





Molecular Autism joins other journals targeting autism and associated conditions but differs in key ways. First, Molecular Autism is both online and open access. In a field where dissemination of accurate information has become so important, where internationally, scientists, educators, clinicians, and families are tracking the developments and are looking for up-to-date, definitive and accessible sources of scientific information, Molecular Autism will provide such a forum. Open access means that the articles are freely available to all, worldwide, and at no cost to the reader. Online publication allows for no restriction on number or length of articles and for the inclusion of all available digital technologies: large data sets, unlimited use of color, slide shows, animation, video clips, and links to other web pages, all at no additional charge. Articles are published online on the day of acceptance and, very soon after, are listed in bibliographic databases and full-text article repositories. BioMed Central is a leader in online, open access journals ensuring that this mission will be seamless.
...
The second way in which Molecular Autism differs from other journals in the autism-science field is by having a focus on the molecular level. Whereas other journals have a broad remit, from clinical and educational psychological studies through cognitive experiments to neuroimaging and genetics, Molecular Autism will publish articles that have a bearing on the molecular basis of autism and related conditions. This does not preclude a behavioural or cognitive or neural study, so long as there is also a molecular measure in the study or the implications for the molecular basis of autism are considered. Our reason for this requirement is that part of our mission statement is to accelerate research into the fundamental determinants of the condition. The first 60 years of autism research have had a bias toward the psychological, and we intend - via this new journal - to correct this emphasis.
The third way in which Molecular Autism differs from other autism journals is that it aims to achieve integration across the multiple levels that these syndromes affect. We now recognize that autism will not be understood by a single discipline, be it genetics or neurology or psychology. Rather, each level has to be mapped on to the next, to reveal how mechanisms give rise to the phenotype within each system. This makes autism and related syndromes complex but the response to such a challenge has to be scientific articles that attempt to tackle such multi-level complexity.
...
We are in a transformative period in autism research. Behavioral interventions have been shown to be effective, and earlier diagnosis, using molecular and behavioral methods, becomes critical to take advantage of these interventions. In parallel, identification of etiological causes of autism has led to novel drug targets, and several large-scale clinical trials are being carried out based on these findings. We underline the important ethical issue that research into efficacy of medications should evaluate not only improvements in areas of known disability, but the lack of unwanted side effects (particularly ensuring that areas of strength in autism are not compromised). Molecular Autism will be at the forefront of these breakthroughs.
Hatshepsut (ca. 1508-1458 BCE) was an extremely successful pharaoh whose reign was full of accomplishments --- important trade missions, gorgeous architecture, a booming economy. But the thing she's most famous for, at least nowadays, is that she had herself depicted as male on her monuments. There she is, King Hatshepsut, striding across the ancient bas reliefs with her broad shoulders and her beard ... it's a little weird until you understand what's going on. The role of pharaoh was gendered male in ancient Egypt, and Hatshepsut was just assuming the badges of office. She wasn't pretending to be personally male, and the texts unmistakably refer to her as female: "she" is the beloved "daughter" of Amun, destined to rule, and so forth. But Egyptian iconography and religion called for the pharaoh to have a male form, and so Hatshepsut had herself depicted with beard, kilt, the whole bit.
Take Back Halloween! suggests a standard dime-store Egyptian Queen costume, with the stripey headdress of a pharaoh substituted for whatever crown the costume comes with.
Compared with the other groups, the autistic children spent a lot more time looking at objects in the mirror. However, contrary to what you might expect given the common wisdom about autistic people avoiding eye contact/looking at faces, though, they did not differ much from the typically-developing ones in how long they spent looking at their own faces. (The children with Down syndrome spent the most time looking at their own faces).
Figure 1, in Reddy et al. (2010). The panel on the left shows the amount of time (expressed as a percentage) that the different groups of children (autism, Down syndrome and typically developing toddlers, each subdivided into passers and failers of the mirror self-recognition test) spent looking at their own faces. The panel on the right shows the amount of time they spent looking at other objects in the mirror. In both graphs, the placement of the bars (i.e., are they higher or lower) is what tells you how much time a given group spent doing a given thing. The size of the bars (i.e., are they long or short) tells you how much variation there is within that group.
