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this post was submitted on 05 Jun 2024
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We run into a few interesting possibilities here. Start with the assumption that more children are being diagnosed as being on the autism spectrum. That gives us a few possibilities.
1.a) If more children are being appropriately diagnosed with ASD, then perhaps the criteria needs to be tightened up; at a certain point, behavior/feelings/thoughts are just normal.
Because there's more screening--but not necessarily better screening--children are being pathologized as having ASD when they do not, because too many clinicians don't have the necessary expertise. This is a distinct possibility, in much the same way that kids are being labelled as having ADD/ADHD--and then getting drugs--when they're more frequently just being kids.
More children are actually on the autism spectrum now than there were 30 years ago. E.g., it's not that more kids slipped through the cracks 30 years ago, but there is actually a higher rate of ASD than there was 30 years ago. This is the one that should cause the most concern; if this is actually the case, and can be demonstrated to be the case, then what factor is causing this maladaption?
Agree on the better testing for ASD. According to the CDC, autism rates have doubled from the year 2000(1 in 68, vs 1 in 150).
The consensus is that ASD is mostly genetic, however, there is some research going into other causes of autism, such environmental/biological causes. Personally, I think growing up with modern technology(kids being raised by YouTube/TikTok) impacts brain development/connections, so there are people with symptoms of ASD that otherwise would be "normal"
The issue with diagnoses like this is that you arrive to the conclusion by looking at the symptoms. And there's a lot of fucked up things going on right now that could cause more and more people to show symptoms.
i've worked on building better habits such as exercise, maintaining social connections, and working through my emotions instead of repressing them, and I've noticed that many symptoms that I used to associate with ASD were really depression. Like some sort of coping, catatonic state. I'd imagine that with mental health being what it is, there's probably a lot of people similar to me. Surprise, did you know ASD is far more common in males? 1 in 42, vs 1 in 189, for females.
There's some thought that autism rates are identical in men and women, and that the difference in diagnosis has more to do with the presentation. It's plausible.
My ex wasn't diagnosed with anything, but has an autistic sister and strange behaviors herself. Being suspicious of myself (I was diagnosed with ADHD during a time you couldn't have both) and having always carefully observed people (to mask better), I noticed some qualities the two shared, but the symptoms were more subtle in my ex. She has been tested but not diagnosed, and I think the doctors were wrong. But, yes, symptoms observed had a distinctly feminine skew, or even a different mode of application. She did not get the help I know she needed (and she mistakenly held the opinion that the doctors are nigh-infallible, and that I am not ASD either).
Yeah, I've suspected for a while that some of the autism spectrum is just the brain allocating resources differently to different things. It has a finite number of neurons (which is true even if it can grow new ones over time), so a higher emphasis on learning one thing could come at the cost of something else.
Or it could even be a matter of some people not building as strong of a foundation in some areas because their brain didn't figure out something that others did, and it snowballs from there as peers develop on that stronger foundation of things they think they just inherently know and can't imagine someone not knowing it and those without that strong foundation try to develop along with their peers but can't because of what they are missing.
Like imagine that while learning math, you somehow miss learning the number 3. This would be pretty obvious because math is a rigid system, but imagine it wasn't as strictly logical like language or social interactions. Maybe a better example would be developing drawing skills without knowing anything about perspective or lighting. Sure, there's plenty of styles that don't need that foundation, but if you want to draw photorealistic pictures, they are going to look off or even bad, even though they might still be recognizable. Kinda like socializing with someone with autism who isn't good at masking.
Though the ability to mask itself might indicate it's deeper than that. It indicates that some are capable of adjusting for their foundation, does being able to mask while still having those gaps mean the gaps are genetic? Or can we only develop by building on what we have, so the best we can do is put patches over the shortcomings we recognize in ourselves and want to correct instead of being able to truly fill those gaps in the foundation?
And all of this doesn't even go into sensory issues related to autism. If there's different mechanisms that result in the different aspects of autism, should they even be considered the same thing? How would one even figure out if they share mechanisms?