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A Controversial Autism Therapy Unravels a Family

27 Jun

Time magazine has picked up a story from a six-part investigation by the Detroit Free Press.

Some unproven psychological therapies and techniques for autism aren’t simply ineffective. They can split families and cause untold harm to children, as one family in Michigan learned at terrible cost.

If you are new to the story, let me point out that it isn’t what you might think. It is about facilitated communication and a false charge of sexual abuse.

It’s a story one might think would be out of the 1990’s. Except that it just happened.

The ordeal didn’t end when it was clear that the girl wasn’t communicating, after all. It didn’t end when a sexual assault exam found no proof of abuse. And it didn’t end when a prosecution witness insisted the abuse never happened.

The Time story is here : http://healthland.time.com/2011/06/24/a-controversial-autism-therapy-unravels-a-family/

The Free Press story here: http://www.freep.com/article/20110612/NEWS03/106120522/Family-s-life-unravels-claims-dad-raped-daughter

You can make a big difference with money placed in the right scientific hands

23 Jun

The Autsim Science Foundation (ASF) is featured on Philanthroper.com. Every day, Philanthroper focuses on a different charity and today it ASF.

I just donated. It’s just a dollar, and it only takes a minute. Yes, a dollar. It’s about group giving. When I just checked, they were up to $260.

Take a minute. Take a dollar. Contribute to autism research.

Four parents of autistic children sue Philadelphia School District

23 Jun

Four parents of autistic children sue Philadelphia School District is a story in the Philadelphia Inquirer. The story discusses how the families are filing suit to stop a policy in the district of moving children to different schools at the end of the 3rd and 5th grades:

Four parents have filed a class-action lawsuit on behalf of their autistic children, alleging that the Philadelphia School District is illegally moving the children from school to school based solely on their disability.

At issue is the district’s Automatic Autism Transfer Policy, which mandates that students with autism move to another school at the end of third and fifth grades. Non-autistic students do not have to move.

Aside from the policy which forces autistic kids to change schools multiple times, I find this interesting from another perspective: the class-action lawsuit. In general, it is difficult to sue districts in class-actions. Instead, complaints typically are filed on a student-by-student basis.

True to their name, Disability Scoop has already posted on this story (Parents Cry Foul Over Special Education Transfers)

On Accommodation

22 Jun

I had the good fortune to meet John Robison at IMFAR. I told him then, and I still believe it, that we agree more than we disagree. This is especially true of some very important subjects. With that experience behind me, I have been been more likely to read his pieces when the titles pop up in my searches. He has a recent piece up on accommodation, posted to his own blog and has cross posted it to the Autism Speaks blog as well. I found that I couldn’t put the piece out of my mind but I couldn’t manage a short enough response to post to either blog. So I took his piece as a springboard to discuss my own views on accommodation, especially as it pertains to non autistics and how it has changed over the years.

Here’s a quote from Mr. Robison:

In my last post, I talked briefly about Asperger people who fail to get jobs for whatever reason, and then allege discrimination. Some neurodiversity voices ask for an end to that discrimination, and for greater acceptance.

I have asked for greater acceptance myself. I think that is a noble goal, but not one we will see attained anytime soon. When I look at how I was treated in childhood, how my 21-year old son grew up, and what I see today I see some change but not much. It leads me to wonder how much acceptance and accommodation we might reasonably expect.

I think I see things differently. In specific, I see that a great deal of accommodation has been gained over the years. This leads me to believe that more accommodation, especially for the disabled, is possible in my lifetime.

When I compare myself and my life to that of my father and mother I see huge changes in accommodation in a relatively short time period. In the 1950’s when my parents first started their family, a married woman, even without kids, was unlikely to be working. If she was working and she announced that she was pregnant, probably the first thing she would hear is, “when is your last day” or “will you help train your replacement?” The thought of keeping a job was not to be expected.

Part of the reason for this was simple: if a child was sick and had to leave school, or had to stay home (and that happens to all children), someone had to pick up the kid and stay with him/her. No way that would be the father. No way his work would accommodate him. Now many workplaces do, and this allows mothers to work.

Many companies didn’t have maternity leave in my parents’ day. Paternity leave? Forget it. Paternity leave is a fairly recent accommodation. A good example of how accommodations are still being added to our lives.