The autistic children also differed from the other two groups in what kinds of things they did in front of the mirror; autistic children, whether they recognized themselves in the mirror or not, spent a lot less time trying to relate to their reflections socially. What they did instead varied with whether or not they understood that they were looking at themselves: autistic children who passed the MSR test spent most of their time experimenting with the mirror, tilting it to see things around the room, doing things with toys or with their faces while watching to see those actions reflected back to them, while autistic children who failed to recognize their own reflections spent more time simply watching the person in the mirror. Children with Down syndrome also spent more time watching their reflections if they failed the MSR test; the typically developing children spent about the same amount of time watching themselves whether or not they seemed to know they were watching themselves. They also spent more time watching themselves, relative to other actions, than either of the atypical groups. The study authors hypothesize that "[a] watchful focus on the self could be due to imminent self-recognition (suggested by the finding of a short-term alignment between watching and self-recognition in typical development, Nielsen et al., 2003)."
The typically developing children also did not show any relationship between MSR and social-relating behavior toward the mirror: whether they recognized themselves or not, they were just as likely to act as if their reflection were a social partner or an audience, as opposed to just a reflection (which is how the autistic children tended to treat their reflections, if indeed they recognized them as such). The children with Down syndrome tended to do *more* social relating with the reflection if they passed the MSR test, which seems counterintuitive to me. You'd think someone would be more likely to try to establish a rapport with something they believed to be another person, rather than with what they knew was only an image of themselves. (Oh, well --- like I said before, I'm no developmental psychologist!)
So, what do this study's authors (the University of Portsmouth's Prof. Vasudevi Reddy and Cristina Costantini, the University of Surrey's Dr. Emma Williams, and Britta Lang) think their results mean?
Their study was published in a special issue of Autism pertaining to how a sense of "selfhood" develops in autism, and indeed they do manage to tie these findings to an alleged autistic impairment** in developing this sense:
Difficulties in interpersonal relatedness in autism appear to extend to difficulties in relatedness with the self, supporting arguments about a reciprocal relation between a sense of self and a sense of other (Hobson, 1990; Mclaren, 2008). In typical development the affordance of the face is almost unavoidably social, with direct gaze attraction attention from birth (Farroni et al., 2002) and acting as an ostensive signal (Senju & Csibra, 2008). In autism, perhaps particularly in mirrors where there is no one else to initiate engagement and no other social behaviour to highlight interpersonal cues, this affordance may be even less potent in inviting interaction. Engaging with the self can also provide opportunities for learning about expressions and interaction. Given the enjoyment that typically developing children and children with some other developmental disorders derive from such engagement, the loss of this opportunity in autism might potentially contribute to further impairments in the development of a sense of self.
This passage, along with a passage I will also excerpt from the Introduction ---
In developmental psychology the mirror has become synonymous with the identification of the self ... . But mirrors can also symbolise and allow a relation with the Other. They can reflect the self back as the Self, as an Other, as seen by an Other (Kernberg, 2006) or, indeed, as just another reflection. How one reacts to the self in a mirror allows us to study the extent to which the self is perceived and presented as a social being.
Wired.com: Many Wired readers work in the tech and software industries. How could they help improve the lives of autistic people?I love Ari's ideas about assistive technologies --- I would never have thought of using an iPad or iPhone as an AAC device*, but now that he suggests it, I can imagine it working well for that. I'm also enthusiastic about the web-based accessibility- and caregiver-rating. The accessibility-rating for places could speed up the currently-very-slow process of getting city governments to respond to people's complaints about poor accessibility through the Internet's ability to gather a critical mass of people calling for a given thing much more quickly than traditional, localized grassroots organizing. (Darned if I know how mobile devices and apps could help with education and employment, though, apart from their utility as AAC devices that he already mentioned).
Ne'eman: If we put one-tenth of the money currently spent on looking for causes and cures into developing technologies that enable autistic people with speech challenges to communicate more easily --- so-called augmentative and alternative communication [AAC] --- we'd have a vast improvement in the quality of life for autistic people and their family members.
