Monday, March 8, 2021

For Many With Autism, Masks Are Unbearable. Two Organizations Teamed Up To Change That.

 

For Many With Autism, Masks Are Unbearable. Two Organizations Teamed Up To Change That.

For Howard McBroom, comfort is crucial. Since the Covid-19 pandemic began, though, McBroom has found himself uncomfortable far too often. 

 The culprit? Masks—like millions of Americans, he’s been wearing them to help stem the tide of the coronavirus.  

 McBroom has autism, a developmental disability that impacts a person's verbal and non-verbal communication and social interaction. Many people with autism experience sensory sensitivities, and for McBroom, covering his face with a traditional mask has made it difficult to speak, often causing feelings of claustrophobia.

 This is a reality many people with autism and other sensory needs have faced since the pandemic began. Several months ago, Easterseals Southern California (ESSC), an affiliate of Easterseals national, a nonprofit that provides services to people with disabilities and their families, set out to do something about it. 

 Towards the end of 2020, ESSC heard about a new socially conscious lifestyle brand, Rafi Nova. Rafi Nova, which launched mere weeks before the pandemic began, pivoted from making handbags and accessories to masks. They created the smile mask, featuring a clear panel, for people who are deaf and hard of hearing, restoring the ability to see visual cues and communication. In October, ESSC reached out to see if Rafi Nova would be willing to partner and develop a sensory-friendly mask for people with autism and other disabilities. 

 Immediately, a partnership was formed. 

 "We started to design this mask hand in hand with their team, and it's really been incredible," said Marissa Goldstein, cofounder of Rafi Nova. 

 Rafi Nova pulled together a team that included their core members and designers. ESSC did, too, including speech and occupational therapists, board-certified behavior analysts, and Dr. Paula Pompa-Craven, Psy.D., ESSC's Chief Clinical Officer, who also happens to be a clinical psychologist. At first, they would meet virtually every week to discuss what was inhibiting many of ESSC's participants and other people with autism from wearing traditional facemasks. 

 "We said, here are the things that we have heard, and we've experienced with the individuals that we support," Dr. Pompa-Craven said. "They have difficulty when something is sitting against their face, when there's a lot of like seams and materials that scratch the face, or feel uncomfortable. Many say the masks make them feel like they can't breathe, fogged-up glasses, those types of things. They [traditional masks] sit around your ears, and there's a lot of discomfort and sensitivity around the ear area."

The team at Rafi Nova got to work. They would create a mask and send it to ESSC, who would have children and adults on the spectrum and with other disabilities try the masks. After around five prototypes, they finally created a mask that, according to Dr. Pompa- Craven, "was it." 

The masks align with four S's: soft, structured, secure, and safe. They are made with 100% mulberry silk lining, reducing friction and feeling comfortable on the face. The straps are adjustable jersey knit straps that clasp behind the head instead of pinching the ears. The masks have minimal design and limited seaming. There is an adjustable nose bridge ensuring the perfect fit and decreasing glasses fogging. Plus, the design lifts the mask off the mouth, making it breathable and more comfortable to speak while wearing. 

 But the most unique feature? With every child's mask purchased, a social story is included.

 "With our kids with autism, one of the things that we do a lot in therapy is we use social stories as a way to teach them. We use a combination of stories and photos, and usually they're fairly short, like four or five pictures," Dr. Pompa-Craven said.

 "And so with this one, we said, 'Here's why I need to wear a mask. I need to wear masks because it helps to keep me safe, and it helps to keep people around me safe.’"

 According to the CDC, about one-in-54 children have Autism Spectrum Disorder. About one-in-six children aged 3–17 years (17%) were diagnosed with a developmental disability as reported by parents during a study period of 2009-2017, including autism, attention-deficit/hyperactivity disorder, blindness, and cerebral palsy, among others. 

 On top of that, ASD is the fastest-growing developmental disorder in the U.S., according to the Autism Society.

 Overall, though, autism is a spectrum, and is different for every person diagnosed. 

 That's why ESSC and Rafi Nova set out to create an inclusive mask that would benefit anyone and everyone—disability or not—something McBroom is thankful for. 

"It's great, it's soft, it's comfortable, and it fits on the face well," McBroom said. "They are doing great work together. I wish it would happen more often—that companies would work together to provide products that people need. That doesn't happen nearly often enough."

