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	<title>Journeys with Autism &#187; Diagnosis</title>
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	<description>Ethics, Disability Rights, and Reports from Life on the Spectrum</description>
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		<title>Interview Today at Achieving Extraordinary Success</title>
		<link>http://www.journeyswithautism.com/2011/06/16/interview-today-at-achieving-extraordinary-success/</link>
		<comments>http://www.journeyswithautism.com/2011/06/16/interview-today-at-achieving-extraordinary-success/#comments</comments>
		<pubDate>Thu, 16 Jun 2011 12:15:33 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Disabilities]]></category>
		<category><![CDATA[Interviews]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=7911</guid>
		<description><![CDATA[I&#8217;m honored to be featured today in an interview on Robert Hickman&#8217;s Achieving Extraordinary Success. I&#8217;d love it if you&#8217;d come by and add your comments to the conversation!]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m honored to be featured today in an interview on Robert Hickman&#8217;s <a href="http://achievingextraordinarysuccess.com/2011/06/16/living-late-diagnosed-autism-interview-rachel-cohen-rottenberg/">Achieving Extraordinary Success</a>. </p>
<p>I&#8217;d love it if you&#8217;d come by and add your comments to the conversation!</p>
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		<slash:comments>8</slash:comments>
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		<title>Autism, Disability, and the Obligation to Get Well</title>
		<link>http://www.journeyswithautism.com/2011/05/11/autism-disability-and-the-obligation-to-get-well/</link>
		<comments>http://www.journeyswithautism.com/2011/05/11/autism-disability-and-the-obligation-to-get-well/#comments</comments>
		<pubDate>Wed, 11 May 2011 17:20:35 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Disabilities]]></category>
		<category><![CDATA[Doctors]]></category>
		<category><![CDATA[Marginalization]]></category>
		<category><![CDATA[Self-Advocacy]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=7689</guid>
		<description><![CDATA[I&#8217;ve recently begun reading Robert Murphy&#8217;s The Body Silent, one of the great books on the social and cultural context of disability. Murphy, a professor of anthropology at Columbia, became a quadriplegic in his fifties as the result of a benign tumor on his spinal cord. He wrote The Body Silent from the perspective of [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;ve recently begun reading Robert Murphy&#8217;s <em>The Body Silent</em>, one of the great books on the social and cultural context of disability. Murphy, a professor of anthropology at Columbia, became a quadriplegic in his fifties as the result of a benign tumor on his spinal cord. He wrote <em>The Body Silent</em> from the perspective of an anthropologist observing himself as a disabled person in the context of late 20th-century America.</p>
<p>His writing immediately spoke to me, in part because I&#8217;ve lived my life from the perspective of an anthropologist in a foreign culture, and in part because I recognize so many of my own experiences in his words.  I am not very far into the book, but what I&#8217;ve read so far has sent my thinking in all kinds of new directions. I am being careful not to read too much at a time without articulating my thoughts on it; the book is so rich that I could lose track of all its implications if I didn&#8217;t pause to reflect.</p>
<p>Among the many passages that I&#8217;ve found powerful is the following, which describes the social role of a person who becomes ill:</p>
<p style="padding-left: 30px;">&#8220;A person&#8217;s ordinary social roles &#8212; mother, father, lawyer, baker, student, and so forth &#8212; all become temporarily suspended when he or she falls ill. The individual becomes a &#8216;sick person,&#8217; which relieves him or her of some or all of the ordinary obligations, depending on the severity of the illness.</p>
<p style="padding-left: 30px;">The suspension of his other duties does not mean that the person playing the sick role has none at all. Quite the contrary; he is saddled with one big obligation: He must make every effort to get well again. In our own doctor-ridden culture, this means that he must seek medical advice; he must take his medicine and follow the doctor&#8217;s orders. This expectation mandates the proper role of the sick as one of passivity. The sick person is excused from work or school, household duties are suspended or at least limited, and connubial relations may be put on ice. But in return, he must devote full time to getting better.&#8221; (Murphy, 19)</p>
<p>The temporary suspension of numerous social roles in favor of a single imperative to &#8220;get well&#8221; is a trap that is well-known to many of us. Sometimes, this suspension of other obligations is necessary and welcome. For instance, when I had surgery to remove a degenerative disk in my neck a few years ago, I spent several weeks recovering my strength before I was able to get back to &#8220;normal.&#8221; And I well remember the feeling that my only role was to heal. At the time, I felt great comfort in knowing that others would take care of business while I recovered.</p>
<p>But the situation becomes much more complicated and troubling when a person moves beyond a short-term illness into a chronic condition. A couple of years ago, I went through a particularly low period with being autistic. During my 50 years of ignorance about my condition, I had pushed myself unmercifully &#8212; physically, psychologically, and emotionally &#8212; to the point of burnout. At the same time, I had been prescribed benzodiazepines, medication that was wreaking complete havoc with my sensory and emotional life. For awhile, I needed assistance with basic tasks, such as food shopping, housecleaning, and cooking. It was painfully difficult to ask for this help, and my self-esteem suffered significantly.</p>
<p>Two years later, I take much better care of myself. I have adapted to my disability, I have gotten off the benzodiazepines, and I have healed from the burnout. As a result, I no longer need such assistance. But the legacy of having once required it has cast a pall over my life that I have never completely dispelled.</p>
<p>Until now, I&#8217;d never known why. I&#8217;m beginning to understand, though.</p>
<p>With a condition such as autism, Down Syndrome, or multiple sclerosis, there is no &#8220;getting well&#8221; in the conventional sense. There can be therapies, accommodations, and the amelioration of certain symptoms, but there is no pill, no surgery, and no treatment that will remove the condition and render the person &#8220;normal.&#8221; Having any of these conditions, therefore, automatically puts one into the category of &#8220;sick&#8221; people (think &#8220;autism epidemic&#8221;), with a concomitant obligation to &#8220;get well.&#8221; But if you have a condition from which you can not &#8220;get well&#8221; according to the standards of the larger culture, you are completely unable to fulfill the one social imperative that the world gives you. And if you fail at that one obligation, then the quality of all the other social roles that you might have &#8212; father, mother, husband, wife, friend &#8212; immediately becomes suspect.</p>
<p>Thus, you end up with the widely held belief that the partners of disabled people are heroic for sticking around, and that they do so only out of pity, as though disabled people are not full and equal participants in the process of their own lives. And you get a great deal of talk about the numerous (and very real) challenges that the parents of disabled children face, to the exclusion of talk about the numerous (and very real) delights that such parents find in their disabled children.</p>
<p>You get T-shirts, mugs, and tote bags that say, &#8220;I love someone with autism.&#8221; You don&#8217;t get T-shirts, mugs, and tote bags that say, &#8220;Someone with autism loves me.&#8221; I&#8217;ve considered making up some items with that message on them, but I think it would only depress me to find out how few I would sell.</p>
<p>Of course, defining us as &#8220;sick&#8221; generates a great deal of money, energy, and emotion in the race for a &#8220;cure.&#8221; After all, if our one imperative is to &#8220;get well,&#8221; the culture is going to make damned sure that we do it. And, inevitably, the only way to get other people to join the search for a cure is to generate FUDD (fear, uncertainty, doubt, and dread) about living with a disability. In the autism world, Autism Speaks is masterful at this form of gamesmanship, which has the net effect of making the parents of autistic children absolutely terrified of what might happen to their children without all the latest treatments, without 40-60 hours per week of expensive therapy, and without that elusive &#8220;cure.&#8221;</p>
<p>The fact that there are millions of disabled adults who have created happy and fulfilling lives, without full-time treatment and without a cure, seems to matter not at all. We are ignored, and why? We have broken the obligation of being a &#8220;sick&#8221; person. We have not remained passive. We have not lived our lives in a quest to &#8220;get well.&#8221; We have lived our lives in a quest to <em>live well as the people we are</em>.</p>
<p>As a result, we find ourselves in the vortex of a great deal of distortion for wanting to simply be at peace with ourselves and carve out a meaningful life. It&#8217;s as though, having given up our &#8220;patient&#8221; status, we&#8217;ve committed some sort of cardinal sin. Thus, you get autistic self-advocates, who do not want to be cured, being told that we&#8217;re faux autistics. If we reject the role of the &#8220;sick&#8221; person, with the one overriding obligation to get better, it&#8217;s as though we short-circuit the cultural wiring. The response is often along the lines of, &#8220;If you refuse to see your autistic mind and body as sick, and you refuse to accept the social role that having such a mind and body entails, then you must not be autistic at all.&#8221;</p>