My mother loved to tell the story of the maternity floor on the hospital where she had her first baby. Women were moved there after giving birth and no men were allowed. She told of one of the hospital executives showing up at the maternity floor and being stopped by a nurse. Today maternity rooms include chairs that change into beds so fathers can stay with the mother and child. That is an accommodation.

IEP meetings, evaluations, placement visits…all these are familiar terms to parents of autistic children. This year was a big one for me, with many visits, evaluations and multiple IEP meetings. This coincided with one of the biggest deadlines in my career at work. I am incredibly grateful that my management took the position: get the job done and take the time off you need for the IEP. That’s a huge accommodation. No way my father’s management would have approved of that.

The workplace has continually added accommodations. But I think we often don’t see them as accommodations when they are granted for those without disabilities. In other words, I’ve benefitted greatly from the accommodations which have come out in the past generation. Why can’t I expect more accommodations for the disabled in the next generation?

Like Mr. Robison, I want to be acting. Part of that effort is directed at what I hope makes a better life for my child. Those accommodations may not be in the workplace, but that makes them no less important.

Mr. Robison has much good to say. In the end, we live in today, not the future. We have to work within the restrictions we face now. But, let’s not mistake fighting for a better future with mere complaining about the present. As a wise man once said, the best way to predict the future is to invent it.

Parental Perspectives of Communication about Sexuality in Families of Children with Autism Spectrum Disorders.

21 Jun

This is a small study, a very small study. Parental Perspectives of Communication about Sexuality in Families of Children with Autism Spectrum Disorders. Interviews were held with 18 parents of autistic children. At the same time, I think papers like this keep an important dialogue moving forward. It’s tough for parents*at least this parent) to consider the future sexuality of their children. Well, there is of course the fears, in this case the fears of victimization.

Here is the abstract

Abstract

To explore the content of communication about sexuality between parents and children with autism spectrum disorders, semi-structured interviews were conducted with 18 parents of children ages 6-13. Content analysis and ethnographic summary were used to interpret the data. Findings suggest that parent’s perceptions of a child’s behaviors and comprehension are associated with the likelihood that communication occurs. However, parents recognize the risks their children experience, with the greatest fears being sexual victimization and misperceptions related to the intent of their child’s behaviors. This study provides information on the nature of communication about sexuality in families of children with autism spectrum disorders and can help tailor interventions aimed at assisting parents to communicate sexuality information effectively.

It strikes me as this is one of those times when bringing in the information autistic adults might offer would benefit those of us parents.

Donald Triplett – Autism’s Patient Zero part 2

20 Jun

A while back, Kev wrote about an article in the Atlantic, Autism’s First Child. The story is about Donald T (Donald Triplett) who was the first child described by Leo Kanner in his first paper on autism.

I don’t recall at the time seeing this video the Atlantic produced on the story. I watched it and enjoyed it, especially the parts discussing how Mr. Triplett’s community supports him:

http://c.brightcove.com/services/viewer/federated_f9?isVid=1

IMFAR Tech Demo Awards

20 Jun

Here is a video by Alex Plank of WrongPlanet.net and his crew from the IMFAR 2011 Tech Demo. Alex splices in footage of the awardees discussing their tech inventions.

Autism Science Foundation interview: Christie Buchovecky

18 Jun

Christie Buchovecky is a pre-doctoral research at Baylor College of Medicine. Her research project, Identifying Genetic Modifiers of Rett Syndrome in the Mouse, is supported by the Autism Science Foundation. Here is a video interview of Ms. Buchovecky from IMFAR 2011. It is very interesting to hear about Rett syndrome and the learning that has happened into the genetic link and the potential for treatment.

One thing I like about the ASF is their focus on funding new researchers, pre-doctoral and post-doctoral. It strikes me as highly important to pull new people into the field.

The White House Blog: Meeting the Needs of People with Autism

17 Jun

Below is a post from the White House blog by Kathleen Sebelius. It dates from April 25, but I thought it worth presenting here. Given that this from a government website, I feel OK copying it in whole here.

Helping every American with autism achieve their full potential is one of this administration’s top priorities. At the U.S. Department of Health and Human Services, we continue to strive to meet the complex needs of all people with Autism Spectrum Disorders (ASD) and their families. While there is no cure, early intervention is critical and can greatly improve a child’s development.

