Kindness is not a weakness its a superpower

Creativity is the ultimate form of self expression

 

Towards a more Humane Society. Contemplation one line a day. #MentalHealth.

CATI - Comprehensive Autism Trait Inventory

 

• The Comprehensive Autism Trait Inventory (CATI) is a new measure of autistic traits that reflects our current understanding of autism and includes subscales for social camouflage and sensory sensitivity.
• The 42 items are divided into 6 subscales of "Social Interactions,” “Communication,” "Social Camouflage,” "Cognitive Rigidity,” "Repetitive Behaviours,” and "Sensory Sensitivity” (each with 7 items).
• It is free to use. 

[Related Posts on CATI]

Psychometrics

• (English et al., 2021) is a first validation paper that has included 3 separate studies.
• The CATI showed convergent validity and superior internal reliability compared to existing measures like the AQ and BAPQ
• The CATI provides a comprehensive assessment of trait dimensions associated with autism, potentially eliminating the need for multiple measures, and has the potential to improve research on autistic traits in the general population.

The English et al (2021) article discusses the need for a new measure of autistic traits that reflects our current understanding of autism. The article describes the development and validation of the CATI, comparing it to existing measures such as the Autism-Spectrum Quotient (AQ) and the Broad Autism Phenotype Questionnaire (BAPQ). The CATI demonstrates convergent validity, superior internal reliability, and greater predictive ability for classifying autism compared to the other measures. It is also the first measure to have dedicated subscales for social camouflage and sensory sensitivity. The authors conclude that the CATI provides a reliable and comprehensive assessment of autistic traits, addressing the limitations of existing measures

• (Meng & Xuan, 2023) - A Mandarin Chinese translation of CATI that was recently validated (although only 35 of the 42 items made it into that version, likely due to issues with the model fit of the translated measure). The Chinese group also derived a 24-item short form of the Chinese CATI which appears to have good psychometrics as well. 

References
English, M.C.W., Gignac, G.E., Visser, T.A.W. et al. The Comprehensive Autistic Trait Inventory (CATI): development and validation of a new measure of autistic traits in the general population. Molecular Autism 12, 37 (2021). https://doi.org/10.1186/s13229-021-00445-7

Meng F, Xuan B. Psychometric Properties of the Chinese Version of the Comprehensive Autistic Trait Inventory. Psychol Res Behav Manag. 2023 Jun 15;16:2213-2223. doi: 10.2147/PRBM.S411599. PMID: 37342828; PMCID: PMC10278863.

Joy is the music that fills our soul and lifts us up

 

Contemplation, one line a Day. 

 

Creativity is the key to unlocking the doors of the unknown

Towards a more Humane Society. Contemplation one line a day. #MentalHealth.

 

ASSERT ECHO @Vandy

I have been a participant in the Assert (All Stakeholders Engage in Research Together) project this semester, run by Prof Beth Malow's Sleep Lab.  https://www.vumc.org/sleep-in-autism/assert-resources

Its been a good experience, listening to everyone's perspective and being able to contribute, though I could not make last few sessions as it clashed with the new meetings at my new lab rotation.

The disability rights mantra has long centered around Nothing about us without us. And I am glad that to see this idea trickling down with respect to research which will (hopefully) lead us to solutions. And this effort is at happening at many places now - at universities and research centers. 

If you are an autistic, please do consider getting involved by emailing assert@vumc.org. It is important that our voices are heard. 

Nothing about us, without us.

The phrase "Nothing about us without us" (NAUWU) gained prominence in the 1980s as disability rights movement began to gain momentum and assert the rights of disabled individuals. It resonated with the broader social justice movements that advocated for marginalized communities to have control over their own destinies and be actively involved in decision-making processes.

NAUWU represents a powerful demand for inclusivity, equal participation, and the recognition of disabled individuals as the experts of their own lives. It encapsulates the ongoing struggle for disability rights and the importance of centering the voices and experiences of disabled people in all matters that concern them.

NAUWU  is grounded in the principle of self-advocacy and the belief that the disabled should have a voice and agency in shaping policies, laws, and programs that directly impact them. It emphasizes the importance of including the perspectives and experiences of disabled individuals in all aspects of disability-related discussions, rather than making decisions on their behalf without their input or representation.

Origins of the phrase NAUWU: 

My friend and fellow autistic Rebecca Eli-Long states "I've been told that it entered US disability rights spaces via South African activists. At least that's what's reported in James Charlton's book, Nothing About Us Without US"

While it is challenging to attribute the phrase to a specific individual, it has been embraced and popularized by disability rights activists, organizations, and scholars worldwide. 

