The 3 P’s of Communication Skeptics

Nonspeaking does not mean non-thinking. That’s my mantra. Nonspeaking may be caused by motor issues. That’s my message. Motor issues do not cause stupidity. That’s my point.
Being locked internally because of motor issues is not the same as a language processing problem and should not be treated as such.

There is an overwhelming need for professionals to learn about autism from those who live it and can describe it in words. I am referring to the nonspeaking typer who tries to explain autism from the inside out. There are now quite a few of us, and the number is growing. Our messages are always the same. Intact mind/disobeying body. Smart head/dumb body. Thinking mind/non-thinking motor system. Not speaking is not the same as not thinking.

In the six years since my first book, Ido in Autismland, was published, only one researcher ever contacted me to learn about autism from me. That’s kind of pathetic, if you think about it. I’d like to help guide their research based on my real symptoms to help improve treatments and theories. A fair skeptic and an inquiring scientific thinker might take the time to meet a proficient typer, to ask questions, to learn about their journey to increasing fluency. But they don’t, for some reason.

All this is due to the 3 P’s that preoccupy the skeptics. Proofs, prompts and presumption of competence (or lack thereof).

Proof

In ASHA’s response to my editorial, they say they need testing proof before they can entertain the possibility that RPM might have any validity. This intrigues me for a couple of reasons. There is a need to validate claims and I think we all recognize that, but there is more than a single way to get data. Observational data and longitudinal studies, including film, would be one way. Another would be well-designed studies that factor in the motor and anxiety issues people with autism describe. Without doing so, there is a significant chance of a poorly designed study producing skewed or incorrect results.

Have there been studies and internal reviews in the so-called “evidence-based” autism treatments, such as ABA and speech therapy, as to why a significant number of nonspeaking people struggle to progress using these evidence-based methods? It is too easy an out to say progress doesn’t occur because the person is “low-functioning.” If that’s the case, it doesn’t take ten years of costly treatment to find out. On the other hand, some so-called “failures” of evidence-based treatments go on to become successes, as I did, when the treatment adequately addresses the motor issues impeding performance.

Prompts

In ABA the prompts are constant, duly noted in logbooks. In speech therapy the prompts are constant too. There are prompts in PECS, Adaptive PE, in school, in every moment, in every treatment, every day of an autistic kid’s life.

RPM uses prompts too. No surprise really. The acronym stands for Rapid Prompting Method. But the prompts do not consist of motoring someone. People are moving their own arm independently. The prompts are to look, to scan an array of letters, to reach far enough, to help someone gain skills in motor precision and in hands and eyes synchronizing for the purposes of communication. Beginners get lots of prompts. Fluent people get few, and mostly just type, though someone may say “keep going,” or someone may hold a letter board steady. As skills improve, prompts go down. Why are prompts acceptable in every autism treatment except touching letters for the purposes of communication? It’s illogical. And it’s all due to this issue:

Presumption of Competence

Well, you can either presume I’m incompetent or competent. I prefer the latter.

There are two philosophies guiding much of autism theories and education. In one there is no presumption of competence. Rather, the nonspeaking individual is determined to be low-functioning intellectually and not properly processing human speech, thus requiring simplified lessons and constant drilling. This is the prevailing theory.

In the other, there is a presumption of competence— that is, an intact mind may be buried behind a messed up motor system caused by neurological factors. Therefore, if the person is taught to move properly to point and spell words, that person may learn to express thoughts and potentially get a more normal education. Many, once thought to be hopeless cases, have proven that, like books, they shouldn’t be judged entirely by their cover.

That has been true for me and for many, many others. That is why I wrote my editorial, my blog and books. The professionals who insist they speak for science too often ignore evidence that may intrude on their theories, but facts will out. There are more typers each day, and once someone has a voice, he or she wants to speak out.

Interview and Book Reading on Autism Live Podcast

I am belatedly sharing an interview done with my mom and Vana Thiero on the Autism Live podcast last month regarding “In Two Worlds.” Since I was unable to be there in person, I participated virtually by pre-recording answers into my iPad. The second video has a live reading of Chapter 1, Beach Day, read by performer, Eli Bildner.
Many thanks to all involved, and especially to Vana and Eli.

