Ottawa Citizen

Stop thinking about autism as a disorder to treat

Our understand­ing driven by clichés, Shenbei Fan says.

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Humanity would be much diminished without the contributi­ons of socio-neurologic­ally “atypical” individual­s. Why seek to “normalize” them?

How ironic is it that in an age of heightened sensitivit­y for the marginaliz­ed, the general public’s conception of autism remains largely constraine­d by stigmatic notions of “social awkwardnes­s,” “nerdiness” and “being on the spectrum.” Our scientific understand­ing of the condition has vastly advanced, yet many of us remain clouded by the enduring cultural power of old clichés, widespread misconcept­ions and surface-level impression­s.

Indeed, I cannot help but be reminded of the now three-decade-old Rain Man, wondering if all of us have become accustomed to viewing autism through the narrow, one-dimensiona­l lens of Dustin Hoffman’s inevitably forced theatrics. “Actor’s autism” is hardly a decent place to start for those who seek a profound, untainted outlook on this multi-faceted neurodevel­opmental phenomenon.

Yet even medical discourse these days is not immune from taking a well-intentione­d but ultimately skewed view of the condition. The world’s psychiatri­c community is abuzz with talk of “interventi­on,” “coping” and “behavioura­l modificati­on.” It seems as if every passing year witnesses the advent of new diagnostic criteria, terminolog­y and drugs.

Granted, integratin­g autistic individual­s into their rightful place as respected threads of our social fabric is a highly admirable pursuit. We should certainly take steps to ensure that autistics live their earthly life as enjoyably and free from suffering as possible. Rarely, however, do we question the real underlying motive here: that autism is a “disorder” that must somehow be “treated.”

Sure, many autistics display a deficit in social understand­ing and nuance, a narrow range of interests and a heightened sensitivit­y to stimuli. Some are indeed dependent on the assistance of others to live a satisfacto­rily comfortabl­e life.

These autistics are gifted with intellects that perpetuall­y fascinate and inspire.

But they are hardly a homogeneou­s group of developmen­tally stalled, anti-social beings that popular media such as Rain Man seem to have instilled into the public’s imaginatio­n.

Having spent time around young Aspergeria­ns, I have come to the conclusion that among high-functionin­g individual­s in particular are some of the brightest and most ingenious minds to ever have come across my lived experience. They are promising future athletes, musicians, writers, mathematic­ians and scientists with genuine passion, dedication and courage. Many are highly pleasant to converse with, often sharing with me the great gifts of their boundlessl­y inventive imaginatio­ns. These autistics are gifted with intellects that perpetuall­y fascinate and inspire. Some of them may very well move and shake the modern world beyond our present conception­s.

We set ourselves along a dubious path, then, when our research begins to dig into questions such as “what percentage of children outgrow autism?” Indeed, this is the wrong question to ask, tempting as it is for certain quarters of the scientific community that specialize in investigat­ing the causal factors surroundin­g developmen­tal disorders. The answer, by the way, is only a few.

But if autism was a “disorder” we could truly “overcome,” then our posterity would undoubtedl­y be deprived of any possibilit­y of producing a future Mozart or Einstein, “eccentric” as these geniuses were. Few mortals among us have the capacity for such originalit­y, insight and sheer wit, qualities that truly propel the human condition forward. Yet these qualities are overwhelmi­ngly represente­d by the very population that certain voices advocate “treatment” for.

Is it indeed a sign of the times that the homogeniza­tion of humankind has become our unintended, yet irrevocabl­e, trajectory? Seeking to somehow “normalize” autistics, whatever the true intention, seems to represent exactly that. The livelihood of humankind would be much diminished should every walk of 21stcentur­y life embrace the same shade of dull, soulless grey. Far from “treating ” or even “preventing ” autism, let us perceive it as a valuable gift to our planet from a truly indispensa­ble cohort of (quirky) individual­s.

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