<p>That logic, of course, is not logic at all, which is an indication of how deeply threatening stepping out of our assigned role feels to other people. And the illogic means that we face psychological warfare of the worst kind: we find ourselves verbally stripped of the very condition that is the source of our struggles, our triumphs, our sensitivity, our discipline, and our awareness. In those moments, it&#8217;s as though our entire life histories have been erased.</p>
<p>Were we not threatening a deeply held cultural value, the response to us might be somewhat more productive, along the lines of, &#8220;I give you a lot of credit for your strength and your accomplishments, and I celebrate that you have a happy and fulfilling life. But please be aware that my adult autistic son, who tries to self-injure all day long, who bloodies himself on a daily basis, who gives himself concussions when he&#8217;s stressed, is in a state of irremediable pain that no accommodation can fix. Do you understand why I want to move heaven and earth to find a cure? And, until that help arrives, can you give me some insight as to how I might understand what is happening to him?&#8221;</p>
<p>That would be a conversation worth having. Unfortunately, I&#8217;ve never seen it actually happen.</p>
<p>In the absence of that conversation, I understand the wholesale rejection of words like &#8220;disease,&#8221; &#8220;disorder,&#8221; and &#8220;sickness&#8221; in the autistic community. I&#8217;ve gone to great lengths to distance myself from words like those, and I&#8217;ve always felt a great deal of discomfort about it, too. After all, what is so shameful about having a disease, or a disorder, or a sickness? Isn&#8217;t rejecting those words just playing into the hands of those who see disability as the worst possible thing that could happen? Don&#8217;t we need to reclaim those words and empty them of all of their dehumanizing connotations?</p>
<p>I think we do. But it&#8217;s difficult to do so when being labelled diseased or disordered puts you into the trap of having only one social role, and it&#8217;s a role you can&#8217;t fulfill. Under those circumstances, it&#8217;s entirely understandable that the response would be to reject the label altogether.</p>
<p>As I sit here thinking about all of these issues, I&#8217;m reminded of someone I never met, but about whom I know a great deal: my husband&#8217;s late wife, Karolka, who died of ALS ten years ago, at the age of 55. One of the most memorable things that Bob has ever told me about her has to do with the whole issue of disease and cure.</p>
<p>Even before the diagnosis of ALS was confirmed, Bob and Karolka sought out all kinds medical interventions to try and heal her &#8212; or to at least slow down the progression of the condition. And on a regular basis, they would hear from a friend or community member with another great idea for them to try. At a certain point, Karolka decided that it was time to stop chasing a cure, and to start accepting and living her life. Even after she&#8217;d made that decision, people would periodically show up with new ideas, but she had moved on, and when she did, she found a great deal of joy.</p>
<p>She never referred to ALS as &#8220;my disease.&#8221; She always referred to it as &#8220;my condition.&#8221; And lest you think that she was engaging in feel-good, New Age, mamby-pamby, politically correct nonsense, please allow me to disabuse you of that notion. She had absolutely no time for bullshit of any kind, and the last thing on her mind was a desire to fulfill someone else&#8217;s idea of how to talk about her life. But in speaking about ALS as a condition, rather than as a disease, she gave herself a great gift: She made herself an active participant in her process of living and dying, rather than a passive victim of an enemy beyond her control. And she released herself from the obligation of having to &#8220;get well,&#8221; when getting well was out of the question.</p>
<p>I&#8217;m not saying that every disabled person has to see himself or herself the same way. And I&#8217;m certainly not saying that it&#8217;s not okay to want a cure for one&#8217;s condition &#8212; although there are a great many troubling consequences to having a cure in a culture in which our main social obligation would be to avail ourselves of it.</p>
<p>What I&#8217;m arguing against is the whole idea of the obligation altogether. Far too many people will never have typical neurologies, typical bodies, typical minds, or typical ways of being. Giving disabled people an obligation we can&#8217;t fulfill means that we become people of less than equal worth. And it also means that we have very little support to fulfill a number of other roles &#8212; such as mother, father, husband, wife, son, daughter, friend, neighbor, and community  member &#8212; that we want and need, just as everyone else does. The overriding quest for a cure means that an organization like Autism Speaks spends most of its budget on research, and only 4% on services for autistic people living in the here and now. What is this &#8220;autism advocacy&#8221; organization advocating for, anyway? It is advocating for us to assume one role, and one role only &#8212; that of a patient, passively waiting to get better. It is not advocating for us to fulfill our birthright &#8212; to participate fully in all that the world offers to typically able-bodied people.</p>
<p>A few years back, after I received my Asperger&#8217;s diagnosis, I told a friend of mine who lives in Jerusalem, and who himself lives with a chronic disability. His response was something along the lines of &#8220;My sister, I will pray to Our Creator to heal you.&#8221; I was rather aghast at his response, as loving and as well-intentioned as it was, but I couldn&#8217;t quite articulate why. I wrote something back to the effect of &#8220;Please don&#8217;t pray for my healing, but for my ability to manage my life with strength and dignity.&#8221;</p>
<p>I never head from him on the subject again. But if I had it to do over, I&#8217;d expand on my request for his prayers and say, &#8220;Please, don&#8217;t pray for my healing. Please pray for my strength. Please pray for my dignity. Please pray that I have supportive friends and a loving community. Please pray that I continue to find meaningful work. Please pray that the world stops seeing me as broken. Please pray that others don&#8217;t react to me with fear and prejudice. Please pray that I live a long and happy life.&#8221;</p>
<p>Perhaps I&#8217;ll still ask for those prayers.</p>
<p><span style="font-size: 8pt; color: dark-blue; font-family: Verdana; letter-spacing: 0pt;">© 2011 by Rachel Cohen-Rottenberg</span></p>
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		<title>On Doubt and the Doubters</title>
		<link>http://www.journeyswithautism.com/2011/01/15/ondoubt-and-the-doubters/</link>
		<comments>http://www.journeyswithautism.com/2011/01/15/ondoubt-and-the-doubters/#comments</comments>
		<pubDate>Sat, 15 Jan 2011 17:10:15 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Disabilities]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=6416</guid>
		<description><![CDATA[First, they ignore you. Then, they laugh at you. Then, they fight you. Then, you win. &#8212;-Mohandas Ghandi Most of us who discover our place on the spectrum later in life go through a period of self-doubt. We think &#8220;Well, I fit the criteria, and I identify with the experience of other Autistic people, and [...]]]></description>
			<content:encoded><![CDATA[<p><em>First, they ignore you.<br />
Then, they laugh at you.<br />
Then, they fight you.<br />
Then, you win.</em><br />
     &#8212;-Mohandas Ghandi</p>
<p>Most of us who discover our place on the spectrum later in life go through a period of self-doubt. We think &#8220;Well, I fit the criteria, and I identify with the experience of other Autistic people, and it explains just about everything about my life, but&#8230;but&#8230;but&#8230;Really? Me?&#8221; If you&#8217;ve gone decades without a diagnosis, and then you discover that everything fits, the result can be a combination of euphoria (&#8220;At last! I&#8217;ve found my kin! And a Unified Theory of Me!&#8221;) and extreme self-doubt (&#8220;But if I passed for typical this long, can I really be Autistic? Maybe everyone was right, and I&#8217;m just plain freakin&#8217; nuts.&#8221;) </p>
<p>We Autistics are not the only ones who have to deal with this sort of doubt. Lots of autism parents have to deal with it as well, especially when their children do not fit a narrow stereotype. Parents may feel, at first, that they are overreacting to their children&#8217;s atypical behavior (&#8220;Hey, I was an awkward, quiet, geeky, early reader, too! What&#8217;s the big deal?&#8221;) even as they see their children struggling in ways that they themselves did not (&#8220;Yeah, but I don&#8217;t remember scratching my face in paralyzing anxiety over going to grandma&#8217;s house&#8221;).</p>
<p>So it&#8217;s a process for all of us.</p>
<p>It would be a lovely world if people would just leave us alone to deal with our doubts in peace, wouldn&#8217;t it? But, of course, that would be asking too much. To make a life-changing moment in our lives even more fun, enter the doubters. You know who they are. Sometimes, they&#8217;re well-intentioned people who are just trying to cheer us up. They say things to parents like, &#8220;Your kids are not Autistic. They&#8217;re just quirky and shy!&#8221; Sometimes, they&#8217;re <a href="http://www.npr.org/2010/12/29/132407384/whats-a-mental-disorder-even-experts-cant-agree">otherwise respectable professionals</a> who, for reasons I can&#8217;t yet fathom, say things to parents like, &#8220;Your kids are not Autistic. They&#8217;re just quirky and shy. So, please stop bilking the school systems of $50,000 a year on behalf of your weird but otherwise neurotypical children. Take a chill pill, and return that money to the outgoing, conventional kids who rightfully deserve it.&#8221;</p>
