Barbara Boroson
Licensed Master Social Worker,
Scholastic & ASCD author,
National Speaker & Autism Inclusion Specialist
~providing practical, dynamic autism support for general educators~

New Book from ASCD!

Barbara Boroson
Licensed Master Social Worker
Scholastic & ASCD author
National Speaker & Autism Inclusion Specialist
~providing practical, dynamic autism support for general educators~

New Book from ASCD!

BRAND NEW FOR 2026: Autism Fact Sheet 2026
ESSAYS
Impact, by Barbara Boroson
~a social worker’s struggle to keep her professional and personal worlds from colliding~
Don’t hit that bike, don’t hit that bike, I repeated to myself. Learning to drive at sixteen, I tried vigilantly to avoid obstacles in the road. But my caution had no bounds; I would over-focus on that bike, and the car would veer directly toward where I least wanted it to go…
Fifteen years later, the road ahead looked straight and clear. I was happily married, eager to have children, and immersed in my work as a clinical social worker at a non-public school for special education. The students there were so impaired, so unpredictable that they could not be contained in any kind of special program available in the public schools. This school served children ranging from four years old to twenty-one, from learning disabled to emotionally disturbed to profoundly autistic, from socially avoidant to conduct disordered to bi-polar. Each day held new crises, altercations, interventions, and explosions of conflicting tempers, pathologies, and pharmacologies: A five-year-old boy with autism charging down the hall, screaming with his hands over his ears, running from something no one else can perceive; a frantic parent calling with the news that her eleven-year-old daughter has been hospitalized for cutting herself; a non-verbal twenty-year-old hurtling his body against the walls of a small office, trying to vent an inexpressible rage.
These children fascinated me. I was challenged by their challenges and open to their possibility. Nothing intrigued me more than finding a bridge to a remote child. I loved to look for patterns in their behaviors or obsessions and then try to anticipate and interpret their reactions. My greatest triumphs came in devising new ways to reach and teach these compelling children.
Steeped in this brew of disability, I passed my days providing therapy, defusing daily crises, and debriefing combatants. Several times each year I was called upon to train fellow staff members in safe crisis-prevention and intervention. And when all was quiet, I studied case files: brick-thick stacks of evaluations by psychologists, psychiatrists, neurologists, educators, physical therapists, occupational therapists, social workers, and many, many more. Together the documents painted colorful, albeit one-dimensional pictures of each child, from pre-natal development right through present-day functioning. I read them all with professional interest, took relevant notes, and filed them away.
And then I became pregnant. Right away my friends expressed worries for me: “Aren’t you scared, working at a place like that when you’re pregnant? What if one of those crazy kids tries to hurt you?” But physical safety was low on my list of worries. I had never been hurt on the job, and felt pretty confident with my personal safety training.
Something else entirely had begun to frighten me about working where I did while pregnant. Each day I came face-to-face with the myriad things that can go awry in the miraculous process that creates a human being. All around me I saw disabled, fragile, troubled kids whose futures hung like shadowy question marks above their heads. As the weeks passed, I realized I did not feel “other” from them or their families; I did not believe that disability could never happen to my child. In my world, disability was the norm; nearly all the children in my life at that time were severely impaired. Why wouldn’t it happen to my child?
I continued reading evaluations, but from a new, deeply personal perspective. Now I focused on the factors that professionals and especially parents posit as explanations for “what went wrong.” Every evaluation suggested another cause for the child’s dysfunction, dating back even before birth: “Pregnancy was notable for mother’s use of cocaine in the second month.” “Delivery was notable for use of vacuum extraction.” “Labor was notable for use of Pitocin/Demerol/epidural.” “Pregnancy was notable for premature delivery at thirty-four weeks… for mother’s use of decongestants during the second trimester… for mother bleeding in the first trimester… for mother’s use of cigarettes/alcohol/caffeine… for use of forceps during delivery… for volatile relationship between biological parents throughout pregnancy… for mother slipping on the ice in seventh month… for absence of pre-natal care… for mother’s exposure to Chicken Pox / Fifth’s Disease / Listeria / Salmonella / mercury / lead dust / second-hand smoke / dry-cleaning chemicals / household cleansers / exhaust fumes / asbestos / carbon monoxide / pesticides,” on and on.
Each evaluation offered me a new worry, so I resolved to shield myself and my child against any prenatally “notable” force. I saw how these children suffered; I saw how their parents suffered. I was bombarded with it each and every day. I would ensure that disability would not happen to my child. I believed my first maternal obligation would be to protect my child from all potential agents of harm. And I believed it was within my power to do so.