We've already seen some very promising tools for AAC and other assistive technologies start proliferating on the iPad and the iPhone. But Medicaid won't pay for such dual-use devices, despite the fact that having an AAC app running on an iPad may be much cheaper and more functional than carrying around a dedicated AAC device. That should change, because AAC devices are currently too expensive and often not versatile enough to be used in a diverse set of circumstances.
Second, I'd love to see research into ways of using social media to improve access for disabled people. If there was some kind of web-based tool or mobile app that enables people to flag buildings with "very good" or "very bad" access, it could spur a lot of positive social change.
Finally, there should be websites or apps that enable disabled people to rate their service providers and record their experiences, like the websites that already exist for college students to rate their professors. The internet has proven to be very important for autistic people, because it's given us a chance to connect with each other and start to form a culture of our own. We've barely begun to tap the potential of handheld networked devices to assist with the kinds of deficits in executive functioning and life skills that many of us on the spectrum face. Mobile devices and apps could be very helpful in improving prospects for employment and education across the whole life span of autistic people --- not just when we're kids.
Wired.com: Some of your critics suggest that as a "high-functioning" person with Asperger's syndrome, you present an overly rosy picture of life on the spectrum. You work in D.C., do a lot of public speaking and networking, and are obviously capable of things that someone who lives in a wheelchair or can't speak cannot do.
Ne'eman: I know quite a few people in D.C. who use wheelchairs, and I know people who use AAC devices and work in public policy. Some of my mentors fall into those categories. So while I'd agree that there are many things I do that some other autistic people can't, I wouldn't say that it's the fact that I'm not a wheelchair user or an AAC user that makes that the case.
I recognize that I'm fortunate in many respects and am able to do things that some other autistic people can't do. But I would also point out that these things didn't --- and don't now --- come easily to me. I've been fortunate to be able to count on the inclusive culture of the broader disability-rights movement to help support me.
There's a strange idea out there that neurodiversity advocates think that autistic life is all flowers and rainbows, but I don't know anyone who thinks that way. Most of us have had deeply personal experiences with social isolation, bullying and abuse, lack of support, discrimination, and plenty of other problems. But it's much more productive for us to focus on how we can improve people's lives than to keep presenting people as pitiable burdens.
No more pity. It doesn't help anybody.
Many of the bad things that autistic people struggle with are things that happen to us, rather than things that are bad about being autistic. Why is that an important distinction? I remember reading a blog post from a parent who pointed to two news stories. One was about a mother who had murdered her autistic child because she couldn't deal with the fact that he wasn't normal, and the other was about a school aide who had abused a child. And the blogger said, "This is what autism is like. That's why we need to find a cure."
I find that kind of thinking despicable: One would think the fault there isn't with autism, but with abusers and murderers! As long as we confuse bad things that happen to autistic people with what it means to be autistic, we're not going to be solving the problems that autistic people face in any meaningful way.
...
Wired.com: Though you criticize groups like Autism Speaks for focusing on a cure, if someone offered you a pill to wake up tomorrow without autism, would you take it?
Ne'eman: That's an intensely silly question. How can I draw a line around one part of my brain and say this is the autistic part, and the rest of me is something else? That way of looking at autism is predicated on the strange idea that there was or is a normal person somewhere inside me, hidden by autism, and struggling to get out. That's not reality.
As a society, our approach to autism is still primarily: "How do we make autistic people behave more normally? How do we get them to increase eye contact and make small talk while suppressing hand-flapping and other stims?" The inventor of a well-known form of behavioral intervention for autism, Dr. Ivar Lovaas, who passed away recently, said that his goal was to make autistic kids indistinguishable from their peers. That goal has more to do with increasing the comfort of non-autistic people than with what autistic people really need.
Lovaas also experimented with trying to make what he called effeminate boys normal. It was a silly idea around homosexuality, and it's a silly idea around autism. What if we asked instead, "How can we increase the quality of life for autistic people?" We wouldn't lose anything by that paradigm shift. We'd still be searching for ways to help autistic people communicate, stop dangerous and self-injurious behaviors, and make it easier for autistic people to have friends.
But the current bias in treatment --- which measures progress by how non-autistic a person looks --- would be taken away. Instead of trying to make autistic people normal, society should be asking us what we need to be happy.
