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	<title>Comments on: A Lot of Knowledge Is Not a Bad Thing: Prenatal Testing and Diagnosis</title>
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	<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/</link>
	<description>Family, Health, Home and Lifestyles</description>
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		<title>By: Paula</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-559111</link>
		<dc:creator>Paula</dc:creator>
		<pubDate>Sun, 14 Sep 2008 17:37:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-559111</guid>
		<description>I don&#039;t particularly like being &quot;out&quot; about being autistic. I like my privacy (or used to). But I am writing and speaking and doing interviews using my real name, hoping to dispel at least some of the &quot;horror&quot; that would lead people to choose to abort a perfectly normal autistic fetus (you can argue with my word choice there if you want). A lot of times I can&#039;t get to sleep at night because 1) I am worrying about the consequences to me of using my real name publicly, or 2) I am worrying about the day when we will be eliminated from the gene pool, or 3) both.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t particularly like being &#8220;out&#8221; about being autistic. I like my privacy (or used to). But I am writing and speaking and doing interviews using my real name, hoping to dispel at least some of the &#8220;horror&#8221; that would lead people to choose to abort a perfectly normal autistic fetus (you can argue with my word choice there if you want). A lot of times I can&#8217;t get to sleep at night because 1) I am worrying about the consequences to me of using my real name publicly, or 2) I am worrying about the day when we will be eliminated from the gene pool, or 3) both.</p>
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		<title>By: Jim Blair</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-561351</link>
		<dc:creator>Jim Blair</dc:creator>
		<pubDate>Mon, 01 Sep 2008 10:46:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-561351</guid>
		<description>Kristina Chew says:

&quot;And a life without Charlie is a life that neither I nor my husband Jim can imagine, nor would we want to.&quot;


Hi,

Follow me in a hypothetical thought experiment.  Imagine that your Charlie had been born a &quot;perfect child&quot; as seen by most people. Suppose he were to grow up to be--depending on your preference, an all star New York Yankee shortstop or Nobel Prize winning scientist.  Call him Charlie II.

Would you then make the above quoted claim? 

Now suppose that as the result of prenatal genetic testing Charlie I had been aborted and 6 month later Charlie II conceived.  Think you would still choose the Charlie I that was never born to the Charlie II that was never conceived?  

Of course not.  Because we only know the things that ARE and not the things that might have been had we made different decisions.</description>
		<content:encoded><![CDATA[<p>Kristina Chew says:</p>
<p>&#8220;And a life without Charlie is a life that neither I nor my husband Jim can imagine, nor would we want to.&#8221;</p>
<p>Hi,</p>
<p>Follow me in a hypothetical thought experiment.  Imagine that your Charlie had been born a &#8220;perfect child&#8221; as seen by most people. Suppose he were to grow up to be&#8211;depending on your preference, an all star New York Yankee shortstop or Nobel Prize winning scientist.  Call him Charlie II.</p>
<p>Would you then make the above quoted claim? </p>
<p>Now suppose that as the result of prenatal genetic testing Charlie I had been aborted and 6 month later Charlie II conceived.  Think you would still choose the Charlie I that was never born to the Charlie II that was never conceived?  </p>
<p>Of course not.  Because we only know the things that ARE and not the things that might have been had we made different decisions.</p>
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		<title>By: Autism Vox</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-534066</link>
		<dc:creator>Autism Vox</dc:creator>
		<pubDate>Wed, 09 May 2007 06:25:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-534066</guid>
		<description>[...] I wrote back in March, &#8220;the notion of a prenatal genetic test for autism brings with it the possibility of [...]</description>
		<content:encoded><![CDATA[<p>[...] I wrote back in March, &#8220;the notion of a prenatal genetic test for autism brings with it the possibility of [...]</p>
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		<title>By: Club 166</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531775</link>
		<dc:creator>Club 166</dc:creator>
		<pubDate>Thu, 08 Mar 2007 01:27:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-531775</guid>
		<description>Just to clarify my own post.

When I said do all testing postnatally, I was referring to testing for Down&#039;s, autism, and other disorders where there is no prenatal treatment (save termination).

