Showing posts with label misinformation. Show all posts
Showing posts with label misinformation. Show all posts

9.22.2017

Me and Leo and The Doctors

(I am talking about autism pseudoscience, not saying, "Yes, they're real.")
[image: Screenshot from the TV Show The Doctors, with me gesticulating
next to B.J. Freeman, a white woman with silvery shoulder-length ombre hair.]
I was on TV show The Doctors earlier this week, and was so glad to have the opportunity to speak out against bogus, dangerous autism treatments. I was glad even thought it meant talking about all the crap we put Leo through when we didn't know any better—which is why I co-founded Thinking Person's Guide to Autism: so people can learn from me, and not make the same mistakes for lack of guidance. (What you cannot see in the video below, alas, is that I was wearing Star Trek socks in honor of being on the Paramount Studios lot.)

[video description: A segment from the TV show The Doctors, with me talking about autism
pseudoscience, and then Dr. B.J. Freeman talking about ABA therapy while I grimace.]


The show started out by exposing MMS/bleach enemas as an autism "treatment" for the abusive scam that it is, and I'm glad the hosts pointed out that if you're afraid to talk to your doctor about something you're considering doing to your kid, that should be a red flag. Then I spoke about how I fell for autism pseudoscience (sigh), and how misguided such approaches are. Here's my quote that they used:
"Every step of it perpetuating the fear and the stigma and the misunderstanding that autism is treatable and curable when autism is how your brain works." 
[image: Spreadsheet of the bogus autism supplements Leo was on in 2003,
projected on a screen behind the four hosts of The Doctors TV show.
A superimposed title reads "Dangerous Autism Treatments Exposed?"]

The show even displayed the spreadsheet of supplements and other crap that I let that carpetbagger DAN! doctor talk me into using on Leo. And about which I was pissed off, even at my most circa-2003 hopped up and credulous. Here's the actual document, if you want to scrutinize and roll your eyes more extensively:

All the supplements Leo's DAN! doctor had him on. Sigh.
[image: Spreadsheet of non-evidence-based supplements for
"autism" treatment, categorized by type versus dosage and
other factors such as "tastes like shit," above a corresponding
photograph of the bottles of supplements themselves.]
And then I got to talk about how awesome Leo is, which is always great. And even better, the show's doctors and experts mostly focused on how autism is neurology so "cures" are misguided and not helpful, that we need to focus instead on helping autistic kids be their best selves.

And then the segment turned into a group paean to ABA therapy, which made me visibly roll my eyes (they caught THAT on tape) and slow clap, because pretending like ABA is the best and only medically-approved way to help autistic children is not only not true, but is disingenuous given how much ABA gets called out by autistic people and allies as a ... dangerous autism treatment.

Dr. B.J. Freeman of UCLA, the woman next to me in the screenshot and video above, was their ABA expert, and even though she's fought against autism pseudoscience and is largely responsible for clinical recognition that sensory issues are central to being autistic, she did not address critiques of ABA in any way. (And yes, anyone who's been following along knows that Leo is in what is formally called an ABA program, so I'm working on a post—because while there are so many good critiques available, I've yet to see an analysis that tackles ABA's fundamental dangers to autistic kids, addresses why it is near-universally endorsed, and helps parents navigate those problems while doing right by their autistic kids.)

The experience of listening to doctors who seemed to care about autistic kids' welfare got me thinking about Leo's own doctors, and how great they are, and how much he has grown with them. The photo below was taken earlier this week, of Leo and his ophthalmologist Dr. Kim Cooper, who is the greatest. She has been working with Leo since he was three, and he has gotten to know her, and her office routine, and the procedures he will go through. Dr. Cooper is careful to avoid any unnecessary procedures, and often takes extra steps to accommodate Leo, such as examining his eyes with hand lenses rather than via machine, if that's what works best for him.

Leo and Dr. Cooper are friends
[image: Leo and Dr. Cooper, a white woman with glasses and short brown hair, 
in an ophthalmology exam room, smiling at each other.]
Obviously Leo has matured as well, but the fact he and Dr. Cooper have grown and learned together has made a huge difference in my son's ability to get good medical care.

