Showing posts with label autism spectrum disorders. Show all posts
Showing posts with label autism spectrum disorders. Show all posts

Sunday, November 22, 2009

Autism Speaks' Bob Wright Speaks Autism Truths

"The protesters are lucky. They're well off enough, healthy enough, to do it. I wish my grandson were able to join them."

Bob Wright, New York Post, November 19, 2009

Bob Wright of Autism Speaks has called out the handful of protesters, barely autistic members or followers of the Autism Spectrum Self Advocacy Network, who made yet another attention grab by protesting a celebrity benefit held to raise funds and awareness for autism disorders. Autism Speaks has critics from various points in the world of autism but its events are attended by thousands of participants while ASAN is lucky to haul an even dozen away from the comfort of their keyboards.

These very high functioning, self identified, autism "spectrum" dwellers don't appreciate how lucky they are and go all out to disrupt efforts to help all persons on the autism spectrum including the low functioning, severely autistic children and adults who actually need the help. Self advocacy? Far from it.

ASAN is an oppressive group. Its barely autistic leaders identify with the "autism spectrum" concept and want to promote a view of autism which supports their own self image. To that end they suppress any portrayal of the negative realities that afflict those with severe, low functioning autism disorders.

ASAN protesters advocate against the rights and interests of the severely autistic, those who would have been diagnosed as autistic BEFORE the expansion of the diagnostic definitions of autism disorders in 1993-4. They seek to prevent research that could lead to treatment or cure of autism disorders. They, the very high functioning barely autistic, do not need treatment to attend university, establish corporate organizations, meet with high level politicians, write lengthy essays and of course, pose for photo ops and interviews with high profile, but autism ignorant, mainstream media publications like the New Yorker, the NY Times, Newsweek and the CBC.

ASAN does not want research to be conducted that could help cure those autistic persons, including children, who suffer from severe self injury, lack understanding of language, wander off into dangerous traffic, drown in neighborhood pools or live their lives in institutional care after their parents can no longer care for them.

Like Bob Wright I wish my son was able to join them in their protests. I wish my son was able to understand why they feel that their self identification with the word "autism" is so important that they are entitled, under the pretense of "autism spectrum" self advocacy, to suppress his rights and interests.



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Friday, November 06, 2009

Autism Priorities and the DSM V: Media Ignores Invisible, Severely Autistic in DSM V Discussions

The invisible autistics, the severely autistic, those with Autistic Disorder, profound developmental delays, cognitive and intellectual deficits, those who can not live independently, who live on hospital wards and in large, antiquated psychiatric institutions do not make regular appearances in the New York Times and its junior Canadian cousin the Globe and Mail. Nor do they appear regularly on the various CBC television and radio shows that have fawned over Michelle Dawson, Amanda Baggs and more recently Ari Ne'eman.

In the big, mainstream media discussions, and opinions about the proposed changes to the developmental disorders section in the DSM V nothing has changed. Ari Ne'eman and other barely autistic, very high functioning persons with Asperger's Disorder continue to receive all the considered attention of the big media while the severely autistic remain, as always, invisible. There is scant mention in any of the mainstream media commentaries of those whose lives are most severely restricted by autism disorders. The Globe and Mail breathes hot air about "a culturally rich autism" while ignoring those severely autistic persons living in institutional care throughout Canada.

Plus ça change, plus c'est la même chose




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Saturday, May 02, 2009

Autism Advocacy? Anti-ABA Activist Michelle Dawson at the Supreme Court of Canada

Elizabeth Svoboda, like Erin Anderssen before her, has received criticism from Michelle Dawson, for daring to characterize her activities in ways that Ms Dawson, an outspoken public figure, does not approve of. Her letter reacting to the Svoboda article about the Neurodiversity movement in Salon.com contains a number of points of disagreement including her role as a crusader and, in particular, her role before the Supreme Court of Canada in Auton where she intervened as an "autistic" a person with an unspecified Autism Spectrum Disorder.

I actually agree with Ms Dawson that it is inaccurate to state that she personally:

"convinced the Canadian Supreme Court to overturn an appeal that would have provided state funding for ABA therapy."