I wholeheartedly support prenatal testing and treatment where it is indicated to improve the quality of the soon to be born person&#039;s life.</description>
		<content:encoded><![CDATA[<p>Just to clarify my own post.</p>
<p>When I said do all testing postnatally, I was referring to testing for Down&#8217;s, autism, and other disorders where there is no prenatal treatment (save termination).</p>
<p>I wholeheartedly support prenatal testing and treatment where it is indicated to improve the quality of the soon to be born person&#8217;s life.</p>
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		<title>By: Kristina Chew, PhD</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531764</link>
		<dc:creator>Kristina Chew, PhD</dc:creator>
		<pubDate>Wed, 07 Mar 2007 23:05:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-531764</guid>
		<description>Rochelle: Thanks for pointing out the &quot;rhetoric of blame and burden&quot;---which seems to be the sort of language too often used regarding disability, and autism in particular, in general discourse. 

Mom-NOS: Thank you for the clarification(s)---Mamaroo: thanks for telling us about your recent personal experience.

Club 166: I tend to more generally to be a pragmatist.....

Sarah: Classics is my academic field, and discourse about illness in the ancient world is not medicalized: Hippocrates uses amalogies to the every day world (the crust that develops on bread to describe medical processes and conditions. I&#039;m thinking on your point that &quot;what if we were better able to accomodate different needs and ways of thinking even without a label? &quot;.</description>
		<content:encoded><![CDATA[<p>Rochelle: Thanks for pointing out the &#8220;rhetoric of blame and burden&#8221;&#8212;which seems to be the sort of language too often used regarding disability, and autism in particular, in general discourse. </p>
<p>Mom-NOS: Thank you for the clarification(s)&#8212;Mamaroo: thanks for telling us about your recent personal experience.</p>
<p>Club 166: I tend to more generally to be a pragmatist&#8230;..</p>
<p>Sarah: Classics is my academic field, and discourse about illness in the ancient world is not medicalized: Hippocrates uses amalogies to the every day world (the crust that develops on bread to describe medical processes and conditions. I&#8217;m thinking on your point that &#8220;what if we were better able to accomodate different needs and ways of thinking even without a label? &#8220;.</p>
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		<title>By: Rochelle</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531762</link>
		<dc:creator>Rochelle</dc:creator>
		<pubDate>Wed, 07 Mar 2007 22:21:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-531762</guid>
		<description>I did a paper in one of my courses last year on the rhetoric of blame and burden in wrongful life/birth lawsuits (parents and individuals who sue their physicians for wrongful birth and life).  Many of the arguments in those cases are grounded in prenatal testing and the failure of such tests to detect disabilities and terminal conditions.

Therefore, I worry about prenatal testing in regard to autism because of the ways in which autistic individuals will be identified through bio-medical discourses as &quot;deformed,&quot; &quot;abnormal,&quot; and &quot;impaired.&quot;  While the use of these words might seem ubiquitous at best, I think they, in turn, construct our own views on autistics as &quot;deformed,&quot; &quot;abnormal,&quot; and &quot;impaired.&quot;   Likewise, medical and media discourses on prenatal testing is often based on the construction of the fetus as &quot;suffering&quot; economic and emotional &quot;burdens&quot; on families.  The implications seem that autistic children and adults become &quot;impaired, suffering burdens&quot; on their families. 

I think it&#039;s also important to note that the prenatal testing that has been discussed so far in this forum and in other bio-medical discourses involve terminal and life threatening conditions.  However, autism is neither life threatening nor terminal.  Autism is also not painful and autistics do not &quot;suffer&quot; from the developmental disorder.  Constructions of autistic individuals as &quot;suffering&quot; and &quot;burdens&quot; are all the more relevant because it&#039;s important to question who&#039;s &quot;suffering&quot; are the tests attempting to resolve, the autistic individual or the parents?

