AutINSAR 2019: Discussing Autistic Priorities For Autism Research

The disconnect between what autistic people want (and need!) from autism research, and what autism researchers tend to prioritize is why AutINSAR exists: To have a conversation between autistic people and/or autism researchers about needed autism research directions, priorities, oversights, course corrections, and goals.

AutINSAR happens annually during INSAR, the International Society for Autism Research's annual meeting—both live at the conference and simultaneously on Twitter. The discussion provides an opportunity for autism researchers participating and following along to heed the insights and priorities of the autistic population they are supposed to be serving. This matters because, as The Autistic Self Advocacy Network commented during this year's discussion,
"Autism research is missing the priorities of autistic people. The voices and experiences of autistic people need to guide autism research, beginning with which areas to study."
This was the third #AutINSAR discussion, after lively events in 2018 at the Rotterdam conference, and in 2017 at the San Francisco conference. This year was slightly different in that it took place among much eye-rolling by #AutINSAR and other autistic and ally attendees over INSAR leadership's declaration that the conference needed to get back to basic biology research.
Essentially, a "return to basics" would keep the focus of autism research on what professionals are interested in, rather than what autistic people need. This would make said research less, rather than more, useful to autistic people who are already here. Instead, researchers who want to affect autistic people's lives in positive ways would do well to take advantage of resources like the AutINSAR discussions.

Here is how this year's AutINSAR discussion went down:

The IRL #AutINSAR crew Back row: Emily and Manuel Casanova, Jon Adams, Bret Heasman, Sue Fletcher-Watson, Anne Fritz,  Cat Hughes, Aaron Bouma, Bethan Davies, Corina Becker, Stephanie Vreeland, and Steven Kapp Center row: Sara Luterman, Christina Nicolaidis, Lorcan Kenny, Christine Jenkins, and Louise Tardif. Front: TPGA editors Shannon Rosa & Carol Greenburg [image: Crowd of neurodivergent people posing in the corner of the INSAR press room.
The IRL #AutINSAR crew
Back row: Emily and Manuel Casanova, Jon Adams, Bret Heasman, Sue Fletcher-Watson, Anne Fritz, 
Cat Hughes, Aaron Bouma, Bethan Davies, Corina Becker, Stephanie Vreeland, and Steven Kapp
Center row: Sara Luterman, Christina Nicolaidis, Lorcan Kenny, Christine Jenkins,
and Louise Tardif. Front: TPGA editors Shannon Rosa and Carol Greenburg
[image: Crowd of neurodivergent people posing in the corner of the INSAR press room.]
Welcome to #AutINSAR, a Twitter chat between #ActuallyAutistic people and autism researchers. If you can’t join live, you can continue to answer questions. #INSAR2019
— Thinking Person's Guide To Autism (@thinkingautism) May 2, 2019

We will be asking #AutINSAR questions in the format Q1, Q2, etc. Please answer with A1, A2 if you can, for tracking purposes (we will be compiling an article for TPGA as we have for all previous chats). #INSAR2019
— Thinking Person's Guide To Autism (@thinkingautism) May 2, 2019

AutINSAR Questions

  • Q1: What are your top three priorities for autism research?
  • Q2: Which topics do #ActuallyAutistic people discuss that are missing from research conversations?
  • Q3: What concerns do you have about the directions in which autism research is headed, based on work presented at #INSAR2019, or in general?
  • Q4: Researchers: How do you think your research (or another researcher’s work) will improve the lives of #ActuallyAutistic people who are already here—as opposed to autistic people in future generations?
  • Q5: Which co-occurring conditions need more research attention, and why?
  • Q6: What are some concerns of minority autistic community members that don’t get enough research attention?
  • Q7: What are some barriers make that make autism research results less accessible to #ActuallyAutistic people (cognitive, financial, etc), and how can we reduce them?
  • Q8: Any topics we’ve missed that you’d like to discuss?

AutINSAR Participants 


Hi I’m Carol Greenburg, one of the editors @thinkingautism Welcome to #AutINSAR Tweetchat!
— Carol Greenburg (@Aspieadvocate) May 2, 2019

Hi! We run #AutChat, a weekly Twitter chat for autistic and similarly neurodivergent people. We’ve been running for >4 years. We’ll post some thoughts from our personal accounts too (@theoriesofminds and @endeverstar). #AutINSAR #INSAR2019
— #AutChat mod (@autchatmod) May 2, 2019

hi #AutINSAR! i'm endever*, one of the #AutChat mods. i'm 33, from usa, trans, queer, autistic, crazy, ravenclaw, writer, crafter.
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

Very excited to be involved in the #AutINSAR chat https://t.co/AKCOC3qdcX
— Cat Hughes (@naturetable) May 2, 2019

Ready and waiting for #AutINSAR.
Last year it was the best part of the conference and a great participatory activity given the constraints of the conference cost and distance for many autistic people.
— aut Sarah (@Sarahmarieob) May 2, 2019

Hello, I am Solveig! Sometimes I dive into chats without introducing myself. Autistic/nonbinary/library profession. #AutINSAR
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

Just realized I forgot to introduce myself on the #AutINSAR chat! I'm Laura - I'm a researcher based at @CRAE_IOE in the UK (London). You can read more about me and my work in this interview with @shannonrosa @thinkingautism: https://t.co/E5MLRpe5Kh
— Laura Crane (@LauraMayCrane) May 2, 2019

I never introduced myself - sorry! I’m a developmental psychologist based at @EdinburghUni in the UK #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

Oh I guess I also forgot to introduce my me.
Alyssa, non-binary graduate student in neuroscience. I work on brain-computer interfaces for people with ALS, AAC for autistic adults, and general neurodiversity stuff. #ActuallyAutistic
#AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

Don’t forget to introduce yourselves for #AutINSAR (like I did).
Hi, I’m Shannon Des Roches Rosa from #TPGA. I’m the parent of an autistic dude who is completely awesome. #INSAR2019
— Thinking Person's Guide To Autism (@thinkingautism) May 2, 2019

#AutINSAR Hello I'm just introducing myself to the twitter chat, I'm a postdoctoral researcher @CRAE_IOE and I am tweeting along with Anne Fritz from the CRAE account
— Dr Brett Heasman (@Brett_Heasman) May 2, 2019

HelloAll. My name is Aaron Bouma. Military Specialist for Carleton County New Brunswick Canada. #ActuallyAutistic and owner operator of @BoumaWoodwork. Vice chair of Woodstock NB Autism Family Friendship Group. #AutINSAR #INSAR2019
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

We’re autistic led - equality and diversity especially thru creative endeavour - passionate about involvement of autistic people in research and the arts

@soundcube tweeting is he a scientist who draws or an artist interested in science?

ambitious about autistic people #AutINSAR
— Flow Observatorium (@ObservatoriumF) May 2, 2019

#AutINSAR Am a #ActuallyAutisticScientist who studies overlap with #EhlersDanlosSyndrome (as well as #genetics). Also have Generalized Hypermobile Spectrum Disorder. Nice to meet you all!
— Emily Casanova, PhD (@EmLyWill) May 2, 2019

Hi everyone! I’m an #ActuallyAutistic writer based in Washington DC. I founded @NOSeditorial. #AutINSAR
— Sara Luterman (@slooterman) May 2, 2019

And to introduce myself: I work at @AutisticaUK with our Discover network and our Insight Group- making sure autistic people get heard and involved in research and policy all the way through!
I’m also autistic myself- diagnosed as a young adult #AutINSAR
— Bethan Davies (@BethAnDavies28) May 2, 2019

Following Shannon’s lead and introducing myself near the end of #autINSAR I am Max Sparrow @UnstrangeMind, autistic author, educator, and member of We Are Like Your Child, a group of neurodivergent writers sharing stories and ideas about how we navigate life.
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

#autINSAR I’m the founder of the Campaign Against Phony Autism Cures and a co-founder of Autistics for Autistics (A4A), the Canadian self-advocacy organization 🙂 @A4AOntario
— Campaign Against Phony Autism Cures (@AgainstCures) May 2, 2019

Thanks for organising #AutINSAR - I am Lorcan, a non-autistic autism researcher who now works for @AutisticaUK trying to bring autism researchers and autistic people closer together via the Discover network, more info: https://t.co/U3ThvTDB2h https://t.co/AlQOT3UZta
— Lorcan Kenny (@LorcanKenny) May 2, 2019

Late introduction from me - I’m Jac, Autistic postdoctoral research associate at Macquarie Uni, Australia, working with @liz_pellicano. Advocate, psychologist, queer, non-binary, they/them. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

This is Christina Nicolaidis. I’m a physician, researcher, professor, and parent. I do participatory research with autistic adults. I co-Direct AASPIRE (https://t.co/6BqgySQCLx) and am Editor-In-Chief of Autism in Adulthood (https://t.co/CAwzYkT4P4). #AutINSAR
— Christina Nicolaidis, MD, MPH (@cnicolaidis) May 2, 2019

Thanks @thinkingautism for organising such a fun and fascinating #autINSAR I'm Cat. I spent a long time working in autism and mental health research and now work at @AutisticaUK I'm really passionate about seeing autistic people included and active in all levels of research.
— Cat Hughes (@naturetable) May 2, 2019

Intro tweet: I am an autistic filmmaker, advocate, and video game enthusiast/collector #AutINSAR
— GhillieGuide (@Ghillie_Guide) May 2, 2019

Hello. I'm a Catholic priest (@FrMatthewLC) who is #ActuallyAutistic, but who also reads a lot of research on genetics as it relates to bioethical questions as I'm studying a doctoral degree in ethics. So I'm kind of wearing multiple hats in discussions like #AutINSAR.
— Autistic Priest⛪ (FrMatthewLC) (@AutisticPriest) May 3, 2019

Q1: What are your top three priorities for autism research? 


A1 Research should focus on how to improve quality of life for autistic people across the lifespan, how to end racial and gender disparities in access to dx and services, and best practices in AAC and supported decision-making for people with all kinds of support needs. #AutINSAR https://t.co/QjWJWYNIbX
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A1 My top for autism research priorities are Jobs, Mental Health Management, and skills building #AutINSAR
— Aaron Bouma at #INSAR2019 (@CANADA566) May 2, 2019

A1: I think it's REALLY important for the autistic community to decide autism research priorities - rather than autism researchers... #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A1: At TPGA, we are behind any #autism research that improves the lives of #ActuallyAutistic people and their families. #AutINSAR #INSAR2019
— Shannon Des Roches Rosa (@shannonrosa) May 2, 2019

A1 #AutINSAR #INSAR2019
1. Autistic people’s mental health
2. Suicide in autism
3. Supporting autistic people leading participation and involvement in research
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A1: I totally 100% agree with @soundcube that these are fundamental priorities. At @CRAE_IOE, we've done co-produced research on mental health (published in @journalautism, which is free to view here: https://t.co/LWSKztqKwa) #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A1: The journal Autism Research has published 29 brief commentaries on current gaps in autism research. We're curious to know how others feel! https://t.co/S9Y5h54xqh #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A1: What many autistic people are telling us is that mental health is a top priority (e.g., @AutisticaUK research) https://t.co/B2yVVRVX0u #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

a1 hard to choose, but the first things to that come to mind = communication supports (beyond requesting!), comorbidities like eating disorders, and sensory issues #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A1. One of my top priorities is the need for reasearch on QoL for autistic elders like me (55 yrs old) and my 91-year old #Actually Autistic Dad #AutINSAR
— Carol Greenburg (@Aspieadvocate) May 2, 2019

A1 addressing early death/suicide rates, greater understanding of autism expression and needs in those with marginalized genders/races, addressing basic life needs lacks: food, housing, medical care, etc. in Autistic adults #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A1: Sleep, suicidality, and seizure research are my personal top three issues. #AutINSAR
— Sara Luterman (@slooterman) May 2, 2019

A1: top three priorities
1. Co-production being done meaningfully and not to fulfill diversity criteria but in all areas.
2. Practical, applied and applicable research.
3. Lifetime research- we are young and old! #AutINSAR https://t.co/so8NGPFIcH
— aut Sarah (@Sarahmarieob) May 2, 2019

#autinsar A1. 1) more participatory research throughout the entire research process. From writing the grants, to designing the study, to analysing and collecting data, to taking the findings back to the community/ developing leads for further research, building future leaders
— CRAE (@CRAE_IOE) May 2, 2019

A1: at @AutisticaUK we are interested in research into the community priorities we established in a priority setting partnership https://t.co/8x4SRiEMGf but there are some qs not in here that are also a priority for us, like addressing early mortality in autistic people #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A1: I am also interested in research into the development of outcome measures by autistic people and their supporters so that future research can test supports that have autistic-informed outcomes as their primary outcome measures #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

yes! i feel like most outcome measures in research are "acts less autistic now yay" (:/) rather than "better quality of life, better mental health, etc" #AutINSAR https://t.co/Fp4hIAV81J
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

You’ll love the work being done by @KerenMacLennan who has definitely seen that current measures aren’t always fit for purpose or make awful inferences.
We need to go back to most drawing boards. #AutINSAR
— aut Sarah (@Sarahmarieob) May 2, 2019

ICYMI: We just published a news story on a study identifying predictors of early death in autism: https://t.co/86RocL9dfo #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A1
1) How to convey our needs to other people in ways that result in getting those needs met
2) Effective treatment for consequences of not receiving needed support (including cPTSD)
3) Effective treatment for co-conditions #AutINSAR
— #AutChat mod (@autchatmod) May 2, 2019

A1: literally exactly these three, except in reverse order. #AutINSAR https://t.co/B4X93ztE8Y
— Dr Jac (@JacdenHouting) May 2, 2019

A1. 2) to work across discipline boundaries - its not biological versus non-biological!
— CRAE (@CRAE_IOE) May 2, 2019 #autinsar

Double-empathy work such as by @milton_damian. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A1. 3) mental health research. Yet It is important for the autistic community to decide autism research priorities. Not the autism researchers! #autinsar 
— CRAE (@CRAE_IOE) May 2, 2019

