Monthly Archives: July 2005

You Come Into My Home…

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It seems like it’s some variation on the same thing every time.

You come into my home.

You have some set of values that you’ve learned through a seminar or wherever else professionals go to learn these things. They go by a lot of names, most of them buzzwords: Self-determination, client empowerment, etc. You also have a bunch of values around the right way and the wrong way to relate to people.

You come into my home, and you press these values on me. Sometimes gently, sometimes admonishingly, sometimes forcefully. You rarely wait to be asked for advice, or reflect on whether I want or need your advice. You just do it.

If I resist in some way, you invoke reciprocity, equality, respect, and other things like that. It doesn’t seem to occur to you that putting a nice veneer over things doesn’t mean you’re doing the right thing. Or that I might do things the way I do them for a reason. Or that in bringing your values into my home and insisting that I follow them in a relationship I’d rather not have with you, you are doing the opposite of things like self-determination or empowerment.

You don’t think about this. You assume that you are benevolent, and therefore that my resistance is not benevolent. If I am going along with you, it is because you are right, not because I am afraid of you. You act utterly unaware of the power differences between us, often because this upsets your notion of equality.

Most disabled people are not going to talk or act in the ways that you have been taught are the only respectful ways to talk or act. Because most people are not going to talk or act this way. But around you, we’re not allowed to be regular people.

We have to be a mirror image of your values, because to you that is equality. You don’t acknowledge this at all. You have all these wonderful bright shiny ideas whose original intent was to be respectful to us. But even when those ideas are correct, you act as if they are contingent on our acting the same way towards you. Whether or not we’re capable of it. Whether or not our own value systems agree with it. No matter how much harm it causes us to go along with it.

If we don’t act that way, you think we need it… explained. Or you think you’re justified in withdrawing any respect you showed to us. Respect for the right of disabled people to determine our own lives isn’t contingent on us getting to know you, on us talking a certain way to you, on us following a certain way to act, on us even liking you. But it’s so much easier, since you have the power to do it, to withdraw respect for us whenever you think we don’t respect you.

In the middle of this, I try to speak up, but it’s hard because of all the soft wonderful words you wrap everything in. You make the unreasonable sound reasonable, the inhumane sound humane. And often you actually believe it. “In the language of Orthanc, help means ruin and saving means slaying, that is plain.”

Then… someone walks in who actually knows me. It only takes a second to see what has happened. They say so. It breaks the spell of silence and softness. But then they are blamed. For getting me agitated. For “speaking for me”. For being judgmental. For not being soft and mild and sweeping things under the rug. For not using “I-statements”.

You sum the whole thing up with “Things were doing just great before you came in…” What this means is that when you were speaking for me without realizing it, things were fine. When someone else is interpreting my behavior into English, then something’s wrong. Even if they’re more right than you are. You’ve built up an imaginary world where I am relating to you in your ideal way because I want to, rather than because I know that relating to you in any other way could be dangerous, especially without witnesses.

This has happened more than once. It happens over and over again. It happens to more people than me. But if you — the people who do this to disabled people — read this, I doubt you’d think it applied to you. You would probably either focus on me for “misinterpreting” things or being ungrateful for your wonderful attitudes, or skip over that and believe I must be describing some other encounter with some other staff. It couldn’t possibly be you. Because you mean well.

And the scary thing is that if you read this, you might end up applying it in some other way that disempowers disabled people. Just as you have used the word self-determination to undermine my self-determination, the word empowerment to make sure that I am disempowered, the word independence to ensure that I am dependent on the people you prefer. Unless you understand the underlying facts of these situations, in terms of power, in terms of ability, in terms of a lot of things, you can toss around words all you want and all you’ll get is the same scenario. Over, and over, and over again.

