Archive | April, 2005

“Autism Epidemic” reaches UK

28 Apr

Its with a heavy heart that I note the rhetoric of North America being used in this country to whip up hysteria and fear about autism.

In a recent article in The Scotsman, the news that autisitc schoolchildren now number over 3,000 has been seen as immediate proof of the ‘autism epidemic’.

Bill Welsh, director of Action Against Autism, said: “Despite claims that the increase is due to the widening of diagnostic criteria, recent studies suggest that this would account for less than 25% of the increase and that we have a genuine autism epidemic.”

I’ve never heard of Bill Welsh or AAA but Its rather depressing to see someone who claims to be an autism actioneer in this country using such ridiculous language. Note that he refers to ‘recent studies’ without ever referencing to them. Hell, if this is how campaigners take their arguments forward then I’d like to say that due to ‘recent studies’ I believe that the Earth is indeed flat. There, easy eh?

It does make you wonder why people are so reluctant to quote their sources. Maybe becasue they don’t stand up to scrutiny?

Just to reiterate – there is no autism epidemic. Diagnostic criteria have widened and reporting methods have vastly improved. There may well be an increase in actual case percentage but epidemic? Hardly.

Ruby, Rails – WAMP!

27 Apr

There was a big buzz around Ruby on Rails awhile ago so I thought I’d give it a go. Bearing in mind I’m primarily a design/scripting person I thought this would be a good opportunity for me to learn some object oriented programming. Its touted as being excellent for a web environment so it seemed a good thing for me to learn.

I used the excellent ONLamp tutorials and was up and running in 20 minutes on my Windows XP machine. Within an hour I’d completed the first two tutorials. I won’t pretend to have understood all the concepts but I could see what it was doing even if I wasn’t 100% sure of how it was doing it – and that sort of stuff is easy to pick up via online tutorials/manuals etc.

So, excitidely I contacted my host and asked if they would be so good as to set it up on my web server so I could test it on a live environment. My excellent host agreed and set it up – and thats where the problems started. Trouble is, neither my host nor I really knew what we were doing and from his end it seems to be installed correctly and from my end I can’t make it work at all. In fact I have no idea how to start.

There’s absolutely zero documentation that I can find that tells a host how to set RoR up, integrate it with Apache and make it available for shared hosting clients. There’s lots of links to Textdrive that allow you to purchase a RoR package but not a lot else.

If the creators want this to become as ubiqutous as LAMP or WAMP (Linux/Windows Apache, MySQL, PHP) then they’re going to have to put a bit of effort in. I’m sure its a doddle to make this happen but I don’t know how and I can’t find a way to find out for myself. Seems like RoR is a great package let down by poor support.

A Little Good, A Little Sad

26 Apr

A couple of things happened over the last few days, both unexpected but with entirely differing perspectives.

Firstly the sad stuff. When Meg finally got her Statement (see archives 2004 for the horror story in full) she was allocated 32 and one half hours per week with an LSA (learning support assistant) whilst at school. The school in question wisely decided to split that over two people each doing 16 and a bit hours a week each.

The two people the school employed were (are) fantastic with and for Megan. I can’t tell you how much Megan has gained in confidence and ability since being under their care. Naomi and I totally trust them and most importantly, so does Megan. It wasn’t easy and there was a rocky period – Megans not so good with change and her lack of ability to communicate easily made it hard going for awhile but we all persevered and Megan benefitted.

Sadly, one of Megans LSA’s has had to hand in her notice (her husband is in the services and has been re-posted to Cyprus). Its very sad and I don’t think she’s especially happy about it herself but for Meggy its going to be tough. It means getting used to another LSA and more disruption. Totally unavoidable and nobody’s fault but a bit sad all the same.

However, on Sunday my faith in human nature was restored somewhat. I’d taken Meg for a walk down to Sainsburys and we were on our way back when we were approached by a gaggle of 8-9 year old chavs-in-training (Burberry/Hoodies/Bling) and I girded myself: these are the usual sort who see fit to take the piss out of Meg. However as they approached, one by one they strolled nonchalantly past us each nodding at us and saying “Alright Megan?”

Once I’d got my jaw up off my chest I managed to ask them how they knew Meggy and they said “we go to school with her”, looking at me like I was a nutter.