I'm glad mainstream TV doctors are doing better by autistic people like Leo, even though they still have a lot to learn. And I'm glad Leo has so many good doctors in his own life.

3.20.2017

Spotting Autism Misinformation: The Credentials Gambit, and The Cherrypicker's Bluff

Last week, I gave a workshop on How to Find Autism Information That Will Help You. But then I realized I'd neglected to specifically highlight two of the most common ways in which autism misinformation spreads.

Let's call the first one the Credentials Gambit. This happens when a person is affiliated with a respected institution, and as a result people assume that they are trustworthy. Such individuals even get cited in mainstream news stories when media outlets either lack staff with the expertise needed to identify pseudoscience, and/or they prioritize clickbait. Examples include but are not limited to: 
  • Jenny McCarthy's adamantly vaccine-exempting pediatrician Dr. Jay Gordon at UCLA 
  • Anti-vax crusader "Dr. Bob" Sears of the Dr. Sears parenting advice dynasty
  • Environmental toxins autism causation researcher Dr. Irva Hertz-Picciotto of UC Davis
  • Pseudoscience-flogger Dr. Martha Herbert of, somehow, Harvard. 
    • Herbert's latest implausible culprits for autism causation include cell phones and Tylenol. She is responsible for countless eye-roll sprains.
Source: JMU Be The Change
[image: illustration of pants on fire]
We'll call the second the Cherrypicker's Bluff. In this case, a quotation or citation is taken out of context, or used inaccurately. The cherrypicker is banking that their readers will be instantly outraged—yet disinclined to actually read the article, or do any fact-checking. (This approach is also in constant use by the current U.S. administration.) 

For an autism-specific example: Anti-neurodiversity blogger J. Mitchell recently tweeted of Steve Silberman's 2016 Autism Society of America interview that:
"#stevesilberman accuses critics of #neurotribes as either skipping over parts of his book or lying. bit.ly/2mBuoQG"
But if you click through to the article, you'll notice Silberman actually said:
"I’m really puzzled by the notion that my book focuses primarily on “high-functioning” individuals. [Gives examples of high support autistic individuals from book.] These passages in the book make for very painful reading — but I have to assume that the handful of people who accuse me of “whitewashing” autism either skipped over these parts, or have another agenda for lying about my book that way."
Silberman is not therefore not bristling at critics of his book NeuroTribes in general, but rather expressing frustration with people who, well, cherrypick the book to make unsubstantiated claims about its representation of autistic people of all abilities. And rightfully so -- Mitchell was being disingenuous.

This need for constant vigilance sucks, honestly. It is both exhausting and jading to have to verify any autism information you run across. It also sucks to call people out by name, as I have here; my goal is to help you learn how to avoid questionable autism sources, not to provide the folks mentioned above with fodder for dismissing legitimate criticism as personal attacks. But to learn, you need examples. And these folks have worked hard to be just the examples we need.

But, as always: onward! We must remain skeptical, yet empathetic. And we can take heart in being able to rely on reliable autism information resources, too.


12.27.2016

Reminder: Vaccines have nothing to do with autism. Not a single f***ng thing.

A friend recently asked me to join a discussion on autism and vaccines, in which an acquaintance was parroting, much like our ignorant PEOTUS, the misinformation that vaccines are linked to autism -- and also that anyone who says otherwise has been bought by Big Pharma. Here is my response:

Perhaps a personal story might help.

My high-support autistic son is now a teenager. I initially bought into the message that vaccines caused autism, because in the early 2000s it was not easy for laypeople to get past the media hype on the topic, and find reliable mainstream information.

Leo, a preschool-age white boy, next to an outdoor picnic table set
Post-MIND Institute Session
[image: Leo, a preschool-age white boy,
next to an outdoor picnic table set.]
I enrolled my son in a study on autism and regression at the UC Davis MIND Institute, which was founded by parents who sought cures and believed in a vaccine link. The researchers' conclusion, after reviewing my son's infant, toddler, and preschool-age videos, was that he did not regress or react to vaccines, but rather that he followed a typical autistic path of gaining skills and abilities unevenly, and in some cases more slowly than his peers.

