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Javier E

Look At Me by Patricia Snow | Articles | First Things - 0 views

  • Maurice stumbles upon what is still the gold standard for the treatment of infantile autism: an intensive course of behavioral therapy called applied behavioral analysis that was developed by psychologist O. Ivar Lovaas at UCLA in the 1970s
  • in a little over a year’s time she recovers her daughter to the point that she is indistinguishable from her peers.
  • Let Me Hear Your Voice is not a particularly religious or pious work. It is not the story of a miracle or a faith healing
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  • Maurice discloses her Catholicism, and the reader is aware that prayer undergirds the therapy, but the book is about the therapy, not the prayer. Specifically, it is about the importance of choosing methods of treatment that are supported by scientific data. Applied behavioral analysis is all about data: its daily collection and interpretation. The method is empirical, hard-headed, and results-oriented.
  • on a deeper level, the book is profoundly religious, more religious perhaps than its author intended. In this reading of the book, autism is not only a developmental disorder afflicting particular individuals, but a metaphor for the spiritual condition of fallen man.
  • Maurice’s autistic daughter is indifferent to her mother
  • In this reading of the book, the mother is God, watching a child of his wander away from him into darkness: a heartbroken but also a determined God, determined at any cost to bring the child back
  • the mother doesn’t turn back, concedes nothing to the condition that has overtaken her daughter. There is no political correctness in Maurice’s attitude to autism; no nod to “neurodiversity.” Like the God in Donne’s sonnet, “Batter my heart, three-personed God,” she storms the walls of her daughter’s condition
  • Like God, she sets her sights high, commits both herself and her child to a demanding, sometimes painful therapy (life!), and receives back in the end a fully alive, loving, talking, and laughing child
  • the reader realizes that for God, the harrowing drama of recovery is never a singular, or even a twice-told tale, but a perennial one. Every child of his, every child of Adam and Eve, wanders away from him into darkness
  • we have an epidemic of autism, or “autism spectrum disorder,” which includes classic autism (Maurice’s children’s diagnosis); atypical autism, which exhibits some but not all of the defects of autism; and Asperger’s syndrome, which is much more common in boys than in girls and is characterized by average or above average language skills but impaired social skills.
  • At the same time, all around us, we have an epidemic of something else. On the street and in the office, at the dinner table and on a remote hiking trail, in line at the deli and pushing a stroller through the park, people go about their business bent over a small glowing screen, as if praying.
  • This latter epidemic, or experiment, has been going on long enough that people are beginning to worry about its effects.
  • for a comprehensive survey of the emerging situation on the ground, the interested reader might look at Sherry Turkle’s recent book, Reclaiming Conversation: The Power of Talk in a Digital Age.
  • she also describes in exhaustive, chilling detail the mostly horrifying effects recent technology has had on families and workplaces, educational institutions, friendships and romance.
  • many of the promises of technology have not only not been realized, they have backfired. If technology promised greater connection, it has delivered greater alienation. If it promised greater cohesion, it has led to greater fragmentation, both on a communal and individual level.
  • If thinking that the grass is always greener somewhere else used to be a marker of human foolishness and a temptation to be resisted, today it is simply a possibility to be checked out. The new phones, especially, turn out to be portable Pied Pipers, irresistibly pulling people away from the people in front of them and the tasks at hand.
  • all it takes is a single phone on a table, even if that phone is turned off, for the conversations in the room to fade in number, duration, and emotional depth.
  • an infinitely malleable screen isn’t an invitation to stability, but to restlessness
  • Current media, and the fear of missing out that they foster (a motivator now so common it has its own acronym, FOMO), drive lives of continual interruption and distraction, of virtual rather than real relationships, and of “little” rather than “big” talk
  • if you may be interrupted at any time, it makes sense, as a student explains to Turkle, to “keep things light.”
  • we are reaping deficits in emotional intelligence and empathy; loneliness, but also fears of unrehearsed conversations and intimacy; difficulties forming attachments but also difficulties tolerating solitude and boredom
  • consider the testimony of the faculty at a reputable middle school where Turkle is called in as a consultant
  • The teachers tell Turkle that their students don’t make eye contact or read body language, have trouble listening, and don’t seem interested in each other, all markers of autism spectrum disorder
  • Like much younger children, they engage in parallel play, usually on their phones. Like autistic savants, they can call up endless information on their phones, but have no larger context or overarching narrative in which to situate it
  • Students are so caught up in their phones, one teacher says, “they don’t know how to pay attention to class or to themselves or to another person or to look in each other’s eyes and see what is going on.
  • “It is as though they all have some signs of being on an Asperger’s spectrum. But that’s impossible. We are talking about a schoolwide problem.”
  • Can technology cause Asperger’
  • “It is not necessary to settle this debate to state the obvious. If we don’t look at our children and engage them in conversation, it is not surprising if they grow up awkward and withdrawn.”
  • In the protocols developed by Ivar Lovaas for treating autism spectrum disorder, every discrete trial in the therapy, every drill, every interaction with the child, however seemingly innocuous, is prefaced by this clear command: “Look at me!”
  • If absence of relationship is a defining feature of autism, connecting with the child is both the means and the whole goal of the therapy. Applied behavioral analysis does not concern itself with when exactly, how, or why a child becomes autistic, but tries instead to correct, do over, and even perhaps actually rewire what went wrong, by going back to the beginning
  • Eye contact—which we know is essential for brain development, emotional stability, and social fluency—is the indispensable prerequisite of the therapy, the sine qua non of everything that happens.
  • There are no shortcuts to this method; no medications or apps to speed things up; no machines that can do the work for us. This is work that only human beings can do
  • it must not only be started early and be sufficiently intensive, but it must also be carried out in large part by parents themselves. Parents must be trained and involved, so that the treatment carries over into the home and continues for most of the child’s waking hours.
  • there are foundational relationships that are templates for all other relationships, and for learning itself.
  • Maurice’s book, in other words, is not fundamentally the story of a child acquiring skills, though she acquires them perforce. It is the story of the restoration of a child’s relationship with her parents
  • it is also impossible to overstate the time and commitment that were required to bring it about, especially today, when we have so little time, and such a faltering, diminished capacity for sustained engagement with small children
  • The very qualities that such engagement requires, whether our children are sick or well, are the same qualities being bred out of us by technologies that condition us to crave stimulation and distraction, and by a culture that, through a perverse alchemy, has changed what was supposed to be the freedom to work anywhere into an obligation to work everywhere.
  • In this world of total work (the phrase is Josef Pieper’s), the work of helping another person become fully human may be work that is passing beyond our reach, as our priorities, and the technologies that enable and reinforce them, steadily unfit us for the work of raising our own young.
  • in Turkle’s book, as often as not, it is young people who are distressed because their parents are unreachable. Some of the most painful testimony in Reclaiming Conversation is the testimony of teenagers who hope to do things differently when they have children, who hope someday to learn to have a real conversation, and so o
  • it was an older generation that first fell under technology’s spell. At the middle school Turkle visits, as at many other schools across the country, it is the grown-ups who decide to give every child a computer and deliver all course content electronically, meaning that they require their students to work from the very medium that distracts them, a decision the grown-ups are unwilling to reverse, even as they lament its consequences.
  • we have approached what Turkle calls the robotic moment, when we will have made ourselves into the kind of people who are ready for what robots have to offer. When people give each other less, machines seem less inhuman.
  • robot babysitters may not seem so bad. The robots, at least, will be reliable!
  • If human conversations are endangered, what of prayer, a conversation like no other? All of the qualities that human conversation requires—patience and commitment, an ability to listen and a tolerance for aridity—prayer requires in greater measure.
  • this conversation—the Church exists to restore. Everything in the traditional Church is there to facilitate and nourish this relationship. Everything breathes, “Look at me!”
  • there is a second path to God, equally enjoined by the Church, and that is the way of charity to the neighbor, but not the neighbor in the abstract.
  • “Who is my neighbor?” a lawyer asks Jesus in the Gospel of Luke. Jesus’s answer is, the one you encounter on the way.
  • Virtue is either concrete or it is nothing. Man’s path to God, like Jesus’s path on the earth, always passes through what the Jesuit Jean Pierre de Caussade called “the sacrament of the present moment,” which we could equally call “the sacrament of the present person,” the way of the Incarnation, the way of humility, or the Way of the Cross.
  • The tradition of Zen Buddhism expresses the same idea in positive terms: Be here now.
  • Both of these privileged paths to God, equally dependent on a quality of undivided attention and real presence, are vulnerable to the distracting eye-candy of our technologies
  • Turkle is at pains to show that multitasking is a myth, that anyone trying to do more than one thing at a time is doing nothing well. We could also call what she was doing multi-relating, another temptation or illusion widespread in the digital age. Turkle’s book is full of people who are online at the same time that they are with friends, who are texting other potential partners while they are on dates, and so on.
  • This is the situation in which many people find themselves today: thinking that they are special to someone because of something that transpired, only to discover that the other person is spread so thin, the interaction was meaningless. There is a new kind of promiscuity in the world, in other words, that turns out to be as hurtful as the old kind.
  • Who can actually multitask and multi-relate? Who can love everyone without diluting or cheapening the quality of love given to each individual? Who can love everyone without fomenting insecurity and jealousy? Only God can do this.
  • When an individual needs to be healed of the effects of screens and machines, it is real presence that he needs: real people in a real world, ideally a world of God’s own making
  • Nature is restorative, but it is conversation itself, unfolding in real time, that strikes these boys with the force of revelation. More even than the physical vistas surrounding them on a wilderness hike, unrehearsed conversation opens up for them new territory, open-ended adventures. “It was like a stream,” one boy says, “very ongoing. It wouldn’t break apart.”
  • in the waters of baptism, the new man is born, restored to his true parent, and a conversation begins that over the course of his whole life reminds man of who he is, that he is loved, and that someone watches over him always.
  • Even if the Church could keep screens out of her sanctuaries, people strongly attached to them would still be people poorly positioned to take advantage of what the Church has to offer. Anxious people, unable to sit alone with their thoughts. Compulsive people, accustomed to checking their phones, on average, every five and a half minutes. As these behaviors increase in the Church, what is at stake is man’s relationship with truth itself.
Javier E

