off-message autistic researcher https://bsky.app/profile/autismcrisis.bsky.socialhttps://bsky.app/profile/autismcrisis.bsky.social/post/3murbakunrs23"the operationalization of autism by education and clinical systems are so different that we are observing two partially distinct subsets of children"? https://link.springer.com/article/10.1007/s10803-026-07442-w findings "raise important questions about how autism is defined and operationalized in public health surveillance"05 Sep 2026 10:25 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3murbakunrs23https://bsky.app/profile/autismcrisis.bsky.social/post/3mum4otna7k2v"Antidepressant prescribing has increased more for autistic adults than non-autistic adults since 1997, with more new starters, higher doses and longer course durations" https://onlinelibrary.wiley.com/doi/10.1002/aur.70360 "This potentially increases the risk of adverse medication effects for autistic adults..."03 Sep 2026 09:20 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mum4otna7k2vhttps://bsky.app/profile/autismcrisis.bsky.social/post/3muh7v2zofk2kEarly autism screening? at ages 6, 9, & 12 months, all screeners "performed poorly"--e.g. on M-CHAT-R, "the vast majority of children screened positive" https://onlinelibrary.wiley.com/doi/10.1002/aur.70340 at ages 18 & 24 months "findings clearly support the use of multiple screeners, with repeated screenings"?01 Sep 2026 10:34 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3muh7v2zofk2khttps://bsky.app/profile/autismcrisis.bsky.social/post/3muc6z2awds2rPredictors of change in parent-report "self-injurious behaviors" (SIBs) in autistic children? "SIBs are highly prevalent" "only 9% did not have SIBs at either timepoint" https://onlinelibrary.wiley.com/doi/10.1002/aur.70350 not mentioned: type & amount of autism interventions received & resulting potential harms30 Aug 2026 10:35 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3muc6z2awds2rhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mu57badefk27ABA procedures & standards harm autistics, again https://onlinelibrary.wiley.com/doi/10.1002/jaba.70083 "a leaner schedule of reinforcement... engenders a fair amount of destructive behavior" "proportion-of-baseline values could obscure just how high rates of severe destructive behavior are in the test condition"28 Aug 2026 10:56 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mu57badefk27https://bsky.app/profile/autismcrisis.bsky.social/post/3mty5vyqfg22lAge at first autism diagnosis vs well-being?--data from MoBa (N=2,483), free https://journals.sagepub.com/doi/10.1177/13623613261474929 "Taken together, these results indicate that both the observational relationship between age at autism diagnosis and well-being and its confounding are more complex than anticipated"26 Aug 2026 10:49 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mty5vyqfg22lhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mtvkrlsobk2t"terminology preferences... suggested only modest overall differences in liking & offensiveness ratings between autistic parents, autistic non-parents, & non-autistic parents"? https://journals.sagepub.com/doi/10.1177/13623613261475023 "Notably, 'profound autism' was especially strongly disliked in this sample" (N=3,181)25 Aug 2026 10:01 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mtvkrlsobk2thttps://bsky.app/profile/autismcrisis.bsky.social/post/3mtqe76wkds2hOptimist: The cup is half full Pessimist: The cup is half empty Autistic: There's enough in the cup or there isn't [contains quote post or other embedded content]23 Aug 2026 08:20 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mtqe76wkds2hhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mtnz3juzpc2oPain perception & placebo effects in adults--"results suggest that the magnitude of the placebo effect was not impacted by the presence or absence of an autism diagnosis, or by autistic traits" but "alexithymia predicted an increased placebo effect"? https://journals.sagepub.com/doi/10.1177/13623613261472929 free22 Aug 2026 09:56 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mtnz3juzpc2ohttps://bsky.app/profile/autismcrisis.bsky.social/post/3mtliyboaqc2cAutism "severity" levels are biased & unhelpful, again https://onlinelibrary.wiley.com/doi/10.1002/aur.70351 "Although clinicians showed high agreement when determining whether toddlers were autistic, they showed much less agreement when assigning DSM-5-TR severity levels describing the amount of support needed"21 Aug 2026 10:02 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mtliyboaqc2chttps://bsky.app/profile/autismcrisis.bsky.social/post/3mt6th6vsps2g"The key questions, however, are not just about diagnostic prevalence but also the burden of mental ill health across the spectrum, functioning across different contexts and the risks and benefits of intervention"? https://acamh.onlinelibrary.wiley.com/doi/10.1111/jcpp.70213 editorial perspective, autism-relevant16 Aug 2026 09:05 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mt6th6vsps2ghttps://bsky.app/profile/autismcrisis.bsky.social/post/3mt4e4acib22d"autism-specific early intervention (EI) has positive impacts"? but "we still do not have a high degree of certainty about the effectiveness of autism-specific EI"?