 Note: The sensory friendly masks featured in this story can be purchased on Rafi Nova's website. Use promo code ESSC and Easterseals Southern California will receive 25% of the purchase.

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As Remote Work Becomes the Norm, Vast New Possibilities Open for Autistic People


 

As Remote Work Becomes the Norm, Vast New Possibilities Open for Autistic People


Technology like Zoom and Slack that eases the pressures of social contact could make jobs much less stressful for people on the spectrum

I’ve long worried about how my autistic son will fare when he enters the workforce. He’s got the sort of autism that used to be known as Asperger’s syndrome: On the one hand, he’s extraordinarily brilliant, incredibly friendly and can do anything he sets his mind to.

Yet his sensory challenges and unique style of social interactions mean that the traditional workplace could be difficult for him. From the overload caused by ambient noise and fluorescent lights to the anxiety of constant conversation, there is a lot about conventional offices that can be challenging for people on the autism spectrum.

It always seemed my son would be more comfortable working on his own, in an environment and on a schedule he could control—but those are options that many people don’t get.

Covid, though, has rewritten the possibilities. By normalizing remote work for everybody, the pandemic has made it easier for people who don’t adapt well to office environments to thrive. The longtime resistance to supporting remote accommodations for disabled employees evaporated when neurotypical (i.e., not autistic) people had to work from home.

At the same time, the growing awareness of neurodiversity—the idea that humans aren’t all wired the same way, and that differences like autism and ADHD also come with unique strengths—means there is more appreciation for what neurodivergent employees can contribute.

A decade spent navigating the medical and educational system with an autistic child has immersed me in the world of autism advocates and researchers, and driven my own work on the interaction between neurodiversity and technology. That is why the shift to remote work has made me newly hopeful: It is not only a positive change in itself, but it has sparked a revolution in remote-collaboration technology that could transform the long-term opportunities for neurodiverse workers like my son.

The shift to remote work has changed the kinds of technologies we use in our working lives; it has changed how readily we embrace and adapt new gadgets and applications; and it has changed the nature and structure of work itself. All of these dimensions bode well for neurodiverse workers—and for the many organizations that stand to benefit from their talents.

A new wave of tech

Just think about all the tech that has blossomed in the past year, thanks to the mainstreaming of remote work. For instance, as messaging platforms like Slack and Teams replace hallway conversations or office drop-ins, they remove a major obstacle for people who struggle with distraction or social interaction.

“Being autistic, there’s no such thing as a welcome surprise,” says Hunter Hansen, a business analyst who is autistic. When he was working in an office, he says, “I had to keep myself from bristling: I couldn’t triage the interruption if someone sneaked up behind me. It really did affect my ability to lock in and focus.”

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In the 12 years in which he’s worked remotely, his home office has become his “sanctum sanctorum”: the fortress in which he can sequester himself from his wife and children and create the sensory environment he needs to work effectively.

Some autistic people experience a similar benefit from the shift to video meetings.

When people are physically sitting around a boardroom table, there are all kinds of nonverbal cues, like the way people shift in their seats, that constitute an important part of the meeting. That nonverbal communication can be hard for autistic people to parse, so it can end up shutting them out of the dynamic or leaving them confused about how decisions are reached.

When meetings move online, we all lose access to most of those nonverbal cues. What leads to “Zoom fatigue” for neurotypical people—who often find the loss of nonverbal communication disorienting and exhausting—can actually be liberating for neurodivergent workers.

“People can be in their own spaces, meeting virtually, but still be at the table,” says David Worling, a psychologist who specializes in autism and a director of Spectrum Works, a consulting firm that specializes in workplace inclusion. “You don’t necessarily have to spend all your time around people; you can still get work done and not have to have intense social contact.”

The rise of remote, often audio-only networking is another boon. Conferences and cocktail parties may work great for people with strong social skills, but they can be a nightmare for people who can be overwhelmed by all the sensory input in a crowded room, struggle with eye contact or are simply introverted. In an audio-only meetup, participants can curate their own physical environments. If you like to do your networking while seated in a quiet room, you can. And for autistic workers who use physical movement as a way of managing anxiety or overload, audio networking provides useful freedom of movement.

Indeed, this shift to a self-curated environment may be the single biggest benefit of remote work—not only for neuroatypical people, but for all of us. I recently interviewed Soren Hamby, a user-experience designer and accessibility advocate.