Sticking with the truth : Columbia Journalism Review - 0 views

  • In 1998, The Lancet, one of the most respected medical journals, published a study by lead author Andrew Wakefield, a British physician who claimed there might be a link between the vaccine for measles, mumps, and rubella (MMR) and autism
  • Among scientists, however, there really was never much of a debate; only a small group of researchers ever even entertained the theory about autism. The coverage rarely emphasized this, if it noted it at all, and instead propagated misunderstanding about vaccines and autism and gave credence to what was largely a manufactured controversy
  • Between 1998 and 2006, 60 percent of vaccine-autism articles in British newspapers, and 49 percent in American papers, were “balanced,” in the sense that they either mentioned both pro-link and anti-link perspectives, or neither perspective, according to a 2008 study by Christopher Clarke at Cornell University. The remainder—40 percent in the British press and 51 percent in the American press—mentioned only one perspective or the other, but British journalists were more likely to focus on pro-link claims and the Americans were more likely to focus on anti-link claims.
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  • While it’s somewhat reassuring that almost half the US stories (41 percent) tried, to varying degrees, to rebut the vaccine-autism connection, the study raises the problem of “objectivity” in stories for which a preponderance of evidence is on one side of a “debate.” In such cases, “balanced” coverage can be irresponsible, because it suggests a controversy where none really exists. (Think climate change, and how such he-said-she-said coverage helped sustain the illusion of a genuine debate within the science community.)
  • A follow-up study by Clarke and Graham Dixon, published in November 2012, makes this point. The two scholars assigned 320 undergrads to read either a “balanced” article or one that was one-sided for or against a link between vaccines and autism. Those students who read the “balanced” articles were far more likely to believe that a link existed than those who read articles that said no link exits.
  • Today, people who worry that childhood inoculations trigger autism prefer to be described as “vaccine-hesitant,” rather than “anti-vaccine,” and think the CDC’s immunization schedule “overwhelms” kids’ immune systems. This rhetorical shift is illustrates how those who claim a link exists keep moving the goalposts.
grayton downing

