Professional Documents
Culture Documents
A Concise Guide to
Neurodiversity
DAVID CYCLEBACK
A CONCISE GUIDE TO
NEURODIVERSITY
2
A Concise Guide to Neurodiversity
1st edition
© 2021 David Cycleback & bookboon.com
ISBN 978-87-403-3680-1
Peer review by Catarina Amorim DPhil (medical sciences), University of Oxford
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A CONCISE GUIDE TO NEURODIVERSITY Contents
CONTENTS
About the author 5
1 Introduction 6
2 What is Neurodiversity? 7
2.1 What is normal? 7
2.2 All ways of thinking have positives and negatives, skills and deficits 8
2.3 Neurodiversity beyond human brains 15
2.4 Further reading and videos 16
2.5 References 16
5 Pathology 29
5.1 Some of Today’s Disorders Were Not Always Considered Disorders 30
5.2 Further reading 32
5.3 References 32
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A CONCISE GUIDE TO NEURODIVERSITY About the author
Peer Reviewer
Dr. Catarina Amorim is a medical scientist and science communicator at the University of
Oxford.
5
A CONCISE GUIDE TO NEURODIVERSITY Introduction
1 INTRODUCTION
This short text is a concise overview of neurodiversity, a neurological concept important
to understanding human beings and societies. The concept is relatively new, with much
debate, fluidity, controversy and objectively unanswerable questions. Included throughout
the text are links to further reading, videos and research, along with discussion questions.
Debate and different perspectives from readers are encouraged.
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
2 WHAT IS NEURODIVERSITY?
Neurodiversity is the diversity of ways human brains function. Short for neurological
diversity, the term was coined by Australian social scientist and autism advocate Judy Singer.
(Spectrum Suite 2018)
Neurodiversity is comparable to biodiversity where diversity of skin and hair colors, body
types, physical abilities and genders is natural. Just as one should expect and appreciate
diversity in biology, one should expect and appreciate diversity in brain functioning.
Likely no two brains function exactly alike. Even within the parameters of what is considered
normal there is great diversity.
Two terms you will often hear in this area are neurodivergent and neurotypical. Someone
whose brain functions unusually is called neurodivergent. Someone whose brain functioning
falls within the social standards of what is normal is called neurotypical.
What is considered normal is relative to the particular time, place, society and situation,
and “considered” is no objective or scientific definer. What is considered normal in your
culture may be different from what is not considered normal in another culture. What is
typical today may have been atypical one hundred years ago. One only has to travel to
different parts of the world to discover that there are different normals, different rules and
customs, different appropriate and inappropriate ways to dress, act, eat and socially interact.
Even if definable, normal only means normal. It does not mean best or correct. Cultures
have believed the earth was flat and the earth was the center of the universe. Humans can
only have perspectives on reality and the physical world, each subjective and incomplete.
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Further, every human is unique and multi-faceted, with biological and neurological aspects
that fall in and outside of the standards of typical. An “otherwise normal” person (if that
could be defined) may be unusually tall or have a rare eye color or violin-playing abilities.
As no two people are exactly alike, defining what is the normal person and what are the
exact parameters of normalcy are objectively impossible. In fact, people being different in
ways from each other is normal.
This text uses normal as a useful but vague word. Different people define and consider it
differently. Some in the neurodiversity movement prefer the term not be used at all.
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Many famous artists, academics and thinkers had mental disorders that both socially and
functionally hindered them but were essential to their original ways of thinking and work.
Van Gogh’s disorders were both a source of his art and caused him to be hospitalized, led to
him being a social outcast and ultimately committing suicide. Caragavio’s violent, antisocial
ways cannot be separated from his visceral and often violent religious paintings. Picasso’s
dyslexia made reading difficult but contributed to his revolutionary artistic vision. What are
good and bad qualities, positive and negative aspects, is subjective and situational. Behavior
that is acceptable or beneficial in one situation or way is not in another. (Nierenberg in
Teton Gravity Research 2018) (Anthes 2013) (Stanford Medicine 2013) (Haass-Koffler &
Kenna 2013) (Dyslexiahelp.og 2018)
Autism, or autism spectrum disorder, is a range of neurological disorders that has many
functional disabilities that range in intensity. Symptoms include difficulties in communication
and understanding language, learning disabilities, lack of understanding of social cues and
empathy, social withdrawal, repetitive movements, inappropriate social actions and self-
abuse. (Stoppler 2018)
However, the autistic sometimes have great skills, including at mathematics, memory, focus
and pattern recognition. The great physicists and mathematicians Paul Dirac and Issac
Newton are believed to have been autistic. University of Cambridge psychology professor
and Director of the Autism Research Centre Simon Baron-Cohen fears that a prenatal test
for autism could deprive the world of geniuses such as Dirac and Newton (Washington
2016) (Baron-Cohen 2009) (Altogether 2015) (Happe 2018).