David Rovics wrote a song once. He said, “If you find this song offensive, it’s probably about you.” I am sure that many people who have done this to me would find this highly offensive, disrespectful, and a number of other things. After all, I’m not being grateful, I’m not following a set of values I never agreed to in the first place, I’m (in their eyes) contradicting the things I said and did while too terrified to do anything else (which they will see as dishonest), I’m not giving them the chance to prove that they are different and they are the one that’s not doing this. (Hint: Don’t tell me and demand gratitude and obedience. Show me. If you aren’t doing this, I’ll find out, and I won’t need to be told. If you tell me, and then want something out of me based on your saying you’re not this kind of person, then you almost certainly are this kind of person.) And I’m certainly not couching this in terms of my feelings, because it’s not about that.

It’s about power, and who has it, and who doesn’t, and who maintains it while thinking or acting like they’re not. And who sits there going along with more than they want to in meetings because they’re legitimately afraid and things are moving too fast and language is confusing and so forth. But who can type out later exactly what’s going on.

Scientology’s War on Psychiatry

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A recent article on $cientology and psychiatry on Salon.com. And it’s worrisome.

I have no doubt that $cientology is a dangerous cult that only fights psychiatry because they view psychiatry as competition. But having to choose, as the article depicts things, between $cientology and NAMI? That’s like choosing whether to be executed by slow freezing or slow cooking.

Interestingly, the article also mentions the efforts of Narconon, a scientology front group, to promote its pseudoscientific ideas in drug education classes for children. The article does not say that drug education is bad. It says that scientology’s approach to it is bad. Yet when scientology criticizes psychiatry, the impression you get from the article is that all such criticism is the dangerous ravings of cultists.

Take the fact that schizophrenia is represented by scientologists as not just one thing. The article says that this flies in the face of textbooks everywhere. But actually, it doesn’t. Many abnormal psychology textbooks refer to schizophrenia as “the schizophrenias” and make a point of them being more than one thing. I would go further and say that they’re not even all related things, except in the mind of Bleuler, and that this explains why things keep getting moved out of that category with changing opinion in the field. But the article presents this kind of criticism as cultic blather.

It’s a difficult position to be in, because the antipsychiatry movement has never truly been antipsychiatry. It has at various times been overrun by the professional interests of psychoanalytic psychiatrists and scientologists. The rest of us — the ones directly harmed by psychiatry — are obscured by the fame of people like L. Ron Hubbard, R. D. Laing, or Peter Breggin. Those of us who speak out against $cientology as well as psychiatry are not even noticed. I’ve even been urged by a non-$cientologist psych survivor to shut up about $cientology because they’re “our allies” in this. They’re not my allies, nor the allies of a lot of people I know.

But… of course, having been in the system, people like me are just too stupid or crazy to know what we’re talking about. Or we’ve been duped by $cientology, just like disabled people who’ve criticized the ableist aspects of euthanasia have been considered to be duped by the religious right. It couldn’t possibly be — in a lot of people’s minds — that we actually have something legitimate to say. And articles like the Salon article make it that much harder for our voices to be heard over the clash between two equally monstrous institutions.

Retirement community sued for refusing to allow hiring of personal attendants

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Retirement community sued for refusing to allow hiring of personal attendants.

This lawsuit has a lot to do with the notions I talked about in my last post, about other people’s notions of what disabled people need at any given time. In particular, about the notion that people who need a certain kind or level of assistance belong in a certain kind of building.

In the developmental and psych systems, the hierarchy of kinds of buildings — regardless of what’s actually provided in each — tends to run from large state institutions, to private institutions, to ICF/MRs and group homes and halfway houses, to “supported apartments” and “mental health housing”, to assistance in one’s own apartment. Physically disabled and old people deal more with the threat of nursing homes in particular, although people with CP are often put in the developmental system.

In this case, the woman hires and receives assistance from attendants in her own apartment. The managers of her apartment complex are convinced that this level of support is only possible in a nursing home, despite the evidence in front of them that she is getting exactly this level of support outside of a nursing home.

