The Life and Times Of'asperger's Syndrome': a Bakhtinian Analysis Of

Total Page:16

File Type:pdf, Size:1020Kb

The Life and Times Of'asperger's Syndrome': a Bakhtinian Analysis Of The life and times of ‘Asperger’s Syndrome’: A Bakhtinian analysis of discourses and identities in sociocultural context Kim Davies Bachelor of Education (Honours 1st Class) (UQ) Graduate Diploma of Teaching (Primary) (QUT) Bachelor of Social Work (UQ) A thesis submitted for the degree of Doctor of Philosophy at The University of Queensland in 2015 The School of Education 1 Abstract This thesis is an examination of the sociocultural history of ‘Asperger’s Syndrome’ in a Global North context. I use Bakhtin’s theories (1919-21; 1922-24/1977-78; 1929a; 1929b; 1935; 1936-38; 1961; 1968; 1970; 1973), specifically of language and subjectivity, to analyse several different but interconnected cultural artefacts that relate to ‘Asperger’s Syndrome’ and exemplify its discursive construction at significant points in its history, dealt with chronologically. These sociocultural artefacts are various but include the transcript of a diagnostic interview which resulted in the diagnosis of a young boy with ‘Asperger’s Syndrome’; discussion board posts to an Asperger’s Syndrome community website; the carnivalistic treatment of ‘neurotypicality’ at the parodic website The Institute for the Study of the Neurologically Typical as well as media statements from the American Psychiatric Association in 2013 announcing the removal of Asperger’s Syndrome from the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5 (APA, 2013). One advantage of a Bakhtinian framework is that it ties the personal and the sociocultural together, as inextricable and necessarily co-constitutive. In this way, the various cultural artefacts are examined to shed light on ‘Asperger’s Syndrome’ at both personal and sociocultural levels, simultaneously. The multiperspectival orientation offered by Bakhtin’s theories is instrumental because I argue in this thesis that it was the struggle for and the effects of various discursively enabled identities - ‘normal’ and ‘not normal’ - that helped shape the unfolding history of ‘Asperger’s Syndrome’. ‘Asperger’s Syndrome’, at least as an official medically sanctioned diagnosis, has had a brief but tumultuous history. It emerged in the early 1980’s in Britain along with other diagnoses on the ‘Autism Spectrum’ (Wing, 1988 ) and was quickly taken-up as a diagnosis of choice, contributing to the reported ‘autism epidemic’ of the late twentieth century. It was also a profitable popular culture commodity and representations of ‘Asperger’s Syndrome’ in books and on television have impacted discourses and subjectivities in significant ways as a regulatory ideal (Butler, 1993). Therefore ‘Asperger’s Syndrome’ as both a product and an effect of pop culture is also analysed for its role in this sociocultural history. Additionally, the role of what I name distributed diagnosis and the diagnostic chronotope will be analysed for their contribution to this fashionation with and the widespread popularisation of ‘Asperger’s Syndrome’. For Bakhtin, ‘self’ is a social and relational accomplishment, chronotopically governed and discursively enabled on the borderlands of alterity. In this process of subjectification, self 2 and others are uttered into existence, and ideological becoming is achieved only through the identity resources provided by heteroglossia. Building upon my critical analysis of cyberspace as a carnival venue and my reconceptualization of transgredience as ethical co-agency, distributed at the times and places of intersubjective encounter, I conclude this thesis with an arts piece, a coda, which re-imagines the initial cultural artefact – the diagnostic interview – anew. In this imaginatively re-created time and place, a different chronotope is in play and different subjective possibilities, for