When the high functioning autistic’s needs are accommodated, tech businesses have discovered
that the autistic can have unusual skills, such as at processing data and pattern recognition
and focus. (Auticon 2018) (Alston 2018) (Alsop 2016)
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Figure 1. “According to the standard criteria there does not seem much
doubt that Isaac Newton (pictured), Henry Cavendish and Albert Einstein were
Asperger people; in fact, Newton appears to be the earliest known example
of a person with any form of autism.”- -Ioan James, Oxford University Chair of
Geometry. (James 2003)
Dyslexia is a learning disorder that affects areas of the brain that process language. Symptoms
include difficulty in reading, poor spelling, mispronouncing words, difficulty in memorizing
and doing math. However, dyslexia involves unusual abilities. These include creativity,
big picture or holistic thinking, high reasoning skills and understanding complexity, and
independent thinking. (Nessy 2011)
Known for their creative, original thinking, Agatha Christie, Leonardo da Vinci, Walt Disney,
Richard Branson, Albert Einstein and Thomas Edison are believed to have been dyslexic.
Leonardo da Vinci was a horrible speller and Einstein was slow to speak as a child, both
common signs of dyslexia. (Clark 2020)
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Schizophrenia is a complex, severe disorder that is far from fully understood. Symptoms
include emotional blunting, social problems, difficulty “reading” people, cognitive problems
and deterioration, disorganized speech and behavior, language and self-awareness problems,
a disconnect with standard perceptions of reality, and visual and auditory hallucinations.
Schizophrenics often hallucinate commanding voices, voices that instruct them what to do.
(Mayo Clinic 2019) (Webmd 2020)
However, schizophrenia can present together with creativity and original thinking. Famous
artists believed to have been schizophrenic include Vaslav Nijinki, Clara Bow, Camille
Claudel, Buddy Bolden, Syd Barret, Jack Kerouac, Brian Wilson and Veronica Lake. (Webmd
2020) (Ranker 2020)
The Nobel Prize-winning mathematician John Nash’s paranoid schizophrenia caused him
great social and functioning troubles, including his dropping out of society, hallucinations,
delusions and involuntary hospitalizations. However, he said when the bad effects and
delusions were under control, his unique way of thinking contributed to his mathematical
discoveries. (Nutt 2015)
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Figure 2. Considered a key developer of what is now called jazz, New Orleans
trumpeter Buddy Bolden (1877-1932) developed a loud, improvisational form
of New Orleans ragtime music first called “jass.” He was diagnosed as
schizophrenic and committed to the Louisiana State Insane Asylum at the age
of 30, where he spent the rest of his life. (Nola 2019)
Bipolar disorder is a serious emotional disorder that at its extremes involves psychoses,
delusions and hallucinations. However, it is also associated with high intelligence and
creativity. A University of Lancaster study showed that bipolar participants “described a
wide range of internal states that they believe are experienced at a far greater intensity than
those without the condition, including increased perceptual sensitivity, creativity, focus and
clarity of thought.” (Greenwood 2016) (Thomson 2015) (Lancaster University 2012)
Artists who are believed to have been bipolar include Vivien Leigh, Beethoven, Virginia
Woolf, Kurt Cobain, Anne Sexton and Edvard Munch. Munch said, “I can not get rid of
my illnesses, for there is a lot in my art that exists only because of them. Others who many
believe were bipolar include Winston Churchill, Teddy Roosevelt and Florence Nightingale
(Ferreira 2012) (WebMd 2019) (Sheerin 219) (University of Maryland Medical Center 2003)
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Composer Robert Schumann is believed to have been bipolar. He was known for his unpredictable
and erratic work and extreme mood swings, and spent his last years institutionalized. Marin
Alsop, director of the Baltimore Symphony Orchestra, says his mental disorder was integral
to his art. (Holm-Hadulla & Koutsoukou-Argyraki 2017) (Smith T 2011)
Figure 3. “It’s a very strong argument that Van Gogh had bipolar disorder. He was able to see
things in such an extraordinary way and depict things in ways that were never done before. But
he was also hospitalized repeatedly for either mania or depression. And there are many people
who in many ways think it is a gift because they can see things differently than many other
people can.”-- Andrew Nierenberg MD, Professor of Psychiatry at Harvard University and
Director of the Dauten Family Center for Bipolar Treatment Innovation (Nierenberg in Teton
Gravity Research 2018)
Mystical experiences are temporary neurological events where the functioning of the brain’s
normal cognitive structures are suppressed and the brain processes sensory information
using the emotional parts of the brain. During mystical experiences, people experience
and perceive the world and themselves in radically different ways and often feel they gain
profound intuitive knowledge about reality and the physical world. (Pecorino 2001)
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BOOK TITLE What is Neurodiversity?
