5 ms·
> There absolutely is evidence that social skills training can help individuals with Autism, and a big part of that training requires real social interactions t
by zepto 5y ago
> There absolutely is evidence that social skills training can help individuals with Autism, and a big part of that training requires real social interactions to practice while slowly building up skills.
True, but also nothing whatsoever to do with what you actually said, which were general statements about whether autistic people should be encouraged to compromise with friends and family or engage more socially.
> Additionally, social anxiety is often comorbid with ASD, so exposure therapy for social anxiety can also be an important part of treatment.
Yes, and can be harmful and traumatizing if it’s not carefully managed.
> The research for ASD is less established..
It’s not established and it’s also not what you said. You said nothing about treatment plans. You said it was harmful to encourage autistic people not to engage socially.
Encouraging people to engage socially is not treatment.
> …can't take some personal time if they are having a bad week. The issue is when avoidance of social interaction becomes the default response, when it starts to impact their life in lasting ways.
This is just a rehash - you are assuming that the lasting impacts are bad relative to just staying in the situation. This is far from obvious. It’s entirely possible that the situation simply isn’t going to accommodate the person and they will burn out if they don’t withdraw. This is a widely reported phenomenon.
> It's actually a harmful misconception that people with ASD don't want to be social or have many relationships. People are different of course, but more often than not someone with Autism will be getting less socialization than they personally need, due to some combination of rejection and anxiety.
Yes, I’m glad you understand this, but what matters is of course the quality of relationships and whether they meet the person’s needs. Blanket advice to not withdraw is obviously harmful if someone is not in a workplace or relationships that give them support.
> At this point I think you are just intentionally misreading what I write
No, I’m responding to what you wrote as it appears.
You are complaining about blanket advice telling autistic people that it’s ok to withdraw, live as they are etc.
However you simply repeat the same mistake, by claiming that the only thing that can help is more social engagement and treatment. This is simply not true.
Many autistic people have found self-acceptance and exploration of their differences to be profoundly helpful.
> At this point I think you are just intentionally misreading what I write.
This is an uncharitable personal attack. A charitable alternative would be to consider that your points are not coming across as clearly as you think they are.
> Obviously Obesity and Autism are not directly similar. What is similar is that encouraging a fat person to eat what they want will slowly degrade their health over time, even if each individual instance may not seem like a big deal, just as lack of social interaction will negatively impact the health of those with ASD.
The problem with your analogy is that this isn’t actually true. Less social interaction can definitely help, and more can definitely be harmful. Not in every case, but that’s the point - the analogy simply isn’t there.
Recommending a treatment or more social engagement isn’t always a bad suggestion. But it is definitely wrong to assume it is the right thing for a given individual at a given point in time. It is also incorrect to assume that withdrawal is always wrong.
In this way, obesity is nothing like autism.
> Would you suggest that it is reasonable for someone with Epilepsy who is happy with their life to not get treatment for seizures?
Doctors have literally make this recommendation to people with epilepsy for years. Epilepsy drugs have side effects, as does surgery. If people can manage their epilepsy without them it is often better for them to do so.
> People in general should be trying to better themselves throughout life
If someone is happy, why ‘should’ they be trying to better themselves?
Even if they want to better themselves, why do you assume you know what will make their life better? There are plenty of people who spend a lot of time doing things other than socializing that make their life better, whether they are autistic or not.
> I have no idea why some people have decided to flip the narrative to be that even disabled people shouldn't try to improve themselves if they can.
Who are you taking about? This is a non-sequitur that has nothing to do with anything I have said. I’m curious what made you write this. Who are these people you are talking about?
> Perhaps the disconnect is just that you think society is trying to force people with ASD to be social
Did I say that somewhere?
> but that really isn't the issue here.
It seems like you read something in that I didn’t write.
> People with ASD overwhelmingly wish they had more friends and better relationships.
True, but as mentioned earlier, simply recommending that they don’t withdraw can be counterproductive.
> Entrenching a "fuck everybody people suck" attitude as a defense mechanism is the exact wrong way to handle it, and that is the underlying message in a lot of these neurodivergent groups.
What has this got to do with our conversation? What groups? How do you know what this underlying message is?
> I'm also curious why you don't seem to even yield the deafness point,
What deafness point exactly do you think I might yield? Deafness has been used in various ways in this conversation.
