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    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System












































​blackgirllostkeys.com

ASYNCHRONY, INTEGRATIVE THINKING & THE NEED FOR A "THIRD ALTERNATIVE"

7/31/2022

 
Conjecture
  • Neuro-Diverse people often have ASYNCHRONOUS DEVELOPMENT
    • they often have BIG STRENGTHS and
    • BIG CHALLENGES
 
  • Our SYSTEMS are not really set up to deal with the VARIETY and INDIVIDUALITY that's out there.
 
  • CATEGORIES help us DEAL WITH the COMPLEXITY of VARIETY & INDIVIDUALITY --
    • The BIG PROBLEM we have now in MENTAL HEALTH is that the CATEGORIES in the DSM are NOT ACCURATE.
    • "CATEGORIES" are a kind of PARADIGM.
    • AND if they are "WRONG" it matters a lot.
    • History of SCIENCE and INTELLECTUAL HISTORY are PUNCTUATED by "PARADIGM SHIFTS."
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Thomas Kuhn
So this is a Blog about "RELATIONSHIPS" --- why am I talking about big SOCIETAL PARADIGMS?

Because as INDIVIDUALS or for that matter as PROFESSIONALS we're bringing those SOCIETAL PARADIGMS to the TABLE ----- CONSCIOUSLY, SEMI-CONSCIOUSLY and UNCONSCIOUSLY.

If my "PARADIGMS" don't include "ASYNCHRONOUS DEVELOPMENT" --- I may be in for a RUDE AWAKENING on multiple fronts --- including:
  • my Spouse
  • my Kids, and
  • myself

Further, there may be SIMILARITIES --- But that "ASYNCHRONOUS DEVELOPMENT" can play out very differently even in the SAME FAMILY. 

Further, IDENTIFYING with a group or groups --- FEELS SAFE
BUT it can actually prevent us from coming to terms with our own INDIVIDUALITY and that of others.
Steven Morgan:  Soteria Vermont Project Manager

Addresses the Knowledge Challenges that are plaguing Mental Health.

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Deborah Tannen:  Professor of Linguistics at Georgetown University, Author & Communication Expert
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Deborah Tannen
Picture
Helen Keller
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Thomas Kuhn:  The Structure of Scientific Revolutions (1962)
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Mom & School Psychologist Cait Curley
Asynchronous Development and The Gifted Child
I truly believe that if more people understood the concept of asynchronous development, and began to think of giftedness as asynchrony, many of the gifted myths would be dispelled.

Gifted students would no longer be equated with high achievers.

People would realize that gifted children do not have it easy and that they are not easy to raise.

The term twice-exceptional would make sense to more people. 

People would begin to understand that these asynchronous children have unique and special needs.

Rather than being viewed as elitist, gifted support would be seen as a necessary part of a child’s development.

Intellectually, they need to be with peers with whom they can relate.
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Roger Martin --- Professor Emeritus of University of Toronto School of Management --- popularizer of "INTEGRATIVE THINKING" --- See Thinking About Thinking
I'd like to see ---

"INTEGRATIVE THINKING" used to  Solve "Wicked Problems" like Relationships & Societal Integration for Neuro-Diverse ASYNCHRONOUS People
Picture
Stephen Covey
Stephen Covey --- Author of the hugely successful 7 Habits of Highly Effective People --- that was marketed as BUSINESS MANAGEMENT -- and was a lot about FAMILIES.
"A third alternative moves beyond your way or my way to a higher and better way—one that allows both parties to emerge from debate or even heated conflict in a far better place than either had envisioned. "

----
The 3rd Alternative: Solving Life's Most Difficult Problems

You Don't Know, What You Don't Know --- But You Can Keep Learning

7/20/2022

 
Conjecture
  • Let's just say I don't think it is necessarily easy to deal with NEURO-DIVERSITY as a parent --- BUT it can be a lot easier than as a SPOUSE or even as an INDIVIDUAL.
    • Ironically, we often do make BETTER DECISIONS for others than we do for ourselves.
    • Further, if a kid or a spouse feels REJECTED --- they are NOT going to be very open to any SUGGESTIONS.
    • Even further, if I feel REJECTED --- I'm not going to be very open to SUGGESTIONS.
    • Finally, if the person who is making the SUGGESTIONS doesn't really understand THE LIMITATION or CHALLENGE---
      • The SUGGESTIONS are probably NOT going to be very good.
 
