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Tuesday, December 8th, 2009

Theories and Tactics

April 25, 2007 by Kristina Chew, PhD  
Filed under Health

Before I started writing publicly in the online forum of a blog about my autistic son Charlie, I tended to avoid not only discussions about “hot topics” in the autism world—vaccines, mercury, cure, cause, chelation, and so forth—-but to defer from making a decisive judgement about any of these. In the face of getting through the day’s adventure with Charlie—-a behavior squall, a splinter in the foot—-the question of “what causes autism?” took a backseat. From reading about different theories and treatments associated with them, I was more than aware that the hypothesis that the MMR vaccine might cause autism was an issue of contention, and not a little at that. I was aware of the dangers of chelation especially after a conversation with Jim who, after reading William Shaw’s book (it had a yellow cover in those days), kept noting the description of a child taking some chelating drug and (as one of the side effects) lying there motionless as if he were, well, not in the liveliest of ways. “We can’t do that to Charlie,” said Jim. And then, “”Charlie’s more than just something that happened because of a vaccine.”

Charlie is, indeed, and yet how often did I find myself reading about a family who swore that a child was “completely normal” prior to receiving a vaccine and then “became” autistic—how often did I find myself facing a representation of an autistic child as such a damaged, injured, sick child. Two years ago, Charlie was struggling; the solution for him has been, for the most part, the right kind of educational placement, the right kind of school and services. “Advocacy” for me is about standing up for the education and services that Charlie needs to excel (so that he is starting to learn on his own). “Advocacy” for me is not what it seems often to be equated with—the theory that vaccines, that mercury, causes autism. All of our children (autistic and not autistic) need to be educated—so why does the vaccine theory continue to endure and some parents to be more concerned about this than what a child is actually learning?

An editorial in the May 2007 Nature Neuroscience argues that the hypothesis that vaccines or something in vaccines (such as the mercury-based preservative, thimerasol) causes autism is not supported by rigorous scientific studies:

“Autism is no more common among vaccinated than unvaccinated children, and its incidence has not covaried with the presence of thimerasol in vaccines across different times and locations.”

The editorial suggests that claims of a vaccine-autism link continue to thrive despite a lack of scientific evidence because of the tactics of proponents of such a link, “whose strategies have become more extreme as the evidence against the hypothesis mounts.” Specifically, the editorial compares these tactics to those of “certain animal rights groups” (none are named, but I suspect that the editorial’s authors have this group or one with similar concerns in mind):

People who oppose the idea have been harassed with repeated calls, whether they have written a letter to their local paper (http://tinyurl.com/3dba3c) or an editorial for The Wall Street Journal (http://tinyutl.com/2obgfg). The harassment includes parents of autistic children who do not align themselves with the anti-vaccine movement. Kevin Leitch reports, “I have personally been told that because I am not chelating my daughter, I am a child abuser. That I am a murderer. I have had threats of violence made against me, and a few people have even sent personal hate mail to my seven-year-old autistic daughter.”

Kevin Leitch is the administrator of the Autism Hub and has shared the content of some of the “personal hate mail” he has received with me, and it is beyond tasteless (to describe it as “disrespectful” would be something more than euphemizing). And yet, despite the unfounding nature of the claims regarding vaccines and autism, proponents of such a hypothesis have been able to get their message out to the public, and even to wield some political influence. Under consideration now in the Minnesota legislature is a bill that “establishes a preference for vaccines without trace amounts of mercury”; if such a vaccine cannot be found, patients must sign an informed consent in which they acknowledge that the vaccine contains thimerasol and, “[g]iven the hysteria surrounding the issue, it is questionable how many parents would consent.” Indeed, according to the Immunization Action Coalition, similar bills have been considered in 18 other states, though none have passed.

The Nature Neuroscience editorial points out that measures such as the informed consent required by the Minnesota bill are in and of themselves enough to “suggest that there are hidden dangers in vaccines”; this mere suggestion is enough to worry parents of young children about any vaccine. And it is not science and knowledge that drives such concern and, indeed fears, but “anxiety” and “ideology“:

We urge legislators to base science policy on the best consensus among researchers in the field, rather than the emotional apeals of an agenda-driven group, especially one that attempts to bully into silence those with opposing opinions. Perhaps more importantly, autism researchers themselves need to make clear how far outside the mainstream those views are, or risk having more resources diverted in pursuit of this unlikely idea.

The scenario mentioned here has already occurred, as seen at last’s Institute of Medicine (IOM) workshop on autism and the environment. Treatments that are not only scientifically unproven but dangerous (such as chelation) were discussed and the parent advocates who were present had a specific focus to their advocacy—vaccines and mercury poisoning—rather than, for instance, education of autistic children at whatever age.