This is also what happens when people say, “My daughter could never live in her own apartment, she needs a group home.” Or, “My son is in the most restrictive environment possible and I aim to keep him there.” (I heard that last one word for word at a conference on inclusion for DD people. The woman went on to describe a son whose behavior — and reactions to confinement — strongly resembled mine at his age.) People really do believe that the size and shape of a building dictates the amount of assistance people can receive, and that they have the right to decide for us what size and shape of building we should live in.

And that prejudice, as usual, shapes policy, and that needs to change.

The Cure or Institutionalize dichotomy

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I have a lot to say on this topic, and the writing is fairly slow going. I’m trying to write about precisely why some of the people hurt worst by statements like “My child will need a cure, or else she will live in an institution the rest of her life, so you may not have to worry about that but my child does…” are actually the autistic people living or likely to live in institutions.

There is a rhetorical tactic lately where people who believe in curing autism make themselves out to be the only ones who notice or care about autistic people who live in institutions, and those of us who are anti-cure are being insensitive to that group of people. As an ex-institutionalized autistic person, this puzzles me greatly.

Ten years ago there were supposedly two points of view about my future. One said that I would be cured, or brought close enough to a cure that I could live with the same level and kind of support that non-autistic people get, and live “independently” by the time I was in my twenties. Another said that I was not capable of learning these things and would therefore require some form of lifelong institutionalization. Those were the two viewpoints and my two choices.

The first viewpoint was considered hopeful or optimistic. Both of them seemed equally dreary to me, because I was becoming well aware that I would not change enough to live the way non-autistic people live. Because of the false dichotomy contained in these ideas, I began to have absolutely no hope for my future. I knew that I would not become non-autistic — no matter what I tried or anyone else tried, it just wasn’t happening and it was clearer to me than to anyone else — and I thus “knew” that my only future was in institutions. That’s what each of those two viewpoints taught me equally.

What I needed — and what I believe everyone in that situation needs in one form or another — is to see adults like myself living outside institutions, to hear people talking about a future in which I was both autistic and non-institutionalized even if I remained exactly the same as I was back then. I needed to both hear and see stories of freedom that were not contingent on having a certain kind or level of ability. Despite it being the law by then, I heard and saw nothing of the sort. I either saw people who were able to struggle and manage the way ordinary people did, even if they barely hung on, or I saw people incarcerated. That was it.

It’s a serious thing to learn that who you are merits a life sentence without parole or recourse to the law. That is the message sent out by people who insist that certain kinds of people can either be cured, or institutionalized, that there are no other options. It’s also the message sent out by people who believe that the only way out of institutions is to gradually learn skills, and then get transferred to lower and lower security institutions until you’re finally released into community living. It’s the message sent out by people who believe that what often gets called functioning level or degree of disability (a concept that is more problematic than it looks on the surface to most people), is measured primarily by where a person lives. And people who say that someone they know could not possibly receive services in their own home, because that person is too “low-functioning” — probably the same people who magically transformed me from low-functioning to high-functioning as soon as I left institutions, despite me being the same person. And a lot of other things people say, directly and indirectly, day after day.

The kind of despair that sets in when you realize you’re not good enough to be let around running loose is pretty serious, especially when other options don’t even register as possible. I can’t imagine these attitudes are useful or sensitive to much of anyone, least of all people who are living like I did when I realized simultaneously that I would never be cured and what that meant in the worldview I’d been raised within. It might make it possible for some people to pass long enough to get out (not the only way to get out, but a common way), which is good, but in the long run the cost for people who don’t get out, and who get put in in the future, is devastating.

There are a lot of other thoughts on this, but I need to of course figure out how to weave them together into something coherent and readable in English. That, at any rate, seems to be my current writing project.

Defining Autistic Lives

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Defining Autistic Lives is a review of Sue Rubin’s movie, Autism is a World. One that I mostly agree with.

I finally got the chance to watch the movie. A lot of the things I would have to say about it are covered in Defining Autistic Lives. Among the things that are not, what stood out to me over and over again was the behavior of staff and other professionals.