A1: 1) Helping #ActuallyAutistic young adults to thrive in either education or employment, 2) investigating long-term consequences of ABA, 3) reducing suicidality in autistic people *cough* of a certain age. #AutINSAR
— Douglas Bass (@douglasbass) May 2, 2019

This is personally important to me as the #ActuallyAutistic Mom than #ActuallyAutistic teen who we are trying to help prepare for a transition to adulthood that is successful, first and foremost, in HIS eyes. #AutINSAR
— Carol Greenburg (@Aspieadvocate) May 2, 2019

A1: Only 3? Autism across the lifespan, co-occurring health conditions, and how to improve access to communication (incl how to support families in *IMPLEMENTING*, not just obtaining, AAC.) #AutINSAR
— Julia Bascom (@JustStimming) May 2, 2019

A1 a research priority is best supports for anorexia #ActuallyAutistic. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A1:
1) #AAC as you can guess because it’s what I do.
2) Suicidality and mental health in general
3) Sleep
#AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A1: (1) Identifying alternatives to, e.g., socially performative therapy/counseling which might not be suitable; (2) Examining whether studies showing “recovery” in fact just show deep masking; (3) Developing understanding of effects of diagnosis when late in life. #AutINSAR https://t.co/Pv2ixjVldn
— Hello. My name is Bix. (@bixmediocre) May 2, 2019

A1: Hard to narrow down to three! I think research into autistic people dying younger on average needs to be a priority (including suicide, epilepsy, access to health care) and as a social worker I would like to see abuse of autistic children made a research priority. #AutINSAR
— Brooke Winters (@brookewinters33) May 2, 2019

Q1) To focus on research that supports existing autistic people and how we can inclusion and acceptance.
No cures and nothing that supports harmful therapies and treatments. Yes, this includes ABA.#AutINSAR https://t.co/KKM6gCNF3W
— Milla the four-eyed, nerdy princess! (@subtlykawaii) May 2, 2019

Can we just agree that we’d love for all the health mysteries that are hinted at need to actually be recognised, understood and much easier to gain information/ diagnosis about.
#AutINSAR
— aut Sarah (@Sarahmarieob) May 2, 2019

I am not autistic but my daughter is and we have found that there is a barrier to treatment because of her complex needs due to co-occurring diagnoses. I would like to see more research on therapies that target these complex cases. #AutINSAR
— Amanda Rackerby (@RackerbyAmanda) May 2, 2019

I am also concerned with the fact that many autistic women have great skills, like my daughter, but because of many reasons are unable to enter the working world. I would like to see more research on females w/ autism and what the barriers are to employment. #AutINSAR
— Amanda Rackerby (@RackerbyAmanda) May 2, 2019

As an #ActuallyAutistic woman who has had many such work-world difficulties, this answer resonates with me. #AutINSAR
— Carol Greenburg (@Aspieadvocate) May 2, 2019

I see different levels of needed research: 1) long term (10+years) for therapy (drug and behavioral/support) development; 2) immediate interventions to target extreme distress reduction and increase life expectancy for people with ASD and their families. #AutINSAR 
— Amanda Rackerby (@RackerbyAmanda) May 2, 2019

A1: Priority 1 is an accurate accounting of autistic people at all ages, both in the U.S. and worldwide. We also need far more research on effective supports across the lifespan, and far more collaboration between researchers and #ActuallyAutistic folks. #AutINSAR #INSAR2019 https://t.co/0W3eCFxImv
— Steve Lieberman (@stevemlieberman) May 2, 2019

-Understanding long-term effects of ABA on the autonomy of autistics -- especially with respect to keeping ourself safe from abusive situations.
-Research that includes autistics of all age
-Better ability to recognize autism in girls and people of color
A1 #AutINSAR https://t.co/PWsd89vdsp
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

I’m also interested in more gender studies specific to neurodivergent people in general — something that would lead us to an easier transition process for those of us who want/need it.
I’m talking autistic transgender studies.#AutINSAR
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

A1:
1) how to improve life outcomes (health, employment, inclusion, wellbeing);
2) how to treat co-occurring conditions;
3) how to address needs of autistic adults with intersectional identities (eg related to gender, race, sexuality). #AutINSAR
— Christina Nicolaidis, MD, MPH (@cnicolaidis) May 2, 2019

A1 1) research to ensure reliable communication across the autism spectrum, 2) research on priorities values across autism stakeholders in their own communities, 3) research to try to end abuse against autistic people. #autINSAR
— Steven Kapp (@drstevenkapp) May 2, 2019

I’d like to see a comprehensive de-bunking review of the main forms of autism pseudoscience that can be shared with health professionals and researchers. #autINSAR 
— Campaign Against Phony Autism Cures (@AgainstCures) May 2, 2019

Sleep research, why do we experience so much suicidal ideation, how can neurotypical people communicate with us better (note how I phrased that!)#AutINSAR #INSAR2019
— 🏳️‍🌈Future Dr Valour- They Who Rant 🏳️‍🌈 (@ValourRain) May 2, 2019

A1: At #APA2019 I’ll be presenting on research priorities from within the autistic community. #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

A1:
1. trauma - Is anyone doing research into how a lifetime of small compromises and invalidation is traumatic? cPTSD as often comorbid?
2. Ontology - has anyone taken a crowd-sources inventory of autistic traits?
3. Post-behavioral diagnostic criteria.#AutINSAR
— your friend myk (@mykola) May 2, 2019

A1:
1) How diagnostic criteria applies to demographics not well represented in existing research.
1) Developing understanding of communication in relationships between autistic and NT.
3) Analysis of social process of disclosing diagnosis in masking autistic adults.#AutINSAR
— GhillieGuide (@Ghillie_Guide) May 2, 2019

R1 #AutINSAR #INSAR2019 Les effets négatifs, traumatisants des interventions recommandées mais qui peuvent être, dans la pratique, irrespectueuses ou violentes dans les différents milieux de vie (école, famille, services, travail)
— Neurodiversité Art (@LucilaGuerrero_) May 2, 2019

[R1 #AutINSAR #INSAR2019 the negative, traumatic effects of the recommended interventions but which can be, in practice, disrespectful or violent in the different living environments (school, family, services, work)]

A1 #AutINSAR
1. Treatment of hypo- and hyperkalaemic sensory overstimulation and cofactors such as iNOS overproduction
2. autistic apraxia (body-mind disconnect)
3. #CRPD violations and trauma in ABA.
4. RCCX Theory.
(Ja, I know you said three...) https://t.co/qHpLzU9f4p
— Tania | AutisticStrategies.Net | #OptimiseAutism (@ekverstania) May 3, 2019

#AutINSAR
The link between self-esteem issues, autism and suicide/suicide attempts/suicidal ideation. Anxiety and depression in relation to autism. Platforms to enable autistic people to find jobs, and to help with work related issues.
— Rowan (@Rowan55388496) May 3, 2019

Q2: Which topics do #ActuallyAutistic people discuss that are missing from research conversations? 


A2 Autism research is missing the priorities of autistic people. The voices and experiences of autistic people need to guide autism research, beginning with which areas to study. We promote a CBPR (Community-Based Participatory Research) approach to autism research. #AutINSAR 
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A2. I’m glad to see that sensory processing is starting to become more of a research interest, but it still feels like it gets low priority relative to how significant it is in my personal experience. #AutINSAR #INSAR2019 https://t.co/TWJbGhMsWM
— codeman38 (@codeman38) May 2, 2019

A2. Other topics that are frequently discussed within the autistic community but seem much less common in research (at least from my experience): how autism interacts with gender (both cis and trans); experiences of adult autistics. #AutINSAR #INSAR2019
— codeman38 (@codeman38) May 2, 2019

A2 AFAICT, executive dysfunction! and supports to cope with it. #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A2 How many areas are overlooked. Access to resources in rural areas, including mental health as well. We need to change that and guide all areas to have a voice. #AutINSAR #INSAR2019
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

A2: I know nothing about it, but keep hearing about #EhlersDanlosSyndrome in relation to autism (from autistic people). Nice to see some work presented on it at #INSAR2019 https://t.co/wUetdbTdQ6 #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A2: Everything. MOTOR DIFFERENCES, including inertia. Mental health, addiction, and suicide. Actual reasons behind behaviors. Different responses to different kinds of prompts or support. Burnout. Fluctuating skills. Actual outcomes of ABA and other interventions. (1/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A2: Responses to medications. Hypermobility + other common co-occuring health conditions. Ways to support daily living skills. Ways to get free. Access hacks. Experiences of abuse and neglect. Autistic parenting. AT. Combatting stigma, promoting inclusion. (2/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A2: Also we do actually talk a lot about ACTUAL heterogeneity--we just don't do it in public, because autism researchers have proven over and over again that they aren't ready to handle it. (3/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A2 We are seeing more of these topics covered at #INSAR2019 than in years past, which gives me hope. Not perfect, but some improvement. #AutINSAR
— Thinking Person's Guide To Autism (@thinkingautism) May 2, 2019

A2 also the broad range of queer/trans identities found in our community, including how we (especially aac users) have conversations about identity, sex ed, and consent #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A2 We talk a lot about our experiences of other people, of physical settings, of practical daily life demands. These aren’t technically “about” autism but they are major areas of concern for many autistic folks. (e.g., food prep, navigating transportation) #AutINSAR
— #AutChat mod (@autchatmod) May 2, 2019

A2 #AutINSAR #INSAR2019
-Definitely Ageing and care changes needed over the lifespan
-Ways trauma effects autistic people and causes - betrayal trauma is a huge issue as we ‘love hard forget not’ as it were
-DSM change esp CatA in PTSD for autistic people - we lose people this way
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A2 involving high-support needs individuals in all kinds of research. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A2: what’s missing?
Conversations miss the personhood of autistic people, the implications research can have on understanding/ perceptions and that autistic people want to lead full lives we just may need support (school/ work/ health/ care/ leisure).#AutINSAR https://t.co/QQ8CoKYAhz
— aut Sarah (@Sarahmarieob) May 2, 2019

A2: So, so many! Basically everything to do with adulthood. Trauma. Long-term consequences of early intervention. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

A2: I am not autistic so can't speak for autistic people's interests but from conversations I've had it is not always about what is absent entirely but also if the proportion of interest in different topics reflect community priorities #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A2: some examples include sleep difficulties, food and eating challenges, managing physical health difficulties, keeping employment (rather than simply attaining employment), assessing how autistic involvement actually changes how research gets done #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A2: I don’t think I’ve ever seen the link between Ehlers-Danlos and autism discussed before. It doesn’t affect me personally, but it is a major source of pain for my friends. I’m also thrilled to see emerging work from @aaspireproject on #AutisticBurnout. #AutINSAR
— Sara Luterman (@slooterman) May 2, 2019

A2: I think the thing really missing from research conversations is how we better include and involve autistic people as research partners. I'm a big fan of the work being led by @cnicolaidis @dora_raymaker in this respect! #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A2: To find out more about the @aaspireproject, see this recent paper in @journalautism: https://t.co/E8d7ANMGVu #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A2 researching the importance of connecting with each other and our #ActuallyAutistic community. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A2 So many things! Autistic culture, shared understanding and creativity are hugely overlooked. #AutINSAR https://t.co/upYwPbnduV
— Cat Hughes (@naturetable) May 2, 2019

Q2: Some things #ActuallyAutistic people talk about more than researchers: trauma, PTSD, c-PTSD, mid-life Autistic burnout (losing skills and coping abilities after years of struggle/masking), Autistic inertia #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A2 (continued) Many Autistic adults need job opportunities that are *not* math and tech oriented and need researchers to help break the stereotypes behind the job program skew #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A2 the developing world! I want to know more about my peers across the world. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

#autINSAR A2. From conversations with autistic people, CRAE has observed a mismatch between the kind of research that is conducted and the kind of research autistic people would like to see. The funding landscape needs better alignment with autistic research priorities.
— CRAE (@CRAE_IOE) May 2, 2019

A2: Ehlers Danlos, part time aac use, trauma, anything related to adults, how to provide supports for people with significant needs while maintaining autonomy and civil rights #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

Oh and myotonic muscular dystrophy:
Type 1 (childhood onset) known to be associated with autism. Type 2 (adult onset)? No one knows. Maybe check?#AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A2 I want to know more how are voices are heard in policy development. #AutINSAR
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A2: Keeping stims hidden, self-care strategies, exhaustion from trying to determine how a certain interaction went, self-esteem issues, being considered lazy or careless #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A2 It shouldn’t be revolutionary that autistic people might actually make pretty accurate inferences about the possible processes behind autistic thought, behaviour and processing (but it feels that way).
#AutINSAR
— aut Sarah (@Sarahmarieob) May 2, 2019

A2 I’d like more research and ensuing documentation of Autistics' atypical or paradoxical reactions to medications. More bluntly put, I find what I called the “medication mambo” a horrible trial for our family every time we have to do it to help our autistic son. #AUTINSAR
— Carol Greenburg (@Aspieadvocate) May 2, 2019

A2: Ehlers-Danlos syndrome (my spelling might be wrong) #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

I research participatory research methods (yes, it’s very meta). I *hope* this will contribute to more genuine and meaningful co-production of autism research with autistic people - resulting in research that actually addresses our #ActuallyAutistic priorities. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

You can see some of Dr. de Houting’s work on participatory autism research here: https://t.co/IvNmXsk8wT #AutINSAR #INSAR2019
— Shannon Des Roches Rosa (@shannonrosa) May 2, 2019

A2 Trauma-informed and autism I formed maternity and pregnancy supports. #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

A2: Treating us like human beings would be a start. Certainly there needs to be research on the harm certain “treatments” that silence visible indications of underlying distress have on #ActuallyAutistic people. #AutINSAR #INSAR2019 https://t.co/3Se4QE8z8T
— Steve Lieberman (@stevemlieberman) May 2, 2019

Research is almost entirely focused on children, and I can't find a lot out there with respect to adult autistics.

