ottheorypraxis.bsky.social
Occupational Therapy, Phenomenology and Neurodiversity-affirming practice. #ActuallyAutistic #AuDHD He/Him
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Really nice article. Will share with colleagues! Sometimes I use a chocolate cauliflower analogy to describe how something a kid hates can be smuggled into something they love, thereby diluting their joy and passion in the name of function. You make a similar point.
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I recommend buying a really big atlas, like the Times Comprehensive (about âŹ200), and the two volume shorter OED. Might seem a pricey luxury but they last years.
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It has badly stung me in the workplace. Iâve struggled to articulate my issue with mere âaccommodationsâ but you sum it up brilliantly.
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Bleak answer, but there wonât be any future historians as we will have incinerated the world by about 2070. If there are some knocking around post-apocalypse theyâll see it as just one small part of a greater more global demise of civilisation.
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I bought Paint America Love on your recommendation - absolutely wonderful record. Why itâs not as well known as Pet Sounds or Forever Changes or something baffles me. An American classic.
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Seems appropriate that he died in summer. I do hope you can do an associated Patreon post on him (I know you did a Beach Boys vid before.)
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He just wasnât made for these times. RIPBrianWilson 5/5
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The second, âFeel Flowsâ, contains less Brian but arguably bears more of his influence as the Beach Boys struggle to survive with their effective leader dropping in and out of the group. open.spotify.com/playlist/7yu... 4/5
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Iâve made two - 2! - playlists for a deeper dive into his work both before and after Smile. The first, âFun, Fun, Funâ is equal parts sunshine and eccentricity. open.spotify.com/playlist/5TZ... 3/5
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Youâll be hearing God Only Knows a lot over the next few days but another track from Pet Sounds captures the strange mix of confidence and invert that characterises young love (and Wilsonâs worldview more generally) perfectly. youtu.be/R6HOHAflx1k?... 2/5
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Yes, and Iâm aware of self-described âneuroaffirmativeâ practices in the public health system which still promote Triple P (and Floortime) uncritically and this worries me.
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My belief is that any intervention focusing on behaviour is, by definition, not neuro-affirming.
Some years ago I was involved in a discussion around whether such a program should be put in place on a regional scale - I argued against based on this study:
pmc.ncbi.nlm.nih.gov/articles/PMC...
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This is my view too. However I encounter people saying that they âadaptâ it to make it less nasty. Others tell me you need to adhere to fidelity measure so canât adapt it. But it all seems to be about pleasing parents of autistic kids by âmaking kids behaveâ.
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This is FAB. Iâve a similar playlist, which I suppose suggests humping or lack thereof, rather than being explicit. Oh and a pal had bought your book - also a joy - on my recommendation! open.spotify.com/playlist/6rK...
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I had a great experience with the Adult Autism Practice in Ireland who took this into account and formally identified autism while also suggesting being likely AuDHD. I highly recommend them. Very thoughtful identification experience.
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Yes be kind to yourself! Hospital work takes a good long time to settle in to.
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She intimidates people who point this out on social media sites - I speak from my own experience on that. She describes it as âlibelâ. Not nice. I just blocked her.
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Cognitive science, philosophy (particularly bioethics), and other disciplines are producing great research directions which involve consideration of the brain but do so while emphasising context, so there is a burgeoning field out there. The neurodiversity paradigm will eventually be superceded.
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The term NEUROdiversity, seems to suggest that what mostly distinguishes types of people and / or types of experiences are neurotypes (where this really does refer to neuronal pathways or neuroanatomy more generally). This is quite a reductive idea I think.
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âPickyâ eater sounds a little better âpicking and choosingâ, being discerning (NOBODY think about it that way! đ)
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I should say I agree with the responses.
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Kid runs out of school hard into oncoming traffic? School should have appropriate gates. Kid falls off chair because they rock and injure themself? They should be in a chair that supports movement safely. Kid canât cope with noise? Create quiet spaces, try ear defenders. Etc. 11/11
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But the main opposition you face is people will say âwe CANâT change the world to accommodate this kid, they have to learn to copeâ. What I describe above is one example of how we do this every day and hardly think about it. And itâs how OTs should aim to work with autistic kids. 10/11
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This is all a matter of addressing AFFORDANCES (GEP terminology) rather than creating âvisualsâ (which is what we often do). In the old days they resorted to ABA. So ABA: changing behaviour through rewards/threats = not good. Visuals = better. Adapting affordances = best. 9/11
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But what we would ideally get to is the third stage: a world that is designed in a thoughtful conscientious way which enables kids to explore their environments safely, and takes pressure and burden off the kids and their parents. Universal and inclusive design does this. 8/11