University of Pennsylvania medical professor Andrew Newberg MD said that many of our
“Aha!” epiphany moments are mini mystical experiences or changes in the brain’s perception
where we see things from a new perspective. Physics Nobel Prize winner Charles Townes
said that many of his scientific ideas, including that led to the invention of the laser and
maser, came to him in such spiritual-like epiphanies. (Dimitropoulos 2017) (Berkeley 2016)
Artists Vladimir Nabakov, Franz Liszt, Duke Ellington, Charles Baudelaire, Wassily Kandinsky
and Arther Rimbaud appear to have experienced synesthesia. Synesthesia is a curious
condition where one’s sense is simultaneously perceived by another, often multiple, senses.
For example, a person with synesthesia may experience sounds or letters or numbers each
with a color, smell or flavor. (Ramachandran and Hubbard 2003) (English 2019) (Elise 2016)
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14
A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Many people have multiple disorders and to different degrees, such as having schizophrenia
and bipolar disorder or having ADHD and anxiety disorder, and an individual’s thinking and
personality are made up of a variety of aspects and influences. A saying about the autistic
is, “If you’ve met one autistic person, you’ve met one autistic person.” (Loughran 2020).
Non-human animals can be mentally capable in ways humans are not. Bats use echolocation
to map out space. Spiders hunt by making elaborate webs. Humans use bloodhounds and
their highly advanced sense of smell to locate things humans cannot. Termites use swarm
intelligence to create advanced homes, pointing out that a mind does not have to be a
single entity. (Margonelli 2014)
Computers’ symbolic methods, deep learning and Bayesian networks may be very loosely
and primitively based on how in part humans process information. However, that’s not how
humans think. Humans thinking and intelligence use mental methods that computers do
not: emotions, sentience and consciousness. When performing apparently human mental
or physical tasks, such as dialoguing with a human or making artwork or playing a board
game, AI is necessarily doing it differently than a human. Wrote software engineer Ben
Dickson, “It’s wrong to compare artificial intelligence to the human mind, because they are
totally different things, even if their functions overlap at times.” (Dickson 2018).
Humans use computers, medicine, technology and non-human animals to enhance their
knowledge and abilities and make up for their own deficits. (Hays 2018)
Thinking about all this demonstrates that there is no one correct or right way of thinking,
and multiple ways of thinking, often combined, are important.
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Video: The gift of dyslexia. University of Oxford physiology professor John Stein talks about
the talents bestowed upon individuals with dyslexia.
https://www.youtube.com/watch?v=m0Okr9HdMVk
2.5 REFERENCES
Alton L (2018), “Tech Companies Placing Increased Emphasis On Hiring Employees With
Autism”, digitalistmag.com/improving-lives/2019/08/15/tech-companies-placing-increased-
emphasis-on-hiring-employees-with-autism-06200135/
Alsop R (2016) “Are autistic individuals the best workers around?”, bbc.com/worklife/
article/20160106-model-employee-are-autistic-individuals-the-best-workers-around
Anthes E (2013), “ Superior math skills may accompany autism, study suggests”, .spectrumnews.
org/news/superior-math-skills-may-accompany-autism-study-suggests/
Armstrong, T. (2015). The myth of the normal brain: Embracing neurodiversity. Journal of
Ethics, 17(4), 348–352.
auticon (2018), “Understanding the cognitive benefits of autism in the technology field”,
auticon.com/cognitive-benefits-of-autism-in-the-technology-field
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Clark C (2020), “Famous Dyslexics who have Impacted the World,” commlearn.com/
famous-dyslexics-who-have-impacted-the-world/
Dickson B (2018), ‘There’s a huge difference between AI and human intelligence—so let’s stop
comparing them’ bdtechtalks.com/2018/08/21/artificial-intelligence-vs-human-mind-brain/
Dimitropoulos S (2017) “How Does Neuroscience Explain Spiritual and Religious Experiences?”,
Blumberg L (2014) “What Happens to the Brain During Spiritual Experiences?”, theatlantic.com/
health/archive/2014/06/what-happens-to-brains-during-spiritual-experiences/361882/theatlantic.
com/health/archive/2014/06/what-happens-to-brains-during-spiritual-experiences/361882/
English T (2019) ‘9 Famous Artists Who Have Synesthesia and How It Affected Them’,
interestingengineering.com/9-famous-artists-who-have-synesthesia-and-how-it-affected-them
Ferreira R (2018), ‘Artists’ Stories: Artists Who Suffered Mental Illness (And How It Affected
Their Art)’ dailyartmagazine.com/artists-who-suffered-mental-illness/Greenwood (2016),
Positive Traits in the Bipolar Spectrum: The Space between Madness and Genius,’ ncbi.
nlm.nih.gov/pmc/articles/PMC5318923/
Greenwood T (2017), “Positive Traits in the Bipolar Spectrum: The Space between Madness
and Genius”, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318923/
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Happe F (2018), “Why are savant skills and special talents associated with autism?”, ncbi.