“If it’s a day where things are overwhelming,” the designer told me, “I can turn down the volume of a conference call—but I can’t do that in a live meeting.”

Learning to learn

The overnight increase in digital collaboration offers another benefit for neurodiverse workers: Not only are lots of new tools available for remote work, but they are becoming the norm.

When we all sat side-by-side in a physical office, it was still possible to opt out of virtual collaboration. In a distributed team, it is a lot harder to wriggle out of collaborating via Google Docs. The assumption that face-to-face interaction is the norm created a power imbalance that worked in favor of people who were more comfortable with in-person, real-time conversation, and disadvantaged people who were more comfortable online or who need time to think and process before responding.

“I don’t like to be asked questions on a whim, or have people pop into my office,” says Joy F. Johnson, a behavior analyst who works with autistic families, and is herself autistic. “Now, because I’m working remotely, most questions come via email, and I can take 24 hours to process and respond. I don’t have to worry about the way instructions are delivered to me vocally or verbally.”

Remote work means that neurodivergent people no longer have to justify or even disclose their communications preferences: Digital is now the default. People who are more comfortable online, and more adept at learning new technology, now enjoy the opportunity to shape the terms of team collaboration.

For many years, I worried that my son’s fondness for all things tech, and his frequent struggles with the give-and-take of in-person social interaction, would limit his professional opportunities. Covid has revealed the opposite: His comfort working, playing and existing online has spared him the stress that many other people have experienced during this period of relative social isolation. And his ability to not only learn but teach new technologies will make him a valuable colleague for people who struggle to adapt to new tools.

Changing the nature of work

The rise of remote, digitally enabled collaboration will mostly profoundly affect the prospects of many neurodiverse or disabled workers through its transformation of the nature of work. That is because it will move us away from the 9-to-5, centrally organized model of employment and toward new types of hybrid workplaces and flexible employment.

“Coming from a neurotypical point of view, we have the assumption that work needs to be a social place, and that is how things get done,” says Dr. Worling. “In the past year, we’re proving otherwise: There are a lot of people going crazy at home, who can’t wait to go back to the office. But if you’re really happy at home, stay there!”

As long as work was something that had to be done at a specific time and place, employment options were limited for anyone who couldn’t sustain a 40-hour workweek in a central office. But as soon as you move to a distributed team, or even a hybrid model in which only some portion of your workforce is in the office on any given day, you open up other possibilities.

Since remote work makes it harder to work together in real time, but easier to get stuff done separately (without the interruptions or distractions of the office), it can and should shift us away from teamwork as the default, and toward what my co-author and I call punctuated collaboration: working solo for long stretches, and then checking in with the group. For people who thrive when working solo but struggle with team dynamics, that shift makes it a lot easier to contribute and deliver value.

The rise of the distributed team also blurs the line between employee and contractor in ways that make work more accessible to people who may not succeed in the conventional employment model.

Now that everyone is meeting by phone or video, there is very little difference between an employee who’s calling in from across town and a contractor who’s calling in from across the country.

While that shift has worrying implications for job security and income inequality, it may be good news for people who can thrive as freelancers in ways they might not as full-time employees.

Good news for everyone?

No doubt my optimism about the impact of remote work stems from the fact that my son is a tech enthusiast, like me. But I wonder if I’m being a bit too sanguine.

Ms. Johnson, the behavioral analyst, offers an alternative scenario: that instead of creating more options, the rise of remote work could roll back hard-won accommodations for disabled and neurodivergent employees. “Pre-corona, people were at least attempting” to accommodate neurodivergent employees, she says. “But now we can solve that problem by banishing them to their homes.”

That scenario is worrying precisely because not every autistic child or adult is like my son, who has blossomed through remote learning. Rather, autistic people vary in their social drives, just like neurotypical people. “If you’re the kind of person who needs more stimulation, or struggles with routine and executive function,” then going into the office may be a much better option than remote work, Dr. Worling says. A world that treats remote work as the default option may be great for some autistic people, and harmful to others—if it reduces accommodations for those who would prefer to be at the office, excludes neurodivergent people from face-to-face contexts in which key decisions (still) get made or pre-empts the opportunity for younger workers to get acculturated into the workplace.

The best way to avoid that? Ms. Johnson suggests hiring autistic experts to identify and address considerations that can exclude neurodivergent employees.

