Showing posts with label Stigma. Show all posts
Showing posts with label Stigma. Show all posts

The Cost of Ableism - A Higher Bar to Meet and Negative Attribution Bias.

Ableism isn't just about overt discrimination; it also involves the pervasive expectations and pressures that can lead to negative attribution biases and the need to meet a higher bar for inclusion. 

The High Bar for Inclusion

Ableism manifests as an expectation for individuals with disabilities, to meet a higher bar for inclusion. This form of ableism places undue pressure on autistic individuals to conform to standards and norms typically designed without considering their unique needs and strengths. 

Unreasonable Expectations. Autistics are often expected to conform to neurotypical social behaviors and communication styles to be accepted in social, educational, or professional settings. This higher bar for inclusion is exhausting and unrealistic, disregarding the natural ways in which autistic individuals interact and express themselves.

Proving Competence. There is often an implicit or explicit requirement for  autistics to constantly prove their abilities and competence beyond what is expected of their NT peers. So its not about having to prove yourself one time, its proving competence in every repeated interaction and with every new person and with every new situation.This can stem from prejudiced assumptions about their capabilities, leading to significant stress and anxiety.

Extra Effort for Accommodation:  The burden of seeking and arranging accommodations frequently falls on autistic individuals. They may need to expend significant effort to advocate for themselves, explain their needs repeatedly, and navigate systems not designed to accommodate them easily. Accommodations for autism can vary depending on the autistic and there is no standard list of checkbox to tick off and say job done.

Perceived Advantage of AccommodationsAccommodations are often seen as giving autistic individuals an "advantage," which perversely leads to higher performance expectations. This perception overlooks the purpose of accommodations, which is to level the playing field, not to provide an edge. As a result, autistics may feel compelled that they have to over-perform to justify the accommodations they receive (which leads to burnout) or conversely may not be able to meet that higher bar. 

Gratefulness for Accommodations. Accommodations are often treated as favors being granted, leading to the expectation that autistic individuals should feel grateful for this largesse. This can create an imbalance in power dynamics, where the need for accommodations is seen as a privilege rather than a right, adding another layer of pressure on autistic individuals.

Higher Performance Standards In professional or academic settings, autistic individuals might be held to higher performance standards to counteract biases and demonstrate their worthiness for inclusion or advancement. This can lead to burnout and mental health issues, as they strive to meet expectations not equally applied to their neurotypical counterparts.

Social Acceptance Conditions. Inclusion in social groups might come with conditions that require autistic individuals to mask their natural behaviors or suppress their autistic traits, which is mentally and emotionally taxing. This masking forces individuals to hide their authentic selves to gain acceptance, rather than being embraced for who they truly are.

Normalization Pressure. The pressure to appear "normal" or "less autistic" and "not stim" is a significant barrier to genuine inclusion. This expectation forces individuals to suppress their identity to fit into a predefined mold, leading to stress and reduced self-esteem.

Negative Attribution Bias

Living in an ableist-centered world significantly influences the development of negative attribution biases among autistics. 

Frequent Experiences of Discrimination. Continuous exposure to ableism, where autistics face discrimination, exclusion, and negative stereotypes, leads to a general expectation of negative treatment from others. This constant barrage of negative experiences can result in heightened sensitivity to potential negative actions and intentions, fostering a negative attribution bias.

Social Marginalization. Being marginalized and misunderstood in social contexts can erode trust in others. When autistics repeatedly encounter negative, dismissive or hostile attitudes, they might start to interpret ambiguous social cues more negatively as a self-protective mechanism. This social marginalization reinforces the cycle of negative attribution.

Internalized AbleismConstant exposure to societal ableism can lead to internalized ableism, where autistics begin to believe negative stereotypes about themselves. This internalized negativity colors their perceptions of others' behaviors, leading to a pervasive negative attribution bias.

Lack of Positive Social Interactions. Positive social interactions can counteract negative attribution biases by providing evidence of goodwill and understanding. However, if autistics have limited positive social experiences (or a history that is predominately negative) due to societal ableism, they are more prone to expecting and perceiving negative intentions in others, reinforcing their negative biases.

Stress and Anxiety. Living in an ableist society is inherently stressful and anxiety-inducing for individuals with autism. High levels of stress and anxiety impair social cognition, making it more challenging to interpret social cues accurately and leading to more negative attributions.

To combat these forms of ableism, a shift in societal attitudes and practices toward a more inclusive and equitable approach is necessary. This involves recognizing and valuing disability, creating environments that are inherently accommodating, and reducing the emphasis on conformity to neurotypical standards. Promoting awareness and understanding of ableism in all its forms is crucial in fostering true inclusion for individuals with autism and other disabilities.

Genuine inclusion means ensuring that everyone has the support they need to thrive.

The False Moral Authority of Titles

The False Moral Authority of Titles

In today's world, holding an advanced degree or prestigious title leads those individuals to think that they are entitled to the role of moral and legal gatekeeper. Such a perspective is not only outdated but dangerously arrogant

(This echoes the colonial mindset where the "educated colonizers" claimed ipso facto moral and legal authority over those they deemed "uneducated primitives"). 

One quick path to fame and relevance today is the spread of negative news, fueled by algorithms that amplify these messages. As as  Sri Sri Ravi Shankar noted, humans already have a tendency to doubt the positive but not the negative. For instance, when someone says "I love you," it's often met with skepticism ("Really?"), while "I hate you" is silently accepted. 

Negative news triggers larger outward reactions, whereas positive news generates internal feel-good responses that don't spread as widely. As a result, negative spins and conspiracy theories have become a quick road to staying relevant and  profits in the form of online followers, book deals, speaking engagements.... which in turn helps justify the perception of them as an "expert" and the "moral authority."

