Gabriel Rapier Champions Futsal for All

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Gabriel Rapier. Photo: Joshua Huston

“Gabriel Rapier could really use a roof. Nothing fancy, just a simple shelter so the kids he coaches in Seattle’s Central District can come play at Judkins Park, rain or shine. He swears they only need it for the rain, but watching the kids guzzle water on a sweltering summer day, it was clear they could use it for the shine, too.

But Rapier won’t let a little inclement weather stop him from making positive change in his community. He’s resourceful. Recognizing a need for an affordable alternative to expensive youth premier soccer leagues, he co-founded Puget Sound Futsal 10 years ago. Futsal is a sport similar to street soccer, but with a heavier ball on an enclosed hardtop. It can be played indoors or outdoors, and has short, narrow goals and five players per side.”

READ THE REST IN SEATTLE’S CHILD MAGAZINE

The Case for Buying School Lunches

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Cathy Walls-Thompson. Photo: Joshua Huston

Since Michelle Obama’s Healthy Hunger-Free Kids Act passed in 2010, the nutritional quality of school lunches has improved dramatically. The act established science-based nutrition standards for all food sold and marketed in schools, increased access to healthy food for children from low-income households and helped communities create local farm-to-school networks.

Lunchroom manager Cathy Walls-Thompson has witnessed the benefits of the act firsthand in the kids she serves at Hawthorne Elementary in Southeast Seattle’s Columbia City. The children have started choosing locally grown fruits, vegetables, beans and whole grains instead of French fries or tater tots. 

“I encourage kids to just try it, and see what happens,” says Walls-Thompson. “Parents tell me all the time, ‘I’ll be doggone — my kids are eating salad now because of you!’” She adds that she’s lost 165 pounds by following the new guidelines.” 

READ THE FULL ARTICLE IN SEATTLE’S CHILD

When Missed Periods Are a Metabolic Problem

Polycystic Ovary Syndrome affects around 10% of women and doubles their likelihood of hospitalization for heart disease, diabetes, mental-health conditions, reproductive disorders, and cancer of the uterine lining. Yet, an estimated 70% of women with PCOS go undiagnosed and untreated.

Womb Art

Artisti: Vijay Sharon Govender

The Common Hormonal Disorder That Scientists Don’t Understand 

I wrote about this misunderstood disorder for The Atlantic. To learn more about Polycystic Ovary Syndrome, check out the PCOS Challenge Website.

Read the full article here and spread the word to the ladies in your life!

Amy Sequenzia: Non-Speaking Autistic Speaking

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“Amy Sequenzia is a non-speaking Autistic activist who loves words and writes free verse poetry. Amy also blogs regularly for Ollibean and Autism Women’s Network, and guest blogs for several websites. Amy serves on the Board of the Autistic Self-Advocacy Network, Florida Alliance for Assistive Services and Technology (FAAST) and the Autism National Committee (AutCom) and has presented in several conferences, in the US and Canada.

Amy uses AAC, FC and RPM to communicate. The right of individuals to communicate in any form that works for them is an important issue for Amy, as is the right of everyone to be totally included in the larger community. As a multiply disabled, non-speaking activist, Amy wants to reach out to young Autistics and their families, showing them that everyone should be heard because everyone has something to say.

Amy lives in Florida with friends, who are also her support staff. But mostly, they are friends. Amy’s links to published articles can be found on her blog: http://nonspeakingautisticspeaking.blogspot.com

When did you receive ABA therapy and what was your experience?

I was very young. I did not have the intensive 40 hours/week program. At the same time, it was disrespectful of my autonomy. Not only I was not allowed choices, nobody cared to tell me why I had to do what they wanted, as if their idea of “right” was unchallengeable. I was a kid and I was being forced to do things that my brain could not understand. Because the therapists were unsuccessful, they blamed my “profound retardation” and pushed my self-esteem to the ground.