This may seem like nothing to you but for us and for all parents of disabled kids one of the hardest things about your child going off to school is coming to terms with the certainty your child will be ostracized and bullied. To have my fears exposed and so lazily thrown aside was a great, great feeling. These kids weren’t judging, or patronising, or sneering, they were just saying hi to someone they went to school with. Let me tell you – that felt great. I don’t mind saying that I was a bit teary on the way home and Naomi and I had a bit of a cry. Stupid probably but this meant so, so much to us.

Autism Myths

26 Apr

Hopefully I’ve shown over the last few posts in the advocacy section that there is a lot of misinformation generated by those who wish to debunk the idea that autistics can self-advocate.

Recently a new site has sprung up that seeks once and for all to debunk the idea of self advocacy for autistics – indeed, they claim that the advocacy movement are frauds. Here’s their opening statement:

In stark contrast to the widely recognized medical opinion that autism is a debilitating neurological disease, a small, (yet noisy!) group of individuals in Canada and elsewhere has become very vocal and active in the autism public policy debates and struggles. They have become forceful advocates for the bizarre fringe notion that autism is a misunderstood “culture” rather than what science knows it to be – a very serious disease of the brain.

They back this up with a quote from their arch-nemesis, Michelle Dawson talking about autistics:

We are not a plague. We are people who have a culture: a large published literature, art, music, architecture, design, technology, science, and engineering.

Anyone seen it yet?

Michelle Dawson quite categorically says that ‘We are people who have a culture’ whereas what this site claims is that the autism advocacy movement says is that autism is a culture as oppose to a medical condition.

This very basic error lies at the heart of the misinformation peddled at this site. All through it, they make claims which are pretty much all based on their premise that the advocacy movement claim autism IS a culture. Lets be clear – they do not. None of the big websites reflecting the advocacy movement claim anything of the sort. That doesn’t stop this site though – they have misinformation to peddle and the go to it with glee:

The “autism is a culture” fringe has repeatedly sent messages to those who support autism treatment suggesting that autism treatment is symptomatic of intolerance and cruelty. Nothing could be further from the truth, yet their messages have become increasingly accusatory and offensive. Many have complained of being harassed by frequent intimidating messages from this group. They have even made public personal attacks against individual parents accusing them of being “liars.” While some consider this fringe group as truly being from another planet, others have requested that a website be created to help people unfamiliar with autism issues put them in their proper context and perspective.

Although we live in a free society where everyone, including frauds, have the right to express themselves, every opinion expressed in public, especially if presented as a fact, should be subjected to critical analysis. The misguided and misleading arguments of the “autism is a culture” fringe are most deserving of such analysis.

See what I mean – they’re wilfully building a very large strawman. Its easy to prove something when your opponent has never claimed otherwise – the argument this website puts forward is like a creationist saying that because monkey’s don’t give birth to humans evolution is false. But hey, don’t take my word for it – here’s three of the biggest advocay websites on the planet (the Yahoo one requires registration). Have a good nose around. If you can come up with a sizeable concerted group on these sites claiming that autism is a culture then I’ll concede the argument immediately.

Before I go on, you may want to have a look at this website I’m referring to. Go have a good read and bear in mind what I’ve said about who’s claiming what about culture.

Back already? OK. In the quote above, the authoress of this site says that:

messages have become increasingly accusatory and offensive. Many have complained of being harassed by frequent intimidating messages from this group. They have even made public personal attacks against individual parents accusing them of being “liars.”

Firstly, this is an easy thing to claim and should be very easy to back up – so where are all these harassed, intimidated people? They certainly don’t seem to be present on that website. Of course the bit that made me laugh out loud was the bit that said people had been accused of being liars. This on a site peddling a basic lie – that autism is being advocated as a culture. Maybe if you don’t want to be accused of being a liar you should um….stop lying?

Moving on through the site, I note the ‘Professional Opinion’ section. I click it and lo and behold – its a section about Lenny Schafer! My joy is practically unconfined!

The authoritative Schafer Autism Report is a regular internet periodical that has a circulation of approximately 20,000.

Mr Schafer must be in heaven – at last someone thinks he’s an authority! He’s not. He’s one man with an opinion. His high circulation isn’t solely made up of his supporters (I’m signed up for example) and thus his claim of authority (and authority on what exactly?) is suspect to say the least.

