I Love Characters Who Could Get The Absolute Shit Kicked Out Of Them And Still Be Fine But As Soon As

"New (old) perspectives on self-injurious and aggressive biting" published in Journal of Applied Behavior Analysis / Nine Inch Nails- The Hand that Feeds

I was troubled to see a trend of claiming that Autistic people who do not support Applied Behavior Analysis (ABA) are a group of "low-support-needs" autistics who are monopolizing the conversation and taking resources away from autistics with higher support needs—I think it is misunderstanding.

Individual positive or negative experiences with ABA are irrelevant here—the fundamental core of the therapy is behaviorism, the idea that an autistic person can be "treated" by rewarding "desirable" behaviors and punishing "undesirable" behaviors, and that an increase in desirable behaviors and decrease in undesirable behaviors constitutes successful treatment

In researching I found that ABA practitioners have published statements condemning conversion therapy. They refer to an unfortunate historical association between ABA and conversion therapy, but it is not association—ABA literally is conversion therapy; the creator of it used it to try to "cure" little boys that were too feminine.

ABA is considered "medically necessary" treatment for autism and the only "proven" treatment, in that it is proven to create decrease in "undesirable" behaviors and increase in "desirable" behaviors.

Undesirable behaviors for an autistic person might include things like stimming and talking about their interests, desirable behaviors might include eye contact, using verbal speech, playing with toys in the "right" way.

The BCBA behavior analyst code of ethics does not prohibit "aversive" methods (e.g. electric shock) to punish undesirable behaviors

The code of ethics only discusses the consent of the "client," not the person receiving the treatment

Many people will say "my child's ABA therapist would never make them repress harmless stims, give up their interests, use electric shocks...They understand the value of neurodiversity and emphasize the consent of the child..."

But consider...if nothing binds or requires an ABA therapist to treat stimming as important, nor restrains them from using abusive techniques, nor requires them to consider the consent of a person being treated, what protects vulnerable people other than luck? The ABA therapist still has an innately unethical level of power over a child being "treated."

Furthermore, consider: can a therapy built on the goal of controlling the behavior of a person who cannot meaningfully consent to it, especially without hard limits or protections on the kinds of behavior that can be coerced or controlled, ever be ethical?

I found many articles that discuss teaching "compliance" in autistic children, treating "compliance" as a reasonable goal to strive for without qualification...

The abstract of the above article struck me with a spark of inspiration. Biting is an undesirable behavior to be controlled, understandably so, since most would feel that violence should not be allowed. But I was suddenly reminded of the song "The Hand that Feeds" by Nine Inch Nails, which is a play on the saying "Don't bite the hand that feeds you," meaning don't lash out against someone that is kind to you.

But doesn't "the hand that feeds you" implicitly have power over you through being able to give or withhold food? In this case, kindness can be a form of coercion. Thus "biting the hand that feeds" is used in the song as a metaphor for autonomy and resisting coercive power. The speaker asks the audience if they have the courage to test the benevolence of their oppressors, or if they will remain compliant and unquestioning even though they know deep down that it isn't right.

Likewise the article blunders into something unintentionally poetic when it recognizes that biting is an innately possible behavior in response to "aversive" stimuli or the "removal of reinforcers." Reinforcers and aversives in ABA are discussed as tools used by the therapist—the presentation of a preferred food would be a reinforcer, for instance (and is often used as such in ABA).

The journal article considers biting as a behavioral problem, even though the possibility that someone may bite can never be eliminated. Contrastingly, "The Hand that Feeds" highlights the coercive power behind the ability to control your behavior, even when that control appears benevolent and positive, and argues that "biting the hand that feeds you" is not only a possibility but a moral imperative.

Consider: In what circumstances would you bite someone? To defend your own body? To defend your life? Are there circumstances in which biting would be the reasonable and the right action to take?

What authority decides which behaviors are desirable or undesirable, and rewards or punishes compliance or resistance? Who is an authority—your therapist? Your teacher? Your caregiver? Any adult? Any person with the power to reward or punish?

In what circumstances might compliance be demanded of you? In what circumstances would it be justifiable not to comply? What authority decides which circumstances are justifiable?

Can you imagine a circumstance where it might be important for a child to not comply with the demands of an adult? For a citizen to not comply with the demands of a government? Which authorities demand compliance in a right and just manner, and which demand compliance to things that are evil and wrong? Which authority has the power to differentiate the two? Should you trust them? Will you bite the hand that feeds you?/Will you stay down on your knees?