This phenomenon has many parallels in the field of autism. Select groups have positioned themselves as the sole experts of autism, their way the only way, and the lone voice of morality. They effectively shut down alternative lines of research in autism or approaches by being the loudest or most powerful voice. This is accompanied by vicious attacks, harassment, and doxxing of those they consider "others." This helps maintain their positions of power, fame and profit - (Perhaps they also get a rush out of this bullying). 

The irony is that existing evidence-based practices are often weaponized or misrepresented to justify their stance. Just because something isn't fully explainable or understood yet doesn't mean it should be dismissed as pseudoscience. Rather, it represents science-in-progress. Complex phenomena like autism often defy simple cause-and-effect explanations, waiting for the right methods, technologies, or even an evolution in our scientific thinking to fit neatly into an explainable model.

A 'certification degree' or Ph.D. does not make one all-knowing about a highly heterogeneous condition like autism. We are all still trying to figure autism out. If we had all the explanations and solutions, the quality of life for all autistic individuals would be infinitely better. It’s crucial to remember that science is a process, not a destination. It thrives on curiosity, openness, and the willingness to challenge existing paradigms. True progress in understanding autism, and indeed any complex phenomenon, requires humility, collaboration, and an openness to diverse perspectives.

Let's resist the allure of false authority and the spread of negativity. Instead, let's foster a culture of inquiry and respect, where every voice is heard, and every avenue of research is explored. Only then can we hope to make meaningful progress in understanding and improving the lives of those within the autism community and beyond.


Autism Space seen as profit making space by Private Equity

 Autism Space seen as profit making space by Private Equity

This is a continuing and troubling trend in autism. 

'...private equity investments per year tripled or quadrupled from 2018 to 2021 compared to 2015.

 ...expected investment to continue at breakneck speed

“...They needed to start showing profits and revenue that match their valuation. … So at some point, [investors] need to start seeing a return on their investment,”

 ...autism therapy space could be at the point of the investment life cycle where investors are pressuring operators to shift from scale to efficiency and profitability.

...opening clinics that reach targeted patients while being “financially healthy,” Marsh said. 

https://bhbusiness.com/2022/07/22/why-the-massive-investment-in-autism-companies-created-a-ticking-timebomb/

Cognitive Dissonance

Cognitive dissonance theory, proposed by psychologist Leon Festinger in the 1950s, is a fundamental concept in psychology that explores the discomfort people experience when they hold conflicting beliefs, attitudes, or values. When individuals encounter information or situations that challenge their existing beliefs or attitudes, they often experience cognitive dissonance, a state of psychological tension. This tension arises from the inconsistency between what they believe and what they are confronted with.

To reduce this discomfort, individuals typically employ various cognitive and behavioral strategies. They may change their beliefs or attitudes to align with the new information, seek out information that supports their existing beliefs (confirmation bias), or downplay the significance of the conflicting information. For example, if someone holds a negative stereotype about a particular group but then has a positive encounter with a member of that group, they might experience cognitive dissonance. To alleviate this discomfort, they may adjust their stereotype or minimize the significance of the positive encounter.

Cognitive dissonance theory is crucial for understanding the dynamics of attitude change and behavior. It highlights the human tendency to strive for consistency in our beliefs and actions and the discomfort that arises when inconsistency occurs. By recognizing cognitive dissonance, psychologists and individuals alike can better understand the processes underlying attitude change, prejudice reduction, and decision-making in the face of conflicting information

An article where I talk about its impacts with respect to autism 



The Impact of Stereotype Prejudice Discrimination

Stereotype, prejudice, and discrimination are interconnected concepts that play a significant role in shaping attitudes and behaviors toward individuals or groups based on perceived characteristics such as race, gender, religion, or disability.

Stereotype

Stereotype refers to a widely held and oversimplified belief or mental image about a particular group of people. Stereotypes often involve generalizations and assumptions about the characteristics, behaviors, or abilities of individuals within that group. For example, the stereotype that women are less competent in technical fields is a pervasive belief that can lead to biases in hiring decisions and educational opportunities. Another prevalent stereotype is that challenges in speaking ability (a function of the oral-motor muscles) amongst many autistics must equal low cognitive ability. Stereotypes can be overly positive too (such as all autistics must be tech geniuses) and negative, but they tend to oversimplify and dehumanize individuals by reducing them to a set of assumed traits.

Prejudice

Prejudice, on the other hand, involves a negative emotional or evaluative response directed at individuals or groups based on their perceived attributes or membership in a particular category. It represents an attitude or a set of attitudes characterized by bias, animosity, or irrational dislike. Prejudice can manifest as feelings of hostility, resentment, or fear toward the target group and often results from stereotypes. For instance, a person who holds a prejudice against a certain ethnic group may harbor negative emotions and beliefs about its members, leading to discriminatory behaviors or attitudes.

Discrimination


Discrimination encompasses actions or behaviors that treat individuals or groups unfairly or unjustly based on their perceived attributes or group membership. Discrimination can take various forms, including institutional discrimination (e.g., discriminatory laws or policies), interpersonal discrimination (e.g., unfair treatment by individuals), and microaggressions (subtle, often unintentional acts of discrimination). Discriminatory actions can result from prejudiced attitudes or stereotypes and can have serious consequences, such as limiting opportunities, perpetuating inequality, and causing harm to individuals' physical and mental well-being. Addressing discrimination involves efforts to promote equality, enforce anti-discrimination laws, and challenge biased attitudes and behaviors in society.