Apart from the Appellant British Columbia government a number of provincial governments intervened seeking to have the Supreme Court of Canada reverse the lower court orders directing the BC governement to fund Early Intensive Behavioral Intervention (ABA). The Supreme Court of Canada agreed with the various governments' arguments which were essentially based on the premise that it was the role of legislatures, not the courts, to decide what treatments should be considered medically necessary for what disorders. According to the governments' submissions the absence of evidence that the autistic children involved in the case had been discriminated against with respect to the provision of services determined by the legislature to be medically necessary the Courts erred in intervening under the equality and non-discrimination provisions of the Charter of Rights and Freedoms to order funding of EIBI (ABA) for autistic children.

While I agree that Ms Dawson's role in Auton was probably not determinative, I do agree with Ms Svoboda that Ms Dawson is, and has been, a "crusader" or activist. Ms. Svoboda refers to her as an "autistic-rights" crusader. Ms Dawson was in fact before the Supreme Court of Canada, not just to "provide information to the court that it did not already have" as she claims in her letter to Ms Svoboda. In Auton Michelle Dawson was there as an anti-ABA activist opposing ABA for autistic children. In that proceeding she opposed the parents' request that the SCC uphold the lower courts' Orders directing the BC government to fund EIBI (ABA) for autistic children.

In Auton, The Orders of the Supreme Court of British Columbia and of the British Columbia Court of Appeal directed the BC government to fund early intensive behavioural therapy for children with autism or autism spectrum disorder. Failure to do so constituted a breach of the childrens' rights under s. 15(1) of the Charter. Ms Dawson, in the interveners factum filed on her behalf, and available online, expressly opposed the request of the autism parents involved to uphold those orders by asking the SCC to reject the premise of those Orders which were the findings by the lower courts that the refusal by the BC government to fund EIBI (ABA) treatment for autism infringed s. 15(1) of the Charter:

80.
The following orders are requested:


That the Respondents’ request to uphold the British Columbia Court of Appeal finding of an infringement of s.15(1) in the particular circumstances of this case be denied.

In the argument portion of her factum Ms Dawson takes issue with the science demonstrating the effectivness of ABA. She clearly opposed ABA in the proceedings on that basis contrary to the views of credible agencies which had reviewed the scientific literature on the effectiveness of ABA and contrary to the expert witnesses in the case, including the BC government's expert witness. She also opposed ABA on the grounds that, in her not so humble opinion, the practice of ABA was unethical because it could extinguish autistic behaviors and because "autistics' were not involved in the practice.

Ms Dawson had also expressly stated her opposition to ABA in the Notice of Application filed on her behalf in which she sought leave to intervene in the Auton proceedings:

5. The applicant is concerned that the judgments of the court below appear to endorse the principle that a particular type of treatment (Applied Behaviour Analysis) constitutes a medically necessary treatment for autistic individuals such that the failure of parents to provide that treatment or the failure of autistic individuals to seek that treatment could constitute a deprivation of basic medically necessary principles;

The Supreme Court of Canada summarized Michelle Dawson's position in Auton succinctly in paragraph 5 of that Court's decision:

"While increasingly accepted, Applied Behavioural Analysis (“ABA”) or Intensive Behavioural Intervention (“IBI”) therapy is not uncontroversial. Objections range from its reliance in its early years on crude and arguably painful stimuli, to its goal of changing the child’s mind and personality. Indeed one of the interveners in this appeal, herself an autistic person, argues against the therapy."


Ms Dawson, like anyone, can reasonably disagree on subjects of public interest. It is not reasonable though for her to contend that she has not been a "crusader" or activist. She has been very active in a number of forums offering her view of what it means to be an "autistic". She has publicly opposed ABA treatment for autistic children on what she considers to be scientific and ethical grounds before the Supreme Court of Canada and the Canadian Senate.

Michelle Dawson may prefer now to be known solely as a researcher but she has been, and remains, an activist with her own ideological, and sometimes political, agenda. That agenda is one which includes opposition to ABA treatment of other people's autistic children notwithstanding the desires of the childrens parents that they receive such treatment and notwithstanding the opinions of a number of credible authorities that ABA is solidly evidence based and supported in its effectiveness at reducing self injurious behaviors in autistic children and helping them to acquire specific intellectual, social and communication skills.