I focused on avoidance, on circumventing every imaginable hazard: Don’t hit that bike, don’t hit that bike. I was vigilant. I ate carefully and organically, drank only bottled water, kept a distance from colds and illnesses, breathed only fresh or filtered air, and exercised regularly and mindfully. I ingested no pain-reliever or antibiotic; allowed myself no alcohol, no caffeine, no soft cheese, no cold cuts, no tuna. I accepted no novocaine when I had two teeth filled. And I powered through my 28-hour labor with no drugs. Through it all, I felt virtuous and vital and clear of purpose. My eye was on the prize: I would steer clear of each and every risk factor and manage the outcome of my pregnancy.
Finally, after nine months of fastidious safekeeping, our beautiful son arrived. The instant of his birth was dazzling. That first glimpse of his head capped in silky baby hair. The climactic pronouncement: “It’s a boy!” His triumphant inaugural cry. The utter relief of release. Tears of joy and wonder on my husband’s face. The sudden surge from unprecedented pain to incomparable elation. The rush of pride and awe at having produced a new life, a whole person. A primitive recognition of accomplishment: “I did it!” The pristine exquisiteness of a just-born baby. The thrill of finally meeting him, seeing him, having him. A breathtaking realization: “I’m a mother!” All packed into a fraction of a single electric instant. And in the midst of it all, right within that very instant of astonishing exhilaration, I saw it on the doctor’s face: Something was wrong.
Never before or since have I fallen so hard, so suddenly, or so far. Here was the unthinkable possibility that everything was less than perfect. In that moment, there’s perfect and then there’s everything else. Nothing short of perfect will do. And so, despite all that led to this moment, I was blindsided by the crash.
In retrospect, the shock was more about the look on the doctor’s face, than about what was actually said. The doctor told us that our brand-new son had a small vascular problem that could require several surgeries to correct. He said it was “likely due to some flaw in fetal development, possibly in the second trimester.” He said, “Perhaps you had a virus.” Excuse me? No, I did not have a virus.
And just like that, my moment of brilliant sunrise clouded over, and now my radar was on. My husband remembers me asking him, that very first night: “If that went wrong, what else might be wrong?”
The answer to that question unfolded over the next several years. As our son grew, I diligently checked off developmental milestones as they were achieved: Eye contact? Check. Sleeping through the night? Check. Rolling over? Check. Using two-word phrases? Check. Wait a minute—what happened to eye contact?
While he was good-tempered and docile, our infant son was often found frowning in his baby stroller when people peeked in, tiny furrows embedded between his little brows.
“He’s contemplating the universe,” I explained lightly, secretly wishing for gurgles and giggles.
While the other two-year-olds in the playgroup were splashing gleefully through the sprinkler, mine was examining the sound a pebble makes when knocked off one step onto another. “He marches to the beat of his own drum!” my parents boasted.
Having memorized local roads and highways, my son would go to pieces if we took an alternate route to a familiar place. “He’ll keep us on our toes,” my husband would acknowledge, turning the car around.
But by the time our son was three, we had some real concerns. He didn’t know how to play with other kids. He grew anxious or frustrated whenever anything was new or challenging to him. We needed to keep life routinized and predictable for him; he couldn’t bear anything unexpected. He clung to us for security, consistency, and understanding, and seemed to recognize that separating from us would place him in a world that was incomprehensible and unmanageable to him—so he wouldn’t separate. He couldn’t count objects, couldn’t make eye contact, and often dissolved into unpredictable, high-intensity meltdowns. We were overwhelmed and exhausted. And what exactly was going on remained frustratingly elusive.
Over the years, our road together has been a bumpy one. Our son rebounded easily from three vascular surgeries that seem to have scarred us in some ways more than they did him. He has benefited from a wide variety of therapies for a wider variety of issues. At school, he has been well-placed in a special education program where he works diligently. We shore him up with reliable routines, healthy food, social prompts, and upbeat reassurances and send him on his way each morning, holding our breath until he returns home worn down by the demands of the day.
