Instructor Feedback: you wrote an excellent essay! Your essay was engaging to read and provided compelling insight into synesthesia and autism. You succeeded to find intriguing papers at each level of understanding and used those references effectively. The concise way of writing reveals a true talent to distill the key messages from complex papers from (very) diverse fields and to use them for your argument. This was overall very impressive to see! you wrote an excellent essay ! Overall, we grade your essay with an A+ Keep up this good work.
Synesthesia and Autism
Instructor Feedback: you wrote an excellent essay! Your essay was engaging to read and provided compelling insight into synesthesia and autism. You succeeded to find intriguing papers at each level of understanding and used those references effectively. The concise way of writing reveals a true talent to distill the key messages from complex papers from (very) diverse fields and to use them for your argument. This was overall very impressive to see! you wrote an excellent essay ! Overall, we grade your essay with an A+ Keep up this good work.
Happy Platinum Birthday Judy
(and an early 101th birthday greeting as well)
Short video of my greeting.
A Simple Guide to the ICD and Autism: Understanding ICD-11
Lexicon [Measures] - DSM & ICD
PlainSpeak. In Plain Language for the Lay Audience
While the USA uses the DSM, most of the world uses another tool called the ICD. The ICD, or International Classification of Diseases, is a guide created by the World Health Organization (WHO) to help doctors all over the world diagnose and understand diseases and health conditions.
The Early Years: ICD-6 to ICD-9
- ICD-6 (1948): The sixth edition of the ICD was the first to include mental disorders, but it didn’t mention autism. Autism wasn’t recognized as its own condition back then.
- ICD-7 (1955) and ICD-8 (1965): These editions added more mental disorders but still didn’t have specific criteria for autism. Autism was often mixed up with other psychiatric conditions.
- ICD-9 (1979): This edition started to recognize autism under a broader category called "Pervasive Developmental Disorders" (PDD), showing that people were beginning to understand autism better.
Defining Autism: ICD-10
- ICD-10 (1992): This edition made a big change by giving more detailed classifications for autism. Autism was listed under "Pervasive Developmental Disorders" (F84). It included:
- Childhood Autism: Kids with problems in social interaction, communication, and repetitive behaviors.
- Atypical Autism: Similar to childhood autism but with unusual age of onset or different symptoms.
- Asperger's Syndrome: Problems in social interaction and repetitive behaviors, but no significant delays in language or thinking.
- Other PDDs: Including Rett's Syndrome and Childhood Disintegrative Disorder.
The Modern Era: ICD-11
- ICD-11 (2018): The latest edition made important changes to how autism is diagnosed, similar to the DSM-5 used in the USA. Key updates include:
- Autism Spectrum Disorder (6A02): The ICD-11 combined all previous types of autism into one category: Autism Spectrum Disorder (ASD). This shows that autism is a spectrum with different levels of severity and symptoms.
- Two Core Domains:
- Deficits in Social Communication and Social Interaction: Ongoing difficulties in social communication and interaction.
- Restricted, Repetitive Patterns of Behavior, Interests, or Activities: Repetitive movements, strict routines, very focused interests, and unusual responses to sensory experiences.
- Severity Specifiers: These help to indicate how severe the condition is and how much support a person might need in daily life.
- Associated Features: This allows for noting extra features like intellectual development disorders and language impairments to give a fuller picture of each person’s unique situation.
Impact of ICD-11 on Autism Diagnosis
The changes in ICD-11 help make autism diagnoses more accurate and consistent worldwide. By recognizing autism as a spectrum disorder, the ICD-11 understands that people with autism can have a wide range of symptoms and levels of severity. This approach supports more personalized and appropriate treatments, tailored to what each individual needs.
As our knowledge about autism grows, the ICD will keep evolving to make sure people with autism get the right diagnosis and support. This evolution helps ensure that everyone with autism can live a fulfilling life.