Perhaps the biggest step we’ve taken to support those affected by autism and their families happened over a year ago, with the signing of the Affordable Care Act. Now, new insurance plans are required to cover autism screening and developmental assessments for children at no cost to parents. Insurers will also no longer be allowed to deny children coverage for a pre-existing condition such as ASD or to set arbitrary lifetime or annual limits on benefits.

Also, thanks to the new law, young adults are allowed to stay on their family health insurance until they turn 26. For a young adult with autism spectrum disorder and their family, that means peace of mind. It means more flexibility, more options, and more opportunity to reach their full potential.

Ultimately, there is more support for Americans with autism than ever before. This means more promise of new breakthroughs that will help us understand autism even better. But in order to continue meeting the needs of people with autism, the Combating Autism Act must be fully reauthorized. We still have a long way to go. Working collaboratively with important partners, the Affordable Care Act and the Combating Autism Act will allow us to continue important research and develop and refine vital treatments.

There are still many unknowns. However, one thing is certain. We will continue to work harder than ever to find solutions and provide support to individuals with ASD and their families. Together, we can help reduce disparities and allow everyone to actualize their greatest potential.

http://www.whitehouse.gov/sites/all/modules/swftools/shared/flash_media_player/player5x2.swf

Mark Geier: My therapy is unconventional, but it works

17 Jun

Dr. Mark Geier is appealing the suspension of his medical license. The license suspension order includes (as summarized by Kathleen Seidel at Neurodiversity.com):

• In six out of nine of these cases, the board determined that the children were misdiagnosed with precocious puberty. Children were diagnosed with precocious puberty without the benefit of a physical examination; some were too old to qualify for the diagnosis.

• Medical records and medical necessity letters prepared by Dr. and Mr. Geier indicated that children were diagnosed not only with precocious puberty, but also with pituitary dysfunction, insomnia, aggression, mitochondrial disorder, metabolic dysfunction, and “heavy metal toxicity” when neither test results nor parent reports suggested anything of the sort.

• In one case, the only record of the diagnosis of precocious puberty was a code number entered onto a standing order for lab tests. In another, no note was made in the medical records of the date the child began treatment with Lupron. Yet another patient’s file contained no indication that Dr. Geier reviewed any of the results of the numerous, burdensome diagnostic tests he had ordered.

• The order describes claims submitted to at least one insurance company for a psychiatric interview and “prolonged evaluation and management” services that were never rendered.

• The order further describes an occasion when David Geier, who is not licensed to practice medicine, conducted a medical evaluation and diagnostic tests, made diagnoses, and recommended treatments for an autistic boy in Dr. Geier’s absence.

• Additionally, the Board determined that Dr. Geier misrepresented his qualifications as a geneticist, and misrepresented the ability of his Institutional Review Board to conduct oversight of his research.

Dr. Geier has taken his case to the public in an opinion piece in the Baltimore Sun: Autism doctor: My therapy is unconventional, but it works. He certainly has the right to present his case to the Sun, and while I would not have published the letter were I editor, the Sun is within its rights to host the letter. I am within my rights to comment on the letter, and I took that opportunity in the comments as you will see (complete with typos) if you follow the link.

Dr. Geeir opens with a simple statment “If there’s a single statement that everyone who works in the field of autism can agree on, it’s that there is so much that we still don’t know.” This is incomplete: there is much we do know. We know that the theories Dr. Geier has proposed are wrong. We know that the rise in autism is not due to mercury. Certain tests should be performed before a child is diagnosed with precocious puberty. Tests which the charges indicate Dr. Geier failed to do on many occasions. We know that treatment for precocious puberty should stop at an age when puberty is expected. Dr. Geier is charged with initiating and/or continuing treatment in children too old to be diagnosed with precocious puberty.

Dr. Geier has published many papers in the literature, this is true. These papers have been widely criticized by researchers. Not because the ideas are unconventional, but because the ideas are ill founded and the experimental methods are poor. Dr. Geier has been described as “intellectually dishonest” for his work as an expert witness. The Institute of Medicine has referred to Dr. Geier’s papers as suffering from “serious methodological flaws and their analytic methods were nontransparent, making their results uninterpretable”

There is much we do not know. On thing we do know: we deserve better than Mark Geier

Perhaps it is the frustration of having read the recent article by the Geiers in the new “autism science digest”. Perhaps it is the fact that I listened to a podcast interview with the Geiers in preparing my recent response to the article. Perhaps it is just the years of reading bad science and waiting for someone to act against these people, but my patience is worn rather thin, as you will see in the comments.