Today, I know I was being myself and even showing self-determination. But at the time, I was said to be too damaged to “learn” (the right words would be obey, comply) and to be making life harder for my parents.That’s why I say I am proud I “failed” ABA.

What is your favorite part about being autistic? What are some things you can do or experience that you think non-autistics miss out on?

I like everything about being Autistic. It is who I am and I like myself (I had to learn that this is ok, after years of internalized ableism, of people saying I wasn’t good enough).

I don’t think people miss out on not being Autistic, in the same way I don’t think Autistics miss out on not being non-autistic.
We are who we are and we are who we are supposed to be. I respect the neurotypical and the non-autistic neurology.

There is though, one advantage non-autistics enjoy: privilege. Being considered the norm, the desirable, the “right”. But this is due to societal perceptions. This is true for all disabled people.

What alternative kind of support is the most helpful to you?

I cannot say it is alternative because my answer is: human support. I can do what I set myself up for doing if I have someone who respects me, who understands my needs, and who supports me without judgment.

Do you believe ABA practitioners have mean-spirited intentions?

No. But they learn from a very ill-intended textbook, the same one that tried to “fix” homosexuality. I am sure some of them are pretty bad and are stuck in the old idea that normalization is synonym of success. They refuse to acknowledge that being trained to obey, and to force our brains to do things in a way they are not wired to do causes long lasting pain, or makes Autistics learn the “correct” answers and “behaviors”, while keeping their Autistic essence buried and unexplored. Self-determination begins with choice and stories of adults who only want to please and look “normal” should not be considered success stories.

I hear a lot of BCBA’s saying that “their ABA is not ‘like that’”. If they are using a neurotypical measurement of success, their ABA is training into compliance, and it is bad. Some also like to say “’these’ kids need to learn things”, as if only Autistic kids need to “learn things”.

I think most of the therapists are unwilling to reject old methods, maybe some are just afraid of challenging the “big names”, some are just too happy to call anything ABA, which is expensive and with a powerful lobby, making it more likely to be covered by insurance.

The lobby is so powerful, ABA is now “teaching” Autistic kids things that every child should learn, or teaching them how to button a shirt, something most kids learn from their families. Autism is a developmental disability. Children learn in a different timeline. ABA measures Autistic children’s success based on a non-autistic timeline

What do you imagine as the ideal educational situation for a non-speaking autistic child?

The ideal situation for any child in school is to have their needs respected. For a non-speaking child, this could mean the educators learning the child’s communication method. Remember: everybody communicates, and behavior is communication. It is not the fault of an Autistic child that the neuromajority cannot understand her language.

How has your experience of autism as an adult changed since you were a child?

I had to unlearn ableism (I internalized all the assumptions about me, that I was broken, incomplete, not good enough) and I had to put myself out in the world. When I was a child, I didn’t know of any Autistic adults to have as role models. My parents didn’t know either and they made a lot of mistakes.

All the conversation was controlled by parents and doctors, usually full of pity and dire predictions. When I was a teenager, a doctor wrote on my chart that I had “no human dignity”. This was considered appropriate for him to do.

As an adult, I see more and more of us speaking up. At the same time, I see many organizations, formed by parents and family members, refusing to listen to us and raising money by spreading false assumptions about what it means to be Autistic, to have an Autistic child. Doctors and other professionals also need to upgrade their understanding of autism.

That’s why this is our civil rights movement. We are fighting to be heard in policies and decisions about our own lives. We are fighting for our right to participate and to be included. We are fighting to make the rest of the word understand and respect the Disability Rights Movement motto: Nothing About Us, Without Us.

Can you explain Echolalia and why this is so common for autistic people?

I am not echolalic so I can’t speak of it.

Are there some behaviors that you appreciated help changing and some that you wish helpers had just left alone?

Not really. I am lucky to have a friend who respects me and supports me, allowing me to find my own path. I have learnt to make my own goals and this includes to let go or to work on what might be considered “behaviors” by others. But I decide this.