Why It Matters


Understanding these three concepts—stereotype, prejudice, and discrimination—is essential for addressing social and systemic issues related to inequality and bias. It is crucial to recognize the role these concepts play in shaping individual and societal attitudes and to work toward creating a more inclusive and equitable world where individuals are judged based on their unique qualities and contributions rather than on stereotypes or prejudiced beliefs.
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Versions of this article: For  Academic/Scientific Audience and #PlainSpeak for Lay Audience

Stereotype Prejudice Discrimination - What They Mean and How They Affect People


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Plain Language Version 

Stereotype, Prejudice, and Discrimination: What They Mean and How They Affect People

These three words—stereotype, prejudice, and discrimination—are connected and help explain how people form opinions and act toward others based on things like race, gender, religion, or disability.

Stereotype

A stereotype is a simple and often wrong idea about a group of people. It means thinking everyone in that group is the same. For example:

  • Gender: Thinking women aren't good at technical jobs.
  • Disability: Thinking all autistic people can't talk well and are less smart.
  • Positive Stereotype: Believing all autistic people are tech geniuses.

Even if stereotypes can sometimes seem positive, they are still harmful because they oversimplify people and don’t see them as individuals.

Prejudice

Prejudice means having negative feelings or attitudes toward someone just because they are part of a certain group. It’s about having unfair dislikes or biases. For example:

  • If someone doesn’t like people from a certain ethnic group, they might feel anger or fear toward them.
  • Prejudice often comes from stereotypes and can make people act unfairly or meanly.

Discrimination

Discrimination is when people act unfairly toward others because of their group membership. It can happen in different ways:

  • Institutional Discrimination: Unfair laws or policies that hurt certain groups.
  • Interpersonal Discrimination: Unfair treatment by other people, like bullying or exclusion.
  • Microaggressions: Small, often unintentional actions or comments that are hurtful.

Discrimination can limit opportunities, keep inequalities alive, and harm the well-being of those affected.

Why It Matters

Understanding stereotypes, prejudice, and discrimination helps us recognize and fight against unfair treatment. It’s important to:

  • See people as individuals, not just members of a group.
  • Promote fairness and equality.
  • Challenge biased attitudes and behaviors.


Social Media Mentions

 https://www.psychologytoday.com/us/blog/giving-voice/202307/dignity-remains-elusive-for-many-disabled-people














Hostile Attribution Bias in Autism

Hostile attribution bias refers to the tendency to interpret others' ambiguous behaviors as having hostile intent. For instance, if someone accidentally bumps into a person with hostile attribution bias, they might assume it was done on purpose rather than an accident. This cognitive bias often leads to increased aggression and conflict in social interactions as the individual responds defensively or aggressively to perceived threats that may not actually exist.

Research on hostile attribution bias has predominantly focused on its prevalence in populations with externalizing behaviors, such as aggression and conduct disorders.  However, given the social communication challenges and the difficulty in interpreting social cues that are characteristic of autism, it is plausible that hostile attribution bias, could play a role in their social interactions.

Indeed, research suggests autistics [1] were more likely to interpret ambiguous social situations as hostile compared to their neurotypical peers. This tendency was linked to higher levels of social anxiety and other maladaptive (including aggression and SIB) behavior in these children.

However this hostile attribution bias, should not just be the attributed to the fact of disability, a.k.a, "difficulty in interpreting social cues in autism." It could well be the product of a lifetime of societal stigma and bias; exclusion, discrimination and misunderstanding. Research in social psychology supports the notion that chronic exposure to negative social experiences can shape cognitive and emotional responses. For individuals who consistently face these challenges, it is not uncommon to develop a heightened sensitivity to potential threats or hostile intentions in social interactions. They develop a lack of trust that people and systems around them will help them. This heightened sensitivity can manifest as hostile attribution bias, where even ambiguous or benign actions by others are interpreted as intentionally harmful or malicious. 

So the context of autism, individuals often face a unique set of social challenges and stigmatization, which can compound their difficulties in interpreting social cues. Studies have shown that individuals with autism are frequently subjected to social rejection, and misunderstandings [2]. 

And this stigma, exclusion and gatekeeping of opportunities for autistics tends to be even more pronounced, the more disabled you are seen, especially for autistics with externalizing behaviors and communication issues. It starts at a very early age where you are deemed incapable of learning and placed in a low expectations educational system which just deepens a self-fulfilling prophesy. You quickly learn the educators and educational system who's role was to educate and nurture you, are the often the very people who will gatekeep access to education itself.  The autistic is to blame for not improving, the onus is never on the educators or professionals involved. Autism is a huge profit making machine where millions benefit (fame, books, papers); everyone except the autistic.

These repeated negative interactions can reinforce a worldview where social threats are perceived as more prevalent, leading to increased hostile attribution bias. The combination of social communication difficulties inherent in autism and the external societal stigma creates a fertile ground for developing such cognitive biases [2], which only adds to their mental health toll. 
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References

  • 1. White, S. W., Ollendick, T., & Bray, B. C. (2011). College students on the autism spectrum: Prevalence and associated problems. Autism: The International Journal of Research and Practice, 15(6), 683-701.
  • 2. Zablotsky, B., Bradshaw, C. P., Anderson, C. M., & Law, P. A. (2014). The association between bullying and the psychological functioning of children with autism spectrum disorders. Journal of Developmental and Behavioral Pediatrics, 35(2), 106-116.

Autism Space seen as profit making space by Private Equity

This is a continuing and troubling trend in autism. 


'...private equity investments per year tripled or quadrupled from 2018 to 2021 compared to 2015.