<p>Needless to say, many of us Autistics put up with the same sort of thing. There are the people who try to make us feel good by telling us that we don&#8217;t seem so, you know, <em>weird</em>. They say things like, &#8220;But you seem so <em>normal</em>! You can&#8217;t possibly be Autistic.&#8221; Apparently (and please correct me if I&#8217;m wrong), this is supposed to be a compliment. (NB: It&#8217;s not.) If they&#8217;re being slightly more diplomatic, they might say things like, &#8220;Are you sure? After all, you&#8217;re happily married. With children. And you can write. And speak. And have insights!&#8221; </p>
<p>It gets real tiring, real fast. After all, the only way to convince such people that what you&#8217;re saying is true is to take out a laundry list of everything that&#8217;s &#8220;wrong&#8221; with you or your kid. What a great topic of conversation! Doesn&#8217;t everyone want to talk about what they <em>can&#8217;t</em> do rather than what they&#8217;re actually good at? Don&#8217;t all parents want to keep repeating the list of their children&#8217;s difficulties, ad nauseum? Don&#8217;t we all want to blow our privacy to hell, just to convince people that we&#8217;re not lying, stupid, or unable to see what&#8217;s in front of us? And it especially sucks that we have to defend ourselves when we&#8217;re just a wee bit tired from coping with the disability itself, if you know what I mean. </p>
<p>And then, of course, there are the real nasties out there&#8212;the ones who call anyone who can write, speak, choose their friends, carry on a relationship, work a job, make a video, raise children, or live independently &#8220;fake Autistics.&#8221; I find the ignorance and meanness of these kinds of statements appalling. I understand that people are angry, stressed, sad, and overwhelmed for any number of reasons, but get a grip. How can anyone make such pronouncements? The criteria they&#8217;re using are not a reasonable basis for a diagnosis, to put it mildly, and carrying out diagnostic assessments on complete strangers over the Internet is not exactly a responsible practice.</p>
<p>One of the ways that many of us try to resolve our doubts&#8212;and get other people to <em>please shut up now</em>&#8212;is by getting an &#8220;official&#8221; diagnosis. And, I know for certain that an &#8220;official&#8221; diagnosis goes a long, long way. I got diagnosed very early in the process of discovering Asperger&#8217;s, and it was very liberating to have a third party listen to me and validate my perceptions. In fact, when I tried to thank the specialist who diagnosed me, he said, &#8220;You really don&#8217;t need to thank me. You&#8217;d already used your insight to figure it out before you walked in the door.&#8221;   </p>
<p>I know that without an &#8220;official&#8221; diagnosis, we can feel a lot of nagging doubt. And so, people often look to a specialist to remove these doubts. And sometimes, I think, it works. For me, it didn&#8217;t. It went a long way, but it didn&#8217;t erase all doubt immediately. Certainty took awhile to arrive. I needed to integrate my new understanding into my sense of myself before I really felt sure. I had way too many stereotypes of autism in my head to root out, and I had to recover from way too many years of minimizing my difficulties. It was a process.</p>
<p>What worked for me was writing my book. I was able to go over my whole life&#8212;everything I&#8217;d gone through, everything I&#8217;d felt, every way I&#8217;d coped, all the ways I&#8217;d faked it, all the things I&#8217;ve done so well&#8212;and in the process, everything came together in such a way that the question of &#8220;Really?&#8221; was laid to rest. And even better, I was able to be honest and proud of being who I am. I don&#8217;t mean proud of my accomplishments. I mean proud of who I am.</p>
<p>But even with a diagnosis, the doubts expressed by others often refuse to go away. There are people who call autism the &#8220;diagnosis du jour.&#8221; There are people who think that because we can do some things, we can do all things. There are people who will never understand that some things cannot be overcome by willpower. There are people who think that a child in the middle of a meltdown is just being a bad kid. There&#8217;s really no end to the things that people will say to any of us, and having an &#8220;invisible&#8221; disability just compounds the problem. After all, for the most part, many of us look for all the world like typically able-bodied people. We look just like the people doing the doubting. If we look like them, they think, how could we not <em>be</em> like them, <em>think</em> like them, <em>experience the world</em> like them? After all, it just takes a little effort, and clearly, we&#8217;re not rising to the task. </p>
<p>They think that what they literally see before their eyes is the whole picture. Apparently, we Autistics aren&#8217;t the only ones who get hung up on visuals&#8212;not by a long shot.</p>
<p>Unfortunately, there are no proven treatments for this kind of denial. There are only coping mechanisms for those of us who are the objects of it. Here&#8217;s how I&#8217;m working on the problem:</p>
<p>1) I am getting increasingly clear on the fact that, unless it&#8217;s in the context of official paperwork, it&#8217;s  ethically wrong to ask a disabled person to prove a disability. I&#8217;m also coming to understand that it&#8217;s equally wrong to go about explaining myself. It feeds the monster, and it gives away my power, big time, when I need to conserve my energy for more productive things, like enjoying my life. </p>
<p>So how to answer back? A while ago, I read a piece by a disabled woman about how she responds to people staring her down when she parks in a handicapped space. When they see her walk out of her car and say to her, &#8220;But you don&#8217;t look disabled,&#8221; she says, &#8220;And you don&#8217;t look like a doctor!&#8221; Then she moves on. I think we would do well to answer the doubt and denial that come our way with a similar response.  </p>
<p>2) When I encounter doubt from anyone, I&#8217;ve started imaginatively referring the doubter to the specialist who diagnosed me. That is, for those who want to question whether I&#8217;m Autistic (and, by implication, whether everyone like me is Autistic), I have at the ready the following statement: &#8220;You know, if you don&#8217;t believe me, take it up with the specialist who diagnosed me, because I really don&#8217;t need to spend any time on this subject.&#8221; Being able to mentally offload the question onto the diagnostician has been a major, unexpected benefit of having an &#8220;official&#8221; diagnosis. </p>
<p>3) I&#8217;ve begun to understand why the doubt can settle in and feel so upsetting, especially to Autistic people. Many of us, because we&#8217;ve lived with a lot of bullying and social rejection over a number of years, can develop something called &#8220;reactive depression.&#8221; One of the hallmarks of this kind of depression is a tendency to be extremely self-critical and apologetic. So when someone says, &#8220;You&#8217;re not really Autistic,&#8221; it can set off a chain reaction in which our first response can be &#8220;Oh, wow, I didn&#8217;t mean to take up too much space, or to ask for too much attention, or to take myself too seriously, and maybe I really ought to examine this whole thing again, and oh my, I&#8217;m so sorry to have bothered you with it at all.&#8221; Then, we get back into another loop of &#8220;Am I, or am I not?&#8221; </p>
<p>The doubts of others don&#8217;t inflame doubts in me anymore, mainly because I can tell the difference between a question that triggers an old, unhealthy response, and a question that signals that I seriously ought to look at something. Questions about <em>whether I am who I say I am</em> don&#8217;t fall into the category of friendly questions, and so I&#8217;m always aware that they&#8217;re simply triggering. </p>
<p>At this point, the ethics of doubting a disabled person&#8217;s self-identification come in again: It&#8217;s absolutely unethical, in the extreme, to inflame self-doubt in a person who has already been bullied and rejected enough to have self-doubt be an habitual, destructive response. Some people don&#8217;t know they&#8217;re triggering this response, and these people need to be gently told to end their line of questioning. Others are simply lashing out and are only too happy to trigger a whole series of unhappy responses. These people need to be told, in no uncertain terms, to STFU&#8212;and that can mean simply walking away and refusing to engage.</p>
<p>We don&#8217;t have to let the chain reaction of self-doubt and apology happen, over and over. It&#8217;s just a habit. Habits can be broken, especially when you have the support of a community that understands what&#8217;s going on.</p>
<p>Clearly, the whole question of how to talk back to doubt and denial is still a work in progress for me, and I&#8217;m very much at the beginning. Describing the problem and starting to brainstorm solutions has been very strengthening, though. I&#8217;ve moved out of the mode of explaining, and into the mode of strategizing about how to deflect and keep moving on. </p>
<p>How do you feel about the kinds of doubt and denial you&#8217;ve encountered? And what are the strategies you&#8217;ve used to deal with them?</p>
<p><span style="font-size: 8pt; color: dark-blue; font-family: Verdana; letter-spacing: 0pt;">© 2011 by Rachel Cohen-Rottenberg</p>
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		<title>My Path to a Strong Sense of Self, Part 2</title>
		<link>http://www.journeyswithautism.com/2010/11/11/my-path-to-a-strong-sense-of-self-part-2/</link>