Actually, its not really about Schafer its more about ABA. And again, its full of assumptions and misdirection.

Firstly, not all in the advocacy movement oppose ABA. A lot oppose the Lovass style of ABA and with good reason but a lot of people in the advocacy movement are receptive to the idea of ABA in its more progressive and less abusive modern form. No mention of that seems to be made on this site and nor was it made in the articles Schafer solicited to back up his view. Again, if you disbelieve me, go browse the sites I list above. You’ll find contributions from ABA practitioners in several places.

Secondly, the attacks listed in this page are all centred on Michelle Dawson. Thats fine, she’s eminently capable of fighting her corner but Schafer (and this site) made the schoolboy error of associating everything Michelle says as being ‘the law’ for the advocacy movement. Let me assure you that she herself doesn’t feel this way. Lots of people in the advocacy movement disagree with Michelle on lots of points. Attacking her is in no way equal to attacking autism advocacy and its pretty silly to think it is.

And now we come to the very epicentre of bullshit – the centre of this site: Myths & Facts about Autism.

When I first read this page I must admit I started to snigger somewhat childishly. Its at this point that i realised how very desperate the pro-cure autism crowd had become. Its basically one giant strawman. A lot of the stuff on this page has never been claimed by the advocacy movement as a whole. Lets go through them.

They say:

MYTH: Autism is a Culture: Autism is a culture, unlike cancer which is a disease.

FACT: Autism is a Disease, not a Culture: Despite the arguments of people who have adopted autism as their affliction, autism is the most serious childhood neurological condition a child can be diagnosed with. There is clear consensus on this point.

I say: The advocacy movement has never claimed that autism is a culture. Never. Your facts aren’t wrong, they were simply never disputed. Why are you arguing with yourself?

They say:

MYTH: Autistics are Victims of Intolerance: Past intolerance toward homosexuals, blacks and women from the political and academic community indicate that our society is doing the same thing to people with autism, not accepting their ethnicity, gender or sexual orientation.

FACT: People with Autism are Victims of Ignorance and Political Correctness: The existence of political intolerance of other groups in history is irrelevant to the plight of autistic children who are denied treatment by people who do not understand the consequences of not providing treatment. Chemically lobotomizing people with autism by giving them drugs to control symptoms or strapping them to wheel-chairs so they can live in the community is unethical, yet is the misguided, politically correct alternative to ABA treatment.

Autistics and the advocacy movement have never denied that autistics need help. In fact in several papers at autistics.org the authors make a clear point of requesting it. Some people may be against some forms of treatment but ascribing a unified set of beliefs to a whole subset of people is inaccurate – wilfully so. If you have MD’s who’ve suggested your only alternative is ‘chemical lobotomisation’ or ‘strapping them to wheelchairs’ then I strongly suggest a second opinion. As it is, I don’t believe for a moment you included those alternates for any other reason than to provoke emotional reactions. Again, its simply untrue to suggest these are the only alternatives to ABA. And don’t forget that the advocacy movement is not against ABA, they are against some implementations of ABA having either witnessed or received abuse thought its use.

They say:

MYTH: Parents Can’t Accept Their Children’s Autism: This is all about parents making their children conform to neurotypical people because these parents can’t come to terms with the fact that their children are different.

FACT: Parents Love their Children, Not Their Disorder: It is as absurd a notion for a parent to love the child’s autism as it is for a parent to love the child’s cancer. Autism is not part of the child, it is the disorder with which the child is afflicted.

Simply wrong. Autism is part of the child. My daughter is autistic, she doesn’t have autism. However, thats my opinion. Neither of us can be proven right. But consider this – your childs autism permeates everything that they see, hear, touch, think, dream, experience etc. It can’t be removed (which is what makes comparisons to cancer so facile) and it can’t be completely negated. Knowing all that, how can you realistically think that the way your child functions is anything other than autistic? And if so, how can you hate that? Lets not forget that homosexuality was once classed as a medical condition requiring treatment.

(The next few are about ABA specifically and I think (hope!) readers are getting why these points are unnecessary for me to cover again).

They say:

MYTH: Autistic People Need Understanding, not Treatment: Autistic people without treatment would do fine if we were just more understanding. The majority of people with autism would end up living fine lives independently if we would only understand them and change the world to accommodate them.

