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‏إظهار الرسائل ذات التسميات autistic self injury. إظهار كافة الرسائل
‏إظهار الرسائل ذات التسميات autistic self injury. إظهار كافة الرسائل

Autism and ABA - Michelle Dawson's "Expertise" and Ethics

The figure above represents the sum total of Michelle Dawson's ABA experience and expertise. Despite her voluminous writings (mis-characterizations) of ABA she has not, to my knowledge , indicated that she has any actual experience or expertise with ABA. Given her lack of actual involvement with ABA has her years long crusade against ABA intervention for autistic children been done in good faith? Is it ethical for her to appear in legal, political and media forums in an effort to keep OTHER PEOPLE's autistic children from receiving the benefit of ABA?

Ms Dawson brought a human rights complaint against Canada Post where she was employed as a letter carrier. Her complaint was based on Canada Post's failure to accommodate her disability as a person with an autism disorder. Some of her allegations against Canada Post were dismissed but she was successful in arguing that some Canada Post management employees had harassed her. In making that complaint Michelle Dawson, who the evidence showed was a very good letter carrier, and who has demonstrated considerable intelligence in fashioning a career as a researcher, still considered her autism disorder to be a disability that required accommodation.

In the course of that hearing Ms Dawson testified concerning her own self injurious behavior over a period of at least 9 years from 1990 to 1999. The mysterious Dr. "M", a colleague and co-author of papers with Ms Dawson, also testified concerning Ms Dawson's self injurious behavior and made it clear that self injurious behavior is directly linked to autism [paragraph 103]. Dr. M testified specifically about Michelle Dawson's self injurious behavior:

[129] The record shows that the second letter refers to Ms. Dawson self-inflicted wounds. In his letter, Dr. M. restates that Ms. Dawson is autistic and refers to the fact that Ms. Dawson’s psychological equilibrium is maintained through acts of self-injury performed at home, that it is a way for her to cope psychologically with intense emotional reactions and should not be seen as an expression of anger.

[130] Dr. M. testified that Ms. Dawson had told him that the injury that she self-inflicted helped her psychologically. For Dr. M., Ms. Dawson had the habit of self-injuring. Dr. M. interpreted these acts of self-injury as a sign of major psychological suffering, a way for autistic individuals to cope with anxiety. He stated in his testimony that he personally saw one of the wounds that Ms. Dawson had inflicted upon herself and stated that the wound was impressive, and would have been impressive for her coworkers.

In the case Ms Dawson also gave considerable evidence about how best to communicate with autistic persons, not just her as an autistic persons, but autistic persons generally. No authorities, studies, Random controlled trials or any other "science" are cited in support of her opinions.

Michelle Dawson has first hand knowledge of the serious self injury that some autistic persons inflict on themselves. Reducing self injurious behavior, not conforming to an abstract social norm, but reducing self injurious behavior, is one of the well documented results that people who actually work with ABA and autistic children have achieved ... the self injurious behavior which is directly linked to autism as Dr. "M" testified.

In my view it is bad faith, and it is unethical, for Michelle Dawson to oppose efforts to reduce self injurious behavior in autistic children via ABA. For a period of at least 9 years she was obviously not successful at eliminating her own serious self injury. And yet she has opposed ABA interventions for other people's autistic children even though it has been used by professionals and parents to help autistic children reduce such self injurious behavior. She does so despite a complete lack of expertise and experience with ABA and despite having no other solution to offer parents trying desperately to help their children.




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Autism's Phony War

Autism has almost become a synonym for controversy.

The role that vaccines play, or do not play, depending on which camp one is a member of, generates the most heat and is often described as the vaccine-autism war, on this blog, generally, and by respected experts like Dr. Bernadine Healy. One issue that also generates controversy, and has been described as a "war", is the issue of whether autism should be cured or not. Unlike the vaccine-autism war though this war is a phony war, one that does not involve a serious contest between legitimate interests.