“In Two Worlds,” is a Quarter Finalist

I am proud to share that In Two Worlds is a quarter-finalist in Publisher’s Weekly BookLife 2018 Award!

Not Talking is Not the Same as Not Thinking

Welcome to WSJ readers! I am honored you took the time to check out my blog.
Here is a link to my opinion piece in Monday’s Wall Street Journal. (Apologies- it is behind a paywall).

Not talking is not the same as not thinking.
The converse is also true.

The American Speech Language Hearing Association, or ASHA, insists that the true voice of nonspeaking autistic people is best left to pictogram systems and garbled speech.
Here is their brief video statement.

Here are films of people with autism who have broken free by learning the methods ASHA disdains. Please note, there are motor challenges in autism, as evident in the films.

Here is a link to an organization of professionals, autistic people, families and others who dispute this harsh judgment and believe the communication of these individuals is their “true voice.” Take a look at the different films and decide for yourselves which seems more logical- a mistaken autistic person not understanding his own disability, or a potentially mistaken professional.

To gain an insider’s POV into autism, please consider reading my books, In Two Worlds and Ido in Autismland.
Thank you for visiting my blog.
Ido

A Little Taste of ‘In Two Worlds’

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Here’s a little taste of my new book, In Two Worlds, in which you meet the protagonist, Anthony, and his family. This is Chapter 1, ‘Beach Day.’

If you enjoy this sample, please check out my book on Amazon, available in paperback and kindle, and as an ebook at Smashwords.

 

Chapter 1: Beach Day

 

Anthony enjoyed going to the ocean. He loved the cold water on his hot body. He loved the hot sand tickling his bare feet. He loved the sensory pleasures of the ocean breeze on his skin, the whitecaps breaking and the seabirds running after the waves. He enjoyed finding seaweed that washed ashore and stomping on the air bubbles. Seaweed was enticing. It twirled and trailed after Anthony in fascinating patterns. Putting it all together, the ocean was a huge rush, thrilling every sense, even taste.

“Anthony, take the seaweed out of your mouth!” his mother yelled. The three boys were playing in the sand. Mark had prepared a long path meant to funnel the tide. Little Gary played with his toys, attempting to build a tower of sand. And Anthony, who had resisted all attempts to get him to make his own tunnel or tower, was sitting nearby running sand through his fingers and loving the feel. He stared, mesmerized at the sight of the sand tumbling in falling columns to the sand on his feet. He had to taste it. The urge was overwhelming. Oh no, not again. Anthony’s father jumped up.

“No, no!” He brought a towel and wiped Anthony’s tongue. The people lying closest to Anthony’s family were staring. “Give him some water,” his dad yelled to Anthony’s mother. “I can’t get it all.” Then he stared sternly at his son. “No eat sand, Anthony,” he said in clipped broken English. “No, bad. Bad.”

Part of Anthony wanted to eat more sand just because he hated baby talk so much. Compulsions were hard to take. They were like a body ordering a mind. It wasn’t as if Anthony enjoyed a mouth full of sand. It was gritty and tasted salty and he felt a bit like gagging. He saw his brothers pretending they weren’t with him. He saw his father’s shame. If Anthony could have explained, he would have told his parents that he had to obey the compulsion. It didn’t matter that the sand was gross in his mouth or that he looked like a strange oddball to the strangers who were staring with such curiosity. His body ordered him to eat sand, so he ate sand.

His impulsive acts were like a lizard hanging out on a rock and without thought ambushing the cricket that wandered by. Like the lizard, Anthony lived with impulsive actions governed by his primitive brain, but unlike the lizard, they often were not functional. A lizard eats his cricket to survive. Anthony’s impulses, like pulling petals off flowers or eating strangers’ leftover scraps he found on the tables in the mall food court or putting sand or seaweed in his mouth, seemed idiotic, harmful, or just plain weird. But he had no means to resist these compulsions.