In the meantime, researchers have reviewed data involving millions -- literally -- of kids, and found no link between vaccines and autism. Because there is no link in research, only in anecdotes and testimonials that have never once stood up to scrutiny. Not once.

And even the MIND Institute has shifted its focus to understanding and support, and away from its cure-oriented roots, because the founders' theories turned out to be scientifically implausible.

I've since spend much of my time working with autism scientists and researchers as the senior editor of Thinking Person's Guide to Autism, in order to disseminate the most useful autism information possible. I attend International Meeting for Autism Research (IMFAR) every year, and can happily report that, after years of autism-vaccine papers waning in number, the 2016 conference featured only a single poster on how lingering hoax-based vaccine-autism fears affect the immunization status of autistic kids' younger siblings.

So, no. Vaccines have nothing to do with autism. Not a single fucking thing.

P.S. My son is now fully vaccinated.

12.13.2011

What Would You Say to This Misguided Autism Parent?

Just came across this. Sigh. She seems like a reasonable, passionate sort -- but is totally invested in biomedical/DAN! autism chicanery. What advice would you have? How would you approach her?
My son has been back on gluten (wheat and related grains) for five days now. His behavior hasn't taken any noticeable nose dives, no sir. Quite the opposite. On Friday he went up to our friend Mary, and announced "Dat's Mary!" Everyone in the room was shocked and pleased. That same day his speech therapist told me he'd had his best session in weeks.
And (apologies, gentle readers) his bowel movements haven't been liquified, either. Those little logs are still rolling along. I am hopeful, oh so hopeful, that we can eventually phase in dairy, chocolate, citrus, peanuts, and sugar.

Now, does all this mean that the past nine months of special diets and vitamin supplements and dietary enzymes have been for naught? Hell no.

I firmly believe that autism arises from multiple causes: hard-wired genes, the environment (including lead poisoning), vaccines, and/or diet. But, as of today, there is no way to quickly pinpoint how a child became autistic. One of the only things a parent can do, can control, is dietary trial and error.

Hence the elimination diet. It was and remains complicated, but it is in no way harmful to him. Not a bit. As in, there was no harm in trying it, and now we may get to be fairly certain that diet is not a factor in his case.

In addition, his GI tract had been seriously messed up by round after round after round after round of antibiotics--the poor boy had non-stop squirts. Putting him on a bland diet has given his little innards the resting period they needed to rebuild themselves. They seem to be able to do their job just fine these days, although they are still getting a little assistance from probiotics (heartily endorsed by his mainstream pediatrician, BTW).

Many autism professionals, particularly those in the ABA field, are skeptical when it comes to elimination diets. Some are outright hostile, and will make concerted efforts to dissuade parents from trying dietary approaches. Fuck them. They're not the parents. They don't have to live with the child; they won't be there in ten years.

Again, there is no harm in trying an elimination diet, other than inconvenience on the parents' part (note that inconvenience does not equal impossibility). For some children, this diet makes an incredible difference. For others, not a whit. But wouldn't you rather know?

Ways to get started:
  • Read Karyn Seroussi's Unraveling the Mystery of Autism...
    Novelized account of her son's recovery due to a special diet; a bit shrill, but compelling nonetheless.

  • Read Lisa Lewis's Special Diets for Special Kids
    Causation, theories, recipes.

  • Find Yourself a Good DAN Doctor
    Ask for recommendations from current and former patients. Some of these practitioners should be canonized, but I have heard of others who are costly bumblers.
...

...

...

Well?

Now here's the thing. I wrote this post. Seven and a half years ago. One year after Leo's diagnosis. Because I was misguided. Because I listened to the wrong people (e.g., see list above). Because those people were the loudest voices in the autism parent community. Because good information wasn't available. Because a book like our new Thinking Person's Guide to Autism wasn't available.

But ... our book will be available, in just a few days. We hope it will make a difference to anyone new autism. We appreciate your patience, and hope you will help spread the word about our book, and why it's so important. Thank you.