Executive Dysfunction 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 autists have challenges in executive functions, which are cognitive processes that regulate, control, and manage other cognitive processes. These include planning, working memory, attention, problem-solving, and cognitive flexibility.
- Implications: Difficulty in adapting to new situations, problems with organizing tasks, and a tendency to engage in repetitive behaviors and routines.
Media Mention
"In the book, I talk about this where I said that I'm more of a fan of the term high support needs and low support needs, because I tend to think that functioning labels really flatten the experience. Because if you call someone low functioning, what it does is it gives a lot of incentive to almost patronize them or to say they're not going to amount to much, so we don't need to invest that much in them. Whereas I think that if you call people high functioning, it almost kind of erases the very legitimate needs that they have. That binary doesn't do anybody good, I don't think. A perfect example that I used when I was writing this book is that I profile a woman by the name of Aria. That's a pseudonym.
She's married, she has kids, all that, but she had trouble graduating college and she had trouble finding work. Whereas there's this young man I profiled, his name is Hari Srinivasan. He is non-speaking. He just graduated from Berkeley a few months ago. He's now started graduate school at Vanderbilt University. At that point, when you think about those things, you have to ask yourself, "Okay, by those standards, who's the high functioning and who's the low functioning one?" You realize that that binary just is... It doesn't work."
In a Different Key
The webinar is up at https://www.youtube.com/watch?v=039eGaw2Q1w
A very relevant question in the face of a society that is underprepared to meet the needs of the ever increasing number of autistic adults of today who will go onto becoming the aging autistic seniors of tomorrow.
This is one of my responses in the webinar.
About the movie I want to start with a comment. What I absolutely love about this movie was the utter genuineness of autism. And highlighting how others treat autistics is both DARKNESS and HOPE but there is a chance to BELONG.
To give you a perspective on what autism can look like, A little more about myself, On the disability front, I do have significant challenges that present multiple obstacles to my everyday living. Having limited communication skills is just the tip of the iceberg of these issues and I do need constant care for most aspects of daily living. On the other hand, I like to think I also have strengths which have carried me here all the way to graduate school where I hope to do meaningful research that contributes to knowledge and solutions in the autism space.
I happen to straddle aspects of two often seeming disparate worlds. So I will go to the HEART OF THE DEBATE.
It troubles me that there is such a divide between both worlds, when I think ultimately both worlds often have the same long term objective. I often feel we are wasting time and resources arguing with each other instead of getting real work done.
I don't think it's an either-or situation. That it has to be this model or it has to be that model, with no room for negotiation in between. That it is a pure Medical Model which says the solution lies in medicine alone or a pure Social Model which says society has to accept and accommodate us and nothing more needs to be done.
I agree that all of us need and yearn for that ULTIMATE GOAL OF BELONGING, like what we saw Donald Triplett was living and experiencing with his community in the movie. That is what the Social Model is. That is indeed the ultimate dream.
But do you think that same community would be as accepting and inclusive of an autistic adult who had constant meltdowns, who was displaying self-injurious behaviors, who had significant social anxiety and a range of health issues to boot. Guess who is left holding the baby, so to speak. It comes down again and again to the family to cope and manage the best they can in terms of finances, resources and time. No wonder those families ask, what after us.
Believe me, life is far from a happy optimistic picture for not just the families but for these autistics too. Even providers don’t want to work with us, let alone society. I have peers stuck at home because no adult day program will take them due to behaviors. Group housing does not want the adults with behaviors. So where do they go? I have peers who can have a dozen seizures a day. I have peers who have to be on the toilet all night due to gut problems. Sleep for just 2 hours a day means both the autistic and family are sleep-deprived. And this stuff does not magic away in adulthood. Providers just get harder to find as you age, as everyone wants an easy case. I’ve had providers quit on me after just 2 days. The happy life of Donald Triplett will slip further and further away.
