On the ground, they patter all around.

To college I must still go
LASR lab awaits me, with experiments to unfold
EEG and sMRI, knowledge to behold

Joy is the curiosity that comes with learning and growth

Contemplation, one line a day. #MentalHealth


 

AI and Speech-Communication in Autism

AI and speech in autistics.
Hari Srinivasan

These are thoughts I've been mulling over for a while now and have been slowly writing up. 

Overriding consideration: Cost, Accessibility, Portable, User-friendly and helps our communication & functioning in society. 

How can AI help? Some thoughts.

Stimulus Value Gates Multisensory Integration

[Concepts in Sensorimotor Research]


Application to Autism. 

The advantage of a good filtering system is less getting overwhelmed by your sensory environment in the real world, but the disadvantage was that you could lose out on critical information. This almost automatic value-based filtering ability is, I think, an issue many autistics like me struggle with. But even with extensive experience, value-based filters could vary around task domain, context-specific or even things like predictability.  Which is still, i think, why we still face challenges in trying to understand what exactly is going on in the non-neurotypical populations. 




Bean, N. L., Stein, B. E., & Rowland, B. A. (2021). Stimulus value gates multisensory integration. European Journal of Neuroscience, 53(9), 3142-3159.



Summary of the paper we discussed in my Multisensory Integration seminar this week. 

Joy is the comfort that comes with being surrounded by loved ones

Contemplation, one line a day. #MentalHealth


 

Historic gains in disabled employment during the pandemic.



"The increase in work-from-home arrangements and greater flexibility in work hours seen during the height of the pandemic may have permanently opened new employment opportunities for people with disabilities"

The question is how do we sustain the gain in employment seen during the pandemic due to hybrid work. 

Joy is the sense of awe that comes with witnessing the miraculous

Contemplation, one line a day. #MentalHealth


 

A Dual Pronged Approach to Autism

I believe a dual pronged approach is needed for autism and both approaches can & needs to co-exist for many autistics. I have a leg in both groups and I need help on both. Its not an either-or. 

Money, careers and fame

Autism is a proven profit-making industry. Everything in autism space costs money; not just average money but real $$$$$$. It's profit with almost no accountability. If an autistic does not progress, it because they were not going to show progress anyway, you are too old, it's too late, so don't deserve solutions for your challenges or opportunities for your strengths. 

Autism is also a career-making industry, with books published, speeches of fancy words at conferences. We are surrounded by money-making "autism-expert-celebrities" though no one still has a clue. 

Joy is the inspiration that comes from the beauty of nature

Contemplation, one line a day. #MentalHealth


 

CARS - Childhood Autism Rating Scale

Lexicon [Measures] - CARS

The Childhood Autism Rating Scale (CARS) a behavior observation scale intended to help diagnose autism and plan interventions/therapy. CARS is administered by a clinician through direct observation and interactions and involves structured and semi-structured activities to elicit specific behaviors. The tool is designed for children aged 2 years and older.

Limitations:
  • CARS may not be suitable for individuals with co-occurring conditions or for assessing adults with autism.
  • CARS is a subjective assessment tool that relies on the judgment of the observer which means inter-rater reliability may vary depending on the experience and training of the clinician.
  • Focuses primarily on behaviors associated with autism and may not capture the full range of a child's abilities or challenges.
  • Does not provide a definitive diagnosis of autism but rather serves as a quantitative measure of symptom severity.

15 Functional domains rated in CARS
  1. Relating to People: Ability to engage in reciprocal social interactions, such as sharing enjoyment, eye contact, and response to others' emotions.
  2. Imitation: ability to mimic the actions, expressions, or sounds of others.
  3. Emotional Response: Assesses the appropriateness and variety of the child's emotional expressions and responsiveness to emotional cues from others.
  4. Body Use: physical movements and coordination.
  5. Object Use: ability to play with toys and use objects in a 'socially appropriate' manner
  6. Adaptation to Change: Flexibility and response changes in their environment or routine.
  7. Visual Response: visual attention and responses to sounds and spoken language
  8. Listening Response: attention and reactions to auditory stimuli.
  9. Taste, Smell, and Touch Response and Use: responsiveness to different sensory stimuli
  10. Fear or Nervousness: reactions to potentially fear-inducing or anxiety-provoking situations.
  11. Verbal Communication: appropriateness and usefulness of the child's verbal communication.
  12. Non-verbal Communication: appropriateness and usefulness of the child's non-verbal communication.
  13. Activity Level: physical activity level during the assessment.
  14. Level and Consistency of Intellectual Response: problem-solving abilities and the consistency of their intellectual responses.
  15. General Impressions: observer's overall impression of the child's behavior during the assessment.
The items are scored on a scale of 1-4, with 1 representing no "abnormality" and 4 as severe abnormal (I personally cringe at this language with terms like "abnormal" which makes us sound like societal misfits and outcasts). Total score ranges from 15-60; scores below 30 suggest absence of autism or very mild symptoms; 30-36 score indicate mild-moderate autism and scores above 36 indicate severe autism. 