“Harassment.” “Hysteria.” “Anxiety.” “Ideology.” “Bully into silence.” I have put these terms into boldface above as they all can be seen as applying to the reasons for and the results of the “extreme tactics” of some proponents of a vaccine-autism hypothesis. (And some may claim that such terms describe other autism debates; these are charged subjects for all parties.) Alarmist language of “crisis” and “epidemic” further contributes to hysteria and anxiety in parents who, in the face of distorted claims and impelled by deep love of a child, are in search of answers and quite simply will do anything. In such a climate of confusion and distortion and simple worry about how to get through today—about what will happen tomorrow—the last sentence of the Nature Neuroscience editorial sounds a strong note and I repeat it from above: “…. autism researchers themselves need to make clear how far outside the mainstream those views are, or risk having more resources diverted in pursuit of this unlikely idea.” Parents need first to be decisive about what they do for their child, but it seems to me that scientists might be more decisive in stating their views on topics such as the vaccine-autism hypothesis that are “far outside the mainstream.” Having a good grasp of the facts and of the evidence can only strengthen the discussion, and even help us all to be decisive and to understand, debate about autism ought not at all to be silenced.

After all, it is thanks to all the viewpoints I have been reading, to all the debates (thoughtful and thorny, as the case may be) about things pertaining to autism, that I have become much more decisive about those “hot topics” in autism discussions—and that have impelled me to jump into the fray.

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Comments

46 Responses to “Theories and Tactics”
  1. I support neither the autism causes vaccine theory and its extremist advocates nor the neurodiversity viewpoint and its extremist advocates.

    But your comment deals only with the extremism, excessive rhetoric and abusive language of one side of that divide. You fail to mention the excessive rhetoric and abusive language of the more extremist neurodiversity advocates.

    Once again, you appeal to your neurodiversity readership at the expense of objectivity and balance.

  2. Zaecus says:

    I used to be a big believer in informed consent, but I managed to gain some experience over the years and realize that what I think of as informed consent doesn’t seem to reliably exist.

    If what happened with HIPAA is anything to judge by, there’s little danger of people not getting vaccinations because they have to sign a form; Whenever I deal with a new medical office, I get handed a stack of papers. My lady fills the questionnaires out, and then I sign everything–the guarantees of accurate information, the disclaimers, the policies and procedures, and the rights forms, including the HIPAA release.

    The HIPAA release is a blanket authorization allowing the office to use the information covered by HIPAA for every, single, legitimate reason that information could possibly be released for without having to notify you in the future when it’s done.

    I always modify the release, making sure the office knows, in one area that’s extremely important to me, but not many people realize you can do that, and if I hadn’t been confident in one case, I would have been bullied into not doing it.

    Most people sign without reading, and many who do read don’t think they have any choice, but it’s the informed consent laws that are flawed.

    It does little good to make a law protecting information when those who have the information are going to have you sign away that protection on the first day.

    [Your first link, "blog", is malformed and the "learn on his own" link in the second paragraph points to this post.]

  3. Ms. Clark says:

    The Nature Neuroscience article encourages scientists to step into the fray. So far several of them have been threatened and harassed by the mercury malicia. One had death threats made against him and his family. One had his professional life turned upside down by their meddling.

    The extremists of the mercury malicia are mentally ill, believe that the gov’t is injecting them with tracking devices and deliberately out to harm them with vaccines. They feel like they are fighting against evil if they threaten to harm a scientist or to destroy or damage his property, or actually damage his or her reputation by saying things like the scientist is a liar or on the take from big pharma or whatever.

    I have been harassed in my home by phone calls and with mail, and I turned one scary email over to the FBI to deal with, though it wasn’t exactly a death threat. I worry about my family because of the level of hatred coming from the malicia. One malicious person posted my home address to the Internet and has referred to where I live on my blog, of course along with very hateful speech and accusations of my taking money for what I write. I don’t take money for anything I write. I don’t even have links to Amazon.com books or any ads on my blog, because I don’t want to be accused of writing for cash.

    I wish there were more courageous scientists who would be willing to make it clear what is wrong with the antivax/mercury phobic/ autism stance. But you can hardly blame them for valuing the lives of their familiy members enough to stay out of the fight.

    There is no neutral ground on the question of autism and vaccines. There is too much evidence against there being a connection between autism and vaccines and the absolute criminality of some of the leaders of the SAFE MINDS inclined scientists tells me that there are BIG problems with the autism biomed side. Not only do they have the Geiers, but they DON’T have any of their big names decrying what the Geiers are doing. They don’t particularly care. Even though Martha Herbert did try to talk back to them a bit, she’s not much better than they are for pushing quackery. They DON’T have anyone pointing out the problem with faux lab test results. They DON’T have anyone too upset that Roy Kerry is a DAN! in good standing and he killed a boy with a drug that could even have been designed to kill children, if people wanted to have such a drug. Hence the “black box” warning that comes with the stuff.