“It isn’t good, Anthony,” his father said. He took Anthony by the hand to play in the waves. Gary took his father’s other hand. The moist sand vanished under Anthony’s feet. Anthony bounced up and down on his toes and waved his arms in the air, excited. The three of them jumped over the approaching waves over and over. Finally, Anthony tumbled forward and brought his hand deep into the soft, muddy sand. There was no stopping himself. He put a handful of it into his mouth. “I can’t take this any longer,” Anthony’s father muttered. He brought Anthony and Gary back to the towel. “He did it again,” he told Anthony’s mother.

“I saw,” she said. “Maybe we should go home.”

“No, no, no!” cried Gary. “It’s not fair!” He was right. The family obeyed Anthony and his impulses too often. “I want to stay longer, please.”

“He has autism,” Anthony’s father yelled to the staring strangers. They turned their heads, embarrassed at being noticed. “Fine, let’s go play ball,” he called to Gary and Mark, “and maybe,” he suggested to Anthony and his mom, “you two can stay here on the towel.” Anthony’s mom gave him a snack. She poured sand on his legs and dug holes in the sand with him. He started to calm down inside. His mom sang to him and he snuggled next to her. Then she took Anthony by the hand and they went for a stroll by the shore. He felt the velvety sand under his feet squish between his toes with every step. He felt salty and damp. He was happy. When they came back to the towel, after a long walk, Gary’s tower stood, pail-shaped, made by inverting damp sand into a multi-tiered edifice.

Anthony had to obey. He stepped on it.

 

 

 

Announcing the Launch of my New Book, “In Two Worlds”

I am thrilled to announce the  launch of my new book, a novel called In Two Worlds. It is  currently available on Amazon in paperback form and will be available in Kindle and Smashwords very soon!

In Two Worlds release 071718

New Book Update!

I’m thrilled to share that my new book, a novel called In Two Worlds, will be released in early July. I will share the formal announcement very soon. It will be available in paperback form on Amazon, in kindle and also online on Smashwords.

I hope that you will let people know about it and if you like it, I would greatly appreciate if you could write a review online, on Amazon or on Goodreads.

In gratitude,

Ido

Proposed Position Papers by ASHA (American Speech Language and Hearing Association) Demean my Communication

The experts at ASHA, the American Speech Language and Hearing Association, have evidently become concerned that more and more autistic  people have broken through the communication barrier using methods other than theirs. Their response has been to put together a position paper condemning these other methods. It’s a bit ironic. In my own case, speech therapy didn’t accomplish much despite years  of expert instruction. Too often, the failed autistic speaker is blamed for the failure to speak because he is labeled as being too low functioning, too lazy, or too dumb to advance. And the speech therapist is off the hook for failing to made headway in communication with the non-speaking student since he’s written off as being low functioning, lazy, or dumb. It’s a great system, to be sure.

So certain methods that try to teach another way to communication are derided as a hoax. Hoaxes  certainly exist in autistic treatments. One must be vigilant because unknown neurological factors are at play and people can make treatment claims based on nothing more than the hopes of parents. But hopeful parents can  also spend 10 years  (or more) on well-established methods that give little result more than a few embedded phrases and some unclearly articulated words to show for it. When the end result of ten years of speech therapy is someone who speaks like I do, then from their point-of-view,  it seems a logical extension to determine that the method that gave me the ability to express myself fluently through letters is invalid. Of course, if  I had been left with my speech alone to communicate, I’d still be locked in and completely trapped. They reject my communication because they were not successful teaching me- or others like me- to communicate expressively.

So, no thanks. I’ll take a “hoax” that worked over a treatment that failed me any day.

The ASHA position is still in draft form. You can rebut or respond until June 24. Here is a link.  And here are some sample quotes that show their line of thinking. Note that the communication of typers, (and this is regardless of the degree of autonomy), is discredited.

“For both FC and RPM, there is no credible evidence that messages are authored by the person with a disability, and there is no credible evidence indicating authentic independent communication or any other beneficial outcome arising from FC or RPM (Lang et al., 2014; Tostanoski et al., 2014; Schlosser et al., 2014).”

“(ii) In RPM, there is no empirical evidence to show that facilitated messages are authored by the individual with a disability.”