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Tuesday, December 09, 2008

An Open Autism Letter To Bob Rae and Michael Ignatieff

Dear Mr. Rae and Mr. Ignatieff

I am the father of a 12 year old boy diagnosed with autistic disorder and assessed with profound developmental delays living in Fredericton, New Brunswick. I know you both are busy challenging for the leadership of the Liberal Party. I hope you both have time though to consider the importance of health and education issues to Canada's future and, if one of you becomes Liberal leader and Prime Minister, do not simply use the Constitution as a shield to avoid development of national policies in these two areas vital to the lives of Canadians as Stephen Harper has done.

In particular I ask that each of you, should you ultimately become Prime Minister, introduce a real National Autism Strategy for Canada. Not the existing "slap in the face" strategy of the Harper government but a real National Autism Strategy that helps all regions of the country deliver evidence based effective autism interventions during the pre-school and school years and permits adult autistic persons to live in decent residential accommodations and participate to the fullest extent of their abilities in Canadian society.

The beginning of such a strategy was outlined in Bill C-304, the private member's bill introduced by Charlottetown MP, and steadfast autism advocate, Shawn Murphy. That bill included amendment of the Canada Health Act to provide financing for autism treatment wherever autistic children reside in Canada:


BILL C-304

An Act to provide for the development of a
national strategy for the treatment of
autism and to amend the Canada Health
Act

Her Majesty, by and with the advice and
consent of the Senate and House of Commons
of Canada, enacts as follows:

SHORT TITLE

1. This Act may be cited as the National
Strategy for the Treatment of Autism Act.


NATIONAL CONFERENCE

2. The Minister of Health shall, before
December 31, 2006, convene a conference of
all provincial and territorial ministers responsible
for health for the purpose of working
together to develop a national strategy for the
treatment of autism. The Minister shall, before
December 31, 2007, table a report in both
Houses of Parliament specifying a plan of action
developed in collaboration with the provincial
and territorial ministers for the purpose of
implementing that strategy.

AMENDMENTS TO THE CANADA
HEALTH ACT

3. Section 2 of the Canada Health Act is
renumbered as subsection 2(1) and is
amended by adding the following:

(2) For the purposes of this Act, services
that are medically necessary or required under
this Act include Applied Behavioural Analysis
(ABA) and Intensive Behavioural Intervention
(IBI) for persons suffering from Autism Spectrum
Disorder.

Mr. Ignatieff, you voted in support of Bill C-304. I hope, should you accede to the Prime Minister's office that you will act on that expression of support for a badly needed national autism strategy.

Mr. Rae, you were not a sitting member of the Commons at that time but, having twice had the privilege of meeting you and discussing autism issues with you I know you have taken the time to inform yourself about, and shown interest in, the challenges facing autistic Canadians and their families. I hope that should you become Liberal leader and perhaps Prime Minister that you
would introduce as a government bill Shawn Murphy's private member's bill C-304.

I realize that you both have great issues on your minds. I hope you both have room in your hearts, and considerable intellects, for autistic Canadians.

Respectfully,


Harold L Doherty
Fredericton New Brunswick




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Thursday, November 20, 2008

Autism and the DSM-V in Public Life and Discussion



The DSM-IV-TR, the current version of the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, is currently undergoing revision and will ultimately be replaced by the DSM-V. The Report of the DSM-V Neurodevelopmental Disorders Work Group, Susan Swedo M.D., November 2008 lists various issues being examined by that group, many of which could have a dramatic impact on public understanding of what constitutes autism. I strongly encourage everyone with an interest in autism disorders to read this summary report.

Autism as a distinct disorder category began with the 1980 DSM-III, described initially as infantile autism and revised to autistic disorder in 1987. The DSM-IV revision added the "pervasive developmental disorders" which are commonly described today as the Autism Spectrum of Disorders. Asperger’s Disorder, Rett’s Disorder, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) were added to autistic disorder in this category.

The addition of these additional categories dramatically increased the numbers of children being diagnosed with "autism". A major controversy has ensued over whether the astonishing increase in autism diagnoses is due entirely to this expansion combined with greater social awareness as some believe. Others hold to the view that environmental causes or triggers, particularly vaccines, have contributed, in whole or in part, to the dramatic upswing in autism diagnoses.