    There’s no middle ground in patronizing or supporting DAN!. If there is show me how that is possible. It’s about like saying, “oh, the mafiosi, they do good things, too, we shouldn’t pick on them.”

    I’m not saying there’s no middle ground in giving kids a dose of Omega 3’s or putting them on a gfcf diet if it’s really necessary. But that’s NOT what DAN! is about. It’s about corruption top to bottom, and it’s about sales, sales, sales, in my studied opinion. And some of the followers of DAN! are cruel and oppresive bullies.

  4. Harold, the article itself focuses on the vaccine theory specifically—-and you are very much included in the “neurodiverse” readership; in the diversity of readers!

    There’s more to be said about DAN!.

    Zaecus, thanks for the corrections.

  5. Minnie Matta says:

    Your articles were better before you chose sides. Now that you’re openly ND, you are discounting many important facts that deserve to be investigated, not swept under the carpet.
    It’s sad to me that anyone in the autism community could hear the story of typically developing child getting autism after a vaccine, and turn their head the other way.

  6. Marcie says:

    I almost had to laugh when I read the phrase “openly ND”. Choosing opinions is probably inevitable, but do we have to choose a “camp” or label people as being in one “camp” or another? Maybe I ask to much by saying that we should all be in this together.

  7. Julie says:

    It is not a mtter of turning the other way when hear about children who were normally developing before vaccines and then had problems after. I feel that there is a correlation but our children are vaccinated a lot during the first two years of life and typically that is when autism is first noticed. For me a correlation does not mean causation. I am more fearful of what will happen if parents stop vaccinating their children because they are so fearful of autism. It is a challenge but all three of my children are not just Rebekah. We all need to put our differences asside and come together to advocate for better education and support sevices so that our children can perform at their best level no matter what that is.

  8. More to the point: It may seem that I’m more “aut” about autism than I “used” to be; a close reading may reveal otherwise.

  9. María Luján Ferreira says:

    Hi
    Well, about tactics and fearing, I have been told that I am a child abuser because I am chelating orally my son- with properly Heavy metals bioaccumulation, diagnosed properly by blood confirmation- that of course nobody asked me before about.
    Extreme tactics in this point are more and more common from both sides, in a fast journey to nowhere and in a situation where the less helped would be our autistic children- that become teens and adults.
    The incredible dispise demonstrated by many to our personal experiences-mine and from many- without looking with the right interest and commitment to the reasons-properly backuped by science and medical doctors in practice- is beyond my understanding.
    Future will tell. More science, not less, will tell. Genetic epidemiology and studies on biochemistry of autistic people in their different subgroups will tell. And I have the intuitition that the science will demonstrate that BOTH extreme sides are wrong partially, that the things are much more complicated that absolutisms and the truth runs by a totally parallel road.
    María Luján

  10. Minnie Matta says:

    Marcie, I agree we should all be in this together. That’s why no lead, including the vaccine link, should be dismissed until enough studies have been done. (And no, I don’t think they have been.)
    Glad I made you laugh. We all need to laugh.

    Julie, I agree correlation does not equal causation.
    To your point about being fearful if parents stop vaccinating, that is exactly what you are supposed to be. Fearful. That way you will be obedient and vaccinate, even when they roll out brand new untested vaccines. I’m all for vaccines if they save lives, but they have to be safe. I don’t think it’s irrational to want to clean up some of the toxins they put in vaccines – I think it’s wise to be cautious.
    We all do need to come together and advocate for education and services, agreed.

    Kristina, nope, not Notre Dame.

  11. C says:

    Hi Kristina,
    Thank you for the very thoughtful entry. You truly have a gentle approach to expressing yourself and given the sometimes volatile discussion surrounding autism your approach is much appreciated, and needed.

    Years ago a friend of mine took her daughter to her pediatrician as the child was walking “pigeon toed”. The doctor asked each parent to walk the length of the hall and back after which he exclaimed “Well of course she walks that way, just look at the two of you!” If you ever met my husband and me, you would not be surprised at my daughter’s autism. : )

  12. Lisa/Jedi says:

    I can’t help but feel that the fears about the possibility of some of the causes of autism being “swept under the carpet” are due in main part to the polarisation & bullying surrounding this debate. Often bullying occurs because there is fear of not being heard. When there is less fear, there is less polarisation, & opinions as to which avenues of research are most frutiful are based on balanced scientific evidence. In a calmer atmosphere. more avenues of research are pursued because there’s less fighting over the money & glory…

  13. Julie says:

    I do not blindly vaccinate my children. I make informed decisions. I have a family history of allergic reations to the pertussis vaccine so before they had a synthetic option available my children did not recieve that vaccine. My fear is that the media has parents so afraid of autism that they are not vaccinating their children at all. This will cause greater heath issues than autism.

