The DSM-5 criteria doesn't change. But you can always change the way you ask the questions.
Lauren Howard
CEO of LBee Health, a new approach to accessible mental health care | Artfully Oversharing Because Isolation Lies | Keynote speaker | Advocate For All Women and #teamdifficult | Lover of Dogs and Ms. PacMan | Call Me L2
We get some skepticism on how we could have changed an established evaluation process that allows very little room for the existence of women, femmes, and nonbinary people. And somehow it's still valid??
The DSM-5 criteria doesn't change. But you can always change the way you ask the questions.?
Sensory assaults, or meltdowns, are pretty common in people on the Autism Spectrum. If you ask most women and femmes if they have "meltdowns" in public, however, they get a horrified look on their faces and say something to the effect of "Never! I would be mortified."?
The criteria includes poor regulation of sensory responses and this person says that they don't become completely dysregulated in public. They must not be autistic.?
Nah, bruh. Ask that same person if they leave that environment and collapse or have outbursts in private.??
Women and femmes have been socialized to never feel things where people can see. Smile. Don't look weird. Explosions aren't attractive. Feelings are private.?
Don't. Draw. Attention.?
So they experience all the same things, like elevated heart rate, feeling trapped, rigidity, desperation for comfort, etc. and they . . . keep it inside. They smile and pretend everything is totally fine. They continue to make fake eye contact, participate as much as they can, and then escape as soon as they are able.
Masking is learning. They learn how to avoid responding to things that are painful for them publicly so they can experience them privately. And then they have the response that they were socialized out of having before.?
That's the same thing as the traditional sensory response that the criteria indicates.
You don't have to change the criteria. You have to change the questions.?
That's what we did.?
Oh, and when you tailor your results to the most marginalized communities, they get better for everyone. There's this weird thing that happens with equity that it's, like, equitable.?
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-L2
Cybersecurity Executive | Risk Management | Program Creation | Privacy and Regulation | Vendor Management | Mentoring | Strategy | CISSP | CISO
4 周"Women and femmes have been socialized to never feel things where people can see." ??, spectrum or otherwise.
Helping Clinics Start Clinical Pharmacy? Uniting Modern Pharmacists?Top 100 Innovator ?Playground Owner
4 周Well said, those questions reframed to your audience is essential for a equitable assessment Love watching you grow! Curious if your utilzing pharmacists clinically, not dispensing ;)
Brand + Culture Strategist | Featured in Forbes | Equity + Access | Communications | Community Builder | Experience Curator | Giving you the feels!?????????
4 周I mean for goodness sake give us an updated VI already though bc dayummmmmm LOL love this approach though ????????????