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"High Functioning" "Low Functioning" Bullshit

1/9/2019

4 Comments

 
​I could feel her emotions in a text. Not because she included 32 different emojis, that let me know exactly the range of emotions a visit from her autistic son’s caseworker to her home made her feel, and not because her text was in all shouty CAPITALS, and not because I was sitting across the room from her and could hear how hard her fingers were tapping on her phone screen. No, I knew what she was feeling because I’ve felt it too. And I’m betting you have as well.

The caseworker is required to stop by every six months to make sure my friend’s son still qualifies for services, services that were initially started based on the score of an IQ test created by a neurotypical, verbal human a bazillion years ago. The range of emotions that comes when someone, some stranger, some “expert” puts a check next to a box that they believe your son or daughter fits in, well, you don’t need emojis or shouty capitals to know the range of feelings that box evokes.

My friend’s son and my son both have autism. How autism impacts their lives is different in some ways and similar in others. First and foremost, they are both incredible human beings. Incredible. My son, however, is verbal and considered “high functioning” and my friend’s son is non-verbal and most would consider “low functioning” which is where this boy and his mother both cry bullshit. And from a mom whose son may seem “better off”, I cry bullshit too.

I know that we put people in categories for various reasons, mostly so we can sort them out, get a picture of who they are, what they do, where they came from, how they self-identify and who they love by checking a box under categories for items like race, gender, sexual orientation, ethnicity, occupation, etc, but, trying to group a human being by their level of functioning is so ambiguous, so subjective and so unfair and thus so goal limiting, it is downright ludicrous. We cannot sort out and put humans in a category, a box, if we don’t even know how or what to ask to determine who they are, how they think, and where they “belong”. If we have yet to accurately sort out how their brain functions, how can we sort their brain functioning into a pre-determined, categorized box?

How are we to know my friend’s son’s functioning level when we have yet to ascertain how his incredibly beautiful mind works? And if a boy is so extraordinarily in tune with his senses, his surroundings and his people, how can we not see THAT as “high functioning”? For someone who is non-verbal and unable to communicate as society expects, to ask that person to answer questions on a survey or on an IQ test designed for people who are verbal and who process information the same way as the survey designer just so we can fit them into some predetermined box, of course society will not deem this young boy’s functioning level on par with those who can communicate verbally or who score a certain level on an IQ test. We may not have found the box my friend’s son belongs in because there is no one size fits all box. And if a person is told, “I’m sorry we have not yet found the right box for you, so we will just stick you in this box with others who are kind of like you”, how will that individual ever believe there is a different box, a better box, a more fitting box he or she belongs in? I cry, "bullshit".
​
And for my son who is “high functioning” that puts him in a box he doesn’t always fit in either. Sure, he can do trigonometry and write a beautiful essay on a poem he read, but, he still struggles with social nuances, social communication, disrupted routines and vague language, but, because he is placed in the predetermined “high functioning” box (by neurotypical people who process information and define intelligence by a set of questions and answers), when my son doesn’t perform well in areas where he struggles, he is deemed lazy, uncaring or disingenuous and I cry, "bullshit". Again.

I know that we will always have a need, a desire to understand humans by categorizing them, labeling them and finding where they fit, but, we have to do better for those who don’t "fit" in our preconceived ideas of intelligence or functionality.

We have gotten better in some areas. We now recognize that not all individuals identify with the boxes of “male” or “female”, “gay” or “straight” because somewhere along the way those individuals who did not feel as though they fit in a predetermined box cried, “bullshit” and people started listening. It starts with a cry, a shout, a step. It starts with listening.

This is my cry of bullshit. This is my shout to please stop trying to put individuals in a functionality box until we explore every avenue of the various ways humans function. This is my step to get others who believe this to advocate for yourself, your child, your adult son or daughter. This is me asking people to listen. Please.

After the caseworker checked the box where she believed my friend’s son fit, my friend looked at her son and told him this:

“That test means nothing and you are the smartest little boy I know and my hero which makes you extra awesome.” 

In other words, she cried “bullshit”.
Picture
My son Ryan, functioning in his own way that only he can define.
4 Comments
Sandra Myers
1/11/2019 01:15:28 pm

For those who fall in the middle, it's even hairier. My son is reading at a first grade level in fifth grade and is failing every other subject. He's verbal. So he isn't anywhere near grade level, but to the uninformed, seems "okay". I'm so glad it's a spectrum disorder, but wish folks realized just what different points on that spectrum represent.

Reply
mark shane kent
1/12/2019 04:12:54 am

it gets very very SHITTY ,very well said .people never see the every day effects. it does help a lot too have a good cry and a Snotty Nose
it helps ME so much INSTEAD OF MELT DOWNS .i,have aspergers and m.e . YOU COULD TAKE PART IN RESEARCH .i, do a blog
http;//mark-kent.webs.com

Reply
Penny Williams link
3/21/2019 05:06:58 am

I loathe the term "high-functioning" autism. It implies to people who don't know any better that the autism makes them function higher than a "normal" person. And, even for those who do (or should) know better, it implies that there is little impact on functioning, and nothing could be further from the truth.

A friend of a friend recently said we should start calling it "obvious" and "less-obvious" autism. That's much more descriptive. "High-functioning" is higher on the autism functioning scale, but it is most definitely a bullshit label!

Penny Williams
Author of "The Hidden Layers of ADHD," "The Insider's Guide to ADHD," "What to Expect When Parenting Children with ADHD," and "Boy Without Instructions"
Parent of 2e teen with ADHD, autism, and LDs
ParentingADHDandAutism.com

Reply
Tracking System Direct link
12/11/2019 03:56:06 pm

When I worked with autistic kids (in home ABA) most of the children were on the more severe range of the spectrum. Feces smearing, non-verbal, self-stimulatory behaviors and severe cognitive challenges. The parents of these kids would always sort of shake off complaints of parents who had more higher-functioning kids with autism. It really showed the divide in the Autism community sadly

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