Dino Mommy Summer

anyways (I say this as someone who is deeply critical of the united states government, military, unchecked capitalism, police, etc) I am SICK of people treating america as if it has no cultural value or positives so….. I love u 85 million acres (bigger than italy) of national parks. I love u harlem renaissance. I love u groundhogs day. I love u sweet tea and fried chicken and jambalaya. I love u apple cider donuts and maizes on crisp autumn days. I love u 95k miles of coastlines and new england fisherman and hand knitted sweaters. I love u halloween where millions of people dress up and give candy to strangers and carve jack o’lanterns. I love u small talk and small towns and potlucks and bringing over casseroles to your struggling neighbors. I love u cowboys and ranch hands and arizonian cactus. I love u appalachian trail and dirtbikes and divebars. I love u sparklers and fireflies. I love u mark twain and toni morrison and emily dickinson and henry david thoreau. I love u rock n roll i love u bluegrass and hippies i love u jimi hendrix and nirvana and CCR and janis joplin. I love u victorian houses and jonny appleseed and john henry and mothman and bigfoot. I love u foggy days in the pacific northwest and neon signs and roadside attractions. I love u baseball and 1950s diners and soft serve. I love u native american art and pop art and poptarts. I love u blue jeans and barbecues and jazz musicians 

when i say 'i want worse graphics' ppl assume i mean 'i want stylyzed instead of realistic' then get mad at me for saying it wrong (???) so let me be clear:

i want worse graphics. i want the models topology to be a bit off, i want the rigging to have a few verts mis-weighted, i want the final model to not be accurate to the concept art cuz it would have been too labor intensive to make the scarf that long. i want the shading to do the thing where a real time character shadow is casting on top of another baked in shadow. i want whatever eases the devs workload and prevents crunch so they can go home to their loved ones and actually enjoy their life outside of work

and im not kidding

At least once a month someone will write “anarchism isn’t about no hierarchies, anarchism is about no UNJUST hierarchies” and will then name the most extremely fucked up hierarchy as their example of a ‘just’ hierarchy.

Like, no, comrade, the doctor-patient relationship is NOT a just hierarchy. The power that doctors have to not just give advice but to decide for us which care we get and which care we don’t get is deeply fucked up. Speak to a woman and you will get on average like 4 stories about medical abuse by sexist doctors who didn’t want to google ‘endometriosis’. Then speak to trans people. Then speak to fat people. Then speak to people of color. Then speak to a disabled person. I promise you will be horrified by what marginalized people endure under the doctor-patient hierarchy. Our bodies should definitely be ours to control.

Something that literally changed my life was working with a friend on a coding thing. He was helping me create an auto rig script and was trying to explain something to me but his words were just turning into static in my brain. I was tired and confused and there was so many new concepts happening.

I could feel myself working toward a crying meltdown and was getting preemptively ashamed of what was about to happen when he said, “Hey, are you someone who benefits from breaks?”

It broke me.

Did I benefit from breaks? I didn’t know. I’d never taken them.

When a problem frustrated or upset me I just gritted my teeth and plowed through the emotional distress because eventually if you batter and flail at something long enough you figure it out. So what if you get bruised on the way.

I viscerally remembered in that moment being forced to sit at the table late into the night with my dad screaming at me, trying to understand math. I remembered taking that with me into adulthood and having breakdowns every week trying to understand coding. I could have taken a break? Would it help? I didn’t know! I’d never taken one!

“Yes,” I told him. We paused our call. I ate lunch. I focused on other stuff for half an hour. I came back in a significantly better state of mind, and the thing he’d been trying to explain had been gently cooking in the back of my head and seemed easier to understand.

Now when I find myself gritting my teeth at problems I can hear his gentle voice asking if I benefit from breaks. Yes, dear god, yes why did I never get taught breaks? Why was the only way I knew to keep suffering until something worked?

I was relating to this same friend recently my roadtrip to the redwoods with my wife. “We stopped every hour or so to get out and stretch our legs and switch drivers. It was really nice. When I was a kid we’d just drive twelve hours straight and not stop for anything, just gas. We’d eat in the car and power through.”

He gave a wry smile, immediately connecting the mindset of my parents on a road trip to what they’d instilled in me about brute forcing through discomfort. “Do you benefit from breaks?” he echoed, drawing my attention to it, making me smile with the same sad acknowledgement.

Take breaks. You’re allowed. You don’t have to slam into problems over and over and over, let yourself rest. It will get easier. Take. Breaks.

Hum

This is a fantastic linguistics paper – the researcher observed the artificiality and social pressure imposed on kids when they're asked to produce language on the spot, so instead had them talk to a rabbit in a room with a tape recorder. He found that when talking organically, without an adult authority figure around, their speech was exponentially more sophisticated, socially fluid, and creative.

As someone in the twitter thread points out, this has obvious implications for situations in which cued language production is used in diagnosis e.g. for autism. I'd add that (while this particular paper's remit is limited to children) it should also make us think about situations where adults are pressured to speak by authority figures: court hearings, police encounters, benefit assessments, asylum interviews, etc. If the presence of power hampers your ability to advocate for yourself, these are all rigged propositions.

Anyway, you can read the whole piece here (taken from a talk on his research, so it's very readable):

https://betsysneller.github.io/pdfs/Labov1966-Rabbit.pdf

e: sorry, I should add the context that this is a language study situated in Hawaii in 1970 so there are also some very significant racial socio-linguistic politics discussed here that might be distressing to read about. I don't want to discount that aspect of the power dynamic studied here either.

