Money, careers and fame

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

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

Joy is the inspiration that comes from the beauty of nature

Contemplation, one line a day. #MentalHealth

 

CARS - Childhood Autism Rating Scale

Lexicon [Measures] - CARS

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

Limitations:

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

15 Functional domains rated in CARS

1. Relating to People: Ability to engage in reciprocal social interactions, such as sharing enjoyment, eye contact, and response to others' emotions.
2. Imitation: ability to mimic the actions, expressions, or sounds of others.
3. Emotional Response: Assesses the appropriateness and variety of the child's emotional expressions and responsiveness to emotional cues from others.
4. Body Use: physical movements and coordination.
5. Object Use: ability to play with toys and use objects in a 'socially appropriate' manner
6. Adaptation to Change: Flexibility and response changes in their environment or routine.
7. Visual Response: visual attention and responses to sounds and spoken language
8. Listening Response: attention and reactions to auditory stimuli.
9. Taste, Smell, and Touch Response and Use: responsiveness to different sensory stimuli
10. Fear or Nervousness: reactions to potentially fear-inducing or anxiety-provoking situations.
11. Verbal Communication: appropriateness and usefulness of the child's verbal communication.
12. Non-verbal Communication: appropriateness and usefulness of the child's non-verbal communication.
13. Activity Level: physical activity level during the assessment.
14. Level and Consistency of Intellectual Response: problem-solving abilities and the consistency of their intellectual responses.
15. General Impressions: observer's overall impression of the child's behavior during the assessment.

The items are scored on a scale of 1-4, with 1 representing no "abnormality" and 4 as severe abnormal (I personally cringe at this language with terms like "abnormal" which makes us sound like societal misfits and outcasts). Total score ranges from 15-60; scores below 30 suggest absence of autism or very mild symptoms; 30-36 score indicate mild-moderate autism and scores above 36 indicate severe autism. 

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

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

Two birds in Frost

From my breakfast window: 

Frost on the green winter grass
Glistening in the rays of the emerging sun
Tiny birds bask on the mighty tree stump

My small moment of awe today. 

What joy!!

-Hari Srinivasan

 

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

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

Let's make use of and benefit from this 

FREE, ACCESSIBLE & BENEFICIAL RESOURCE of AWE 

by engaging in small moments of AWE everyday. 

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