self and others, are opened up through an explicit and fantastic discourse of responsible and responsive co-being (Stetsenko, 2007). In this way this thesis will contribute to the continued dialogical unfolding of ‘Asperger’s Syndrome’ and the subjectivities it offers us all in the possible futures that we are laying down now. 3 Declaration by author This thesis is composed of my original work, and contains no material previously published or written by another person except where due reference has been made in the text. I have clearly stated the contribution by others to jointly-authored works that I have included in my thesis. I have clearly stated the contribution of others to my thesis as a whole, including statistical assistance, survey design, data analysis, significant technical procedures, professional editorial advice, and any other original research work used or reported in my thesis. The content of my thesis is the result of work I have carried out since the commencement of my research higher degree candidature and does not include a substantial part of work that has been submitted to qualify for the award of any other degree or diploma in any university or other tertiary institution. I have clearly stated which parts of my thesis, if any, have been submitted to qualify for another award. I acknowledge that an electronic copy of my thesis must be lodged with the University Library and, subject to the policy and procedures of The University of Queensland, the thesis be made available for research and study in accordance with the Copyright Act 1968 unless a period of embargo has been approved by the Dean of the Graduate School. I acknowledge that copyright of all material contained in my thesis resides with the copyright holder(s) of that material. Where appropriate I have obtained copyright permission from the copyright holder to reproduce material in this thesis. 4 Publications during candidature Davies, K., & Renshaw, P. (2013). Being Aspie or having Asperger Syndrome: Learning and the dialogical self at WrongPlanet.net. In M.B. Ligorio and M. Cesar (Eds.). Interplays between dialogical learning and dialogical self (Chapter 12, pp.393-417), Charlotte, NC: IAP. Davies, K. (2015). A troubled identity: Putting Butler to work on the comings and goings of Asperger’s Syndrome. In T. Corcoran, J. White & B. Whitburn (Eds.). Disability studies: Educating for inclusion (Chapter 13, pp.197-215), Rotterdam, NED: Sense Publishers. Davies, K. (2015). How rude? Autism as a study in ability. In K. Runswick-Cole, R. Mallet & S. Timimi (Eds.). Re-thinking autism: A critique of the autism industry. London, ENG: Jessica Kingsley Publishers. Publications included in this thesis No publications included 5 Contributions by others to the thesis Professor Peter Renshaw contributed 30% as co-author of the following book chapter: Davies, K., & Renshaw, P. (2013). Being Aspie or having Asperger Syndrome: Learning and the dialogical self at WrongPlanet.net. In M.B. Ligorio and M. Cesar (Eds.). Interplays between dialogical learning and dialogical self (Chapter 12, pp.393-417), Charlotte, NC: IAP. This chapter partially informs Chapter 5 of this thesis. Statement of parts of the thesis submitted to qualify for the award of another degree None 6 Acknowledgements Little by little and bit by bit they built themselves a great big ship then climbed aboard and sailed away For Owen and Evan, and for Peter … for making this thesis possible In memory of my Mum and my Pop ... hoping that you would be proud 7 Keywords asperger’s syndrome, autism spectrum disorder, bakhtin, bakhtin studies, dialogism, critical disability studies, critical autism studies, disability studies in education, sociocultural theory, inclusive education Australian and New Zealand Standard Research Classifications (ANZSRC) 130312, Special Education and Disability, 50% 130399, Specialist Studies in Education not elsewhere