I want and yearn for belonging but I’m also beginning to realize that perhaps there are some missing steps, almost like accommodations to how to help adults and kids with more significant challenges. Maybe those solutions lie in understanding physiology and in underlying health and medical issues.
Unfortunately any movement towards those solutions is deemed as the evil medical model and therefore taboo, which is very frustrating. We are conflating health issues with cure. We are getting sidetracked honestly with this debate. I don’t think anyone deserves to be engaged in self injurious behaviors and be experiencing extreme mood swings which make inclusion almost a non starter. No one deserves to wake up in intense gut pain like me in my younger days and have it be thought of as something that can only be addressed with behavior therapy. And when behavior therapy does not work, because you are looking at the wrong thing, you are pushed into an even worse special education classroom as then you are deemed in capable of improvement and inclusion. Any dream of belonging goes up in smoke.
If your body internally feels better, and you have less health issues it will reflect in outward happiness and a better quality of life. What’s wrong with finding solutions? What’s wrong with looking for solutions on multiple fronts. We can all agree our environment has gotten more toxic and it is causing more and more significant health issues world-wide. Maybe some of our solutions are somewhere in that arena. Just medicating us with psychotropics can’t be the only solution, which also have their own long term health effects. Proactively taking care of your health and well being is not pathologising. We have to research solutions, so that guys like me and others with more significant issues can also dream of moving about in society with ease, and have a chance at opportunities and belonging like Donald Triplett.
At the same time I am so incredibly amazed by the strengths and possibilities I see in the autistics who are able to get out there in society and be able to avail of opportunities. There is so much unlocked TALENT and potential which can bring about significant changes in the world. It is very critical for autism to also be looked at from a STRENGTHS-BASED perspective for that acceptance, inclusion and belonging piece.
In fact, I would like to see this TALENT HARNESSED IN FINDING SOLUTIONS for the ones with more significant issues, so they too have the opportunity of inclusion and belonging. Solutions lie in many fronts, from medical research to policy to societal attitudes to caregiving issues to inclusion. We also help solve the unemployment problem this way by making everyone across the spectrum, especially those who have the desire to work, become part of the solution for all. So it can be a win win for all.
I also want to point out to a Sins Invalid principle of Disability Justice which says when you address the needs of the most marginalized, you address the needs of all. In fact I would point out that I admire that Donald Triplett is a healthy active senior but I doubt if many of us will be as healthy. Current research seems to point to a lot of health issues we are going to have as aging seniors. If you get a chance read Alice Wong's piece on caregiving for her recent health crisis. Isn’t it better to find solutions on both health issues and caregiving now when we are able to do something about it rather than when we are all tottering senior citizens. So I want every autistic and family member and ally to think about how they can be part of the solution.
So it's almost like we have different degrees of needs and some of us have legs in many issues so we need solutions on many fronts. Why then are we having factions and fighting?
=================
The mother – co-director Caren Zucker – undertakes a journey seeking answers to the unknowable: will the non-autistic majority embrace and protect her child when she is no longer here?
Our Guy Donald
Autism Diagnosis in Minority Communities
Proof of not learning
It's really amazing how many things are considered proof of not learning.
Last Day of Class
LASR - Laboratory of Affective Sensory Research
Next Sem I will be rotating at Prof Carissa Cascio's LASR Lab (Lab for Sensory Affective Research) https://www.casciolab.com/
Belonging v Inclusion
https://youtu.be/saQu9tv8MVU
The message on the importance of BELONGING is still very relevant.
The Adult School by Sense Theatre
The play is about a bunch of demotivated students (featuring both autistic and NT actors) who make sense of "growing up" when they cross paths with an inspiring teacher.
I'm in Dr Corbett's Sense Lab this semester and she asked me to take part. So I added lines for character I called "Harry" (but of course!!) into the play, in 3 of the scenes - to be spoken out. Speaking is still a work in progress and my voice is still too low to carry across a theatre. So Rachael Mustatello acted as my echo, and repeated what I say in a louder voice.