History: CARS was developed by Eric Schopler, Robert J. Reichler, and Barbara Rochen Renner and was first published in 1988. 

Reference:
Schopler, E., Reichler, R. J., & Renner, B. R. (1988). The Childhood Autism Rating Scale (CARS). Los Angeles: Western Psychological Services.

Two birds in Frost

From my breakfast window: 

Frost on the green winter grass
Glistening in the rays of the emerging sun
Tiny birds bask on the mighty tree stump
My small moment of awe today. 
What joy!!

-Hari Srinivasan
 
===========


We pay so much money for all the therapy in the autism space. Here is something that is completely and absolutely FREE. The best part is, no one can gatekeep and deny its access for you or decide you are "not a good-fit."


It's AWE Awe is beneficial to the mind and the body. And you don't have to travel far on an expensive vacation to experience awe. It's all around you - that blade of grass, that tall building you walk beneath, images from the James Webb telescope, our BFF God (forever, gonna outlast us all), or even that tiny ant on the ground.


Let's make use of and benefit from this 

FREE, ACCESSIBLE & BENEFICIAL RESOURCE of AWE 

by engaging in small moments of AWE everyday. 




Here's another post on A Moment of Awe - Birth of a Star



Joy is the sense of freedom that comes with being true to ourselves.

Contemplation, one line a day. #MentalHealth


 

The worst enchilada ever

 

Thick and rubbery Tortilla and not tasty filling. 
The worst ever enchilada ever at Chuy's Tex-Mex
@nashville, TN

Intense World Theory

 

While no single theory fully explains all aspects of autism, each attempts to provide insights into different cognitive and behavioral characteristics.


  • This theory posits that the autistic brain is hyper-reactive to sensory stimuli, leading to an "intense world" experience. This hyper-reactivity is thought to result from increased neuronal connectivity and hyper-plasticity.
  • Implications: Sensory overload, social withdrawal, heightened anxiety, and a preference for predictable and controlled environments to manage overwhelming stimuli.
Read more on [Intense World Theory]
Posts on other [Theories of Autism]

Trapped in Turmoil


Trapped in Turmoil: SIB and Meltdown


In turmoil deep, the mind doth rage,

A tempest wild, within the cage.

A meltdown fierce, the self doth harm,

A trauma deep, the soul doth alarm.


With autism's veil, the mind doth cope,

But oft it strains, and seeks to elope.

In self-injury, it finds release,

But in the wake, a heart doth cease.


Oh autism, thy ways are hard,

For those who bear thy hidden card.

Urgent call for solutions anon,

And hold us close, with open mind.


#autismsolutions

-------------------------------------

A poem on self-injurious behavior which is a reality for many autistics and is terribly traumatizing and battering for both the autistics and others around. We need solutions urgently. 


See this earlier post on SIB & Suicide Ideation in Autistics.

--------------


Joy is the kindness that comes with making a positive impact on others

Contemplation, one line a day. #MentalHealth


 

Be Supported to Joy


Be supported to Joy, is what we need.
Empowerment, Solutions are the seed.
For happiness, our hearts will plead.

True want in life, to live in joy. 
Can we wake up to Joy,
every single day of our lives?


Inspired by Cal Montgomery's FB post. I love your comment Cal. Disabled or not, I think that's all we ever want in life, to live in joy. 
(And thank you Cal, for your kind words about me!!)

Text on Cal's FB post says

I saw this when it came out. It was so beautiful. May we reach a future where every child can be supported to joy. Hari Srinivasan , for one, is working on it.

The link should be open-access.
"“Your kid IS everything!!!!!!” Carey tweeted. “Knox, you made my day. Your JOY gives me and everyone watching JOY. THANK YOU for reminding me why I wake up in the morning and do what I do. I love you.”
“She loves me?” [Knox] asked his mom. “Mariah Carey loves me?”"
Image: Black autistic boy singing with his whole body in front of his classmates.








 

Joy is the generosity that comes with giving from the heart

Contemplation, one line a day. #MentalHealth


 

Straddling Two Worlds

Straddling Two Worlds. 

I straddle two worlds, so different it seems,
One of disability, where challenges are extreme,
The other of acceptance, where belonging is key,
But finding a balance, is where I long to be.

Joy is the sense of accomplishment that comes with achieving our goal

Contemplation, one line a day. #MentalHealth


 

Happy Pongal

All set for Pongal this morning, complete with Tiruman and Veshti (traditional attire).
Happy Pongal everyone.  