classified, 50% Fields of Research (FoR) Classification 1303, Specialist Studies in Education, 50% 1399, Other Education, 50% 8 Table of Contents Abstract 2 Declaration by author 4 Publications during candidature 5 Publications during thesis 5 Contributions by others to the thesis 6 Statements of parts of thesis submitted for other degree awards 6 Acknowledgements 7 Keywords 8 Australian and New Zealand Research Classifications (ANZSRC) 8 Fields of Research (FoR) Classification 8 Table of contents 9 List of figures 12 List of abbreviations 13 Chapter 1: Locating the researcher and the research 14 Introduction 14 Locating the researcher-in-the-research: Tracking ‘I’s’ through shifting chronotopes and genres 15 A storied ‘I’ and storying the research 15 The PhD and the researching ‘I’ 17 Research focus and leading questions 19 Significance of the research 21 Possible limitations 22 Architecture of the thesis 23 Chapter 2: Theoretical framework and research design 25 Theorising ‘Asperger’s Syndrome’: Beyond Medical Models? 25 Modelling ‘disability’ 28 Theoretical co-ordinates of a ‘Bakhtinian orientation’ 32 Unit of analysis: The utterance 37 Research design: Selecting and sequencing ‘cultural artefacts’ 37 A note on transcriptions 39 Chapter 3: Passport to another planet: A chronotopic analysis of a diagnosis of ‘Asperger’s Syndrome’ 40 Introduction 40 Chapter overview 42 Bakhtin’s chronotope 42 Chronotopicity of the event and the word 44 Towards a chronotope of diagnosis 45 Hans Asperger and his syndrome 51 Getting ‘Asperger’s Syndrome’: A diagnostic interview 56 Dialogics and the diagnostic chronotope 63 Looking back, looking forward 67 Chapter 4: Alien invasion: The rise and rise of Asperger’s Syndrome 68 Introduction: The normalising work of the diagnostic chronotope 68 Chapter overview 72 Asperger’s Syndrome goes POP! 73 Reported prevalence: On
Recommended publications
  • Gesnerus 2020-2.Indb
    Gesnerus 77/2 (2020) 279–311, DOI: 10.24894/Gesn-de.2020.77012 Vom «autistischen Psychopathen» zum Autismusspektrum. Verhaltensdiagnostik und Persönlichkeitsbehauptung in der Geschichte des Autismus Rüdiger Graf Abstract Der Aufsatz untersucht das Verhältnis von Persönlichkeit und Verhalten in der Defi nition und Diagnostik des Autismus von Kanner und Asperger in den 1940er Jahren bis in die neueren Ausgaben des DSM und ICD. Dazu unter- scheidet er drei verschiedene epistemische Zugänge zum Autismus: ein exter- nes Wissen der dritten Person, das über Verhaltensbeobachtungen, Testver- fahren und Elterninterviews gewonnen wird; ein stärker praktisches Wissen der zweiten Person, das in der andauernden, alltäglichen Interaktion bei El- tern und Betreuer*innen entsteht, und schließlich das introspektive Wissen der ersten Person, d.h. der Autist*innen selbst. Dabei resultiert die Kerndif- ferenz in der Behandlung des Autismus daraus, ob man meint, die Persönlich- keit eines Menschen allein über die Beobachtung von Verhaltensweisen er- schließen zu können oder ob es sich um eine vorgängige Struktur handelt, die introspektiv zugänglich ist, Verhalten prägt und ihm Sinn verleihen kann. Die Entscheidung hierüber führt zu grundlegend anderen Positionierungen zu verhaltenstherapeutischen Ansätzen, wie insbesondere zu Ole Ivar Lovaas’ Applied Behavior Analysis. Autismus; Psychiatriegeschichte; Wissensgeschichte; Verhaltenstherapie; Neurodiversität PD Dr. Rüdiger Graf, Leibniz-Zentrum für Zeithistorische Forschung Potsdam, Am Neuen Markt 1, 14467 Potsdam, [email protected]. Gesnerus 77 (2020) 279 Downloaded from Brill.com09/27/2021 01:45:02AM via free access «Autistic Psychopaths» and the Autism Spectrum. Diagnosing Behavior and Claiming Personhood in the History of Autism The article examines how understandings of personality and behavior have interacted in the defi nition and diagnostics of autism from Kanner and As- perger in the 1940s to the latest editions of DSM and ICD.