FACT: People with Autism Need Treatment: Those closest to their children with autism, and the medical community, understand that treatment is the only hope for children to live independently. The concept that “understanding” will cure all is cruel since understanding will not help a person suffering with autism learn to communicate, stop self-injury (among other deficits and excesses characteristic to autism). In addition, there are many self-stimulatory behaviors, such as self-mutilation and masturbation, which will not be accepted in public and will cause people with autism to end up in incarcerated, or as life-long wards of the state, in large or small institutions. Changing community standards to accommodate these sometimes dangerous behaviours is a pipe dream.

I say: The autism advocacy movement has never said that autistics don’t require treatment. Go have a look on autistics.org and you will find articles detailing the sort of help autistics themselves say they need. Its really very easy to check these things – why do you continue to argue cases that no-one in the autism advocacy movement is? What the autism advocacy movement is opposed to is the idea of a cure. Treatments are both necessary and vital. No one claims otherwise.

They say:

MYTH: Autistic people are uniquely qualified to study and understand autism: Only people with autism can understand what it’s like to have autism; therefore, they are uniquely qualified to study autism and decide how all people with autism should be treated.

FACT: Academic Researchers are Qualified to Study Autism: Researchers study disease. A person need not have cancer in order to study cancer and develop a treatment or cure. Having a disease does not qualify one to be researcher or expert for that disease. It qualifies one to be studied by researchers.

I say: That assertion is entirely illogical. Firstly, autistics are the only people who can understand what its like to have autism. Thats simple common sense. Logically then this means they are indeed uniquely qualified to study autism. The advocacy movement has no strong unified position on whether they should decide on treatments. If they do, I’ve never heard it expressed. Thirdly, lots of autistics are also academics. The two thing aren’t mutually exclusive.

They say:

MYTH: People With Autism Are Eloquent Self-Advocates: The eloquent spokespeople who claim autism is a culture are not, in fact, autistic with evidence from an independent medical examination.

FACT: Autism is Characterized by Serious Communication Deficits: One of the characteristics of autism is a marked difficulty to communicate. These self-proclaimed autistics would not be diagnosed with autism by any independent medical examiner based solely on their eloquence and critical thinking capabilities.

I say: Again, simply untrue. Its very easy to claim these things as facts but not so easy to back them up and is entire supposition on your part. One of the characteristics of autism is indeed a marked difficulty in communication. But not an impossibility. A sudden ability to communicate is not indicative of a miracle cure or other sudden lack of autism. if it was every child who uses PECS would lose their diagnosis immediately. Once again, its lazy, facile thinking thats not backed up by anyone with any pretension at a medical background as far as I can see.

In fact, there have been numerous instances of world leading researchers such as Simon Baron-Cohen (Professor of Developmental Psychopathology and Director of the Autism Research Centre at Cambridge University. Fellow of Trinity College, Cambridge), Tony Attwood (Honours degree in Psychology from the University of Hull, Masters degree in Clinical Psychology from the University of Surrey, and Ph.D. from the University of London) etc communicating messages of support to the autism advocacy movement. Surely if they believed that communication entirely cancelled out autism their messages of support would be messages of denouncement?

They say:

MYTH: Adults with Autism Need to Protect Autistic Children: Adult self-proclaimed autistics have the right to make decisions for autistic children rather than their parents (their legal guardians).

FACT: Parents are Their Children’s Rightful Guardians: In western constitutional democracies, the judicial system gives parents the legal guardianship of their children, disabled or typically developing. The belief is that parents are most motivated to look out for their off springs’ best interests and have the legal right to provide care and medical treatments.

More Strawmen (what a shame I’m not planning a remake of The Wizard of Oz). Whilst its true to say that adult autistics do feel a responsibility to the younger members of their community, the advocacy movement that I know does not think that parents should be removed from the decision making process in any way. They seek to educate, not confiscate.

Overall, I’m left with an overwhelming feeling that the pro-cure camp are getting increasingly desperate. Just about every statement on that site is incorrect either factually or by omission. Its in fact so bad that I started to wonder if it was indeed misinformation as I originally thought – maybe it was just simple ignorance? I’m still undecided but I hope that if you’ve found this site (I doubt I’ll get a link back somehow!) that your eyes are open to the dangers of such wilful misleading of people in such a shabby, grubby and underhand way.