  14. Marcie says:

    “I can’t help but feel that the fears about the possibility of some of the causes of autism being “swept under the carpet” are due in main part to the polarisation & bullying surrounding this debate.”

    Yes, we already know that there are several causes of autism. Sometimes inherited, sometimes sporadic mutation, Rets Syndrome has it’s own mutation, it was caused by thalidomide back when that was still in use, and then there’s PKU. I simply don’t beleive it will be ever narrowed to one, two or even three reason.

  15. Marcie says:

    P.S. Here’s where I get confused. If we divide the issues into who belong to the Neurodiversity movement and who doesn’t (I’d be on the ND line), then does my opinion count (i.e. by those on the “other side”)?

  16. I think that the fact that we are having this sort of discussion indicates that autism advocacy has “matured” and the antagonism and contention in discussions about cause, cure, and so forth is a sign of “growing pains.” I also think that more than two sides are developing though it is hardly a mellifluous process. I have been following the discussion and debate about “framing science” and think more scientists stepping into these debates would be a great help.

    t’s simple: frame or be framed.

    –>Scientists should remain true to the underlying science, but recast messages about issues such as climate change, the teaching of evolution in schools, and stem cell research in ways that make them more personally meaningful to Americans who otherwise probably tune out the scientific details.

    –>Yes: Framing does mean “dumbing down,” but so does any form of popularization. As we’ve written over and over again, there will always be a small audience for elaborate explanations of evolution and other areas of science.

  17. Joe says:

    Yes hate mail against his daughter and threats against his family. But he is no saint. He sees himself as the arbirter as what is acceptable speech from autistics. He is a known liar. I never advocated violence. but I am “too” angry. What i have been thru only a fool would not be angry.
    The issue should never be about being angry but about addressing the anger and the reasons behind. Apparently, He feels we all think and feel like him.

  18. Joe says:

    Yes hate mail against his daughter and threats against his family ( if forgot to add) is unacceptable

  19. Kev says:

    “He sees himself as the arbirter as what is acceptable speech from autistics. He is a known liar.”

    Er, what? On both scores.

  20. daedalus2u says:

    The problem with:
    “That’s why no lead, including the vaccine link, should be dismissed until enough studies have been done. (And no, I don’t think they have been.)”
    is that it takes money and resources (ie scientist person-hours, lab space, heat, light, electricity, reagents, overhead, time, energy, etc) to do any study.

    There isn’t enough money or scientists to study every possible lead. There are vastly too many. Once a “lead” is shown to be a dead end (as mercury has been), it needs to be abandoned, and the resources diverted to leads that might be fruitful and not wasted beating a dead horse.

    Regarding “framing” I got into an argument the other day with someone about nitric oxide (not regarding autism, but a neurodegenerative disease where evidence for the NO connection is much much stronger, but he simply refuses to see it). Someone who is smart enough to understand the connection, but hasn’t taken the time to learn the fundamentals (and maybe doesn’t want NO to be the answer). He faulted me for not explaining it in a way that he could understand. I said that I was perfectly ready to explain it in what ever detail was necessary, going back to fundamentals (which he refuses to do). I made the analogy that I can’t teach calculus to someone who believes that 2+2=5. That is the fundamental problem with “framing” complex scientific issues. Many non-scientists have erronious beliefs about how the world works, and simply cannot accept that those beliefs are mistaken and must be discarded.

    Safe Minds own data shows that mercury is not elevated in ASD children. Why they persist in their delusion that mercury is the problem is not something that I understand. I know the reason is not because there is evidence to support the idea because there isn’t any.

  21. María Luján Ferreira says:

    Mr daedalus
    The main problem I see is that there is no enough knowledge about the biochemistry/metabolism/physiology in autism, in terms of immunology, different genetics affecting mucosal immunity (such as it has been published on MET), different levels of neurotrophic factors from birth ( such it has been published on BDNF), different levels on several proteins (including those reported altered in Alzheimer in SOME children with autism) and many other topics relating to transporters and management of xenobiotics in general (including toxic elements) to have the kind of conclussions you have.
    Even when NO is without doubt altered in some subgroups of autistic children , there is no enough knowledge to know if it is a consequence or a cause of several issues present in some children with autism.
    The lack of enough research in the field I mentioned above is for me one of the main problems. The use of challenge test to detect HM (heavy metals) problems is one problem -very serious – to solve. For many of us, this was not the situation. For many of us, our autistic children demonstrated confirmatory HM problems in fluids. Therefore the main issue is how systematically the anecdotical evidence is unattended, unanalyzed and not systematized because of the consideration in advance of unuseful and not scientifically obtained.