Collaboration-Cooperation
My hero, Judy Heumann turns 75 on Dec 18th. Happy Birthday Judy!!
Back in 2019 I had the opportunity to interview the legendary disability civil rights activist, Judy Heumann, for UC Berkeley's "The Daily Californian".
What an amazing conversation it was too. I prepared for the interview by reading up everything on her online, including the 466 pages of oral interviews archives of the Disability Rights Movement in UC Berkeley's Bancroft Library.
Of course with any newspaper article, there is a word limit, so any writeup goes through multiple rounds of edits and reorganization of material and focusing on just a few things, so a lot of the conversation ends up getting left out. But Judy had so much advise for us disabled folks. So here is my longer early uncut/unedited draft of our conversation (with a lot of her original quotes) so we can continue to learn from her.
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Collaboration-Cooperation: A conversation with Judy Heumann
It was therefore a privilege to interview UC Berkeley alumna Judy Heumann, a lifelong civil rights advocate for people with disabilities and a leader in the DRM. It was a pleasure discussing these issues with her as it not only improved my own knowledge but also make me think and kept me on my toes, as she would at times turn the questions back on me, and ask me for my thoughts.
Any introduction to Huemann cannot do justice to her accomplishments. An incomplete list follows. Heumann became a wheelchair user due to childhood polio, and has challenged the system at every turn from a young age. She had been denied access to her school as she was considered a fire hazard. She sued and won the right to a teaching license from the New York Board of Education. She was involved in the United Nations Convention of the Rights of People with Disabilities and in the passing of important disability legislations in the US like IDEA, Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act. She has worked in key roles for the Clinton and Obama administrations, the World Bank and is a senior fellow at the Ford Foundation.
We started the conversation on when disability rights “solidified” into an actual movement. According to Heumann, the movement had started in the late 1940s itself but just became more prominent after World War II. But in terms of impact, given the CDC numbers of 56 million people with disabilities and 1 billion worldwide, Heumann feels the movement has far from solidified, is still emerging and very much in a developmental period.
We then discussed what had changed between the DRM in its earlier days and now. She pointed out though the DRM had been around for fifty to sixty years, initially cross-disability groups worked separately. She attributed one of the big changes to the “recognition we needed to be able to come together [cross-disability] on important pieces of legislation started in the late sixties, seventies and resulted in many things including our ability to get the ADA passed,” It was the realization that they were not going to get the support of elected bodies like state legislature and the congress unless they came together. A larger group also meant more sophistication and the ability to have a wider agenda like the “inclusion of disability related issues outside of the disability community,” said Heumann.
“Recognition we needed to be able to come together [cross-disability] on important pieces of legislation ... resulted in many things including our ability to get the ADA passed."
She also drew attention to my being able to work for the Daily Californian as an excellent example of laws like IDEA and ADA at work. She pointed out that before 1975 at least 1 million disabled children were not allowed in schools. “A very important part of what is slowly happening in the US is students, including students with more significant disabilities are going to school and like you have gotten into Berkeley, a highly prestigious school and I presume you are getting accommodations at school and you are obviously feeling more a part of the school because you are going out for things like writing for the newspaper. So I think that’s slowly what’s changing,” said Heumann.
“A very important part of what is slowly happening in the US is students, including students with more significant disabilities are going to school and like you have gotten into Berkeley, a highly prestigious school ... you are obviously feeling more a part of the school because you are going out for things like writing for the newspaper.”
The conversation then turned to the current pressing issues in the DRM. Heumann could not overstress discrimination, which can come through lack of awareness, the ramification being “denying us opportunities.” One barrier is that many who are disabled are not identifying as disabled, so part of the challenge was to help people become stronger and see that discrimination was wrong regardless of who it was impacting in the disabled community.
