freemo,
@freemo@qoto.org avatar

If you are well organized, it is a healthy trait. no one would say you are "on the OCD spectrum".. but when that trait gets out of hand we would say you have OCD, and likely would be diagnosed as such.

I see (autism) ASD and ADHD as much the same way. Most people diagnosed with it who are high functioning dont really have it at all. It is just a personality trait and all in all a positive one. high-functioning ASD are just people without social hangups, good. And people with ADHD who are high-functioning are largely just amazing multi-taskers.

The harm in putting people on a spectrum is they see themselves asa diseased, broken, something that needs "consideration.. they arent, in most cases in the right proportions these "diseases" are in fact just super powers, things more people should wisht hey have really.

#ASD #Autism #ADHD #ADD #Neurodivergent

dside,
@dside@mastodon.ml avatar

@freemo it mostly comes down to the circumstances they live in. What they do, what their local communities expect.

Consider something more clear-cut and outside of mental health: myopia, near-sightedness. A condition with which one's eyes have a much closer focal range, meaning they see things worse from afar, but also better up close. Not just as close as people without it — even closer. Meaning that with a comparable retina a myopic can clearly discern much finer details. Kind of a superpower, right? If they do lots of work on a tiny scale it would seem like it.

And yet, street signs, menu posters in restaurants, numbers on the public transport and tons of other things are a lot harder to see, to the point of them being entirely nonfunctional, which reflects on the user – forcing unto them alternatives or aids (glasses, smartphones and their cameras, other people) through difficulties integrating into society.

Different lifestyles have different compositions of these components.

mlanger,
@mlanger@mastodon.world avatar

@freemo

FWIW, I agree with this 100%.

freemo,
@freemo@qoto.org avatar

A high functioning 0erson with adhd is at higher risk of developing adhd related problems, just as thry are at a higher risk of developing its super powers.

Im a person with adhd, for me it has manifested largerly as a suoer power with little or no drawbacks. It is a large reason for my carereer success.

siblingpastry,
@siblingpastry@mastodon.world avatar

@freemo A few things:

  • Cognitive disabilities are not "super powers". This is (with respect) an ableist take. There can be benefits (I get a lot of utility from ADHD hyperfocus) but they come with a heavier cost.

  • Autistic people do not have "social hangups". See https://www.autism.org.uk/advice-and-guidance/professional-practice/double-empathy

  • The concept of "high functioning" is relative to social expectations, which are exclusionary and largely arbitrary. This term is not useful or accurate. But I'm curious to know how you would define it?

freemo,
@freemo@qoto.org avatar

@siblingpastry

Cognitive disabilities are super powers in the right and healthy proportions. As a person diagnosed with ASD this has become quite evident. I gave specific examples of how. The whole point is calli g them cognitive disabilitiea is a bad take. They are personality traits that whwn they become too exagerated cause harm, but in healthy proportions are good.

Ths relative nature of social expectations is exactly how psychiatry is designed. Desieases are generalally ide tified by their manifestation when among the normal population.

One of the studies i helped work on shows, interestingly, how people who would qualify for an autism diagnosis based on their expiernce when living in the states typically when reevaluated relative to their interactions in another countery (in this case when living in germany) they know longer met the diagnostic criteria in many cases.

Also calling someone diagnosed on the ASD who is a professional researxh scie tist who has worked to advance the topic and ablist is kinda out of touch with reality and rude, but we can let that slide...

siblingpastry, (edited )
@siblingpastry@mastodon.world avatar

@freemo I didn’t call you ableist, only that a thing you said was ableist, not you in general, and I stand by that.

If you want to think of yourself in the terms you’re describing, then fair enough, I only object to generalising such dismissiveness on broader communities. That’s the harmful attitude in my opinion, because it provides an excuse for the majority to ignore our need for social equality.

siblingpastry, (edited )
@siblingpastry@mastodon.world avatar

@freemo I do agree with what you’re saying about the cultural relativity of personality traits. This makes it harder to define objective diagnostic criteria, but it doesn’t make them not diagnostic criteria.

Being materially disadvantaged relative to the majority because of the way we’re hard-coded to think and communicate, is not a personality problem, it’s a disability. It’s a disability because society doesn’t accommodate our needs. This is true for most disabilities.

AutisticDoctorStruggles,
@AutisticDoctorStruggles@mas.to avatar

@freemo
They are different brain wiring though -whether or not you happen to live a life that disables you doesn't change the fact that you run a different "operation system".
I think this view plays into the pathologizing view of conditions like ADHD and autism. The harm in not "putting people on the spectrum" is perpetuating harmful preconceptions about them & what they mean for one's life. They also prevent people from having insights into how their brain works, should difficulties arise.