Maternal Antibodies Linked to Autism | The Scientist Magazine® - 0 views

  • WIKIPEDIA, KEN HAMMOND (USDA)In 2008, Judy van de Water from the University of California, Davis, discovered a group of autoantibodies—those that trigger immune responses against the body’s own molecules—that are especially common in mothers of children with autism.
  • “Given that, at present, only between 15 and 20 percent of children with autism have known causes—mainly genetic and infectious mechanisms—this will be a major advance.”
  • “It would allow mothers to plan,” said van de Water, by enrolling their children in educational programs that promote social skills from an early age.
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  • team is now working to address these issues, trying to identify the specific parts of the six proteins that the antibodies stick to, determine how they affect the developing brain, and understand how they might be used to predict autism risk. Van de Water and Amaral are consulting for Pediatric Bioscience, which is creating a predictive test based on the results.
  • Moving this to monkeys is a big step,
  • the team’s colleagues Melissa Bauman and David Amaral, also from UC Davis, injected eight pregnant rhesus monkeys with antibodies purified from mothers with autistic children.
  • next step is to come up with a therapeutic to block the antibodies—not just to pick them up, but to do something about it,”
  • The parents have been surprisingly supportive,” she said. “But the autism field has been fraught with false alarms, so we want to be really careful.”
jmfinizio

A teen with autism died after Louisiana deputies sat on him for 9 minutes, parents' law... - 0 views

  • The parents of a 16-year-old with severe autism who died last year are suing the Jefferson Parish, Louisiana, sheriff, claiming the teen's death was caused by deputies who restrained and sat on him for 9 minutes.
  • "Never did we ever think that our 16-year-old son with special needs would die in front of our eyes at his age and in the hands of law enforcement,
  • The family's lawsuit comes as police use of force has come under increased scrutiny, particularly against children with special needs.
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  • They handcuffed Eric, shackled his feet and restrained him face down on the pavement of the shopping center's parking lot
  • Over the course of 9 minutes and 6 seconds, deputies failed to put Eric in a "recovery position" after subduing him that would have prevented the teenager from suffocating,
  • "This case centers on a severely autistic teenager diagnosed with numerous other mental conditions which caused him to have frequent violent outbursts,"
  • One of them relieved the first deputy, getting on Eric's back and, at one point, putting him in a chokehold,
  • they tried to control the violent teenager's outbursts to prevent him from again attacking his parents and first responders,
  • "Eric could have self-injurious and aggressive behaviors when he was frustrated,"
  • The deputy contacted other deputies for assistance in restraining Eric and also contacted EMS, the lawsuit says.
  • The deputy -- whom the lawsuit describes as an overweight man -- handcuffed Eric and sat on his back for the next 7 minutes, the lawsuit says. Lou remained on the ground next to Eric, trying to calm him.
  • "We bring this lawsuit in hopes that Eric's death would not be in vain,"
  • Eric was soon taken by ambulance to a local hospital where he went into cardiac arrest.
  • "Eric was our purpose in life. He depended upon us, his parents, to help him navigate through this confusing world,
Javier E

Measles Proves Delicate Issue to G.O.P. Field - NYTimes.com - 0 views

  • The politics of medicine, morality and free will have collided in an emotional debate over vaccines and the government’s place in requiring them, posing a challenge for Republicans who find themselves in the familiar but uncomfortable position of reconciling modern science with the skepticism of their core conservative voters.
  • There is evidence that vaccinations have become more of a political issue in recent years. Pew Research Center polls show that in 2009, 71 percent of both Republicans and Democrats favored requiring the vaccination of children. Five years later, Democratic support had grown to 76 percent, but Republican support had fallen to 65 percent.
  • The vaccination controversy is a twist on an old problem for the Republican Party: how to approach matters that have largely been settled among scientists but are not widely accepted by conservatives.
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  • It is a dance Republican candidates often do when they hedge their answers about whether evolution should be taught in schools. It is what makes the fight over global warming such a liability for their party, and what led last year to a widely criticized response to the Ebola scare.
  • the national debate is forcing the Republican Party’s 2016 presidential hopefuls to confront questions about whether it is in the public’s interest to allow parents to decide for themselves.
  • The debate does not break entirely along right-left lines. The movement to forgo vaccinations has been popular in more liberal and affluent communities where some parents are worried that vaccines cause autism or other disorders among children.
  • Howard Dean, a presidential candidate in 2004 and a former chairman of the Democratic National Committee, said there are three groups of people who object to required vaccines: “One is people who are very much scared about their kids getting autism, which is an idea that has been completely discredited. Two, is entitled people who don’t want to put any poison in their kids and view this as poison, which is ignorance more than anything else. And three, people who are antigovernment in any way.”
  • The issue has more political potency among conservative voters who are highly skeptical of anything required by the government.
  • for Republicans like Mr. Paul who appeal to the kind of libertarian conservatives who are influential in states like Iowa and New Hampshire, which hold the first two contests in the battle for the nomination, there is an appeal in framing the issue as one of individual liberty.Asked about immunizations again later on Monday, Mr. Paul was even more insistent, saying it was a question of “freedom.” He grew irritated with a CNBC host who pressed him and snapped: “The state doesn’t own your children. Parents own the children.”
aqconces

Why parents want to believe in a vaccine conspiracy - The Washington Post - 0 views

  • for how could we ever really know whether the vaccine was the cause?
  • I did more research, and I learned that scientific organizations around the world — including the Centers for Disease Control and Prevention and the National Institutes of Health — had proved the vaccine theory false. No one could say for sure what caused autism, but they certainly could say that it wasn’t a vaccine.
  • it’s easy to understand why some parents of children with autism want to see conspiracy and evil where none exists
Javier E

