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      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
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​                  NEURODiversity          Wednesday

The Environment, Sensitive / Reactive Systems & Enlightened Self-interest

1/20/2022

 
  • My experience is that the SOCIAL HIERARCHIES one is in during one's lifetime can change dramatically.
  • Many people experience the Hierarchies in SCHOOL and ACADEMIA as significantly different in SOME RESPECTS than those found in most ADULT ENVIRONMENTS.
 
  • For many Neuro-Diverse People --- SCHOOL is a TORTURE CHAMBER 
 
  • ​​For others, SCHOOL is a DREAM COME TRUE.
 
  • If that ENVIRONMENT is "WORKING" FOR US or "WORKING GOOD ENOUGH"--- we may see its FLAWS ---
    • ​BUT we don't have enough SKIN IN THE GAME to do the HARD WORK to CHANGE it.
    • ​OR Stick OUR NECKS OUT to CHANGE IT.
 
  • What's the POINT?:  
    • ​DIFFERENT ENVIRONMENTS work for DIFFERENT PEOPLE.
    • Ironically, NEURO-DIVERSE PEOPLE often find themselves on OPPOSITE ENDS of the SPECTRUM --- 
      • ​That's a lot of what I'm trying to say with the "Odd Couple" --- Autism & ADHD --- which are surprisingly
​                         BLURRED.
Further, NEURO-DIVERSE People tend to be CONTROL FREAKS in their own ways because they are SO SENSITIVE or REACTIVE TO THE ENVIRONMENT.

Is the Line between --- "Oh, that person is so 'PASSIONATE and SENSITIVE' to that person is 'PATHOLOGICAL and REACTIVE' " ----- really SO FINE --- or are we just OBLIVIOUS to the many steps it took to get from one to the OTHER ---

AS WELL AS the DIFFICULTY of recognizing COMPLEXITY in ourselves and others.

Nowhere is that perhaps more on DISPLAY than the "GIFTED COMMUNITY" that is having a hard time recognizing that their EXECUTIVE FUNCTIONING ISSUES are DEVELOPMENTAL and BIOLOGICAL ----
  • which given the ASSUMPTIONS of the Society is quite understandable.

More and More --- "GIFTEDNESS" is recognized as part of NEURO-DIVERSITY.   

Who we are willing to recognize as "GIFTED" is also subject to UNCONSCIOUS THINKING & UNCONSCIOUS BIAS.  

A lot of "GIFTED" People are working to change that.
Frank Sinatra
That's Life
Big Chill (1983)
Rationalizations
In 1983, I was not in my 30s --- I was in my early 20s and at the TOP of MY GAME.

​In less than 5 years --- I was wondering what had happened.  
​
The Revivalists
All My Friends 
(I wasn't getting HIGH --- BUT I had my first MAJOR EPISODE of DEPRESSION -- and recall feeling as though I had jumped out of a plane without a PARACHUTE -- BUT I didn't know it was DEPRESSION)
So by my late 20s -- I was already struggling ---

I had assured my Mother who had grown up during the DEPRESSION with a SINGLE MOTHER with POLIO --- that this LIBERAL ARTS MAJOR was all going to work out because I was going to LAW SCHOOL and not only that I really wanted to be a LAWYER --- and SAVE THE WORLD.  
We all have SKIN IN THE GAME when it comes to CHANGING THE ENVIRONMENT
  • That's why it is so hard.
  • Ultimately, this needs to work for EVERYONE --- and that EVERYONE is DYNAMIC --- its not going to be the same in 50 years
  • And we're likely going to understand more in 50 years than we understand now.
  • Even if we don't have all the SPECIFICS of that KNOWLEDGE we can still operate under principles of the BELOVED COMMUNITY & ENLIGHTENED SELF-INTEREST in creating ENVIRONMENTS that are USER-FRIENDLY for DIVERSE USERS.
Picture
Alan Bloom on Enlightened Self-Interest

Comments are closed.

    Neuro-Diversity
    Wednesday

    (with variable spellings of Neurodiversity)


    NEURODIVERSITY  is BLURRED. 

    What people are keying off of is:  EXECUTIVE FUNCTIONING DIFFERENCES or DEFICITS --- and saying "Hey, that's me."

    BUT they are also saying:  "Hey, I've got some BIG TIME STRENGTHS and I need those recognized too." 

    ​
     

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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