		<comments>http://www.journeyswithautism.com/2010/11/11/my-path-to-a-strong-sense-of-self-part-2/#comments</comments>
		<pubDate>Fri, 12 Nov 2010 01:00:12 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Disabilities]]></category>
		<category><![CDATA[Judaism and Jewish Life]]></category>
		<category><![CDATA[Privilege]]></category>
		<category><![CDATA[Spiritual Beliefs]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5972</guid>
		<description><![CDATA[One of the oddest results of my Asperger&#8217;s assessment was my lightning-fast transformation from &#8220;regular human being&#8221; to &#8220;collection of impairments.&#8221; I really hadn&#8217;t changed at all from the minute before my assessment to the minute after my assessment and yet, the way in which the world saw me began to change in significant ways. [...]]]></description>
			<content:encoded><![CDATA[<p>One of the oddest results of my Asperger&#8217;s assessment was my lightning-fast transformation from &#8220;regular human being&#8221; to &#8220;collection of impairments.&#8221; I really hadn&#8217;t changed at all from the minute before my assessment to the minute after my assessment and yet, the way in which the world saw me began to change in significant ways. And because the world began to see me differently, I began to struggle with my sense of myself all over again.</p>
<p>I&#8217;m not sure that I can explain to someone who hasn&#8217;t been through it, or who hasn&#8217;t watched a loved one go through it, the devastating impact of the way that people see autistics. The insistence on looking at us through the lens of deficit is so extreme that we begin to see &#8220;deficit&#8221; as key to the definition of who we are. I have difficulties with eye contact: deficit. I can&#8217;t read nonverbal cues: deficit. I like routine: deficit. I can&#8217;t do small talk: deficit. I can&#8217;t lie: deficit. I can&#8217;t be indirect: deficit. I&#8217;m blunt: deficit. I depend upon my lists: deficit. I stim: deficit. And on. And on. And on. </p>
<p>How dare anyone define us in terms of what we can&#8217;t do? In my worst moments over the past two years, I&#8217;ve felt like a piece of swiss cheese, recognizable only by what isn&#8217;t there.</p>
<p>So, what did I do to find my way back to a sense of wholeness? I started looking at my strengths. The truly mind-bending result was that, once I had the autistic label, even my strengths started looking like deficits. I&#8217;m gifted at discerning patterns and organizing the objects of space: Those are just splinter skills. I can focus like a laser beam on any task: I am inflexible. I am good with the written word: I&#8217;m overcompensating for my difficulties with verbal communication. I have a keen eye for hypocrisy: I just don&#8217;t understand the usefulness of social forms. I value my non-conformity: I just don&#8217;t understand the usefulness of social forms. I&#8217;m very good at discussing subjects of mutual interest: I just don&#8217;t understand the usefulness of social forms. I express empathy by asking what a person needs from me and then doing it: I just don&#8217;t understand the usefulness of social forms. And on. And on. And on. </p>
<p>At some point, my healthy sense of outrage began kicking in and, in addition to reclaiming my strengths <em>as actual strengths, thank you</em>, I began reclaiming my so-called &#8220;deficits&#8221; as actual strengths, too. I have difficulties with eye contact because I am so sensitive to the information coming at me from a person&#8217;s eyes. I can&#8217;t read nonverbal cues because I am so sensitive to the fullness of a person&#8217;s energy. I like routine because I&#8217;m an organized person. I can&#8217;t do small talk because I&#8217;m sincere. I can&#8217;t lie because I&#8217;m ethical. I can&#8217;t be indirect because I&#8217;m honest. I&#8217;m blunt because life is short and there is much to be done. I make lists because I&#8217;m responsible and don&#8217;t ever want to forget to do anything that someone, somewhere, might be depending upon me to do. And I stim because, in case someone hasn&#8217;t noticed, the world is a pretty noisy, chaotic place full of highly irrational people, and I just need a little soothing. That&#8217;s a <em>problem</em>?</p>
<p>It&#8217;s a lot of work to have to continually fight this battle against the impact of the autism discourse. And what&#8217;s most exhausting is the fact that every time I fight this battle, I&#8217;m reminded that words like <em>deficit, disorder, impairment</em>, and <em>disease </em>permeate most discussions about us. That&#8217;s when I&#8217;m back to feeling that something is wrong with me, something that the literature calls a <em>pervasive developmental disorder</em> rather than simply a difference. Gee, thanks. Just when I thought I&#8217;d defeated the demon of pervasive wrongness, there it is again, and this time, it isn&#8217;t just my abuser doing the talking. Well-respected professionals, loony-toon wackos, and everyone in between can all agree on it.</p>
<p>Wonderful. But here&#8217;s the way I look at it: If all that someone can see are all the things we <em>can&#8217;t</em> do, and all the things we <em>aren&#8217;t</em>, rather than all the things we <em>can</em> do, and all the things we <em>are</em>, I&#8217;m not sure I can do a thing about it except to refuse to participate. </p>
<p>That&#8217;s when I return to the pivotal moment on my healing path: I have a pure soul. If there is one thing that is pervasive, that touches everything I do, it&#8217;s the spark of the Divine in me, and that spark is far more powerful and far more valuable and far more sacred than anything else. If all that someone can use to describe me is the language of deficit, disorder, and impairment, that&#8217;s the other person&#8217;s illusion, not mine. I don&#8217;t have to take it on, and I won&#8217;t. All I can do is to stay clear in my mind that a society that defines people by what they can&#8217;t do is a society with a pervasive problem, and the problem isn&#8217;t us.</p>
<p><span style="font-size: 8pt; color: dark-blue; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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		<title>Ten Questions That Make My Head Hurt</title>
		<link>http://www.journeyswithautism.com/2010/11/08/ten-questions-that-make-my-head-hurt/</link>
		<comments>http://www.journeyswithautism.com/2010/11/08/ten-questions-that-make-my-head-hurt/#comments</comments>
		<pubDate>Mon, 08 Nov 2010 18:11:06 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Critiques of Autism Theories]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Empathy]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5888</guid>
		<description><![CDATA[Okay, so I&#8217;ve got some questions: 1. Why is it perfectly okay for a child to rock back and forth sitting on a swing, but not rock back and forth sitting on the floor? 2. Why is it perfectly okay for an adult to rock back and forth sitting in a rocking chair, but not [...]]]></description>
			<content:encoded><![CDATA[<p>Okay, so I&#8217;ve got some questions:</p>
<p>1. Why is it perfectly okay for a child to rock back and forth sitting on a swing, but not rock back and forth sitting on the floor?</p>
<p>2. Why is it perfectly okay for an adult to rock back and forth sitting in a rocking chair, but not rock back and forth sitting on the floor?</p>
<p>3. Why is it considered very romantic for two young people to rock together in a swing, but if they were to sit on the floor and rock together, others would very likely attempt to separate them?</p>
<p>4. Why is the ritual of lining things up considered a meaningless activity indicative of pathology, while the ritual of sitting for hours in a line of cars on the highway during certain weekends of the year is considered vital to observing a national holiday?</p>
<p>5. Why is hand-flapping considered an activity with no apparent purpose, while saying &#8220;How are you?&#8221; without actually meaning it is considered a necessary social skill?</p>
<p>6. Why is finger flicking called a stim while pencil twirling is called a cool thing to do when you&#8217;re bored in meetings?</p>
<p>7. Why is echolalia on the part of a single individual an indication of a disorder, while a ritual in which thousands of people obsessively repeat absurd statements such as &#8220;Obama wasn&#8217;t born in America&#8221; is an act of free speech?</p>
<p>8. Why is a passion for everything associated with Star Wars considered an unhealthy obsession, while a passion for everything associated with the New England Patriots is considered a sign of a loyal fan?</p>
<p>9. Why does perseverating on spinning objects buy you a trip to the developmental pediatrician, while perseverating on the debunked idea that vaccines cause autism buys you a spot on Oprah?</p>
<p>10. Why do neurotypical people accuse autistics of lacking empathy when we are not responsible for most of the bullying, warfare, and injustice in the world?</p>
<p>Do you have any answers? Or just questions that make your head hurt? Let me know.</p>
<p><span style="font-size: 8pt; color: dark-blue; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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		<title>Neurodiversity, Self-Determination, and the Magic Pill</title>
		<link>http://www.journeyswithautism.com/2010/11/03/neurodiversity-self-determination-and-the-magic-pill/</link>
		<comments>http://www.journeyswithautism.com/2010/11/03/neurodiversity-self-determination-and-the-magic-pill/#comments</comments>
		<pubDate>Wed, 03 Nov 2010 13:40:43 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Marginalization]]></category>
		<category><![CDATA[Medications]]></category>
		<category><![CDATA[Privilege]]></category>
		<category><![CDATA[Spectrum Pride]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5817</guid>