    [Show full text]
  • Sprawozdanie Z Działalności Fundacji Ditero Za Rok 2017
    FUNDACJA DITERO WOLIMIERZ 18 59-814 POBIEDNA [email protected] Wolimierz, 30.06.2018 Sprawozdanie z działalności Fundacji Ditero za rok 2017 Wprowadzenie Fundacja została powołana aktem notarialnym w dniu 3 lutego 2016 r. W Krajowym Rejestrze Sądowym została zarejestrowana w dniu 12 maja 2016 r. W lipcu 2016 została uruchomiona pracownia terapeutyczna, działająca w ramach podstawowej działalności Fundacji. W roku 2017 działania Fundacji rozwinęły się na nowe obszary związane z pozaszkolnymi formami edukacji oraz kulturą i sportem. Władze Zarząd: Agnieszka Surmacz (Prezes) Rada Fundacji: Danuta Łopuch, Wiktoria Wiktorczyk Rada Nadzorcza: Kaja Pachulska, Aneta Mykietyszyn Cele statutowe organizacji Cele Fundacji zostały szczegółowo opisane w rozdziale II statutu Fundacji. Najważniejsze cele realizowane w 2017 r to: 1. Wspieranie osób niepełnosprawnych i ich rodzin poprzez świadczenie usług diagnostycznych i terapeutycznych, 2. Upowszechnianie i ochrona praw dziecka, praca z osobami mającymi kontakt z dziećmi z niepełnosprawnościami i dysfunkcjami rozwojowymi, 3. Działalność charytatywna, promocja i organizacja wolontariatu na rzecz rodzin z dziećmi z niepełnosprawnościami. 4. Działalności na rzecz organizacji pozarządowych oraz innych podmiotów aktywnych w sferze publicznej, mających cele zbieżne celami Fundacji. 5. Realizacja zadań z zakresu kultury, edukacji sportowej dzieci i młodzieży; Sposób realizacji celów statutowych organizacji Fundacja realizowała swoje cele przede wszystkim poprzez: • realizację usług terapeutycznych (prowadzenie
    [Show full text]
  • ROD Autism Team Newsletter
    ROD AUTISM TEAM contact us at: 812-623-2212 or email: [email protected] May 2019 RIPLEY OHIO DEARBORN SPECIAL EDUCATION C OOPERATIVE ROD Autism Team Newsletter School’s Out for the SUMMER!!! Happy Summer Break 2019! In this Issue: Upcoming Workshops Offered by Children’s Hospital A 3-Day Workshop on Discussing Sexuality and Health Relationships with Tweens and Teens How to Plan for an Upcoming Move Tips for A Good Night’s Sleep Keeping Kids Safe and Creating Safety Plans And A List of Gift Ideas for Children with ASD We hope you have a wonderful, restful, and safe summer. ROD Autism Team Newsletter Page 2 BOOSTER SESSIONS 2019 Booster sessions are intended to provide information on the transition from school to adult life for youth with disabilities. Families, individuals with disabili- ties, educators, and other professionals are invite to attend these sessions at no charge. Booster sessions are two hours long and take place in the evening. Session 4: SSI/SSDI Date: Tuesday, June 11, 2019 Time: 6:00pm-8:00pm Location: Cincinnati Children’s Hospital Medical Office Building (MOB) 3430 Burnet Avenue, Cincinnati OH 45229 5th Floor Rooms 5.201 & 5.202 Speakers: Kelly Draggoo, Social Security Administration Register Online: https://bit.ly/2NifSft Session 5: Financial Planning for Families of Children and Adults who have Developmental Disabilities Date: Tuesday, July 9, 2019 Time: 6:00pm-8:00pm Location: Cincinnati Children’s Hospital Medical Office Building (MOB) 3430 Burnet Avenue, Cincinnati OH 45229 5th Floor Rooms 5.201 & 5.202
    [Show full text]
  • AAC Technology, Autism, and the Empathic Turn
    Delft University of Technology AAC Technology, Autism, and the Empathic Turn van Grunsven, Janna; Roeser, Sabine DOI 10.1080/02691728.2021.1897189 Publication date 2021 Document Version Final published version Published in Social Epistemology Citation (APA) van Grunsven, J., & Roeser, S. (2021). AAC Technology, Autism, and the Empathic Turn. Social Epistemology. https://doi.org/10.1080/02691728.2021.1897189 Important note To cite this publication, please use the final published version (if applicable). Please check the document version above. Copyright Other than for strictly personal use, it is not permitted to download, forward or distribute the text or part of it, without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license such as Creative Commons. Takedown policy Please contact us and provide details if you believe this document breaches copyrights. We will remove access to the work immediately and investigate your claim. This work is downloaded from Delft University of Technology. For technical reasons the number of authors shown on this cover page is limited to a maximum of 10. Social Epistemology A Journal of Knowledge, Culture and Policy ISSN: (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/tsep20 AAC Technology, Autism, and the Empathic Turn Janna van Grunsven & Sabine Roeser To cite this article: Janna van Grunsven & Sabine Roeser (2021): AAC Technology, Autism, and the Empathic Turn, Social Epistemology, DOI: 10.1080/02691728.2021.1897189 To link to this article: https://doi.org/10.1080/02691728.2021.1897189 © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
    [Show full text]
  • L Brown Presentation