  22. daedalus2u: As a non-scientist I’ve found “framing” and the issues surrounding it of much interest. One reason I long hesitated to state my views on topics such as mercury, vaccines, etc. publicly was that I felt I would never have command of the science. I’ve been fortunate to come into regular contact with scientistswho have helped me to get a good, or at any rate a better, understanding of all of these topics—-but I think more input from more scientists would beneficial. There is too much I know I’ve yet to understand.

  23. Phil Schwarz says:

    Harold, you seem to have a lot of misconceptions about the pro-neurodiversity perspective.

    And I don’t think pro-neurodiversity advocates invade the privacy of people who disagree with them, nor make death threats against them.

    It’s ludicrous to label pro-neurodiversity advocates as equal in extremism to the mercury militia.

  24. Phil

    You assert without substantiation that I have misconceptions about the pro-neurodiversity perspective. Your assertion is incorrect.

    I support the right of those autistic persons who can speak for themselves to do so and to assert all of their human rights.

    I do not agree that autism is “just another” natural variation” of the human condition. It is by definition a disorder. And for good reason. Persons with autism, particularly classic Autism Disorder do have major deficits of which you are well aware. In severe cases some of these persons must spend their lives under the care of others. And with limited communication skills their experience of life becomes vary limited. That is a reality that I have seen by visiting such persons in residential and institutional care facilities as an autism advocate in New Brunswick Canada. With a severely autistic son I also know that his life prospects are threatened by just such a fate. Yest autism is a variation but it is a disorder.

    Whether autism is a natural variation or caused or influenced by the environment is still being researched. Current research suggests a strong genetic role and does not support the vaccine theory but that does not preclude all environmental causes or influences in the rates of autism. Future research, not philosophical belief or group ideology, will determine these issues.

    I also disagree fundamentally with the view that high functioning autistic persons who become engineers, researchers, artists, professors of various topics, internet essay writers etc are entitled to claim to speak on behalf of autistic persons such as my son who have much more limited skills and life prospects. The actual life realities, skills and life prospects are fundamentally different.

    I also disagree that the views of Neurodiversity advocates represent the views of ALL higher functioning autistic persons. The Canadian Senate committee studying funding for autism services did hear from Michelle Dawson as an autistic person. But it also heard from several other autistic persons who do advocate for treatments for autism. One of the persons the Senate heard from was a gentleman with whom I have worked as fellow board members of the Autism Society New Brunswick and who has been very supportive of parental efforts to find funding for treatments and special education interventions of our autistic children. It is stereotyping high functioning autistic persons to suggest that they all hold the same view about these issues. They do not.

    Further, in New Brunswick the ASNB has never excluded high functioning autistic persons as claimed by some high profile neurodiversity advocates. The same is true for the Autism Society Canada. There has been no policy of exclusion of autistic persons and such exclusion would be prohibited under Canadian law. Yes that is my opinion as a Canadian lawyer practicing in New Brunswick and previously having practiced with the Canada Labour Relations Board and Canada Post Corporation federally.

    Neurodiveristy is fine until it starts trying to represent itself as the voice of those who do not share the same skills and life prospects, suggesting that it speaks for all autistic persons or high functioning autistic persons and opposing cures for OTHER people and other people’s children.

    I do not support the vaccine theory. And I have, on my moderated blog site, refused to publish comments from a prominent vaccine theory advocate when he has used abusive language. I have also refused to publish some comments from neurodiversity advocates who attempted to post abusive language on my blog site. There are extremists in both of those “camps” who used abusive language.

    If someone posted a death threat, or other threat of harm, to me or someone on my blog site I would refer it to law enforcement authorities. I would not send it to other bloggers to use in ideological argument over autism issues.

  25. Phil says:

    Harold, did it occur to you to think that many Autistics are too scared to speak for themselves because of bad experiences with the likes of say the Canadian government? As an example only of course.

    Most Autistics – especially the children and those who are low functioning as adults – NEED advocacy. You are talking like everyone of us should stand up and speak for ourselves in whatever way we can. Well I’m sorry but that’s not in reality possible. Bullying has been mentioned as a major problem – and many Autistics are brow beaten into submission that they are no good. Not many fight back. Michelle Dawson is one who does, and I’m willing to bet that she knows that as well. Hence her agenda – which I fully support. I would do the same thing. The bottom line is that we make things better for Autistics whether it be Canada, the US, Australia or anywhere else.