Then, the research is almost entirely focused on things like neurology and DNA and studying complex proteins... and nothing to do with quality of life. #AutINSAR A2 https://t.co/l3IVKwMxNi
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

A random thought, but I am wondering if we can talk about how autistics seem to express emotions differently than allistics. For instance... dad thought I was doing fine because I was humming to myself, but I was humming to myself because I was VERY MUCH NOT OKAY. #AutINSAR
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

Oooh, yes! I’ve had *so many* interactions where my body language was misinterpreted and I legit didn’t even realize that’s what was happening until someone explained it explicitly. #AutINSAR #INSAR2019 https://t.co/ep4D1fhXU7
— codeman38 (@codeman38) May 2, 2019

I’m working on a chapter about cross-neurotype communication connecting to cross-cultural communication and I honestly think that fits what I’m going to be talking about. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

In Canada some of what we talk about is: accessibility in public spaces. Poverty. Inaccessibility in employment. HIV. Sex and safety around dating. Communication barriers to accessing medical care. Need for trauma-informed care. #autINSAR 
— Campaign Against Phony Autism Cures (@AgainstCures) May 2, 2019

Poverty is a huge issue in our community in Canada and no one is researching it. We need hard data to work for change. #autINSAR. @A4AOntario
— Campaign Against Phony Autism Cures (@AgainstCures) May 2, 2019

When we measure sensory variability in #ActuallyAutistic people using current methods, we’re measuring behavior, not people’s internal experience or biomarkers. Behavior is not a reliable indicator of how distressing an experience is. #INSAR2019— Sara Luterman (@slooterman) May 2, 2019

Especially not when therapy explicitly teaches us to act like we’re not in distress... #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

#AutINSAR I'd love to see more conversations on supporting #ActuallyAutistic people's civic and political participation. From activism and self-advocacy to joining and taking part in political parties, movements, civil society and in communities more broadly. #INSAR2019 https://t.co/8kixA1NSMB
— Adrian Carroll (@adrian_carroll) May 2, 2019

I would like to see that too. I’m #ActuallyAutistic, from the U.S., and volunteered for three local campaigns leading up to the midterms. On a national level, I’ve been honored to volunteer for #PostCardsToVoters for almost all of the two years it has existed so far. #AutINSAR https://t.co/gfNg5MsWE0
— Carol Greenburg (@Aspieadvocate) May 2, 2019

— S Owocki (@swahkee) May 2, 2019

A2. Burnout, masking, trauma, bullying, evolving diagnostic criteria (e.g. not based on allistic observation of traumatizes white male children). How do we reach the many undiagnosed adults suffering in isolation and alienation?#AutINSAR
— your friend myk (@mykola) May 2, 2019

A2: A big thing that’s left out seems to be autistic burnout and suicidal ideation, a lot of the stats that advocates need to make their point on this topic are community generated/not scientifically recognized! #AutINSAR
— GhillieGuide (@Ghillie_Guide) May 2, 2019

A2: Large study on autistic adults and #burnout; more research on positive psychology and approaches; identify "problems" that are actually social constructs to shift the narrative. #ActuallyAutistic #autINSAR #INSAR2019
— Janet Mulligan Bowen, MLS (@theScootorian) May 3, 2019

A2 The small things that make life difficult, people staring at autistic children in shops, thinking autistic people rude if they sometimes don't know what to say - because, in their view, if you know you are autistic you can do something about it, but choose not to. #AutINSAR
— Rowan (@Rowan55388496) May 3, 2019

Q3: What concerns do you have about the directions in which autism research is headed, based on work presented at #INSAR2019, or in general?


A3 In General, I’m seeing too much suppressive behaviour research and also cure research. We #ActuallyAutistic people don’t want to be cured. Organizations putting money into this doesn’t help anybody now! #AutINSAR #INSAR2019
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

A3 I’m very concerned about research being translated uncritically into tech for fine-grained behavioral control and surveillance. We urgently need research on harms done including when implemented as intended. #AutINSARhttps://t.co/52vayHFOJt
— theories of minds (@theoriesofminds) May 2, 2019

A3 #AutINSAR @AutismINSAR has a skewed understanding of "balance". Adult studies, the disability studies field, social work, optimal outcomes as defined by us, participatory research... https://t.co/84QzML6MbG
— Louise Âû (Louise Tardif is at INSAR 2019!) (@au_louise) May 2, 2019

A3: I have lots of concerns about how much reluctance there seems to be about meaningfully including autistic people in research (i.e., not just as research participants) from certain quarters... #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A3
Organisations that are gatekeeping and push research topics
Research that has links with organisations determined to cure or prevent us even if that’s not an ‘obvious goal’ it’s an ‘own goal’ as far as autistic people are concerned
Research ‘without us’
#AutINSAR #INSAR2019
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A3: the view that biological and non-biological research should happen separately in silos - we stand to gain a lot from basic science (e.g., in genetics) IF it is done from an autistic-informed perspective and IF it is communicated in a safe, sensible way #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A3: Also concerned by researchers who talk about their research in a way that suggests they have never met nor spoken with autistic people about how their research relates to their lives #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A3: There still seems to be a lot of research that happens without having the question ‘how will this benefit autistic people’ running right through from the first initial idea #AutINSAR https://t.co/B299HKDHOM
— Bethan Davies (@BethAnDavies28) May 2, 2019

A3: One simple way to ensure your research does benefit autistic people is to include autistic people from the very beginning - this still seems quite a novel approach in some places #AutINSAR
— Bethan Davies (@BethAnDavies28) May 2, 2019

Considering how many contradictory neuroanatomy results there are, for example, plus psychology’s replication crisis in general... yeah I’ve got this concern too. #AutINSAR https://t.co/lftleLIFUb
— Alyssa (@yes_thattoo) May 2, 2019

A3 see my previous comment on outcome measures is probably my main concerns - if we're measuring the wrong things, we get lauded "evidence based practices" that are actually intensely harmful #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A3 A concern is a lack of discussion on research to practice. #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

A3 We are concerned about the amount of autism research that centers around causation rather than around how best to support our community over a lifetime. #AutINSAR https://t.co/fHdZ2w6Ru2
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A3 We hope to see more research that tackles issues around access to long term services and supports that allow us to thrive in the community. #AutINSAR
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A3: I am frustrated by the amount of research that assumes being indistinguishable from a neurotypical person behaviorally is the same thing as not being in distress. #AutINSAR
— Sara Luterman (@slooterman) May 2, 2019

A3: I'm concerned about the focus on treatments to literally alter the brains of autistic people rather than change a single thing about the world around us. I'm concerned that success in these studies is measured by how much we blend in, not on how we feel about it. #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A3 Really surprised by an apparent reluctance from some to include autistic people in research, and a discomfort in communicating findings to them. If communicating research to autistic people makes you uncomfortable, who is it designed to benefit. #AutINSAR https://t.co/fTQC3HwXfY
— Cat Hughes (@naturetable) May 2, 2019

A3: research concerns
Research is so connected but is often segregated. Ideas aren’t cross referenced with those it implicates. I’m concerned that participation isn’t viewed for its value but rather it’s ‘burden’. Going down the wrong rabbit holes. #AutINSAR https://t.co/U2l7Eptgbn
— aut Sarah (@Sarahmarieob) May 2, 2019

Q3: After seemingly taking small steps towards inclusion in recent years, the move towards more biological research and less inclusive attitudes to Autistic people is very disappointing #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

A3 It’s great to see more research focused on the harm of restraints and seclusion. We need even *more* dismantling of the harms that have become standard treatment for Autistic students, clients, and patients. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A3: I’m hugely concerned that fundamental scientists rarely see community perspectives as relevant to their lab work. This work may yield impact in a decade or more so all the more reason to make sure it’s at the cutting edge of community priorities.
#AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A3: I’m frustrated with the extent to which autistic autism researchers are assumed to be writing only about our own experiences, and not to be doing “hard” science.
My PhD is going to be in neuroscience. I do brain computer interfaces. I can do hard science. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

#autINSAR A3. As mentioned previously - there still seems to be a lack of research that meaningfully includes autistic people throughout the entire research processes.
— CRAE (@CRAE_IOE) May 2, 2019

A3: Anything about us without us. Sneaky high-tech efforts for reprogramming, surveillance and control. Agendas to breed autism out of existence #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A3 concerned about the continued proliferation of animal models. Studying animals to understand autism reduces complex neurological states of being to observable behaviors only. Sensationalized reporting of mouse model studies harm us. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A3 I’m concerned about technology based monitoring systems that aren’t co-created around an autistic-identified need.
Massive risk of normalisation here as well as intrusion and privacy issues. #AutINSAR https://t.co/IBinAw05MD
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A3: The amount of work being done on supports, aging issues, and anything that looks beyond a childhood experience or a clump of cells is minimal. There needs to be a rebalancing of research priorities, and the sooner the better. #AutINSAR #INSAR2019 https://t.co/kjjf14u8jy
— Steve Lieberman (@stevemlieberman) May 2, 2019

The research studies I have personally taken part in are structured in a way that it was literally impossible for them to learn anything accurate about autism.
Like, there was no way to tell the researchers "You're asking all the wrong questions!!!"#AutINSAR https://t.co/EgEARKNRlX
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

Another ‘fun’ thing is when researchers think they’re asking one thing but are actually asking another.
One classic example is “Have you heard voices nobody else did?” - supposed to be about audio hallucinations, but also true for hypersensitive hearing. #AutINSAR #INSAR2019
— codeman38 (@codeman38) May 2, 2019

Hi yes I hear things other people don’t. For example, I still hear 20kHz sounds! #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019
Also I absolutely have unexplained bruises. Because I can’t keep track of all the walls, desks, cabinets, etc. I walk into, not because I bruise easily. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

I say no when I’m asked because it’s just a yes or no question. And I don’t want to be pathologized based on something they badly interpret.
See... I can’t do yes/no questions like this. #AutINSAR
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

A3 How can we prioritize funding for practical and immediate quality of life concerns in autism research and at INSAR? Can we understand that #neurodiversity means supporting both strengths and weaknesses, and make space for it? #autinsar 
— Steven Kapp (@drstevenkapp) May 2, 2019

A3: Vasopressin! #AutINSAR
— Damian Milton (@milton_damian) May 2, 2019

A3: Robots for social interaction, I mean please. #AutINSAR
— Damian Milton (@milton_damian) May 2, 2019

CW suicide
A3 Quite frankly, I am concerned by sessions on suicidality in autistic people that don't feel accessible to me, as an autistic person with an autistic sibling who died by suicide who has PTSD related to that.
I don't know what to do about this however. #AutINSAR
— S Owocki (@swahkee) May 2, 2019

#AutINSAR Pathologization of autism in autism research: https://t.co/f6INnSFcTk
— AutisticScienceLady (@AspieHuman) May 2, 2019

A friend of mine may not be able to finish their dissertation as it is stuck in ethics cos they’re being restrictively overprotective. The study is of autistic ppl she works with every day! #AutINSAR
— Stu (Autism ACCEPTANCE not just awareness) Ferrol (@TheFerretLives) May 2, 2019

A3: Those who are gatekeeping agendas and they don't walk the talk, big pharmas/ABA organisations funding some good research thinking they can get away (And they do!) Robots to teach emotions, lack of a humanised philosophical approach, tokenistic autistic participation #AutINSAR
— Dr Georgia Pavlopoulou (@JoPavlopoulou) May 2, 2019

A3: The primary concern I have with the current direction of autism research is a failure to seperate from the traditional care and support structures of government.
I fear the business of autism being put ahead of the support of autistic people!#AutINSAR
— GhillieGuide (@Ghillie_Guide) May 2, 2019

A3. Exploring genetics can be good if used to help those diagnosed early by such methods. However, I fear that our current mindset that devalues autistic life will mean that genetics is often used to abort babies because they're autistic. #AutINSAR https://t.co/B4WaaLw6fv
— Autistic Priest⛪ (FrMatthewLC) (@AutisticPriest) May 3, 2019

A3: Anything about us without us. Sneaky high-tech efforts for reprogramming, surveillance and control. Agendas to breed autism out of existence #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A3
Very worried about future uses of genetic testing. When my sons were diagnosed (before I was) I had many, many comments to the effect that at least I knew now, so I wouldn't have more children. As if the world would be better off without autistic people in it. #AutINSAR
— Rowan (@Rowan55388496) May 3, 2019

Q4: Researchers: How do you think your research (or another researcher’s work) will improve the lives of #ActuallyAutistic people who are already here—as opposed to autistic people in future generations?