Today our son is a bright, feisty twelve-year-old. He is articulate and funny, affectionate and handsome. He loves to play, imagine, ask questions. He has an innate ability to memorize dates and historical events that confounds adults and astounds peers. His heart is kind and his spirit is gentle. Our son is as loving and loved as he is difficult and draining. He can be impulsive, provocative, hyperactive, rigid, and obsessive. Transitions must be scripted for him, until they become as predictable as the movies he watches and quotes over and over again. On bad days, if a tiny toy hat from a tiny toy figure goes missing, the whole day may be ruined for the entire family. He can be unstoppable as a steamroller, barreling through conversations, laying flat the feelings of others—especially his little sister. He cannot sustain focus and eye contact is still fleeting. He tends to play by himself because he doesn’t understand how to join with peers. He has had periods of incapacitating anxiety. His many phases and features reflect the multi-faceted hues of the autism spectrum, with undertones of attention deficit and hyperactivity. He bears heavily the Special Ed Badge of Membership: a brick-thick stack of evaluations, as weighty as our worries.
Sometimes, in my lower moments or his lower moments, I look at my son and wonder how we got here. One day I feel disbelief: How could this have happened, when I worked so hard to prevent it? Another day I feel bitter: My friend drank soda with aspartame every day during her pregnancies and her kids are just fine. Another day I feel blameless: I know I did everything I could to prevent this, so it must have been “meant to be.” Many days, like most mothers of children with special needs, I find ways to blame myself for my son’s difficulties. In my case I consider whether I was too anxious, too uptight, too worried during my pregnancy—if I had relaxed more, hadn’t been so vigilant, maybe he would have been okay. Had I learned nothing behind the wheel of the car, fifteen years earlier, focusing too hard on what I most wanted to avoid?
People have said to me that the universe gives us only what we can handle and that my son was meant for me. They say my son is lucky to have a mother who knows so much about children with special needs, who has (nearly) endless patience, who recognizes what help he needs and where to find that help. And that may be true. But I know another truth: My son has taught me lessons of humility and humanity that I would never have learned without him.
__________________________
During my pregnancy, I fixed my gaze on that bicyclist by the side of the road: Don’t hit that bike, don’t hit that bike. Somehow or other, despite or because of my best efforts, I veered straight toward it. I hit that bicyclist head-on, and we are both bruised and battered and tangled inextricably together. So we sit, he and I, by the side of the road, and watch other cars and bicycles glide easily, carelessly past us. And we hold each other and love each other and feel so deeply thankful that our worlds collided.
Boroson, B. (2011). “Impact” A poignant essay describing a social worker’s desperate efforts to keep her professional and personal worlds from colliding.
Kingsley, E.P. (1987). “Welcome to Holland.” (All rights reserved. Reprinted by permission of the author.) An optimistic essay that presents parenting a child on the autism spectrum as a different journey than we may have expected, but still one filled with unexpected pleasures.
Welcome To Holland, by Emily Perl Kingsley
I am often asked to describe the experience of raising a child with a disability–to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. It’s like this…
When you’re going to have a baby, it’s like planning a fabulous vacation trip–to Italy. You buy a bunch of guide books and make your wonderful plans. The Coliseum. The Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. It’s all very exciting.
After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The stewardess comes in and says, “Welcome to Holland.”
“Holland?!?” you say. “What do you mean Holland?? I signed up for Italy! I’m supposed to be in Italy. All my life I’ve dreamed of going to Italy.”
But there’s been a change in the flight plan. They’ve landed in Holland and there you must stay.
The important thing is that they haven’t taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It’s just a different place.
So you must go out and buy new guide books. And you must learn a whole new language. And you will meet a whole new group of people you would never have met.
It’s just a different place. It’s slower-paced than Italy, less flashy than Italy. But after you’ve been there for a while and you catch your breath, you look around… and you begin to notice that Holland has windmills… and Holland has tulips. Holland even has Rembrandts.
But everyone you know is busy coming and going from Italy… and they’re all bragging about what a wonderful time they had there. And for the rest of your life, you will say “Yes, that’s where I was supposed to go. That’s what I had planned.”
And the pain of that will never, ever, ever, ever go away… because the loss of that dream is a very very significant loss.
But… if you spend your life mourning the fact that you didn’t get to Italy, you may never be free to enjoy the very special, the very lovely things … about Holland.
Crawford, L.K. (2006). “Holland Schmolland.” A poignantly witty response to “Welcome to Holland,” presenting parenting a child on the autism spectrum as much more fraught than an unexpected vacation in Holland.