		<description><![CDATA[Every now and then, I get caught up in the whole question of a cure for autism. It&#8217;s not that I believe that a cure is possible. I don&#8217;t. How can you cure who I am and leave me whole? How can you isolate something called &#8220;autism&#8221; when it pervades every part of me? And [...]]]></description>
			<content:encoded><![CDATA[<p>Every now and then, I get caught up in the whole question of a cure for autism. </p>
<p>It&#8217;s not that I believe that a cure is possible. I don&#8217;t. How can you cure who I am and leave me whole? How can you isolate something called &#8220;autism&#8221; when it pervades every part of me? And it&#8217;s not that I would want to be cured were it even possible. I wouldn&#8217;t. I like myself just fine. What I don&#8217;t like are the loud, insistent voices that tell me I&#8217;m not fine.</p>
<p>What hooks me into the discussion about a cure is the accusation that, by criticizing the overriding focus on a cure, I&#8217;m telling people what&#8217;s best for their autistic children, and that I want to take away free choice. After all, people say, what would be so bad about having a cure? You could choose to take it or not. I&#8217;m absolutely committed to the principle of self-determination for every person on the planet, so the accusation that I might be compromising that principle gives me pause and makes me examine my thinking.</p>
<p>What would be the consequences of a magic pill to cure autism? Certainly, some people could choose to take it, and I&#8217;m all for free choice. But free choice assumes a neutral environment in which there is no pressure to make one choice or the other. We don&#8217;t have a neutral environment. We have an environment in which professionals, teachers, lay people, and well-funded organizations tell us that we are impaired, broken, sick, diseased, tragic, disordered burdens on those we love. They say that we don&#8217;t know how to love, that we can&#8217;t speak for ourselves, and that our lives aren&#8217;t of worth equal to the lives of others. </p>
<p>Given this environment, no matter what our place on the spectrum, how long would it be until you or I would be pressured to take &#8220;the cure&#8221;? How long would it be before parents were pressured to give their autistic children &#8220;the cure&#8221;? How long would it be before any autistic person, self-injuring or not, verbal or not, intellectually disabled or not, were pressured to take &#8220;the cure&#8221;? In the world as currently constituted, it wouldn&#8217;t be long at all. </p>
<p>And what might be the consequences of refusal? What might happen to a parent who refused to cure his or her child, especially if that child had been deemed &#8220;low-functioning&#8221;? There are people who believe it is child abuse to bring a disabled child into this world. What might they think of a parent who made a free-willed choice not to give the cure to his or her self-injuring child? These are the questions that give me pause.</p>
<p>I have realized of late, and to my great dismay, that all of the things I&#8217;ve taken pride in all my life&#8212;my intense focus, my seriousness, my blunt honesty, my rejection of social hypocrisy, my innocence, my insistence that people follow rules, my passion for fairness, my huge vocabulary, my early reading ability, my uniqueness, my acute sensitivity, my love of patterns, my nearly photographic memory&#8212;are now all evidence of a disorder. Does anyone really believe that it&#8217;s just our so-called &#8220;low-functioning&#8221; fellow travellers who might be pressured to be cured? It&#8217;s not&#8212;not when the pressure to medicate children all along the spectrum in order to render them fit for school and life is reaching dangerous proportions. The definition of what is &#8220;normal&#8221; is getting more narrow every day, and we autistics don&#8217;t fit, no matter where on the spectrum we find ourselves. I simply can&#8217;t separate myself from anyone on the spectrum and say that perhaps they should be cured and I shouldn&#8217;t. Until everyone on the spectrum has full self-determination in an environment in which free choice is a real possibility, the choices get narrower, not wider.</p>
<p>Parents often accuse people in the neurodiversity movement of telling them how to treat their kids. I&#8217;m not particularly comfortable with aligning myself with any movement, for a number of reasons, chief among which is that when I do, discussions tend to become polarized and unproductive. People begin seeing one another as purveyors of an ideology, rather than as human beings, with the result that both nuance and sensitivity go right out the window. But I will be an ally of anyone who fights for what&#8217;s right, and from what I can see, the neurodiversity movement is fighting for an environment in which parents and their autistic children can make free-willed, empowering choices. I have no problem stepping up and making myself an ally in that fight, because we&#8217;re all in this together, no matter how many times some people try to dismiss autistic self-advocates by telling us that we&#8217;re not really autistic and don&#8217;t really suffer.</p>
<p>We suffer. We suffer from all the sickness that saturates the culture in which we live. Heal this culture from its obsession with disorders. Heal the nastiness of the &#8220;autism wars.&#8221; Heal the impact of the vitriol flung at those of us who are simply asking for someone to listen. Heal the damage inflicted on entire generations of children who will grow up believing that they are broken and need to be fixed simply because they perceive the world in non-normative ways. Heal the ignorance. Heal the privilege of defining what&#8217;s &#8220;normal.&#8221; Heal a society that turns difference into disease in the blink of an eye. </p>
<p>And then maybe we&#8217;ll be able to have a rational conversation about the concept of cure. Until then, the conversation is simply an excuse to take out our suffering on one another, and inflicting pain doesn&#8217;t move the process forward. So I&#8217;ll keep fighting for a world that respects and celebrates each and every person, because that&#8217;s the only kind of world in which true self-determination is possible.</p>
<p><span style="font-size: 8pt; color: dark-blue; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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		<title>Grieving the Dream and Living What Is</title>
		<link>http://www.journeyswithautism.com/2010/10/09/grieving-the-dream/</link>
		<comments>http://www.journeyswithautism.com/2010/10/09/grieving-the-dream/#comments</comments>
		<pubDate>Sat, 09 Oct 2010 19:03:14 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Childhood]]></category>
		<category><![CDATA[Communication]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Grieving]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Sensory Processing Issues]]></category>
		<category><![CDATA[Spectrum Pride]]></category>
		<category><![CDATA[Speech]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5656</guid>
		<description><![CDATA[When I first began delving into the words written by parents of autistic children, I found myself troubled by phrases like &#8220;the heartbreak of an autism diagnosis.&#8221; At the time, I was just beginning to develop a positive identity as an autistic person, and I felt offended that people would feel heartbroken at having a [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">When I first began delving into the words written by parents of autistic children, I found myself troubled by phrases like &#8220;the heartbreak of an autism diagnosis.&#8221; At the time, I was just beginning to develop a positive identity as an autistic person, and I felt offended that people would feel heartbroken at having a child like me. At the same time, I recognized that the grief was sincere, and that I couldn&#8217;t possibly tell someone that his or her feelings were wrong. I&#8217;ve been known to argue with an outlook or an idea, but not with a feeling. Feelings, in my view, are not open to disagreement.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I&#8217;ve come to understand the grieving, I think. I&#8217;ve come to understand it because, having received a diagnosis at 50, I&#8217;ve gone through my own grieving process. And what I&#8217;ve come to learn is that my grief is not about being autistic. I don&#8217;t feel that it&#8217;s unfair to have been born autistic. I don&#8217;t feel as though some terrible tragedy has descended upon me in mid-life. I don&#8217;t curse my fate and wish I were just like everyone else. I&#8217;ve never asked who I might have been were it not for my parents&#8217; abuse, and I have no inclination to ask who I might have been without being autistic. Being autistic is intrinsic to my life experience, to my insight, and to the gifts I bring. The One Above made me just as I am, and I respect that.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">And yet, I grieve. I grieve the loss of the person I thought I was&#8212;the person who could navigate the world like everyone else, the person who could do anything she wanted if she worked hard enough. I grieve the things that I&#8217;ve always wanted to do but am physically unable to do. I grieve the loss of my apparently privileged status as an apparently neurotypical person. In short: I&#8217;m grieving what was never there to begin with. I&#8217;m grieving an idea of myself and of my place in the world. I am not grieving what is or what was. I am grieving what doesn&#8217;t exist and what has never existed, except in my own thoughts.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">This understanding came into focus in the days after I met with a woman at a local civil rights organization. She works in the area of disability rights, and I approached her in my role as the leader of the Vermont chapter of the Autistic Self Advocacy Network (ASAN). When we set up the meeting, I told her about my auditory processing condition and about the kinds of accommodations I need&#8212;namely, a quiet space and a slow conversational pace. She was quite welcoming and offered to meet anywhere I wanted so that the environment would work. We ended up meeting in her office, which is just five minutes from my house.