“Both FC and RPM rely on presumptions of competency (Travers & Ayres, 2015). Presumption of competency is a risk to an individual’s safety when it is given more credence in treatment decisions than known facts about the individual or evidence to the contrary.”

“In the absence of evidence that messages delivered by RPM are authored by the person with a disability, RPM poses a potential risk of harm to the person using RPM and their family members. This is because, RPM being untested, there is a risk that the messages delivered via RPM are not authored by the individual but are instead authored by the “facilitator.” Other professional associations have warned members against using RPM (Irish Association of Speech & Language Therapists, 2017; Speech Pathology Australia, 2012; Speech-Language and Audiology Canada, 2018).”

Guest Post: Running Toward Myself

This essay by my friend, Dillan, is about his love of running. For him running serves many purposes. He channels hyperkinetic impulses. He gets fit. He interacts with others. But here he describes one more thing– the mental benefit. He mentally gets liberated from autism while running. How lucky to get a respite from autism.

I encourage people to exercise. Living with autism does not mean we must not exercise. It helps in every way. But respites can be found in many things, in music, in swimming, in learning- simply in moments when joy breaks through the symptoms.

 

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Dillan’s Introduction:

I have experienced many challenges in my life with the autism that takes root in my actions, my thoughts, and my feelings. However, I have also been blessed with gifts, and I am going to talk about one of them today. I wrote this essay for my college applications, and it means a lot to me that you will also read these words about the times when I can leave my autism behind.

Running Toward Myself By: Dillan Barmache

It would be easy to write about autism. I always have that inspiring story in my pocket, The Boy Who Had Autism and Learned Anyway. In this moment, however, I want to talk about the moments when I can separate myself from autism, even if it is only for a short time. Those moments come when I run.

I am on the cross country team in the fall. I run track in the spring. I wake up early in the summer and run miles just because I want to. I am fast and my legs are strong. My body moves with certainty and obeys my commands. That means more to me than it does to many others because in almost every other moment of my life my body is a mess. The chasm between what I want my body to do and what it does is huge and everyone who spends more than five seconds around me can see it plainly when I run my hands through impulse patterns and babble in nonsense noises. So, when I run, those moments of control are like air to the drowning man. My body goes exactly where I want it to.

My most ambitious event was the time I ran a half-marathon with my dad. He and I trained hard. This was, after all, the longest run of my life. As we trained, my dad would strain to keep pace with me. I would wear him out with my voracity for the trail, eating up the ground beneath my feet. We trained until the day came when we had to go to downtown LA and put our feet to the pavement.

You could think that a run like this would be easy. I’ve established how I love running. I’ve talked about being good at it. However, I have so much more to consider when it comes to an event like this. I would be surrounded by strangers. I had to sleep near the event in a strange hotel room with none of my familiar comforts. My routine was crumpled up like a piece of scratch paper and tossed away. To a person like me these are major, catastrophic concerns. My parents have to constantly wonder how I will react. Will I be able to handle it? Will I break down and freak out and have to be pulled away into a quiet room where the strangers’ eyes won’t see my weirdness? I felt not just my own anxiety, but the anxiety of my parents as they tried to plan for every problem and prayed for the things they can’t control to just go smoothly.

Just before the marathon the runners gathered at the starting point. The buildings of downtown LA loomed over me. They closed in like giants and all of us gathered runners were packed in together. I did feel the energy getting wild inside me. I felt my control slipping. I felt the autism that wanted to take over and become everything my parents and I feared. Then, the signal came and it was time to run, and none of it mattered anymore. The threat was over the instant my legs started moving, because then I knew exactly what to do. Run and run and run.

I finished the half-marathon just like the waves of people around me did. I was part of them and I fit seamlessly among them. You can’t imagine how rare that is for me. I am always either the odd boy off to the side with special needs, or I’m the miraculously intelligent boy everyone is shocked can do anything but flap my hands and repeat simple words. I’m always different. I’m always other. But when I ran that day I was just a runner. I was just Dillan.

 

 

 

Not Talking is Not the Same as Not Thinking!