    And sitting on the fence like you appear to be is actually not helping.

  26. For the “autism reality” about the exclusion of autistics, see this letter, and follow the series of links across the top to get updates. Particularly, see the Canadian government explanation for why ASC excludes autistics here, an explanation I was told (in a meeting, by the Director General of the Office for Disability Issues) they obtained from ASC.

    Autistics were banned from participating (as anything but lunch-time entertainment) from the Canadian Autism Research Workshop and the subsequent White Paper, a collaboration among ASC, the CIHR, NAAR (which is now Autism Speaks), Health Canada, and the Office for Disability Issues.

    According to Mr Doherty, this was done with the full approval of Jason Oldford (ASNB’s former autistic board member). ASNB did not object to autistics being banned from the CARW.

    My local autism society is DAN!-based and anti-vaccination, and they have managed to find an autistic adult to sit on their board and support this. Does this mean he’s right?

    It’s interesting that Mr Doherty allows Mr Oldford to be an expert in “autism reality” (Mr Oldford can testify about how all autistics should be treated–indeed, he wants all autistics to be like him, he has stated), even though Mr Oldford has multiple university degrees.

    So expertise in “autism reality” isn’t dependent on a person’s characteristics, but on their political position. I too could be an “autism reality” expert if I were prepared to agree with Mr Doherty and anti-scientifically write off (as Mr Oldford has written off, in his published writing) all autistics who have not had Lovaas ABA starting early in life.

    Meanwhile, autistics continue to be banned from CAIRN (Canadian Autism Intervention Research Network). Autistics were banned from the Senate Committee round table meeting about autism research. And so on.

    I wonder if Mr Doherty knows how it came to be that Mr Oldford is an ASC advisor (see ASC’s own testimony in the Senate hearings, about how they had to change, and who they attribute this change to), and how it came to be that autistics, including ASC’s Mr Oldford, were invited to testify in the current set of hearings.

    Fortunately, this piece of “autism reality” history is officially documented and available online. As with the other misinformation Mr Doherty so prolifically distributes, accurate information is available for those interested in reality, as opposed to “Mr Doherty reality”.

    My own position is that autistics deserve the recognized standards of science, ethics (including professsional ethics), and advocacy that automatically protect and benefit all non-autistics, including Mr Doherty, and without which he could not proceed safely in society, much less succeed in it. My position is also that services for autistics, whatever these services may be, should be asked for accurately (with respect to the science), ethically, and respectfully.

    Mr Doherty has stated his position on his blog that the major laws that protect and benefit non-autistics (without which they could not work safely). He also anti-scientifically promotes the autism “epidemic”. This has the effect of denying the existence and the lives of older autistics. This has the effect of ensuring that governments do not acknowledge older autistics, much less take responsibility for providing us with the kinds of services that non-autistics like Mr Doherty depend on and can take for granted.

    I could fill a book with all the defamation “autism advocates” have generated in my honour, and I could keep more than one lawyer busy, full time, dealing with this defamation. But I have more productive and positive things to do with my time. The best way to deal with defamation (unless you have a lot of spare time and money) is briefly. Then use the defamation to illuminate the values, standards, methods, and character of those who emit and disseminate it.

    You can see a few of my brief responses to some of the more official defamation I’ve experienced here (ASC links to the currently defunct “autism advocacy” flagship website, otherwise known as the “hate-site”), here, and here.

    I have never claimed to represent autistics, or anyone else, unless specific autistics have individually given me this kind of support. When I was arguing to have autistics included in the Senate hearings, in the Senate round table on autism research, in ASC, wherever, I always pointed out that I don’t care if they have “I hate Michelle Dawson” written on their foreheads. I’m concerned with science and ethics, and ethics dictate that you do not determine the future of a group of people in their forced absence.

    There is an organization of Canadians who have a lot of experience dealing with those who, like Mr Doherty, who are certain that “low-functioning” people belong in institutions. People First Canada was formed by and for people who were institutionalized because people like Mr Doherty insisted that they could not live anywhere else. Many autistics, myself included, have lived the extreme consequences of the insistence by “autism advocates” that autistics just naturally belong in institutions.

  27. I wrote,

    “Mr Doherty has stated his position on his blog that the major laws that protect and benefit non-autistics (without which they could not work safely).”

    I meant,

    Mr Doherty has stated his position on his blog that the major laws that protect and benefit non-autistics (without which they could not work safely) should not protect and benefit autistics.