The slogan has become a rallying cry for disability rights advocates, reinforcing the core principle of empowerment, self-determination, and the right to be heard and respected.

One notable event associated with the early use of the phrase is the International Year of Disabled Persons, which was proclaimed by the United Nations in 1981. This declaration helped to bring global attention to disability rights and led to increased advocacy efforts by disabled individuals and organizations.

Context of Autism Research 

Recent years have seen some movement in discussion groups led by university and private research labs to hear inputs from all stakeholders, which includes autistics, family members, professionals (therapists, medical professionals, caretakers etc), with a long term view that such participatory research will lead to meaningful research and meaningful solutions. 

The good part is that finally there is some acknowledgement of the principle of NAUWU. 

Good beginning, but only the beginning. Let's not celebrate just yet. There are still miles to go. 

Why? Because the idea of "Nothing About Us Without Us" is 40 years old (in the 1980s) and it has taken all the way till the 2020's to see movement towards even acknowledging our voices.

Is it going to take another 40 years to see the next step of our voices translating into research and actual translatable solutions on the ground (instead of sitting as academic theory).

And will those solutions address everyone's needs or continue to focus on a narrow band of autistics, which means the rest of us continue to slip through those cracks and get left behind. 

What is the timeline? Is it even going to happen in my life time? 

 

Honestly in the the 2.5 decades I've been around, I have not seen much in terms of translatable autism solutions. We are still being peddled therapies and theories that work for a narrow band, but applied to all.

After all, there is a  ton of profits, fame and power for select groups in the autism space, so there is competition to becoming the loudest voice and the sole authoritative voice in the autism space, even if it means demeaning others. 

The irony being no one is an autism expert, as no one knows still enough about autism to be an expert. 

There is the occasional token nod to NAUWU to brush that argument out of the way. 

The result is not just the lack of solutions but continued exclusion and a poor quality of life and access to opportunities for the remaining autistics. To the add to the confusion, the autism community seems to be divided into  polarized camps and folks like me who desperately need translatable solutions are not getting them. 

Finding the actual cause

 https://www.washingtonpost.com/wellness/2023/06/01/schizophrenia-autoimmune-lupus-psychiatry/

YES. I believe there are parallels for autism. There is probably some other physiological stuff going on that is causing all the SIB, meltdown and even struggles with talking ability which fluctuate on a day to day basis - all stuff which what makes or breaks your inclusion in society and gatekeeps opportunities. I bet after a few decades when I am a very old man, i will find out that what I had was some INFLAMMATORY PROCESS that and treatable as a baby itself and I could have had a better quality of life instead of struggles, exclusion and rejections at every step. 

New research suggests that a subset of patients with psychiatric conditions such as schizophrenia may actually have autoimmune disease that attacks the brain

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

... a complex autoimmune disorder where the immune system turns on its own body, producing many antibodies that attack the skin, joints, kidneys or other organs. But April’s symptoms weren’t typical, and there were no obvious external signs of the disease; the lupus appeared to only be affecting her brain.

After months of targeted treatments — and more than two decades trapped in her mind — April woke up.

ERGO: underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

undergone many courses of treatment — antipsychotics, mood stabilizers and electroconvulsive therapy — all to no avail.

 

The beauty of creativity lies in its infinite possibilities

Towards a more Humane Society. Contemplation one line a day. #MentalHealth.

 

WASI-II Wechsler Abbreviated Scale of Intelligence

The WASI-II (Wechsler Abbreviated Scale of Intelligence) is an IQ test for ages 6-90.  It is a shorter and simpler measure based on the more comprehensive Wechsler Intelligence Scale for Children (WISC) and the Wechsler Adult Intelligence Scale (WAIS). 

WASI-II measures cognitive abilities across a range of domains and provides an estimate of a person's general intellectual ability (or Full Scale IQ - FSIQ). It is often used in research studies, and often used to screen for intellectual disability or giftedness, or to assess cognitive abilities in the context of neuropsychological evaluations or clinical diagnoses.

Uses in autistic population

• Assessment of Cognitive Abilities: believed to help identify cognitive strengths and weaknesses in verbal comprehension and perceptual reasoning, which can be informative for planning educational/ behavioral interventions.
• Research: frequently used in autism research studies as measure of cognitive ability.
• Diagnosis: While the WASI-II itself isn't a dx tool for autism, it can be part of a broader diagnostic assessment as it is believed that understanding an individual's cognitive functioning can perhaps provide context for other symptoms or behaviors.

Equanimity is the trust that life will unfold as it should

Towards a more humane society. #MentalHealth. Contemplation, one line a day.