--more like no certainty re balance of benefits vs harms, long-term outcomes, etc https://journals.sagepub.com/doi/10.1177/13623613261474938 commentary, COIs15 Aug 2026 09:25 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mt4e4acib22dhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mszv3nyifk2e"Despite meaningful advances in reproducibility of biological factors associated with autism, clinically actionable biomarkers remain elusive"--review, COIs https://www.sciencedirect.com/science/article/abs/pii/S000632232601468X note: "a biomarker is not a measure of how an individual feels, functions, or survives"14 Aug 2026 09:51 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mszv3nyifk2ehttps://bsky.app/profile/autismcrisis.bsky.social/post/3msxeuyoerk2hBehavior analysts use food reinforcers (dark chocolate, chocolate sandwich cookies, strawberry toaster pastries) to train an autistic adult, who has received "more than 10 years of ABA therapy," to stuff envelopes, fold washcloths, etc https://onlinelibrary.wiley.com/doi/10.1002/bin.70132 ABA in 2026, COIs13 Aug 2026 09:55 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msxeuyoerk2hhttps://bsky.app/profile/autismcrisis.bsky.social/post/3msusclx6tk2b"While some theories suggest differences in predictive processing underlie autism..., the current findings challenge the robustness of empirical evidence for differences in volatility estimates and learning rate updates between autistic and non-autistic adults" https://link.springer.com/article/10.1186/s13229-026-00730-3 free12 Aug 2026 09:18 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msusclx6tk2bhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mssbloxolk2s"while the Clinical Global Impressions scale is widely used to evaluate change in autistic individuals following psychosocial interventions, inconsistent application limits its reliability, validity, and interpretability" https://journals.sagepub.com/doi/10.1177/13623613261472939 systematic review, free11 Aug 2026 09:13 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mssbloxolk2shttps://bsky.app/profile/autismcrisis.bsky.social/post/3mspp4gsces2bRegistered: "the first comprehensive systematic review of the literature on early developmental differences in infants with family history of ADHD and/or autism compared to infants without family history" https://www.crd.york.ac.uk/PROSPERO/view/CRD420261437851 note: included age range is 0-36 months10 Aug 2026 08:37 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mspp4gsces2bhttps://bsky.app/profile/autismcrisis.bsky.social/post/3msnawjb6ns2zDefinitions of developmental regression in children "varied in the reporting of fundamental features such as the duration of loss, the child's age when regression was first reported and the types of skills lost" https://onlinelibrary.wiley.com/doi/10.1002/aur.70325 scoping review, autism-relevant, free09 Aug 2026 09:18 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msnawjb6ns2zhttps://bsky.app/profile/autismcrisis.bsky.social/post/3msid7i5q6s25"Some autistic children with relatively high verbal abilities may produce limited spontaneous speech" https://onlinelibrary.wiley.com/doi/10.1002/aur.70324 "neither an autistic child's speaking status nor the amount of generative language this child spontaneously produces necessarily matches their verbal skills"07 Aug 2026 10:16 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msid7i5q6s25https://bsky.app/profile/autismcrisis.bsky.social/post/3msfr5rbdo22wESDM vs non-ESDM early autism interventions across 9 studies (only 1 is an RCT), where autistics received 3-27 months of intervention? https://link.springer.com/article/10.1186/s13229-026-00736-x "little evidence of quantitative differences between intervention types" "many null effects of cumulative intervention intensity"06 Aug 2026 09:47 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msfr5rbdo22whttps://bsky.app/profile/autismcrisis.bsky.social/post/3msd5bn7gw22kFutile reminder: there is still no literature at all on autistics experiencing human rights violations & challenging this legally (autism & the human rights law "system"), there are no papers much less a special issue [contains quote post or other embedded content]05 Aug 2026 08:46 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msd5bn7gw22khttps://bsky.app/profile/autismcrisis.bsky.social/post/3msannt6qq22cHow accurately do autistic adults detect "temporal correlations between sequences of probabilistically co-occurring visual events"?