6.25.2009

Mother Warriors: The Extended Review

This is a long post, but one I hope you'll pass on to help debunk the image of Jenny McCarthy as a reliable source of general autism information and support, while spreading the word about hope and resources for ALL autism families.

"But vaccinations cause autism. Sure, science says otherwise, but Jenny McCarthy has some real convincing anecdotes.” -
The Onion

Jenny McCarthy's son was not only diagnosed with autism, but had severe, life-threatening seizures. Through medical intervention, applied behavioral analysis (ABA), and other therapies, he is now doing much so much better that his mother describes him as "recovered" from autism and calls him a "poster child for hope." When she went on Oprah and described the symptoms of autism, parents across the country were able to give their quirky children's behaviors a name, and start getting those kids help.

I am grateful to her for helping those families, and I am glad for her and her son -- as are most autism families I know, because we crave success stories and the hope they bring as much as we crave our children's happiness. Parenting these kids we love so much is rewarding, but it can also be devilishly challenging, and we need role models to replenish our hope reservoirs, frequently.

Ms. McCarthy could have been autism's true hope-bearer. She could have used her visibility to create and promote books full of resources and ideas for helping all families with autism, telling us to never give up hope, to focus on loving our kids whether they respond to therapies or not, while including a chapter or two about alternative treatments that seem to work for her son and some of his peers.

Instead, she produces books like Mother Warriors, about how she and other parents rescued their kids from autism using expensive and time-consuming biomedical diet and supplement methods that won't help most kids on the spectrum, portrays pre-"recovered" children in a very negative light, and gives parents of newly diagnosed autistic children false hopes of recovery. Not real hope. False hope. That, and misinformation, are what Mother Warriors is full of, among other things.

Reading Mother Warriors is like listening to a college sophomore try to recruit campus freshman to Earth-First!-style environmental activism. Yes, she is sincere. Yes, the stories that keep her going are heartbreaking. Yes, we need to challenge some industry professionals to change their thinking. Yes, she is walking the walk, and taking action.

Yes, she is totally naive, in thrall to extremists, making a good cause look bad, and could possibly get people hurt.

Ms. McCarthy believes that her version of autism is reality, but instead of supplying any kind of non-testimonial documentation, she uses emotional manipulation, pop psychology, ratings numbers, and bullying -- not evidence -- to support her assertions. She shouts, "[My child] is my science!" when confronted with contradictory evidence, considers being on Oprah the ultimate validation of her "truth," declares that The Secret helps her to be a better autism parent, and thinks that yelling the loudest is an appropriate debate technique.

She also insists, as do many of the parents in this book, that she saw her child disappear and regress after his vaccinations. None of the parents in this book will consider that their child's regression and the timing of the vaccinations might be a coincidence:
"Yet, speculation that shots cause autism continues to stick in parents' minds. Why? One big reason is because we have all heard reports of kids suddenly "got" autism just a week or two after shots.

"In fact, one of the scariest characteristics of autism is that it can suddenly afflict a child who seems developmentally normal. But, is it possible that this sudden problem right after shots is just a coincidence? Absolutely, yes! Every day, serious and amazing things occur, purely by chance. Think of it this way, in a large country like the US, a one-in-a-million coincidence happens 300 times a day.

"Approximately 24,000 children are diagnosed with autism every year and in about 1/3 of those cases (8000/year...150/w) normally developing kids show abrupt deterioration (so called "regressive" autism). Regression usually appears between a child's 1st and 3rd birthdays, a period during which they get shots 4 separate times. Do the calculations and you quickly realize that, every year, over 600 children will spiral into autism during the four 1-week periods that follow these 4 shot visits... just by pure, utter, random chance."

-Harvey Karp: Cracking the Autism Riddle: "Vaccine Theory" Fades as a New Idea Emerges
All Ms. McCarthy had to do to give this book some legitimacy was to state, upfront, that some kids diagnosed with autism have other medical conditions that need addressing, and that when some of these kids become healthy, they seem to lose their autism diagnoses. She should have had a front-and-center checklist of symptoms to watch out for, if children are to be candidates for biomedical approaches: uncontrollable diarrhea, severe insomnia, adverse vaccine reactions, etc.