    Health Equity Learning Series Beyond Service Provision and Disparate Outcomes: Disability Justice Informing Communities of Practice HEALTH EQUITY LEARNING SERIES 2016-17 GRANTEES • Aurora Mental Health Center • Northwest Colorado Health • Bright Futures • Poudre Valley Health System • Central Colorado Area Health Education Foundation (Vida Sana) Center • Pueblo Triple Aim Corporation • Colorado Cross-Disability Coalition • Rural Communities Resource Center • Colorado Latino Leadership, Advocacy • Southeast Mental Health Services and Research Organization • The Civic Canopy • Cultivando • The Gay, Lesbian, Bisexual, and • Eagle County Health and Human Transgender Community Center of Services Colorado • El Centro AMISTAD • Tri-County Health Network • El Paso County Public Health • Warm Cookies of the Revolution • Hispanic Affairs Project • Western Colorado Area Health Education Center HEALTH EQUITY LEARNING SERIES Lydia X. Z. Brown (they/them) • Activist, writer and speaker • Past President, TASH New England • Chairperson, Massachusetts Developmental Disabilities Council • Board member, Autism Women’s Network ACCESS NOTE Please use this space as you need or prefer. Sit in chairs or on the floor, pace, lie on the floor, rock, flap, spin, move around, step in and out of the room. CONTENT/TW I will talk about trauma, abuse, violence, and murder of disabled people, as well as forced treatment and institutions, and other acts of violence, including sexual violence. Please feel free to step out of the room at any time if you need to. BEYOND SERVICE
    [Show full text]
  • Research Participation and Employment for Autistic Individuals in Library and Information Science: a Review of the Literature Nancy Everhart & Amelia M
    Research Participation and Employment for Autistic Individuals in Library and Information Science: A Review of the Literature Nancy Everhart & Amelia M. Anderson Abstract Autism prevalence is growing, and autistic people themselves are important in the library and information science field, both as library patrons and employees. Including them in all stages of research about the neurodivergent experience is valuable, and their input and participation is increasingly used in technology research, particularly usability studies. Neurodivergent persons also have unique abilities that align with a wide array of information professions and accommodations can be made that allow them to thrive in the workplace. It is critical that meaningful involvement of autistic individuals is a component of making policy at all levels. Introduction The population of individuals diagnosed with autism spectrum disorder (ASD) has grown, but current literature regarding autistic adults lacks first-person accounts, particularly in the information environment. Adult voices have been drowned out by the overwhelming emphasis, both in the general public and the scholarly literature, on early identification and intervention for young children with autism (Cox et al. 2017). Much research on college students with ASD also focuses on the perspective of the professor or instructor, not the students themselves (Barnhill 2014). Achieving a representative sample is vital to the validity of social research findings, particularly when findings are used as evidence to inform social policies and programs. Likewise, autistic individuals often seek employment in information settings such as libraries and computer technology. This paper discusses the involvement of persons with ASD in library and information research and employment more broadly, and also specifically within the context of several recent studies.
    [Show full text]
  • Becoming Autistic: How Do Late Diagnosed Autistic People
    Becoming Autistic: How do Late Diagnosed Autistic People Assigned Female at Birth Understand, Discuss and Create their Gender Identity through the Discourses of Autism? Emily Violet Maddox Submitted in accordance with the requirements for the degree of Master of Philosophy The University of Leeds School of Sociology and Social Policy September 2019 1 Table of Contents ACKNOWLEDGEMENTS ................................................................................................................................... 5 ABSTRACT ....................................................................................................................................................... 6 ABBREVIATIONS ............................................................................................................................................. 7 CHAPTER ONE ................................................................................................................................................. 8 INTRODUCTION .............................................................................................................................................. 8 1.1 RESEARCH OBJECTIVES ........................................................................................................................................ 8 1.2 TERMINOLOGY ................................................................................................................................................ 14 1.3 OUTLINE OF CHAPTERS ....................................................................................................................................
