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WORLDS OF AUTISM This page intentionally left blank Worlds of Autism Across the Spectrum of Neurological Difference Joyce Davidson and Michael Orsini EDITORS University of Minnesota Press Minneapolis • London Copyright 2013 by the Regents of the University of Minnesota All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechani- cal, photocopying, recording, or otherwise, without the prior written permission of the publisher. Published by the University of Minnesota Press 111 Third Avenue South, Suite 290 Minneapolis, MN 55401- 2520 http://www.upress.umn.edu Library of Congress Cataloging-in-Publication Data Worlds of autism : across the spectrum of neurological difference / Joyce Davidson and Michael Orsini, editors. Includes bibliographical references and index. ISBN 978-0-8166-8888-3 (hc) ISBN 978-0-8166-8889-0 (pb) 1. Autism. 2. Autism spectrum disorders. I. Davidson, Joyce, editor. II. Orsini, Michael, 1967–, editor. RC553.A88W67 2013 616.85'882—dc23 2013030442 Printed in the United States of America on acid- free paper The University of Minnesota is an equal- opportunity educator and employer. 20 19 18 17 16 15 14 13 10 9 8 7 6 5 4 3 2 1 Contents ACKNOWLEDGMENTS vii INTRODUCTION. Critical Autism Studies: Notes on an Emerging Field 1 Michael Orsini and Joyce Davidson PART I. Approaching Autism 1. Autism in an Age of Empathy: A Cautionary Critique 31 Patrick McDonagh 2. Autism and the Posthuman 53 Stuart Murray 3. Cerebralizing Autism within the Neurodiversity Movement 73 Francisco Ortega 4. Autism as a Form of Biological Citizenship 97 Charlotte Brownlow and Lindsay O’Dell PART II. Researching the Politics and Practice of Care 5. Autism and Genetics: Profit, Risk, and Bare Life 117 Majia Holmer Nadesan 6. Caring for Autism: Toward a More Responsive State 143 Kristin Bumiller 7. P articipatory Research with Autistic Communities: Shifting the System 169 Dora Raymaker and Christina Nicolaidis PART III. Diagnosis and Difference in Autism 8. Capturing Diagnostic Journeys of Life on the Autism Spectrum 191 Sara Ryan 9. Divided or Opposed? The Level- of- Functioning Arguments in Autism- Related Political Discourse in Canada 213 Dana Lee Baker and Lila Walsh 10. Autism and Social Movements in France: A Comparative Perspective 239 Brigitte Chamak and Beatrice Bonniau PART IV. Cultural Productions and Representations of Autism 11. Narrating Autism 261 Mark Osteen 12. The Shifting Horizons of Autism Online 285 Joyce Davidson and Michael Orsini 13. Autism and the Task of the Translator 305 Kristina Chew 14. “All the Things I Have Ever Been”: Autoethnographic Reflections on Academic Writing and Autism 319 Dawn Eddings Prince CONTRIBUTORS 331 INDEX 335 Acknowledgments We would like to acknowledge the generous financial support of the Social Sciences and Humanities Research Council of Canada. Many of the contributors to this volume presented drafts of their chapters at the 2010 Critical Autism Studies workshop at the University of Ottawa, and this event could not have taken place without the substantial funding pro- vided through the SSHRC Aid to Research Workshop and Conferences Program. Thanks are also due Queen’s University (Office of Research Services) and the University of Ottawa (Faculty of Social Sciences) for financial support. We thank those workshop attendees whose work we could not in- clude in this collection. Each contributed to our own understanding of critical autism studies, and we hope there are further opportuni- ties to continue the important conversations that began at the Ottawa workshop. At the University of Ottawa, Jenna Martinuzzi was an excellent con- ference organizer and Sarah Wiebe was a superb editorial assistant in the preparation of this book. Victoria Henderson from Queen’s University provided invaluable assistance in the preparation of the grant application for funding the workshop. Our sincere thanks to Danielle Kasprzak and Jason Weidemann, our editors at the University of Minnesota Press, for shepherding this proj- ect to the finishing line and for believing in a critical, interdisciplinary collection such as this. The University of Minnesota Press is a beacon for scholars at the intersections of disciplines and consistently produces re- markable publications. Thanks, too, to two anonymous reviewers of the manuscript; their thoughtful commentary was very much appreciated. Joyce thanks Mick Smith, Katie Hemsworth, Sophie Edwards, and Victoria Henderson (again!). She dedicates this book to Emily Rain (our youngest workshop participant), her Gran and Grandad, and all her furred and feathered friends of the Hundred Acre Wood. Michael acknowledges the support of friends, family, and colleagues who listened to his endless bellyaching, including Mary and Robert vii viii ACKNOWLEDGMENTS Gordon, Dave and Carrie Longbottom, Shoshana Magnet, Francesca Scala, Miriam Smith, and Luc Turgeon. Most of all, he thanks Victoria, Emma, and Lucca for their consistent love and support, and his parents and Aunt Mary for “being there.” Empathetic scholarship begins with the people who nourish us intellectually as well as emotionally. Critical Autism Studies INTRODUCTION. Notes on an Emerging Field Michael Orsini and Joyce Davidson It is difficult to think, much less write, about autism today without some reference to the statistics. Talk of “exploding” prevalence rates and a public health crisis of “epidemic proportions” dominates the landscape (see Nash 2002). The onward march of statistical knowledge about autism—f rom a prevalence rate of 1 in 150 in 2000, to 1 in 110 in 2006, and 1 in 88 in 2008 (Centers for Disease Control and Prevention 2012)— communicates a sense of undeniable urgency (Rice et al. 2007). Autism is depicted as unstoppable and difficult to contain. Failing to intervene early, parents are warned, can be disastrous. Although autism varies significantly in its effects on individuals, statistics aggregate the rich, qualitative experiences of life with autism into a language that is (too) easy to understand. The “objective” data about this complex condi- tion homogenize the diversity of autistic experience and gloss over the situated knowledge of those most intimately affected by autism: autistic people themselves. As the last few decades have shown, autistic people are increasingly determined to shape broader public discourses about this condition, either through artistic or cultural interventions or through direct engage- ment in political or social activities that communicate beyond autistic worlds the many varieties of being autistic. The Internet, for instance, provides an increasingly rich source of trenchant commentary about firsthand experience of what has come to be known as the autism spec- trum, as well as interventions from parents and caregivers committed to sharing their own perspectives, insights, and challenges. One of the goals of this collection is to emphasize just how much everyone, what- ever their relation to autism, still has to learn about— and from— autistic worlds. Although the insights that our variously positioned contribu- tors provide here are not always of direct practical relevance— the book 1

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Since first being identified as a distinct psychiatric disorder in 1943, autism has been steeped in contestation and controversy. Present-day skirmishes over the potential causes of autism, how or even if it should be treated, and the place of Asperger’s syndrome on the autism spectrum are the sub
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