I’m way too familiar with a particular kind of staff behavior. I don’t know how to describe it. It’s patronization with a veneer of friendliness over it. That behavior has been present in all but a few people who’ve worked for me. I am startled, in fact, when I do not encounter it. I am so conditioned to being treated in some manner like a child that I frequently forget what it’s like to be treated like an adult.

When I’ve had the opportunity to interact with people I know who are primarily known as physically disabled, their staff seem to have overall less of that tendency. That tendency is still there in some, but I have a good chance of seeing staff without it. In the developmental disability service system I could wait years and only see one or two, if that, who don’t behave like that.

I am not surprised that Sue Rubin’s staff behave that way. In all the time I’ve spent in California’s DD system, I’ve only known maybe two who haven’t, and even they’ve slipped into it from time to time. What’s also worrisome, and also difficult to pin down, is how people like me, and quite possibly like Sue Rubin (although I obviously don’t know her background enough to say that for sure), are socialized to behave certain ways in response to that kind of staff behavior.

From here on out, I’m not talking about the movie except when I explicitly mention it.

I call it Cute Little Client mode when I do it. It feels like someone else is taking over my body. One of the best examples I have comes from when I was running around the house and couldn’t stop. I was getting out of breath and started having an asthma attack and screaming at the same time, so my staff at the time decided to try to help me stop. She put up her hands and told me to put up mine, and something about the way she did it triggered Cute Little Client mode.

When I put my hands against hers, and ran into them, I switched into this weird giggling. I didn’t find anything funny, or amusing, or anything, and I knew that this was some bizarre conditioned response and not a response of my own. (Yeah, the running around hadn’t been my intentional doing either, but the giggling and other behavior at that point was a whole ‘nother kind of involuntary.) I felt kind of sick and creeped out. Her response to my mannerisms at that point was to treat me even more like a child than she normally did. What needed to happen, happened — I got under a weighted blanket and used my inhalers — but the manner in which it happened was patronizing and infantilizing. I was happy when her work shift ended and I could lie there and sort things out in my head without going through all these weird triggered responses.

My current staff says she’s seen these things in another client I know, too. Staff like to trigger a certain response in him that looks eerily automatic to her. Then they congratulate themselves for having “connected” with him, and basically go on about how cute he is, whether they say it out loud or not. When he stops responding that way, they do the same thing over and over until he’s worn out. What is eerie is that they don’t seem to be responding to him, but to some sort of cuteness mechanism.

Since he can’t talk or type, I’m not going to say that’s what’s going on with him definitely. But I’ve certainly experienced the same. Staff push and pull on me mentally in certain ways and I go into that mode. They find it cute and sometimes believe they’ve connected with me in some “special” way. I struggle hard again st it and sometimes succeed at stopping all movement, which they find alarming and wonder why I just switched off like that. Then I try to reorient my mind to something other than being cute, compliant (or only cute forms of “non-compliant”, like my friend Vanesa sometimes managed in one institution, she was a master of Cute Client Mode and even had “naughty-but-cute non-compliance” down to a T), sweet, and pleasing to staff.

Thinly-veiled patronizing staff behavior disturbs me to watch. Feeling taken over, almost possessed or puppeted, by the cute-clienty behavior makes me feel physically ill in a way that just plain ordinary involuntary behavior doesn’t. I don’t know where I learned it, but I have a suspicion it’s yet another institutional survival skill, both in the enclosed kinds of institutions and the institutions that pass for community. Watching the staff end of that behavior — not sure about the client end, because I’m not in her head, but I wouldn’t be shocked since she’s in the same developmental system I am and a lot of us there seem to pick it up — in that movie reminded me pretty jarringly of what Cute Client Mode feels like.

I will welcome a time when nobody has to act like that. I will also welcome a time when it doesn’t pop up to haunt me in random interactions with people. I know very few people who can see through it and realize that I am not gleeful, but sickened.