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NeuroTribes: The Legacy of Autism and the Future of Neurodiversity, by Steve Silberman
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Review
Winner of the 2015 Samuel Johnson Prize for non-fiction"Ambitious, meticulous and largehearted history...NeuroTribes is beautifully told, humanizing, important."—The New York Times Book Review"Mr. Silberman has surely written the definitive book about [autism’s] past." –The Economist “A comprehensive history of the science and culture surrounding autism studies…an essential resource.” –Nature magazine“NeuroTribes is a sweeping and penetrating history, presented with a rare sympathy and sensitivity. It is fascinating reading; it will change how you think of autism, and it belongs, alongside the works of Temple Grandin and Clara Claiborne Park, on the bookshelf of anyone interested in autism and the workings of the human brain.” --From the foreword by Oliver Sacks, author of An Anthropologist On Mars and Awakenings“Breathtaking… as emotionally resonant as any [book] this year." –The Boston Globe“A lively, readable book… To read NeuroTribes is to realize how much autistic people have enriched the scope of human knowledge and diversity, and how impoverished the world would be without them.” –The San Francisco Chronicle“It is a beautifully written and thoughtfully crafted book, a historical tour of autism, richly populated with fascinating and engaging characters, and a rallying call to respect difference.” – Science magazine “Epic and often shocking…Everyone with an interest in the history of science and medicine — how it has failed us, surprised us and benefited us — should read this book.” –Chicago Tribune“The best book you can read to understand autism" –Gizmodo “Required reading for every parent, teacher, therapist, and person who wants to know more about autism” –Parents.com "This is perhaps the most significant history of the discovery, changing conception and public reaction to autism we will see in a generation." –TASH.org “A well-researched, readable report on the treatment of autism that explores its history and proposes significant changes for its future…In the foreword, Oliver Sacks writes that this 'sweeping and penetrating history…is fascinating reading' that 'will change how you think of autism.' No argument with that assessment." –Kirkus Reviews “The monks who inscribed beautiful manuscripts during the Middle Ages, Cavendish an 18th century scientist who explained electricity, and many of the geeks in Silicon Valley are all on the autism spectrum. Silberman reviews the history of autism treatments from horrible blaming of parents to the modern positive neurodiversity movement. Essential reading for anyone interested in psychology.” --Temple Grandin, author of Thinking in Pictures and The Autistic Brain “NeuroTribes is remarkable. Silberman has done something unique: he’s taken the dense and detailed history of autism and turned the story into a genuine page-turner. The book is sure to stir considerable discussion.” --John Elder Robison, Neurodiversity Scholar in Residence at The College of William & Mary and author of Look Me in the Eye “This gripping and heroic tale is a brilliant addition to the history of autism.” --Uta Frith, Emeritus Professor of Cognitive Development at University College London “In this genuine page-turner, Steve Silberman reveals the untold history of autism: from persecution to parent-blaming, from Rain Man to vaccines, of doctors for whom professional ego trumped compassion, to forgotten heroes like Hans Asperger, unfairly tainted by Nazi links. It ends on an optimistic note, with ‘autistics’ reclaiming the narrative and defining autism in their terms — more difference than disability and an essential part of the human condition. Highly recommended for anyone with an interest in autism or Asperger’s, or simply a fascination with what makes us tick.” --Benison O’Reilly, co-author of The Australian Autism Handbook
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About the Author
Steve Silberman has covered science and cultural affairs for WIRED and other national magazines for more than twenty years. His writing has appeared in The New Yorker, TIME, Nature, and Salon. He lives in San Francisco.
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Product details
Hardcover: 544 pages
Publisher: Avery; 1 edition (August 25, 2015)
Language: English
ISBN-10: 158333467X
ISBN-13: 978-1583334676
Product Dimensions:
6.3 x 1.8 x 9.3 inches
Shipping Weight: 1.7 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
484 customer reviews
Amazon Best Sellers Rank:
#68,717 in Books (See Top 100 in Books)
As an autistic adult, I pre-ordered NeuroTribes with great excitement and read it eagerly when it arrived. I think this is an important book that sheds much needed light on the history of autism research, and on the pitfalls of autism parenting culture, and gives some indication of the direction of autistic culture. However, I'm holding back on a fifth star because I felt that he could have gone much further in clarifying that autistic people do come in a great variety of personalities, abilities and disabilities; that the Kanner's vs Asperger's distinction is in fact meaningless; and most importantly that autistic people do not need to achieve great things to be valuable as human beings.