A4 @soundcube giving the autistic POV alongside @MHAutism @Sarah_NottsUni er al ‘Suicidality in autism’ is important for those of us ‘still’ here - it gives hope that autistic people belong #AutisticNarrative counts 101% in research. #AutINSAR #INSAR2019
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A4: I've been involved in research about how autistic people wish to be described, how they wish to be educated and the knowledge doctors have about autism #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A4: Also, my PhD focused on executive function (planning, multi-tasking and organising skills) that shows autistic people without learning difficulties may need some help with these skills but they are often not assessed in clinical/educational practice #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

My research on terminology preferences of autistic people can be found here: https://t.co/ik5jOJ2Uu5 #AutINSAR https://t.co/4irp0SKR90
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A4: I'm proud of the work we did with GPs too (https://t.co/Vq7kqj2rIk). Carole Buckley did some amazing work building from this survey to ensure that GPs in the UK better support their autistic patients #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

Executive functioning is my primary difficulty with both feeding myself and making progress in my own research, so yeah I care about this. #AutINSAR https://t.co/LcYWKrdfPy
— Alyssa (@yes_thattoo) May 2, 2019

A4: One of my favourite research studies was evaluating an autistic-led post-diagnostic/identification group run by @carolinehearst. Was amazing to document the benefits of autistic-led support #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A4: I hope that more autistic people who find out they are autistic (either self-identifying or newly diagnosed) benefit from autistic-led support. #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A4: Well some people are already using my paper to argue for AAC access for people who also have oral speech. So that’s a now thing. https://t.co/8aHiGq4NJF
#AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A4 in my role with @AutisticaUK, all research funded is based on community priorities and addressing actual, practical challenges. Our projects driven by autistic people really demonstrate this (welfare, maternity, gastrointestinal issues, parenting) #AutINSAR https://t.co/zbrMVT03Ko
— Cat Hughes (@naturetable) May 2, 2019

#autINSAR A4. Many social barriers autistic people face are because autism is so poorly understood in society. With research on employment, there is an opportunity to change organisational culture to suit autistic employees, rather than changing the employee to fit the culture.
— CRAE (@CRAE_IOE) May 2, 2019

A4 small shout out for some fundamental science @PWCentre looking at how sensory sensitivities are underpinned at the cellular and network level. I think this is a good example of how lab science can develop knowledge relevant to people’s lives wxperience #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A4: I feel really blessed to have had the opportunity to do participatory research on suicide and access to mental health care. Here’s a white paper I contributed to with @TheArcUS. #AutINSAR https://t.co/PsusjHBGAr
— Sara Luterman (@slooterman) May 2, 2019

A4: I'm happy for the efforts of @Sarah_NottsUni in reducing suicidality, and the efforts of @DrLaurenBF In improving quality of life across the lifespan #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A4 My research on autism and the neurodiversity movement provides evidence that activists view autism as a *complex* difference that requires support, and similarly that even strengths have *complex* effects that depend on various influences. @thinkingautism #autinsar 
— Steven Kapp (@drstevenkapp) May 2, 2019

A4: I’m hoping to improve the healthcare experiences of autistic adults and improve the knowledge, skills and confidence of health professionals working with autistic adults... all in collaboration with autistic adults themselves. #AutINSAR
— Anna Urbanowicz (@aurbanowicz) May 2, 2019

A4: My research includes creating student communities for autistic students in post-secondary education. Hopefully, the students I’m working with and learning from are also benefitting! #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

Today during my @IllinoisLEND presentation, a social work educator told me that they had previously taught/required person-first language, but my research changed their perspective! #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

#AutINSAR
A4
Research into methods of learning, eg AIMS in South Africa, an alternative to ABA, could be researched more internationally and implemented in schools where developing autistic children using their interests and abilities is preferable to attempts to "cure" them.
— Rowan (@Rowan55388496) May 3, 2019

Q5: Which co-occurring conditions need more research attention, and why?


A5 Sleep disorders have a major impact on our lives, and there is minimal research about it. There is also little research about effective treatments for depression and anxiety in autistic people, particularly for people who don’t have access to communication. #AutINSAR https://t.co/YXfAIEMvWO
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A5: -cPTSD and trauma in autistic people specifically, with a focus on developing effective treatments. Very common.
-Ehlers-Danlos Syndrome—common, complex, underdiagnosed and poorly treated.
-Sensory and auditory processing disorders.
-Sleep. #AutINSAR
— #AutChat mod (@autchatmod) May 2, 2019

A5 hypermobility, eating disorders, sleep problems, seizure disorders...
eating disorders are especially important to me personally bc i haven't found treatment that understands how my experience/needs might differ from an allistic person w an ed #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A5. Spectrum published an explainer on co-occurring conditions and #autism: https://t.co/p3gdJQ1iss More than half of #autistic people have four or more other co-occurring conditions. #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A5. One of our most recent features addressed the overlap between #autism and #OCD: https://t.co/xiQeCQYT48 #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A5 With me, it’s #OCD. I was diagnosed with OCD in grade 6. This comes along side my autism. I think that more focus on mental health and access to it is needed. #AutINSAR #INSAR2019
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

Q5 co-occurring conditions that need more research: EDS; many autoimmune conditions individually and as an overall phenomenon; anxiety, depression, and suicidality. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A5: Number one has to be autism and learning/intellectual disability. This really important study from Ginny Russell and colleagues showed that, of research published in autism journals, 94% of participants did not have an LD/ID https://t.co/0KWPfKqekF #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A5: Also, research into non-autistic people's (especially professionals who work with autistic people) understanding the difference between autism and co-occurring conditions, e.g., lots of people think anxiety is an intrinsic part of autism #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A5: Agree with @LorcanKenny. At @CRAE_IOE, we run a research-schools partnership with autism special schools in London. Most researchers who approach these schools about research only want to include children without LD/ID... #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

I had to push back against this thinking during my dissertation-some pushed for autism only, I pushed for including co-occurring conditions. I won and included kids with various co-occurring conditions such as LD and ADHD.
— Andy Colombo-Dougovito (@amcdphd) May 16, 2019

A5: Sleep issues, eating disorders, and Ehlers-Danlos in general.
Ehlers-Danlos and myotonic muscular dystrophy type 2 personally. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A5 this is a bit of a spinoff, but i'd also like to see research that works towards increasing provider competence at differential diagnosis
SO MANY of us get misdiagnosed and it leads to ineffective or even harmful treatment #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A5 #AutINSAR #INSAR2019
Sleep deprivation - it reduces our ability to cope or strength of will to stay - it’s also very human thing not to cope without sleep - #Ptsd makes it worse
Links 2 mental health issues and suicidality as we get ‘2 tired’ to carry on #AutisticSimplyHuman
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A5: Mental health conditions. All of them. Ehlers-Danlos and hypermobility. GI disorders. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

A5 a co-occurring condition that is NOT a disease or disorder but needs much more research: gender divergence. Not on causation of the high rate of intersection, but research that helps us live better lives, get past gatekeepers, be supported in our challenges, etc. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A5 Translational research. Sometimes there is research being done in an area, but it never reaches autistic people because it isn't being translated into practice, or it is but almost no one is doing it, or it's being translated in ways that don't respond to needs. #AutINSAR
— theories of minds (@theoriesofminds) May 2, 2019

A5: Also as well as focusing on co-occurring conditions separately, looking at how multiple conditions work together (or not).
It seems very rare for a person to be autistic and one single other diagnosis. #AutINSAR https://t.co/x5dZti1hwm
— Bethan Davies (@BethAnDavies28) May 2, 2019

#autINSAR A5. Anxiety!! Anxiety is common in autistic people, yet there is a lack of accepted and reliable autism-specific measures of anxiety. Especially for autistic adults.
— CRAE (@CRAE_IOE) May 2, 2019

In case anyone is interested in #anxiety and #autism, we have a deep dive into the overlap here: https://t.co/EA8fRLKx55 #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A5 I want research on the co-occurrence of Tourette’s syndrome and Autism. So many clinicians assume Tourette’s symptoms are simply an intrinsic part of autism and not a separate condition. Eductional methods alone 4 autistics and people w/ Tourette’s are at odds w/ one another #AutINSAR
— Carol Greenburg (@Aspieadvocate) May 2, 2019

A5: Connective tissue disorders, sleep disorders, eating disorders, substance misuse disorders. Epilepsy. anxiety and mood disorders yes, but with a big focus on trauma and PTSD, and how to recognize them, especially in ppl w/limited language. (1/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A5: Apraxia and movement disorders, including catatonia. Specifically--to what extent CAN these actually be distinguished from autism? If most autistic people have some degree of apraxia, as research is suggesting, does it make sense to call that co-occuring? (2/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A5: Finally, intellectual disability. Not even just as a co-occuring condition: it's just blazingly obvious that most researchers have never met a single person with an ID. It's causing some pretty embarrassing, highly preventable problems. (3/3) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

Seriously if you’re doing research and haven’t met anyone with the conditions you’re researching there’s a problem. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A5. Depression. There’s some good research coming out about this lately, but it still feels very underexplored. #AutINSAR #INSAR2019 https://t.co/VnOxoouDyc
— codeman38 (@codeman38) May 2, 2019

A5 high trauma rates. Are Autistic people more likely to be traumatized? How can we lower trauma through the lifespan? Can we design and implement trauma-informed Autistic access? Are there additional qualities to Autistic trauma that we should understand? #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

Researcher Katherine Stavropoulos is digging into #PTSD and #autism in children on the spectrum. More on her research here: https://t.co/8EEsk8LDBH #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A5: I think we need to address health inequalities for autistic people by understanding physical health and experiences of accessing physical health services. #AutINSAR #INSAR2019 https://t.co/rhoegXdWkv
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A5: it’s not exactly a co-occurring condition but we definitely need to know more about older autistic people including:
-Cognitive decline
-Physical health
-Dementia risk and resilience
-Preferred later life and end-of-life care#AutINSAR (tweeting again with hashtag)
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A5: Epilepsy, Ehlers-Danlos, depression. Depression is the greatest hindrance to #ActuallyAutistic well-being, in my opinion. #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A5 so many: suicidality, EDS, sleep disorders. I'd also love to see work on how autistic people measure and understand their own health. It's hard to benchmark what you experience if descriptions are based on non-autistic understanding and perception of pain/discomfort #AutINSAR
— Cat Hughes (@naturetable) May 2, 2019

Not that I really know what *is* getting research attention right now, but +1 re: pain perception. I've spent so much time questioning whether certain things I experience even are pain or not, to say nothing about trying to rate them on a 1-10 scale.
— Minty (@minty_things) May 2, 2019

A5: the overlap between autism and epilepsy, especially in autistic people with learning disabilities urgently needs more research attention #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A5: ID is number 1 IMO, because the entire concept of so-called “functioning” labels begins there. Certainly more attention should be paid to sleep issues, EDS, and epilepsy. And can we get an accurate read on the causes of premature death? #AutINSAR #INSAR2019 https://t.co/XVCB92aquS
— Steve Lieberman (@stevemlieberman) May 2, 2019

EDS [Ehlers-Danlos] POTS [Postural Orthostatic Tachycardia Syndrome] dyspraxia apraxia ADD/ADHD and misophonia #AutINSAR https://t.co/xxu9xJhTOK
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

I’d like to see more research on epilepsy, including management and also access issues and public awareness #autINSAR
— Campaign Against Phony Autism Cures (@AgainstCures) May 2, 2019

Alexithymia, and how that interacts with social deficits
— ya boi frankles (@wheeflop) May 19, 2019

The overlap of Autism and Disorders such as Anxiety/Depression/ADHD. Anxiety and Depression in both Chemical Imbalance and borne from trauma related to being autistic in an intolerant/insufficiently-equipped environment (at home, school, work, etc)#AutINSAR #INSAR2019
— Sneaky Bunyip (Cannon Fodder Comics) (@sneakybunyip) May 2, 2019

A5:
-Mental Health
-PTSD/C-PTSD
-Insomnia
I think it’s pretty easy to make the case for co-occurring conditions people can see but advocates can struggle to make clear co-occurring mental health/invisible ones.#AutINSAR
— GhillieGuide (@Ghillie_Guide) May 2, 2019

Sleep, delayed pain receptors, lack of temperature regulation, epilepsy, sensory issues
— Edge of The Playground (@PlaygroundEdge) May 3, 2019

A5
Depression, suicidal ideation and suicide attempts, anxiety, because of the negative impact these have on quality of life. #AutINSAR
— Rowan (@Rowan55388496) May 3, 2019

Q6: What are some concerns of minority autistic community members that don’t get enough research attention? 


A6: intersectionality in general is almost entirely disregard in autism research and often practice.
Eg the vulnerability of black autistic people in relation to police violence
#AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A6 Autistic people of color often face discrimination when it comes to obtaining a dx, supports, or accommodations, especially as adults. Disparities in special education, the school-to-prison pipeline, and police violence are all relevant issues that merit research. #AutINSAR https://t.co/pegqCsMy5Z
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A6 disparities in access to diagnosis and accommodations, systemic inequalities that impact quality of life, increased risk of harm when not hardcore masking #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A6 actual data on non-binary #ActuallyAutistic communities in many fields of research!
— Louise Âû (@au_louise) May 2, 2019

Can we please yes? Saw a paper on gender and sexual diversity that still classified everyone as either a man or a woman while some responses indicated they were non-binary... #AutINSAR https://t.co/5zejnfvTBD
— Alyssa (@yes_thattoo) May 2, 2019

A6: I did a survey of over 1000 parents' experiences of their children getting an autism diagnosis - 95% of the respondents were White (https://t.co/CGBQT3Qz1s). We need to do more to include the views/perspectives of minority ethnic groups in research #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A6: We subsequently did some work (led by a brilliant Somali student, Amal Hussein) with Somali parents of autistic children, highlighting some specific issues to the Somali community: https://t.co/rKkph6crYJ #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A6 Seniors! Where is the data on #ActuallyAutistic that are aging? #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

I believe many #ActuallyAutistic minorities are frustrated (in Canada) such as First Nations for example with being under federal jurisdiction and not being able to get resources for autism which are mainly in a provincial setting. That means they don’t have access. #AutINSAR
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

Q6 Police violence against disabled people, particularly against disabled people of color. Undue gatekeeping against Autistic transgender people seeking medical transition. Zero research on anything ever that recognizes non-binary transgender people. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A6. Minority families often miss out on access to therapies or get left out of #autism research — an ethical failure. Back in 2016, we featured some of the initiatives underway trying to address the issue. https://t.co/LkyAlydlLI #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A6: shout out to @AutisticaUK who have a call at the moment for research with underrepresented groups #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A6: More info on this call for proposals for UK-based researchers can be found here: https://t.co/VWaqD49AqK #AutINSAR https://t.co/BG2MPpgS5E
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A6: Police violence, and the actual efficacy (or lack thereof) of police training programs. How to scale good supports to families with different resources or cultural contexts. How to identify autistic folks trapped in the criminal justice system. (1/4) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A6 There's research about how parents of color flag different things about their kids development than white parents--and are often less scared. This is framed as a deficit and it really shouldn't be! What can we learn from these families? (2/4) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A4 Anything about adult diagnosis disproportionately benefits marginalized communities, since we are diagnosed later and less often. Same with issues like homelessness, and other ways we fall through the cracks. How can you find us, and how can you help? (3/4) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

A4: Finally: why are we so gay? (4/4) #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

:D SUCH A THING
(although, i am personally curious about the why but am also afraid if researchers latch onto this it will turn into "and how can we stop it") #AutINSAR https://t.co/STxNyrrw2B
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

Considering that in a study I read noting more autistic people in a bunch of trans kids, at least one autistic trans kid had designated-gender-appropriate behavior as a therapy goal, that’s already a thing. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