 ...expected investment to continue at breakneck speed

“...They needed to start showing profits and revenue that match their valuation. … So at some point, [investors] need to start seeing a return on their investment,”

 ...autism therapy space could be at the point of the investment life cycle where investors are pressuring operators to shift from scale to efficiency and profitability.

...opening clinics that reach targeted patients while being “financially healthy,” Marsh said. 

https://bhbusiness.com/2022/07/22/why-the-massive-investment-in-autism-companies-created-a-ticking-timebomb/


The Ugly face of Ugly Laws

The Ugly Laws, also known as the unsightly beggar ordinances, were a series of laws that were enforced in the United States and other countries in the late 19th and early 20th centuries.

These laws criminalized people with disabilities, deformities, or any physical characteristic that was deemed "unsightly" or "disgusting" in public spaces.

The origins of the Ugly Laws can be traced back to the mid-19th century when cities began to grow rapidly, and industrialization led to an increase in poverty and homelessness. In response to these societal changes, city officials sought to regulate public spaces, including streets and sidewalks, and restrict the presence of certain groups of people, including disabled folks.

The first Ugly Law was enacted in San Francisco in 1867, and similar laws were subsequently passed in other cities, including Chicago, New York, and Denver.  

The punishment under the Ugly Laws varied depending on the specific city or state in which the law was enforced. However, common forms of punishment included fines, imprisonment, or forced institutionalization in a hospital or asylum.

So the disabled could be arrested simply for appearing in public spaces, including streets, sidewalks, and public buildings. In some cases, police officers or other authorities would use their own discretion in determining who should be arrested or fined, based on their personal biases or prejudices.The Ugly Laws were often enforced without regard for the civil rights or dignity of the disabled, and many people who were arrested or institutionalized under these laws experienced great hardship and abuse.

The Ugly Laws were justified under the guise of public health and safety, with proponents claiming that people with disabilities were a threat to public health and morality. However, the laws were also a means of social control and discrimination against the disabled, who were seen as undesirable and unworthy of inclusion in public life.

The Ugly Laws persisted until the mid-20th century, when disability rights activists began to challenge these discriminatory practices. Disability rights groups, including the League of the Physically Handicapped and the National Association of the Deaf, organized protests and legal challenges to the Ugly Laws, arguing that they violated the civil rights of the disabled.

The Ugly Laws were repealed at different times in different states and cities, and it's unclear which state was the last to repeal them. However, it's known that the Ugly Laws were still in effect in some cities as late as the 1970s.

For example, in Chicago, the Ugly Laws were repealed in 1974 after years of activism by disability rights advocates, including a high-profile protest in which activists chained themselves to buses to draw attention to the issue. In Omaha, Nebraska, the Ugly Law was repealed in 1974, after a lawsuit was filed on behalf of a man with cerebral palsy who was arrested for appearing in public.

In many cases, the repeal of the Ugly Laws was not the result of a single event or action but rather a gradual shift in attitudes towards the disabled and a growing recognition of their civil rights. Today, while the Ugly Laws are no longer enforced, people with disabilities continue to face discrimination and barriers to full participation in society. Disability rights advocates work to challenge ableism and promote greater inclusion and accessibility for all.

(Written Oct '21)
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Plain Language Version

The Ugly Laws: A Shameful Part of History

The Ugly Laws, also known as the "unsightly beggar ordinances," were laws in the United States and other countries during the late 1800s and early 1900s. These laws made it illegal for people with disabilities or any physical differences to be seen in public during the daytime.

Why They Were Made

In the mid-1800s, cities grew quickly, and there was more poverty and homelessness because of industrialization. City officials wanted to clean up the streets and decided to keep people with disabilities out of public spaces.

Where They Were Enforced

  • First Law: The first Ugly Law was passed in San Francisco in 1867.
  • Other Cities: Similar laws were made in places like Chicago, New York, and Denver.

What the Laws Did

These laws allowed the police to arrest, fine, or send to institutions people who were considered "unsightly" just for being in public places like streets and buildings. The decisions were often based on the personal biases of the officers.

Justifications and Reality

The Ugly Laws were said to be for public health and safety, but they were really about controlling and discriminating against people with disabilities. These laws treated disabled people as if they were a threat or unwanted in society.

End of the Ugly Laws

  • Disability Rights Movement: In the mid-1900s, disability rights activists started fighting against these unfair laws.
  • Protests and Legal Actions: Groups like the League of the Physically Handicapped and the National Association of the Deaf protested and challenged the laws in court.
  • Repeal: The laws were repealed at different times in different places, but some were still in effect until the 1970s.

Examples of Repeal

  • Chicago: Repealed in 1974 after protests, including activists chaining themselves to buses.
  • Omaha, Nebraska: Repealed in 1974 after a lawsuit for a man with cerebral palsy who was arrested for being in public.

Ongoing Issues

Even though the Ugly Laws are no longer in place, people with disabilities still face discrimination today. Disability rights advocates continue to work for greater inclusion and accessibility for all.


References

Baynton, D. C. (2001). Disability and the justification of inequality in American history. In P. K. Longmore & L. Umansky (Eds.), The New Disability History: American Perspectives (pp. 33-57). New York: NYU Press.

Kudlick, C. (2003). Reflections on freaks. In M. Corker & T. Shakespeare (Eds.), Disability/Postmodernity: Embodying Disability Theory (pp. 33-47). London: Continuum.

McRuer, R. (2006). Crip theory: Cultural signs of queerness and disability. New York: NYU Press.

Norton, R. (2016). Ugly laws: Disability in public. New York: NYU Press.