In the vaccine-autism war the public has a legitimate interest in ensuring the continuation of public vaccine programs. Parents concerned about their children also have a legitimate interest in ensuring the safety of substances injected often and directly into the bodies of their young children at early ages, including the first day they are born, and even while in the womb through vaccination of pregnant women. These intense and legitimate interests, generate much legitimate controversy.

Even the financial interests of pharmaceutical companies and vaccine patent holders like Dr. Offit are legitimate. Vaccines have saved many lives and without the financial interests of pharmaceutical companies and vaccine patent holders vaccines would not be produced. These competing, but legitimate interests, generate a real "war" in public discussions.

In autism's phony war there are no legitimate competing interests. The heat that does exist in public discussion of autism cures is generated largely by those with no legitimate interest in whether a cure for autism is found or not. The anti-cure "movement" is essentially the ideology of a few persons with High Functioning Autism (HFA) and Aspergers. These are generally intelligent, articulate people who can speak for themselves and who do not want to be cured of their autism disorders. All well and good. The thing is ....... no one is trying to force a cure on them for THEIR autism conditions.

No one, to my knowledge, is trying to force Michelle Dawson, Ari Ne'eman, Amanda Baggs, Alex Plank or any of the other HFA or Aspergers media regulars to seek a cure. These people speak about their opposition to curing autism in the abstract at best. At worst they are trying to interfere with the rights of other autistic people to obtain a cure and the rights of parents to seek a cure for their childrens' autistic disorders.

Jonathan Mitchell author of the Autism's Gadfly blog is a person with an autism disorder who has received the hostility of the anti-cure Neurodiversity autism bloggers because he does not accept their ideology. He has expressed the desire to be cured of his autism disorder. That is his right and his right alone. Harold Doherty does not have the right to tell Mr. Mitchell to be cured or not of his autism. Neither do Michelle Dawson, Amanda Baggs, Ari Ne'eman, Alex Plank or any other anti-cure autism ideologues.

For daring to express a desire to be cured of his autism Jonathan Mitchell has been described by one Neurodiversity extremist, "Timelord", as an autistic Joseph Goebbels. Timelord has also started a blog site specifically to target Jonathan Mitchell whom he smears wrongfully as a coward and a traitor, Mitchell's Gadfly. Timelord is a 40 year old unemployed Australian with Aspergers as described on his posted profile at another site he authors:


What right does Timelord Phil, an unemployed 40 year old, diagnosed with Aspergers Syndrome, have to tell Jonathan Mitchell, an autistic adult, that he should not seek to be cured of his autism? The obvious answer is: none. He has no right to oppose Mr. Mitchell's right to seek a cure. Period. When an autistic adult seeks a cure for his autism disorder other autistic adults have no legitimate competing interest and there is no real conflict, there is no real "war".

Some autistic persons, including children and adults, lack the cognitive and communication skills to live independently in the real world. Some injure themselves. Parents have a legitimate interest, a responsibility and a duty, to act to help their children develop to their fullest potential and to prevent injury to their autistic children when they seek to injure themselves. There is no competing societal interest. To the contrary society has an interest in ensuring that autistic persons are able to be cured of a disorder which causes serious pain and suffering and results in lives of dependency, often at state expense.

Self-injury is a problem for many people with autism disorders. I have seen it and shown it on this blog site with pictures of my son's self inflicted bite marks on his hands and wrists. Neurodiversity icon Michelle Dawson also testified about her personal autistic self injury in her Canadian Human Rights Tribunal proceedings Dawson v. Canada Post Corporation, 2008 CHRT 41. In that cased Ms Dawson brought several complaints against her former employer Canada Post Corporation alleging that CPC discriminated against her based on her disability: autism. The Tribunal rejected some of her complaints but found that some CPC employees had harassed Ms Dawson because of her disability and that CPC was responsible for the acts of its employees and officers.

In rendering its decision the CHRT summarized Ms Dawson's evidence and in particular Ms Dawson's own testimony about her self injurious behavior:


[58] Ms. Dawson testified that after she disclosed her diagnosis to Canada Post, everything went wrong. Before that time, even though Ms. Dawson came to work with self-inflicted injuries, this did not seem to create any qualms or concerns with respect to Canada Post. Things started to change, she stated in her testimony, after some Pierrefonds employees felt threatened by Ms. Dawson and sent a letter to that effect to Ms. Daoust in July 1999.