Relatedly: There seems to be a *lot* of overlap among autism, asexuality, and nonbinary gender, and I am genuinely interested in seeing more research on why that is. #AutINSAR https://t.co/llkYDz81Z8
— codeman38 (@codeman38) May 2, 2019

A6: I don’t know the answer to this but there seems to be fewer opportunities for minority autistic community members to safely speak up and say what their concerns are and be listened to #AutINSAR

Looking forward to our Equality, Diversity and Inclusion project @AutisticaUK https://t.co/kvvPYOaldW
— Bethan Davies (@BethAnDavies28) May 2, 2019

A6: Yes! And the problem is, we design all of our autism services around the views of the majority, and then wonder why minority groups don't engage with them...sigh! #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A6: ways to successfully include minority autistic community members in autism research, the first and easiest step is to consistently report the breakdown of the socioeconomic status, gender, race and ethnicity of participants #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A6: Are there even any autistic minority community members here on the chat? If not, that's a lowdown dirty shame. #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A6 I see many Autistic People of Color say that the advice generally given to Autistic people would get them or their children killed. There needs to be more understanding of the intersections that lead to such social injustice and ways to address it. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A6: Participatory research needs to make sure multiply marginalized autistic people are part of the work. I see a good bit where it’s autistic white boys on computers, and that’s pretty narrow. #AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A6: we absolutely need research on autism and gender identity and sexual orientation.
Developed a lovely proposal with @SedgewickF to look at co-creating relationship and sex ed materials for autistic children and young people. Not funded. 😕
#AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A6 How to help Autistic adults who have been institutionalized or otherwise isolated from the larger community become aware of their rights and aware of the ways to solicit support and assistance in taking charge of their lives. #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

#autINSAR A6. @CRAE_IOE's @LauraMayCrane did a survey with over 1000 participants. A weakness of the sample was a lack of ethnic diversity, with 95% of participants describing themselves as white. https://t.co/XPEp5iQdhW
— CRAE (@CRAE_IOE) May 2, 2019

A6: Yes, I did - thanks for the HT @CRAE_IOE! And the problem is that we use our knowledge from unrepresentative samples to design services and supports for autistic people...then we wonder why minority groups don't engage with services and supports 🙄 #AutINSAR https://t.co/QB6Jcqer4v
— Laura Crane (@LauraMayCrane) May 2, 2019

A6: Lots of stigma amongst minority ethnic groups. There is great work by @NuraAabe that is addressing this: https://t.co/ZHFNqPQgg5 #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A6: LGBTQIA+, trans, and non-binary identities. The impact of intersectionality on access to appropriate services and supports for those who are multiply marginalised. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

A6: In general, more research focused on autistic people of color and autistic women, girls, and non-binary folks! #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

One of my future dream projects is to examine how gendered social expectations of young children relates to autism symptom presentation. #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

A6:
Access to diagnostic resources
Barriers to participation in political venues for #autistic adults
Development of sexuality in #autistic brains#AutINSAR
— GhillieGuide (@Ghillie_Guide) May 3, 2019

#AutINSAR
A6
Not being diagnosed until adulthood, being misdiagnosed with other conditions... and again... and again. Being considered rude or hard or cold because you don't want to be touched, or don't always want to talk. Loss of trust in medical professionals.
— Rowan (@Rowan55388496) May 3, 2019

Q7: What are some barriers that make autism research results less accessible to #ActuallyAutistic people (cognitive, financial, etc), and how can we reduce them? 


A7: Perhaps TPGA can have occasional chats between #ActuallyAutistic autism researchers and the #ActuallyAutistic community #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

A7 Accessible language! Use layman terms whenever possible for your diverse audience. #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

Autism in Adulthood does lay summaries! Several people have told me they were glad to see it because it made it easier to understand the main points. #AutINSAR https://t.co/02SWBCg6SR
— Alyssa (@yes_thattoo) May 2, 2019

A7: researcher workload is a big issue. I know it seems whingey - tenured academics are an incredibly privileged bunch. But the skills that get them to that place - doing good research, sharing it with people - quickly get lost in the sheer quantity of tasks expected.#AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A7We need more accommodations for #ActuallyAutistic people financially to go to participate in research projects, for transportation, and other quiet time, and allocative resources. If they want our accurate voices they need to make space and understand our struggles. #AutINSAR
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

A7 allistic researchers seem to still be pretty insular such that i'm not sure it occurs to many people that the language they're using or the paywalls they're publishing behind are going to inhibit #ActuallyAutistic people from accessing their research #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

A7 #AutINSAR #INSAR2019

Paywall
Paywall
Paywall
Paywall

Autistic people can be often badly hurt by poor engagement
Financial and ideological self interests of some funders

Hidden agendas
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A7 oftentimes academics are welcome to share their published studies person to person, but #ActuallyAutistic people might never have been informed they can ask for that! #AutINSAR
— ⚡️ homo qui vixit (@endeverstar) May 2, 2019

There’s a reason I remind people they can ask me for my papers! On that note, you can ask me for my papers.

And most of my paywalled writing is on https://t.co/1F3s5xhPlb as well. #AutINSAR #ActuallyAutistic https://t.co/g1cNhKHAUW
— Alyssa (@yes_thattoo) May 2, 2019

Autism in Adulthood does lay summaries! Several people have told me they were glad to see it because it made it easier to understand the main points. #AutINSAR https://t.co/02SWBCg6SR
— Alyssa (@yes_thattoo) May 2, 2019

A7. Researcher @bhismadev wrote for us about the need to encourage public engagement from researchers at their research institutions. https://t.co/nGLtcNqTDl #AutINSAR
— Spectrum (@Spectrum) May 2, 2019

A7 Making research, results, and the process of consulting on research cognitively accessible is crucial to making sure autistic people with all kinds of support needs, including those with ID, are weighing in on research priorities. #AutINSARhttps://t.co/xWlzaeEzgX
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A7 In the DD policy world, ASAN has seen a surge of interest in Easy Read and plain language materials from orgs starting to realize that the people they serve should be able to understand their resources. Would love to see similar access measures in autism research #AutINSAR
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A7 And of course, #INSAR2019's backlash, among autism researchers, against the idea that autism research spaces should even *attempt* to be inclusive of and accessible to autistic people shows how far we have to go here. #AutINSAR
— Autistic Self Advocacy Network (@autselfadvocacy) May 2, 2019

A7 the sensory room is not sensory friendly @AutismINSAR. The natural sunlight, noise of the fan, the cooks and workers clanging, and the lack of instructions on the use of the room. #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

A7: the results of research is often only described in scientific papers which might be behind a paywall and written in scientific language. To change this we must get universities to incentivise researchers to do public engagement (i.e., make it a promotion criteria) #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

You never have to pay. Ask you library to get the article for you.
— (((Lisellecae))) (@Lisellecae) May 2, 2019

That’s great if you know about it, but without being told that most people don’t. I worked at a university until recently and yet still just quit out of pages with paywalls because I didn’t know how to do that
— ya boi frankles (@wheeflop) May 3, 2019

A7: the language and format that the research is presented in.
Summarise in lay-terms so that the people the research is about can easily see if it is relevant and the top level results before committing to a 30 page opaque report #AutINSAR https://t.co/3MFl4Xp7ML
— Bethan Davies (@BethAnDavies28) May 2, 2019

A7 some barriers: service providers who don’t keep up with the research, research hidden behind paywalls, media sensationalism of mis-understood research, research not getting written about clearly for those who can’t understand statistics and specialized language #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A7.
-Paywalls. So much paywalls. Open access or at least willingness to share papers would help immensely.
-Papers filled with jargon, with no lay-friendly abstract/summary available. (In some cases, not even accessible to academics from other disciplines!)#AutINSAR #INSAR2019 https://t.co/ln7nFwE6JH
— codeman38 (@codeman38) May 2, 2019

A7. I have a graduate degree in computer science, and some of the bio/psych posters that I’ve seen from past INSARs were completely incomprehensible to me due to unexplained field-specific jargon. #AutINSAR #INSAR2019
— codeman38 (@codeman38) May 2, 2019

A7: Researchers who don't want us in the room when they're talking about us. Researchers promoting myths and stereotypes about self-advocacy. Researchers throwing a fit over accessibility. Researchers talking about us like zoo animals. I can go on... #autinsar
— Julia Bascom (@JustStimming) May 2, 2019

#autINSAR A7. Language and visuals! We think its important to ensure that evidence-based knowledge is translated, so that it can have meaningful impact and make a real difference to people’s everyday lives.
— CRAE (@CRAE_IOE) May 2, 2019

A7: Researchers often assume that we know how autistic people want to learn about research - we need to do more to find out how best to share research findings then focus on prioritizing that (do one thing well rather than lots of things badly!) #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

A7: Research (and calls for research, which affects publishing) are really jargony. Even if you’re just in a different subfield it can be hard to follow!#AutINSAR
— Alyssa (@yes_thattoo) May 2, 2019

A7 Translation of research findings in an accessibly way. The expense of access. Triggers in research that may not be acknowledged #AutINSAR
— Cat Hughes (@naturetable) May 2, 2019

#AutINSAR er....conference costs?
— Dr Brett Heasman (@Brett_Heasman) May 2, 2019

A7 some ways to reduce those barriers: hire more cognitive interpreters to explain research clearly and accurately for the general public, the media, etc. Support open access academic publishing (our taxes support science, we have a right to be able to read it.) #autINSAR
— We Are Like Your Child (@wearelikeyrkid) May 2, 2019

A7: I think researchers often use terribly offensive language when talking about autism (abnormal, deficit, impaired) - this makes research inaccessible (I cringe at my old research articles where I used words like this...I'm trying to be a better ally now!) #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

As an early career researcher (some 10-15 years ago), I copied phrases I read in other research articles (which I now feel shamefully embarrassed about). Change needs to come from the top. Plus, it's 2019 people!!! #AutINSAR
— Laura Crane (@LauraMayCrane) May 2, 2019

Researchers ignore everything I say that doesn’t fit their preexisting narrative about us. Speaking from experience. #AUTINSAR https://t.co/5nb6ZFPNSn
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

A7: Accessible language - so many “lay” summaries are NOT lay. Paywalls, obvs. But also topics researched, and the way research is presented. Research so confronting that it triggers meltdown is NOT accessible. #AutINSAR
— Dr Jac (@JacdenHouting) May 2, 2019

A7: Talking about autistic people in dehumanizing terms, and not just about our disability. Reading about trans autistics, racialized autistics, autistic women in scientific literature can expose you to transphobic, racist, and sexist language real fast. #AutINSAR #INSAR2019
— Vivian Ly (@viv_ly_mw) May 2, 2019

A7: #AcademicAbleism is a huge barrier to critical, autistic-led autism researcher. Making higher education and academia more accessible is at the center of my work. #AutINSAR
— HelenRottier (@helenrottier) May 2, 2019

I think my biggest barrier to conferences is I have a huge amount of trouble recognizing people and if I do recognize people, I tend to get stuck at the joining/starting a conversation stage. #AutINSAR
So I guess if you see me, say hi!
— Kayden Stockwell (@KaydenStockwell) May 2, 2019

A7: Besides paywalls I think the biggest barrier is the lack of promotion and advertising of self-advocacy communities by mainstream existing support infratructure, autistic people have to do their own research to know organizations like @autselfadvocacy exist.#AutINSAR
— GhillieGuide (@Ghillie_Guide) May 3, 2019

•Academic-only release of information (financial (f), cognitive (c))
•General population releases written for a parents-and-educators audience (c)
•Lack of peer review from qualified readers who are #ActuallyAutistic (c)
•Paywalls (f) and low information literacy (c) on...
— Rebecca (@beccajacket) May 3, 2019

...how to request paywalled articles through one’s library (c).
•Inconsistent accessibly (practical (p)) and user experience (c) of library websites—some are really good, but others are at best confusing and at worst inaccessible. The info, not the staff once you reach someone.
— Rebecca (@beccajacket) May 3, 2019

But if you read my blurb, you’ll see I’m biased.
Oh! Last one: controlled vocabulary searches (e.g. Library of Congress subject headings) (c). They’re really good for collecting materials about similar subjects on the same results page, but preferred subject headings ...
— Rebecca (@beccajacket) May 3, 2019

Change slowly when they do change (fault the system not the catalogers). A lot of the terms are offensive to the population described (see: “illegal immigrants” as a subject heading), or were outdated for decades before change (May link examples if you like).
— Rebecca (@beccajacket) May 3, 2019

The language of subject headings is historically not written by stakeholders in the subject communities, and the process of changing subject headings involves replacement rather than networking (unless you’re AO3).
— Rebecca (@beccajacket) May 3, 2019

#AutINSAR
A7 Financial aspects. If not a professional, you most likely do not have access to journals and research paper unless they are freely accessible.
Patronising professionals who believe in leaving treatment decisions for yourself or your children to those who know best.
— Rowan (@Rowan55388496) May 3, 2019

Q8: Any topics we’ve missed that you’d like to discuss? 