"The 'Ugly Laws': When Being Disabled Was A Crime" (NPR, 2014): https://www.npr.org/2014/12/18/371437472/the-ugly-laws-when-being-disabled-was-a-crime

"Chicago's Ugly Laws Repealed: A Look Back" (Chicago Tribune, 2014): https://www.chicagotribune.com/news/ct-ugly-laws-chicago-history-flashback-20141020-story.html

"The Law That Made It Legal to Ban People With Disabilities From Restaurants" (Smithsonian Magazine, 2017): https://www.smithsonianmag.com/history/law-made-it-legal-ban-people-with-disabilities-restaurants-180962121/


Takeaways from Class

 Student Takeaways from my 1:54 Autism Class (3/10)

  • One takeaway from the Special Interests student lecture was that special interests, although people may spend a lot of time on them, can help people with autism process other social structures or processes that are usually difficult to understand for autistic people.
  • There are lots of ways to combat stigma, especially by humanizing stigmatized groups.
  • Education alone is not the answer to societal issues. I found the study where they educate students and it only moved them to further socially distance themselves. I find that interesting and I like the example because it reinforces the idea that human connection, building empathy, is really what is important.
  • Special interests can be a really positive thing for autistic people to use to understand the world and benefit others for jobs/hobbies.
  • loved the presentation on Autistic refugees and the presentation on Autistics and Special interests was so illuminating and fun!
  • There can be many different things that affect autistic peoples lives (such as forceful displacement and special interests), and it’s important to consider these when talking about autism.
  • One takeaway is that sometimes if school-aged children and young adults are educated on different mental illnesses, it causes them to social distance more from people with mental illnesses. This illustrates the need to educate in a humanizing way that is focused on sharing stories, rather than giving cold facts.


A Boy Like Me

In Feb 2021, I  wrote an article for Alice Wong's Disability Visibility Project (https://disabilityvisibilityproject.com/2021/02/06/a-boy-like-me/) that covers a number of issues around non-speaking autistics (text of the autism also at end of this post). It went onto having quite the impact. 

Places it was mentioned

1. TIME Magazine (Sarah Kurchak), February 25, 2021


("In the interest of fairness, I did watch Music for the sake of this piece. I won’t evaluate it as representation, as I believe that non-speaking autistic people should be leading that conversation. (For more on the topic, I recommend starting with the short film produced by CommunicationFIRST and the essays by Mickayla and Hari Srinivasan.)")


2. The Independent (Helen Brown), February 25, 2021



As the film’s final contributor, Hari Srinivasan, concludes: 'If you have a voice, you can use it to help bring dignity back for the members of the more marginalized autistics.' He says that we need to change the narrative around non-speaking autistics and improve visibility in society – and pop culture – so that more actors who might better fill a role like Music in Sia’s film can come to the fore and be seen, and I agree. It’s only those tired old stereotypes that deserve to be crushed.")

3. Canadian Broadcasting Corporation (Gloria Macarenko), February 18, 2021


(non-transcripted radio clip) 
("One of the big organizations, I believe they are called CommunicationFIRST,  ... and they were completely ignored [by Sia]. ... That type of false promise is so damaging for trust in terms of a disability community or a minority community against a majority voice that is trying to talk over us." "As autistic AAC users like Cal Mongtomery, Damon Kirsebom, and Hari Srinivasan said in the film LISTEN, which was made in response to Sia's film, 'Ask nonspeaking autistics. Listen to nonspeaking autistics.'")






Full text of the article


A Boy Like Me. 
by Hari Srinivasan

One morning in late November 2020, I woke up to find that my rather modest twitter account had somehow gained around 1500 followers overnight. The final exams were upon me and various projects and papers were coming due, so I was not quite “woke” to what was going on outside my academic bubble at UC Berkeley, at least not till the exams were out of the way.

It turned out that I had been mentioned in a conversation by Julia Bascom, the executive director of the Autistic Self Advocacy Network (or ASAN) of which I am also a board member. The conversation had been about a trailer released by the Australian music artist, Sia, for a musical titled “Music,” which featured a nonspeaking autistic character, also named Music. The twitter furor was over the fact that a non-disabled person, specifically a non-autistic, had been cast in that role of a nonspeaking autistic character. And it seems, the movie has received a Golden Globe nomination.

There was all kinds of wrong in the above scenario and for me almost a sense of deja vu. It immediately brought to mind the 2005 documentary, “A Girl Like Me,” by Kiri Davis that we had seen in my Stigma and Prejudice class at UC Berkeley. The point of the documentary was the lack of authentic representation of Black girls in the media, including even their hair and facial features. After all, the media often shapes how we view ourselves and how others around us view and esteem our place in society. When there is lack of representation or improper representation, it directly feeds into the internalization of stigma, where your membership in a group is the very cause of your negative self-esteem, feelings of inferiority and even feelings of self-hatred. In fact, in a 1940 study by Kenneth and Mamie Clark studying self-perception of race, Black girls had identified White dolls as preferred and good, while Black dolls were less preferred and associated with bad. That study went onto becoming part of the testimony used in the 1954 Brown v. Board of Education Supreme Court ruling.

Growing up, I too have wondered on the lines of “A Boy Like Me.” Where was this boy I could look up to and emulate from in books, in movies, and on TV? Someone who had to navigate the world of limited spoken communication skills and perhaps brown too? Did a boy like me even go to college and dare to dream of accomplishing great things? Where was this boy like me? I only saw Stephen Hawking on the one end and then Sheldon Cooper of the Big Bang Theory on the other.

When they did include a nonspeaking autistic character in a movie, it usually traumatized me. The focus was invariably a meltdown by the autistic accompanied by a helpless looking able bodied person that the audience sympathized with and rooted for. The meltdown was the entertainment value which gained brownie points and built character for the long-suffering caretaker.