...


[97] In her testimony, Ms. Dawson spoke about her self-inflicted injuries. Ms. Dawson testified that, at the very worst, there was probably a week or two weeks where two weeks in a row, she would have something, that she would injure herself. She added, however, that this would be rare. According to her, she would self-injure about once a month and never more. She testified that for cuts, it would not be more than one small area affected and not more than one or two cuts, but they would be in the same place.


[98] Ms. Dawson testified that, well before Canada Post knew she was autistic, she would show up at work with self-inflicted wounds, that she did not suddenly start showing up with obvious signs of self-injury in 1999. According to her, any time after 1990, she would have had at times signs of self-injury, sometimes more than at other times, sometimes with long gaps.


Even the expert witness Dr. M, who, based on the Tribunal's description, was obviously Dr. Laurent Mottron, and who promoted his own pet theories about autism intelligence, acknowledged that autistic persons "sometimes" engage in self injurious behavior:


[110] Dr. M. testified that, while the ordinary person will become aggressive when anxious, autistic individuals will sometimes self-injure. This is especially the case, according to Dr. M., when an autistic person cannot understand a situation or cannot get an answer to a question. According to Dr. M., self-injury is the most extreme response to a psychological impasse that has no solution. It is a response to a disorganization of the world. It is the way for an autistic person to respond to negative situations whereas non autistic persons will show anger. Dr. M. stated in his testimony that he was aware of Ms. Dawson self-injury behavior. He had seen one of the wounds she had inflicted upon herself. For Dr. M., a self-inflicted injury is a sign of a deep psychological suffering.


I can't pretend to have any great respect for Dr. Mottron's views of autism generally. I don't care how many learned articles he has written based on his studies of persons with High Functioning Autism, Aspergers and Autistic Savants, his views about autism generally are inconsistent with what I have seen in my son with Autistic Disorder, with the knowledge that I have from working as a lawyer with families with autistic children and Aspergers, my involvement in autism advocacy in New Brunswick and my visits to psychiatric facilities where some autistic adults live out their lives in the care of strangers. Nonetheless even Dr. Mottron acknowledges that self injury is "sometimes" a feature of autistic behavior.

For the record here is a re-post of a picture of my son's self inflicted bite mark on his hand. (Dr. Mottron should also be informed that with ABA we have been able to increase our ability to communicate with Conor, he with us, and reduce such self injurious behavior) :


Those who oppose cures for themselves or for their autistic children have no right to oppose the development of autism cures for autistic adults like Jonathan Mitchell or for children whose parents seek a cure for their disorders. There is no legitimate basis for fighting to ensure that autistic children, particularly severely autistic children, should be prevented from being cured of a disorder which results in some cases in cognitive impairment, lives of dependency, and self injurious behavior. There is no legitimate basis to oppose the rights of parents to help their children live the best life possible without suffering from a debilitating neurological disorder.

Autism has many wars the cure or don't cure controversy though is a phony war between those with a legitimate interest in curing themselves of their autism disorder or their own children and those who oppose that right on abstract, ideological grounds.

Autism's phony war generates unnecessary heat and gives governments and service provides an excuse to refrain from providing needed services and funding for research. It does a great disservice to autistic adults seeking cures and for autistic children whose parents, acting in their children's best interests, and with the responsibility to do so, seek to cure them.

NOTE: At the request of Timelord Phil his picture has been removed from the profile posted above. The picture seemed innocuous to me, a picture of a guy in a black and white striped referee's jersey with his arms crossed, but it is his image and his request.




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Johns Hopkins Reports ECT Helped Autistic Child Reduce Severe Self Injury

Deanna Chieco, in the Johns Hopkins Newsletter, reports on a case study in which ECT, electro convulsive therapy, was used to treat a young autistic child who was incurring 109 self injurious incidents per hour. With ECT the self injurious behavior was reduced from 109 to 19 incidents per hour, permitting the child to be able to attend educational programs, behavioral therapies and family activities and thus dramatically improving the child's quality of life.

