When considering normative violence and the oppression of marginalised people, there are no greater perpetrators than the Christian Church. Allow me to put this in perspective. My mother is a priest, I was raised devoutly Christian, and until my mid-twenties, I had a strong relationship with the Christian idea of God. Sadly, my step away from Christianity was an inevitability. I had never understood their disdain for other cultures, religions, and gender and sexual identities. As a person who had never fit in, the exclusionary doctrine of the church felt very alienating for me.
Christianity is based on the teachings of Jesus Christ, who is platformed as the Son of God in Christianity. Through western, colonial, misappropriation of his teachings, eurocentric cultures have come to view Jesus as a passive, meek, and mild-mannered man. The idea of “love thy neighbour” is displayed as a call for passive acceptance of the world, rather than the fight to liberate all humans from what was, and still is, an oppressive system of normative bias.
Christians don’t like it when you point out that Jesus was a man who flipped tables and casually intervened in public executions.
So how does this fit into neuroqueering?
Neuroqueer theory teaches us that it is possible to subvert normative cultural standards. In the case of Christianity, those standards are passive indifference or overt displays of bigotry. For me, this cannot be allowed.
If I believe in any God, it is a God who created us all equal. Read that again. They created us ALL equal. That is if there was any intentionality in our existence before.
Since all religion is socially constructed, arising from human perception of what they believe to be the word of God, or Gods, this means that there is no invalid form of spirituality. There should be no one-size-fits-all approach to how we practice that spirituality.
Take the bits that work for you. Combine them and shape them. Mould them. If you want to be a Christian who celebrates Samhain and Solstice, go for it. Perhaps you have your own entirely unique spirituality? That’s fine, too. Build a spirituality that works for you without hurting others. Do as ye will, an it harm none. Explore culture and faith. Break free of the constraints of organised religion. Enter a world where humans can express and body their spiritual lives in infinite ways.
This is vital. If we are going to liberate the oppressed from the systemic violence of a normative world, all parts of human culture must be liberated. While any single one of us, while any aspect of our lives, is imprisoned by normativity, none of us are free. Allow your mind to explore itself. Embrace the Chaotic Self, and parlé your spirit into physical form through exploration and expression of your unique mind.
There are infinite variations of the human mind, meaning that there are infinite versions of human spirituality. Any attempt to confine us into a prefabricated spiritual reality is a terrible thing.
This article was co-authored by David Gray-Hammond and Katie Munday
Trigger Warning: This article contains references to systemic and structural oppression, multiple marginalisation, and negative wellbeing and identity.
Ableism is prevalent in the wider world, but something that we often don’t consider is the ableist views we hold about ourselves. It is inevitable that after spending our lives surrounded by normative culture, we become conditioned to view ourselves as broken, deficient, or less than. Despite being able to share compassion with others, we still harbour overtly bigoted views towards ourselves.
We internalise the harmful things said to us by our peers and professionals – sometimes even partners and friends. We take them all in and think less of ourselves and we begin to believe that there is something wrong with us.
It is clear that our interactions with other people play a significant role in the development of our sense of Self. Our identity is constructed by interactions with people in our environment, as noted in the golden equation from Luke Beardon:
Autism + Environment = Outcome
When Autistic people are in an environment that constantly belittles and mistreats us for our Autistic embodiment, the materials that we can access to construct ourselves are often self-deprecating.
How does one dismantle a lifetime of criticism and negative views arising from those experiences? First we have to understand the impact that said criticism has had on our psychological wellbeing. We have to recognise the neutrality of human thought, we have to learn that not all thoughts we have are reflective of who we are. It is possible to have negative thoughts without judging them as an indictment on our character. Once we begin to do this we are able to replace the criticisms with authenticity; a refusal to be ashamed of our embodiment. Perhaps, then, this is where neuroqueering comes into play.
It’s important to note the privilege at play when people are safe to queer their neurology. Authentic embodiment of Autistic experience can cost people their lives and their freedom in the wrong environment. Whether we care to admit it or not, not all Autistics are born equal in this society. Many Autistic people are multiply marginalised, and experience more than “just” disability discrimination.
One might ask whether or not neuroqueering is a physical act, or something that can be achieved in the mind. Many of us are at peace with ourselves whilst not openly confessing our Autistic experience. This reflects more on the environments that we inhabit than how we feel about ourselves. We can be proudly Autistic whilst understanding that not all environments are safe to authentically embody those experiences.
