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Comment by throwaway93754

Yes, thank you for sharing.

One point where I think we are in strong agreement: no behavior is unmotivated. I have had a number of frustrating experiences where I've brought my son to the hospital when he was in distress and struggled to get them to take it seriously. In one example, after I made a big fuss, they finally took an abdominal x-ray and realized he was severely constipated. It's heartbreaking because he had no way to communicate that other than hurting himself, and to think about how long he must have been in pain.

The thing that is unique to my son's situation, and it really core to him, is his struggle with communication. It's not just that he can't articulate things, there's some more fundamental blocker for him. He has a talker (for those that aren't familiar, an iPad with special software that displays picture icons). He's a whiz at navigating to familiar things he wants, like asking for potato chips, but he struggles with more abstract concepts like how to say he's uncomfortable. We've spent a lot of time working on body parts with him, and he's pretty good at it, but it doesn't seem to occur to him to use it to talk about what is happening for him.

I know how frustrated I can feel when I'm trying to communicate with someone and they just aren't getting it, but I can't fathom how terrifying it must be for him to have nobody understand him. And, I would assert that you probably can't either. So, while you may have some perspective and ability to speak about aspects of my son's experience, I would respectfully submit, there are many things that you cannot know or speak for him about. And while I can't say what it is like for him, I can share our experience, and advocate for him the best I can.

I'd also say I don't think we are completely misaligned. I agree that the current ways people talk about this are not ideal, and are doing harm to a lot of people. But I think we need to find a balance between being more accepting of neurodiversity while letting people like my son have the dignity to get the care they need. I don't have the answer yet, I'm afraid. But I'm encouraged by this discussion.

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