Cutting Edge – Why?

25 Apr

Like most of us in this line of work/hobby I stop by the four main CSS galleries every few days to see whats new and make the odd comment if I particularly like a design.

I’ve noticed a trend over the last few months on all these sites in a few of the commenters remarking that a showcased site isn’t using ‘cutting edge’ CSS techniques or that there’s nothing new to see aesthetically and without fail it always puzzles me who is making these comments and why – some of these commenters even say a design isn’t ‘worthy’ of the gallery its been submitted to.

What is the big deal about using cutting edge techniques? Lets not forget that all the designs showcased at these sites are in live production, often serving a commercial purpose. It strikes me as incredibly dangerous to use cutting edge techniques (CSS or otherwise) on clients live sites. The reason these techniques are cutting edge is that they are new, unproven and possibly unstable. The only place I personally would consider utilising cutting edge techniques is on a designated experimentation area. I can’t imagne paying customers being overjoyed to find designs failing due to unstable techniques coming apart in unforseen ways due to lack of testing. Its really very unfair to base judgement on a showcased design on its lack of cutting edge technique – by not using cutting edge technique the designer has proven themselves not only a good designer but also responsible.

And what about all those ‘seen it all before’ comments? What exactly are people unhappy with when they make these comments? If one site is a carbon copy of another then fair enough but if a site merely happens to use a similar information design then I don’t see the issue. One example of this is the amount of complaints that come in when a blog is posted: ‘it just looks like a blog’ is the recurring comment – well no shit, Sherlock – guess what? thats because it is a blog! Blogs are structured the way they are because over time thats how the user goals have shaped the design. At bottom all e-commece sites look pretty much the same too – not aesthetically, but in terms of flow. Why? Because this is how the design of an e-commerce has evolved with the needs of the site user to the fore as oppose to the needs of the site designer to showcase their skillset.

So, does this mean I think all designs should be the same – no way. We need cutting edge technique, we need innovation and we need people to push the boundries but we also need to realise that there is a time and a place to do these things. We also need to realise that a good design is much more than a cutting edge style sheet and lots of graphics.

What sort of site am I talking about? What sort of site is great looking but doesn’t use anything which might impact negatively on user experience – well, John’s recent redesign of Joshuaink is a perfect example. It looks fantastic but at heart, its a very simple, solid blog design. Its beauty is not only skin deep, it goes beyond into the semantics, usability and flow of information. Another is Garrett Dimon’s recent design. In terms of aesthetics its nowhere near the same as Joshuaink but look at the semantics and look at the information flow and its plain to see that what we have here is ‘just another blog’ but just like John’s redesign it has a beauty and style that can be appreciated for what it is – a great design, executed perfectly.

Lets not get caught up in a need to be cutting edge merely for the sake of being cutting edge. Instead lets appreciate good design for what it is. If it doesn’t float your boat then fine but don’t fault a good design merely because its not using cutting edge technique.

Redesign Redux

23 Apr

Whereas the previous design was brash, over-heavy and looked bad in certain situations, hopefully this design is the antithesis of that.

What I hoped to do with this design is bring my content to the fore and improve usability but at the same time create an aesthetic that promoted a feeling of calmness and willingness to continue as well as evoking trust.

The previous design was basically trying too hard. I forgot that the primary role of a blog was not to use every CSS trick in the book and ‘force’ a design on people but rather to make it easy for users to read the content.

To that end the body text is the darkest colour on the screen, I’ve set the ‘skip’ link to be viewable at all times rather than hidden via CSS. Links are unobtrusive rather than disrupting the flow of the content and external links are all shown and grouped better rather than hiding some away.

The ‘suggest’ feature whilst a nifty trick was hardly used so I’ve dropped that – it made me uncomfortable that it invalidated the markup anyway – and behind the scenes I’ve started introducing more categories in order to make finding things easier. Lastly, I’ve also tidied up the comments and reduced them to something less hard on the eyes – I think (hope!) I’ve made better use of Gravatars this time too.

