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Re:Metabolism of autism reveals developmental origins by somenameforme on Saturday May 11, 2024 @01:24PM (#40329441)
Here [1] is the DSM diagnostic criteria for autism. It's broad to the point of absurdity. The reason many people think autism is a faux disorder is because it includes everything from an individual who simply sits in the corner endlessly flapping his hands, completely unable to function as a human being, to Bill Gates or Elon Musk. The weaker diagnoses, which is an increasingly large chunk of all of them, often seem like an effect to pathologize normal behavioral differences within people. This is, IMO, one of those things people are definitely going to look back at think 'wtf were they even thinking?'

[1] - https://a4.org.au/dsm5-asd

Re:Metabolism of autism reveals developmental origins by aleph_minus_one on Saturday May 11, 2024 @02:02PM (#40329653)
> The weaker diagnoses, which is an increasingly large chunk of all of them, often seem like an effect to pathologize normal behavioral differences within people.

This is a phenomenon which is known for a long time in the hacker community. Relevant quote from the Jargon file (http://catb.org/jargon/html/weaknesses.html):

"1994-95's fad behavioral disease was a syndrome called Attention Deficit Disorder (ADD), supposedly characterized by (among other things) a combination of short attention span with an ability to ‘hyperfocus’ imaginatively on interesting tasks. In 1998-1999 another syndrome that is said to overlap with many hacker traits entered popular awareness: Asperger's syndrome (AS). This disorder is also sometimes called ‘high-function autism’, though researchers are divided on whether AS is in fact a mild form of autism or a distinct syndrome with a different etiology. AS patients exhibit mild to severe deficits in interpreting facial and body-language cues and in modeling or empathizing with others' emotions. Though some AS patients exhibit mild retardation, others compensate for their deficits with high intelligence and analytical ability, and frequently seek out technical fields where problem-solving abilities are at a premium and people skills are relatively unimportant. Both syndromes are thought to relate to abnormalities in neurotransmitter chemistry, especially the brain's processing of serotonin.

Many hackers have noticed that mainstream culture has shown a tendency to pathologize and medicalize normal variations in personality, especially those variations that make life more complicated for authority figures and conformists. Thus, hackers aware of the issue tend to be among those questioning whether ADD and AS actually exist; and if so whether they are really ‘diseases’ rather than extremes of a normal genetic variation like having freckles or being able to taste DPT. In either case, they have a sneaking tendency to wonder if these syndromes are over-diagnosed and over-treated. After all, people in authority will always be inconvenienced by schoolchildren or workers or citizens who are prickly, intelligent individualists — thus, any social system that depends on authority relationships will tend to helpfully ostracize and therapize and drug such ‘abnormal’ people until they are properly docile and stupid and ‘well-socialized’.

So hackers tend to believe they have good reason for skepticism about clinical explanations of the hacker personality."

Re:Metabolism of autism reveals developmental origins by AnthonyMouse on Saturday May 11, 2024 @05:11PM (#40330659)
Which in turn becomes the dichotomy between wanting the diagnosis and thinking the diagnosis is silly.

You start off with some institution that has a set of rules on paper, which nobody actually follows or even reads because they discover what they're expected to do via social cues. Then someone with autism doesn't pick up on the social cues, commits a faux pas, and the administration flips through the rule book to find whatever rule they can be found to have broken in order to punish them.

The autistic individual is then told that they are bad and need to learn to follow the rules, so they read the rule book cover to cover and follow every rule to the letter. But many of the rules are aggressively stupid and impractical or even purposely designed to be violated by ordinary behavior so the administration always has an excuse to punish whoever they want. Strictly following them is also a faux pas.

The question then is what to do about it. The autistic individual wants some accommodations so they're not constantly being punished for not picking up social cues. The administration wants them to take some drug that makes them stop being atypical, or to be rid of them. These are, of course, two very different and incompatible things.

Re:Metabolism of autism reveals developmental origins by gopher_space on Saturday May 11, 2024 @02:05PM (#40329662)
Do you have the background and training to parse what you’re reading and apply it to individuals in the correct context?
Re:Metabolism of autism reveals developmental origins by zeroonetwothree on Saturday May 11, 2024 @03:02PM (#40329990)
Drug users can include people from a homeless addict who can barely stay conscious to Elon Musk. Does that mean the concept is absurd?
Re:Metabolism of autism reveals developmental origins by ants_everywhere on Saturday May 11, 2024 @01:56PM (#40329610)
> The reason many people think autism is a faux disorder is because it includes everything from an individual who simply sits in the corner endlessly flapping his hands, completely unable to function as a human being, to Bill Gates or Elon Musk.

Autism and intellectual disability are different things. Successful people like Bill Gates can also be depressed, as can somebody who sits in a corner. That doesn't say anything interesting about depression, nor does it say anything interesting about autism. Same with cancer or male pattern baldness or really just about any condition you care to think of.

Re:Metabolism of autism reveals developmental origins by mschuster91 on Saturday May 11, 2024 @01:51PM (#40329587)
> It's broad to the point of absurdity.

It's called "autism spectrum" for a reason, partially because a lot of the symptoms overlap with each other, and can appear in every possible permutation.

> The reason many people think autism is a faux disorder is because it includes everything from an individual who simply sits in the corner endlessly flapping his hands, completely unable to function as a human being, to Bill Gates or Elon Musk.

At least for the latter, it's undeniable he's presenting quite a few symptoms, and that even before he went off the rocker in 2018 with the "pedo" comments. He's lucky to be as rich and successful as he is.

Re:Metabolism of autism reveals developmental origins by whimsicalism on Saturday May 11, 2024 @01:28PM (#40329462)
frankly, this will continue as long as performance-enhancing drugs and accommodations are gated behind diagnoses
Re:Metabolism of autism reveals developmental origins by pseudalopex on Saturday May 11, 2024 @05:23PM (#40330724)
What performance enhancing drugs are prescribed for autism?
Re:Metabolism of autism reveals developmental origins by whimsicalism on Sunday May 12, 2024 @12:43PM (#40335752)
i thought we prescribed adderall for autism, but i guess cross-diagnoses are just so common nowadays that i didn’t realize what it was being prescribed for among people i know
Re:Metabolism of autism reveals developmental origins by ModernMech on Monday May 13, 2024 @10:02PM (#40350915)
You may be under this impression because ADHD and Autism are so frequently comorbid:

  According to the scientific literature, 50 to 70% of individuals with autism spectrum disorder (ASD) also present with comorbid attention deficit hyperactivity disorder (ADHD). From a clinical perspective, this high rate of comorbidity is intriguing. What is the real significance of this dual diagnosis? Is ADHD in fact always present in such cases? Might the attentional impairment reported among our ASD patients actually be a distinct trait of their ASD—namely, impaired joint attention—rather than an ADHD attention deficit? Could their agitation be the consequence of this joint attention impairment or related to a physical restlessness etiologically very different from the agitation typical of ADHD? The neurobiological reality of ASD-ADHD comorbidity is a subject of debate, and amphetamine-based treatment can have paradoxical or undesirable effects in the ASD population. Consequently, does a dual diagnosis, notwithstanding its currency in the literature, prevent us from shedding sufficient light on major physiopathologic questions raised by the clinical picture of ASD?
https://www.frontiersin.org/journals/psychiatry/articles/10....