Psychiatry's New Guide Falls Short, Experts Say - NYTimes.com - 1 views

  • his goal was to reshape the direction of psychiatric research to focus on biology, genetics and neuroscience so that scientists can define disorders by their causes, rather than their symptoms.
  • While the Diagnostic and Statistical Manual of Mental Disorders, or D.S.M., is the best tool now available for clinicians treating patients and should not be tossed out, he said, it does not reflect the complexity of many disorders, and its way of categorizing mental illnesses should not guide research.
  • senior figures in psychiatry who have challenged not only decisions about specific diagnoses but the scientific basis of the entire enterprise. Basic research into the biology of mental disorders and treatment has stalled, they say, confounded by the labyrinth of the brain.
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  • The creators of the D.S.M. in the 1960s and ’70s “were real heroes at the time,” said Dr. Steven E. Hyman, a psychiatrist and neuroscientist at the Broad Institute and a former director at the National Institute of Mental Health. “They chose a model in which all psychiatric illnesses were represented as categories discontinuous with ‘normal.’ But this is totally wrong in a way they couldn’t have imagined. So in fact what they produced was an absolute scientific nightmare. Many people who get one diagnosis get five diagnoses, but they don’t have five diseases — they have one underlying condition.”
  • Decades of spending on neuroscience have taught scientists mostly what they do not know, undermining some of their most elemental assumptions. Genetic glitches that appear to increase the risk of schizophrenia in one person may predispose others to autism-like symptoms, or bipolar disorder. The mechanisms of the field’s most commonly used drugs — antidepressants like Prozac, and antipsychosis medications like Zyprexa — have revealed nothing about the causes of those disorders. And major drugmakers have scaled back psychiatric drug development, having virtually no new biological “targets” to shoot for.
  • Dr. Insel is one of a growing number of scientists who think that the field needs an entirely new paradigm for understanding mental disorders, though neither he nor anyone else knows exactly what it will look like.
  • Dr. Hyman, Dr. Insel and other experts said they hoped that the science of psychiatry would follow the direction of cancer research, which is moving from classifying tumors by where they occur in the body to characterizing them by their genetic and molecular signatures.
  • Dr. Insel said in the interview that his motivation was not to disparage the D.S.M. as a clinical tool, but to encourage researchers and especially outside reviewers who screen proposals for financing from his agency to disregard its categories and investigate the biological underpinnings of disorders instead.
Javier E

Vaccine Critics Turn Defensive Over Measles - NYTimes.com - 1 views

  • the parents at the heart of America’s anti-vaccine movement are being blamed for incubating an otherwise preventable public-health crisis.
  • officials scrambled to try to contain a wider spread of the highly contagious disease — which America declared vanquished 15 years ago, before a statistically significant number of parents started refusing to vaccinate their children.
  • The anti-vaccine movement can largely be traced to a 1998 report in a medical journal that suggested a link between vaccines and autism but was later proved fraudulent and retracted. Today, the waves of parents who shun vaccines include some who still believe in the link and some, like the Amish, who have religious objections to vaccines. Then there is a particular subculture of largely wealthy and well-educated families, many living in palmy enclaves around Los Angeles and San Francisco, who are trying to carve out “all-natural” lives for their children.
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  • “Sometimes, I feel like we’re practicing in the 1950s,” said Dr. Eric Ball, a pediatrician in southern Orange County, where some schools report that 50 to 60 percent of their kindergartners are not fully vaccinated and that 20 to 40 percent of parents have sought a personal beliefs exemption to vaccination requirements. “It’s very frustrating. It’s hard to see a kid suffer for something that’s entirely preventable.”
  • Dr. Ball said he spent many days trying to persuade parents to vaccinate their children. He tries to alleviate their concerns. He shows parents his own children’s vaccine records. But it has not worked, and lately, as worries and anger over this outbreak have spread, some families who support vaccines have said they do not want to be in the same waiting room as unvaccinated families. The clinic where Dr. Ball works has treated unvaccinated children for years, but its staff is meeting next week to discuss a ban.“Our patients are really scared,” Dr. Ball said. “Our nightmare would be for someone to show up at our door with the measles.”
  • Norm Warren, the manager of the supermarket in Kearny, Gordon’s IGA, has changed his thinking toward those who do not vaccinate their children.“Before, I thought, ‘If you think your child will become autistic, fine.’ But now they’re pushing their beliefs on everybody, and I feel differently,“ he said. “How many lives have been saved by vaccination?“
  • Members of the anti-vaccine movement said the public backlash had terrified many parents. “People are now afraid they’re going to be jailed,” said Barbara Loe Fisher, the president of the National Vaccine Information Center, a clearinghouse for resisters. “I can’t believe what I’m seeing. It’s gotten so out of hand, and it’s gotten so vicious.”
  • In San Geronimo, Calif., a mostly rural community of rolling hills and oak trees about 30 miles north of San Francisco, 40 percent of the students walking into Lagunitas Elementary School have not been inoculated against measles, according to the school’s figures. Twenty-five percent have not been vaccinated for polio. In all, the state says that 58 percent of Lagunitas kindergartners do not have up-to-date vaccine records.
  • “A lot of people here have personal beliefs that are faith based,” said John Carroll, the school superintendent, who sent a letter home to parents last week encouraging them to vaccinate their children. The faith, Mr. Carroll said, is not so much religious as it is a belief that “they raise their children in a natural, organic environment” and are suspicious of pharmaceutical companies and big business.
  • Some parents forgo shots altogether. Others split vaccine doses or stretch out their timeline, worried about somehow overwhelming their children’s immune system. Kelly McMenimen, a Lagunitas parent, said she “meditated on it a lot” before deciding not to vaccinate her son Tobias, 8, against even “deadly or deforming diseases.” She said she did not want “so many toxins” entering the slender body of a bright-eyed boy who loves math and geography.
  • Tobias has endured chickenpox and whooping cough, though Ms. McMenimen said the latter seemed more like a common cold. She considered a tetanus shot after he cut himself on a wire fence but decided against it: “He has such a strong immune system.”
  • “It’s good to explore alternatives rather than go with the panic of everyone around you,” she said. “Vaccines don’t feel right for me and my family.”
tongoscar

What Does a Speech Delay Mean for Your Child? | For Better | US News - 0 views

  • I often meet with parents who worry that their children have a speech delay, and who wonder if this means that their child is on the autism spectrum.
  • Out of all the delays that a child may experience, delayed speech is the most common, and the delay usually means nothing serious.
  • At the same time, 1 in 12 children in the United States does have an actual disorder that affects the ability to speak or swallow, according to the National Institutes of Health, and less than half of those children are getting treatment. The first three years of life are vital for a child's language development, so we pediatricians make every effort to flag any treatable speech delay issues early. That way, we can direct parents toward appropriate sources of help.
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  • Conditions besides autism also cause speech delays or difficulties. Children learn to speak by hearing speech, so impaired hearing or deafness can affect a child's language development. A hearing test is an important first step in figuring out the root causes of a speech delay.
  • You are never wasting your time doing this. The more words your child hears within the first two years, the larger the vocabulary he or she will develop. Solid research shows the great value of parents speaking and reading to very young children.
Javier E