 

Creativity is the fuel that ignites innovation

 Contemplation one line a day. #MentalHealth.

 

Keyless Musings

In musings deep, my mind does roam

Engulfed in thoughts like a garden gnome
Ideas pirouette meandering free

In this atypical brain of me

But, oh no, in this mental spree
forget where I left my keys!

Four Deer

A nice sight to wake upto early morning. Four deer camped, sitting/napping, in backyard.

Early morning, I see four deer

Sitting there, without fear

So calm and serene

Tall lush trees, their screen

Lovely sight to behold

Moment of beauty, untold

Linear and Non Linear Thinking

Linear and non-linear thinking represent distinct cognitive styles for processing information and solving problems.

Linear Thinking is characterized by a sequential, logical approach. It involves following a step-by-step progression to reach conclusions or solve problems. Linear thinkers focus on cause-and-effect relationships, rely on logical reasoning, and use a structured, organized method. This approach is effective for tasks requiring logical analysis, systematic breakdown of problems, and adherence to specific processes.

Non-Linear Thinking is defined by a holistic, divergent approach. Non-linear thinkers make connections between seemingly unrelated ideas, engage in creative, out-of-the-box thinking, and see patterns others might miss. They generate multiple solutions to problems and think in an intuitive, associative, or visual manner. This cognitive style excels in creative problem-solving, pattern recognition, and generating innovative ideas.

Both have strengths. Linear thinking is often effective for tasks that require logical analysis, step-by-step reasoning, or adherence to a specific process. Non-linear thinking, can be valuable in creative problem-solving, pattern recognition, generating innovative ideas, or seeing the bigger picture.

Autistics are known to exhibit a wide range of thinking styles, and some may excel in non-linear thinking processes. Our ability to make connections, see patterns, or approach problems from unconventional perspectives can be a unique strength.

However, traditional IQ tests often emphasize linear thinking and may not fully capture or assess the strengths of non-linear thinking in the autistic population.

Recognizing and valuing both cognitive styles can provide a more comprehensive understanding of cognitive abilities in autism.

Linear v Non Linear Neuroscience Version, Plain Language Version

Compassion is the golden rule of life that guides us to treat others as we would like to be treated

 

Towards a more Humane Society. Contemplating an emotion, 1 line a day. Our divided and conflicted world needs compassion more than ever.  #MentalHealth. 

Compassion is the golden rule of life that guides us to treat others as we would like to be treated

Fluid v Crystallized Intelligence

Fluid intelligence and crystallized intelligence are two distinct aspects of cognitive abilities, as proposed by psychologist Raymond Cattell. Research suggests that autistics may exhibit strengths in fluid intelligence while crystallized intelligence may vary depending on individual experiences and access to education. However,  it is to be noted that traditional distinction between fluid and crystallized intelligence may not fully capture the complexity of cognitive abilities in autistics as their cognitive profiles often encompass a wide range of skills, strengths, and challenges that extend beyond these categories. 

Compassion is the anchor that keeps us grounded in the face of adversity

Towards a more Humane Society. Contemplating an emotion, 1 line a day. 

Our divided and conflicted world needs compassion more than ever.  #MentalHealth. 

Mental Age

The concept of "mental age" in assessments has been subject to criticism and limitations. Here are some reasons why

• Normative Bias: Mental age is based on comparing an individual's performance to the average performance of a specific age group. However, these age norms may not adequately account for cultural, linguistic, or socioeconomic differences. The concept assumes that all individuals progress at the same rate, which may not be true or fair across diverse populations.
• Arbitrary Cutoffs: Mental age relies on the notion of discrete age categories, which can lead to arbitrary cutoffs and potential misclassifications. Development is a continuous process, and individuals may display a range of abilities that do not neatly align with specific age groups.
• Lack of Sensitivity: The concept of mental age does not capture the full complexity and multidimensionality of human intelligence. It may oversimplify and overlook individual strengths, weaknesses, and variations in cognitive abilities across different domains.
• Limited Predictive Value: Mental age alone may not provide sufficient information about an individual's future development or functional outcomes. It does not account for the dynamic nature of cognitive abilities and the potential for growth and change over time.
• Reinforcement of Deficit-Based Approaches: The focus on mental age as a deficit-oriented measure may perpetuate stigmatization and negatively impact individuals' self-perception and opportunities for growth.

It is essential to approach assessments and diagnostic criteria with a comprehensive and nuanced perspective, considering multiple factors beyond a single measure like mental age to ensure a holistic understanding of an individual's abilities and needs.