Finally, I think it&#039;s also important to note that autism is a developmental disability.  While autism has connections with other physical conditions (leaky bowl and epilepsy to name two), the condition itself is based on a developmental disability, not a terminal condition with a specific locus where an &quot;abnormality&quot; occurs.  Prenatal testing of autism is not like identifying an extra chromosome, there is no central location in the brain to study.</description>
		<content:encoded><![CDATA[<p>I did a paper in one of my courses last year on the rhetoric of blame and burden in wrongful life/birth lawsuits (parents and individuals who sue their physicians for wrongful birth and life).  Many of the arguments in those cases are grounded in prenatal testing and the failure of such tests to detect disabilities and terminal conditions.</p>
<p>Therefore, I worry about prenatal testing in regard to autism because of the ways in which autistic individuals will be identified through bio-medical discourses as &#8220;deformed,&#8221; &#8220;abnormal,&#8221; and &#8220;impaired.&#8221;  While the use of these words might seem ubiquitous at best, I think they, in turn, construct our own views on autistics as &#8220;deformed,&#8221; &#8220;abnormal,&#8221; and &#8220;impaired.&#8221;   Likewise, medical and media discourses on prenatal testing is often based on the construction of the fetus as &#8220;suffering&#8221; economic and emotional &#8220;burdens&#8221; on families.  The implications seem that autistic children and adults become &#8220;impaired, suffering burdens&#8221; on their families. </p>
<p>I think it&#8217;s also important to note that the prenatal testing that has been discussed so far in this forum and in other bio-medical discourses involve terminal and life threatening conditions.  However, autism is neither life threatening nor terminal.  Autism is also not painful and autistics do not &#8220;suffer&#8221; from the developmental disorder.  Constructions of autistic individuals as &#8220;suffering&#8221; and &#8220;burdens&#8221; are all the more relevant because it&#8217;s important to question who&#8217;s &#8220;suffering&#8221; are the tests attempting to resolve, the autistic individual or the parents?</p>
<p>Finally, I think it&#8217;s also important to note that autism is a developmental disability.  While autism has connections with other physical conditions (leaky bowl and epilepsy to name two), the condition itself is based on a developmental disability, not a terminal condition with a specific locus where an &#8220;abnormality&#8221; occurs.  Prenatal testing of autism is not like identifying an extra chromosome, there is no central location in the brain to study.</p>
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		<title>By: Sarah</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531760</link>
		<dc:creator>Sarah</dc:creator>
		<pubDate>Wed, 07 Mar 2007 22:13:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-531760</guid>
		<description>I have to disagree with the idea that &quot;if you can&#039;t diagnose it, you can&#039;t treat it&quot; at least with regards to autism.  It is quite possible to recognize and accomodate autistic traits without a diagnosis.  Yes, a diagnosis of autism can be helpful and useful, but that&#039;s mostly because our culture is so very medicalized.  But what if we were better able to accomodate different needs and ways of thinking even without a label?  Liane Holliday-Wiley wrote that in an ideal world there wouldn&#039;t even be a need for the name &quot;Asperger&#039;s Syndrome&quot;, and I think there&#039;s definetly something to that.  (Though I would extend this idea to the entire spectrum.)</description>
		<content:encoded><![CDATA[<p>I have to disagree with the idea that &#8220;if you can&#8217;t diagnose it, you can&#8217;t treat it&#8221; at least with regards to autism.  It is quite possible to recognize and accomodate autistic traits without a diagnosis.  Yes, a diagnosis of autism can be helpful and useful, but that&#8217;s mostly because our culture is so very medicalized.  But what if we were better able to accomodate different needs and ways of thinking even without a label?  Liane Holliday-Wiley wrote that in an ideal world there wouldn&#8217;t even be a need for the name &#8220;Asperger&#8217;s Syndrome&#8221;, and I think there&#8217;s definetly something to that.  (Though I would extend this idea to the entire spectrum.)</p>
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		<title>By: Kristina Chew, PhD</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531759</link>
		<dc:creator>Kristina Chew, PhD</dc:creator>
		<pubDate>Wed, 07 Mar 2007 22:04:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.autismvox.com/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/#comment-531759</guid>
		<description>Those lines more than bear repeating!</description>
		<content:encoded><![CDATA[<p>Those lines more than bear repeating!</p>
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		<title>By: Kathy</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531758</link>
		<dc:creator>Kathy</dc:creator>
		<pubDate>Wed, 07 Mar 2007 22:01:11 +0000</pubDate>
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		<description>Sorry for repeating those last four lines Kristina, am rushed this  morning it&#039;s 7.00 am here in West Australia, and I have a lot going on today!</description>
		<content:encoded><![CDATA[<p>Sorry for repeating those last four lines Kristina, am rushed this  morning it&#8217;s 7.00 am here in West Australia, and I have a lot going on today!</p>
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		<title>By: Kathy</title>
		<link>http://www.blisstree.com/articles/a-lot-of-knowledge-is-not-a-bad-thing-prenatal-testing-and-diagnosis/comment-page-1/#comment-531757</link>
		<dc:creator>Kathy</dc:creator>
		<pubDate>Wed, 07 Mar 2007 21:58:12 +0000</pubDate>
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		<description>I&#039;m with club 166, all testing post natally.