I Thought I Was Saving Trans Kids. Now I'm Blowing the Whistle. - 0 views

  • Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment. The center’s physician co-directors were essentially the sole authority.
  • At first, the patient population was tipped toward what used to be the “traditional” instance of a child with gender dysphoria: a boy, often quite young, who wanted to present as—who wanted to be—a girl. 
  • Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases. Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone. 
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  • The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.
  • This concerned me, but didn’t feel I was in the position to sound some kind of alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 
  • I certainly saw this at the center. One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 
  • There are no reliable studies showing this. Indeed, the experiences of many of the center’s patients prove how false these assertions are. 
  • The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.
  • To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 
  • When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.
  • Many encounters with patients emphasized to me how little these young people understood the profound impacts changing gender would have on their bodies and minds. But the center downplayed the negative consequences, and emphasized the need for transition. As the center’s website said, “Left untreated, gender dysphoria has any number of consequences, from self-harm to suicide. But when you take away the gender dysphoria by allowing a child to be who he or she is, we’re noticing that goes away. The studies we have show these kids often wind up functioning psychosocially as well as or better than their peers.” 
  • Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t).
  • Here’s an example. On Friday, May 1, 2020, a colleague emailed me about a 15-year-old male patient: “Oh dear. I am concerned that [the patient] does not understand what Bicalutamide does.” I responded: “I don’t think that we start anything honestly right now.”
  • Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys. As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue.
  • How little patients understood what they were getting into was illustrated by a call we received at the center in 2020 from a 17-year-old biological female patient who was on testosterone. She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away.
  • when there was a dispute between the parents, it seemed the center always took the side of the affirming parent.
  • Other girls were disturbed by the effects of testosterone on their clitoris, which enlarges and grows into what looks like a microphallus, or a tiny penis. I counseled one patient whose enlarged clitoris now extended below her vulva, and it chafed and rubbed painfully in her jeans. I advised her to get the kind of compression undergarments worn by biological men who dress to pass as female. At the end of the call I thought to myself, “Wow, we hurt this kid.”
  • There are rare conditions in which babies are born with atypical genitalia—cases that call for sophisticated care and compassion. But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet. They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.
  • Being put on powerful doses of testosterone or estrogen—enough to try to trick your body into mimicking the opposite sex—-affects the rest of the body. I doubt that any parent who's ever consented to give their kid testosterone (a lifelong treatment) knows that they’re also possibly signing their kid up for blood pressure medication, cholesterol medication, and perhaps sleep apnea and diabetes. 
  • Besides teenage girls, another new group was referred to us: young people from the inpatient psychiatric unit, or the emergency department, of St. Louis Children’s Hospital. The mental health of these kids was deeply concerning—there were diagnoses like schizophrenia, PTSD, bipolar disorder, and more. Often they were already on a fistful of pharmaceuticals.
  • no matter how much suffering or pain a child had endured, or how little treatment and love they had received, our doctors viewed gender transition—even with all the expense and hardship it entailed—as the solution.
  • Another disturbing aspect of the center was its lack of regard for the rights of parents—and the extent to which doctors saw themselves as more informed decision-makers over the fate of these children.
  • We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about.
  • During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 
  • I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.
  • Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.
  • Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.
  • For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt. 
  • The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. 
  • All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier. 
nataliedepaulo1

The Mistrust of Science - The New Yorker - 0 views

  • The Mistrust of Science
  • The scientific orientation has proved immensely powerful. It has allowed us to nearly double our lifespan during the past century, to increase our global abundance, and to deepen our understanding of the nature of the universe. Yet scientific knowledge is not necessarily trusted. Partly, that’s because it is incomplete. But even where the knowledge provided by science is overwhelming, people often resist it—sometimes outright deny it. Many people continue to believe, for instance, despite massive evidence to the contrary, that childhood vaccines cause autism (they do not); that people are safer owning a gun (they are not); that genetically modified crops are harmful (on balance, they have been beneficial); that climate change is not happening (it is).
  • People are prone to resist scientific claims when they clash with intuitive beliefs. They don’t see measles or mumps around anymore. They do see children with autism. And they see a mom who says, “My child was perfectly fine until he got a vaccine and became autistic.”
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  • Even more than what you think, how you think matters. The stakes for understanding this could not be higher than they are today, because we are not just battling for what it means to be scientists. We are battling for what it means to be citizens.
Javier E

Anti-vaccine activists, 9/11 deniers, and Google's social search. - Slate Magazine - 1 views