nlm.nih.gov/pmc/articles/PMC6127767/
James I (2003), “Singular Scientists,” Journal of the Royal Society of Medicine, ncbi.nlm.
nih.gov/pmc/articles/PMC539373
Kyaga, Lichtenstein, Bowman, Hultman, Langstrom, Landre (2018), “ Creativity and Mental
Disorder: Family Study of 300,000 People With Severe Mental Disorder,” pubmed.ncbi.
nlm.nih.gov/21653945/
Lancaster University (2012), ‘Research explores the positives of bipolar disorder’ sciencedaily.
com/releases/2012/05/120503115927.htm
Margonelli, L (2014) ‘Collective Mind in the Mound: How Do Termites Build Their
Huge Structures?’ nationalgeographic.com/news/2014/8/140731-termites-mounds-insects-
entomology-science/
Nola (2019), “A newly discovered account of jazz legend Buddy Bolden’s mental decline”,
nola.com/entertainment_life/music/article_30f734a8-0994-53a1-b50f-7fe7a193b03a.html
Nutt A (2015) “Did John Nash’s schizophrenia boost his beautiful mind?,” washingtonpost.
com/news/to-your-health/wp/2015/05/26/did-john-nashs-schizophrenia-boost-his-beautiful-min
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
Ramachandran, V.S. and Hubbard, E.M., ‘Hearing Colors, Tasting Shapes’ - Scientific
American, Vol 288 Issue 5 (May 2003), 52-59
Randerson J (2009) “A prenatal test for autism would deprive the world of future geniuses,”
theguardian.com/science/blog/2009/jan/07/autism-test-genius-dirac
Smith T (2011), “Peering into the troubled mind of Robert Schumann”, baltimoresun.com/
entertainment/bs-xpm-2011-05-12-bs-ae-bso-schumann-20110512-story.html
Stanford Medicine (2013), “Autistic kids who best peers at math show different brain
organization, study shows”, med.stanford.edu/news/all-news/2013/08/autistic-kids-who-best-
peers-at-math-show-different-brain-organization-study-shows.html
Teton Gravity Research (2018), “Andy Irons & The Genius of Bipolar Disorder with Dr.
Andrew Nierenberg”, youtube.com/watch?v=bMkQAUMH5CA
Thomson H (2015), “Intelligence, creativity and bipolar disorder may share underlying
genetics”, https://www.theguardian.com/science/2015/aug/19/intelligence-creativity-and-
bipolar-disorder-may-share-underlying-genetic
University of Adelaide (2013), ‘Humans not smarter than animals, just different, experts
say’, /phys.org/news/2013-12-humans-smarter-animals-experts.html
University of Maryland Medical Center (2003), “Was Florence Nightingale Mentally Ill?”,
newswise.com/articles/was-florence-nightingale-mentally-ill
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A CONCISE GUIDE TO NEURODIVERSITY What is Neurodiversity?
20
A CONCISE GUIDE TO NEURODIVERSITY The Human As Social Animal
Humans’ greatest achievements are in one way or another products of groups: science and
technology, language, expansion of knowledge, art and literature, cities and government. As
a society is premised on a particular way of thinking, history is filled with famous different
thinkers who come into conflict with society.
People whose brains function differently than normal often and almost by definition have
issues fitting in with society. This can range from ‘being weird’ and being an outsider
to people who have serious functional issues, unable to hold a job or stay in school to
being unable to communicate and even function in their day-to-day lives. Many people in
prisons and who are homeless or jobless are mentally ill. Drug addiction and alcoholism
are pathologized as mental disorders and many otherwise mentally ill self-medicate with
drugs and alcohol. (Cannon 2016)
Famous different-thinking people often have functional issues. The autistic Paul Dirac required
his wife to take care of daily things so he could not focus on his work. He was one of the
great scientific and mathematical intellects of his era and winner of the 1933 Nobel Prize in
Physics, but needed assistance to live his life. He was well known for his social deficits and
peculiarities, and Niels Bohr called him “the strangest man.” (Close 2009) (Farmello 2009)
Many unique thinkers were outsiders to society or otherwise had complex relationships
with society. Van Gogh was unable to fit in with society’s norms. The French novelist and
playwright Genet had longtime troubles with society, including being imprisoned and living
a “deviant” lifestyle as defined by society.
Revolutionary religious thinkers from Jesus Christ to George Fox to Michael Servetus had
novel views of the world that came into conflict with their societies. All three were labeled as
crazy, Jesus and Servetus were killed, Jesus broke laws and Fox regularly was jailed. Religious
pioneers such as Buddha and Leo Tolstoi felt they had to give up their wealth and leave
normal society to pursue their spirituality. Muhammad left society to have his revelations.