A8: Exploring the phenomena of gender variance in the #ActuallyAutistic population without trying to fix it. #AutINSAR #INSAR2019
— Douglas Bass (@douglasbass) May 2, 2019

I think I say this ever year but I worry we in this chat are in an echo chamber and not reaching the people who REALLY NEED TO HEAR THIS STUFF #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A8: I've mentioned it already but I am like a broken record so happy to repeat the need to focus on systemic change to how autism research is done to make sure it is reproducible #AutINSAR
— Lorcan Kenny (@LorcanKenny) May 2, 2019

A8: a major barrier to good participatory working is that university Human Resources protocols are just not helpful when it comes to including paid autism community representatives in research. #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

A8 ah what else? Apparently if we are 5% of 2500 attendees, I wish I'd know how to meet all of these wonderful #ActuallyAutistic people. #AutINSAR
— Louise Âû (@au_louise) May 2, 2019

A8 #AutINSAR #INSAR2019
Some researchers need to see us as human and holistically plus see where all these research issues fit in the bigger picture of our narrative

If it’s about autistic people living fulfilled lives

then It’s about us being #AutisticSimplyHuman
— Flow Observatorium (@ObservatoriumF) May 2, 2019

A8: making autism research globally relevant is a major issue. 80% of autism research is done in 20% of countries. #AutINSAR
— Sue Fletcher-Watson (@SueReviews) May 2, 2019

Has anyone mentioned autism and pregnancy yet? #AutINSAR
— Solveig ⚧ - Autistic Acceptance Worldwide (@autisticb4mmr) May 2, 2019

No but a thing I’ve been wondering about is WHY is autism correlated with breech birth. (Are autistic pregnant people more likely to have their kids present breech?)#AutINSAR https://t.co/1gxEZeF4Lj
— Alyssa (@yes_thattoo) May 2, 2019

Here's the needed agenda:
#1-Work to make life better for actually autistic people.
#2-If you have a problem with #1, get the fuck out!
Simple.— Randy Germain (@ElBrutoBastardo) May 1, 2019

#AutINSAR Not mincing words here.
Far too many researchers have a problem with #1.
They need to find a different line of work. https://t.co/qTrI66gFYz
— Randy Germain (@ElBrutoBastardo) May 2, 2019

#autINSAR A8. Making conferences more accessible to the autism community and young and old researchers (autistic and non-autistic).
— CRAE (@CRAE_IOE) May 2, 2019

A8 Let’s talk about our interests. If anybody wants. Mine is Military, Military history. Model building. #Military #Fitness #ActuallyAutistic #INSAR2019 #AutINSAR pic.twitter.com/33JOUrihmU
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 2, 2019

We have a decent amount of evidence that being religious reduces anxiety and depression, and we also have research autistics are less religious. Can we make religion more accessible to have those effects on us?
— Autistic Priest⛪ (FrMatthewLC) (@AutisticPriest) May 3, 2019

I think we should offer people purposeful involvement in their communities (which is what generates this positive impact in religious groups), without them having to believe in gods if they don't want to. (Also, I wouldn't be comfortable in organisations like the Catholic church)
— Unicorn Ball (@Semilocon) May 3, 2019

I think community helps, but there is a positive impact on mental health even compared to people involved in non-religious community groups. There are deeper factors like the realization of ultimate meaning found in God. Religion, if done well, provides both community and meaning.
— Autistic Priest⛪ (FrMatthewLC) (@AutisticPriest) May 3, 2019

#AutINSAR
A8 Correcting common misconceptions about autistic people - a million carbon copied robots who are somehow both emotionless and suicidal, do not understand any social norms whatsoever and have no empathy. Also, that all parents of autistic children will get divorced.
— Rowan (@Rowan55388496) May 3, 2019

Talking about being mindful of Stigma, this is a continuous problem even in research. #ActuallyAutistic @AutismINSAR #AutINSAR #AutismINSAR #AnAutisticAtINSAR
— Aaron Bouma #Militaryspecialist #Carletoncounty (@CANADA566) May 3, 2019

Addenda


Cats have been mentioned! :) #AutINSAR pic.twitter.com/dTXgmlulW2
— Flow Observatorium (@ObservatoriumF) May 2, 2019

[image: Tabby cat with an embroidered felt Cheshire Cat
head stuck in front of the tabby's face.]
Je vous lis tous. Merci de vos partages. 😍 Une #ActuallyAutistic non anglophone de Montréal. #INSAR2019 #AutINSAR #Autism #Autisme #Neurodiversity #Neurodiversité
— Neurodiversité Art (@LucilaGuerrero_) May 2, 2019

[I read everything you shared here, thank you. 😍 A non-English #ActuallyAutistic from Montreal]

@AutismINSAR #AUTINSAR #INSAR2019 #ActuallyAutistic researcher attendee with a suggestion to make this a scent-free event...PLEASE (i.e., cologne, perfume, eating strong smelling food in meeting spaces). And if you’re following this # and in attendance please take note
— jÂcqûelyn (@fedej44) May 3, 2019

An important, community-cleaving debate at #INSAR2019 and #AutINSAR: why do so many #ActuallyAutistic people prefer cats over dogs?

I jest. Actual convo:
“Yay cats!”
“Yay dogs”
“Animals are unpredictable!”
“…and all these opinions are fine!”

image: black-and-white cat in a box.
[image: black-and-white cat in a carboard box.] 
pic.twitter.com/63WLihBmsa
— Thinking Person's Guide To Autism (@thinkingautism) May 11, 2019

Notes


We removed the original Twitter formatting as this many embedded tweets takes forever to load, plus are challenging for many of our community members to parse. If you want to see any tweet in its original context, please click on the date link (e.g., "May 2 2019") at the end of its entry.

Also, please know that some participants have private Twitter accounts. For this reason their comments, though valuable, will not be included here.

AutINSAR is a partnership between our team at Thinking Person's Guide to Autism, and The Autistic Self Advocacy Network (ASAN), NOS Magazine, Autism Women and Nonbinary Network (AWN Network), AutChat, and We Are Like Your Child. This year we welcomed new partners Flow Observatorium and Autistics 4 Autistics Ontario.
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Parenting Kids With Disabilities: How to Get Through Tough Times

Shannon Des Roches Rosa
www.squidalicious.com

Content note: This article discusses abuse and murder.

Photo © Steve Silberman
[image: a white woman, standing behind a white teen boy
with brown curly short hair. He is looking at the camera.
Her arms are over his shoulder, his arms are up
and tickling under her chin.]
When parents like me talk about our kids with disabilities and intense support needs, we have to be thoughtful. We need to make it quite clear that our kids are much-loved and very awesome human beings. We should never, ever state or imply that any challenges we face as a parent are our children's fault. We need to handle their privacy with delicacy. And we shouldn't accidentally enable disrespect towards children who are already too-frequent magnets for morbid fascination, and pity.

But we do need to talk, because our parenting gig is not like other parenting gigs. It just isn't. We, our kids, and our families need different supports than families whose kids don't have disabilities, and we often need a lot of them. Sometimes we're not always sure where to find those supports, or even aware of available supports; sometimes we're ashamed to pursue the supports we and our kids need. And not having the supports we need for the best quality of life possible can lead to unnecessary hardship for everyone involved.

So, let's talk about what parents like us need, and especially how to get what we need. But first, I need to be forthright on one matter: In no way does lack of services excuse harming our children. Ever.

People with intensive support needs deserve sufficient resources, and so do their families. When these services are minimal or unavailable, that is a large-scale failure on our society's part. However, insufficient resources don't explain or justify murder of disabled children, because such crimes—which are also, frighteningly, not rare—do not actually have lack of services in common. So please don't buy into or spread the dangerous message that if parents don't get enough services, they might kill their autistic or disabled child.

Instead, parents—like me, like you—need to hear that it's not a failure or shameful to ask for help, and we need to feel safe about doing so. For our own sake, of course, and because reaching out also protects our kids.

Being in crisis is not the same as being a failure. Nor is it a personal failure to admit you and your child need help. So we need to work past fear and misinformation, and get educated about what our support options are, both during emergencies, and in general. Misinformation can lead to tragedies, as when parents absorb media-propelled myths that it more understandable for a mother to try to kill her child than to call Child Protective Services (CPS) on herself if she's thinking about harming that child. These dangerous myths sometimes persist because parents don't actually understand the role of CPS in protecting both children and families, nor are they aware of emergency services or rights-based services that were always available to them, if they'd known or been told where to look.

I spoke to Dori Tanaka, Family Resource Specialist Coordinator at Support for Families in San Francisco, who says:
"While contacting CPS is perceived by many families as a negative, it can help families access emergency services. Once CPS is involved, they may be able to assist families with support to get through a crisis. If possible, CPS's goal is the reunification of the family. 
"Unfortunately, it would be better if families did not have to resort to using CPS services; it would be better if services that would help them in caring for their children were easier to access. [But] many parents are often unaware of resources like Support for Families (and its local sister agencies) that help San Francisco families of kids with disabilities navigate IEPs, home health care, childcare access, and insurance scenarios -- services that can help prevent getting to that crisis point in the first place."
But avoiding parenting crises isn't just about services. We also need to be thoughtful and compassionate in how we approach our parenting, because our kids do not exist in a vacuum. They have a relationship with us, they react to us, and if our behavior and parenting choices do not respect our kids' needs and choices, then we parents can actually be the main problem in our kids' lives.
Especially when, as with autistic kids like my son, so many treatments and approaches and interventions are based on "normalizing." If we prioritize compliance and obedience, if we do not allow that autistic people have autistic brains and autistic learning styles, and are ill-served by forcing them to learn in non-autistic ways, that can lead to trouble.

How else can you work on improving your outlook and attitude as a parent? By finding a supportive community. Community matters, when it comes to feeling supported as a parent. It matters a lot. Both online community, and IRL.

You need to be selective, though. You need to connect and talk with people and parents who are good listeners, and avoid those who aren't. Once, when I was feeling particularly overwhelmed, I managed to squeak in a night out with a friend. On the ride home, I confided in her about some of my parenting worries. She responded by telling me about a friend whose children died from degenerative diseases, implying that by comparison I didn't have anything to worry about. I certainly never confided in her again.

Because when when any of us are floundering, depressed, or in crisis, it doesn't matter if other people have things harder. They are not living our lives. We are. So find someone who gets you, who wants to be around you, and/or who wants to listen (and to whom you will return the courtesy, yes?). Then cut the scoffers or other unfriendlies out. Your time and energy are precious, so don't waste them on people who treat you and your heart thoughtlessly.

Unsurprisingly, many of my friends are parents of kids with disabilities, and/or autistic and/or disabled themselves. When we talk, we talk—and talk and talk and talk. We discuss things we would never, ever say in public, out of respect for our kids and also for the reasons listed in this essay's first paragraph.  We coach and advise each other. And we talk about silly things that are totally unrelated to our kids, because all parenting all the time gets old really quickly. It's all cathartic, it's all fair, and it's all necessary. So try to find your people. Either IRL or online is fine, and anyone who tries to tell you that online community isn't real is living in 1994.

A last, much-appreciated resource for me (as I've written many times) is the writings and insights of autistic adults. Parents and professionals are capable of beautiful observations and crucial recommendations, but there is no substitute for having lived an autistic life. Consider also my personal experience: professionals were the ones who lobbied for my son to have early intervention because otherwise he might "never develop" life skills—and left me a panicked, jibbering wreck; autistic people are the ones who soothed my soul by reassuring me that my son's developmental trajectory was his own, and that, like them, he's probably going to be a life-long-learner and developer.

And of course, my son is also good at teaching me what he needs, as long as I'm paying attention. Our relationship is one of affection and synergy rather than one-sided deficit-battling. He is not my precious special angel meant to teach me life lessons, but rather an embodiment of self-advocacy and grace despite the crap that life, silly people, and even well-meaning people constantly throw at him due to his disability. I hope I will always have his back in the way he deserves, and in the way he has mine. Even when things are tough for either of us.

A final reminder about healthy attitudes towards parenting kids with disabilities, from autistic autism parent Ally Grace. I think we all could all use such a reminder. Possibly daily. Possibly hourly.
"My children owe me nothing. I brought them into the world, which was my choice and is my responsibility now. I will unconditionally embrace who they are. Because that's my job. And because that is my ethical obligation to my children, who are fellow and equal human beings. Whatever their neurological makeup."
Please know that I am not saying every parenting crisis of ours is fixable, because that also would be unfair and untrue. But there are tools, there are people, there is information that may prevent crises from happening, and can also help us find our way to the other side when crises do happen. We parents of kids with disabilities both deserve and need to know more, and feel better, about our options.

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Resources

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A version of this essay was formerly published at BlogHer.com
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Autism Is Not "Behavioral"

Cal Montgomery

buoy
Photo © Teresa Alexander-Arab | Flickr / Creative Commons
[Image: A green buoy on the surface of a body of water on a sunny day.]
Autism is not behavioral. Atypical behavior is not autism. It is a consequence of autism. It is surface markers by which what is underneath may be suspected, diagnosed, and investigated. Altering behavior doesn't alter autism.

Everything we recognize has surface markers. Fear, for instance, may look like a cold sweat, breathing hard, and dilated pupils, but that is not what fear is.

ABA, the most popular monopoly for interacting with autistics, denies the "underneath." It says that the surface markers are all that matter. It is profoundly dehumanizing. It is also a worldview that is almost impossible to maintain.

When you call autism a behavioral disorder—and I am not touching the "disorder" part right here but I also do not accept it—you are focusing only on the part of the person that you can see, as filtered through your own neurocultural understanding. You are denying that there is something deeper.

Would that be how you would want people to relate to you?

When you say that autistic behavior has only four functions, you are denying that autistic people are moved, that we yearn and are repulsed, that we struggle to do the right thing against self-interest, that we tremble in terror and that we aspire. That we are human. Imagine any of the great poets rewritten to replace deep emotion and the human condition with attention and tangibles.

Would you accept that for yourself?

"They don't feel it like we do" is a dismissal of autistic humanity.

The fundamental core of allistic*/autistic relationships, at least where I am, is a refusal to take autistic humanity seriously, to accept that we are people with real perspectives and real understandings—no matter what our disabilities—that deserve to be taken seriously and treated with respect. These perspectives may not be readily accessible to others, but yet they exist. Instead, facile and frequently self-contradictory assumptions are drawn based on an assumption that the core of humanity is limited or absent, and autistic perspectives are regarded as innately deficient, if they exist at all.

The belief that rich personhood is incompatible with substantial disability, especially intellectual disability, drives this divide, so that personhood can only be acknowledged in those considered fundamentally nondisabled; and acknowledged disability is treated as inherently dehumanizing. It is not. Profound disability and profound personhood coexist everywhere.

Onto the dehumanized figure we project all kinds of horrors, and we become something to be controlled rather than someone to empower. And we return to ABA, a technology of control, of altering the surface behaviors while ignoring what lies beneath.

A child does not become more human because they become more familiar to those who deny their humanity. Aping the majority culture does not take away minority status. It merely makes them more palatable to those with power over their lives.

Is palatability the goal you would choose for yourself?