Do you remember receiving a diagnosis of autism? What was that like? How did that effect your relationship with your family and your experience in school?

No

Can you explain self-injury behavior and how it happens from your perspective? ABA says that this is sometimes an attention seeking behavior and by ignoring it and rewarding the autistic child when they stop, the caregiver can help them discontinue the behavior. What do you think about this?

I bite my hands and fingers, sometimes I hit my legs. For me, it is a need for sensory input. Sometimes I do this because I fell discomfort, or pain that I cannot identify. It is not an attention seeking act. Maybe ABA therapists should just admit they really don’t understand Autistics. There are different reasons for self-injurious behavior, each person is different. For some it is a coping mechanism.

What misconceptions about autism are you working to change? How can non-autistics help?

The misconceptions are too many to list and I have been trying to debunk them all. I think the most common is the assumption that some of us are so “severely autistic” that we suffer. This is absurd because we only know how to be ourselves. If there is suffering at all, it happens through what we are forced to listen about us in the media and everywhere. As a non-speaking Autistic, I am presumed to be unable to understand complex situations, to have an opinion. So, yes, in the sense that it is still hard for me to be heard, this makes me “suffer”. But not really because it makes me more determined to keep speaking out.

Another misconception is that we lack empathy. For example: why are ABA therapists still forcing Autistics to do things that hurt us?Why haven’t most big advocacy organization run by parents joined us in remembering disabled people murdered during our March 1st Disability Day of Mourning? Where is the empathy for the lives of disabled people they claim to advocate for?Why almost every non-disabled person and media organization claims to “understand” and “sympathize” with murderers of Autistic and disabled people, while (rightfully) condemning murderers of non-autistic and non-disabled people? Who are the ones lacking empathy?

Another misconception is that epilepsy, GI problems, incontinence, are part of autism. Co-occurring diagnosis can stand or be treated on their own. Those are not autism. Autism is how a brain receives, interprets and sends information.

I have seizures almost every day. I hope one day there will be a cure for epilepsy, but I will still be Autistic.The same for my GI problems and the many other issues I have. Those are not autism. And my non-autistic friend has some of the same, plus some other issues. Like her, there are many others. They don’t need a change in their neurology to get rid of such issues. Why should Autistics?

To know what the misconceptions of autism are, just read what the largest autism “advocacy” organization in the world, Autism Speaks, says on its website. They are wrong in all of their assumptions, and they flat out lie about others (like divorce rate for parents of Autistics, and the vaccine myth, even if they tried to walk back on the latter).

The help we want is simple: listen to us, respect us. We are born Autistic, we will die Autistic. Don’t do to us what is not acceptable to be done to non-autistics. The way you treat us today will pave the way for how the younger generation will be treated in the future.

About identity-first language and writing Autistic with capital “A”

I use identity-first language because it is my identity and it cannot be separated from me. I don’t think I need to remind people that I am a person. Person-first is double standard if it is not used while referring to non-autistic people (person without autism?). Unless the Autistic himself prefers person-first language, it should not be something parents, politicians, organizations or the media imposes on the rest of us. I am not ashamed of being Autistic. I am not ashamed of being Disabled. I am proud. The capital letter is a matter of pride and a little bit of defiance. I want people to notice that small detail (I will not raise hell if it is not capitalized. I will do so if I am referred to using person-first language. In that case, I will refuse to be quoted or spoken of)

I wrote about ABA recently:
http://autismwomensnetwork.org/my-thoughts-on-aba/

This is my blog:
http://nonspeakingautisticspeaking.blogspot.com

Autism: Does ABA therapy open society’s doors to children, or impose conformity?