    Sorry!

  28. And now I have to point out that the correction (with the time 7:57 on it) above was submitted after I made an error in a previous post (submitted at 7:51) that’s apparently stuck in moderation. So the correction has showed up but not the message it’s correcting.

    Sorry Kristina.

  29. María Luján Ferreira says:

    Hi Phil
    You said
    ” The bottom line is that we make things better for Autistics whether it be Canada, the US, Australia or anywhere else.”
    I live in Argentina. My autistic son had 45 medical conditions that required proper testing and proper diagnostic and treatment. No mainstreamed doctor had a clue and only our personal research and foreing/international advice we could find properly these conditions-in local labs.
    Even when theoretically you can try to affect some sociological view; the reality says- that the medical (adequate), educational, emotional and sociological needs of my son in my country have only one advocate, at the present status of the things for HIM. ME and US (his family) mainly.
    Even when the respect and consideration for autistic people is a view that I share, the consideration in advance of the parent like me that have found- ethically and scientifically based- medical conditions needed to be properly treated, away of extremist views of any kind , is a serious misconsideration , first of all, of the human rights of my autistic son to the proper and adequate medical treatment of his medical conditions, if you like, concomitant to the autism diagnosis. The denying of them, of their importance in his health, the questioning in advance of us ( his parents and advocates) without the knowledge of the full view- or the interest- is also a misjudgement and it is not helping, at least to my son, 15000 km away USA/Canada/UK.
    The sad aspect I see is the lack of interest and the implication of certain extremism in advance and the rush to the judgement every time that parallel ideas are proposed to be discussed or personal experiences ( even when they are anecdotic evidence they are valid when you live them).
    If you want to read more about my personal position you can read
    here about them. I will be glad to discuss with you any aspect you can be interested on.
    Sincerely
    María Luján-Argentina

  30. María Luján Ferreira says:

    The link did not work when I tested it.The webaddress I included was
    http://www.searchingequilibrium.blogspot.com

  31. María and Michelle: Apologies for any links not working or for any delays in comments getting posted. Email me if you anything you comment does not get posted.

    One thing I hope to come out of this discussion is a change in what autism advocate means—the term (in the US at least) seems too tied into persons advocating for one position such as that specific elements might be causing autism. Advocate can mean a lot more.

  32. María Luján Ferreira says:

    Thank you Kristina.
    This is the second time I have the same problem. when I introduce a link such as
    “a href=…>Text at the end- always the webaddress of your specific blog entry is added to the link. Perhaps it is some internal assignation of your blog format?
    No comment lost from myself; thanks again.

  33. Kev says:

    Maria/Kristina:

    You need to make sure you add the ‘http://’ part to the addresses. If you just use http://www.blah.com then the website thinks you’re referring to a file on *this* server.

  34. Marcie says:

    “I support the right of those autistic persons who can speak for themselves to do so and to assert all of their human rights”

    I don’t think we can simply divide all people on the autism spectrum into two group, those who can and can’t advocate for themselves. Of course, other than an individual, (typically) noone know better what to do for a child than a parent, but have you not learned anything about how your son’s thinks and why he behaves as he behaves from listening to other people with autism? If not, you are missing out on vast resource. BTW, please post the link to your blog, as I don’t think I’m familiar with it.

  35. María Luján Ferreira says:

    Kev, thank you very much for the clarification. You are right. I missed the http both times I have had problems with links.

  36. Apple_M says:

    Maria
    In the UK no doctor wants to treat a autistic child with GI or bowel problems (presumably because of Dr Wakefield) this is discrimination and I am surprised the UK based “advocates” never mention this.
    My family’s hearts are with you Maria

  37. María Luján Ferreira says:

    Thank you Apple M by your words. After a lot of effort and contacts we finally got 2 local doctors who help us-beyond others (peditrician and neurologist) but I can assure you that it is not easy (many times impossible) to get the adequate help.

  38. Anne says:

    Kristina, I think that for the vast majority of parents of autistic kids, advocacy means trying to get effective medical and educational services for their child from providers who are acting with insufficient information, who resist what they consider too much individualizing, and who are in the habit of (or are even trained to) downplay the importance of parental concerns and information.

    Harold, does NB have a clients’ self-advocacy program for developmentally disabled adults in residential facilities?

  39. People First Canada has representatives in New Brunswick (in fact, they were founded at a meeting in NB, in 1991).

    From excellent speech notes by Robert Martin, who has lived the consequences of the assumption that certain kinds of people just naturally belong in institutions:

    “I have learnt that discrimination and segregation becomes an accepted part of the community. Our parents begin to accept that it is right. Even those of us with the disability begin to accept that it is right. Everyone is in their rightful place and the community begins to congratulate itself on how it cares for the less fortunate. “Don’t they have a wonderful place to live, don’t they have wonderful staff and don’t we spend a lot of our money caring for the unfortunates” they say.”