The Church that killed [Joan of Arc] may now identify her as a martyr; but for women inspired by her legend, she is a martial hero luminous with genius and courage, an emblem of possibility and potentiality consistently forbidden, obliterated, or denied by the rigid tyranny of sex-role imperatives or the outright humiliation of second-class citizenship. Women have many martyrs, many valiant pacifists, sung and unsung; few heroes who made war. We know how to die, also how not to kill; Joan inexplicably knew how to make war. At her trial, Joan insisted that she had never killed on the battlefield, improbable since the combat was hand-to-hand; but she was known among her own men for standing against the commonplace practices of sadism on the battlefield. It is hard to believe that she did not kill; but whether she did or did not, she was an exemplary martial liberator -- nearly unique in the iconography and history of the European female, that tamed and incomprehensibly peaceful creature. Joan's story is not female until the end, when she died, like nine million other women, in flames, condemned by the Inquisition for witchcraft, heresy, and sorcery. Precisely because she was a hero whose biography brazenly and without precedent violates the constraints of being female until the terrible suffering of her death, her story, valorous and tragic, is political, not magical; mythic because she existed, was real, not because her persona has been enlarged over the centuries. Her virginity was not an expression of some aspect of her femininity or her preciousness as a woman, despite the existence of a cultish worship of virginity as a feminine ideal. She was known as Joan the Maid or, simply, The Maid ("La Pucelle"). Her reputation, her declaration, preceded her, established her intention and her terms; not in the context of being a holy or ideal female but in the context of waging war. Her virginity was a self-conscious and militant repudiation of the common lot of the female with its intrinsic low status, which, then as now, appeared to have something to do with being fucked. Joan wanted to be virtuous in the old sense, before the Christians got hold of it: virtuous meant brave, valiant. She incarnated virtue in its original meaning: strength or manliness. Her virginity was an essential element of her virility, her autonomy, her rebellious and intransigent self-definition. Virginity was freedom from the real meaning of being female; it was not just another style of being female. Being female meant tiny boundaries and degraded possibilities; social inferiority and sexual subordination; surrender to male force or violence; sexual accessibility to men or withdrawal from the world; and civil insignificance. Unlike the feminine virgins who accepted the social subordination while exempting themselves from the sex on which it was premised, Joan rejected the status and the sex as one thing -- empirical synonyms: low civil status and being fucked as indistinguishable one from the other. She refused to be fucked and she refused civil insignificance: and it was one refusal; a rejection of the social meaning of being female in its entirety, no part of the feminine exempted and saved. Her virginity was a radical renunciation of a civil worthlessness rooted in real sexual practice. She refused to be female. As she put it at her trial [a full transcript of which is available online here - Lindsay], not nicely: "And as for womanly duties. She said there were enough other women to do them."
...
We have role models; Joan had voices. Her voices were always accompanied by a radiance, illumination, an expanse of light. She saw angels and was visited by saints. Her two special voices, guides and consolation, were St. Catherine of Alexandria and St. Margaret of Antioch. While many of the elaborations on their legends show the iconoclastic individuality of the two saints, the main outlines of their lives -- the substance of their heroism -- were virtually identical. Both were desired by powerful men (heads of state), turned them down, were tortured and decapitated. Both were in mortal combat with male power, were militant in their opposition to it, did not capitulate, and were killed for resisting. Both were virgins.
St. Catherine was the patron saint of unmarried girls and also of philosophers and students. She was famous for her erudition, one of the rare and great women of learning. Her father, a king, wanted her to be married but she kept turning down suitors. One night she dreamed that Mary, holding Jesus, asked her if she wanted to be his bride. She said yes, but Jesus turned her down because she was not a Christian. She got baptized; that night Jesus, surrounded by angels and saints, put a wedding ring on her hand. When the Emperor Maxentius ordered all the Christians in Alexandria killed, Catherine went to him to argue for her faith. The Emperor made her debate fifty learned men, skilled orators; she won each debate and the fifty men were burned. The Emperor wanted Catherine for his mistress and promised that her image would be worshipped everywhere if only she would make a sacrifice to the gods. She refused, for Jesus and her faith. The Emperor threw her into prison and she was terribly tortured. The Catherine wheel, an instrument of torture, was invented for the purpose of eviscerating and killing her; but an angel destroyed the wheel. Catherine was killed by decapitation.