As you know Kristina I had a baby with a neural tube defect(anencephally)that was still born at 26 weeks.
Mary Roses&#039; condition was picked up on a routine ultrasound at about 15 weeks. With anencephally the baby cannot survive, and normally dies shortly after birth.
I refused an abortion as it goes against my Christian beliefs.

Abortions will certainly increase if autism can be detected in utero.
And I am yet to be convinced of the benefits for  such  a test.

I have a friend who lives in Sydney who had a gorgeous( down syndrome)baby boy 3 years ago.
She refused pre natal testing, and was constantly badgered by health workers for her refusal to do so. They could not accept the fact that no matter what God gave her, she would love her baby regardless.

 She rang me one day in tears as it was really  upsetting how people could be so callous and dismissive of her beliefs and feelings.

Of course she thanks God every day for her precious little boy. &quot;The light of our lives&quot; she says. Btw she also has an autistic boy Charlies age who adores his little brother!  

Just to finish, Kristina, I am having a Birthday dinner for my sister-in-law tonight.
She is certainly the life of the party.Has a great sense of humour, and is sharp as a tack.

Oh,and she has Downs Syndrome...

HAPPY  43RD BIRTHDAY CASSIE!






















Tonight I am having a birthday dinner for my sister-in-law. She will be 43. She has a great sense of humour, and is as sharp as a tack.

We are all looking forward to it.
She is certainly the life of the party</description>
		<content:encoded><![CDATA[<p>I&#8217;m with club 166, all testing post natally.</p>
<p>As you know Kristina I had a baby with a neural tube defect(anencephally)that was still born at 26 weeks.<br />
Mary Roses&#8217; condition was picked up on a routine ultrasound at about 15 weeks. With anencephally the baby cannot survive, and normally dies shortly after birth.<br />
I refused an abortion as it goes against my Christian beliefs.</p>
<p>Abortions will certainly increase if autism can be detected in utero.<br />
And I am yet to be convinced of the benefits for  such  a test.</p>
<p>I have a friend who lives in Sydney who had a gorgeous( down syndrome)baby boy 3 years ago.<br />
She refused pre natal testing, and was constantly badgered by health workers for her refusal to do so. They could not accept the fact that no matter what God gave her, she would love her baby regardless.</p>
<p> She rang me one day in tears as it was really  upsetting how people could be so callous and dismissive of her beliefs and feelings.</p>
<p>Of course she thanks God every day for her precious little boy. &#8220;The light of our lives&#8221; she says. Btw she also has an autistic boy Charlies age who adores his little brother!  </p>
<p>Just to finish, Kristina, I am having a Birthday dinner for my sister-in-law tonight.<br />
She is certainly the life of the party.Has a great sense of humour, and is sharp as a tack.</p>
<p>Oh,and she has Downs Syndrome&#8230;</p>
<p>HAPPY  43RD BIRTHDAY CASSIE!</p>
<p>Tonight I am having a birthday dinner for my sister-in-law. She will be 43. She has a great sense of humour, and is as sharp as a tack.</p>
<p>We are all looking forward to it.<br />
She is certainly the life of the party</p>
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