Holland Schmolland, by Laura Krueger Crawford
If you have a special needs child, which I do, and if you troll the Internet for information, which I have done, you will come across a certain inspirational analogy. It goes like this:
Imagine that you are planning a trip to Italy. You read all the latest travel books, you consult with friends about what to pack, and you develop an elaborate itinerary for your glorious trip. The day arrives.
You board the plane and settle in with your in-flight magazine, dreaming of trattorias, gondola rides, and gelato. However when the plane lands you discover, much to your surprise, you are not in Italy–you are in Holland. You are greatly dismayed at this abrupt and unexpected change in plans.
You rant and rave to the travel agency, but it does no good. You are stuck. After awhile, you tire of fighting and begin to look at what Holland has to offer. You notice the beautiful tulips, the kindly people in the wooden shoes, the french fries with mayonnaise, and you think, “This isn’t exactly what I had planned, but it’s not so bad. It’s just different.”
Having a child with special needs is supposed to be like this–not any worse than having a typical child–just different.
When I read this my son was almost 3, completely non-verbal and was hitting me over 100 times a day. While I appreciated the intention of the story, I couldn’t help but think, “Are they kidding? We’re not in some peaceful country dotted with windmills. We are in a country under siege — dodging bombs, boarding overloaded helicopters, bribing officials–all the while thinking, “What happened to our beautiful life?”
That was five years ago.
My son is now 8 and though we have come to accept that he will always have autism, we no longer feel like citizens of a battle-torn nation. With the help of countless dedicated therapists and teachers, biological interventions, and an enormously supportive family, my son has become a fun-loving, affectionate boy with many endearing qualities and skills. In the process we’ve created . . . well . . . our own country, with its own unique traditions and customs.
It’s not a war zone, but it’s still not Holland. Let’s call it Schmolland. In Schmolland, it’s perfectly customary to lick walls, rub cold pieces of metal across your mouth and line up all your toys end-to-end. You can show affection by giving a “pointy chin.” A “pointy chin” is when you act like you are going to hug someone and just when you are really close, you jam your chin into the other person’s shoulder. For the person giving the “pointy chin” this feels really good, for the receiver, not so much–but you get used to it.
For citizens of Schmolland, it is quite normal to repeat lines from videos to express emotion. If you are sad, you can look downcast and say, “Oh, Pongo.” When mad or anxious, you might shout, “Snow can’t stop me!” or “Duchess, kittens, come on!” Sometimes, “And now our feature presentation” says it all.
In Schmolland, there’s not a lot to do, so our citizens find amusement wherever they can. Bouncing on the couch for hours, methodically pulling feathers out of down pillows, and laughing hysterically in bed at 4:00 a.m. are all traditional Schmutch pastimes.
The hard part of living in our country is dealing with people from other countries. We try to assimilate ourselves and mimic their customs, but we aren’t always successful. It’s perfectly understandable that an 8 year-old from Schmolland would steal a train from a toddler at the Thomas the Tank Engine Train Table at Barnes and Noble. But this is clearly not understandable or acceptable in other countries, and so we must drag our 8-year-old out of the store kicking and screaming, all the customers looking on with stark, pitying stares. But we ignore these looks and focus on the exit sign because we are a proud people.
Where we live it is not surprising when an 8 year-old boy reaches for the fleshy part of a woman’s upper torso and says, “Do we touch boodoo?” We simply say, “No, we do not touch boodoo,” and go on about our business. It’s a bit more startling in other countries, however, and can cause all sorts of cross-cultural misunderstandings.
And, though most foreigners can get a drop of water on their pants and still carry on, this is intolerable to certain citizens in Schmolland, who insist that the pants must come off no matter where they are and regardless of whether another pair of pants is present.
Other families who have special needs children are familiar and comforting to us, yet are still separate entities. Together we make up a federation of countries, kind of like Scandinavia. Like a person from Denmark talking to a person from Norway (or in our case, someone from Schmenmark talking to someone from Schmorway.), we share enough similarities in our language and customs to understand each other, but conversations inevitably highlight the diversity of our traditions. “My child eats paper. Yesterday he ate a whole video box.” “My daughter only eats four foods, all of them white.” “We finally had to lock up the VCR because my child was obsessed with the rewind button.” “My son wants to blow on everyone.”
There is one thing we all agree on. We are a growing population. Ten years ago, 1 in 10,000 children had autism. Today the rate is approximately 1 in 250. Something is dreadfully wrong. Though the causes of the increase are still being hotly debated, a number of parents and professionals believe genetic predisposition has collided with too many environmental insults–toxins, chemicals, antibiotics, vaccines–to create immunological chaos in the nervous system of developing children. One medical journalist speculated these children are the proverbial “canary in the coal mine”, here to alert us to the growing dangers in our environment.
