Resilience is the ability to keep moving forward, even when the path is difficult.
- Hari Srinivasan
Resilience is the ability to keep moving forward, even when the path is difficult.
- Hari Srinivasan
Qual Exams
In PlainSpeak for the Lay Reader
Diagnostic overshadowing happens when doctors or healthcare workers focus so much on a person's autism that they miss other health problems the person might have. This can mean that other illnesses or conditions are not noticed or treated properly.
Mixing Up Symptoms: Sometimes, signs of other health problems are mistaken as just part of autism. For example, if an autistic person feels very anxious or has stomach pain, it might be seen as just them acting up due to autism instead of a separate issue.
Communication Barriers: Many autistic people find it hard to explain their feelings or symptoms and may have other communication challenges. This can make it harder for doctors to understand what's really going on.
Assumptions: Doctors might assume all problems are because of autism and not look for other causes. This can lead to missed diagnoses. Usually any acting up behaviors is redirected back to behavior therapy, when they actually needed different solutions.
Lack of Training: Not all doctors know how to spot other health problems in autistic people. They might need more training to do this well.
Poor Treatment: If other health issues are not found, the person might not get the right treatment. This can affect their immediate and long term health and well-being.
Mental Health: If an autistic person is feeling very sad or has depression, it might be ignored because it's thought to be just part of their autism.
Physical Health: If an autistic person has pain in their stomach, it might be seen as just a behavior issue rather than a real medical problem.
Thorough Check-Ups: Doctors should look at the whole person and not just their autism. They should check for other health issues and underlying issues too.
Better Training: Doctors should learn more about how to spot other health problems in autistic people.
Clear Communication: Finding better ways for autistic people to share how they feel can help doctors understand their symptoms better.
Awareness: Helping everyone, including caregivers and educators, and professionals understand that autistic people can have other health problems too.
On July 26, 1990, President George H.W. Bush signed the Americans with Disabilities Act (ADA) into law, marking a historic milestone for disability rights. The ADA has been instrumental in prohibiting discrimination against the disabled in all areas of public life, including jobs, schools, transportation, and public and private places open to the general public.
The journey to the ADA's signing was fueled by the relentless efforts of dedicated disability rights activists. One pivotal moment in this movement was the televised and widely viewed Capitol Crawl on March 12, 1990. Hundreds of disability rights activists gathered in Washington, D.C., to urge Congress to pass the ADA. As part of the protest, dozens of individuals with disabilities left their wheelchairs and crawled up the 83 stone steps of the U.S. Capitol building, dramatically demonstrating the barriers they faced in everyday life. Among them was an 8-year-old girl named Jennifer Keelan, whose participation powerfully symbolized the need for change. Her determination and courage, along with that of others, highlighted the urgent need for comprehensive legislation to protect the rights of people with disabilities.
Key figures in the disability rights movement played crucial roles in advocating for the ADA. The late Judith Heumann (we miss you Judy), a lifelong advocate for the rights of people with disabilities, was instrumental in the fight for the ADA. Her leadership and tireless advocacy helped bring disability rights to the forefront of national consciousness. Ed Roberts, known as the father of the independent living movement, also significantly influenced the disability rights movement, emphasizing the importance of self-determination and community-based support. There were countless others whose contributions were vital in making the ADA a reality, reflecting a broad and united effort toward equality and inclusion.
The ADA consists of five titles, each addressing different aspects of public life:
It's humbling that laws like the ADA enable disabled individuals like me to avail of opportunities such as getting into college or even embarking on a PhD journey. Such a thing would have been unimaginable earlier. The ADA's passage represents the collective effort and resilience of countless individuals who fought for equality and accessibility. As we commemorate the 34th anniversary of the ADA, we honor the legacy of those activists and reaffirm our commitment to advancing the rights and inclusion of people with disabilities.
Opinions can guide us gently like a tranquil sea or be as destructive as a tsunami. Our ability to discriminate between beneficial and harmful opinions is crucial. By staying open to new possibilities instead of blindly following popular opinions, we pave the way for a more productive and satisfying life.
In today's world, we are inundated with opinions from all sides. However, it is crucial that we do not allow these opinions to unduly influence our thinking. Often, opinions reflect the views of influential individuals or groups, but influence does not equate to correctness. It takes courage and conviction to think independently and not simply follow the crowd.