Personally I think it is obvious that a substantial portion of the increase is attributable to the expansion of the diagnostic categories of autism in the DSM. But I do not think sufficient research has been done to conclude that the increases are due entirely to the definition changes. Even on the vaccine theory I have never accepted that either side of that debate has been made conclusively.

Another controversy generated by the expansion of the definitions of autism has arisen from the grouping together of persons with normal and even exceptional communication and functioning abilities with persons like my son who has limited communication and functioning ability. From this grouping has arisen a group of high functioning, anti-cure, anti-treatment, autistic persons with excellent communication skills and with an aggressive social/political agenda. Some have appeared before courts, political bodies, in the mainstream media and on the internet to wage political warfare against parents seeking to help their own, generally more severely disabled, autistic children.

The Report states that there are several questions still under discussion for Autism Spectrum Disorders:

1) How to describe the “spectrum” of disorders now known as ASD (e.g., how many domains will define the disorder);

2) What is the specificity of repetitive behaviors in ASD and how might they be better defined;


3) Whether Childhood Disintegrative Disorder (CDD) is a unique and separate disorder, and if so, what are its defining characteristics;


4) Whether autism is a life-long diagnosis or whether it is possible to recover/remit to the point where the diagnosis is no longer applicable;

5) Whether Asperger’s disorder is the same as “high-functioning autism”;


6) How the DSM-V can alert clinicians to common medical comorbidities (including genetic disorders, epilepsy/EEG abnormalities and sleep, or GI problems) and potential biomarkers;


7) How to include consideration of severity and impairment in diagnosis (currently defined as “qualitative impairments”) and how to integrate these with the overall structure of DSM-V; and


8) How/where to discuss cultural influences on diagnosis (e.g., Korean use of reactive attachment disorder rather than ASD to avoid family stigmatization).

These are all important issues and, like most autism discussions, will undoubtedly generate considerable controversy when the DSM-V is finally released.




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Thursday, July 31, 2008

Adult Autism Residential Care

One of, if not the least, discussed autism topics is the issue of residential care for autistic adults. It is more difficult to talk about some of the negative realities that await autistic persons, particularly those who are severely autistic or low functioning, those who will not be able to care for themselves or live independently. Even mentioning the need for secure residential care for those autistic persons who require 24/7 supervision can bring ridiculous allegations of "writing off autistics".

It is refreshing to see news of someone actually doing something positive to address the residential care needs of autistic adults. In International expert opens specialist home for people with autism Caring Business reports on a a new residential home for autistic adults in Rotherham in the UK. The home was opened by Dr Olga Bogdashina who is reported to have done extensive research into sensory-perceptual and communication problems in people with autistic spectrum disorders.

Dr Bogdashina stressed the importance of providing support throughout their life – not just when they are young. ‘All too often, people with autism receive support during childhood, but when they mature and reach adulthood, they are forgotten,’ she said. ‘We have to remember that autistic children grow up. That is why it is essential to have facilities like Rother Heights – so they can receive the necessary care and support they still need in adult life.’

Rother Heights can accommodate 24 residents in four bungalows, which are designed with the personal needs of each resident in mind. The interior of each bungalow is decorated to stimulate the senses and includes coloured inset lighting, tactile and durable furniture and furnishings and unique architecture. The centre also includes a number of safety features, such as remotely controlled light and water supplies and Perspex window coverings. The home is run by Autism Care (UK) Limited, part of the Maria Mallaband Care Group.

There is a glaring need for adult autism facilities like the Rotherham center in many jurisdictions. New Brunswick has absolutely NO autism specific residential care facilities. Examples like the Rotherham center are helpful reminders of the options that could be put in place if we care enough and have the will to provide a decent life for our more severely autistic adults.

Friday, June 27, 2008

Autism's Neurotypical Heroes

"Neurotypical" is a term used by some persons with high functioning autism and Aspergers to describe persons who do not have an Autism Spectrum Disorder. Wikipedia entries claim that

"While originally coined among the autistic community as a label for non-autistic persons,[2] the concept was later adopted by both the neurodiversity movement and the scientific community."

One of the points not often stressed in the heated and sometimes angry world of internet autism "discussions" is the heroism of the "neurotypicals" from parents who sacrifice and struggle to raise their autistic children and care for them to the teachers, aides and other educators who try to educate autistic children, accommodate the diverse challeges they present, and in some cases deal with physical harm inflicted by those they try to help. These are real, every day, "neurotypical" heroes.