St. Margaret was the patron saint of peasants and women in childbirth, the latter not because she had children but because she was swallowed by the devil in the form of a dragon, and her purity and resistance were so great that he had to spew her up again whole and unhurt. Viewed as someone miraculously reborn uninjured, she became a symbol of hope in the life-and-death agony of childbirth. Margaret's father was a pagan priest, but she was secretly baptized. She tended animals in the fields. The governor, Olybrius, saw her, wanted her, and had her brought to him. She refused him and declared her faith. She was imprisoned, flogged, and terribly tortured. In prison she was swallowed by the dragon; and when she triumphed over the dragon, the devil confronted her again, this time in the form of a sympathetic man who told her that she had suffered too much:But she seized his hair, hurled him to the ground, and placing her foot on his head, exclaimed:She was burned, torches applied to various parts of her body, but she acted as though she felt no pain. She was killed by decapitation.
"Tremble, great enemy. You now lie under the foot of a woman."
The legends of both saints were well known in Joan's time and environment, common stories for everyone, not arcane anecdotes for the educated. The narrative details were so familiar that an evil and stupid person was even referred to, in the common parlance, as an "Olybrius." Women were named after these saints and celebrated name days. These saints were figures of mass adoration in stories of adventure, romance, and heroism. There was an elaborate and epic imagery in the churches to communicate visually the drama and scale of their bravery and martyrdom. The artifacts and paintings in the churches told the stories of the saints and their heroism and suffering in dramatic, graphic pictures; a bold, articulate, mesmerizing iconography not rivaled for effect until the invention of the wide screen in cinema. St. Catherine was pictured with the wheel named for her, St. Margaret with a dragon, both with swords. They were shown with swords because they had been decapitated, but the abridgement of the narrative into a martial image conveyed militance, not just martyrdom. Each faced what amounted to a state-waged war against her person: the whole power of the state -- military, physical, sadistic -- arrayed against her will and her resistance and the limits of a body fragile because human. This goes beyond the timorous ambition of today: a woman fights off a rapist. Each of these women fought off a rapist who used the apparatus of the state -- prison and torture -- to destroy her as if she were an enemy nation. Each refused the male appropriation of her body for sex, the right to which is a basic premise of male domination; each refused a man in whom male power and state power were united, a prototype for male power over women; and each viewed the integrity of her physical body as synonymous with the purity of her faith, her purpose, her self-determination, her honor. This was not a puerile virginity defined by fear or effeminacy. This was a rebel virginity harmonious with the deepest values of resistance to any political despotism.Later in the chapter, Dworkin contrasts Joan's rebellion with the rebellion of a much later --- and fictional --- French heroine, this one created by a male novelist:
Joan identified deeply with these women ... [s]he learned from them the way a genius learns: she did not repeat them in form or in content; she invented new form, new content, a revolutionary resistance. Joan did not die because men desired her; but because she refused the status, including the outward trappings (female clothing), of one who could be so desired at all. Virginity was one dimension of her overall strategy, one aspect of her rebellion; and, interestingly, her refusal to have sex with a man was not a dogmatic or ideological one. As Marina Warner points out in her book on Joan, the name Joan called herself and by which she was widely known, La Pucelle, "denotes a time of passage, not a permanent condition." Her own testimony at her trial seems to confirm this nuance:Asked whether it had been revealed to her that if she lost her virginity she would lose her good fortune, and that her voices would come no more to her.Had Joan simply learned a Church precept by rote or had she wanted to conform to a theological code of sexual purity, she would have held virginity to be a sacred state of being, one that would ennoble her for the duration of her life, a passive state intrinsically holy and magical with God's blessings. In her society, virginity was "an ideal wreathed in the finest poetry and exalted in beautiful Latin hymns and conventual chants." It was a common belief cited as fact by Church authorities with whom she came into contact that "God had revealed to virgins ... that which He had kept hidden from men." Instead for Joan -- and Catherine and Margaret -- virginity was an active element of self-determined integrity, an existential independence, affirmed in choice and faith from minute to minute; not a retreat from life but an active engagement with it; dangerous and confrontational because it repudiated rather than endorsed male power over women. For all three women, virginity was "a passage, not a permanent condition," the precondition for a precocious, tragic passage to death. As rebellion, virginity amounted to a capital crime. No woman, however, had ever rebelled the way Joan of Arc, virgin, rebelled.