Leaving the day-to-day rat race to pursue spiritual or artistic dreams is an age-old story.
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A CONCISE GUIDE TO NEURODIVERSITY The Human As Social Animal
This points out that a society’s norms are about functioning and not always about many other
things such as knowledge and new information. Those in social power can feel threatened
by and suppress new knowledge that might cause troubles with the social norms.
Scientists with new ideas, inventors and revolutionary artists almost by definition are people
who think outside the social norms and traditions. Marquis de Sade, Louis-Ferdinand
Celine, Caravaggio, Paul Gauguin and other revolutionary artists had aspects of their lives
or work that lay outside even of today’s accepted social norms and rules. Go through the
list of great artists, religious leaders and thinkers and observe how they came into conflict
with society in one way or another.
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A CONCISE GUIDE TO NEURODIVERSITY The Human As Social Animal
Societies have a love-hate relationship with different thinkers. Different thinkers include
criminals and social outcasts, but also inventors, scientists, political leaders and artists who
contribute to society. Many great thinkers and knowledge will always remain hidden, as it
is outside of the prevailing sentiments and fashions of its time, or lost in the happenstance
of time and space, or unable to be translated into language itself.
How to organize groups and societies, questions of the rights of the individual versus the
greater good, are constant debates without objective answers. There is no one right way to
order a society or one way how to consider how the individual fits within society.
What is more important to you: the rights of the individual or the benefit of society?
Discuss the conflicts of different thinkers, including people with disorders, and society.
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BOOK TITLE The Human As Social Animal
3.3 REFERENCES
Cannon J (2016), “We all want to fit in”, psychologytoday.com/us/blog/brainstorm/201607/
we-all-want-fit-in
Graham F (2009), The Strangest Man: The Hidden Life of Paul Dirac, Mystic of the
Atom, Basic Books
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A CONCISE GUIDE TO NEURODIVERSITY Cultural Differences As Neurodiversity
4 CULTURAL DIFFERENCES
AS NEURODIVERSITY
“Everyone is to some extent differently-abled (an expression
favored by many neurodiverse people), because we are all
born different and raised differently”
Brain functioning isn’t just inborn but also developed through the environment, education,
culture and socialization.
Much diversity in thinking amongst peoples in the multicultural world is due to the peoples
coming from different cultures. Peoples’ perceptions of art, society, fashion, politics, morals
and etiquette are influenced by culture. Everything from what is the proper age for marriage
to whether dogs are pets or food to how to settle personal disputes are influenced by
culture. What is legal in one culture may be illegal in another. What is accepted thoughts
and behavior in one culture may be pathologized as a disorder in another.
People from a culture have shared cultural references and symbols, including language,
music, popular television shows, childhood stories, popular sports and cultural figures. These
cultural differences in thinking and behavior are self-evident to anyone who has visited
another country or had visitors from far away, reads books, watches foreign movies, or lives
in a multicultural society. (Broussard 2020) (West 2007)
Culture affects one’s brain development and functioning. Different cultures emphasize
different ways of thinking, whether putting an emphasis on the spiritual in the East or the
scientific/logic in the West.
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A CONCISE GUIDE TO NEURODIVERSITY Cultural Differences As Neurodiversity
A study at the University of Illinois had people from the Western and Eastern cultures look
at the same series of photos. The people perceived the photos differently and their eyes
moved differently depending on their culture. Their brains were being scanned while this
was happening, and the scans showed that their brains were neurologically and cognitively
functioning differently. (Khamsi 2007)
This helps explain why Westerners often have great difficulty understanding and learning
some Buddist and Hindu concepts. Their brains function differently.
As the two stood on a hill overlooking the land, a group of water buffalo was seen a few
miles away. Having no experience of how things appear smaller over long distances, Kenge
asked what kind of insects they were. Turnbull told him they were water buffalo, and
Kenge laughed loudly at the “stupid story.” Turnbull drove Kenge towards the water buffalo.
Watching the animals growing visually larger, Kenge became scared and said it was witchcraft.
Human beings develop an idiosyncratic logic and sensibility distinct to the environment
where they were brought up. The environment one grows up in is seemingly the world. A
child born and raised in the inner city versus the country, rich versus poor, in Cairo versus
Chicago, conservative family versus liberal. The person who has lived her whole life in
Portland or Cairo may get a chuckle at that story about the Pygmy, then dismiss the idea
that a similar incongruity could exist with her native logic.
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A CONCISE GUIDE TO NEURODIVERSITY Cultural Differences As Neurodiversity
Figure 6.
In Figure 6, which yellow line looks longer? The yellow lines are the same length. Measure
them yourself. It is your lifelong experience with diminishing scales in open spaces that
caused you to perceive the upper line as larger.
Kenge would not have been fooled by this illusion and would have correctly said the lines
are the same length.