We also have to consider the role that the pathology paradigm plays in the existence of neuroqueering. The pathologisation and medicalisation of Autistic experience is the driving force behind most (if not all) of the ableism that we experience day-to-day. The idea that people who do not fit cultural standards of “normal” are broken, has not only created the mistreatment we experience; it also necessitated the existence of a counter-culture- neuroqueering.
How does neuroqueering change our perception of ourselves?
Neuroqueering can involve leaning into our weirdness, regardless of other’s opinions. It can also be radical self-acceptance and showing love to the parts of our Self that others have mistreated and abused. Not only does this allow us to reclaim the narrative surrounding our existence, it also gives us permission to take up the space that we have been conditioned to believe we are not entitled to.
Neuroqueer theory teaches us that assimilation denies us access to ourselves, and thus, denies access to the communities (or environments) that will help us meet our need for connection. Only by being our authentic selves can we find similar others and share in reciprocal validation. Neuroqueering dismantles internalised ableism, and the oppressive structures that have been built in our minds by others. It is a practice which champions diversity whilst appreciating that many of us still need support.
Neuroqueering politicises the nature of disability, centering us as the individuals in control of our own lives. Control that many of us are denied for being authentically Autistic. It allows us to appreciate the aforementioned neutrality of our existence through the lens of pride, and the refusal to be ashamed. It recognises that reduced wellbeing is the result of systemic oppression, and a chronic lack of access.
This article was co-authored by David Gray-Hammond and Tanya Adkin
Trigger Warning:This article contains strong language and discussions of fabricated or induced illness, ableism, discrimination, bigotry, child abuse, medical abuse, systemic abuse, institutionalised bullying.
Fabricated or Induced Illness (FII) is defined by a set of “alerting signs”, written in guidance produced by the Royal College of Paediatrics. From the horses mouth itself-
“FII is a clinical situation in which a child is, or is very likely to be, harmed due to parent(s) behaviour and action, carried out in order to convince doctors that the child’s state of physical and/or mental health and neurodevelopment is impaired (or more impaired than is actually the case). FII results in physical and emotional abuse and neglect, as a result of parental actions, behaviours or beliefs and from doctors’ responses to these. The parent does not necessarily intend to deceive, and their motivations may not be initially evident.”
RCPCH Guidance, 2009 (updated 2021)
Parent blame and insinuations of FII are becoming common place, and this is where it gets interesting. Let’s talk about what isn’t FII. It isn’t Munchausen’s Syndrome by Proxy, and it isn’t Factitious Disorder Imposed Upon Another (actual mental health diagnoses). It isn’t a diagnosis, there is no diagnostic criteria, it doesn’t appear in any diagnostic manual; in fact there is no evidence to support the need for FII to even exist as a form of child abuse. Yet as advocates and professionals working with neurodivergent children and their families, this is a daily occurrence for us.
FII was created by the Royal College of Paediatrics. There own guidance states that-
Literature in this field recognises that there is a gap within the existing evidence-base surrounding the incidence and prevalence of PP [Perplexing Presentations] and FII. We acknowledge that there is a lack of data in this field, in particular for perplexing presentations, and the exact incidence and prevalence is therefore unknown.
RCPCH guidance, 2009 (Updated 2021)
This exists despite the fact that in the past eight years, there have been no deaths involving children where FII is even mentioned, except for two cases, one by heart failure (from a pre-existing condition) and one by suicide (Bilson, 2021), it’s probably a fair assumption to say that it was likely caused by a failure to accommodate the child’s needs. Had professionals spent their time investigating these children’s needs as opposed using parent blame as a way to alleviate them from their duty of care, these children may very well be alive today.
What are professionals looking for when they suspect FII?
Not all of the “alerting signs” are relevant to Autistic children, but in particular the following are quite concerning-
In the child
• Reported physical, psychological or behavioural symptoms and signs not observed independently in their reported context
• Unexplained impairment of child’s daily life, including school attendance, aids, social isolation.
RCPCH Guidance, 2009 (updated 2021)
In the parent
• Parents’ insistence on continued investigations instead of focusing on symptom alleviation when reported symptoms and signs not explained by any known medical condition in the child.