While this is certainly not a view shared by all in the autism community, it feels true to me.
I hope that researchers discover the magic bullet we all so desperately crave. And I will never stop investigating new treatments and therapies that might help my son. But more and more my priorities are shifting from what “could be” to “what is.” I look around this country my family has created, with all its unique customs, and it feels like home. For us, any time spent “nation building” is time well spent.
— The End —
Rzucidlo, S.F. (2008). “Welcome To Beirut.” Another response to “Welcome to Holland.” This one, as its name implies, compares parenting a child on the autism spectrum to living in a war zone.
Welcome To Beirut, by Susan F. Rzucidlo
“I am often asked to describe the experience of raising a child with autism-to try and help people who have not shared in that unique experience to understand it, to imagine how it would feel. It’s like this..”
There you are, happy in your life, one or two little ones at your feet. Life is complete and good. One of the children is a little different than the other but of course, he’s like your in-laws, and you did marry into the family. It can’t be all that bad. One day someone comes up from behind you and throws a black bag over your head. They start kicking you in the stomach and trying to tear your heart out. You are terrified, kicking and screaming you struggle to get away but there are too many of them, they overpower you and stuff you into a trunk of a car. Bruised and dazed, you don’t know where you are. What’s going to happen to you? Will you live through this? This is the day you get the diagnosis. “YOUR CHILD HAS AUTISM”!
There you are in Beirut, dropped in the middle of a war. You don’t know the language and you don’t know what is going on. Bombs are dropping “Life long diagnosis” and “Neurologically impaired”. Bullets whiz by “refrigerator mother” ” A good smack is all HE needs to straighten up”. Your adrenaline races as the clock ticks away your child’s chances for “recovery”. You sure as heck didn’t sign up for this and want out NOW! God has over estimated your abilities.
Unfortunately, there is no one to send your resignation to. You’ve done everything right in your life, well you tried, well, you weren’t caught too often. Hey! you’ve never even heard of autism before. You look around and everything looks the same, but different. Your family is the same, your child is the same, but now he has a label and you have a case worker assigned to your family. She’ll call you soon. You feel like a lab rat dropped into a maze.
Just as you start to get the first one figured out (early intervention) they drop you into a larger more complex one (school). Never to be out done, there is always the medical intervention maze. That one is almost never completed.
There is always some new “miracle” drug out there. It helps some kids, will it help yours? You will find some if the greatest folks in the world are doing the same maze you are, maybe on another level but a special-ed maze just the same. Tapping into those folks is a great life line to help you get through the day. This really sucks but hey, there are still good times to be had. WARNING! You do develop and odd sense of humor. Every so often you get hit by a bullet or bomb not enough to kill you, only enough to leave a gaping wound. Your child regresses for no apparent reason, and it feels like a kick in the stomach. Some bully makes fun of your kid and your heart aches. You’re excluded from activities and functions because of your child and you cry. Your other children are embarrassed to be around your disabled child and you sigh. You’re insurance company refuses to provide therapies for “chronic, life long conditions” and your blood pressure goes up. Your arm aches from holding onto the phone with yet another bureaucrat or doctor or therapist who holds the power to improve or destroy the quality of your child’s life with the stroke of a pen. You’re exhausted because your child doesn’t sleep.
Yes there is hope. There ARE new medications. There IS research going on. There are interventions that help. Thank God for all those who fought so hard before you came along. Your child will make progress. When he speaks for the first time, maybe not until he is 8 yrs old, your heart will soar. You will know that you have experienced a miracle and you will rejoice. The smallest improvement will look like a huge leap to you. You will marvel at typical development and realize how amazing it is. You will know sorrow like few others and yet you will know joy above joy. You will meet dirty faced angels on playgrounds who are kind to your child without being told to be. There will be a few nurses and doctors who treat your child with respect and who will show you concern and love like few others. Knowing eyes will meet yours in restaurants and malls, they’ll understand, they are living through similar times. For those people you will be forever grateful. Don’t get me wrong. This is war and its awful. There are no discharges and when you are gone someone else will have to fight in your place.
But, there are lulls in wars, times when the bullets aren’t flying and bombs aren’t dropping. Flowers are seen and picked. Life long friendships are forged. You share and odd kinship with people from all walks of life. Good times are had, and because we know how bad the bad times are, the good times are even better. Life is good but your life in never normal again, but hey, what fun is normal.