In the autism space, well-meaning professionals continue to adhere to misconceptions. For example, just over two decades ago, it was believed that children diagnosed with autism would inevitably end up institutionalized. Parents were advised to send their children away before they grew attached, under the misguided belief that autistic children could not reciprocate affection, show emotions, think rationally, or learn meaningfully. Even now, the autism space is flooded with misconceptions. And the more impacted an autistic is, the more entrenched is the misconception about their capability and inclusion.
But the fact of the matter is that NO ONE is an expert on autism, even those who may have extensive credentials or degrees. Else we would have seen many autism solutions by now, instead of just more 'experts' with degrees.
This does not mean that all opinions are harmful. Like the sea, they can be tranquil and beneficial or destructive like a tsunami. The human mind has the capacity to discern between constructive and destructive opinions. By being open to new possibilities rather than blindly following prevailing opinions, we can navigate our way to a more productive and fulfilling life
The people we admire and respect—those who have changed the world—often chose to defy conventional wisdom. The Wright Brothers did not accept the belief that man could not fly, and Thomas Edison persisted with his inventions despite skepticism. A mind free from the constraints of prevailing opinions is more open to possibilities, leading to creativity and discovery.
Caveat: There is no single theory that can fully explain autism.
The Weak Central Coherence Theory posits that autistics exhibit a cognitive processing style characterized by a propensity for local over global information processing. This theory suggests that autistics have a heightened focus on fine details at the expense of integrating these details into a coherent whole.
The Weak Central Coherence Theory provides a framework for understanding the distinct cognitive processing style in autism, characterized by a bias toward local over global processing. Neurobiological evidence supports this theory, showing enhanced local processing capabilities and impaired global integration due to altered neural connectivity. This theory helps explain the strengths and challenges faced by individuals with autism in various cognitive and social domains.
Detail-Focused Processing:
Reduced Global Integration:
Neuroanatomical Correlates:
Perceptual Tasks:
Cognitive Tasks:
Social Interaction:
A deer family (mom and 2 baby deer) frequenting our backyard this summer. The young deer frolicking, chasing each other and running around is a delight to watch.
Yeah, I have another Poster Acceptance for the College Autism Network Summit 2024 in Oct.
================Short-term synaptic plasticity, a temporary change in synaptic strength lasting from seconds to minutes, is a crucial mechanism for neural communication and information processing. Two key types of short-term plasticity are paired pulse facilitation (PPF) and paired pulse depression (PPD). Understanding these mechanisms can provide insight into the molecular & genetic underpinnings of autism.
Paired Pulse Facilitation (PPF) occurs when two signals (pulses) arrive in quick succession at a synapse, with the second pulse producing a stronger response than the first. This is due to residual calcium (Ca2+) remaining in the presynaptic terminal after the first pulse, which enhances neurotransmitter release upon the arrival of the second pulse. This phenomenon is particularly significant at synapses with low initial release probability, ensuring that enough neurotransmitters are available for subsequent release.
Paired Pulse Depression (PPD), on the other hand, is characterized by a diminished response to the second pulse. This occurs at synapses with high initial release probability, where the first pulse depletes the readily releasable pool of neurotransmitters, leaving insufficient resources for the second pulse. The timing between the pulses is critical; if the interval is too long, Ca2+ dissipates, and vesicles are replenished, mitigating these effects.
In the context of autism, alterations in short-term plasticity have been linked to the disorder's characteristic neural and behavioral features. Research has shown that mutations in synaptic genes such as SYN1 and SYN2, which regulate synaptic vesicle dynamics, can disrupt short-term plasticity. These mutations result in increased PPF at excitatory synapses and enhanced synaptic depression at inhibitory synapses, leading to an excitatory/inhibitory (E/I) imbalance that contributes to network hyperexcitability and altered neuronal communication (Frontiers, 2015) (Frontiers).
Furthermore, neuroligin-3 mutations, associated with autism, have been found to differentially alter synaptic function in the hippocampus and cortex. These mutations can increase inhibitory synaptic transmission and disrupt endocannabinoid signaling, further impacting short-term plasticity and neural circuitry (Molecular Psychiatry, 2015) (Nature). These findings underscore the significant role of short-term plasticity in maintaining neural circuit function and how its disruption can contribute to pathogenesis.
2 versions of this post
For the Academic/Scientific Audience
PlainSpeak in plain language for the lay reader
Actual Audio: You want to go into superior colliculus a bit more?