She should have said, on the first page of the first chapter, that even though she has encountered many success stories, the biomedical approach doesn't work for most families with autism: information she acknowledges but buries, in one paragraph on page eleven, and another on page 140. All the other pages of the book are dedicated to telling us how all kids with autism -- not those who have serious illnesses coupled with an autism diagnoses, but all kids with autism -- should at least try the biomedical approach.

The children in this book are not like most of the autistic kids I know, kids who did not regress into autism, many of whom are almost supernaturally physically healthy (my own son used to be a barfer, but that was due to intolerance of the antibiotics for his frequent ear infections. Once he got ear tubes put in and the antibiotics stopped, so did the barfing). Our kids contrast with the children featured in Mother Warriors, who all have gastrointestinal disorders, seizure disorders, family histories of immune disorders, or bad reactions to vaccinations.

I do believe that successfully treating these illnesses might lessen children's autism-like symptoms. Adults with conditions like ulcerative colitis, a large intestine disease similar to the leaky gut syndrome cited by several Mother Warriors parents, say that their pain can be excruciating, and leads to extreme irritability and mood swings. Intense pain could cause autistic-like symptoms and developmental delays in a baby or very young child. It is also a condition that is helped by trial-and-error dietary modification, in some cases a gluten-free, casein-free diet.

The one Mother Warriors child who didn't seem ill is a girl whose developmental trajectory mimicked that of Catherine Maurice's daughter in the classic story of autism recovery, Let Me Hear Your Voice. You know, the girl who regressed into autism and was recovered by ABA therapy while using goldfish crackers as reinforcers? It is difficult to take biomedical and wheat-free dairy-free diet claims seriously in that warrior mom's case. (Of course, almost every last kid in Warrior Mothers also had ABA therapy, but ABA is infrequently mentioned as a contributing recovery factor.)

The author skews her book in other non-inclusive ways. She lists no resources other than a directory of DAN! doctors, a few things that she wants you to buy: her DVDs, hyperbaric oxygen tanks, infrared saunas, etc., and a page about her and Jim Carrey's cult-like autism organization, Generation Rescue. Why doesn't she list any ABA resources, non-DAN! developmental pediatricians, autism research & support agencies, parent organizations? There are so many places online to send autism parents for help and support, but no one looking to this book as a source of general autism information would know that.

Specific instances of additional skew:
  • She lets Dr. Jay N. Gordon, who wrote the introduction, embarrass himself by citing the continuously-debunked vaccines-causes-autism myth and alluding to the not-autism Hannah Poling vaccine injury compensation case.
  • She lets a father justify the use of the anti-viral Valtrex on his autistic child by describing studies of post-viral autism-like regression in adults, without a single footnote or citation to back up his claims.
  • She lets another parent describe how vaccinations stole her child's words, then later contradict herself entirely by talking about that same child's severe apraxia of speech, a motor planning disorder that is either present at birth or the result of stroke, tumor, or other brain injury.
  • Several of the parents blame mercury in vaccines for their children's autism, without bothering to make a distinction between the non-bioaccumulating ethylmercury that used to be in vaccines, and the Minamata-disease-causing methylmercury everyone thinks the parents are talking about.
  • She states that "No one ever talks about the [autism] siblings." Right. She's the first person who ever thought of them! Except no, no, no, and no.
  • Eighty percent of autism parents' marriages end in divorce. Also a no.
  • No one is studying biomedical approaches to autism, or vaccine-autism links! Absolutely untrue.
This massing of misinformation is so intense that Mother Warriors stops being a book and becomes a crusade. Fact-checkers must have either fallen on their swords, or were not invited along. And I sometimes suspect that our author did not graduate at the top of her class at The University of Google.