  • When I say NEURO-DIVERSITY I'm referring to ADHD, Autism, Dyslexia, Giftedness, OCD, etc.
 
  • So generally, these issues are NOT implicating the BIG --- Danger to Self or Others Concerns.
    • Although, some people with serious impulsiveness issues can implicate these concerns. 
University of Texas School of Business
Group Think

Picture
  • What NEURO-DIVERSITY is really implicating are our GROUP THINK IDEAS about what is REASONABLE when it comes to:
    • Short Term Memory
    • Organization
    • Emotional Regulation
    • For some people READING
    • Fatigue
    • Etc.
 
  • I think we need to adopt DEMING'S approach to "MANAGEMENT"--
    • DRIVE OUT FEAR, and
    • GO FOR CONTINUOUS IMPROVEMENT
 
  • If there is a real SAFETY CONCERN --- by all means address it.

 BUT I think in many cases, the issues are EXACERBATED because we don't think any "REASONABLE PERSON" could have the EXECUTIVE FUNCTIONING ISSUES that MILLIONS of smart people with NEURO-DEVELOPMENTAL DIFFERENCES in fact have.

Executive Functioning Differences----You can't work on a SUPPORT PLAN & Work Arounds if you're too busy fighting REALITY

7/3/2022

 

I don't think you can ignore executive functioning differences ---
  • But trying to FIX the person's DEVELOPMENTAL DIFFERENCES given current knowledge is not gonna work.
    • Further, in a lot of Neuro-Diverse Relationships in which both partners may have some aspects of Neuro-Diversity
      • Those unrealistic judgments may be going in BOTH DIRECTIONS.

Most Neuro-Diverse Families are going to have complicated Executive Functioning needs of individuals within the family that need to be accommodated or worked around.
  • The more UNDERSTANDING & SUPPORT there is from the SOCIETY --- the EASIER it will be for everyone.


As hard as it is --- you often have to FACTOR IN --- SLOW PROCESSING.

I think for a lot of us --- we were often considered  "SMART" and "HARD-WORKING" --- and we had a really hard time identifying that we couldn't do things in the same way as NEURO-TYPICALS and avoid a BURNOUT or BREAKDOWN. 

Picture
The fact is we have a lot of Neuro-Diverse people in this Society and they're BURNING OUT and BREAKING DOWN ----
  • It's going to take INDIVIDUALIZED & COORDINATED EFFORTS on the part of Individuals BUT
  • I think it also takes INDIVIDUALIZED MEDICINE
  • AND More Understanding & Experience with working with these differences not just in a VACUUM but in FAMILIES, COMMUNITIES, WORK ENVIRONMENTS, etc.
The EFFORT on the part of Neuro-Diverse people TO MAKE ACCOMMODATIONS & WORK AROUNDS  is often SQUARED or MORE.
  • The likelihood that you may be in a relationship or have kids with IDIOSYNCRATIC DIFFERENCES is probably pretty high.
  • The likelihood that you may work for "Neuro-Typicals" who have no understanding of your needs is also probably pretty high.
  • Maybe even more likely that you're working for a Neuro-Diverse ENTREPRENEUR who really needs you to be a "Neuro-Typical."

So there are the TWO BIG AREAS:  Work & Love
  • It is all connected.

BUT it is NOT just Work & Love --- this also includes the Community and the need for Neuro-Diverse people to CONTRIBUTE to the Community and be part of the Community ----

    Translational Love, Relationships & Neuro-Diversity Saturday

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System