  • democratization of information-gathering—when accompanied by smart institutional and technological arrangements—has been tremendously useful, giving us Wikipedia and Twitter. But it has also spawned thousands of sites that undermine scientific consensus, overturn well-established facts, and promote conspiracy theories
  • Meanwhile, the move toward social search may further insulate regular visitors to such sites; discovering even more links found by their equally paranoid friends will hardly enlighten them.
  • Initially, the Internet helped them find and recruit like-minded individuals and promote events and petitions favorable to their causes. However, as so much of our public life has shifted online, they have branched out into manipulating search engines, editing Wikipedia entries, harassing scientists who oppose whatever pet theory they happen to believe in, and amassing digitized scraps of "evidence" that they proudly present to potential recruits.
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  • The Vaccine article contains a number of important insights. First, the anti-vaccination cohort likes to move the goal posts: As scientists debunked the link between autism and mercury (once present in some childhood inoculations but now found mainly in certain flu vaccines), most activists dropped their mercury theory and point instead to aluminum or said that kids received “too many too soon.”
  • Second, it isn't clear whether scientists can "discredit" the movement's false claims at all: Its members are skeptical of what scientists have to say—not least because they suspect hidden connections between academia and pharmaceutical companies that manufacture the vaccines.
  • mere exposure to the current state of the scientific consensus will not sway hard-core opponents of vaccination. They are too vested in upholding their contrarian theories; some have consulting and speaking gigs to lose while others simply enjoy a sense of belonging to a community, no matter how kooky
  • attempts to influence communities that embrace pseudoscience or conspiracy theories by having independent experts or, worse, government workers join them—the much-debated antidote of “cognitive infiltration” proposed by Cass Sunstein (who now heads the Office of Information and Regulatory Affairs in the White House)—w
  • perhaps, it's time to accept that many of these communities aren't going to lose core members regardless of how much science or evidence is poured on them. Instead, resources should go into thwarting their growth by targeting their potential—rather than existent—members.
  • Given that censorship of search engines is not an appealing or even particularly viable option, what can be done to ensure that users are made aware that all the pseudoscientific advice they are likely to encounter may not be backed by science?
  • One is to train our browsers to flag information that may be suspicious or disputed. Thus, every time a claim like "vaccination leads to autism" appears in our browser, that sentence woul
  • The second—and not necessarily mutually exclusive—option is to nudge search engines to take more responsibility for their index and exercise a heavier curatorial control in presenting search results for issues like "global warming" or "vaccination." Google already has a list of search queries that send most traffic to sites that trade in pseudoscience and conspiracy theories; why not treat them differently than normal queries? Thus, whenever users are presented with search results that are likely to send them to sites run by pseudoscientists or conspiracy theorists, Google may simply display a huge red banner asking users to exercise caution and check a previously generated list of authoritative resources before making up their minds.
  • In more than a dozen countries Google already does something similar for users who are searching for terms like "ways to die" or "suicidal thoughts" by placing a prominent red note urging them to call the National Suicide Prevention Hotline.
carolinewren

Journalists debunk vaccine science denial - 0 views

  • extra difficulties imposed irrationally by antiscience.
  • Large outbreaks in the U.S. of the highly infectious disease have become more common in the past two years, even though measles hasn’t been indigenous since 2000, according to the Centers for Disease Control and Prevention.
  • difficult because concerns about a possible link between vaccines and autism—now debunked by science—have expanded to more general, and equally groundless, worries about the effects of multiple shots on a child’s immune system, vaccine experts and doctors say.
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  • It summarized and condemned the scientific and medical fraud that the British researcher Andrew Wakefield perpetrated. Years earlier, he had falsely linked the measles, mumps, and rubella (MMR) vaccine to autism. The editorial lamented that “the damage to public health continues, fuelled by unbalanced media reporting and an ineffective response from government, researchers, journals, and the medical profession.”
  • Reporters also seek to ensure that viewers, listeners, or readers understand that measles can afflict a victim more powerfully than does a mere passing ailment.
  • Measles doesn’t spread in most U.S. communities because people are protected by “herd immunity,” meaning that 92% to 94% of the population is vaccinated or immune. That level of protection makes it hard for one case of measles to spread even from one unvaccinated person to another without direct contact.
  • a study that “found that only 51 percent of Americans were confident that vaccines are safe and effective, which is similar to the proportion who believe that houses can be haunted by ghosts.”
  • In some parts of California, resistance to vaccinations including the MMR shot is stronger than ever, despite cases of measles hitting five US states.
  • “Vaccines are a great idea, but they are poisoning us, adding things that kick in later in life so they can sell us more drugs.”
  • Health professionals say those claims are unfounded or vastly overstated.
  • “the anti-vaccination movement is fueled by an over-privileged group of rich people grouped together who swear they won’t put any chemicals in their kids (food or vaccines or whatever else), either because it’s trendy to be all-natural or they don’t understand or accept the science of vaccinations. Their science denying has been propelled further by celebrities
  • the outbreak “should worry and enrage the public.” It indicted the anti-vaxxers’ “ignorant and self-absorbed rejection of science” and declared, “Getting vaccinated is good for the health of the inoculated person and also part of one’s public responsibility to help protect the health of others.”
  • “It’s wrong,” the editors emphasized, “to allow public health to be threatened while everyone else waits for these science-denying parents to open their eyes.”
  • “It’s because these people are highly educated and they get on the Internet and read things and think they can figure things out better than their physician.”
  • linked vaccination opposition to the “political left, which has long been suspicious of the lobbying power of the pharmaceutical industry and its influence on government regulators, and also the fringe political right, which has at different times seen vaccination, fluoridisation and other public-health initiatives as attempts by big government to impose tyrannical limits on personal freedom.”
  • Attempts to increase concerns about communicable diseases or correct false claims about vaccines may be especially likely to be counterproductive.
  • “attempting balance by giving vaccine skeptics and pro-vaccine advocates equal weight in news stories leads people to believe the evidence for and against vaccination is equally strong.”
  • A recent edition of the Washington Post carried a letter defending anti-vaxxers as “people who generally are pro-science and highly educated, who have high incomes and who have studied this issue carefully before coming to the conclusion that the risk to their children is greater than the slim possibility of contracting a childhood disease that [in many cases leaves] little or no residual consequences.”
  • anecdotal evidence suggests that some journalists, rather than omitting anti-vaxxers’ views, prefer to expose them and then oppose them.
  • “unwarranted fear . . . an assault on one of the greatest public-health inventions in world history.”
sandrine_h

the biology of imagination - 0 views

  • the content of the imagination is of course determined more by culture than biology. But the capacity to imagine owes more to biology than culture.
  • Imagery is usually the product of one of the five senses (though it can also be generated without any sensory input at all, from the mere act of thinking or dreaming). Imagery typically comprises a mental representation of a state of affairs in the outside, physical world.
  • Since the disability that comprises classic autism is biological in origin, then children with autism are offering us a big clue about the biological basis of the imagination. Of course, when the meta-representational hardware develops normally, biology has done its job. From then on, the content of our imagination, whether we imagine an angry god or a school of wizardry, a mermaid or a devil, owes more to our specific culture than to biology. But the capacity to imagine depends on genes that build brains with a very specific kind of mechanism – one that we take for granted whenever we form relationships or fantasize.
sissij

Scientists Are Attempting to Unlock the Secret Potential of the Human Brain | Big Think - 1 views

