Home » Disability Tax Credit Stays up in ASD Debate of Medical Community
Disability Tax Credit Stays up in ASD Debate of Medical Community
November 17, 2015 by dccinc
Recent events have uncovered a long-simmering debate within the scientific/medical community regarding the nature of autism spectrum disorder (ASD). The debate centers around whether ASD is a medical issue or a mental health issue. David Rettew M.D., writing on the website for the magazine Psychology Today, takes a look at the issue and comes down on the side of mental health issues.
For many, autism just seems more intrinsically “biological” than many other conditions. With closer scrutiny, however, it is easy to find holes in these distinctions… even though there seems something quite medical about autism, we still have been unsuccessful in identifying the specific processes in the brain that underlie the condition, similar to more classic psychiatric disorders.It’s a discussion that many of the most respected names in medicine are going to great lengths to avoid. For instance:
- The National Institutes of Health (NIH) autism web page devotes several paragraphs to describing the disorder but never says whether it’s a mental illness or a medical issue.
- The well-respected website webmd.com also avoids taking a stand on the topic and instead crosses back and forth across the line between the medical and psychiatric camps.
- The UK’s National Health Service takes the boldest position when it declares that autism is not a mental illness, but then backtracks to concede that some people with ASD also have mental health issues.
…the push to label autism as something other than a psychiatric disorder, in my view, comes much more from fears of stigma than any scientific principle…“We are not you,” is the not so subtle message being sent.With the “we” being ASD sufferers and the “you” being the mentally ill.Lost in all of this discussion is the issue of whether it matters if ASD is mental or biological. Certainly, the millions who suffer from this debilitating condition don’t care and to a large extent neither do their families. They just want their loved ones to receive the best care available and to be able to find some happiness during their time on earth. Esoteric discussions about medical vs. psychological mean little to them.But the thing is that it does matter. Because until we know exactly what we’re dealing with the odds of being able to develop therapies or medications that can effectively address it are small. Until a distinction is recognized and those effective therapies are developed, people with ASD and their families will need to rely on programs like the Disability Tax Credit to pay for the therapies and treatments that do exist and to also be able to maintain their basic human dignity.