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ASAT is a not-for-profit organization of parents and professionals committed to improving the education, treatment, and care of people with autism. Since autism was first identified, there has been a long history of failed treatments and fads, levied on vulnerable individuals as well as on their families. From the scandal of the “refrigerator mother” theory, to the ongoing parade of “miracle cures” and “magical breakthroughs”, history has been dominated by improbable theories about causation and treatments.

Several years ago, I had a courteous, if troubling, e-mail exchange with the architect of a hugely popular instructional innovation. She had heard that I had been criticizing this approach. (I had.) In a series of e-mails, I explained my reasons, starting with the fact that there was no research or strong evidence to support its widespread adoption. I asked, with increasing importunity, for any such evidence. Only after multiple requests did I finally receive an answer: There was no solid research or school evidence.

The most likely cause of the autism epidemic is that autism has become fashionable – a popular fad diagnosis. Once rare and unmistakable, the term is now used loosely to describe people who do not really satisfy the narrow criteria intended for it by DSM IV. Autism now casts a wide net, catching much milder problems that previously went undiagnosed altogether or were given other labels. Autism is no longer seen as an extremely disabling condition, and many creative and normally eccentric people have discovered their inner autistic self.