  • Sometimes, it occurs when a person suffers a nearly fatal accident or life-threatening situation. In others, they are born with a developmental disorder, such as autism.
  • This is known as savant syndrome. Of course, it’s exceedingly rare.
  • Upon entering the bathroom and turning on the faucet, he saw “lines emanating out perpendicularly from the flow.” He couldn’t believe it.
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  • “At first, I was startled, and worried for myself, but it was so beautiful that I just stood in my slippers and stared.” It was like, “watching a slow-motion film.”
  • Before, he never rose beyond pre-Algebra.
  • Padgett is one of the few people on earth who can draw fractals accurately, freehand.
  • savant syndrome
  • There are two ways for it to occur, either through an injury that causes brain damage or through a disorder, such as autism.
  • It’s estimated that around 50% of those with savant syndrome are autistic.
  • “The most common ability to emerge is art, followed by music,” Treffert told The Guardian. “But I’ve had cases where brain damage makes people suddenly interested in dance, or in Pinball Wizard.”
  •  
    This article reminds me of a scientific myth I saw one day about that people only use 10% percent of their brain. However, this description is not accurate because when we are using our brain, every parts of our brain is active and their is no vacant part of it. It is only that it has more potential than it seems. I think this description is 10% is misleading. I found the savant syndrome very interesting. I think this amazing talent in human brain is very amazing. So is it possible that the cognitive bias in human brain is because of the potential of human brain was not activated. --Sissi (4/17/2017)
johnsonel7

Sensory perception | Science Features | Naked Scientists - 0 views

  • Deciphering how the brain processes sight and hearing could have implications for how we understand and treat conditions such as dyslexia, autism and schizophrenia.
  • schizophrenia
  • Through a project called SENSOCOM, she is exploring how sensory perception affects communication, focusing on the brain’s deep subcortical structures.By doing this, she and her team are exploring a part of the brain traditionally excluded by research trying to understand communication impairments found in autism spectrum disorder and dyslexia, conditions which affect around 53 million people in Europe.
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  • To do this they have been focusing on the sensory pathways linked to these deep structures. She and her group discovered that adults with dyslexia have weaker pathway connections between a visual subcortical structure (the left visual thalamus) with an area of the cortex called V5/MT, which is critical for the perception of visual motion. In the auditory mode, there was a similar finding. The team discovered weaker connections between the left auditory thalamus and a cortex structure linked to auditory motion, which is important for speech perception. These connections could therefore be important for reading and for predicting reading skill, according to Dr von Kriegstein.
  • So how might this translate into helping people with dyslexia? This is basic science, says Prof. von Kriegstein, so first it’s crucial to understand the mechanisms behind communications disorders before developing therapy training tools, although she is optimistic these could lie within reach.
  • The way the brain encodes information and in turn directs perception of that sensory experience is a highly variable process.
  • The sensory overload or distorted and heightened perceptions described by schizophrenia patients, for instance, could relate to these deficits. Sensory dysfunction has also been linked to delusions and hallucinations as well as difficulties with attention and reading the emotions or tone of others – all of which can affect social interaction.
  • According to Dr Fellin, decreased connectivity between nerve cells (neurons) appears to play an important role in the progression of schizophrenia. So far, Dr Fellin and his group have identified which specific neurons influence sensory responses in mouse studies, but not yet in animal models of schizophrenia, with similar investigations in glial cells  - the supporting cells of the nervous system.
clairemann

'At 47, I discovered I am autistic - suddenly so many things made sense' | Life and sty... - 0 views

  • I knew I was different and I had always been told I was “too sensitive”. But I don’t fit the dated Rain Man stereotype. I’m a CEO, I’m married, I have two children. Autism is often a hidden disability.
  • I always operated with some level of confusion.
  • My mind is always going a million miles an hour and I don’t really have an off switch. I need to finish what I start at any cost. Now I understand that is part of being autistic.
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  • Einstein, Mozart, Michelangelo, Steve Jobs, Bill Gates – all these overachievers are widely believed to be, or have been, on the spectrum.
  • I used recreational drugs to smooth me through the challenges of social communication.
  • With every interaction, verbal or written, I go through a mental checklist: is my response appropriate? Is it relevant? Is this something only I am going to find interesting? Is my tone right? Trying to follow social rules and adapt to an allistic [non-autistic] world is exhausting. No one sees what is going on inside my head.
  • Misunderstandings in communication can blow up quite quickly.
  • I burnt out in my late 20s.
  • My greatest fear has been something I’ve always referred to as “the big alone”. Even when I’ve been in loving relationships, as I am now, there has been a terrible aloneness in not understanding why I am not like other people.
  • I was able to look back at situations and misunderstandings and understand what had happened. I’d been told my communication could be “off” sometimes – a bit intense, a bit abrupt.
  • Autistic children spend a lot of time “masking”, imitating so-called “normal” behaviour. They need to be able to experience their authentic selves.
  • Over the past five or 10 years, the concept of neurodiversity – the idea that these differences in our brains should be celebrated – has become better known. We deserve equality, respect and full social inclusion.
  • We need to start making space for neurodivergent people at school, at work, in life generally. Autistic people bring a whole new set of skills with them.
Javier E

Ian Hacking, Eminent Philosopher of Science and Much Else, Dies at 87 - The New York Times - 0 views