This is what you are doing when you say autism is behavioral. You are participating in a movement to deny autistic personhood.

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*"Allistic" means "not autistic."
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INSAR 2019: Yet Useful Research and Autistic Representation Persisted

Shannon Rosa
Senior Editor

The TPGA team attends INSAR, the annual meeting of the International Society for Autism Research, annually and has done so for eight years. We participate as journalists covering important autism research for our community, and also from our combined personal investments as parents of high-support autistic teens, autistic self-advocates, and autism professionals. 

I found INSAR 2019 to be the most progressive annual INSAR meeting since I first started attending in 2011, going by TPGA's priorities of spotlighting research addressing the health and well being of existing autistic people, centering improved autistic quality of life as an optimal outcome, and increasing and acknowledging participation of autistic people themselves. I also appreciate seeing an increasing emphasis on autistic people and their families' day-to-day under-recognized concerns, including co-occurring conditions like GI issues and sleep disturbances, practical considerations of transitions to adulthood, suicidality and other mental health matters, physical activity, and tailoring supports and outreach for low income and/or racially diverse communities.

Most researchers we talked with and listened to seemed to understand that, in undertaking autism research, they are de facto advocates for the underserved and actively marginalized autistic and autism communities. I appreciate their work, as well as their solidarity with INSAR's autistic attendees, and was not alone:

Yet the things I was pleased about at the conference happened despite, not because of, the INSAR powers-that-be. While increasing numbers of conference researchers and presenters recognize that autistic people and their families need all the autism research we need, this year the INSAR board announced it was trying to "restore balance," and de-center non-biomedical autism research.

Why? Politics. We were told the reason was lobbying by SFARI, the Simons Foundation Autism Research Initiative. SFARI prefers the meeting as originally conceived back in 2001: neuroscience-based, and in keeping with SFARI's traditional medical model, deficit-defined approach to autism. While Simons efforts don't dominate INSAR funding, the foundation is a major source of autism research funding. And, like many well-funded-and-connected entities, flexing their influence generally gets results.

Even when those results doesn’t make sense: Excluding or minimizing non-biomedical research at INSAR would unnecessarily limit good and useful autism research, because there aren't any other international autism research conferences of note. Plus, the Society for Neuroscience conference is still happening every year, and continues to have autism content. There's no rational reason to stop making space for as much diversity in research and researchers as annual INSAR conferences can shoehorn in, and, frankly, this "change is bad" approach seems like an ironically rigid and maladaptive move for an organization bent on eliminating or "treating" such traits in the autistic population.

Simons also funds Spectrum Magazine*, which covers autism research, and, in leading up to the INSAR conference, published two pieces titularly about "autism wars" and "tension," but which were really about why a lot of medical model approach people don't want to listen to or respect rights-based autistic advocacy. It seems disingenuous, or at least ill-informed, to highlight and promote arguments that autistic self-advocates—generally known for their dedication to social justice without regard for personal cost (a stance research bears out)—aren't trying to serve the greater good of their entire community. Now, as Spectrum is a Simons effort, I am aware that it is not realistic to expect the magazine to cover autism research in a non-deficit model way. And I certainly don’t mean to imply that the phalanx of Spectrum journalists who cover the annual INSAR meetings are bad people, but rather that they operate according to their mission, just as we do, and that when they get things right by autistic people, that tends to be the exception rather than the rule.

While part of the problem in medical model autism researchers' and journalists' deficits-only lens is a tendency to see autistic people as subjects rather than human beings with opinions and rights, as Sara Luterman noted,
…another issue may be non-autistic people's own communication deficits. We talked with Dr. Catherine Crompton, whose research on Information Transfer between Autistic and Neurotypical People brings quantification to Dr. Damian Milton’s Double Empathy Problem. Her study concluded that, while autistic people communicate well with each other, and non-autistics synch well with non-autistics, there are significant gaps in trying to communicate information between autistic people and non-autistic people. (We interviewed Dr. Crompton during the conference, so stay tuned for our report.)

It may be that this same communication gap was behind attempts to pit researchers and autistic people against each other during the conference:
Which is odd considering that many attending researchers are themselves autistic, and already often discriminated against, including having their expertise and experience met with skepticism—as James Cusack noted:
INSAR needs to stop pushing back against an increased autistic groundswell, if for no other reason that, as INSAR board member and autistic advocate John Elder Robison noted, five percent of registered INSAR 2019 attendees were autistic self-advocates and/or researchers, and/or journalists. Five percent percent of 2200 people is, well, kind of a lot, and if autistic attendance keeps increasing without officially sanctioned, genuine inclusion, INSAR is going to find itself in a pickle.

Autistic researcher Dr. Jac den Houting with their 
poster on participatory research in Australia. 
[image: A white person with dark pulled-back hair and lip
piercings, next to a study results poster.]
Self-advocate Louise Tardif, presenting a group poster on 
Services for Family-Dependent Adults. Photo © Jon Adams.
[image: A white person with long straight brown hair
with bangs, standing in front of a study results poster.]
And Mr. Robison's five percent estimate doesn’t include the autistic researchers who aren’t officially "out," from either explicit or implicit discouragement from their teams and institutions about disclosing their neurostatus:
So, all, please check out these Autism Acceptance guidelines from The Autistic Self Advocacy Network, and share them liberally with your peers, teams, and organizations.

[*sound of needle being dragged across a record*]

As for the conference programming itself, that was an exercise in sheer FOMO terror. (If you want to experience delayed overwhelm, you can still look through the conference program and abstract book [PDF]). We tried to hit as many sessions as we could, but still missed Sarah Hampton on Autistic Mothers’ Wellbeing during Pregnancy and the Postnatal Period; Dr. Lisa Croen on SSRIs and pregnancy (no link to autism, people!); Dr. Josephine Blagrave, Dr. Emily Bremer, and Dr. Andrew Colombo-Dougovito on caveats, barriers, and best practices for physical activity for autistic people—and even sometimes missed crucial nuggets in panels we did attend, e.g.:

Here's what we did attend: Dr. Sarah Cassidy and group's excellent pre-conference session on autism and mental health (we live tweeted much of it, but it was also recorded in its entirety, so hopefully we will be able to share more about it soon). We were impressed by everything we saw, including Dr. Christina Nicolaidis's presentation of Dora Raymaker's work on autistic burnout, and Dr. Rachel Moseley, whose work on self-injury in autistic people without intellectual disability is sobering—so definitely watch out for our forthcoming interview with Dr. Moseley.

Dr. Rachel Moseley during her presentation on autism and self-injury
[image: White woman with glasses and long dark hair, speaking at a session,
and pointing at a projected slide about reasons autistic people self-injure.]
The INSAR press conference, aside from announcements about wanting the meeting to be a redo of its biomedical sciences origin story, contained exciting and useful research fom Dr. Olivia Veatch on sleep disturbances (not sleeping is bad for all humans, and so, yeah, it's bad for autistic people too), and Dr. Ruth Ann Luna on gut and microbiome issues (we are finally seeing research about co-occurring conditions as separate health issues with autistic-specific expressions, rather than as "treatable" symptoms of autism. This is a relief). We interviewed Dr. Luna, and that article is coming soon too.

One of the highlights of the conference for us was AutINSAR, a conversation between autism researchers and/or autistic community members, both in person and on Twitter, which we co-hosted for the third year in a row. AutINSAR was rollicking good fun with excellent points made by all, and so heavily attended IRL that people had to sit on the floor around the perimeter of the room. It takes a while to compile Twitter chats into usable formats, but rest assured a full summary is coming.

The IRL #AutINSAR crew
Back row: Emily and Manuel Casanova, Jon Adams, Bret Heasman, Sue Fletcher-Watson, Anne Fritz,
Cat Hughes, Aaron Bouma, Bethan Davies, Corina Becker, Stephanie Vreeland, and Steven Kapp
Center row: Sara Luterman, Christina Nicolaidis, Lorcan Kenny, Christine Jenkins,
and Louise Tardif. Front: TPGA editors Shannon Rosa & Carol Greenburg
[image: Crowd of neurodivergent people posing in the corner of the INSAR press room.]

John Elder Robison, reigning over the Stakeholder's luncheon
[image: A tall white man with short silver hair and glasses, 
speaking at a podium, wearing a red paper crown.]
The annual Stakeholder's luncheon was also useful. John Elder Robison was emcee, reminding us about shared community goals and the productive things that can happen when people work together. There were tables and tables of autistic people in proud solidarity, along with parents and other family members (we had at least two siblings at our table). I was glad some high-support individuals were there too, and was not the only person who appreciated some of the autistic attendees' verbal stims, as in my case they reminded me of my son, whom I hadn't seen for a few days. Of the speakers, the most bracing was Dr. Vikram Patel (who also gave a keynote), who reminded us that on a global scale most autistic people have no supports whatsoever.

One table of neurodiverse good company at the INSAR Stakeholder's luncheon.
[image: Nine people of diverse races, autism affiliations, and neurologies:
Back row: Carol Greenburg, Kyle DeCoste, Dr. Deb Karhson, Fernanda Castellon,
Sara Luterman, and Stephanie Vreeland.
Front row: Corina Becker, Elliott Keenan, and Dr. Steven Kapp.]
Dr. Patel's message was a reminder of why we do what we do at TPGA: We aim to generate as much useful and freely available autism information as we can, and get it to people who need it, regardless of what other supports they may have. And even though our resources are still mostly in English, we are open to translating and adapting them for other communities. Ask us!

During the main conference, we attended and live-tweeted several sessions: Co-Morbidities (co-occurring conditions like anxiety, depression, and executive functioning difficulties), Health and Well-Being in Transition-Age Youth and Adults, and Cultural and Structural Factors Underlying Diagnostic and Service Disparities Among Racial/Ethnic Minority Children in the U.S.

We also attended and published highlights on Learning How to Prevent Suicide in Partnership with Autistic People and Their Allies, which featured a pointed and moving talk from autistic artist Jon Adams. The Special Interest Group (SIG) on Gender, Sexuality, and Romantic Relationships addressed real-world concerns, and I particularly welcomed the section on supporting people with intellectual disabilities. We also appreciated the SIG on Autism and Related Disorders in the Context of Humanitarian Emergencies, which included the reminder that we cannot merely translate autism materials; we have to make them culturally-specific and -informed.

All the very practical but non-biomedical sessions we attended were popular, and some, like the Co-Morbidities sessions, had attendees lined up against the walls and sitting on the floor despite the room having hundreds of seats. This means attendees are voting with their feet (and butts). I'd like to think the INSAR board can't ignore how much INSAR attendees want to see quality of life-attuned research.

I also hope the INSAR board takes note that, as Dr. Sue Fletcher-Watson reported, dismissing autistic accommodations at the meeting itself is uncool. Last year the conference tried to promote flappause, AKA flapping one's hands instead of applause, so as not to assault those with auditory sensitivities (i.e., a large section of the autistic population). This year year the board backed off due to non-autistic pressures, and said flappause was a personal choice. I think this was an [expletive] move at an autism conference. Autistic attendees weren't pleased, and flappause continued to happen among increasingly sheepish applause:

We need to increase autistic accommodation at INSAR, not reduce it. Having a sensory/quiet room is a good start, but the poster sessions were still sensory hell, and many autistic attendees publicly reported having a tough time navigating the conference in general. And we know the INSAR board is aware of these issues, as board member John Elder Robison is publicly soliciting, listening to, and taking autistic concerns seriously.
So those are my takeaways from INSAR 2019: Oodles of solid content and autistic representation, despite conference organizers not entirely in touch with the most ethical motivation for autism research: to figure out best practices for helping and supporting the autistic people and their families who are already here, already struggling, and who deserve the best quality of life possible. Hopefully the INSAR board will start listening, with results reflected in next year's 2020 conference in Seattle.

We're interested to hear your take on INSAR 2019.

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*Disclosure: Editors Shannon Rosa and Carol Greenburg have written for Spectrum Magazine.
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INSAR 2019: Gender, Sexuality, and Romantic Relationships

Today's INSAR 2019 Special Interest Group (SIG) on Gender, Sexuality, and Romantic Relationships was led by Laura Graham Holmes and Jeroen Dewinter, and co-led by Anna van der Miesen. Essentially, relationships and sexuality are central to everyone's health and well-being. But there isn't enough useful research and materials available fo autistic people of all ages and abilities, their families, and healthcare professionals, and many have expressed the need for research and guidance. So that's what the SIG leaders and the participants in this well-attended session talked about. Any errors or omissions in the highlights below are on us.

SIG participants Sara L, Dori Z, Jac dH, and Christina N, in discussion
[image: Four people of varying gender identities and neurotypes,
talking at a conference table.]
Last year’s Gender, Sexuality, and Romantic Relationships INSAR SIG was about determining the most important issues for the autistic community, in terms of gender and sexuality and relationships. The ultimate goal for this SIG is to create a resource hub.

The SIG leaders started out with the World Health Organization (WHO) guidelines:
"Sexual health is a state of physical, mental and social well-being in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence."
Sexuality is a holistic concept. It’s not just about risk reduction. It’s also about living good lives.
Sexuality is for everyone, not just those who have relationships with partners.

Gender is separate from sexuality. A useful resource is The Gender Elephant, "an educational tool that can be used by anyone to help learn and teach the concepts of gender identity, gender expression, sex, physical attraction, and romantic attraction."

The Gender Elephant teaches gender and romantic concepts with simplified visuals
[image: Illustration of a pink elephant in a gray suit, next to a visual chart explaining gender
 identity, gender expression, sex assigned at birth, physical attraction, & emotional attraction.]
Most available research about autism and sex is about sexual behavior, knowledge, and attraction, and also identifying as LGBTQ+. Which is good, bt we want more research on matters that can contribute to autistic people’s quality of life.

We need to incorporate concepts like self-determination.

Previous autism & sexuality SIGs revealed three major areas of interest:

  1. Getting a better understanding of autism, sexuality, & relationships.
  2. Supporting sexual wellbeing and relationship satisfaction.
  3. Autistic perspectives in research, healthcare, and society.
We need to take this research on autistic sexuality realities, and bring it back to the community to help counter myths about autism and sexuality, and get people the resources that will actually improve their life quality.

