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Tackling Autism
Autism affects some of the brightest minds, including many in the IT industry. Here's how technology can help
Wednesday, June 27, 2007

Impaired social interaction, impaired communication, and restricted and repetitive interests and activities": If you work in the IT industry, this description fits many people you know, perhaps some of your R&D people, and top programmers. These are also the traits you look for, according to Wikipedia, when diagnosing autism spectrum disorder (ASD), a condition that afflicts almost 1% of our population. The structured world of the computer is attractive to the autistic, so the percentage is likely to be far higher in the IT industry.  The situation in Silicon Valley is well described in the Wired article "The Geek Syndrome," http://www.wired.com/wired/archive/9.12/aspergers.html. Since there is a genetic component to autism, this concentration has led to even higher levels in their children: through the '90s alone, the number of cases tripled!

Meanwhile, the government is sticking its head in the sand: it even refuses to consider autism a disability. In a letter to the secretary of the Autism Society of India, Veronica Mathias, dated December 8, 2003, the Ministry of Social Justice and Empowerment explained why: "because doing so would shift attention and resources away from those whose need is the greatest." Imagine, if the Ministry of Health had taken the same attitude vis-a-vis HIV, when that affliction began to clamor for its attention. Once again, we let the voiceless fall between the cracks.

Signs
From an information perspective, each autistic person poses unique challenges. Some have extreme sensitivity to loud sounds, glare, or even touch. Typically, their ability to acquire information is intact, while some kinds of information processing capacity is reduced. They usually have a problem dealing with unexpected situations. Too much information, or complex sequences with different kinds of information to be processed in each step, create severe problems for persons with autism. This is why speaking is so hard for many of them, involving as it does the precise control of a large number of muscles in the face to produce the sounds, not to mention the simultaneous expression of emotion through facial means, hand gestures, etc.

Because the autistic have a communication impairment, they are unable to let the tension out through a process of negotiation, and the pent up frustration may find an outlet in a severe tantrum. Often, people will treat the autistic in cruel fashion. Sensitization helps here. Creating a working environment with as few elements of distraction as possible and filters for potentially bothersome allergens and pathogens is useful-see, for instance, http://www.autism.org/irlen.html. For many persons with autism, a gluten-free, casein-free (GFCF) diet helps reduce many of the symptoms and improves general health. Pizza may be quite the wrong food for many geeks!

Scratch (http://scratch.mit.edu) is a simple development environment that is incredibly easy to learn, and excellent for creating animations that can be used to teach autistic kids

A for Autism...
To explore what role computers can play in the lives of persons with autism, two workshops have been conducted in India so far. The first one, held in Dehradun a year ago with five autistic children and their care-givers, is documented in a film called "A for Autism.. M for Mouse", which can be downloaded from Short A for Autism www.shortfilmindia.com. The second workshop was held this May in Bangalore, with 17 children with autism, their parents and special educators at the Spastic Society of Karnataka premises. IBM, a company that has made impressive efforts to become a conducive environment for the disabled to work in, supported the workshop and sent some volunteers. Learning from the first workshop, we made sure we had spacious, ground floor premises, with plenty of opportunities for the kids to run around outside. We started by looking for ways to address the sensory issues.

We found that the use of a beamer makes a huge difference to persons who have issues with glare. For them, we also demonstrated the use of software for the blind, which provides audio cues to accompany the visuals, enhancing learning even for those who see well, and other audio tools. For beginners in computing, as most of them were, a normal keyboard with over a hundred keys implied a steep learning curve. One interesting way to address this was to use software such as Dasher, which allows you to type quickly using just a mouse. The software was appreciated by the trainers, and we decided to find ways to explore other means of using Dasher, such as special eye glasses that track eye movement, hardware that can interpret gestures, such as the Nintendo Wii, etc. Of particular interest would be a lower-cost equivalent of the Cyberlink MindMouse, http://www.sforh.com/pointing/mindmouse-head.html, which senses electrical activity in the skull, and uses that to control keyboard and mouse.

Another approach that shows promise is to use one-button software similar to eLocutor, http://holisticit.com/eLocutor/elocutorv3.htm, adapted for the use of children, making full use of audio, video, text and pictures. Free and open source software will be designed for the purpose with the help of the parents and special educators, with custom vocabulary for each child. For the pictures and video, we will attempt to capture objects and locations that the child is already familiar with.

Our experience in Dehradun and a study of the literature convinced us, that another approach worth trying would be to try to use video as a means of communication, since many persons with autism think in pictures. We encouraged parents and educators to let the children use still and video cameras, and look forward to the results in the months to come. CDAC volunteers taught our participants how to use their Natak-3D software, that allows you to easily create drama on a computer screen, http://sourceforge.net/projects/natak3d. Care givers will attempt to use this to expose children with autism to the nuances of social interaction, to recreate and analyze situations that were problematic, etc. We also spent time learning how to use Scratch, http://scratch.mit.edu/, a programming language and integrated development environment that is incredibly easy to learn, and excellent for creating animations.

Autism afflicts many of the brightest minds in the IT industry. To improve their productivity and the working environment, companies should initiate sensitization programs in their companies, and work with us to make it easier for the autistic to use computers. What neglect can achieve, is almost too spectacularly illustrated by the recent Virginia Tech shootings. Tyndale University College psychology professor Paul TP Wong said, "Cho Seung-Hui had experienced difficulties common to many new immigrants. These included acculturation stresses, language barrier, poverty and discrimination. The cumulative stress of these risk factors coupled with problems of mental illness, autism and personal grievances might have pushed Cho over the edge... The Virginia Tech killing might have been averted if Cho's parents had been able to provide him with proper medical care and protection from the harsh realities which he had long endured."

Dr Arun Mehta has been active in telecom, computing and human rights since his graduation from IIT Delhi in 1975
(he also holds an MS in Computer Science from SUNY, NY and a PhD from Ruhr University, Germany). A professor of computer engineering at JMIT Radaur, his other interests include low power FM and community radio, broadband community networking, and ICT for the disabled

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