  • In an academic career that included more than two decades as a professor in the philosophy department of the University of Toronto, following appointments at Cambridge and Stanford, Professor Hacking’s intellectual scope seemed to know no bounds. Because of his ability to span multiple academic fields, he was often described as a bridge builder.
  • “Ian Hacking was a one-person interdisciplinary department all by himself,” Cheryl Misak, a philosophy professor at the University of Toronto, said in a phone interview. “Anthropologists, sociologists, historians and psychologists, as well as those working on probability theory and physics, took him to have important insights for their disciplines.”
  • Professor Hacking wrote several landmark works on the philosophy and history of probability, including “The Taming of Chance” (1990), which was named one of the best 100 nonfiction books of the 20th century by the Modern Library.
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  • “I have long been interested in classifications of people, in how they affect the people classified, and how the effects on the people in turn change the classifications,” he wrote in “Making Up People
  • His work in the philosophy of science was groundbreaking: He departed from the preoccupation with questions that had long concerned philosophers. Arguing that science was just as much about intervention as it was about representation, be helped bring experimentation to center stage.
  • Regarding one such question — whether unseen phenomena like quarks and electrons were real or merely the theoretical constructs of physicists — he argued for reality in the case of phenomena that figured in experiments, citing as an example an experiment at Stanford that involved spraying electrons and positrons into a ball of niobium to detect electric charges. “So far as I am concerned,” he wrote, “if you can spray them, they’re real.”
  • His book “The Emergence of Probability” (1975), which is said to have inspired hundreds of books by other scholars, examined how concepts of statistical probability have evolved over time, shaping the way we understand not just arcane fields like quantum physics but also everyday life.
  • “I was trying to understand what happened a few hundred years ago that made it possible for our world to be dominated by probabilities,” he said in a 2012 interview with the journal Public Culture. “We now live in a universe of chance, and everything we do — health, sports, sex, molecules, the climate — takes place within a discourse of probabilities.”
  • Whatever the subject, whatever the audience, one idea that pervades all his work is that “science is a human enterprise,” Ragnar Fjelland and Roger Strand of the University of Bergen in Norway wrote when Professor Hacking won the Holberg Prize. “It is always created in a historical situation, and to understand why present science is as it is, it is not sufficient to know that it is ‘true,’ or confirmed. We have to know the historical context of its emergence.”
  • Hacking often argued that as the human sciences have evolved, they have created categories of people, and that people have subsequently defined themselves as falling into those categories. Thus does human reality become socially constructed.
  • In 2000, he became the first Anglophone to win a permanent position at the Collège de France, where he held the chair in the philosophy and history of scientific concepts until he retired in 2006.
  • “I call this the ‘looping effect,’” he added. “Sometimes, our sciences create kinds of people that in a certain sense did not exist before.”
  • In “Why Race Still Matters,” a 2005 article in the journal Daedalus, he explored how anthropologists developed racial categories by extrapolating from superficial physical characteristics, with lasting effects — including racial oppression. “Classification and judgment are seldom separable,” he wrote. “Racial classification is evaluation.”
  • Similarly, he once wrote, in the field of mental health the word “normal” “uses a power as old as Aristotle to bridge the fact/value distinction, whispering in your ear that what is normal is also right.”
  • In his influential writings about autism, Professor Hacking charted the evolution of the diagnosis and its profound effects on those diagnosed, which in turn broadened the definition to include a greater number of people.
  • Encouraging children with autism to think of themselves that way “can separate the child from ‘normalcy’ in a way that is not appropriate,” he told Public Culture. “By all means encourage the oddities. By no means criticize the oddities.”
  • His emphasis on historical context also illuminated what he called transient mental illnesses, which appear to be so confined 0cto their time 0c 0cthat they can vanish when times change.
  • “hysterical fugue” was a short-lived epidemic of compulsive wandering that emerged in Europe in the 1880s, largely among middle-class men who had become transfixed by stories of exotic locales and the lure of trave
  • His intellectual tendencies were unmistakable from an early age. “When he was 3 or 4 years old, he would sit and read the dictionary,” Jane Hacking said. “His parents were completely baffled.”
  • He wondered aloud, the interviewer noted, if the whole universe was governed by nonlocality — if “everything in the universe is aware of everything else.”“That’s what you should be writing about,” he said. “Not me. I’m a dilettante. My governing word is ‘curiosity.’”
Javier E

Haidt's Problem With Plato - NYTimes.com - 0 views

  • Haidt’s view here is not at all alien to Plato, who saw truth arising only from the right sort of discussion among inquirers accountable to one another. Nor would Plato object to Haidt’s claim that ethics is based on intuition — direct moral judgments — rather than on reasoning. Haidt’s “reasoning” corresponds to what Plato calls dianoia, the process of logically deriving conclusions from given premises.
  • Such logic yields merely hypothetical knowledge (if p, then q), since logic cannot prove the truth of its premises.  Reasoning, therefore, will reliably yield truth only when it is completed by acts of intuition (noesis) that justify the premises from which we reason.
  • Plato’s intuitions are not like the snap judgments of everyday life, driven by genes and social conditioning. But nor are they the insights of individuals meditating in isolation.
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  • Haidt’s experimentalist critique of Plato misses its mark because he ignores what Plato actually thought in favor of an oversimplification of his “rationalism.” He does something similar in suggesting that Kant’s ethics reflects a personality within the autism spectrum. Likewise, he implausibly suggests that John Rawls can be refuted by surveys showing that people do not share the judgments Rawls thinks we would make in the fictional situation of his “original position.”
  • Haidt’s own discussion requires him to move beyond empirical studies and in the direction of traditional philosophy.
  • But the great philosophers — Plato, Aristotle, Hume, Spinoza, Hegel, Nietzsche — describe moral experiences far more carefully and subtly than most of us can, and moreover, they provide historical perspectives that can help offset the limitations of our own limited viewpoint.
  • Haidt acknowledges that his concern as a psychologist is overwhelmingly descriptive.  But he says almost nothing about how to connect his work with the compelling normative questions of human life.  Engaging with the extensive philosophical discussions of Hume’s distinction between “is” and “ought” could help fill this major gap in Haidt’s account of ethics
  • I begin by reflecting on Haidt’s effort to refute Plato’s central argument in “The Republic.”  This is where Plato tries to show why a just (morally good) life is superior to an unjust (immoral) life.
  • Haidt pithily summarizes Socrates’ argument: “Reason must rule the happy person. And if reason rules, then it cares about what is truly good, not just about the appearance of virtue.” He maintains that Socrates goes wrong because he assumes a false view of the role of reason in human life. ”Reason is not fit to rule; it was designed to seek justification, not truth,” where justification means pursuing “socially strategic goals, such as guarding our reputations and convincing other people to support us.”
  • Haidt supports his claim about the actual role of reason with an array of fascinating psychological experiments cumulatively showing that “Glaucon was right: people care a great deal more about appearance and reputation than about reality,” and use reason accordingly.
  • Haidt’s psychological studies count against Plato only if we take them as denying any chance of rational control and allowing no alternative to a life dominated by our immediate inclinations — our “gut reactions,” as Haidt puts it. But Haidt makes no such claim, saying only, “we should not expect individuals to produce good, open-minded, truth-seeking reasoning, particularly when self-interest or reputational concerns are in play.”
  • Nevertheless, he adds, “if you put individuals together in the right way … you can create a group that ends up producing good reasoning as an emergent product of the social system.”
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