Transcription Software: You want to go into the spiritual leaders a bit more.
Audio: So the input is converging.
Software: So the imprint is converging
In PlainSpeak for Lay Audience
Disability and Poverty: A Tough Cycle
Disability and poverty are closely connected. This makes life harder for disabled people. Here’s why.
Education: Many disabled people don’t get a good education. This makes it hard for them to learn skills needed for good jobs.
Jobs: Disabled people often face problems finding jobs. There aren’t enough job opportunities, and some employers discriminate against them. Without good jobs, it’s hard to earn enough money.
Healthcare: Poor people often can’t afford good healthcare. This can lead to untreated health problems that cause or worsen disabilities.
Support Services: Disabled people need special support, like assistive devices or home modifications, but these can be expensive. Without money, they can’t get the help they need.
The National Council on Disability says that these problems make more disabled people live in poverty. The World Health Organization also says that we need to solve both poverty and disability issues together.
To break this cycle, we need to:
When we invest in these areas, we help disabled people live better lives. This also helps reduce poverty and builds a stronger, fairer society for everyone.
2 versions of this post
The False Moral Authority of Titles
A PlainSpeak version for the Lay Reader
The Role of Parvalbumin Neurons in Autism
Scientists believe that a special type of brain cell called Parvalbumin (PV) interneurons (INs) may play a key role in autism. Even though autism can be caused by many different genetic and environmental factors, people with autism often show similar behaviors. This suggests that there might be a common issue in the brain across different individuals with autism (1).
Understanding the role of PV+ interneurons in autism helps us see why many symptoms of autism occur, like sensory sensitivity and seizures.
Our brains need a balance between "go" signals (excitation) and "stop" signals (inhibition) to work properly. In autism, it was first thought that there is too much excitation and not enough inhibition, leading to an imbalance. This imbalance could explain why some people with autism have seizures (4,5). However, this idea is too simple because many types of brain cells are involved in maintaining this balance.
Researchers have found that PV+ cells in the brains of autistics are often not working as they should:
PV+ cells are the most common type of inhibitory ("stop/slow down") neuron in the brain, but other types of neurons may also be involved in autism.
When PV+ cells don't function properly, the brain becomes overly excitable and synchronized, making seizures more likely. This can also cause exaggerated responses to sensory inputs, like touch or sound. For example, in a mouse model of autism, the response to whisker movement is weaker in certain brain cells.
Autistics often experience sensory overload because their brains can't tune out irrelevant information. This may be due to a failure of brain cells to adapt to continuous stimulation (2).
PV+ neurons are important for fine-tuning the way we see things, helping us to distinguish between different visual inputs.
Increased gamma wave activity, which is linked to sensory and communication issues, is common in autism. PV+ cells help generate these waves, and their dysfunction leads to irregular brain activity patterns (3).
2 Versions of this Post
For the Science/Academic Reader
The E-I Imbalance hypothesis posits that an imbalance between excitatory and inhibitory signaling in the brain contributes to the sensory, cognitive, and behavioral features of autism.
PlainSpeak: This idea says that a mix-up between signals that excite and calm the brain can cause the sensory, thinking, and behavior issues in autism.
When we talk about autism, two important ideas often come up: monotropism and special interests. These ideas help explain how autistic people focus on things they love, but they mean slightly different things.
Monotropism is a way of thinking that means autistic people tend to focus really hard on a few things at a time. Imagine being able to dive deeply into something you’re really interested in, like a favorite hobby or subject. This can make autistic people very knowledgeable and passionate about their interests. But it can also make it tough to switch focus to other things they find less interesting.
Special Interests are those specific things that autistic people get really excited about. These can be anything from dinosaurs to trains, from art to computers. These interests often last for a long time and can bring a lot of joy and comfort. They’re a big part of who they are. Sometimes, though, other people might not understand why these interests are so important to them.
So, what’s the difference? Monotropism is about the way autistic people focus their attention, while special interests are the actual things they focus on.
Scientists think that the way autistic brains work makes this deep focus possible. It’s not just a quirky behavior – it’s how their brains process information. This means autistic people often put a lot of mental energy into their favorite things, which can make it hard to deal with tasks they don’t enjoy as much.
By understanding monotropism and special interests, we can better support autistic people. We can appreciate their focus and passion while also helping them with strategies to manage tasks they find challenging.
Two Versions of this post
My research abstract accepted at Society for Neuroscience, SfN 2024 conference.