    [Show full text]
  • Neurodiversity: Accepting Autistic Difference
    Accepted version. Published in Learning Disability Practice, May 2013 | Volume 16 | Number 4, p. 32-37. Neurodiversity: accepting autistic difference Thomas Owren1 and Trude Stenhammer2 Abstract ‘Insider’ descriptions of living with autism in a world where most people are not autistic may at the same time inform and challenge a professional approach to what can be termed as ‘autistic behaviour’. This article draws on the perspectives of the ‘neurodiversity’ movement, people who themselves have diagnoses on the autistic spectrum but reject that autism is a disorder, choosing instead to fight for their right to be autistic. The authors include a case study to explore how such descriptions and perspectives can be applied to services supporting an autistic service user. They conclude that, regardless of whether autism is seen as a difference or a disorder, care staff providing services to autistic service users may need to examine their assumptions carefully if they are to avoid discriminatory practices. Introduction Autism, including Asperger syndrome, is generally perceived as a disorder. But over the past two decades, helped by the emergence of the internet (Sinclair 2010), autistic self-advocates have been cultivating the idea of autism as a neurological difference. Referring to this movement called the ‘autism rights’ or ‘neurodiversity’ movement, French researcher Brigitte Chamak writes: ‘If the disability movement is considered as the latest generation of social movements, the action of autistic persons can be viewed as the latest generation of the disability movements’ (Chamak 2008). British autism researcher Simon Baron-Cohen (2012) also commented in a recent talk that looking at the neurobiology of autism there is not much evidence for dysfunction, but a lot of evidence that people on the autistic spectrum are simply different.
    [Show full text]
  • Disability in an Age of Environmental Risk by Sarah Gibbons a Thesis
    Disablement, Diversity, Deviation: Disability in an Age of Environmental Risk by Sarah Gibbons A thesis presented to the University of Waterloo in fulfillment of the thesis requirement for the degree of Doctor of Philosophy in English Waterloo, Ontario, Canada, 2016 © Sarah Gibbons 2016 I hereby declare that I am the sole author of this thesis. This is a true copy of the thesis, including any required final revisions, as accepted by my examiners. I understand that my thesis may be made electronically available to the public. ii Abstract This dissertation brings disability studies and postcolonial studies into dialogue with discourse surrounding risk in the environmental humanities. The central question that it investigates is how critics can reframe and reinterpret existing threat registers to accept and celebrate disability and embodied difference without passively accepting the social policies that produce disabling conditions. It examines the literary and rhetorical strategies of contemporary cultural works that one, promote a disability politics that aims for greater recognition of how our environmental surroundings affect human health and ability, but also two, put forward a disability politics that objects to devaluing disabled bodies by stigmatizing them as unnatural. Some of the major works under discussion in this dissertation include Marie Clements’s Burning Vision (2003), Indra Sinha’s Animal’s People (2007), Gerardine Wurzburg’s Wretches & Jabberers (2010) and Corinne Duyvis’s On the Edge of Gone (2016). The first section of this dissertation focuses on disability, illness, industry, and environmental health to consider how critics can discuss disability and environmental health in conjunction without returning to a medical model in which the term ‘disability’ often designates how closely bodies visibly conform or deviate from definitions of the normal body.
    [Show full text]
  • Neurodiversity Studies
    Neurodiversity Studies Building on work in feminist studies, queer studies, and critical race theory, this vol• ume challenges the universality of propositions about human nature, by questioning the boundaries between predominant neurotypes and ‘others’, including dyslexics, autistics, and ADHDers. This is the first work of its kind to bring cutting-edge research across disciplines to the concept of neurodiversity. It offers in-depth explorations of the themes of cure/ prevention/eugenics; neurodivergent wellbeing; cross-neurotype communication; neu• rodiversity at work; and challenging brain-bound cognition. It analyses the role of neuro-normativity in theorising agency, and a proposal for a new alliance between the Hearing Voices Movement and neurodiversity. In doing so, we contribute to a cultural imperative to redefine what it means to be human. To this end, we propose a new field of enquiry that finds ways to support the inclusion of neurodivergent perspectives in knowledge production, and which questions the theoretical and mythological assump• tions that produce the idea of the neurotypical. Working at the crossroads between sociology, critical psychology, medical humani• ties, critical disability studies, and critical autism studies, and sharing theoretical ground with critical race studies and critical queer studies, the proposed new field – neurodiversity studies – will be of interest to people working in all these areas. Hanna Bertilsdotter Rosqvist is an Associate Professor in Sociology and currently a Senior Lecturer in Social work at Södertörn University. Her recent research is around autism, identity politics, and sexual, gendered, and age normativity. She is the former Chief Editor of Scandinavian Journal of Disability Research. Nick Chown is a book indexer who undertakes autism research in his spare time.