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">In some ways, the two-hour meeting went very well. She was very friendly and very dynamic. I learned that she works as an advocate for parents, attending IEP meetings and helping to protect the rights of children. I learned that she does a great deal of anti-bullying and anti-harassment work, running compliance trainings for schools throughout Vermont. I learned that, as a person of color, she had been through severe racial harassment as a student, and that much of her work is powered by the conviction that no child should ever go through bullying at school. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">The downside? She spoke very, very fast and provided a great deal of verbal information. I was able to see, right away, that asking her to slow down would not have worked. I don&#8217;t think she would have been able to do it. Her work is very stressful, and she was clearly up to the task, but what made her so good at her work also overwhelmed my auditory processing system. As the meeting progressed, I felt more and more overstimulated, and less and less able to find the words I so badly wanted to say. And because I&#8217;ve never seen a nonverbal signal in my life, words were all I had. Without nonverbal shortcuts, the process of listening and speaking became exhausting. I probably should have cut the meeting short, but I wanted so much to make connections with other people working on disability rights that I stayed glued to my chair. Needless to say, I needed a few days after the meeting to get my nervous system back into a state of calm and balance.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Helping advocate for the rights of parents and children, especially bullied, harassed, or otherwise vulnerable parents and children, is something I&#8217;ve wanted to do all my life. I have a fire inside me when it comes to injustice, and much of the recovery work I&#8217;ve done for 25 years has been aimed at being able to go out there into the world and fight the good fight. I want to go to IEP meetings and be a supportive advocate; I want to be able to walk into any situation and do workshops and trainings. When it comes to making right the wrongs of the world, I&#8217;ve got the spirit of a warrior. And yet, no matter how patient, how brave, and how intelligent I am, I can&#8217;t make my auditory processing system do what it isn&#8217;t made to do. I can&#8217;t change, by an act of will, the way I process speech and sound. I can&#8217;t see a nonverbal cue, and no amount of explaining is ever going to get me to. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">As I&#8217;ve looked at what happened at the meeting, the truth has become clear: I am an experienced and conscientious researcher, writer, and editor. I am highly intelligent. I am very sensitive. I am absolutely tenacious. But there is something I cannot do: I cannot implement my work in a chaotic or dysfunctional environment. In the quiet of my own home, I can put together a fact sheet about children&#8217;s rights. I can interview people and develop materials on bullying and its impact. I can help to create an anti-harassment workshop. I can gather large amounts of information and organize it in a myriad of ways. I can do the behind-the-scenes work, but I cannot go into the thick of things and be effective. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">It&#8217;s not that I&#8217;m incapable. It&#8217;s that I cannot find an environment in which it would work. An IEP meeting is not such an environment. A compliance training is not such an environment. Any situation in which people are under stress, not at their best, and talking at cross-purposes is not such an environment. In those environments, almost by definition, accommodation for my disabilities becomes impossible. After all, if the situation were friendly, functional, and fair, there would be no need for me to be there in the first place.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">This realization represents the end of a decades-long dream, and there&#8217;s sadness there. I imagine that it&#8217;s an emotion similar to what a parent feels upon receiving an autism diagnosis for his or her child; it&#8217;s the end of a dream, and there&#8217;s sadness there, too. I remember how many years I planned for the birth of my daughter, how many years I dreamed of all the fun we would have, how many times I told myself that I couldn&#8217;t determine the future and yet found myself looking forward to a multitude of things. Being autistic, I might have had an easier time with an atypical child than most, because I&#8217;ve always been the one who is different. But a typical parent has typical dreams, and there is grief in letting go. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">In large part, those dreams have to do with life being safe and welcoming to a child and, as we all know, the world is often not a safe and welcoming place for autistics. I have been bullied, and ignored, and left behind, in many different ways, all my life. And yet, I don&#8217;t wish I were different. I wish the world were different. I wish that more people defended the bullied rather than the bullies; I wish that more people took the time to get to know me and find out what a great good friend I am; I wish that more people were sensitive to all the things that autistic people need in order to live our lives with more joy and less fear, more inclusion and less loneliness.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">The grief I feel is for what never was and for what has yet to be. It&#8217;s not for who I am. And I imagine that, for parents, the grief is for the dreamt-for child and the dreamt-for plans; it&#8217;s for the opportunities and the safety and the welcoming that the world does not yet make possible. And it&#8217;s absolutely right to grieve that child and those plans and the state of the world as we know it. But grieving all those things is different from grieving that we are autistic. I want to say to parents, &#8220;The child who is here does not need to be grieved, any more than I need to be grieved. There will be new dreams, different dreams, dreams that are based on what is real&#8212;not on the doomsday prophecies of doctors with God complexes, not on research that barely scratches the surface, but on the child you see in front of you, whose life you are committed to nurturing. That&#8217;s the only basis for a dream&#8212;your flesh-and-blood child, longing for a way to manifest his or her reason for being in the world.&#8221;</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Each of us is here for a unique purpose that no other person can ever serve. There is so much to be done. So let us grieve our dreams. Let us carry our grief with dignity. And let us get to work.</p>
<p><span style="font-size: 8pt; color: black; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg </p>
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		<title>Guest Post at Static Vox on Raising Autistic Children</title>
		<link>http://www.journeyswithautism.com/2010/09/09/guest-post-at-static-vox/</link>
		<comments>http://www.journeyswithautism.com/2010/09/09/guest-post-at-static-vox/#comments</comments>
		<pubDate>Thu, 09 Sep 2010 13:30:14 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Childhood]]></category>
		<category><![CDATA[Critiques of Autism Theories]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Empathy]]></category>
		<category><![CDATA[Parenting]]></category>
		<category><![CDATA[Spectrum Pride]]></category>
		<category><![CDATA[Theory of Mind (ToM)]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5428</guid>
		<description><![CDATA[I&#8217;m guest posting today over at Static Vox. My friend Stat Mama asked me to write a piece about raising autistic children, and I was happy to do so. Hope you enjoy my article! © 2010 by Rachel Cohen-Rottenberg]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I&#8217;m guest posting today over at <a href="http://staticvox.blogspot.com/">Static Vox</a>. My friend Stat Mama asked me to write a piece about raising autistic children, and I was happy to do so. Hope you enjoy <a href="http://staticvox.blogspot.com/2010/09/guest-post-to-be-change-respect-is.html">my article</a>!</p>
<p><span style="font-size: 8pt; color: black; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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		<title>Am I More Than My Autism? I Refuse to Answer the Question</title>
		<link>http://www.journeyswithautism.com/2010/08/15/am-i-more-than-my-autism-i-refuse-to-answer-the-question/</link>
		<comments>http://www.journeyswithautism.com/2010/08/15/am-i-more-than-my-autism-i-refuse-to-answer-the-question/#comments</comments>
		<pubDate>Sun, 15 Aug 2010 16:32:39 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Mainstream Theories of Autism]]></category>
		<category><![CDATA[Marginalization]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5232</guid>