A workplace that reduces sensory stressors and embraces the neurodiversity of its workforce is a friendlier place not just for autistic employees, but for all of us. As we look ahead to the moment when employers and employees will be able to make choices about whether and how to combine office work and remote work, I hope we can create workplaces in which neurodivergent and neurotypical people can make their own choices about where and how they work best.

Dr. Samuel is a technology researcher and the co-author of the forthcoming book “Remote, Inc.: How to Thrive at Work…Wherever You Are.” She can be reached at reports@wsj.com.


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Sunday, March 7, 2021

A Community Hero Serving Her Special Needs Community

 

A Community Hero Serving Her Special Needs Community

Over the past year, so many people have had their daily lives change due to COVID-19. In January, the Pittsburgh Penguins created a new PPG Community Heroes program to recognize those who have gone above and beyond in our community helping others as essential workers.

Also, the National Hockey League celebrates March as Gender Equality Month. The Penguins have designated their home game on March 7 as Her Hockey Day presented by 84 Lumber; and we are beyond proud to honor Julia Konitzky this Sunday as one of our PPG Community Heroes!

Julia is an advocate for the special hockey and autism community, as she serves on the Steel City Icebergs Board of Directors as Treasurer. She is also a proud hockey mom, former nurse with UPMC and a future Certified Autism Specialist.

The Steel City Icebergs is an adaptive ice hockey program for both children and adults with developmental disabilities such as Autism, Down Syndrome and traumatic brain injury. The program teaches participants how to play ice hockey in an environment adapted to each individual's ability. This unique program combines sensory input, social interaction, self-reliance and a willingness to adapt to new experiences with a sense of accomplishment and pride.

In November 2018, she helped organize and execute the first ever USA Hockey "Special Hockey Classic" tournament held at UPMC Lemieux Sports Center in Cranberry. Over 300 athletes attended from across the United States and Canada.   

A true hero within the special hockey community, Julia is committed to her work of improving the lives of those with both physical and mental limitations. In addition to the USA Hockey "Special Hockey Classic," she has donated her time and efforts to many Penguins and Penguins Foundation initiatives including the Happy Hockey Days event. She also assisted in creating the Penguins sensory kits that were distributed to five special hockey teams throughout Western PA on the International Day for People with Disability.

Inclusion in sports for special needs individuals and creating a positive experience through hockey has been paramount in Julia's personal mission. And her efforts have not only helped the athletes; but have also focused on the special needs families and caregivers.

"While competition is beneficial to the athlete physically, emotionally, and socially; the benefit to caregivers and family is tremendous," stated Julia. "The opportunity to bond with other families for a weekend, sharing common struggles and concerns, is most beneficial for parents and caregivers. Events like tournaments provide a much-needed venue for informal peer support and sharing of experiences among families of children with disabilities." 

Julia has also hosted events to help bring opportunities of peer building and creating a neuro-diverse environment both on and off the ice including the Steel City Iceberg's Annual Spooky Skate and Try Special Hockey for Free events. She has also invited club and school hockey teams to participate in skills practices, creating a wonderful opportunity for both the special athletes and their mentors.

As the pandemic has disrupted so many planned events over the past year, Julia sites a huge missed opportunity as the USA Hockey Disabled Festival was cancelled. The Festival was set to be the largest event in the USA Hockey organization, with over 2000 disabled athletes from more than 130 teams throughout North America coming to Pittsburgh.

But times are changing and we can all look forward to when current restrictions are lifted and we can get back to the work at hand - using the great game of hockey to include everyone who has the dream of playing.

And so, the Penguins Foundation salutes Julia Konitzky for her tireless work on behalf of all the special athletes, their families and caregivers… and for her unwavering determination to create inclusion in the exciting sport of hockey.


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Thursday, March 4, 2021

Minassian decision opens door for verdict of not criminally responsible due to autism


 

Minassian decision opens door for verdict of not criminally responsible due to autism


TORONTO — The judge who found Alek Minassian guilty of murder and attempted murder in the Toronto van attack set Canadian precedent Wednesday by considering autism a "mental disorder" under the Criminal Code.

a group of people riding on the back of a truck© Provided by The Canadian Press

Justice Anne Molloy ruled that autism spectrum disorder did not leave the 28-year-old not criminally responsible for killing 10 people and injuring 16 others, but her decision to consider that possibility means the argument could be made in future cases. 

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Some legal experts expressed concern about the implications of Molloy's decision, while members of the autism community said it would further stigmatize those living with the condition.

