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by arkades 2924 days ago
“Disorder” is explicitly pejorative.

I’m not sure where I stand wrt the position that autism is just a non-inferior neurovariant, but let’s not pretend we don’t understand the difference between asserting it’s a value-neutral variant and a disease.

1 comments

No, "disorder" is explicitly clinical. The words "retarded", "dumb", and "stupid" are pejorative.

Calling autism a disorder is an accurate paychiatric description, not a value judgement designed to insult a person's identity. An insult can be targeted at a person's autism, but not simply by describing it according to clinical terminology.

I sympathize with people who don't believe autism should be considered a disorder, but that doesn't mean discussion needs to be encumbered by walking on eggshells. In particular, admonishing someone for using established clinical terminology is unproductive.

"retarded" and "dumb" are also clinical terms. They only stopped being clinical terms because people attached connotations.

https://en.wiktionary.org/wiki/euphemism_treadmill

Alright, if you'd like me to excessively specify my point: "retarded" and "dumb" are adjectives not used in the DSM 5, which means they are not modern clinical terms. They have also been abolished completely. "Disorder" is still in common use, not only for autism but across the DSM as a common term meaning "atypical and diagnosable." So yes, "disorder" is an appropriate term at the moment. Whether it will continue to be in the future is irrelevant for present conversation.

For what it's worth, if you're arguing that "disorder" should not be used on the basis of precedents like "dumb" and "retarded", the page you cited is an exceptionally poor reference. The quotes appear to be mocking this phenomenon.

> "Disorder" is still in common use, not only for autism but across the DSM as a common term meaning "atypical and diagnosable." So yes, "disorder" is an appropriate term at the moment.

In a clinical context, yes. But there are probably close to zero clinicians in this thread.

One problem with the term "disorder" here is that quite often, it's applied to someone who has difficulty thriving under the many accommodations given to neurotypical people. If the autism spectrum was the norm, neurotypicals would have a similar disorder.

> Whether it will continue to be in the future is irrelevant for present conversation.

Not necessarily. It's perfectly possible for society to lead clinicians on issues like this, which is what seems to have happened with words like "society" and "dumb".

Yes this happens over time as clinical terms are used in a derogatory manner over a period of several decades. This will always happen and some clinical terms will continually need to be revised over time. It doesn't mean that "disorder" isn't appropriate in 2018. It just means it may not be appropriate in 2058.