So the fundamental question remains – do meltdowns, whether it is due to sensory overstimulation or any other reason, define the entirety of the nonspeaking autistic who is still a living, breathing and thinking individual? If such sensationalized scenes are the only images being flashed over and over, in movie after movie, what impression is being cemented about the members of this group to the rest of society? What kind of opportunities can this group hope to have if society deems them incapable or is even fearful of them at the door itself? Will they ever be allowed to be included and visible in mainstream society? What about the potential internalized harm and trauma of this stigma for members of this group?

The fact of the matter is that many nonspeaking autistics can be contributing members of society too, and go onto accomplishing much, for those who desire and are given the right opportunities to do so. Negative and fearful stereotypes result in gatekeeping of both opportunities and acceptance. Besides, the worth of an individual should not be based on their ability to contribute. Some autistics simply can’t due to the nature of their disability and that’s ok. The point being that every human life (abled or degrees of disabled) has value and this is the message that needs to be portrayed in plot lines of movies and TV. One of the things that stood out to me in my Stigma class was how continued and frequent exposure to exemplars of the category would help reduce and replace that automaticity of connection which in turn would reduce prejudice. Which basically means nonspeaking characters in plot lines need to be shown as being creative, being innovative, being involved in the community, going to college, working in new innovative and non-traditional ways, and doing great things; with all of these images presented continually and frequently in order to change mindsets.

I’m one of those nonspeaking autistics or minimally speaking autistics. I can maybe speak a dozen “want phrases” and repeat or read out a few other phrases after much practice but holding down a full length meaningful conversation using “speech” is still a work in progress for me. I would very much like to recite my poetry in my own voice and get to some basic talking conversational skills, so I keep practicing. Having to type every thought can be time consuming and exhausting, devices can be unpredictable, they are not readily accessible the way your tongue is and batteries die. Then there is my body which itself can often feel like a car with a loose steering wheel, I never quite know which way it will decide to go with a brain-body disconnect, oral-motor apraxia, repetitive body movements and sensory dysregulation issues. Meltdowns are part of my existence, and I have struggled with them.

But I’m also a student at UC Berkeley, excelling at academics and I get to do many things including being a student journalist and being part of research labs and advocacy. And get this: I teach a class on autism as a student instructor, which is a societal oxymoron, as teaching and nonspeaking autistics are not thought possible together. Me as a teacher – well, that thought startles me all the time too and seems almost unreal and temporary, an internalized cognitive dissonance, as maybe I am still caught up in my own internalization of stigma built up over the years in the special education system where negative stereotypes are often perpetuated, whether knowingly or unknowingly.

The other, though less annoying, stereotype of the nonspeaking autistic is the large headphones that we all apparently must wear. There is no factoring in of individual differences or situational differences. The message being sent is that you can whisk away sensory differences by plopping noise-cancelling headphones on a nonspeaking autistic’s ears. Problem solved and a pat on the back! Unfortunately, it doesn’t work that way as some sudden sounds can end up being magnified. Let me illustrate with an example. In all earnestness I wore headphones to my first college football game to help dampen out the crowd noise. Then came the cannon shot, fired in celebration right after a touchdown, which ended up magnified in my headphones. I got the fright of my life, my heart was racing so fast I thought I would just keel over and my eardrums would burst as I raced out of the stadium in agitated alarm. As I heard and read later, noise cancelling works by phase cancelling the peaks and valleys of regular repeated sound waves, but are less effective with sudden unexpected peaks, the cannon shot in this case, which I’m guessing sounded even louder in contrast to the other dampened noises.

Coming back to Sia’s movie, while I have not seen the film, the reviews I read are troubling as the film seems to reinforce societal negative stereotypes about autism, agency, disability as a burden, and about “sending the more difficult autistics away” to a facility, at the convenience of the caretaker, where they can be tucked out of sight and out of mind of society and rendered invisible. The film features not one but three entertainment-value meltdowns. BUT OF COURSE (sarcasm intended)! For me, it will be another traumatizing movie featuring plot lines to avoid.

What is also worrying about Sia’s film is the apparent use of restraints, which is very reminiscent of the residential Judge Rotenberg Center where GED devices (for electric skin shocks) were routinely being used as aversives in behavior therapy. In fact, getting congress on board to urge the FDA to finalize its rule on banning these electric shock devices by the JRC was one of the issues my 2019 ASAN cohort (at the Autism Campus Inclusion) lobbied for in Capitol Hill. While the FDA did finally finalize its rule towards banning these specific electric shock devices last year, it does not preclude other forms of punishments, harsh aversives, or restraints by the JRC or any facility. In fact, another legislation my ASAN cohort had lobbied for at Capitol Hill was KASSA (Keeping All Students Safe Act) which would hold schools accountable. With respect to Sia’s movie, ASAN, Alliance Against Seclusion and Restraint and CommunicationFIrst, the only nonprofit organization dedicated to protecting the civil rights of people who do not rely on “speaking” to communicate, issued a joint statement calling the portrayal of restraints as dangerous as such media portrayal by a Golden Globe nominated movie would help normalize the use of restraints against the disabled in the public psyche.

The disability community has long argued for positive and proper representation of disability in the media. Check out the Ford Foundation white paper on authentic and positive representation by legendary disability rights activist, Judy Heumann. Representation was also a much discussed topic in the events organized around the celebrations leading up to the 30th anniversary of the Americans with Disabilities Act last year (here is one review I wrote for the Daily Californian).

The essence of authentic representation is that a disabled character in a movie plot be played by a person who actually has that disability, just as a White person can’t be an authentic representation of a Black person. It is the whole idea and hope for “A Boy Like Me.”