 A man reaches out to his son, who has autism, in Portland, Oregon. Photograph: Stephen Voss / Alamy/Alamy

A man reaches out to his son, who has autism, in Portland, Oregon.           Photograph: Stephen Voss / Alamy/Alamy

I’m very excited to share this article on ABA therapy for Autism that I wrote for The Guardian. I hope this piece starts a dialogue about autism that goes beyond the vaccines debate and inspires others to seek out diverse autistic perspectives. You can read the full article here. For more information directly from the Autistic Blogosphere, please explore the following links:

Interview: Genetic Counselor Christina Ikard

Christina IkardThe lovely and brilliant Christina Ikard is a genetic counselor in Boise, Idaho specializing in hereditary cancer and a spectacular friend. She has an exceptional sense of humor in spite of the emotionally challenging situations she is confronted with daily, and an admirable strength of character. Her only downfall is that she won’t let me flay her skin and crawl inside her body so I can pretend to be her, but other than that slight personality quirk, she’s a dream. She very kindly answered my uncomfortable questions over e-mail while balancing a full time job. The baby pictured above is not hers, it’s just a photo I creepily stole from her Facebook profile without her permission. Without further ado, Christina Ikard ladies and gentlemen.

SP: Many people don’t know what a genetic counselor does. How would you describe your work? 

CI: Genetic counselors are healthcare professionals with unique specialized graduate degrees and experience in the areas of both medical genetics and counseling. Genetic counselors work as members of a healthcare team, providing risk assessment, education and support to individuals and families at risk for, or diagnosed with, a variety of inherited conditions. Genetic counselors also interpret genetic testing, provide supportive counseling, and serve as patient advocates.

So that is the technical definition, but I think of my role as someone who interprets family histories of cancer and determines whether or not genetic testing for a hereditary form of cancer is indicated. If it is, I help the patient and the family through the process, making sure to interpret the results for the family so that it is useable information.

Genetic counselors work in almost all the areas of medicine, but I specialize in hereditary cancer.

SP: What is the weirdest thing you’ve ever encountered in your field? 

CI: These hereditary cancer syndromes that I work with are pretty rare, with the most common syndrome occurring in about 1 in 500 people, is higher in some specific populations. I had a family who had two different hereditary cancer syndromes, which was pretty unusual and definitely kept me from never saying never.

SP: What’s your favorite part about your job? 

I love being able to talk to people all day long and being able to provide comfort and education on a daily basis. I always wanted to be in the medical field, but I didn’t want to have to deal with blood or other bodily functions. This way I am able to be in the constantly changing and exciting field of genetics and I am just able to converse with people all day long.

SP: What does a typical day look like for you? Starting with breakfast and ending with sleep. 

CI: I usually get up 30 minutes later than I am always intending to and then I quickly put bread in the toaster and start the coffee maker. Then I rush through getting ready, get myself out the door, and drive to work while eating my breakfast. One of the great things about Boise is no traffic, so I have a less than 5 minute commute to work. I usually start the day at 8 or 8:30 with emails and phone calls and then see the patients that are on my schedule. At the end of the day I catch up on my documentation and phone calls. I usually leave work around 4 or 4:30 and act like I am going to go to the gym, but that only happens about 50% of the time. After the sometimes gym time, I make dinner, eat, watch way too much trashy TV and then go to bed. I try and read for about 5 or 10 minutes before I go to bed or I play candy crush (yes I am still playing that game).

SP: Why did you want to become a genetic counselor? 

I wanted to be in the field of genetics ever since I was in middle school and we started to learn about genetics in school. I was fascinated with families and how we are all connected and why some families have some traits and other families have others.

I then thought I wanted to go to Medical school, but I shadowed a few doctors and realized that they only get maybe 15 minutes with each patient, they have to deal with some crazy bodily functions, and they have to go to school for at least 4 years.

I first heard of genetic counseling when I was in high school and was shadowing a doctor that specializes in genetics, called a geneticist. I loved how they were able to form real relationships with their patients, while still learning about these very interesting genetic disorders and being in the field of genetics. Then, I found out that it was only a master’s degree and I was sold.