		<description><![CDATA[I&#8217;ve recently read two articles in which mothers of autistic children wrote that their children are “more than their autism.” Something about this assertion has been bothering me, and I want to explore why. When I read the first article, I thought I’d entirely put my finger on the problem. The writer, a non-autistic mother [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I&#8217;ve recently read two articles in which mothers of autistic children wrote that their children are “more than their autism.” Something about this assertion has been bothering me, and I want to explore why.  </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">When I read the first article, I thought I’d entirely put my finger on the problem. The writer, a non-autistic mother of two autistic boys, had only negative things to say about autism, and it seemed clear to me that she was saying that her children were more than a collection of negatives. Because I consider autism a condition with both positive and negative aspects (like every other condition in life), I attempted to argue with her on that basis. I didn’t get very far, mainly because the writer kept asserting that her children were human beings, not just autistic human beings, which pretty much ended the discussion. After all, who is going to argue with the inherent humanity of any person? I didn’t see anywhere to go, even though something still felt very wrong to me.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Then, I read another article, this time by someone on the spectrum who has two children on the spectrum. She, too, asserted that her children are “more than their autism.” Like me, she sees both the positive and negative aspects of autism, and so I had a much easier time reading and thinking about what she had to say. And yet, the assertion still bothered me. To try to get at why, I decided to apply the question to myself: <em>Am I more than my autism?</em></p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">That&#8217;s when I began to understand the problem.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">The term <em>autism </em>is itself very problematic. I agree with Amanda Baggs when she says that there is no such thing as autism, and that there are only autistic people. I don&#8217;t feel that autism has an existence separate from me in any kind of quantifiable, objective way. In fact, I&#8217;m coming to feel that the word <em>autism</em> is simply a social construct. After all, if it&#8217;s all about behaviors, with some behaviors considered impairments, how can it not be a social construct? In some cultures, making eye contact, especially for long periods of time, is considered rude. In some cultures, it&#8217;s perfectly acceptable to rock back and forth on a regular basis. After all, observant Jews pray three times a day, and rocking back and forth constantly is part of the ritual. We&#8217;ve been doing it for centuries. And yes, some people find it very strange, but their experience of us is a cultural judgment, not evidence of an objective reality.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Even if you move toward describing autism in terms of subjective experience rather than externally verifiable behaviors, it’s still difficult to escape the social implications of what happens to our descriptions of our own experience. I can describe, for example, my inability to filter sound, my extreme sensitivity to the emotions of other people, my lack of guile, my visual acuity, and my hunger for color, texture, and pattern. And yet, if I take those together and make them part of the definition of something called <em>autism</em>, I’m moving them from the realm of autistic experience into the realm of a category&#8212;a category in which my experience can be broken down into a list, in which it can be medicalized, in which other people can become “experts.” That’s a realm that the culture constructs constantly and values excessively. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">So the very idea of using the word <em>autism</em> as though it is separate from my personal, subjective, daily reality is very fraught. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">But there is something more about the question <em>Am I more than my autism?</em> that is very troubling. Or perhaps it&#8217;s the expected answer that&#8217;s troubling&#8212;the expected answer being <em>Yes, I am more than my autism. I am a human being. Autism is just a part of whom I am.</em> This answer is very problematic, for a number of reasons, not the least of which is that it threatens to divide me up into component parts: part autistic, part Jewish, part female, part this, part that. I don&#8217;t feel like a series of component parts. Everything I am is completely me: I am autistic, Jewish, and female. If you split one of those things off, I wouldn&#8217;t be myself anymore. You can&#8217;t take away my Jewishness and think that you will recognize me. You can&#8217;t take away my being a woman and end up with a complete human being. And you can&#8217;t take away my being autistic and think that I will continue to exist, any more than you can take away all my veins and capillaries and arteries and think that my heart will continue to circulate blood throughout my body. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Even more important, though, is that my humanity is implicit in my being a woman, in my being Jewish, in my being autistic. After all, am I more than a woman? Is my husband more than a man? To say yes, we are both human beings, is to miss the point entirely. Being a woman automatically means that I am a human being. Being Jewish automatically means that I am a human being. Being autistic automatically means that I am a human being. Being female, and Jewish, and autistic, are not component parts of being human, nor is being human somehow above and beyond them. Being human saturates them. Being human is what makes being female, and Jewish, and autistic worth the effort. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">And make no mistake: being a woman and being Jewish are not easy, any more than being autistic is easy. Being a woman and being Jewish are not entirely positive experiences, any more than being autistic is an entirely positive experience. For some reason, it&#8217;s easier to speak of the mixed experience of gender and ethnicity than the mixed experience of being autistic, at least in this day and age. No one but a misogynist would deny that being a woman is a wonderful experience in some times and places, and a horrendous one in others. No one but a dyed-in-the-wool anti-Semite would deny that being Jewish can be extremely joyous and extremely difficult, depending on circumstances, and often at the same time. But there are days in which I&#8217;m hard pressed to find anyone saying anything positive about being autistic, as though being autistic were in some other sort of category, as though the usual paradoxes of being human don&#8217;t apply.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Many, many people don&#8217;t really see being autistic as being fully human, and in that blindness lies the problematic basis of the original question. When people say that their children are more than their autism, I think what they&#8217;re reacting against (and rightly so) is the pernicious idea that somehow being autistic and being human are mutually exclusive. And yet, at the same time, they run the risk of playing into this idea by asserting that there is something more than being autistic, and that is to be human. Separating the categories <em>autism</em> and <em>human</em> does not always result in the two becoming mutually exclusive, but it sets up a dichotomy that can easily reinforce the prejudices of a great many people.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">When you come down to it, perhaps what parents are really saying is that their children are more than the <em>stigma</em> of the word <em>autism</em>. They are more than a medical diagnosis. They are more than the cultural refusal to celebrate them. They are more than the daily reminders that there is a construct called “normal” in which life is supposed to be easy and they don&#8217;t fit. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I have no argument with any of that. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">But I&#8217;m not going to answer the question <em>Am I more than my autism?</em> because I do not accept its premises or its implications. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I am an autistic person, and I&#8217;m deeply thankful for it, even though I struggle and find myself vulnerable in ways that non-autistic people do not. I am a woman, and I&#8217;m deeply thankful for it, even though I struggle and find myself vulnerable in ways that men do not. I am Jewish, and I&#8217;m deeply thankful for it, even though I struggle and find myself vulnerable in ways that non-Jewish people do not. I am thankful for my life, whether or not it&#8217;s painful, whether or not it&#8217;s easy, and whether or not it measures up to the dreams I once had for myself or that other people had for me. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">A dream is only a starting place. Life is where the action is.</p>
<p><span style="font-size: 8pt; color: black; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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		<title>No More Disorders: Debriefing from DSM Diagnoses</title>
		<link>http://www.journeyswithautism.com/2010/07/06/no-more-disorders-debriefing-from-dsm-diagnoses/</link>
		<comments>http://www.journeyswithautism.com/2010/07/06/no-more-disorders-debriefing-from-dsm-diagnoses/#comments</comments>
		<pubDate>Tue, 06 Jul 2010 17:28:00 +0000</pubDate>
		<dc:creator>Rachel</dc:creator>
				<category><![CDATA[Ableism]]></category>
		<category><![CDATA[Critiques of Autism Theories]]></category>
		<category><![CDATA[Diagnosis]]></category>
		<category><![CDATA[Self-Advocacy]]></category>
		<category><![CDATA[Sensory Processing Issues]]></category>
		<category><![CDATA[Spectrum Pride]]></category>

		<guid isPermaLink="false">http://www.journeyswithautism.com/?p=5041</guid>