• Inappropriately seeking multiple medical opinions.
• Child repeatedly not brought to some appointments, often due to cancellations.
• Not able to accept reassurance or recommended management, and insistence on more, clinically unwarranted, investigations, referrals, continuation of, or new treatments (sometimes based on internet searches).
Not letting the child be seen on their own
• Talking for the child / child repeatedly referring or deferring to the parent.
RCPCH, 2009 (updated 2021)
If you know anything about the Autistic experience, you will know exactly why the above specifically targets Autistic children and their parents (who are often Autistic themselves). Where does this consider masking? Where is the consideration for situational mutism, Autistic burnout, extreme anxiety (often experienced by Autistic children). This is not withstanding the fact that most “professionals” have not even heard of Autistic burnout let alone have more than a generic and stereotypical understanding of Autistic people that is based on outdated and largely debunked theories.
It gets worse.
The next instalment in this shitshow of a pamphlet (that is directly responsible for the removal of scores of children from their families, and the untold trauma that comes with such things), sounds like it was directly quoted from a right-wing news channel-
Parents who struggle with the management of their child may seek an inappropriate mental health diagnostic justification in the child such as Attention Deficit Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD).
Material gain includes financial support for care of the child, improved housing, holidays, assisted mobility and preferential car parking.
RCPCH guidance, 2009 (updated 2021)
I bet these were the type of people who were having wine and cheese parties by accident in the middle of a pandemic.
Now, we’re not going to waste our spoons on explaining why this is utter ableist, classist, racist horseshit (really all the forms of bigotry you can think of). What we will say, is that for anyone who has filled in a DLA form, submitted the plethora of evidence needed to justify a childs disability, for what is effectively a small amount of pocket money compared to the actual cost of caring for a disabled child. Preferential parking and preferred housing? Clearly these people are so far removed from any semblance of qualification to discuss or have any impact on the lives of neurodivergent people, or disabled people in general, that they buy into the propaganda peddled that disadvantaged people are trying to steal resources.
Back to our broader discussion.
Here’s another golden nugget of guidance-
“The second motivation is based on the parent’s erroneous beliefs, extreme concern and anxiety about their child’s health (eg nutrition, allergies, treatments). This can include a mistaken belief that their child needs additional support at school and an Education Health and Care Plan (EHCP).”
RCPCH guidance, 2009 (updated 2021)
Big issue with this one. Schools are effectively financially penalised for seeking further SEN support for children. It’s common place for schools to have to fund the first £6000 of an EHCP. £6000 that doesn’t actually exist. Not withstanding the fact that school teachers are not qualified to decide whether or not a child is “fine in school”. If this was the case, why do we even require needs assessments in the first place?
Then there is the level of paperwork that is required to support a child with significant SEN, and the staff hours that takes. All of this results in schools routinely downplaying children’s needs and presentations, not knowing what they are looking for, and assuming that if little Johnny isn’t smashing up the classroom, he must be fine and there are no needs to meet.
Medical professionals are relying on these reports of “fine in school” from underqualified mainstream education professionals to then decide that it must be FII, that the parents are making it up… and the cycle continues.
So, the pièce de résistance in this spectacle-
“Autism Spectrum Disorder (ASD) in the parent may underpin fixed beliefs about the child’s ill-health.”
RCPCH guidance, 2009 (update 2021)
So there you have it people, if you are Autistic, if you seek an EHCP, if you seek specialist advice (because the NHS is woefully underfunded, and uneducated on Autistic experience), if your child masks, if you seek a private diagnosis, if you challenge professionals, if your child is situationally mute, and (finally) if you are poor. You are ticking a lot of boxes as a child abuser; as profiled by the RCPCH guidelines on Fabricated or Induced Illness.
How does this contribute to institutionalised parent/carer blame?
Institutionalised parent/carer blame was researched by Professor of Law, Luke Clements (2021). The following is a quote regarding the research report.
“I am very concerned to hear of the continued problems with the way many Children’s Services Departments in England are treating parents caring for disabled children: a problem that was highlighted in a Disability Law Service report last year. The current report points to defective Department for Education guidance as a root cause of this problem, which is leading to parents being blamed when they ask for care for their disabled children, instead of receiving the help and support they deserve. I call upon the Education Secretary to address this issue as a matter of urgency.”