Other areas of the book go beyond faulty research or bad judgment, and into irresponsibility. By including the story of a family whose child died from a possible adverse vaccine reaction, Ms. McCarthy is stooping to emotional exploitation. No one can deny that bad vaccine reactions do happen; they are the reason the Vaccine Injury Compensation Program (VICP) exists. But whereas this family's poignant story should be used to educate parents and doctors about exercising caution after adverse vaccine reactions -- the child had a severe seizure after a vaccination, but was vaccinated again, and had another bad reaction -- instead the author places the story in a biomedical context and has likely scared untold numbers of parents out of immunizing their kids. Do you know what happens kids stop getting vaccinating? They start to get sick, and some of them die. Just like the child in the story.

But facts and statistics aren't going to terrify new recruits into joining Ms. McCarthy's cause. So of course she's not going to say that it's much more risky to put your baby in a car seat and drive them down the street than it is to vaccinate them. In the past 20 years, U.S. families have filed 11,970 vaccine injury and 1,006 vaccine-related death claims (note that these are for adults as well as children, and are for claims filed, not claims verified and compensated). In one year, 2005, car crashes injured 184,000 children under 14 and killed 1,335. If your child has an adverse reaction to a vaccine, then you should devote your energy to investigating why, getting answers, blocking decisions you're not comfortable with, and encouraging other parents to vaccinate their kids, so herd immunity will keep your vaccine-averse child healthy.

Another distressing book theme is the assumption that parents who are truly dedicated advocates for their children will be able to somehow pay for all of the approaches this book recommends. Biomed is pricey and time-intensive, even if you just go for the GFCF diet and a few supplements. If are convinced you need go for the Mother Warriors gold standards, the DAN! doctor and resulting multiple supplements, medications, possible even chelation, and add on the hyperbaric oxygen treatments that every other person in the book cites as miraculous, no wonder you have parents in this book stating that they'd sell their houses, go into debt, don't care, need to recover their kid at any cost. But what about people who don't have a house to sell, or who are already in debt? Where is the resource section for the desperate parents who want to listen to Ms. McCarthy, but can't afford what she's selling?

Mother Warriors would not deserve this kind of drubbing if its author wasn't smacking down naysayers at every opportunity, unwittingly or knowingly spreading falsehoods, or had been guided by a clearer head. But, on top of all its other failings, this book is so badly organized that the best information (e.g., her p. 141 recognition that some kids don't recover and their parents are okay with that, and some recover with ABA therapy alone, but some kids are sick and those are the ones she's trying to reach) is buried. A good editor and one week's work could have transformed this book into one ten times more useful. And surely someone at Dutton could have spent a day at Ms. McCarthy's own online alma mater, and realized how much of the book's information doesn't hold up?

Even though the damage Ms. McCarthy is wreaking on my son's peers, their potential, and their families irritates me, I cringe when people take potshots at her because of her background as a TV personality and Playboy playmate. Her former career has no bearing on her experience as a mother and an autism activist. But she can be criticized for her lack of critical thinking skills and unwillingness to help the kids whose families don't or can't buy into her largely spurious autism recovery campaign.

----

P.S. One veteran mother talks frankly about her adult autistic son having adult sexual needs, a topic which needs more open discussion. However, that mother takes care of her son's needs by providing sex workers (a practice I am neither addressing nor condemning). That mother needs to give her son the benefit of the doubt, and learn more about autism and adult relationships.

5.26.2009

Louse-y New Can I Sit With You? Story: The Cooties

OMG The COOOOTIES! Read it now: http://www.canisitwithyou.org/?p=425

By far the funniest story we've featured on Can I Sit With You? lately. Our thanks to ShinyGrape of American Goulash for letting us republish the tale (and to Liz Henry for discovering it).

Please remind your kids that anyone can get lice. The only real difference is whether you have to deal with them yourself, or can pay someone else to get rid of them.

This is a particularly timely story, given that Mali's school is embroiled in Lice Wars: The Second Coming. I now bring her in five minutes early so that her teachers have enough time to give that curly mop a thorough cootie-check before she enters the classroom.

So far, nothing. Whew. I'd hate to have to shave her head on the day she turns four-and-a-half:

Monkey, Interrupted