    Mr Martin also points out,

    “For me empowerment and participation is just as essential for those of my friends that do not walk
    and talk. Just because you cannot talk it does not mean that you do not have a voice.”

  40. Phil Schwarz says:

    Harold said:
    “You assert without substantiation that I have misconceptions about the pro-neurodiversity perspective. Your assertion is incorrect.”

    Every claim you have made about the pro-neurodiversity perspective substantiates my assertion. You keep digging yourself in deeper and deeper.

    Harold said:
    “I also disagree fundamentally with the view that high functioning autistic persons who become engineers, researchers, artists, professors of various topics, internet essay writers etc are entitled to claim to speak on behalf of autistic persons such as my son who have much more limited skills and life prospects. The actual life realities, skills and life prospects are fundamentally different.”

    So let me get this straight — you think that *non-autistic* persons who become engineers, researchers, artists, etc. etc. are *more* entitled to claim to speak on behalf of autistic persons? How are *their* realities any closer?

    The things that verbal and non-verbal autistic people *do* share (and verbal vs. non-verbal is the primary distinction you’ve been coming back to) are significant — the sensory, praxic, and affective components of autism, and the cognitive and communicative sequelae of the sensory and praxic components. It stands to reason that those who have those components of autism and can talk or write about them, have a great deal they can say on behalf of those who have those same components but lack the ability to talk or write about them.

    What makes it so hard for you to see that, and take advantage of the perspective and insight you can get from those who *are* talking and writing?

    Why do you think they would lead you astray, when I and others so clearly have found otherwise?

    Finding and listening to people all across the spectrum — from people who can talk circles around me to people whose only means of communication is a keyboard, and even then only intermittently and with great effort — has made all the difference in the world to Jeremy, in the way his (non-autistic) mom and I have parented him.

    Moreover, if you think that the purported divide between “high functioning” and “low functioning” autistic people is a permanent fundamental difference, you’re wrong. And you better *hope* you’re wrong, because if you’re right, that means that *no* interventions, *no* therapies, *no* educational supports at all will ever improve the outcome of the “low functioning” people to the point where any of it would have been worthwhile.

    The reality is that there are interventions, therapies, educational approaches, supports, and accommodations that, although still far from ideal, have improved substantially over time and are continuing to do so — and that more and more so-called “low functioning” autistic kids are growing into far more enabled adulthoods.

    And when they do, surprise surprise — they overwhelmingly agree with *our* perspective.

    How are you going to explain to your son, when he is capable of reading what you write, the extent to which you have at times declared his future a foregone conclusion? You *do* hope that he will gain that capability as he develops, don’t you?

    When Jeremy was your son’s age, we had no *clue* what his future was going to be. But we — and *he* — worked at acquiring skills and learning from the world around him, and at 16 the lower bound of the developmental trajectory ahead of him is considerably higher than it was when he was little.

    I think much the same is true for Kristina’s son Charlie, following several years hence. The slow, incremental gains accumulate.

    We still don’t know what Jeremy’s life will be like when he’s 30, but we’re not ruling things out as foregone conclusions. I’d bet Kristina would say the same thing about the prospect of Charlie at 20.

    So yes, Harold, verbal autistic people *do* provide me meaningful input as Jeremy’s parent. And they would you, as Conor’s, if you were willing to lay down your misconceptions.

    I hope Conor’s future is as bright as Jeremy’s, and Charlie’s, and Alex Bain’s, and all the many autistic young people growing from significant handicap into more enabled and autonomous adulthoods.

    Mark Osteen, the organizer of the 2005 Autism and Representation conference at Case Western Reserve University, at which I first met Kristina and Jim, has a very severely handicapped adult autistic son. He’s written a memoir, and read from it at the conference: absolutely searing in what it describes. He and his son and his family have had a very, very hard time of it. Yet he said to me, of the work that verbal autistic self-advocates and their allies are doing, that we are helping to create a rising tide that lifts all boats.

    If he, at the stage his son and his family are at, years entrenched, can say this, how much more should it be true of parents like you, of much younger kids, with much greater prospects of developing to the point where all the verbal autistics’ concern about housing and employment and higher education and civil rights and mutual support are going to matter *very* much?

    I hope that several years hence, Conor’s expanding developmental trajectory, if not anything I or any of us say here and now, will lead you inevitably towards our perspective.

  41. Anne says:

    Michelle, thanks for the Robert Martin speech notes. I had never seen that before.

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