Gerould, L. (1996). “Balancing the Tray.” An essay describing the challenges students on the spectrum face trying to maintain balance throughout the day, despite the many cumulative factors that threaten their equanimity.
Balancing the Tray, by Lenore Gerould
Those of us who have daily contact with children with autism sometimes have trouble explaining to regular education teachers or administrators the ‘hooks’ of autism; especially the kinds of support they need. You’re always trying to explain the basics, ‘no, moving the pencil sharpener’s location in the classroom is not what upset him. You have to understand that…’. Then I came up with this analogy. Perhaps it will help others to visualize the support needed.
Try to imagine the child balancing a large serving tray on one upturned hand. Every distress for that child is like a liquid-filled glass you are putting on this tray. The ‘distress glasses’ are unique to each kid; but generally include things like auditory or visual over-stimulation, social interaction, ’surprises’ or unexpected changes in the schedule, lack of clear leadership, the number of people in the room; whatever is sensitive for that child. (Don’t forget the ability to read the body English and anxiety of the adults around them!) The size and weight of the ‘glass’ for that child varies; just like the ‘distress glasses’ vary for each kid. Some things are merely shot glass size, while others can be a two liter jug. At some point the tray is going to start to wobble–the liquid will start spilling out of the glasses on the tray. The cues that this is happening will vary kid to kid: just as the cause and size of a ‘glass’ varies kid to kid, but generally include regressive behavior, avoidance or shutting down, giggling or minor acting out to get attention.
Hopefully, someone will help the kid rebalance the tray, or remove some glasses. Perhaps taking a break, or allowing time to refocus or process will work; again, techniques are unique to each kid. If there’s no intervention, the addition of one more glass will topple the tray to the floor. The cause is not the most recent ‘glass’ you added, but the fact that the tray was full or too heavy (the latter is why the child seems so unpredictable to some people.) Our efforts should be that the kid learns to hold a bigger tray, or to do minor correction of the tray’s balance somewhat independently, but they will always carry that wobbling tray. Ignoring cues can be disastrous, from classroom disruptions to a major regression. When an autistic kid’s tray crashes to the floor, it is always a major event. That’s why, if I hear my son got highly upset over a moved pencil sharpener and acted out, I do not want to hear that he has to learn to accept change. The sharpener is immaterial, if I learn that day he’d dealt with a substitute teacher, a fire drill just as Reading was starting, dead calculator batteries halfway through Math, a ‘crashed’ computer in the middle of English, a late bus so that he missed part of home room and some florescent lights in the class are half out–his tray was already full.
All of the distresses are unavoidable and he’d dealt with them without a hitch; but each was another glass on this tray. Autistic kids need someone around who is familiar with them; to sense how full the tray is getting and read the cues, so there’s intervention before that wobbling tray topples to the floor. That is why the type of support for these kids is critical, not just a ‘hot body’ nearby–but the ‘right hot body’ whom they can trust will help balance and who knows the ‘hooks’.
For all of us, life is a balancing act, but for autistic kids the glasses generally break when they hit the floor and it takes a whole lot longer to clean up the mess and get a new tray.
Boroson, Barbara. (2013). “Autism Spectrum Meets Common Core… Somewhere Over the Rainbow.” Autism Notebook Magazine, Aug.-Sept.
Autism Spectrum Meets Common Core… Somewhere Over the Rainbow, by Barbara Boroson
From state to state, even from district to district, the quality of education across the United States has been strikingly inconsistent. Variables such as funding, resources, teacher-education, and demographics have allowed significant educational inequities to persist. In today’s global economy, this educational system stands out as shortsighted at best, discriminatory at worst.
In 2010, Common Core State Standards (CCSS) blew in like a tornado to slam shut these achievement gaps and whip every student into readiness for college and careers by the end of high school. The term “Common Core” refers to a set of “core” standards that every student across the country will be expected to meet, regardless of location, funding, resources, teacher-education, demographics, or ability. Oh, wait—ability? Where do students with differing abilities fit into this one-size-fits-all equation?
Since the tenets of CCSS include skills like “close reading,” “analysis,” and “practical application,” let’s give the standards themselves a close look to analyze their practical application to our children on the autism spectrum. I’ll describe some of the new challenges our children and their teachers face and offer my take on the potential benefits (yes, there are some!) of Common Core for our uncommon kids.