AutisticDoctorStruggles,
@AutisticDoctorStruggles@mas.to avatar

@freemo Functioning labels are not very useful, they are often used to dismiss autonomy or infantalize high-support need autistics. I've also heard many "high-functioning" autistic ppl/AuDHDers say that they're just high-masking & considering them high-functioning usually bars them from accessing support, so they struggle in silence. I'm that. I'm just one step away from burning out at all times but I'm highly educated,have job, partner, home, so am considered "high-functioning".

freemo,
@freemo@qoto.org avatar

@AutisticDoctorStruggles

It is useful because if you are high functioni g, even through masking, then you do t have the disorder. By defi ition something is only a disorder when you are no longer high functioning.

It doesnt mean the personality trait isnt there, it just means it isnt manifesting in an unhealthy way in order to prevent you from functioning well.

A person who has episodes of OCD obviously has the tendency towards related personality traits. Just that in his healthier state they are not net negitives they are just perfectly normal and healthy parts of a personlity that he happens to have in common with others.

AutisticDoctorStruggles,
@AutisticDoctorStruggles@mas.to avatar

@freemo would disagree that autism/ADHD is a disorder, also it seems most of the ppl considered "high-functioning" are struggling.

You definition also means that a perfectly accommodated person has lost the disorder, which makes no sense to me.

freemo,
@freemo@qoto.org avatar

@AutisticDoctorStruggles I agree it shouldnt be seen as a disorder, thats my point But formally it is.

Yes high-functioning people are struggling. When you live in a world without social hangups and you have to be around people who do have social hangups (to the point I might even say most people have a personality disorder) then yea, you would struggle, any normal person would.

Anthrako,
@Anthrako@mastodontech.de avatar

@freemo
That's not my point of view.
First, you don't even get a formal diagnosis if you are just high functioning and don't have any problems (at least in my country, Germany). On the Opposite, there are so many struggling day to day who are not formally diagnosed.

If you have ADHD/ASD, even when you don't struggle at the moment, there is a higher risk, so it is better to prevent possible negative outcomings. You don't lower that risk by calling those people "healthy" or "super powered".

macberg,
@macberg@mastodon.online avatar

@Anthrako Same in Sweden. You have to have a clear disability to be diagnosed with ADHD. If you're just high functioning you don't qualify for a diagnosis. @freemo

freemo,
@freemo@qoto.org avatar

@macberg @Anthrako

As it should be. A nd that diability should be reevaluated periodically to see if talk therapy has managed to make it no longer a disability, a treatment may reverse it if your borderline enough

Anthrako,
@Anthrako@mastodontech.de avatar

@freemo @macberg
Considerably inhuman to not give a person the accommodations they need but wait until they suffer and than think everything could be repaired with talk therapy instead of changing the surroundings.
Did you ever hear of preventive healthcare?

Of course it's a disability even if you don't have acute problems. You permanently have to manage the accommodations in order to not get them again and that is also exhausting.

freemo,
@freemo@qoto.org avatar

@Anthrako

Who said anything about not giving people the accommodations they need? People should have reasonable accommodations regardless of any medical illness or not. Your failure is in assuming accommodations should be contingent on illness at all.

@macberg

Anthrako,
@Anthrako@mastodontech.de avatar

@freemo @macberg
You said it because you want to take away the status of "disability" regularly.
The main goal of that status is to have the legal right to get accommodations.

Yeah, in another society maybe in the far future everyone will get the accommodations they need regardless their status. But not here, not today.

So if you want to change the way we think about ASD/ADHD please change society first. Too big for you? Then don't harm people when they try to live in that system at least.

freemo,
@freemo@qoto.org avatar

@Anthrako

You said it because you want to take away the status of “disability” regularly. The main goal of that status is to have the legal right to get accommodations.

No I didnt a d please dont tell me why i say things.

I said what i said so people will stop seei g disabilities in that way at all, or needing it as a means to qualify for accomodations. Accomodations should be given to everyone who needs them, you shoukd t need to prove a disability to get it.

@macberg

bonifartius,
@bonifartius@qoto.org avatar

@freemo maybe calling them super powers is a bit too much but i'd argue that those traits have had evolutionary advantage for the group - just like people without them were also filling a required role.

if they had as negative consequences as they can have in our current society, like attention "disorders" in school, these traits wouldn't have survived for this long.

freemo,
@freemo@qoto.org avatar

@bonifartius as someone witb ADHD i call them suoer powers because thats what itnis. I have beeen wildly successful in it business largely due to thosensuper powers. My ability to context switxh, multitask, and see extremely complex big picture stuff is superior when unmedicates by leaps and bounds.

Now take me off my medication and i hyper focus to the poi t of obsession on one thing at a time and my abilities reflect that of more normal people and my usefulness goes down..

bonifartius,
@bonifartius@qoto.org avatar

@freemo didn't want to play down the usefulness! :) i only think all people have special traits or talents which help them to perform especially well on some tasks or in some environments. imho that's why humans were so successful settling in wildly different places :)

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