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this post was submitted on 05 Jun 2024
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We run into a few interesting possibilities here. Start with the assumption that more children are being diagnosed as being on the autism spectrum. That gives us a few possibilities.
1.a) If more children are being appropriately diagnosed with ASD, then perhaps the criteria needs to be tightened up; at a certain point, behavior/feelings/thoughts are just normal.
Because there's more screening--but not necessarily better screening--children are being pathologized as having ASD when they do not, because too many clinicians don't have the necessary expertise. This is a distinct possibility, in much the same way that kids are being labelled as having ADD/ADHD--and then getting drugs--when they're more frequently just being kids.
More children are actually on the autism spectrum now than there were 30 years ago. E.g., it's not that more kids slipped through the cracks 30 years ago, but there is actually a higher rate of ASD than there was 30 years ago. This is the one that should cause the most concern; if this is actually the case, and can be demonstrated to be the case, then what factor is causing this maladaption?
I might go a level deeper and argue that the formal education process requires a degree of attention and focus that lots of kids don't have. The "autism" diagnosis and subsequent treatment is more about fitting round kids into square holes than it is treating an actual mental disorder.
I can say from personal experience that Adderall helped me study even without ADD. Its a performance enhancing drug, of sorts. And if landing a diagnosis means giving your kids a chemical edge on the next state exam, then more parents are going to discover their children have a problem.
I might take this one step deeper and assert that the real problem we're attempting to medicate isn't autism, its poverty. The underlying fear of an autistic diagnosis is that the child won't grow up to be self-sufficient. The drugs (whether they're necessary or simply a competitive edge) are intended to turn children into the successful mindless drones who are capable of churning mechanically through rote exercises that the school system / workforce demands of them.
Its possible that this is entirely due to a survivorship bias. Kids with autism are considered "salvageable" in an age where drowning the weakest of six children in the bath tube because they're dead weight on the family income is no longer consider practical (fewer kids) or acceptable (surveillance state).
Also possible that autism - like a number of other disorders - is linked to aging mothers or sunlight deficiency or toxic food/water/air in a heavily industrial society.
Autism could arguably even be a kind-of beneficial mutation - the result of increasingly smart people having increasingly more mentally adapt babies with mental talents the rest of us dumb-dumbs only see as a handicap, because we're trying to fit them into those aforementioned square holes.
Okay, but that seems to be more prevalent now than it used to be. Is it really more prevalent? Or maybe the way we teach things has changed, leading to worse outcomes? Full disclosure: I was formally diagnosed with ASD in my later 30s; Asperger's didn't even exist as a diagnosis until after I had graduated from public schools. I had a very hard time focusing in all of my classes.
I know that there's a strong link between trisomy-23 (Downs Syndrome) and older mothers, but I hadn't heard of other genetic issues. I'm not disputing it, just saying I wasn't aware of them.
It is absolutely a handicap. This is undeniable. It's a handicap because it hinders your ability to interact appropriately with the world. I have greatly reduced empathy and communication ability; I can usually guess how people are feeling, but I don't really feel it in the way that most people say they do, and I don't really feel much of my own emotions. I can't just power through shit like some people can either; I'll sometimes go into complete shutdown when there's too much going on, things that most people have no issues with. There's a lot more, really. But trust me, it's a handicap in dealing with life.
Our education system has grown more rigid, more test-centric, and more exhausting under iterative attempts at reform. I'm not even speaking to "worse outcomes" so much as maladaptation. Kids with ADD are going to be more prone to exhibit symptoms in an environment that buckles them down and compels them to concentrate on singular tasks for longer amounts of time.
There's a number of physical and psychological correlations but not a ton of causation. So its mostly a conjecture.
I've heard different takes on this from different people. And I've seen at least a few people horrified at the idea of any kind of change in their condition, for fear of it taking away something fundamental about them.
So... idk. I definitely understand wanting relief from a handicap. But I've also heard people describe the tunnel vision and detachment as comparable to the deep immersion one gets in a state of flow.