CCSS has already been adopted in 45 states, which have been granted federal Race to the Top funding in exchange for their compliance. Given this rather coercive initiation, CCSS has not been warmly embraced by educators and still faces a significant publicity problem: It is widely perceived as a mandated curriculum. Teachers feel they are being forced to abandon tried-and-true lessons and to adapt to someone else’s idea of curriculum. As they dig in to the standards, and to the “guided” pathways and text “exemplars” offered by Common Core, they fear their independence and creativity are being stripped away.
But in fact, as of now, CCSS does not dictate curriculum. Instead CCSS sets a destination. For now, the route toward reaching that destination is up to each individual teacher. CCSS is a set of learning standards in Math, English Language Arts, and Literacy in Science, Social Studies, and technical subjects. It is not a curriculum. In other words, it doesn’t matter how you get there… just get there if you can.
Nevertheless, teachers are in a bind. On the one hand, in recent years unprecedented numbers of students on the autism spectrum have been placed in mainstream classrooms. Teachers have been told: Differentiate! But now, with the advent of CCSS, teachers are being told to bring all students to a common destination. As classrooms become increasingly diverse, standards become increasingly uniform. It’s a twister.
And though CCSS does not dictate how teachers must teach, it does dictate, quite specifically, what learners must learn. Not surprisingly, parents are not warming to this idea either. Every student will be assessed according to his or her progress toward standards of high-level abstract thinking, including our children on the autism spectrum, who tend to be grounded firmly in concrete.
The ultimate goal of Common Core is to mold a generation of adults who are adept at reading complex literature critically, at engaging with informational texts thoughtfully, and at analyzing evidence in a way that is, according to CCSS, “essential to both private deliberation and responsible citizenship in a democratic republic.” Does that sound like your child? No? Not mine, either. But read on.
These types of pie-in-the-sky ideals are examples of meta-cognition (ie. thinking about thinking). Without meta-cognition, information is gathered on a superficial level and tends to stay with students only until the next quiz. But when information is reflected upon, it becomes knowledge that may be assimilated for life.
For our kids—who struggle to take the perspective of others, who think that “reading between the lines” is something that requires a magnifying glass, and who almost never learn spontaneously from their own mistakes—reflective thinking sounds like the stuff of fairy tales. And it may well be. The standards are intense, the stakes are high, and some of our children may never fully comprehend the nuance and depth that both enhance and complicate this colorful new frontier. Toto, we are not in Kansas anymore.
But just as Dorothy discovered in Oz, certain familiar and supportive elements from home have found their way into this mysterious new world. Remarkably, there are aspects to the structure of Common Core that may actually suit our children on the spectrum. In fact, some of them happen to align closely to strategies that autism education specialists, like myself, have been promoting
for years.
Primary among them is that the standards outlined in Common Core are sequential steppingstones, like signposts marking the way toward higher-order goals. Though undoubtedly quite challenging, these signposts guide learning progressions, one step at a time. This kind of orderly, bite-sized instruction has always been beneficial for kids on the spectrum.
To this end, along with creative classroom activities, in the early elementary years there will be plenty of repetition, memorization, and practice of discrete skills for all students until they achieve mastery. Dry? Maybe. But this kind of pinpoint focus can only be helpful to our kids on the spectrum. Committed efforts will be made to solidify a sturdy foundation of rote skills as more abstract concepts get layered on top. This means that the days in which a student—my own son, in fact—is expected to solve algebraic equations while still adding on his fingers, may be over.
So to achieve its very lofty goals, CCSS encourages all students to become specialists— not only about presidents and train schedules, but also in specific fundamental academic areas. Since our kids are often, by nature, specialists rather than generalists, specialized mastery may be a good beginning for them.
Under CCSS, children will not only be taught discrete skills in depth, but will be shown how to apply skills fluently to real-world problems. In my son’s case, the only way he will engage with math concepts is if they are introduced in terms of time, money, or years. Like my son, many children on the spectrum are available for learning only when the curriculum connects to familiar and high-interest topics. To meet the broad Common Core standards, teachers will have to encourage and help all students to activate prior knowledge and connect what’s already known to new information. CCSS guides teachers to make real-world connections overt in order to engage students. Getting them to generalize those skills, however, may be a course of a different color.
Still, another potential benefit for our children on the spectrum is Common Core’s emphasis on digital literacy. Standards in digital literacy are in place to ensure that every student masters keyboarding, word processing, and graphic manipulation. Technology is not only often highly motivating to students on the spectrum, but also offers a host of alternative learning and testing options.