Working closely with autistic people on autism and sexuality matters makes research better and leads to more useful supports.

Commentary: The best information about sexuality and autism is coming from the autistic and advocacy communities right now, not the research community. We need more practical and applied resources.

Seems like lots of people in the autism and sexuality SIG are looking for collaborators. Some folks are working on tools to help autistic young adults have open conversations about autism and sexuality and their personal experiences.

We need to help clinicians break down the uncomfortable conversations about autism and sexuality, especially since these topics should but rarely come up in autism evals like the ADOS. How do we get relevant gender and sexuality questions into autism studies other people are already doing?

We then moved to the discussion group on including and reaching non-speaking people and people with intellectual disabilities (ID).

Sara Luterman talked about the utter lack of sexual resources for people with ID resources, especially for LGBTQ+ needs. People with ID are complicated sexual being too, and autistic people are more likely to be LGBTQ+.

Carol Greenburg, who is both autistic and the parent of a partially-speaking autistic teen, mentioned Autistic people with ID need to learn about health boundaries: Pulling a girl’s ponytail because a kid is attracted to her is NOT OK, with kids w/ID or no.

Sara Luterman reminded group that teens look at pr0n! So how do we support that healthily?

Parent reports on sexuality are NOT going to be accurate. Again, this is true for autistic people w/ID and people with neither of those traits.

To teach sex ed properly, we have to talk the variety of ways in which people express their sexuality. Parents tend to be OK with it, sort of, until LGBTQ+ and tech (vibrators etc.) aspects arise. Then it's considered off-color.

What teaching health sexuality boundaries for people with ID can look like: IT’s OK to take pictures of your own bits, but it is NOT OK to send those pictures to other people without their consent.

What do visual supports for people with ID, in terms of sexuality materials, look like? Is there a SymbolStix symbol for a penis? And visual materials like po_rn are not realistic at all.

We also need good guides about things like masturbation, and consider that parents can introduce the materials, but then have the teens/clients watch the materials on their own. (We recommend Diverse City DVDS) A problem, though: many group homes are run by religious groups, and/or only have one computer in a public place. This means that not only do autistic people not have access to sexuality materials, but if they do, there’s no place to use them in private.

Another autism and sexuality complication for autistic people, from Sara Luterman: When you need more support, then functionally, you have less privacy.

Also: Even in mainstream sex ed, there’s a lot about how to say NO, and not a lot about how to say YES.

Sexuality is not unhealthy! So let’s talk about pleasure and well-being instead.

We also need more training materials about sexual identity matters, as those tend to be lacking in autism contexts.

John Elder Robison: Is the autism neurotype a key matching factor for successful relationships for #autistic people?
We need a self-advocacy curriculum for kids, because sometimes it’s not safe for adults to be involved, and kids need to know when and if to approach adults about sexual safety matters.
Kidpower California was suggested as a resource, but we have not verified it.

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INSAR 2019: Learning How to Prevent Suicide in Partnership with Autistic People and Their Allies

Yesterday we attended the INSAR 2019 panel Where Do We Go from Here? Learning How to Prevent Suicide in Partnership with Autistic People and Their Allies, led by Sarah Cassidy from Nottingham University who has been doing this for four years now. Here is what the speakers had to say. (Any errors or omissions are on us.)

More than 10K stakeholders worldwide have identified the top 10 priorities, with equal representation of #autistic people:
  1. What increased barriers do autistic people experience when seeking help which may put them at greater risk of dying by suicide?
  2. What are the risk and protective factors for suicide in autism across the lifespan?
  3. To what extent are autistic people not believed about the extent of their distress?
  4. How can we further understand suicide where mental health is not a factor across the lifespan?
  5. What are the best ways of identifying and assessing suicidal thoughts and suicidal behaviours, in autistic people, in research and clinical practice?
  6. How should interventions be adapted for autistic people and individual presentations?
  7. What is the experience of suicidality in autsitic people? Is this experience different than the general population?
  8. How do autistic people seek help when they are in a crisis?
  9. How well do existing models of understanding suicide apply to autistic people?
  10. What is the impact of poor sleep on suicide risk in autistic people and how can this be measured?

John Adams, an autistic person and artist on why lived experience is key:

“I don’t live with autism. I live with my wife and two cats. I do live with PTSD."

"We’re losing autistic people daily, and they’re often not remembered."

What barriers do autistic people face? Jon Adams says:
  • Attitudes towards me
  • Attitudes about me
  • The current mental health system
  • Being dismissed
  • No specific autistic pathway
What are the risk and protective factors for suicide in autism across the lifespan?

To what extent are autistic people blamed about the severity of their distress? This leads to trauma.

Adams has heard people say they can’t get treatment for PTSD until the trauma stops? WTF.

"Our narrative is often dismissed and misunderstood."

I want to stay as long as I can, but is leaving a pragmatic decision I need to take if I become infirm?

Autistic people should be leading these discussions, yet our experiences are often written over. The next generation deserves better.

“Mindfulness” is useless. And medication to numb him is not OK either. He wants action, but on #autistic people’s terms.

What is the experience of suicidality in autistic people?

Also: Mental health professionals often cause PTSD in autistic people, according to Jon Adam. Restricted and repetitive behavior SAVED him.

How do autistic people seek help when they are in a crisis?

They’re often called "treatment resistant." Adams says, maybe instead of blaming autistic people, consider how you’re treating them. Why wold they want to “stay” if you blame them so?

Why are the effects of sleep issues on suicidality in autistic people? Sleep problems are bad for everyone, and autistic people are human, so sleep problems in autistic people are bad.

Recommends others treat autistic people with consideration, acceptance, kindness, and genuine listening to unique experiences.  

How can we best identify and assess suicidal thoughts and suicidal behaviors in autistic people?

The validity of tools depends on context:

How can we determine if a tool developed for the general population is OK for autistic people? One factor missing is alexithymia, or not necessarily having access to the real-time experience of one’s own emotions.

We have to involve the autistic community in any tools or interventions for helping people with suicidality.
The Mental Health in Autism project is a participatory research project to deeply new assessment tools for autistic adults.

Theorize that #autistic people would have difficulty communicating their suicidal intent, so they tested the theory.

For threat of suicide attempts, autistic people are more likely than general population that they are having suicidal thoughts, but that this is associated with lifetime   and attempted suicide.

Autistic adults have difficulty attempting certain questions, e.g., questions about what they will do in the future. “I can’t say never, even though I’m not at risk now."

We need to adapt measures to better determine suicidality in the autistic community. We need to do a LOT more work.

Next steps: Measure has been adapted to unrecognizability! Which is good.

Next: Paul Lipkin from Kennedy Krieger, on screening for suicide risk in a pediatric autism population.

WHO say close to 800K people die from suicide every year.

For each death, there are 20 attempts.

Suicide is the 10th leading cause of death for all ages.

The pediatric community has not been on top of this.
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INSAR 2019: #Autism and Related Disorders in the Context of Humanitarian Emergencies

Shannon Rosa
Senior Editor

[Note: This report is based on @thinkingautism live-tweeted coverage, and as such may contain errors or omissions.]

Report from the INSAR 2019 Special Interest Group (SIG) Autism and Related Disorders in the Context of Humanitarian Emergencies.

SIG summary: "UN figures estimate 48 million children are impacted by humanitarian emergencies, including armed conflict and natural disasters. Within this population, children with autism and developmental disorders are extremely vulnerable to poor short and long term outcomes. There is increased awareness of the vulnerability of these children but limited research based knowledge on how to best address their needs. We aim to launch a platform for communication and collaboration between autism researchers and key stake holders in the humanitarian setting to address this gap."

First up was Doctors without Borders and SIG leader Ramzi Nasir, a developmental pediatrician who worked in conflict zones. He asked: Can we use remote consultations to increase support disparities?

We will be hearing from group of professionals with experience with children with developmental disabilities (DDs) and humanitarian emergencies. One effect of trauma during conflict means diagnoses/traits can be muddied, because of the overlap between developmental disabilities and the symptoms of trauma.

There are an estimated 535 million children, nearly 1 in 4 globally, who live in countries affected by conflicts and disasters. And we don’t know enough about the rates of developmental disorders in those countries.

The ultimate aim of this SIG is to collaborate between researchers, professionals, and stakeholders of the affected areas to promote research important for the care of and support of children with autism & related disorders.

Daniel Martinez from MSF (Doctors Without Borders) started an org for areas in post-conflict conditions called everywhereschools.org, to provide support once acute phase of conflict has resolved. MSF struggles with how to speak out during conflict/post-conflict without making things worse. Specific challenges include safety and complex needs. Martinez wanted to emphasize that while the data is not good, conflict areas have mortality rates that have not kept pace with modern improvements—some mortality rates are the same as they were decades ago, while those rates in other countries/regions are improving by contrast.

When we talk about what happens to children during wars, there are special considerations, and we need more research on what the long-term effects of these factors are:
  • Vulnerable population (though in some cases resilience can be enhanced)
  • Loss of opportunity (school/nurturing/protective adults) 
  • Trauma
  • Health (disease/malnutrition)
  • Migration/unaccompanied minors
  • Maltreatment
  • Sexual violence
  • Child soldiers
  • War toxicity/environmental degradation
Ramzi Nasir, a Palestinian man with short light hair  speaking next to a conference display screen
Ramzi Nasir presenting at the SIG
[image: Ramzi Nasir, a Palestinian man with short light hair
speaking next to a conference display screen.]
All of these previous factors already affect typically developing children. But what about children with developmental disabilities in conflict or humanitarian emergency regions? We don’t have a lot of data to show what happens to these kids, or on prevalence. But when we do have data, it tends to be sobering: At least 30% of refugees in Syria and Lebanon have a specific need.

Now: Laura Pacione with WHO/Dept of mental health and substance abuse; on broad overview of humanitarian response, to coordinate and ensure response is coherent and appropriate.

Humanitarian emergencies require a huge amount of coordinated collaboration and cooperation, to ensure kids get care during those crises. Lots of NGOs and government agencies too.

World Health Organization's Interagency Standing Committee (IASC) has Guidelines on mental health and psychosocial support in emergency settings. Frameworks informing the guidelines include WHO's Nuturing Care for Early Childhood Development nurturing-care.org, on providing security, safety, good health, nutrition, and more.

Also of note, the Canadian Government's “Building Back Better” guidelines: We need to ensure we build new services after the end of an emergency. There can be opportunities to create new services for kids with DDs, sometimes ones that didn’t exist before the crisis.

Now Andria Spyridou, of the International Medical Corps (IMC) mission in Syria and the Middle East. Challenges in Syria related to the conflict and displacement: Kids out of school & deprived of support, lack of professionals trained in child development and developmental disabilities, experience of violence an adversities can deteriorate development for all kids but especially for kids w/DDS
WHO Caregiver Skills Training has guidelines for caregiver-mediated intervention for kids with developmental disabilities who are 2-4 yrs old.

IMC also has regional cultural/contextual adaptation process that is modified for humanitarian settings, as material needs to fit the population addressed. Training and supervision of the facilitators is key to success of remote supports and evaluations for kids with developmental disabilities in conflict zones and humanitarian crises, which is why their training includes video recording of kids and remote consultations. Especially important as with displacement people cannot guarantee involvement in long-term programs.

Kerim Munir from Boston Children’s Hospital became involved in this type of work after 1990s earthquakes in Turkey, especially for mental health supports during and after humanitarian emergencies. In the US, the NIH Disaster Research Response is committed to building resilience after crises.

Autism-specific concerns:

  • We need to engage autism communities and maintain communication (e.g., need to take ownership as an international community).
  • Preparedness for crises is relatively low. The impact of crises on autistic people is underestimated. 
  • We need more research in to how emergencies affect autistic people, including resilience. But we don’t have/need to develop the infrastructure for real world supports. 
  • Youth/adolescents with DDs are highly vulnerable group, and can get lost to follow-up, BC most UN etc. goals are focused on young kids.

We know from (limited) research that kids who experience trauma (Chowchilla school bus kidnapping in this case) can all still be affected years later, in terms of loss of adaptive functions.

Summary: For us to actually get more involved in this kind of work and find solutions, we need to know what practical applications are, how we can ACTUALLY help.

To better support/aid people with autism and DDs in humanitarian emergencies, we need to identify priority gaps and action plans in the areas of:
  • Research
  • Clinical
  • Training
  • Advocacy
  • Policy
Research: Do we need different approaches in responding to conflict-based crises and natural disasters? Are there opportunities for better preparation in the former?

During the acute phases of crises, research may be difficult, but the following phase may provide more opportunities for research to better understand of impacts and outcomes, and how this differs by countries—including effects of stigma & discrimination.

How do the experiences between refugees and residents differ during humanitarian crises? What are the differences in access to care and how can we better ensure that access for both groups?

One of the missing data issues is that there are people doing work, but collaboration, e.g., in NGOs, can be siloed. How can we coordinate and synthesize this date in a useful way? For instance as is done with sustainable development goals?

Clinical: Evidence-based practices are important, but cultural factors including stigma can get in the way of accessing services based on that evidence. Identifying local partners (& training them) who can provide long-term supports is crucial.

We have to be aware of local professionals, what their expertise is, and how they can support local people with autism & DDs during humanitarian emergencies.

Approaches to supporting children with autism & DDs in crises needs to be holistic, in terms of supporting entire family too.

Training: Priority gaps: how do we tangibly building capacity, knowledge, and skills?

Need coordination in different levels of gov’t. Need cultural adaptation and tools.

Need database of communication between orgs, to address gaps & prevent duplication of work.

Technology can help with training, communication, instruction, supervision, implementation.

Advocacy: There is no point in translating autism and DD materials into other languages without making them culturally grounded and informed.

In crises & in specific cultures, stigma about autism & DDs can prevent parents & caregivers from seeking help. So sometimes approach to support needs to be needs & capacity-based rather than labels-based. Then group-based approaches can encourage parent solidarity.
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