    [Show full text]
  • The Cerebral Subject and the Challenge of Neurodiversity
    BioSocieties (2009), 4, 425–445 ª London School of Economics and Political Science doi:10.1017/S1745855209990287 The Cerebral Subject and the Challenge of Neurodiversity Francisco Ortega Institute for Social Medicine, State University of Rio de Janeiro, Rua Saˇ o Francisco Xavier 524, Rio de Janeiro CEP 20550-900, Brazil E-mail: [email protected] Abstract The neurodiversity movement has so far been dominated by autistic people who believe their condition is not a disease to be treated and, if possible, cured, but rather a human specificity (like sex or race) that must be equally respected. Autistic self-advocates largely oppose groups of parents of autistic children and professionals searching for a cure for autism. This article discusses the posi- tions of the pro-cure and anti-cure groups. It also addresses the emergence of autistic cultures and various issues concerning autistic identities. It shows how identity issues are frequently linked to a ‘neurological self-awareness’ and a rejection of psychological interpretations. It argues that the preference for cerebral explanations cannot be reduced to an aversion to psychoanalysis or psychological culture. Instead, such preference must be understood within the context of the dif- fusion of neuroscientific claims beyond the laboratory and their penetration in different domains of life in contemporary biomedicalized societies. Within this framework, neuroscientific theories, prac- tices, technologies and therapies are influencing the ways we think about ourselves and relate to others, favoring forms of neurological or cerebral subjectivation. The article shows how neuroscien- tific claims are taken up in the formation of identities, as well as social and community networks.
    [Show full text]
  • Seattle Children's Primary Care Principles for Child Mental Health
    Seattle Children’s Primary Care Principles for Child Mental Health By Robert Hilt, MD, program director, Partnership Access Line and Rebecca Barclay, MD, associate clinical program director, Partnership Access Line Seattle Children’s Hospital Version 10.0 — 2021 2 PRIMARY CARE PRINCIPLES FOR CHILD MENTAL HEALTH Partnership Access Line: Child Psychiatric Consultation Program for Primary Care Providers The Partnership Access Line (PAL) supports primary care providers with questions about mental health care such as diagnostic clarification, medication adjustment or treatment planning. The PAL team is staffed with child and adolescent psychiatrists affiliated with the University of Washington School of Medicine and Seattle Children’s Hospital. 877-501-PALS (7257) Monday – Friday 9 am — 6 pm www.seattlechildrens.org/PAL PRIMARY CARE PRINCIPLES FOR CHILD MENTAL HEALTH 3 Partnership Access Line Child Psychiatric Consultation Program for Primary Care Providers Consultations can be patient-specific or can be general questions related to child psychiatry. The phone consultation is covered by HIPAA, section 45 CFR 164.506; no additional release of patient information is required to consult by phone. Prescriber calls with questions about pediatric mental health care Child and Adolescent Master’s level social worker can Psychiatrist (CAP) connects consult on mental health resources for a telephone consult for your patient Phone consultation record will be Mental health resource list faxed faxed by next business day to PCP within 10 business days Eligible state insurance/Medicaid patients may be eligible for a one-time telemedicine appointment Detailed report sent to provider within 10 business days The information in this book is intended to offer helpful guidance on the diagnostic and treatment process conducted by a primary care provider, and is not a substitute for specific professional medical advice.
    [Show full text]