Autism
This is interesting. From a Wired article on autism:
It's a long quote, but it's a long article: that's just the beginning.
There are, I think, two dangers here, and psychiatrists have been guilty of both in the past. The first is to define every eccentricity, every deviation from a mythical norm, as a mental illness. Psychiatrists have long since taken homosexuality off the books as a mental illness, but there are still plenty of them who want to put conservatism and religious belief on. The second is to define nothing as a mental illness--people are just different, that's all.
I think that if you no longer call autism a mental illness, then mental illness doesn't mean anything at all. Amanda Baggs clearly has a high level of functionality, but she is still incapable of the basic tasks needed to survive in today's society. This isn't an alternative lifestyle she has chosen to live--she's simply chosen to embrace the limitations she can't overcome. Perhaps it is the most healthy thing for her at this point, but it doesn't make the disability any less real.
On the other hand, I do think there's a lot of truth in this:
It quite possible that autistics are, by and large, no less intelligent than other people. A lot depends on how you define intelligence. Is it just what goes on in the brain? Or is how well you communicate with other people also a part of it?
The YouTube clip opens with a woman facing away from the camera, rocking back and forth, flapping her hands awkwardly, and emitting an eerie hum. She then performs strange repetitive behaviors: slapping a piece of paper against a window, running a hand lengthwise over a computer keyboard, twisting the knob of a drawer. She bats a necklace with her hand and nuzzles her face against the pages of a book. And you find yourself thinking: Who's shooting this footage of the handicapped lady, and why do I always get sucked into watching the latest viral video?
But then the words "A Translation" appear on a black screen, and for the next five minutes, 27-year-old Amanda Baggs — who is autistic and doesn't speak — describes in vivid and articulate terms what's going on inside her head as she carries out these seemingly bizarre actions. In a synthesized voice generated by a software application, she explains that touching, tasting, and smelling allow her to have a "constant conversation" with her surroundings. These forms of nonverbal stimuli constitute her "native language," Baggs explains, and are no better or worse than spoken language. Yet her failure to speak is seen as a deficit, she says, while other people's failure to learn her language is seen as natural and acceptable.
And you find yourself thinking: She might have a point.
Baggs lives in a public housing project for the elderly and handicapped near downtown Burlington, Vermont. She has short black hair, a pointy nose, and round glasses. She usually wears a T-shirt and baggy pants, and she spends a scary amount of time — day and night — on the Internet: blogging, hanging out in Second Life, and corresponding with her autie and aspie friends. (For the uninitiated, that's autistic and Asperger's.)
...
Like many people with autism, Baggs doesn't like to look you in the eye and needs help with tasks like preparing a meal and taking a shower. In conversation she'll occasionally grunt or sigh, but she stopped speaking altogether in her early twenties. Instead, she types 120 words a minute, which the DynaVox then translates into a synthesized female voice that sounds like a deadpan British schoolteacher.
...
I tell her that I asked one of the world's leading authorities on autism to check out the video. The expert's opinion: Baggs must have had outside help creating it, perhaps from one of her caregivers. Her inability to talk, coupled with repetitive behaviors, lack of eye contact, and the need for assistance with everyday tasks are telltale signs of severe autism. Among all autistics, 75 percent are expected to score in the mentally retarded range on standard intelligence tests — that's an IQ of 70 or less.
People like Baggs fall at one end of an array of developmental syndromes known as autism spectrum disorders. The spectrum ranges from someone with severe disability and cognitive impairment to the socially awkward eccentric with Asperger's syndrome.
After I explain the scientist's doubts, Baggs grunts, and her mouth forms just a hint of a smirk as she lets loose a salvo on the keyboard. No one helped her shoot the video, edit it, and upload it to YouTube. She used a Sony Cybershot DSC-T1, a digital camera that can record up to 90 seconds of video (she has since upgraded). She then patched the footage together using the editing programs RAD Video Tools, VirtualDub, and DivXLand Media Subtitler. "My care provider wouldn't even know how to work the software," she says.
It's a long quote, but it's a long article: that's just the beginning.
There are, I think, two dangers here, and psychiatrists have been guilty of both in the past. The first is to define every eccentricity, every deviation from a mythical norm, as a mental illness. Psychiatrists have long since taken homosexuality off the books as a mental illness, but there are still plenty of them who want to put conservatism and religious belief on. The second is to define nothing as a mental illness--people are just different, that's all.
I think that if you no longer call autism a mental illness, then mental illness doesn't mean anything at all. Amanda Baggs clearly has a high level of functionality, but she is still incapable of the basic tasks needed to survive in today's society. This isn't an alternative lifestyle she has chosen to live--she's simply chosen to embrace the limitations she can't overcome. Perhaps it is the most healthy thing for her at this point, but it doesn't make the disability any less real.
On the other hand, I do think there's a lot of truth in this:
Mike Merzenich, a professor of neuroscience at UC San Francisco, says the notion that 75 percent of autistic people are mentally retarded is "incredibly wrong and destructive." He has worked with a number of autistic children, many of whom are nonverbal and would have been plunked into the low-functioning category. "We label them as retarded because they can't express what they know," and then, as they grow older, we accept that they "can't do much beyond sit in the back of a warehouse somewhere and stuff letters in envelopes."
It quite possible that autistics are, by and large, no less intelligent than other people. A lot depends on how you define intelligence. Is it just what goes on in the brain? Or is how well you communicate with other people also a part of it?