This article and the study on which it reports should be must reads for parents of autistic children, neurodiversity ideologues, autism therapists and health care professionals and researchers. Reducing severe self injurious behavior should have no ideological component. Even Michelle Dawson, Ari Ne'eman and Estee Klar will have a difficult time arguing that dangerous, life restricting behaviors should not be reduced by treatment.




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Autistic Self Injury - Study Confirms Self Injurious Tendencies of Children with Autism Disorders

In Injury propensity among children with Autism Spectrum Disorders Clinical Psychologist and blogger Nestor L. Lopez-Duran Ph.D., host of Translating Autism, reviews a study which , in Nestor's words, "provides some compelling evidence indicating a higher risk of injury in children with autism as compared to typically developing children. "



The study - McDermott, S., Zhou, L., Mann, J. (2008). Injury Treatment among Children with Autism or Pervasive Developmental Disorder. Journal of Autism and Developmental Disorders, 38(4), 626-633. DOI 10.1007/s10803-007-0426-9 provides information which confirms what many parents already know - children with autism are more likely to be injured than typically developing children. Generally children with autism disorder are 21% more likely to be injured than their typical peers. Two specific injuries that jump out by their magnitude - children with ASD's are 760% more likely to suffer a poisoning injury and 762% more likely to suffer from a self inflicted injury than their neurotypical peers.

I am no fan of the thinking of those who assert that autism disorder is not in fact a disorder; that it is just a natural variation that should be embraced, but any condition which results in such serious levels of self injury is obviously a disorder. Period.

Interestingly, despite the extreme rhetoric of the "autism is beautiful" crowd which tries to smear parents seeking to cure their autistic children by insinuating that such "curebie" parents are responsible for atrocities like the murder of Katie McCarron the study provides no assistance to their argument - children with ASDs are not more likely to be injured by peers or adults.

As a parent controlling and minimizing self injurious behaviors is one of the several reasons why I use and seek ABA intervention for my profoundly autistic son. His reality includes self aggression. The Michelle Dawsons and Amanda Baggs can ignore that reality. As his father I can not and this study is a perfect indicator of why I can not.

Many thanks, again, to Nestor L. Lopez-Duran for highlighting and explaining this study.

Autistic Self Injury - The Autism Story CNN Does Not Tell You

CNN has offered a number of features on autism over the past few years. For reasons that remain unknown to many parents of autistic children CNN with all its resources and with its ability to speak to the world has chosen to obsess over Amanda Baggs, an allegedly low functioning autistic person, diagnosed with an autism disorder as a young woman, who amongst other abilities and accomplishments, was able to attend a college for gifted young people, (Simon's Rock College), make friends, and engage educators and professionals in discussion. Meanwhile CNN ignores the plight of millions of autistic people around the globe, including autistic children who hurt themselves quite severely.

DailyRecord.co.uk is not as squeamish as CNN. In Help My Autistic Daughter Before She Kills Herself, the DR tells the story of Samantha, a seven year old Scottish girl who will sometimes beat her head off any solid object within reach. She has broken her own nose and fractured fingers while hitting her head with her own hands. Doctors think it is Samantha's autism which directly causes the self injurious behavior while Samantha's mother believes it is because she is suffering from an undiagnosed medical ailment, possibly a tumor, and pain which she can not understand or communicate. Regardless of which is the more accurate picture in Samantha's case many severely autistic children, are known to injure themself. My own son has engaged in self injurious behavior although nowhere nearly as seriously as Samantha whose parents are fighting to obtain the specialist services including autism specific education that Samantha needs.

The DailyRecord story includes two pictures of Samantha. One picture shows her without apparent injury and the other shows her extremely bruised face. You are unlikely to see such a hard autism reality on Dr. Sanjay Gupta's CNN autism productions but it is a reality that some parents of autistic children must face, and their children must suffer with, if they do not have access to the services of appropriate autism specialists.


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