Real talk why does social interaction feel like you’re trying to get a good grade in being a person

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You Might Not Recover from Burnout. Ever.

What grows from the ashes of your old life?

The data does not support the assumption that all burned out people can “recover.” And when we fully appreciate what burnout signals in the body, and where it comes from on a social, economic, and psychological level, it should become clear to us that there’s nothing beneficial in returning to an unsustainable status quo. 

The term “burned out” is sometimes used to simply mean “stressed” or “tired,” and many organizations benefit from framing the condition in such light terms. Short-term, casual burnout (like you might get after one particularly stressful work deadline, or following final exams) has a positive prognosis: within three months of enjoying a reduced workload and increased time for rest and leisure, 80% of mildly burned-out workers are able to make a full return to their jobs. 

But there’s a lot of unanswered questions lurking behind this happy statistic. For instance, how many workers in this economy actually have the ability to take three months off work to focus on burnout recovery? What happens if a mildly burnt-out person does not get that rest, and has to keep toiling away as more deadlines pile up? And what is the point of returning to work if the job is going to remain as grueling and uncontrollable as it was when it first burned the worker out? 

Burnout that is not treated swiftly can become far more severe. Clinical psychologist and burnout expert Arno van Dam writes that when left unattended (or forcibly pushed through), mild burnout can metastasize into clinical burnout, which the International Classification of Diseases defines as feelings of energy depletion, increased mental distance, and a reduced sense of personal agency. Clinically burned-out people are not only tired, they also feel detached from other people and no longer in control of their lives, in other words.

Unfortunately, clinical burnout has quite a dismal trajectory. Multiple studies by van Dam and others have found that clinical burnout sufferers may require a year or more of rest following treatment before they can feel better, and that some of burnout’s lingering effects don’t go away easily, if at all. 

In one study conducted by Anita Eskildsen, for example, burnout sufferers continued to show memory and processing speed declines one year after burnout. Their cognitive processing skills improved slightly since seeking treatment, but the experience of having been burnt out had still left them operating significantly below their non-burned-out peers or their prior self, with no signs of bouncing back. 

It took two years for subjects in one of van Dam’s studies to return to “normal” levels of involvement and competence at work. following an incident of clinical burnout. However, even after a multi-year recovery period they still performed worse than the non-burned-out control group on a cognitive task designed to test their planning and preparation abilities. Though they no longer qualified as clinically burned out, former burnout sufferers still reported greater exhaustion, fatigue, depression, and distress than controls.

In his review of the scientific literature, van Dam reports that anywhere from 25% to 50% of clinical burnout sufferers do not make a full recovery even four years after their illness. Studies generally find that burnout sufferers make most of their mental and physical health gains in the first year after treatment, but continue to underperform on neuropsychological tests for many years afterward, compared to control subjects who were never burned out. 

People who have experienced burnout report worse memories, slower reaction times, less attentiveness, lower motivation, greater exhaustion, reduced work capability, and more negative health symptoms, long after their period of overwork has stopped. It’s as if burnout sufferers have fallen off their previous life trajectory, and cannot ever climb fully back up. 

And that’s just among the people who receive some kind of treatment for their burnout and have the opportunity to rest. I found one study that followed burned-out teachers for seven years and reported over 14% of them remained highly burnt-out the entire time. These teachers continued feeling depersonalized, emotionally drained, ineffective, dizzy, sick to their stomachs, and desperate to leave their jobs for the better part of a decade. But they kept working in spite of it (or more likely, from a lack of other options), lowering their odds of ever healing all the while. 

Van Dam observes that clinical burnout patients tend to suffer from an excess of perseverance, rather than the opposite: “Patients with clinical burnout…report that they ignored stress symptoms for several years,” he writes. “Living a stressful life was a normal condition for them. Some were not even aware of the stressfulness of their lives, until they collapsed.”

Instead of seeking help for workplace problems or reducing their workload, as most people do, clinical burnout sufferers typically push themselves through unpleasant circumstances and avoid asking for help. They’re also less likely to give up when placed under frustrating circumstances, instead throttling the gas in hopes that their problems can be fixed with extra effort. They become hyperactive, unable to rest or enjoy holidays, their bodies wired to treat work as the solution to every problem. It is only after living at this unrelenting pace for years that they tumble into severe burnout. 

Among both masked Autistics and overworked employees, the people most likely to reach catastrophic, body-breaking levels of burnout are the people most primed to ignore their own physical boundaries for as long as possible. Clinical burnout sufferers work far past the point that virtually anyone else would ask for help, take a break, or stop caring about their work.

And when viewed from this perspective, we can see burnout as the saving grace of the compulsive workaholic — and the path to liberation for the masked disabled person who has nearly killed themselves trying to pass as a diligent worker bee. 

I wrote about the latest data on burnout "recovery," and the similarities and differences between Autistic burnout and conventional clinical burnout. The full piece is free to read or have narrated to you in the Substack app at drdevonprice.substack.com