Autistic Support and Institutional Ignorance: Experiences and Reflections

Understanding Autism: Beyond the Diagnostic Category

Autism is a complex and diverse neurodevelopmental condition, and despite the progress in our understanding, there remains a significant need for appropriate support. Often, the term Asperger's Syndrome is seen as a category that needs to be restored and reclassified as a neurotype, rather than a disorder. I prefer the term 'Indigo,' symbolizing a unique and beautiful mindset rather than a pathological condition. As a community, we do not require special treatment but rather different treatment tailored to our needs.

The Case of Institutional Insensitivity

My recent experience with a relative in a National Health Service (NHS) hospital highlights the persistent and pervasive ignorance at an institutional level when dealing with autistic individuals. Last week, my relative was in severe pain and admitted to the hospital, accompanied by their partner. At the end of visiting hours, the staff asked the partner to leave. My relative is autistic, and the situation was already highly stressful, compounded by the fear of potential surgery. Despite explaining the situation and requesting support for their partner to stay, the staff's response was dismissive, saying 'We have had autistic patients before, and they haven’t needed support. Your partner needs to leave.'

This incident demonstrates a critical lack of understanding and empathy towards autistic individuals. The refusal to provide necessary support during a high-stress situation can escalate the difficulty for both the patient and the accompanying loved one. It is essential to recognize that autistic individuals, like all others, can face unique challenges that require tailored support to ensure their comfort and care.

Challenging Organizational Support

Organizations often attempt to provide support for autistic individuals, but the existing models often fall short. Many autistic individuals prefer help from friends and family who understand their unique needs rather than generalized support from organizations. These organizations are often criticized for not adequately reflecting the diverse experiences and challenges faced by autistic individuals. Their one-size-fits-all approach fails to address the individuality of each autistic person, making it difficult to create effective support systems.

Take the example of driving. As someone with autism, spatial awareness can be a significant challenge, making driving a non-option. However, society still expects a level of independence and self-sufficiency. Until certain tasks become legally required, such as driving, individuals like myself might be unduly restricted. Similarly, dyslexia poses another set of challenges. The ability to ask someone to read something out is essential, yet a systemic solution that can be applied to everyone might overlook the unique needs of each individual.

The reality is that every case of autism is different, and a generic support service is unlikely to be effective. Instead, we advocate for services that focus on helping adults live independently with their specific disabilities. A locally tailored service specific to adult support in autism can be more effective. Such services must be designed with the understanding that each individual's needs are unique and require personalized care.

Conclusion

The need for support for autistic individuals is real, and it extends far beyond the institutional. Persistent and pervasive ignorance at an institutional level is a significant barrier to providing adequate support. By addressing this issue, we can pave the way for more effective and compassionate care. It is not about demanding special treatment but about recognizing that we need different treatment that acknowledges and respects our diverse needs.