This all shows why the inclusion of the neurodiverse in society, classrooms and workplaces is
compared to and a part of including the diversity of races, genders, ethnicities and cultures.
Multiculturalism involves a diversity of ways of thinking, and the neurodiverse are part of
this multiculturalism. (Manji 2019)
4.3 QUESTIONS
Give examples of how people see the world or things differently based on their nationality,
culture and/or family upbringing.
Can you think of other environmental or social ways that form how people think and make
them think differently than others?
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A CONCISE GUIDE TO NEURODIVERSITY Cultural Differences As Neurodiversity
4.4 REFERENCES
Austin R & Pisano G (2017), “Neurodiversity as a Competitive Advantage”, hbr.org/2017/05/
neurodiversity-as-a-competitive-advantage
Manji I (2019), “Diversity Based On Labels Is Not Diversity At All | Think | NBC News”,
youtube.com/watch?v=yo4OBDmlkRY
Yoshiyuki Ueda, Lei Chen, Jonathon Kopecky, Emily S. Cramer, Ronald A. Rensink, David
E. Meyer, Shinobu Kitayama, Jun Saiki ( 2017), “Cultural Differences in Visual Search for
Geometric Figures”, Cognitive Science”, DOI: 10.1111/cogs.12490
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A CONCISE GUIDE TO NEURODIVERSITY Pathology
5 PATHOLOGY
The central debate within and surrounding the neurodiversity movement is what if any ways
of brain functioning should be pathologized, or categorized as a disorder. Even beyond the
topic of neurodiversity, what and how to pathologize thinking has long been a debate in
psychology and psychiatry.
The American Psychiatric Association’s diagnostic manual defines a mental disorder as: “…a
syndrome characterized bya clinically significant disturbance in an individual’s cognitive,
emotion regulation, or behavior that reflects a dysfunction in the psychological, biological,
or developmental process underlying mental functioning. Mental disorders are usually
associated with significant distress in social, occupational, or other important activities.”
(Van Heugten 2015)
As with all classification and definition systems, this pathology has a particular purpose
and scope. It involves subjectivity and limits, and should not be looked at as answering or
even addressing all questions about human brain functioning and behavior. Pathology is
based on social norms and how one fits in with society, along with subjective and personal
judgments about distress and pain. (Crowley 2010)
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A CONCISE GUIDE TO NEURODIVERSITY Pathology
Areas beyond these pathology parameters include the skills, special insights, special perspectives
and knowledge, spirituality and artistic insights people pathologized as having disorders may
have. (Ivypanda 2020)
Years ago, homosexuality and being left-handed were pathologized, and psychologists, educators
and psychiatrists tried to cure them. Nineteenth-century physician Samuel Cartwright
invented the ‘mental disorder’ of drapetomania, which was the desire for a slave to seek
freedom. Hysteria was once a common medical diagnosis for women. Even though it was
categorized as a disorder, hysteria’s symptoms were synonymous with normal functioning
female sexuality. (AGLP 2010) (Johns Hopkins University 2017)
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A CONCISE GUIDE TO NEURODIVERSITY Pathology
Figure 7. Charlotte Perkins Gillman’s classic 1892 feminist story ‘The Yellow
Wallpaper’ came from her own experience as a patient. She had suffered from
depression, and a physician told her the cure was to live as a domestic wife,
and avoid writing and mental stimulation.
Disorders such as bipolar disorder, dyslexia and ADHD are pathologized, while mystical
experiences and synesthesia are not. It’s a matter of value-judgment and subjective criterion.
Dyslexia and the mathematics learning disability called dyscalculia are modern disorders.
Throughout most of history, most humans did not and did not need to read or do advanced
math. (Stansberry 2013)
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A CONCISE GUIDE TO NEURODIVERSITY Pathology
In his seminal 1976 book, The Origin of Consciousness in the Breakdown of the Bicameral
Mind, Princeton University psychologist Julian Jaynes theorized that many modern mental
disorders are just early ways of thinking. He said schizophrenia, with its symptomatic
commanding voices, is the way early peoples’ brains normally functioned and perceived
Gods. (Jaynes 1976) (Julian Jaynes Society 2016)
Journalist Harvey Blume, who popularized the word neurodiversity, wrote: “Neurodiversity
may be every bit as crucial for the human race as biodiversity is for life in general. Who can
say what form of wiring will prove best at any given moment? Cybernetics and computer
culture, for example, may favor a somewhat autistic cast of mind.” (Blume 1998)
5.3 REFERENCES
AGLP (2010), “The History of Psychiatry & Homosexuality”, aglp.org/gap/1_history/
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A CONCISE GUIDE TO NEURODIVERSITY Pathology
IvyPanda (2020, June 25). “Franz Kafka’s and Vincent van Gogh’s Connection”, ivypanda.
com/essays/franz-kafkas-and-vincent-van-goghs-connection/
Jaynes J (1976), The Origin of Consciousness in the Breakdown of the Bicameral Mind,
Mariner Books
Julian Jaynes Society (2017), “Overview of Julian Jaynes’s Theory of Consciousness and the
Bicameral Mind”, julianjaynes.org/about/about-jaynes-theory/overview/
Krans B (2018), “ADHD and Evolution: Were Hyperactive Hunter-Gatherers Better Adapted
Than Their Peers?”, healthline.com/health/adhd/evolution
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
6 THE NEURODIVERSITY
MOVEMENT
The neurodiversity movement is a general, loosely-knit movement that wishes for society
to reconsider mental disorders as natural neurological variations.