		<description><![CDATA[Over the past few months, I&#8217;ve found myself moving further and further away from the mental health profession and its view of the world. It&#8217;s always difficult to know how these things begin, especially for someone like me, who spent many years in front of therapists. For a long time, psychotherapy helped me. It gave [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Over the past few months, I&#8217;ve found myself moving further and further away from the mental health profession and its view of the world. It&#8217;s always difficult to know how these things begin, especially for someone like me, who spent many years in front of therapists.  For a long time, psychotherapy helped me. It gave me a language with which to express the abuses of my childhood. It allowed me a safe place in which to work out the ways in which the trauma was affecting my life. It helped me to move beyond being a victim to a survivor, and then it helped me move beyond being a survivor to simply being Rachel. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">So where did it all go wrong between the mental health profession and me? I&#8217;m not sure it did. As is my history with most large groups, I just outgrew it. And once I outgrew it, I began to see all the ways in which its definitions were still limiting me, because I hadn&#8217;t dislodged those definitions from my brain.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">The process of debriefing from the mental health profession began when I was still in therapy. I had a conversation with my therapist in which I began to realize that the paradigm I was developing was altogether different from the one in which he was comfortable. We were talking about diagnoses, and I was still very much wedded to the idea of having one—or so I thought. The conversation went something like this:</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> When you write up your paperwork about our sessions, do you include a diagnosis?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> No.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> If you had to give me a diagnosis, what would it be?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Well, you definitely have a mood disorder.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> I do?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Yes.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> How do you define that?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Well, you&#8217;re anxious and sad a lot.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> That means I have a disorder?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Yes.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> But look at my situation. I&#8217;m dealing with being disabled in mid-life. The world is not set up to bring someone like me into full membership. In fact, I feel invisible most of the time. It makes me sad. I&#8217;m grieving. Anyone would feel sad and upset in that situation. Why does that mean I have a disorder?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Because it&#8217;s your problem.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> What do you mean it&#8217;s my problem? I live in a society that renders me invisible. Why isn&#8217;t it society&#8217;s problem?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Because it&#8217;s your problem.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> But I can&#8217;t solve it alone. I realize that I have to deal with what I&#8217;ve been given, but you can&#8217;t possibly expect me to just bear up cheerfully under the weight of all this difficulty.  There&#8217;s a relationship between me and the world here. What about the world&#8217;s dysfunctionality? Why is this all on me?</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> [insert patronizing therapist look here]</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> Do you understand what I&#8217;m saying? </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>My therapist:</strong> Yes, and it&#8217;s still your problem.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;"><strong>Me:</strong> I can see we&#8217;re not getting anywhere.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I left therapy soon afterward.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I&#8217;ve thought of this conversation a great deal over the past few months. To my mind, it encapsulates everything that is wrong with the mental health profession:</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">1) Having a human emotion such as sadness, grief, anxiety, or anger in response to an ongoing traumatic, life-changing, unjust, or otherwise maddening situation is evidence of a disorder.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">2) The medications I was taking were never on the table as a cause of my anxiety and depression. (As it turns out, they played a major role).</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">3) We don&#8217;t need to talk about disabilism, its impact on people, and how we need to change it.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">4) People become transformed into patients and put into diagnostic boxes.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">5) We only need to talk about how screwed up the patient is and how we need to change the patient. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Over the course of my life, I&#8217;ve been labeled (officially and unofficially) with depression, general anxiety disorder, post-traumatic stress disorder, Asperger&#8217;s disorder (also known as an autism spectrum disorder),  and sensory processing disorder. And next week, I&#8217;m going to an audiologist who will most likely diagnose me with auditory processing disorder. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">I can&#8217;t tell you how depressing it is to keep collecting disorders like this. (I suppose that means that I have DODDD: Depressed over DSM Diagnoses Disorder.) All these labels have done a huge number on my head. If I&#8217;m going to live a full, happy, and empowered life, I need to send these diagnoses back to where they came from, because they are not me and they have nothing to do with me.</p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Let&#8217;s start with autism, since that&#8217;s what got me started thinking about this whole issue in the first place. Autism is not a disorder. It&#8217;s not a collection of impairments. It&#8217;s not a series of deficits. It&#8217;s not something that&#8217;s wrong with me. It only looks that way because I live in a society that values certain things to the exclusion of others. It values yacking about non-substantive things; I like substantive conversation. It values social chit-chat; I don&#8217;t do social chit-chat. It values being loud; I can&#8217;t spend any time in loud environments. It values going fast in every way possible; I cannot follow fast speech, fast-moving objects, or fast-moving graphics. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">The society I live in is fearful of silence and deliberation. It thrives on mutually agreed upon deceptions. It abhors directness. It does not honor one&#8217;s word as one&#8217;s bond. It values appearance over substance. It tyrannizes us with the necessity for “positive thinking” above all else, as though it weren&#8217;t simply all right to give vent to one&#8217;s emotions when terrible things happen and heartbreak is the only sane response. In short, from my point of view, the society I live in is very unhealthy. Does that mean that something is wrong with me? Why? Because I&#8217;m in the minority and the majority is always right? Such nonsense. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">My acute sensitivities are not a problem in and of themselves. My emotions are not a problem, in and of themselves. My post-traumatic stress issues are not even a problem, in and of themselves. All of these things can be a source of great power and heartfelt service to others if I use them properly. All of these things only become a problem when they go against an arbitrarily defined idea of “normal.” Then I get people trying to prescribe, discuss, and cure them out of me. But as a friend said to me the other day, please find me this “normal” person, because I haven&#8217;t stumbled across him yet. (And yes, the &#8220;normal&#8221; person is definitely a guy, because being male is part of the standard for “normal.”) </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Of all the things that American culture values as “normal,” conformity is the most important. We talk about respecting difference, but if we respected difference, we&#8217;d just go around doing it and not talking about it all the time, now wouldn&#8217;t we?  Here in America, the home of “rugged individualism,” we don&#8217;t respect difference. In fact, conformity is Job One. Here&#8217;s how it goes: You can only be a rugged individualist if you&#8217;re white, male, Christian, heterosexual, and fit into a certain unnamed place on the neurological spectrum. If you&#8217;re something else, it gets scary for those rugged individualists. I don&#8217;t know why all the rest of us on the racial, gender, religious, sexual, and neurological spectrum should make the rugged individualists faint, but apparently, we do. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">When it comes down to it, autistic people, or bipolar people, or schizophrenic people, or traumatized people, or anyone in any other group of people, are just different from a mythic “norm” that simply doesn&#8217;t exist. There isn&#8217;t a person on the planet who won&#8217;t fit into a DSM diagnosis if you look hard enough—or who can&#8217;t be misdiagnosed into one if you don&#8217;t. They&#8217;ve got a diagnosis for everything a human being can possibly go through, which makes life itself a pathology and human beings nothing but walking disorders. </p>
<p><span style="font-size: 9pt; color: black; font-family: Verdana; letter-spacing: 0pt;">Well, I don&#8217;t believe that life is a pathology and that people are walking disorders. To heal this kind of mindset, I&#8217;m starting with my own distorted sense of myself as disordered—a distortion I&#8217;ve taken on as though it&#8217;s a clear reflection of who I am. It&#8217;s not. I know that now. </p>
<p><span style="font-size: 8pt; color: black; font-family: Verdana; letter-spacing: 0pt;">© 2010 by Rachel Cohen-Rottenberg</p>
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