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Dr. Coplan continues his discussion based a reading of Steve Silberman’s Neurotribes: The legacy of autism and the future of neurodiversity.

September 23rd, 2015 by drcoplan

Nazi Poster 150916

Dr. Coplan continues his discussion based a reading of Steve Silberman’s Neurotribes: The legacy of autism and the future of neurodiversity.

Asperger’s Syndrome has typically been viewed by medical professionals and the lay community alike as milder than Kanner type autism. The fact that the American Psychiatric Association has purged the term Asperger Syndrome from the lexicon doesn’t solve the fundamental problem, i.e. what are we talking about when we use either of these terms? What is the full extent of the condition, and where is the boundary with “normal” (if such a boundary exists)?

Silberman constructs a narrative with two opposite, but complementary poles: On the one hand, Kanner (and his allies within the American psychiatric community) sought to depict autism as a rare, severe disorder. On the other hand, Asperger’s work – when it was belatedly acknowledged many decades later – was always pigeonholed as dealing with bright, hyperverbal “little professors.” We will get back to Kanner in a future post. For now, let’s focus on Asperger. Read the rest of this entry »

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NeuroTribes– 2

September 14th, 2015 by drcoplan

NeuroTribes

Dr. Coplan continues his discussion of Steve Silberman’s new book.

I have just finished reading NeuroTribes – The Legacy of Autism and the Future of Neurodiversity, by Steve Silberman. It is a worthy read.

I spent most of my career as a developmental pediatrician in academic medical centers, surrounded by trainees. And for the last 10 years, when I was in private practice, I extended myself to several of the nearby universities (PENN, where I held two teaching appointments, Villanova, PCOM, and others), with the object of having a trainee (nurse, physician, social worker, other) with me in the office, looking over my shoulder, at all times. The trainees always thanked me. My response was always: “It is I who am in debt to you. You are bright, observant, and inquisitive. What’s more, you haven’t reached that stage in your own professional development who you have begun to sort information into 2 categories: ‘Received Wisdom, Never to be Challenged,’ and ‘Everything Else.’ Because you do not come at the subject with this handicap, you have the refreshing habit of asking questions in novel ways, or forcing me to explain things that I generally tend to take for granted.” Silberman brings the same outsider’s eye to the subject of ASD. Read the rest of this entry »

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