SP: Where did you grow up and what was it like? What does your family think about your career choice? 

I grew up in Littleton, Colorado and I was the oldest of 4 children. I think I had a really good childhood overall as my parents always provided us with the strength to go out into the world and accomplish what we wanted. As a testament to that statement, I went to New York City for college, while my siblings went to Seattle, Boston, and Los Angeles. It seems that all of us had a stable foundation to go out and tackle the world, even if it meant leaving home.

My family is pretty close knit, even though we live apart from each other. Obviously genetics and families go hand and hand so I was always curious with different family dynamics and why each family is so unique. I work with families on a daily basis and it never seems that any family is the same.

I think my family is happy with my career choice. It is hard to know what a genetic counselor is until you go through a full session with one so I am not entirely sure if they know exactly what I do, but I know that they are happy to tell others what my title is to other people. I guess I have never really asked them directly to really know how they feel.

SP: What do you think is the future of genetic counseling? 

Pretty soon we will be able to sequence the entire genetic code for each person so I think that our role will be to help other health care providers and patients interpret what each of their individual codes mean for disease and health risk. Eventually we will all be practicing personalized medicine based on a person’s genetic makeup and our job will be to help with this transition.

SP: What is the most controversial issue in your field right now? 

As I practice hereditary cancer, I do not have to deal with it, but genetic counselors in other specialties have to combat the abortion question. Some people view our jobs as wanting to prevent the birth of any child with a genetic disease. I believe it is quite the opposite in that we empower people to have the knowledge regarding the risk for genetic disease in their families and allow them to make their own choices about their families. We provide information about all options and empower patients to make the right choice for them, which is a very powerful thing.

SP: Are there any misconceptions about genetic counseling that you’d like to clear up here? 

There is also the misconception that we have the ability to reach in and “fix bad genes” and/or play god. We do not have the ability to do that and instead we educate people about their genetics and how it may influence their disease risk. We cannot fix these broken genes, but we can help people to better manage their health based on their genetics.

SP: Please describe your soul in whatever terms you deem appropriate. 

I think I am a rather complex person in that I love talking to people all day long, but feel that I am an introvert deep down. There are only a handful of people that I let in fully, but on the outside I am very welcoming and seem like an open book. I don’t know whether that answers this question, but it was the first thing that came to mind so I went with it.

SP: Is there anything sexual (about you or the world at large) that you would like to share? 

If you know me you know that I seem to be the go to person for reproductive health questions. Maybe it was from teaching sex education to public high school students or my counseling vibe, but for some reason that is one of the many hats that I wear. Once again, I don’t know if that answers your question, but that is definitely a true fact about me.

SP: What are you currently reading, watching, doing for fun? 

Currently I am reading “Me Talk Pretty Someday” by David Sedaris, which I absolutely love. I am in a book club for the first time in my life which has been awesome as I never really read for fun when I was in school.

I LOVE trashy television including anything that is reality. I don’t know why I am drawn to this type of TV, but I think I like that I am able to turn off my brain. Also I like watching “real” families on TV, which once again maybe speaks to my fascination with families. I am also watching Orange is the New Black which I love and just finished House of Cards.

I am currently on a soccer team for the first time since high school. Since it is currently winter I have been skiing quite a bit. I also love to hike and have been attempting to get back into running.

SP: Any advice for aspiring genetic counselors? 

My advice would be to try and get as much experience in a counseling or education role as you can. I worked at Planned Parenthood and taught health to high school children, both of which pushed me out of my comfort zone and forced me to talk about uncomfortable topics to a variety of people.

I would also encourage you to reach out to genetic counselors in your area and interview them about their job. I don’t know if you really get the sense of what it is, until you are in the midst of it, but it always helps to see what other genetic counselors are currently doing.

We are definitely in need of genetic counselors everywhere so I encourage everyone with a passion for genetics and families to look into this field.