She said: That has not been revealed to me.
Asked whether she believes that if she were married the voices would come to her,
She answered: I do not know, and I wait upon Our Lord.
[Gustave Flaubert] wrote what a current paperback edition of his masterwork hails as "the greatest portrait ever written of a woman's soul in revolt against conventional society." The book is not about Joan of Arc. It is, instead and on the contrary, about Emma Bovary, a petite bourgeois whose great act of rebellion is to commit adultery. With this woman, called "my little lady" by her creator, the modern era begins: the era of the petite bourgeoisie seeking freedom. Female freedom is defined strictly in terms of committing forbidden sexual acts. Female heroism is in getting fucked and wanting it. Female equality means that one experiences real sexual passion -- driven to it, not faking. There is an equation between appetite and freedom, especially promiscuity (as one form of appetite) and freedom. A romantic distinctly not in the traveling, lyric tradition of Shelley or Byron, indeed, a female romantic with lightness in the head and fragmented fantasies feverish on the brain, "she had a cult for Mary Stuart and enthusiastic veneration for illustrious or unhappy women ... who stood out to her like comets in the dark immensity of heaven ..." For Emma, Joan was such a comet, a figure of fantasy, in the ether, not ever having lived on earth in the framework of real human possibility. Emma's mind, murky with religious and romantic fantasy, wanted "the rare ideal of pale lives, never attained by mediocre hearts." In her sentimentality, "she loved the sick lamb, the sacred heart pierced with sharp arrows, or the poor Jesus sinking beneath the cross he carries"; and in her effete impotence, "[s]he tried, by way of mortification, to eat nothing for a whole day. She puzzled her head to find some vow to fulfill." Alternately agitated and bored, having a mind filled with fantasies rather than ideas or possibilities, having no purpose or commitment, having no action, no vocation, only the boring chores and obligations of domesticity; too self-involved to find either passion or emotion in commonplace human relations, including motherhood, she is incapable -- to use the language of Iris Murdoch -- of moral or artistic excellence, defeated because she is immersed in personal fantasy, "the chief enemy of excellence," "the tissue of self-aggrandizing and consoling wishes and dreams which prevents one from seeing what is outside one." ...
Preoccupied with fantasy, Emma does not see or experience the world outside herself except as a deprivation of attention from her inner fog, and so she remains essentially untouched -- by the husband who fucks her and by human possibility in the wider world of real events. Virginity is redefined through her, given a modern meaning: a woman untouched is a woman who has not yet felt sexual desire enough to be made sick by it, experienced sexual passion enough to crave it, and broken rules in order to be carnal; a woman fucked by her husband but feeling nothing, or not enough, no lust, no romance, no brilliance of sensation, is still a woman untouched. This new virginity of body and soul survives marriage, and marriage itself generates new, incoherent fantasies of romantic or sexual grandeur: "Domestic mediocrity drove her to lewd fancies, marriage tenderness to adulterous desires." There is no freedom, no heroism, no ambition, no equality, outside the domain of sex experienced as carnal passion and also as the breaking of a rule. Danger is in the extremity of feeling and the risk of flouting convention; and the danger verifies the authenticity of the event, hidden from history yet having the significance of a male act of freedom inside history. The large, brave world of Joan becomes the tiny, suffocating world of Emma: and in it we still live. The old virginity -- with its real potential for freedom and self-determination -- is transformed into the new virginity -- listless, dissatisfied ennui until awakened by the adventure of male sexual domination: combat on the world's tiniest battlefield. It took Freud to call the refusal to fight on that little battlefield "repression" and to name the ambition to fight on the large one "penis envy." The cell door closed behind us, and the key turned in the lock.