Steve Silberman is a journalist and writer for WIRED magazine who has written many readable stories on medicine and human health. In this book he brings many years of reporting and training to delve upon one of the most prominent health issues of our time – autism.Silberman’s book is rich in both human and scientific detail and shines in three aspects. Firstly, he meticulously traces the history of autism and the lives of the neurologists, psychologists and doctors who chased its elusive identity. He focuses especially on two psychologists, Leo Kanner in the United States and Hans Asperger in Nazi-controlled Vienna who identified the syndrome and pioneered its study through observations on hundreds of cases. Asperger was the first one to identify a variety of signs and symptoms that contribute to what we now call autism spectrum disorder, and his studies were expansive and nuanced. Silberman’s account of both the foibles and the triumphs of these two individuals is fascinating: while Kanner’s fault was in assigning the blame for autism to parents (he coined the phrase "refrigerator mother") and focusing on children, Asperger identified mostly high-functioning autistic savants in his publications for a chilling reason – so that the lower functioning cases could avoid the ghastly fate met by victims of the Nazis’ euthanasia program which aimed at eliminating “mentally feeble†individuals. Both Kenner and Asperger meant well, and in Asperger’s case his withholding of the identities of autistic people literally meant the difference between life and death.And yet as Silberman so adeptly demonstrates, this was one of those cases where the intentions of humane and well-meaning researchers actually caused harm to public perceptions of the syndrome. Kanner and Asperger’s story is an instructive lesson in both the vagaries of scientific discovery and human nature and the sometimes unfortunate intersection of science with politics. The selective reporting of high-functioning patients in case of Asperger and children in case of Kanner led to a massive underreporting of autistic cases and the creation of a guilt complex among parents. It also led to a delay in the recognition of autism as a spectrum of disorders (Autism Spectrum Disorders) rather than a narrowly defined condition. It wasn't until 1981 that English researcher Lorna Wing finally publicized Asperger's wide ranging observations; and it wasn't until 1991 before German researcher Uta Frith finally translated his work.Encouraged by Wing's work, when the diagnostic manual DSM-III-R finally classified autism as a widespread and bonafide syndrome with a textured and wide-ranging spread of symptoms and issues, Kanner and Asperger’s inadvertent underreporting of cases led everyone to believe that there was a sudden ‘epidemic’ of autism, a belief that triggered even more soul-searching and the assignment of cause and effect to all kinds of environmental variables including vaccines. Much of the media with its emphasis on sensationalism and simplistic explanations at the expense of subtlety and complexity did not help matters, although ironically as Silberman tells us, it was a movie - "Rainman" - that brought a lot of public attention to autism. It is in the second half of the book that Silberman sternly clamps down on fraudulent claims of connections between autism and vaccination, including the retracted work published by Andrew Wakefield.Finally, Silberman’s detailed account draws up wonderful and sometimes very moving portraits of families and individuals affected by autism. Also included are capsule portraits of famous people with autism and Asperger's syndrome like Nikola Tesla and Temple Grandin. Silberman makes it clear that such people defy easy classification, and we do them and ourselves a disservice when we stereotype and bin them into discrete categories. He interviews hundreds of people who are stricken by the syndrome and tells us the stories of both adults and children who first struggled to cope with the disease and then found solace in meeting similar people and connecting with support networks. He also profiles families from a remarkably wide cross-section of society – from people living below the poverty line to wealthy California families - who are convinced by unverified connections between the environment and autism. Silberman does not agree with them, but he empathizes with their concerns and tries to understand them. Fortunately the stigma associated with autism spectrum disorders is gradually giving way to a more subtle understanding, but as Silberman indicates there is still a long way to go. As the title puts it, his plea is for a world that appreciates neurodiversity; the fact that even people regarded as psychologically different can have very important and valuable perspectives to offer.If I had some minor gripes with the book, they were with the sometimes long-winded digressions on the lives of autism researchers and patients and the relative lack of discussion of cutting-edge biomedical and neurological research on the topic, including work from genomics and drug discovery. But these are minor gripes. Silberman has painted a rich, empathetic portrait of a devastating, baffling but ultimately comprehensible disorder and its history which we all owe ourselves to appreciate. Because ultimately, as the central message of this book reveals, the cure for autism is in understanding and empathy. The cure lies in human nature itself.
I per-ordered this book a few months ago and last week also ordered the Kindle version. My kindle version was delivered promptly this morning and I've been reading it since. I have a paperback version that is on it's way to be delivered today so I can share a copy with my husband and my doctor. Thus far this book promises to be what I had hoped it would be, another opportunity to understand myself better, and an opportunity to help others understand those of us on the Spectrum. I was diagnosed with Asperger's last year at the age of 53. Finally, after all of these years, I continue to understand that I am not broken, or in need of repair, just simply different. Thank you Mr. Silberman for your dedication to this topic and for writing what promises to be a very helpful book for the Neurodiverse and Neurotypical world.
I teach courses in disability studies at Davidson College, and I found this book amazing on several levels. First, it's just beautifully written, opening with the story of an eighteenth-century scientist and framing his story as an autism narrative. What that does, however, is suggest from the beginning the visionary and different quality of this book: it is about claiming a history for autism, and for autistic people as a community. It situates the history of autism within medical history, but also--and critically--within social history. And there is some critical history to be foregrounded, such as the idea that Hans Asperger's ideas laid an important basis for accepting autism as a kind of neurodiversity--itself an even more important notion when we remember, as Silberman reminds us, that Asperger was doing this against the tide of eugenicist thinking perpetrated by Nazism and used to justify genocide. Silberman's book interweaves stories of autistic people and their familiies throughout history, and empathetically but clearly shows why the emphasis on cure has had such damaging effects. Instead, his work encourages us to understand disability as difference, and autism as a source of creativity and neurodiversity that our modern world would be a different--and lesser--place without. It's important to note that he does not romanticize how difficult things can be for autistic people and caregivers. But as he points out, that has so much more to do with lack of social supports and resources than it does with the actual embodiments of autistic people. The emphasis on cure has cost us so much--what could an emphasis on embracing neurodiversity bring us as a society, instead? This is what we disability studies scholars call "disability gain," and this book invites us to imagine it beautifully. I found it moving, smart, engaging, sensitive, forthright, and a critical work of disability history and justice. It's refreshing to see a work that reminds us that disability is about human variation--not personal "tragedy"--and that cure is not always the ideal, despite our society's emphasis on normalcy.
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