Rt. Hon. Sir Edward Davey, MP, Patron of the Disability Law Service, 2021
The reports key messages were as follows-
“National and local social care policies in England create a default position for those assessing disabled children, that assumes parental failings. This approach locates the problems associated with a child’s impairment in the family.
The national guidance that directs the process by which disabled children are assessed by English Children’s Services Departments (‘Working Together 2018’) is not fit for purpose and arguably unlawful. Its focus is on safeguarding children from parental neglect / abuse and it fails to address the distinct assessment and support needs of disabled children for whom there is no evidence of neglect or abuse.
Unlike the national guidance concerning the assessment of disabled adults, ‘Working Together 2018’ contains no requirement that those assessing the needs of disabled children have any disability related expertise, skills or experience.”
Luke Clements, 2021
We can then see how the rhetoric of parent/carer blame is perpetuated. We have education, health, and social care, working symbiotically to impart accusations of FII onto parents and carers of disabled children, absolving themselves of responsibility for that child’s wellbeing.
If we were cynical, we could comment on how this has been beautifully engineered for one sole purpose; TO SAVE MONEY. If there are no needs identified, then there is no responsibility for education, health, or social care to meet those needs.
If we intimidate and gaslight parents and carers enough, they may well stop advocating for their child’s needs. Is this the social care equivalent of off-rolling? Where schools and local authorities threaten parents with social care referrals and fines if their child does not attend school, or offer them the alternative of home education, absolving them of any legal (and financial) obligations for the child’s education.
All of the above heavily contributes to Autistic suffering by using these convoluted systems to deny access to much needed support and accommodations. It’s an inside joke amongst Autistic parents and carers that they are waiting for a FII referral.
“One whiff of neuro- and they’ll have you for FII”
It’s all based in the ableist assumption that Autistic people are incompetent and incapable child-abusers. Maybe the commonly held (and debunked) theory that we don’t have empathy contributes to this?
Seeking support for your disabled child has effectively been criminalised.
What can be done about it?
Here’s the tricky part, because these accusations, and infringements on private family life grind us down. Really the only thing that we can do about it is to tick every box that’s listed as an “alerting sign”.
Request an education, health, and care needs assessment from your local authority.
Be prepared to appeal every unlawful decision.
Seek professional advocacy.
Keep all communication in written format.
Keep everything as evidence.
Get very good at filing, very quick.
If you are able to access private specialist assessment, do it.
If you are being accused of FII, consider commissioning an independent social care assessment.
Expect parent/carer blame.
Do not take it personally.
Do not give up.
We realise there is cost involved in the above advice, and it’s not cheap. Unfortunately, it’s just another fine example of how policies and systems are designed to penalise poor and disabled people. There are a few things you can do if you are on a low income though.
Learn as much as you can! The fight for your children’s right’s and your own never goes away, the sad fact is you will always be battling to get what your child needs and is legally entitled to, you just get better at it and it becomes less overwhelming over time.
Evidence– You can submit subject access requests to schools, local authorities, doctors etc. This should give you evidence of your child’s difficulties and what has been done to meet their needs.
Legal Aid – If you are a low-income family, you may be able to access legal help to appeal local authority decisions regarding EHCP’s. Legal help will also fund independent reports, usually Educational Psychology, Speech and Language and Occupational Therapy, I have known them fund independent Social Care reports before however it is not common place and you will have to put together a good argument as to why it is necessary from the perspective of an EHCP. You can access legal aid information here.
Make use of free resources – IPSEA have a range of templates for all things EHCP related and a free helpline although, it can be difficult to secure a spot. Look for free Q&A’s on Facebook. Scour the files section of face book groups.
Finally, access the Autistic community online, many of us have been down this well-trodden path before and can give some really sound advice. Many of us are professionals working within this field.
It’s not always called FII, mostly it is implied rather than explicitly said. The default position is always that there is a fault with the parent/carer. Especially if you are Autistic.
Bilson, A. (2021) Education Magazine – Episode 6 – Fabricated or Induced Illness. Sinclaires Law. YouTube.
Clements, L (2021) Institutionalising parent/carer blame. Cerebra.
Davey, E (2021) Institutionalising parent/carer blame. Cerebra.
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