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M.  King's avatar

Steve, this is one of your best essays ever! I have had OCD and ADD my entire life and at various points thought I would loose my mind or descend into chaos. Thank God, nether has happened. Indeed, at 66 I can look back on an exterior life that has had a good impact on many, and an inner life that, while often frightening, has been the source of much creativity, empathy and intuition. I've heard it said that had SSRIs and SSNRIs been developed in the 14th century (when artists and writers began to break out of narrowly defined parameters) we would have had little great art or literature in the modern age. To be honest, I've used Effexor (an SSNRI) for years and have no plans to stop. However, I fear that I might well have been more creative, empathetic and intuitive had I "bit the bullet" and navigated my condition without medication. Thanks again for bringing this subject into the light.

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Susanne C.'s avatar

I actually have a lot to say about this very subject but I will be hampered in expressing it by my own autism spectrum issues. This will be tldr. It runs in my family such that we cannot tell whether my biological children exhibit spectrum issues because they are autistic or because they were raised by an autistic mother. My eldest son is definitely a full blown Aspie, the others exhibit social anxiety and miss social cues but are less “neuro-divergent”. All of us, including my husband, have the ability to make syntheses across disciplines, to memorize and correlate information unusually quickly. We think and talk faster than other people. We are not dramatically accomplished geniuses but we are all smarter than average and that has helped smooth out some of the issues being so different has caused.

Social situations have been nightmarish for all of my 60 years. I gave up completely quite a while ago, but not before experiencing a crushing load of disappointment and hurt from nearly every interaction, everyone that I ever considered a close friend, acquaintances, and my own mother and sisters. The power to wound me which I ceded to others was enormous. I have an excellent marriage of 40 years, close relationships with all my children and grandchildren, and that is it. I do miss friends that I managed to make for brief periods of time, but I was never as important to them as they were to me and I always came to see that I was the one on the giving side all the time, still the little girl offering a quarter to the neighborhood bully to leave me alone. I think this is true of many autistic people, they have adult brains as children and they don’t change much as they grow older.

I remember being bored out of my mind as a child in a house with few children’s books, a grocery store encyclopedia, and bizarre medical handbooks describing foul tropical diseases complete with grainy photos. I taught myself to read all these fluently by the time I was three. I was the cuckoo in the nest always. The forum for Asperger’s syndrome, wrongplanet.net, is so perfectly named. I always felt like everyone else was speaking a foreign language, designed to keep me out.

I have made a life for myself and my husband by raising a large family in a very home centered way, home as a therapeutic refuge from the world. Creating obligations to children and now grandchildren to keep me from running away from the pain in a permanent way. It is a haven that I am afraid we are denying future generations of Aspie women. The modern idea that girls with high functioning autism are really boys is the most insane and misogynistic thing I can imagine. I am afraid that the culture will take the very women who are wonderfully suited as companions, wives and mothers and convince them that this is not for them. Just because Asperger’s has been described as the “extreme male brain” doesn’t turn girls into boys! Nerdy boys are attracted to Aspie girls, they share interests in common and my sons have commented on how quickly girls like me got snatched up when they were in college. Traditional courtship patterns where boys make the advances clarify things for girls who aren’t sure how social cues work. I never had the problems getting along with boys in college that I have always had with girls and women.

The primary premise of the articles which started your essay seems to lump autism in with actual mental illness diagnoses. This is one of the biggest fallacies of modern times, that claiming neurodivergence gives you a pass as far as mental illness is concerned. A person can be severely bipolar, schizophrenic, etc., but if it is framed as gender Dysphoria or other trendy labels you get a sticker and fifteen minutes of fame instead of treatment. People with severe issues of self destruction are given the tools to permanently disfigure themselves instead of getting the therapy they need. These trends have completely destroyed what little credibility psychology had as a science.

I do not think neurodivergence needs to be celebrated. Society cannot continue to celebrate every fractal. Who has the energy to care about this? The emphasis on high functioning people as having “so much to offer” loses sight of the far larger group of severely disabled autistic children and adults who are hidden from society at large. While attention whores plead their special cases what happens to the ones who graduate from special ed at 18 or 21 to a lifetime isolated in their childhood homes, dependent on aging parents who worry about what happens when they die. The increasingly emphasis on productivity squeezes out the sheltered workshop programs which provided a sense of worth and something to look forward to for many. These programs cost a pittance compared to the money generated and wasted by the causes of the moment.

We have lost our minds in this country. It will, as always, be interesting to read the comments.

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