The supporters of the movement see legitimate human thinking as a broad spectrum of
variations that goes beyond the normal parameters defined by a particular culture and society.
They say many of what now are considered disorders are really different but legitimate ways
of brain functioning. Many high-functioning autistics who succeed in school and work
do not feel there is something wrong with them. They see some negative aspects to their
brain function just as all ways of thinking and being have negative aspects. However, they
also see and like the positives. (Robinson 2013) (Zur Institute 2015) (Armstrong 2020)
(Baron-Cohen 2019)
The neurodiversity movement has traditionally been associated with the autistic. However,
it has been broadened to include many other different ways of brain functioning including
dyslexia, dyscalculia, attention deficit syndrome, bipolar disorder, anxiety disorder, Tourette
syndrome, and post-traumatic stress syndrome (PTSD).
The movement believes it is important to remove the stigma from mental illness and to
consider all people as whole and important, not defective. One of the problems for the
neurodivergent is lack of self-esteem due to how people and society consider them.
Many in the neurodiversity movement consider it a political and social justice movement.
Sociologist and neurodiversity pioneer Judy Singer saw the neurodivergent as oppressed
in society the same as other minorities are oppressed. She felt they should have their own
movement.(Spectrum Suite 2018) (Singer 1999)
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
The neurodiversity movement works to get the neurodivergent integrated as best as possible
into society, through education, accommodations and policies. They want to reform
medical treatments. The moment wants the autistic and their advocates to be included in
the debates and decision-making about treatment and handling of the disorders. They feel
it is unacceptable that their views and personal needs are not weighted in decided what
treatments are prescribed.(appliedbehavioranalysisedu.org 2018)
Some in the movement want to change terminology, such as getting rid of what they perceive
to be stigmatizing language such as disorder, mental illness and abnormal. However, there
is no uniformity of opinion about this, with some neurodivergent finding no offense and
themselves using those words.
For any movement or demographic there is no one voice, no one view, no one theory, no one
language. Respecting any demographic (race, gender, disabled, nationality, other) is knowing
and respecting that there is a wide variety of philosophies, views, political persuasions and
opinions in the group. Not only is there diversity of viewpoints within the neurodiversity
movement, there are autistic and other neurodivergent who do not support it.
Some believe that autism, for one example, is a genuine mental illness and a deficiency and
should be treated as such. Many parents of autistic children consider autism a disease to be
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
cured, at least in their children. There is funding and research hoping to eradicate autism
as one would hope to eradicate cancer. Many people consider children with such disorders
as damaged and unwhole. (Robinson 2013) (Baron-Cohen 2019)
Many neurodiversity movement advocates say the autistic are not mentally disordered and
there is nothing to cure. Some go as far as to say there should be no research into a cure
and chastise parents of autistic children who search for a cure. They believe that curing a
mental illness is equivalent to eugenics, and that treatments are attempts to change their
personalities against their will. (Robinson 2013)
Some in this camp of the neurodiversity movement can be zealous and radical and treat
people who believe differently derogatorily. There are complaints of groupthink, illiberalism
and bullying in some social media forums from the zealous in the movement. There can
be acrimonious disagreement between parents who want to treat and cure their children
and those in the neurodiversity movement who are adamantly against such attempts. (Spaar
2018) (appliedbehavioranalysisedu.org) (Hiary 2021)
A criticism of the neurodiversity movement is that its advocates belong to and focus on
the neurodivergent who are high-functioning. There are neurodivergent who have severe
issues, including the inability to communicate, function normally and who have great social
troubles that cause them unhappiness. Some autistic and others want to be cured, and their
viewpoints must be considered.
Some, such as autistic activist Twilah Hiari, say the movement paints too rosy a picture
of mental disorders, emphasizing the positive aspects and glossing over the negative and
disability aspects. (Hiari 2020)
A man with autism and bipolar disorder wrote the following personal perspective:
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
Many people with disorders will never be able to finish school or financially support themselves.
Society has to consider how to accommodate them and make their lives worthwhile. This
also says that many social ideas of success do not apply to everyone (“Get a degree and
occupation, get married and have a family”).
Happily, for the majority of people involved in this debate, there is much common ground.