“I think when we feel we are being discriminated against, we need to talk about it as such,”
"Employers need to look at disability like they are looking at other diversity communities"
There is currently a huge disincentive for people with more significant disabilities on Medi-Cal and Social Security benefits from being productively employed.
From the viewpoint of an outsider, Heumann felt a critical issue in the autism arena is to help ensure that people with communication disabilities (whether it is autism or other disability like deafness) get mechanisms and technology in a timely manner with the presumption of competence. “Whatever the cause of the different types of communication, we need to be working with children really really early on and trying different mechanisms that can work,” said Heumann. She pointed to the new non-profit Communication First, of which she is a director, working to advance the civil rights for people with communication disabilities.
“Whatever the cause of the different types of communication, we need to be working with children really really early on and trying different mechanisms that can work,”
Heumann also thought the message being given to families of children with autism at the time of a child’s diagnosis depends on “people’s perceptions of what we are or are not able to do.” So she encourages families to interact more with organizations like ASAN and spend more time with adult autistics so that families have a better understanding of the richness of the community. Autistics need to spend time with other autistics and have available a variety of mentorship programs (ASAN program being an example), but on a regular basis, to get a positive understanding of what is possible.
Heumann laughingly credited her Brooklyn origins to her personal qualities quoting the saying, ”New York City - if you can make it here, you can make it anywhere.” On a more serious note she pointed to fortitude as a personal strength as, “at some point I really had to make a decision as to whether or not I was going to allow discrimination to adversely affect me without fighting for change.“ She added that networking is also important to her as she likes to work with other people and stressed that for networking “it’s important to also have friends from diverse communities.”
“At some point I really had to make a decision as to whether or not I was going to allow discrimination to adversely affect me without fighting for change.“
Change itself may take time, but in the meantime we cannot accept no... We need to be fighting for an end to discrimination for all people and for collaboration- cooperation.”
The conversation then turned closer to home, to her time in Berkeley and the Bay Area. Heumann had needed to do a masters after suing the New York Board of Education for a teaching license and had been accepted into Columbia. Heumann stated that she may not have joined UC Berkeley if Ed Roberts had not reached out initially and sparked her interest. They had not known each other before then. Roberts had been calling to identify emerging leaders and asked if she would be interested in two campus departments - Public Health and City & Regional Planning - that were then recruiting students with disabilities. With the help of the late Prof. Henrick Blum, who later became her faculty advisor, she joined the School of Public Health in 1975.
In the Bancroft Library’s Disability Rights and Independent Movement Oral History Project archives, containing 466 pages of interviews with Heumann- she had stated that “For some reason, in graduate school I didn't feel the same kind of fear around tests.” As a Berkeley student I just had to ask if that was due to being in 'Berkeley.' Heumann laughingly agreed that part of it had to do with being in Berkeley because “it was really very exciting to be able to be around so many disabled people that were fighting for the same thing, you know fighting to strengthen our movement and to remove barriers and it was also easier to socialize because you know Berkeley is much smaller so one could get around this city much easier.” She added that academically, graduate school was also more essays, class participation, discussions and smaller classes focused more narrowly on a field of study which made it easier.
Heumann then spoke of her years in Berkeley with the CIL and the WID. Highlights for her was how they were learning to work together with other political organizations and different groups all fighting for equality. She stressed that they were doing work cross-age (from children through seniors), cross-race and cross-disability with organizations like the Asian Health Clinics to what used to be called the Over-Sixties Clinic (Collaboration-Cooperation). She also liked how the CIL was growing with a staff reaching 200 at one point.
This was also the time when they were “learning how to network effectively, establishing goals and timelines about when we want certain things to happen and living up to them,” said Heumann, which proved useful at the time of the 504 sit-ins. Heumann pointed out that much of what she had been saying during the course of this interview was an important part of what happened with 504.