There are also professional neurotypical heroes like Dr. Paul McDonnell, professor emeritus (psychology), clinical psychologist and the mentor behind New Brunswick's (New Brunswick, Canada) evidence based autism service delivery system. Dr. Mickey Keenan in Northern Ireland and Dr. Doreen Granpeesheh in the United States. These are but a few of the many dedicated neurotyical professionals who use their education, experience, time and effort to actually help persons with autism.

I was very impressed recently with the heroic efforts of the neurotypical volunteers who worked for a week to ultimately find ,and deliver to safety, Keith Kennedy the autistic gentleman from Minnesota who wandered off and was lost in the Wisconsin woods near the camp he was staying at. These people sacrificed a lot of their time and comfort to help this autistic man they did not know.

As a neurotypical father of a severely autistic 12 year old boy I give thanks today, not because it is a "thanksgiving holiday" but because I choose to do so, to the many "neurotypical" fellow parents, professionals, educators, therapists, politicians and civil servants who have helped to make life better for my son.

You are all heroes, each and every one.

Thursday, June 26, 2008

Autism and MicroRNAs


The Autism Knowledge Revolution continues with publication of a paper by University of California, Santa Barbara professor Kenneth S. Kosik "Heterogeneous Dysregulation of microRNAs across the Autism Spectrum” in the journal Neurogenetics. In addition to Koskik, senior author, other authors are Kawther Abu-Elnee, Tsunglin Liu, Francesca S. Gazzaniga, Yuhei Nishimura, Dennis P. Wall, Daniel H. Geschwind and Kaiqin Lao. The paper reports results of a study which found that "altered miRNA expression levels are observed in postmortem cerebellar cortex from autism patients, a finding which suggests that dysregulation of miRNAs may contribute to autism spectrum phenotype".

The University of California communications release MicroRNAs provide new insight in study of autism explains:

Ribonucleic acid, or RNA, is a link between DNA and protein. Some RNAs, according to Kosik, do not make a protein. One such type of RNA is called a microRNA because it’s very short. While there are 23,000 genes in the human body, there are about 1,000 different microRNAs.

The short RNA sequences can bind to many different, longer RNAs and inhibit them from making the protein, Kosik’s study found. “In this manner, they exert a broad regulatory control over the expression of many different proteins,” he said. And many of the genes they control are involved in brain development.

“It was of interest to find that various members of the microRNA family are frequently dysregulated in autism,” Kosik said. “This result points to a single control layer in the cell that can change in quite different ways with autism as the end result.”

Kosik indicates that, like recent studies showing mutations among small numbers of autism patients, this study also suggests there is a broad spectrum of diverse autism disorders:

“We can’t continue to look at this as a monolithic entity. This is not a single disease.”


Thursday, April 10, 2008

Medicare for Autism Now! campaign returns to Ontario



Medicare for Autism Now! campaign returns to Ontario


Jean Lewis, chief spokesperson for FEAT-BC’s Medicare for Autism Now! campaign today announced that she and others, including Stefan Marinoiu, of Toronto, will be traveling through Ontario, organizing parents and supporters as part of a national initiative to obtain Medicare coverage for autism treatment. They will be holding a news conference on Parliament Hill, in the Charles Lynch Press Theatre, at 11:00am on Monday, April 14th.

The news conference will be followed by a three day campaign swing through federal Health Minister Tony Clement’s constituency of Parry Sound-Muskoka, various media interviews in Toronto, on Friday, April 18th, and a concluding parent/supporter rally at the Iroquois Recreation Centre, in Oakville, beginning at 2:00pm on Saturday, April 19th. Making your vote count in the next federal election will be the central message to be delivered by a variety of speakers.

FEAT-BC’s Medicare for Autism Now! campaign is building a coalition of parents, active supporters and other fair-minded Canadians across our country. “The epidemic of autism and the urgent need for effective and affordable treatment is a major issue in the US federal election campaign. We aim to make sure the same thing happens in Canada because our children deserve no less”, said Mrs. Lewis.

For further information, contact: Jean Lewis at 604-290-5737 or via e-mail: jean.lewis@telus.net.