I came across this article recently. It reinforces my experience working with people on the spectrum. We cannot afford to rely on our observations of the students' performance as a true expression of their cognitive ability. The landscape with these students is far more complex.
Diagnosis
Disruption: Debunking the Myths of Non-verbal Autism
Autistic individuals are the true
autism experts. Matthew Lager’s TASH Talk debunking the myths of non-verbal autism
is a must read for anyone who has an autistic child or works with autistic
individuals. Matthew uses a letterboard and keyboard to spell to communicate.
He prepared this presentation for the 2016 TASH conference with his mother over
a several weeks. Due to the 10 minute time limit of the TASH Talk, Matthew’s
speech was read aloud for the presentation with spelling closing remarks live.
Matthew’s goal is to challenge people to rethink autism and understand the
capabilities of people who have been labeled as “low functioning”.
~Elizabeth & Matthew
Thanks for letting me speak today.
Thanks to TASH for including me and for your commitment to advocating for an
easily dismissed segment of society.
I am going to share my experience of
being erroneously mislabeled as low functioning and of low intelligence. My
story is representative of thousands of others labeled as low functioning. My
life changed in ways most can not comprehend the summer of 2014 when my parents
took me to Herndon, Virginia to see Elizabeth Vosseller. My hero, Elizabeth,
introduced me to the letterboards. Through a letterboard and now keyboard I am
able to communicate my true thoughts by spelling them one finger at a time.
I wrote this presentation on a key board tapping the letters one at a
time.
The topic of my talk is:
Diagnosis Disruption: Debunking the myths of non-verbal autism.
Many people view me as being stupid,
emotionless and without the ability to understand other people’s feelings. It
is not a surprise because scientists describe autistics so inaccurately. I am
here to tell you we are much more complex than you believe and also more
ordinary than you realize. We are confusing and difficult to understand because
our exterior doesn’t match our fully intact brain. We have sensory
problems that make us look out of control. Some of us have voices that don’t
say what we mean. Others have motor planning impulse control issues that make
us do things we didn’t mean to do. In spite of the tremendous challenges
we are all just like you with complex thoughts and feelings.
Scientists typically look at three
key areas when determining whether someone fits the criteria for further
screening for autism spectrum disorder. The three areas are impaired
social interaction, impaired communication and restricted or repetitive
behavior. They often assume that functional problems of speech, social
interaction and unusual behavior are indicative of low intelligence and poor
cognitive function. They create checklists to define the behavior we do that is
not typical without understanding that many of these behaviors are in fact
motor based rather than a cognitive deficit.
At my previous school, I was not
allowed to spell to communicate and therefore was unable to change their
incorrect assumptions of me. They were unable to see beyond my atypical
behavior. As a result, I was taught at the first grade level last year.
My new school was open to seeing me differently and allowing me to use
the letterboard all day. I am now taught at grade level which is eight
grades higher than instruction at my previous schools. I wish they could see me
today and perhaps treat others with so called low functioning autism
differently. This school move only occurred when a group of experts in
the school system were willing to suspend their preconceived ideas about
autism. I hope you are willing to do this also by hearing what my friends who
are here and I have to say.
I am going to ask you to look at a
few more examples from my perspective.
While on the surface these scientific
descriptions seem accurate, I am going to describe how what you see in many
autistics is not the full or true picture.
1) Wild erratic movements
without purpose: When I look most dysregulated I am reacting to
overstimulation and sensory overflow. It is impossible for anyone to evaluate
my internal state when just looking at my out of control body. For example I
become very dysregulated, cover my ears and make an odd sounding noise when
people sing happy birthday. The out of tune singing, especially my mom’s
voice (just kidding mom), makes me feel anxious and covering my ears and making
noise muffles the sound. When people see my reaction they assume I don’t want
to be part of the celebration and stop including me when in fact I love
birthdays and just need a coping mechanism to participate. When I appear
totally out of control, I am internally trying to focus and calm myself during
an overly sensory stimulated situation.
2) Inability to initiate or sustain a
conversation: Experts
claim low functioning autistics are unable to hold a conversation. It is true
that I am unable to do it verbally. However I can have full and meaningful
conversations with my friends and others if I am able to type my part of the
discussion. I have three friends in the room today who communicate the
same way I do. I wish scientists or disbelievers would watch our
interactions and see firsthand the complexity of our discussions, the way we
support each other and how emotionally connected we are to each other and the world.
One of my friends dreams of being a writer. Another really wants a
girlfriend. All are interested in a full life with the same opportunities
for education, living arrangements, jobs and community that any other person
wants.
3) Odd, repetitive behavior: My behavior that experts describe as
repetitive and without purpose is actually very useful in calming a highly
stressful situation. For example, I often ask repetitive questions when I am
nervous about a transition or don’t know how to get the words I want to say out
of my mouth. I understand why experts think these behaviors are odd but
understanding the reason we do them is crucial to understanding us. A
good example of this is my obsession with the Wiggles. I talk about them all
the time but can’t stand them. As annoying as it is to be 15 and talking about
a preschool music group, reciting their lyrics does calm me down when I am
stressed.
4) Poorly developed imaginary play: I have been told those with autism
have no imaginary play skills. If only someone could get inside my brain you
would see how I am always creating stories to pass the time when I am being
ignored. I create stories about people traveling around the world and meeting
famous historical figures. One of my favorites is of my friends going to meet
Abraham Lincoln and talking to him about emancipation of those in society who
are disenfranchised. So, I will continue to fail the tests researchers use,
like putting plastic figures in front of me and asking me to pretend some
contrived story. However, when I see the figures I’ll pretend in my mind
the figures are Lincoln’s soldiers who may have lost this one battle but can
still win the war.
5) No or limited interest in social
interaction: I
understand why someone thinks I’m a loner and prefer isolation. However this
could not be further from the truth. In social situations I sometimes leave the
room when others are trying to interact with me because i am so excited and my
body experiences a rush of such intense happiness that I launch like a rocket
out of the room. When I come back unfortunately the social interaction is
lost and even worse than losing that one opportunity I likely pushed the person
away for good. This is one of many examples of how my outward behavior
doesn’t match my strong insatiable need to be with others and how researchers
don’t understand me. I want friends more than anything. I am lucky that now for
the first time I have a group of people who I feel close to and who I feel
understand this.
Every time someone with autism is
allowed to share what goes on in his mind it gives experts more information and
insight into the complicated inner workings of those of us who are so
misunderstood. Hearing from Autistic individuals is integral to scientists
understanding us and our critical and empathetic thoughts. By doing so, they
can study the huge gap between the vast amount of intelligent, intricate, and
inventive thoughts that we have in our minds and our difficulty sharing them in
a typical way.
In closing so called experts need to
start by assuming that their patients with autism are truly thoughtful and
intelligent. Entering the patient/clinician relationship with this shift in
thinking is the most important first step. Allowing us alternative forms of
communication combined with researchers commitment, dedication and hard work we
can actually make changes to research protocols that will make a difference in
my life and others like me.
So, death to the idea of the empty
headed autistic. I hope that people will see me and my friends beyond our
exterior and see us for the people we really are.
**Note: we had blue tooth connection
issues with the keyboard during the presentation resulting in repeated letters.
We edited the additional letters below for readability.
I am happy to be here and have a
chance to tell our story. Please spread the word and let others know.