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Kim's avatar

As a retired speech-language pathologist, I agree that there is no dramatic rise in cases of autism. I first leaned of the condition as an undergraduate in the mid-70s; the definition was that of a rare childhood condition with very narrow parameters. Never even heard of Asperger’s until I had left graduate school. So of course with an expanded definition and more diagnostic tools, the incidence will increase. It’s simple math.

A dirty little secret: while attending a professional conference, I heard the presenter tell us that doctors sometimes “help” parents by giving their child with language delays a diagnosis of autism. Why? Insurers are more likely to pay for therapies. In fact, shortly before I retired, the mother of a client told me her daughter’s pediatrician offered such help. To her credit, the mother refused.

Meanwhile, RFK Jr — an attorney who has no professional training in medicine or its support services — has panicked vast numbers of American parents into believing there is an autism pandemic.

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Debkin's avatar

All you need to increase the diagnosis of anything is to create a spectrum. And there are those who genuinely don’t find it odd or insulting to have Elon Musk on this same spectrum as someone who isn’t verbal. And even among people who aren’t verbal there’s a range of disability. And sometimes diagnoses are wrong. Sometimes they’re complex. Sometimes people have bits of many things that cause dysfunction. I’m definitely in the neurodiversity is part of nature camp but I think that everyone has to assess dysfunction when it reaches a certain level. Sometimes the environment or the teaching methods are implicated a lot in dysfunction. What works for most doesn’t work for all. It’s absurd imo to say there’s an epidemic of something where quantifying dysfunction is often very subjective and the net cast is ridiculously wide. There’s a saying that’s meant to be kind but it’s instructive- “if you’ve met one person with autism you’ve met one person with autism.” But if that’s the case what does it mean at its core? I know people who are socially awkward with poor communication skills in certain domains that would get diagnosed as adults very likely as kids and it’s not hard to add in sensory issues and ocd-ish behavior which are quite common. A lot of people want a diagnosis because they feel it explains their deficits or behaviors they have difficulty with or want to overcome and can’t. As far as maternal age, it’s a risk factor for so many things and guys aren’t immune either. It’s not speaking to individual pregnancies but an on average. I think vaccines worry people and it’s legitimate to worry about safety and necessity. You can’t lie to people and act like there’s no drawback ever. Everything is risk reward. For many vaccines I think it’s heavily leaning towards reward. It’s easy to downplay the reward when you’re a free rider. But I don’t appreciate how doctors aim to educate people about the miracle of vaccines because it’s very often not honest and is quite heavy handedly paternal in a bad way. I think vaccines were an obvious candidate for stoking fear. At this point so much research has been done with the childhood vaccines it’s not that I think we can close the book I’m just not sure what more could be done. Sometimes I wonder (this is just me wondering in the absence of any evidence) if a generation of pregnant smokers affected the next but that would require a pretty extensive study. I guess that impulse to look for sources of harm is very human.

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