--"Contrary to our hypothesis, the autistic group always performed at least as well as the non-autistic group" https://onlinelibrary.wiley.com/doi/10.1002/aur.70339 free04 Aug 2026 09:01 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3msannt6qq22chttps://bsky.app/profile/autismcrisis.bsky.social/post/3ms64siavyc22Registered: "the influence of home and community physical environments on mental health & cognitive outcomes" in autism &/or ADHD, systematic review https://www.crd.york.ac.uk/PROSPERO/view/CRD420261365575 "To date, few reviews have specifically examined the impact of the physical environment on neurodivergent children"03 Aug 2026 08:54 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3ms64siavyc22https://bsky.app/profile/autismcrisis.bsky.social/post/3ms3oqxnays2uAmong 8-16 year-olds, autistics "were disproportionately represented in the sample of individuals who attended the ED for suicidal crisis" https://link.springer.com/article/10.1007/s10803-026-07424-y young autistics "are not receiving the help they need... earlier in the clinical care pathway, or once they reach the ED"02 Aug 2026 09:38 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3ms3oqxnays2uhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mrzai4sp4225In a review of recent studies, ABA competing stimulus assessments increase "challenging behavior" in many autistics & others, by up to 3178%--see Table 5, Fig 3? & no mention of resulting harms https://onlinelibrary.wiley.com/doi/10.1002/jaba.70074 & many studies use punishment too (response blocking)--ABA in 202601 Aug 2026 10:17 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mrzai4sp4225https://bsky.app/profile/autismcrisis.bsky.social/post/3mrwofkivgk2vIn bilingual environments, "minimally speaking autistic children flexibly adapt to their caregiver's language" https://onlinelibrary.wiley.com/doi/10.1002/aur.70319 "findings highlight that there is no compelling reason to advise against dual language exposure in minimally speaking autistic children"31 Jul 2026 09:48 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mrwofkivgk2vhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mruafpumss24For autistic adults, "higher support needs" means "a legally authorized representative"?--including autistics without ID & with graduate degrees https://journals.sagepub.com/doi/10.1177/13623613261466302 re the proxy-report EF vs anxiety & depression results, "conclusions about causality or directionality cannot be made"30 Jul 2026 10:32 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mruafpumss24https://bsky.app/profile/autismcrisis.bsky.social/post/3mrp6y52kic2c"a tool to guide the rigorous appraisal of neurodiversity affirming mental health research"? the tool assumes this research is beneficial (without assessing its benefits vs harms, risk of bias etc) & should be disseminated as policy, practice etc? https://journals.sagepub.com/doi/10.1177/27546330261464728 autism-relevant28 Jul 2026 10:23 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mrp6y52kic2chttps://bsky.app/profile/autismcrisis.bsky.social/post/3mrmigv6o5c2yRegistered: "What physical healthcare do Autistic adults receive?" "What barriers and facilitators to physical healthcare do Autistic people experience? Are these different for Autistic people with differing support needs?" etc https://www.crd.york.ac.uk/PROSPERO/view/CRD420261410002 "A realist review of reviews"?27 Jul 2026 08:35 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mrmigv6o5c2yhttps://bsky.app/profile/autismcrisis.bsky.social/post/3mrk355hapk2oAutistics are anxious due to autism "exacerbating" anxiety mechanisms?--"intolerance of uncertainty" "repetitive negative thinking" "attentional biases" "intrusive mental imagery"? https://journals.sagepub.com/doi/10.1177/13623613261455375 note: that autistics have "actual negative experiences" gets a few brief mentions26 Jul 2026 09:31 +0000at://did:plc:t64dyqbb4fry5oadyqoa6kro/app.bsky.feed.post/3mrk355hapk2o