Whether they label autism a disorder or strongly disagree with such labeling, most agree that
the neurodivergent should be treated well, and appropriately accommodated in education
and work. Most from both camps believe in addressing many of these issues that cause
functional problems or distress in the neurodivergent.
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
A Cambridge University study criticized the way all students are taught, including the
exclusion of areas such as music and art. and its emphasis on rote learning over creativity
and imagination. (Harris 2016) (suitable education 2018)
“The National Curriculum has for many years been criticised for
its narrow focus and lack of room for creativity or development
of problem solving skills There is an over-emphasis on the
skills of reading, writing and maths at the expense of other
subjects, the report claims. This limits children’s enjoyment
of school and risks severely compromising their natural
curiosity, imagination and love of learning.”
Beyond expanding the curriculum and teaching methods, schools must understand that
students’ brains function in a diversity of ways. They must understand that people have
different ways of learning, different skills and deficits. A student who has trouble learning
in one way will learn well in another. (Sparks 2020)
When possible, the neurodivergent should be included with the normal students. It is good
for all students. It helps reduce bullying and increases mutual understanding. Different
thinkers have much to teach other students. Schools should teach and test to accommodate
the different ways of thinking, and the diverse ways all students learn, behave and express
themselves. (Rentenbach, Prislovsky & Rachael Gabriel 2017)
Many companies have become conscious of neurodiversity, and are working to be inclusive
of people with disorders. This is in part because people with certain disorders, such as high
functioning autism, bipolar disorder and dyslexia, have special skills useful for businesses.
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
It is important for business leaders to understand the concepts of neurodiversity and inclusion.
It is also important to give employees general education about neurodiversity. The hiring
and recruitment processes should be changed, as this is the main way neurodiverse don’t get
jobs. An autistic person may have great skills but interview poorly as she has social deficits.
She may have poor eye contact, speak differently or be unusually honest.The dyslexic may
have troubles with written tests. (Austin and Pisono 2017) (Williams S 2020)
Reasonable accommodations should be made for people with mental disorders, just as
they are made with an employee with a physical disability. This does not involve lowering
performance standards or expectations. It means modifying work conditions to help them
better do their jobs. Accommodations can include flexible working hours, and the ability
to sometimes work from home. As the autistic can get sensory overload, sound-blocking
headphones and quiet rest/thinking spaces free of noise and distractions. Using communication
and instruction methods that suit the needs and sensibilities of the neurodivergent is
important. These and other considerations can help all employees. (Day-Duro E 2018)
(Bastion 2019) (Bastion 2019)
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
Businesses have learned that with accommodations and planning, they can tap into the
skills of the neurodivergent. Considerations of the diversity of the ways all employees and
students think, learn and best function is helpful for all employees and students.
https://autisticadvocacy.org/wp-content/uploads/2016/06/whitepaper-Increasing-Neurodiversity-
in-Disability-and-Social-Justice-Advocacy-Groups.pdf
How cultural differences can cause troubles for students in school: https://www.theedadvocate.
org/how-cultural-differences-can-make-school-tougher-for-students/
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
“The Neurodiversity Movement is Dangerous” Dr. Elizabeth Spaar, family medicine physician:
https://www.spectrumfamilypractice.com/single-post/2017/05/15/the-neurodiversity-movement-
is-dangerous
6.5 QUESTIONS
What are your views on these topics? Should different ways of thinking not be considered
disorders? How should disorders be considered, considering they situationally offer both
positive and negative aspects?
Should the mentally ill be forced to take medication to make them more normal? Under
what situations do you think they should be forced to take mediation?
6.6 REFERENCES
appliedbehavioranalysisedu.org (2018), “What Is The Neurodiversity Movement and Autism
Rights?”, appliedbehavioranalysisedu.org/what-is-the-neurodiversity-movement-and-autism-
rights/
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
Singer, J. (1999). ‘Why can’t you be normal for once in your life?: from a “Problem with
No Name” to a new category of disability’ In Corker, M and French, S (Eds.) Disability
Discourse Open University Press UK
Spaar E (2018), “The Neurodiversity Movement is Dangerous” Dr. Elizabeth Spaar, family
medicine physician: spectrumfamilypractice.com/single-post/2017/05/15/the-neurodiversity-
movement-is-dangerous
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A CONCISE GUIDE TO NEURODIVERSITY The Neurodiversity Movement
suitable education (2018), “National Curriculum too narrow and failing generations of
children”. suitable-education.uk/national-curriculum-too-narrow-and-failing-generations-
of-children/
tes.com/news/our-curriculum-so-narrow-it-bores-both-pupils-and-teachers-and-crushes-creativity
Williams S (2020), “Fear of breaking social norms in the workplace behind high job turnover”,
itbrief.com.au/story/fear-of-breaking-social-norms-in-the-workplace-behind-high-job-turnover
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