> if you think it is just about the statistics for efficacy of treatment.
I don’t, but the statistics matter for evaluating the relevance of treatment as a recommendation.
> There is not a cure all for Autism,
This is an important acknowledgement.
> but there absolutely are helpful mitigation strategies supported by evidence, as I mentioned above.
Yes, certain strategies which help some people according to limited evidence. Nothing which supports discouraging anything other than applying those strategies.
At any given point, adopting those strategies isn’t necessarily what a person needs to do. There are autistic people who have many friends, and are highly adept at social skill who nevertheless need to withdraw for long periods of time.
> For many deaf children there is a cure, which is refused,
Is it common for this cure to be refused?
> yet you seem to be arguing that it isn't necessarily better for them to be able to hear.
I have made no such argument.
> You seem to be arguing that deafness and learning disabilities aren't impairments at all so long as the person has an above average life,
I have made no such argument.
I do claim that people with disabilities can be happy without needing to fix their disabilities and that that there is no blanket argument that they ‘should’.
> which is so painfully one dimensional I'm not sure what else to say to you.
I think you have misunderstood my position.
- caddemon 5y agoAgain, I'm not sure you're reading what I wrote. These message boards discourage social interaction. That is straight up a counterproductive response, and it leads to people developing bad coping techniques that worsen their situation in the long run. What I have repeatedly wrote is that those types of responses, which permeate the neurodiversity movement, are bad. I never said that the solution was for people to instead write generic comments telling the person they should socialize. You are again painting this as a false choice between two extremes when it is not. People should be encouraged to seek help which will likely end up involving more socializing, but that is not the same thing as suggesting people should be aimlessly told to socialize. I even repeatedly said that it is not about overwhelming the person right off the bat or forcing them into every social situation. Because again we shouldn't be talking about two extremes here. Building up these skills is a process, but it requires acknowledging the deficit before the process can begin. Neurodiversity movement is often found denying there is a deficit at all, and for ASD people in particular suggesting they should socially withdraw as much as they'd like. That is not the way to build the close relationships you describe. Every relationship short of your immediate family begins with pleasantries. I am not advising anyone with ASD to do anything at all besides seek professional help for anything they are struggling with, if it is at all possible. Different treatment plans will obviously be used for different people, and I have no idea where you got the idea that I said there are only a few things that can help. Exercise can help some people! By the way, not eating any food is also harmful dude, so your comment about obesity falls pretty flat. I'm not sure why you think that because there theoretically could be too much socialization that it's okay to tell people they don't have a problem and they should carry on with their shitty defense mechanisms. Because that's exactly what happens when social withdrawal is treated as a perpetually good thing, which is exactly what you will find among the "neurodivergent" preachers. Since it seems I have to reiterate: Discouraging people from addressing their symptoms is actively harmful. Telling ASD people that it's okay if they avoid socializing as much as they'd like is one such example. That's it. I will happily provide you dozens of links showing that lack of socialization correlates with numerous bad outcomes in both the general population and ASD folks. As I've already discussed socialization-based therapies have been shown to improve outcomes in numerous studies. It would be unethical for a clinician to advise people to not socialize, so there is no way to do a causal experiment that shows that discouraging socialization is bad, but there are many reasons to believe so. I was also providing evidence about treatment because you literally asked about that, and even further claimed that ERP has no evidence in ASD people. It seems much of your info is outdated. You also seem to not have a good grasp on what kinds of things get posted in these neurodiverse "support" groups. It is not about advice to withdraw from a particularly distressing situation, it is literally a blanket cultural value. People will get likes for posting shit like "I try to avoid neurotypicals as much as possible". I'm not saying that person should be lambasted for the post, I'm sure there are very legitimate reasons they came to that defense mechanism. But it's straight up an unhealthy attitude and it is a sign the person needs help. Not something to encourage and joke about. And believe me there are people that really feel this way, it is not simply people being edgy on the internet. IMO it is a much broader, worrying cultural trend, that has happened to also affect the way some ASD communities interact. I'm also not sure why you keep writing half responses and then editing lol, this conversation is all over the place because you keep changing your comments, which makes it much harder to address individual points. I really don't think this is getting anywhere, certainly I haven't gotten anything out of it, so let's both stop wasting our time.