When the trailer for Sia’s musical came out, there was much outrage amongst the disability and autistic community in that an autistic should have been used to play the nonspeaking role. There were even news articles and interviews with some autistics apparently saying they were available and would have easily played that role if only they had been called by Sia.

Let’s pause a little here – we know that autism is such a wide spectrum where the lived experiences of a speaking autistic can be different from that of a non-speaker, each individual with their unique level of support needs in other areas. For instance, using AAC (augmentative alternative communication technology) is by no means as simple as is portrayed in the media with the stereotype of a limited set of icons on an iPad screen that apparently takes care of every possible communication need of a human across every scenario. Our emotional bandwidth itself is reduced to just a few emotion icons much like Facebook. You have to turn the device on, get to the correct app, clear the screen and hope the app does not freeze on you at a critical moment. The reality is that it’s not always available or accessible, or just plain difficult to navigate, so that is a whole set of additional issues to contend with along with other autism issues, topped off by anxiety in having to manage all these in a real time conversation even as the other person is staring impatiently at you for a quick response not realizing that AAC is never going to match the speed or ease of talking. The point being, how does that former autistic become an authentic representation of the latter nonspeaking autistic? How is that “A Boy Like Me?” Aren’t we just being a little ableist here?

I don’t know if there are many nonspeaking autistic actors out there. For instance, I may be a good writer and storyteller but would make for a terrible actor. Other intersectional identities, abilities and interests may mean that not every nonspeaking autistic actor is a match for every role that comes up.

I recognize that there are no easy or quick solutions when it comes to actors as you have to match up many things. But we can try to involve non-speaking autistics in other parts of media representation about them, even if there are not sufficient numbers of nonspeaking autistic actors to make it to the front of the camera at the moment. For example, in animated movies, I would like to see more non-meltdown focused plot lines. The representation must be both authentic and positive. How about turning some of these perceived negatives into positives? Maybe that heightened sensory perception can be used to sense clues and solve crimes in a detective story for instance, whether as a main or supporting character. And as soon as I wrote that sentence, my mind started thinking of many positive plot lines.

The disability rights movement has been about speaking “with” the marginalized group by being their ally, and not “for” them by removing agency. What I would like to see from my speaking autistic allies is outrage against such plot lines and stereotyping and helping build better technology that can make communication itself more accessible.

But at a more fundamental level, I would like to see much more outrage by my speaking autistic allies at the invisibility of nonspeakers in mainstream society. I believe this invisibility starts with the use of functioning labels. By labels I refer to the very stigmatizing and dehumanizing functioning label of low functioning. Being branded low sets you up for low educational expectations, low societal expectations and gatekeeping from the get go, it sets you up for lifelong failure. No one willingly labels themselves as low, it is others doing so.

“Low” becomes a self-fulfilling prophecy as shown in the Rosenthal & Jacobson study way back in 1968 – someone’s expectation about a person or group leads to the fulfillment of those expectations. When teachers were told a certain group of (randomly selected) students would do better, they did end up doing better; the better performance was attributed to the teacher’s behavior. By extension, if a teacher is given a child with the “low” prefix, unconscious bias will translate to lower expectations for the rest of that individual’s life.

In addition, terms like “low” will cause an almost priming effect as shown by Higgins, Rhône’s, & Jones (1977). In that study, one group of participants were exposed to, or primed with, negative words like, “reckless and stubborn,” while the other group was primed with positive words like, “adventurous and persistent.” They were then asked their interpretation of a person after reading a rather ambiguous description of him. The positively primed group had a positive image and vice versa. Similarly, in the 1966 Bargh, Chen & Burrows study, when participants were primed with “elderly words” they walked slower after leaving the experiment.

The point: labels influence outcomes!

Remember “high” is a problem too as it is a relative term, its presence implies some sort of superiority and its absence indicates its opposite, which is “low.” So we must get rid of both labels. We need to be autistics together, neurodivergent together, disabled together, humans together.

Clinicians, educators, scholars and therapists still routinely use these functioning labels. If you have a voice, you can use it to help bring dignity back for the members of the more marginalized autistics. Use the power of social media to spread the message. Interrupt the usage of the functioning labels when you hear it and encourage the alternative terminology of “support needs.” And let’s change the plot lines and the narratives around nonspeaking autistics so more and more are allowed to be visible in society and avail of opportunities in all kinds of areas. Then we will truly see more and more nonspeaking autistic actors who will be able to provide us with more positive and authentic representations.

We need to open opportunities for all of us to be included and belong in society. Langston Hughes had said, “I, too, am America;” to which I will add, “I, too, am human!”












Autism DeCal Fall2020

Class 5: 10/5/2020

Today we covered common therapies used in Autism. 

Our Guest speaker was Dr Lawrence Fung who heads the Stanford Neurodiversity Project



Class 4: 9/28/2020

Today we covered common therapies used in Autism. 

Our Guest speaker was Noor Pervez from ASAN to speak on intersectionality. 



Class 3: 9/21/2020

Today we wrapped up our "Law Enforcement" Topic and covered "Autism in the Context of the Disability Rights Movement."

Our guest speaker was Prof Steve Hinshaw with another powerful talk on Stigma.


Class 2: 9/14/2020


In today's Mini Lecture portion, we focused on Autism interaction with Law Enforcement

To prep students, we asked the question

We will be wrapping up this topic in the next class as we got ready for the Student Presentations and the Guest Speaker. 

We had our first Guest Speaker on - Dr Clarissa Kripke on Sensorimotor Issues in Autism. Some tech difficulties as our speaker was not able to access our Zoom. So switched to Google Hangouts!! 