The Rehabilitation Act had been passed in 1973 itself, with Section 504 of the law finally giving voice to the issue of discrimination by stating that any program that received federal funds could not discriminate against anyone with disabilities. Section 504 is widely regarded as the first disability civil rights law in the United States. However. Secretary Joseph Califano was not signing off on the 504 regulations. A law without regulations to enforce its implementation essentially has no teeth. Heumann pointed to the cross-disability organization American Coalition of Citizens with Disabilities (ACCD), of which she was a member, leading the effort to get the regulations out of the Department of Health, Education and Welfare (HEW). The disability community had been growing increasingly unhappy with the stalling. ACCD finally issued a deadline ultimatum and followed through with demonstrations and sit-ins at eight HEW regional headquarters all over the country. The 28 day long San Francisco federal building sit-in at by 150 people with disabilities was crucial in swinging the momentum towards signing of the regulations by Califano.
Heumann felt a reason the Bay Area 504 sit-in was so successful was because the CILs played an important role and California had way more CILs before any other state. By 1976, California had eight CILs versus one in Michigan and one in Massachusetts. As a result, “we were able to organize, we were able to work with labor unions we had good relationships with the media and I think all those things resulted in our ability to be successful with the 504 regulations,“ said Heumann.
She would like to remind disabled students and their allies to go online and look at the Power of 504, a video produced by the Defense Rights Education and Defense Fund (DREDF), Drunk History and her Ted Talk to learn more about 504. For Heumann, the 504 demonstrations underscore the importance of collaboration as they were supported not just by the disability community but by other groups like unions, church groups, farm workers, etc. The 504 regulations helped set the stage for the passage of the Americans with Disabilities Act.
I also asked Heumann what advice she would give for the younger generation?
Heumann started off by telling students that working inter-generationally and cross-disability, “will strengthen our engagement [as] we have different levels of knowledge and expertise.” Its the power of collaboration-cooperation. She also pointed out that a major weakness of the disability movement is that it is not documented enough. Knowing “where we’ve been and where we are [helps us with] where we want to go.” So she advises students to know your history, for knowledge made you better equipped to play a meaningful role. Then, when you come across an opportunity or barrier that affects the community, you will know if its a tech issue or something else. The “where we want to go” part is also an important part of the intergenerational and cross-disability discussion.
Knowing “where we’ve been and where we are [helps us with] where we want to go.”
“I know a disability cultural center is going to be happening” on campus, stated Heumann [note: UC Berkeley did get a Disability Cultural Center in 2021]. She added that disabled students should not just limit themselves to disability organizations but also consider joining or working with other cultural centers so that you can learn from each other. “Do not be fearful of speaking up and looking at creating change” said Heumann.
For students in other countries, Heumann advised looking up the growing number of disability organizations in those countries and seeing if you want to work with them. She also added that students should get involved in issues that the previous generation did not have to contend with like the impact of the environment and climate change.
“Use social media more, reach out, speak to more groups and continue to work collaboratively and invite people in to speak so that we can be learning and talking together” said Heumann.
“Use social media more, reach out, speak to more groups and continue to work collaboratively and invite people in to speak so that we can be learning and talking together”
@harisri108 #Redefine_the_Table #autism #belonging
IDPWD2022
https://www.whitehouse.gov/briefing-room/presidential-actions/2022/12/02/a-proclamation-on-international-day-of-persons-with-disabilities-2022/?fbclid=IwAR3G2-9PLVhipjV6QYXDfW0c2o9Hetnvt5u6AqB9xbkDMT1tZuxh0PMxGnk
"Here in the United States, people with disabilities are three times less likely to be employed, and those who are employed often earn less than their peers for doing the same work. Public spaces, including transit systems and voting locations, are still often inaccessible. And across the globe, disabled people routinely face violence, harassment, exploitation, abuse, and other barriers to their full participation in society.
... Let us increase access to health care, expand educational and job opportunities that offer dignity and respect, and break down stigmas that make it difficult for people to see each other’s shared humanity."
@harisri108 #Redefine_the_Table #autism #belonging