So, thats it. I still couldn’t hang on for the CSS Reboot but I’m happier with this design than I was before. For now anyway ;o)

Surfing The Autism Tsunami

23 Apr

In a truly fascinating post, Autism Diva provides primary evidence for how seriously the pro-cure autism movements statistics should be taken.

Its a favourite ploy of the pro-cure crowd to whip up hysteria about the growing incidence of autism with fullsome phrases like ‘autism epidemic’ and ‘autism tsunami’ (this last was coined just after the events of Boxing Day 2004 in a tasteful, respectful way to make a point!) being bandied about. Rick Rollens, a former Secretary of the California Senate and Dad to an autistic son coined this lovely turn of phrase. Rollens says the percentage of newly enrolled autistics who are from age 3 to 5 is, 82%.

“a staggering tidal wave of young children”…an “autism tsunami”

Leaving aside the tasteless phraseology (of course, it will come as no surprise that this little beauty was in – you guessed it – a Schafer Autism Report, that purveyor of misinformation and factual ambiguity), is he right? Is California caught up in a huge increase in autism cases? Well, Autism Diva gets it stright from the horses mouth: Rollens gets his figures from California DDS and claims the system is a very accurate way of measuring autism epidemiology in California.

So Autism Diva emailed a statistician who works for California DDS and got this response (truncated):

Although the source of information for many reports on autism for California is the Department of Developmental Services (DDS)’ “Quarterly Client Characteristics Report”, the numbers reported by DDS are often misunderstood and misrepresented by others. Except for Table 2 of the Report, only persons with a Client Development Evaluation Report (CDER) on file who have “active” status in the DDS system are counted in the report tables. So, numbers reported do not represent all persons with developmental disabilities in the State of California. The numbers can not be used to report the incidence of autism, for example.

Which torpedos Rollens arguement very neatly. It also illustrates just how much trust you should put in statistics when quoted by people such as Rollens or Schafer.

Microsoft Deliver

23 Apr

All I can say is ‘thank you for listening IE team, thank you very much’.

Support the alpha channel in PNG images. We’ve actually had this on our radar for a long time, and have had it supported in the code for a while now. We have certainly heard the clear feedback from the web design community that per-pixel alpha is a really important feature.

Address CSS consistency problems. Our first and most important goal with our Cascading Style Sheet support is to remove the major inconsistencies so that web developers have a consistent set of functionality on which they can rely. For example, we have already checked in the fixes to the peekaboo and guillotine bugs documented at positioniseverything.net so use of floated elements become more consistent.

http://blogs.msdn.com/ie/archive/2005/04/22/410963.aspx

Change Is Coming

22 Apr

I’ve done a very difficult thing this week – I’ve admitted to myself that this design is poor.

When I set out tor edesign from the pink design I had last time I had two goals: first, to improve the readability and second to have something nice to look at. Its fair to say that I’ve compromised both of those goals.

This design is overdone, swamps the middle of the page and is way, way too heavy on the eyes. It doesn’t scan well on shorter entries and the lack of a footer makes the whole page unbalanced. I concentrated so much on grandstanding that I forgot a few of the fundemental rules of design. I designed solely for me.

In a way I’m glad I made this live before the CSS Reboot because it certainly wouldn’t grace that competition. I’m not fishing for compliments at all here but clarity after the fact is all too easy and clarity when designing for onesself is never easy to come by.

I have to view this as a learning process and so I’ll be redesigning this blog as much as I can over the next few days. In a way, it’ll tie in nicely to the fact that I’ve just upgraded WordPress to 1.5. Expect something radically different to this design that concentrates on the needs of the user when reading the page, rather than showing all the nifty CSS tricks I’ve learnt.

By the way, if anyone’s having trouble commenting please mail me kevleitchATgmailDOTcom. As I say, I’ve just upgraded and I know at least one person has had trouble adding comments.

Autism Diva: Exposing The Truth

20 Apr

I just found this relatively new blog run by Autism Diva and its one of the best resources I’ve found so far on the statistics that the parental North American ‘cure’ movement love to trumpet. Autism Diva, takes the alarmist stats, unspins them and shows them for what they are – manipulated data used in dubious ways.

So far, Autism Diva has lifted the lid on the so-called autism epidemic and has recently set her sights on a previous target of mine, Generation Rescue.

My only complaint about her site is that I can’t find an RSS feed for it! The content is brilliant and the logic inescapable.