Survey Q: What interests you about this class

  • A friend of mine works with kids with autism and I would like to educate myself more on this topic so that I can be more well versed in this subject area when i talk to them. I would like to learn about pretty much anything y'all find most important, I'm just a dude trying to learn as much as possible.
  • It is interesting to learn about the spectrum of autism and how individuals cope with certain levels of the spectrum.
  • I am interested in learning more about adults with autism and the kind of support needed and barriers experienced later on in life. I also know a little about who women and girls are less likely to be diagnosed with autism until later on in life due to the way ASD is gendered, but I am curious to learn more about that.
  • I hope to build my awareness and knowledge of autism so that I can better understand and be an ally to those around me. I feel that autism is often stigmatized as a disability, and I want to learn more about how we can combat this thinking. I want to learn what symptoms and behaviors are associated with autism.
  • - I am interested on how I can be more cognizant of those on the spectrum. Additionally, as an intended disability studies minor, I want to learn more about personal stories by listening to guest speakers etc.
  • I am very interested in taking this course because of my interest in better understanding disabilities on many levels. I am aiming to pursue a career in disability research but believe heavily in the importance of understanding disabilities on a personal / social level before having the right to study them on a molecular / neurological level.
  • As being on the spectrum, I want to learn more about the condition and maybe provide some insight into the daily life of an autistic person.
  • I want to learn more about the autism spectrum, and what it looks like to proactively involved.
  • more information about life with autism and advantages or disadvantages
  • As a Psychology major, I find that I haven't actually learned much about autism in my classes, although I've learned about mood disorders, intellectual disabilities, and learning disorders. So, I'd like to learn more about the realities of autism and treatment options available.
  • I would like to get a more holistic view about autism from different disciplines as well as hear from the guest speakers!
  • why they have tendency too hyperfixate. how to navigate social situations with them.
  • I've seen autism depicted in media, and am curious to see if their depictions are accurate, and i just want to understand and be able to empathize more with people who do have autism.
  • I've always wanted to take a class focused on Autism, and I came to know of this class through Obama's Instagram ;) I would like to learn more about Autism through the perspective of someone with Autism. I also would like to learn more about the biological basis behind autism. Overall, I am most excited to meet more people and hear everyone's various experiences.
  • Just want to gain some general understanding about Autism to be able to broaden my sensitivity to and understanding of the needs of neurodiverse people :)
  • I'd like to hear about what it's like to be autistic from someone who has autism and how to be a helpful ally.
  • I am pursuing the disability studies minor and would like to educate myself more around the topic of disability. I think this will be a great way to know more about autism as we are taught very little about it in school.
  • I would like to meet other people on the spectrum, hear there stories / experience and have a safe place to share my own.
  • I'm interested in this course because I've learned a couple of things about the autism spectrum from my child development and psychology classes, but not a significant amount, and I guess I've just realized recently that I'm relatively ignorant on the subject. I'd like to change that. I don't have anything specific in mind to learn more about but I'm very excited to learn more!
  • I would love to learn more about autism alongside disability justice. I took a city planning for disability course a while back and it was very valuable and I learned a lot!
  • I would like to educate myself about people with autism. I took a course with professor Hinshaw and it was really interesting and I would like to learn more about Autism.
  • I joined this class because I have a family member who was recently diagnosed and I wanted to learn as much as I could about Autism Spectrum Disorder so that I could support that family member. I'm interested in learning about family dynamics and learn more about the current research on ASD.
  • I would like to better understand autism and learn how I can positively impact the community.
  • I have a twin brother who was diagnosed with ASD in the 5th grade. From this course I want to learn more about ASD in hopes to better understand my brother. My brother is considered "high functioning", so I'm really curious how doctors diagnose someone with Autism and how they decide if they're low/high functioning. My brother has also struggled with IEP accommodations growing up, so I would like to know how disability programs work at public schools and how schools decide if a student qualifies for IEP/DSP accommodations.
  • I study neurodevelopment with relevance to ASD. I would like to learn more about ASD from perspectives beyond my research area, particularly disability rights/advocacy and intersectionality. I am hoping to have a better understanding of how I as a researcher can interact with the autism community in a positive way that doesn’t cause harm. I’m hoping this class will give me the space to think about ways to center the interests and needs of folks with autism in my research and beyond.
  • Really excited for this class
  • It’s felt like talking about autism was taboo, but I really want to understand what the experience is and how to support folks who may have autism.
  • Excited about the reading list you put together. 

Class 1: 9/31/2020

A little weird doing this all remote but we adapt for the times. Also have a grad student auditing the class which is kind of cool. 


Registration for the DeCal

 Registration for the 1-unit, seminar-style, 1:54 Autism Spectrum Disorders Decal is now open. Class has filled up very fast in past semesters.

https://classes.berkeley.edu/content/2020-fall-psych-198-006-grp-006

Course #23457 Enroll through CalCentral
Timings: Monday 5-7pm.
Class Starts: Aug 31, 2020
Class limit: 40
Contact: SpectrumDeCal@gmail.com

The Autism DeCal got featured on President Barack Obama's Instagram in July on 30th anniversary of the Americans with Disabilities Act


About the Decal: In this DeCal, not only will you learn about possible neurobiological roots of ASD, you will also discover its research beginnings, possible intervention therapies, family dynamics, law, the role of technology, media portrayals, child and adult life, stigma, public outreach, and public awareness.

The primary goal of this course is to stimulate and encourage a deeper understanding about individuals who meet the DSM-5 criteria for ASD and their families.

Instructors: Hari Srinivasan, Eli Oh, Helen Lee, Kate Bierly