Ready to make some noise with a plate and spoon along with cries of "Pongal O Pongal" when the clay pot of (newly harvested) cooked rice boils over.
Happy Pongal everyone.
A Pongal lunch spread. While farmers celebrate the rice harvest, we celebrate their hardwork by feasting!! Happy Pongal everyone.






Cal Football

Looking back to to this day
From 3 years back - Basketball Game at Haas Stadium, UC Berkeley
Not gone to any games at new school, but hope to in 2023. 


 

Joy is the serenity that comes from acceptance and letting go

Contemplation, one line a day. #MentalHealth


 

BioMedical Research is IMPORTANT for Autism.

BioMedical Research is IMPORTANT for Autism. 

I wish people stop conflating all Autism Biomedical Research as a cure; cure being something the disability rights movement has been against. Honestly no amount of biomedical research is going to reverse disability but it can go a long way in alleviating some of its more troubling symptoms and health issues. 

Reality is that  a majority of a the moderate-high support autistic individuals do have significant health issues, and other behavioral issues that significantly impact their quality of life. 

WE NEED solutions, including BIOMEDICAL ones and TECH ones in addition to changes in SOCIETAL MINDSET that is the main focus of the neurodiversity movement to address these issues.  

Shutting down all and any biomedical research is a disservice to the autism community. 

SIB's are real. 20% of autistics have SIB. Why are we not looking at SIBs at a physiological level. SIBs leave you battered and traumatized from personal experience. It is something I don't want to live with and I would gladly welcome any research on it. It's not about a CURE, its helping me life a less stressful life - my "pursuit of happiness." 

How can these autistics get to the level of demanding acceptance, inclusion in education and employment that the neurodiversity movement is asking for, if the very same group is denying the very things that gives them to the platform of equity.  

Why can't I have both - the biology to help with my challenges and the accommodations/inclusion of neurodiversity. 

GARS - Gillian Autism Rating Scale

Lexicon [Measures] - GARS 

The GARS (Gillian Autism Rating Scale) is a behavior rating scale that evaluates the presence and severity of autistic symptomatology. GARS assesses various domains related to autism, including social interaction, communication, and stereotyped behaviors. It is administered by a clinician and used for individuals between the ages of 3 and 22 years. 

Limitations
  • potential for subjective interpretation
  • reliance on observer ratings
  • lack of comprehensive assessment of other domains, such as cognitive abilities or co-occurring conditions.

Scoring & Interpretation

The GARS questionnaire consists of 56 items that assess various behaviors and characteristics related to autism. These items are grouped into three main categories: Stereotyped Behaviors, Communication, and Social Interaction. Each item on the GARS is scored on a 4-point Likert scale, ranging from 0 (Not Applicable) to 3 (Severe). The total score is derived by summing the individual item scores, providing an overall indication of the severity of autistic symptoms. Higher scores indicate more severe symptomatology.


History: The GARS was developed by James E. Gilliam in 1995. It was designed as a tool to aid in the identification and assessment of individuals with ASD.



Citation:

Gilliam, J. E. (1995). Gilliam Autism Rating Scale. Austin, TX: PRO-ED.


Joy is the happiness that radiates from within and touches others

Contemplation, one line a day. #MentalHealth


 

Light Snowfall

Snowflakes dance in the air,
Falling softly, without a care.

But to college neuroscience I must go
Blood brain barriers and biophysiology today
I did not like walking in that cold

The cold bites, the wind moans.
Goosebumps, hard to withstand.
Though it's harsh, it's also grand.

Snow today

Another round of snow today. Just a light snowfall like a constant drizzle of rain all day. Had to go to college anyway. Had to walk from the parking lot to class and then move from one building to next for the next class.  It was gloomy at 4pm and quite cold at 36 F. 

Thunderstorm Haikus




Thunderstorm going on in Nashville. Tomorrow - Snow forecast (which may mean housebound as the city is not used to frequent snow). 

Not used to getting so many severe weather alerts on phone.

Severe Thunderstorm warning.... 60 mph wind gusts. Half Dollar size Hail... 1.25 inch. Damage to Vehicle is expected. Expect wind damage to roofs, siding and trees. For your protection move to an interior room on the lowest floor of a building.  

Luckily it stopped at just heavy rains with thunder and lightning. We missed the 13mph twister that devastated 50 miles of Selma, Alabama located just south of where we are. 

In the meantime, dry California, which is not used to rain, is getting battered with the relentless rain deluge, wind gusts, flooding, mudslides and sinkholes with seven consecutive storms starting just before the start of 2023. Flooding is inevitable when you get 1 month worth of rain falling in one day with a cumulative effect with storm after storm. The annual wildfires and the continued drought had left behind bare hills and parched soil, which aggravate the mudslides and floods. 

Climate change in action.