Molloy noted, however, that the decision does not "say anything at all about any connection between ASD and criminality," and each case must be decided based on the specific circumstances. 

"This merely opens the door," she wrote in the decision. "It means that people with ASD are eligible to be considered for a possible defence under this section, in the same manner as people with many other kinds of disabilities." 

The only other Canadian case that had argued someone was not criminally responsible due to autism was appealed, and Molloy said the appeal judge did not rule on whether autism was a "mental disorder."

For someone to be found "not criminally responsible," they must have a condition that meets the legal definition for a "mental disorder," and also fail to understand the nature or consequences of their actions.

"In this context, 'mental disorder' is a legal term with a specific legal meaning that may not be the same as what a layperson would consider to be a mental disorder in everyday language," she wrote. 

Molloy ruled that autism is a mental disorder by the Criminal Code's definition because it is a permanent condition with an "internal cause, rooted in the brain" that "has an impact on brain functioning and thought processes." 

"In its severe manifestations, and particularly where there are comorbidities, ASD might cause a person to lack the capacity to appreciate the nature of an action or to know that it is wrong," she wrote, underlining the word "might" in the decision.

Those with autism spectrum disorder are far more likely to be on the receiving end of violent crimes than perpetrating them, the Minassian trial heard.

Roxanne Mykitiuk, a professor of disability law at Osgoode Hall Law School, said she worries about the implications of Molloy's decision.

"I am a little bit concerned about the overbreadth of autism spectrum disorder becoming conceptualized as a mental disorder and not perhaps some small portion of individuals who are on the spectrum with particular kinds of characteristics," she said, though she added that figuring out a way to narrow that down could be tricky. 

Alex Echakowitz, who spent a year in the same high school homeroom as Minassian, said she was shocked when Molloy said autism qualifies as a mental disorder under the Criminal Code.

"With all due respect to Justice Molloy, I feel as though she tried to wash her hands of any responsibility for the stigma that follows,"  said Echakowitz, who is autistic.

"The reality is she can say this has no bearing on people with ASD as a whole and speak to the morality of autistic people, but now the idea is in the public's head."

Kim Sauder, an autistic activist who uses the pronouns "she" and "they" interchangeably, said the defence's arguments played into inaccurate stereotypes that autistic people are somehow dangerous, while downplaying other aspects of Minassian's life. 

"It completely ignores the deep-rooted misogyny that was very prevalent in what he did and why he did it," she said. 

Minassian has said he carried out the attack as retribution for women who had rejected him, but also because he wanted to gain infamy. 

But Sauder said it was fair of Molloy to open the door for someone to be deemed not criminally responsible due to autism in the future.

She said there are some circumstances where she could imagine that being the case, for instance if an autistic person accidentally injured somebody else while in the throes of a meltdown. 

But Mike Cnudde, a spokesman with Autism Ontario who is on the autism spectrum, worried that Molloy's judgment "threatens to push us back into the dark ages."

He said it was difficult to watch Minassian's defense lawyers use autism to try to explain the attack. 

"How dare he use this defense to hide behind," Cnudde said. "This was the worst kind of stigmatization."

He said he's glad the judge saw through Minassian’s argument and delivered a guilty verdict, but the decision came with mixed feelings.

That Molloy opened the door for others to use autism in a similar defense means this case isn't the end of the story for those in the autism community, he said. 

"If this defense pops up again, we'll start the whole process of stigmatizing people on the spectrum again," Cnudde said. 

"But you have to keep fighting the good fight – the answer is more education and more acceptance."

- With files from Liam Casey

This report by The Canadian Press was first published March 3, 2021. 

Nicole Thompson, The Canadian Press


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Autism rates among Black, Hispanic children rise by 40% since 2014, study finds

 

Autism rates among Black, Hispanic children rise by 40% since 2014, study finds




March 4 (UPI) -- The prevalence of autism spectrum disorder among Black and Hispanic children in the United States has increased by more than 40% since 2014, according to an analysis published Thursday by JAMA Network Open.

The percentage of Black children diagnosed with the developmental disorder increased to 3.2% in 2019 from 2.2% six years earlier, the data showed.

Over the same period, the prevalence of the disorder in Hispanic children rose to 2.1% from 1.5%.

These increases are likely due, at least in part, to improved access to diagnostic and treatment services for the disorder, which affects communication and behavior, in these populations, researchers said.

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"This rising trend from our study may be explained by the improved access to healthcare for earlier diagnosis, which is the good news, or by genetic inequities, which is the bad news," study co-author Kevin Lu told UPI.

"These findings call for a better understanding on [the] factors associated with racial/ethnic disparities in autism diagnosis," said Lu, an associate professor of pharmacy at the University of South Carolina in Columbia.

About one in 54 children in the United States is diagnosed with autism spectrum disorder, which can cause difficulty with communication and social interactions, obsessive interests and repetitive behaviors, according to the Centers for Disease Control and Prevention.

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For this study, Lu and his colleagues analyzed data on a national survey of nearly 55,000 children and adolescents age 3 to 17 in the United States, about 2.5% of whom were diagnosed with ASD.

Seventy-eight percent of the children diagnosed with the disorder were male.

Although the prevalence of ASD rose among Black and Hispanic children between 2014 and 2019, it remained stable, at about 2.5%, in White children, according to the researchers.

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"Policymakers should continue to focus on ensuring equal access to healthcare for the goal of health equity in children [with] autism spectrum disorder," Lu said.

In addition, "parents should be aware that minority background, lower socioeconomic status and disadvantaged social experience may contribute to the risk of having a later diagnosis of autism," he said.

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Evolutionary forces account for gender imbalance in the occurrence of autism, other health conditions

Evolutionary forces account for gender imbalance in the occurrence of autism, other health conditions

Evolutionary forces drive a glaring gender imbalance in the occurrence of many health conditions, including autism, a team of genetics researchers has concluded.

The human genome has evolved to favor the inheritance of very different characteristics in males and females, which in turn makes men more vulnerable to a host of physical and mental health conditions, say the researchers responsible for a new paper published in the Journal of Molecular Evolution.

Their analysis shows that while there are certain conditions that occur only in women (cervical cancer and ovarian cancer, for example), or much more frequently in women (such as multiple sclerosis), men are more prone to medical conditions overall and, as a result, on average die sooner than women.

"Our cells have memories and they carry the accumulation of all the changes our ancestors have experienced over millions of years," says Rama Singh, a McMaster biology professor who wrote the paper with his son, Karun Singh, an associate professor of neuropathology at the University of Toronto, and Shiva Singh (no relation), a biology professor at Western University.

The researchers looked at autism as an illustration of the general tendency for men to develop medical conditions more often than women. Though women and men inherit the same genetic blueprints from their parents, the way those blueprints are expressed is very different, depending on sex.

"If women and men were any more different, they would be different species," jokes Rama Singh, the paper's corresponding author.

The researchers' work is part of a growing movement toward exploring genomic influences on health, using hereditary patterns to understand and project health impacts on individuals and populations.

One of the reasons I think this is interesting is that it offers a perspective that is not well represented in the medical literature. This is a really good example of the perspective that geneticists and evolutionary biologists can add to health research."

Karun Singh, Associate Professor of Neuropathology, University of Toronto

The paper explores hereditary forces that have evolved over millions of years, favoring mate selection and reproduction in the early years of male sexual maturity at the expense of longer-term well-being.

Though human behaviour regarding mate selection has changed, those genetic characteristics remain and continue to be expressed in the health and development of modern men.

Women, the researchers say, typically live longer and are less vulnerable to most health conditions because their genetic makeup has evolved in reaction to the unhealthy characteristics of the male genome, creating better immunity and greater longevity.

Understanding human health through the lens of genomics can and should guide the search for treatments and preventions, the researchers say.

Though the origins of mental health conditions are more complex, they are influenced by the same evolutionary factors, the authors say. Women are more prone to depression and anxiety, for example, while men are more likely to develop anti-social disorders.

In autism, male-female imbalance is especially pronounced. Boys are as much as four times more likely to have some form of autism and are also more likely to have severe symptoms.

Evolution appears to have created a higher threshold that protects more women from developing the condition, the authors say.

While autism is not solely attributable to inherited characteristics, it appears that boys are more likely to inherit characteristics that render them more vulnerable to environmental, developmental and other factors, creating more pathways that can lead to autism.

Source:
Journal reference:

Singh, R. S., et al. (2021) Origin of Sex-Biased Mental Disorders: An Evolutionary Perspective. Journal of Molecular Evolutiondoi.org/10.1007/s00239-021-09999-9.


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