Along these lines, Common Core will include unprecedented digital opportunities.
Assessments can be administered and completed via tablets or computers. Moreover, digital testing accommodations such as enlarged print, on-screen highlighting, use of a calculator, text-to-speech technology, and even speech-to-text technology will be built directly into most systems, though, as before, available only to students who qualify for them.
Another bonus could come in the form of Universal Design for Learning (UDL) which is a national program specifically designed to ensure that the learning needs of every kind of learner are met in the classroom. Although UDL has been available for several years, Common Core encourages teachers to turn to it now as they work to adapt to CCSS. UDL guides teachers to present information in multiple ways; to give students ample opportunity to demonstrate their knowledge through diverse and active means; to offer students choices that allow them to engage in ways that are most comfortable and motivating to them; and to offer assistive technology devices and services, as appropriate. For our children, who learn and demonstrate their learning in dramatically diverse ways, these varied options may open up a world of opportunity.
Even so, there is no doubt that, through the grades, Common Core’s broad standards become far less about regurgitating specific factoids than about meta-cognitive generalization. And there is no doubt that this is the very kind of higher-order thinking that may be unattainable by many of our children on the spectrum.
More than ever, it will fall to teachers and parents to walk arm in arm together with our children, from signpost to signpost along this perilous yellow brick road. As educators and parents collaborating effectively, we need to face our children’s strengths and challenges; we need to acknowledge our own limitations and each others’ areas of expertise; we need to allow our kids to keep their feet securely on the ground while encouraging them to reach for the stars.
But there’s a good chance we’ll find ourselves clicking our heels together a few times, too.
_______________
Barbara Boroson is the author of Autism Spectrum Disorders in the Mainstream Classroom: How to Reach and Teach Students with ASDs (Scholastic, 2011). She speaks at educator conferences and delivers professional development workshops to school districts all across the country. She is also the parent of two children, one of whom is on the spectrum.
For more information on Common Core:
- Common Core’s Application to Students with Special Needs.
- Parents’ Backpack Guide to Common Core Standards.
- Great 3 minute video describing the principles behind Common Core.
BLOG ENTRIES
Making Friends at School
Most child development milestones are monitored closely by parents from a very young age: Can my child walk? Check! Use a cup to drink? Check! Jump on one foot? Recite the ABCs? Check and check! Then there are child development “soft skills”—social and emotional skills that can be harder to judge and even more challenging to teach.
In-Service Training for Teachers’ Aides
Last week I had the opportunity to provide an in-service training to all of the teachers’ aides in the Bronxville, NY school district. The workshop was called, “Making a Difference in the Classroom: Support for Supporters.”
First-Day Strategies for Autism in Mainstream Classrooms
Every student on the spectrum will enter your classroom bearing a backpack full of worries. If they can’t put those worries down on Day One, then toting that heavy load will become a way of life at school, a learned behavior. Each day they will return burdened and compromised by the worries on their backs.
Autism, general
Al Backer N. B. (2015). Developmental regression in autism spectrum disorder. Sudanese Journal of Paediatrics, 15(1), 21–26. https://pmc.ncbi.nlm.nih.gov/articles/PMC4949854/
Boroson, Barbara. (2017). Building Bridges Across the Autism Spectrum. Educational Leadership Magazine. ASCD.
Boroson, Barbara. (2017). Inclusive Education: Lessons from History. Educational Leadership Magazine. ASCD.
Boroson, Barbara. (2016). Autism Spectrum Disorder in the Inclusive Classroom, 2nd Edition: How to Reach and Teach Students With ASD. Scholastic.
Boroson, Barbara. (2013) Autism Spectrum Meets Common Core… Somewhere Over the Rainbow. Autism Notebook Magazine, Aug.-Sept.
Froehlich, W., & Fung, L. K. (2012, December 11). Autism spectrum and neurodevelopmental disorders. Psychiatric Times. https://www.psychiatrictimes.com/view/autism-spectrum-and-neurodevelopmental-disorders
Zwaigenbaum, L. (n.d.). Perspective on new findings on regression in autism. Autism Speaks. https://www.autismspeaks.org/expert-opinion/regression-autism
Causes
Environment
Bey, A. L., Soderling, S., & Dawson, G. (2025). Genetic and environmental influences in autism: Guiding the future of tailored early detection and intervention. Journal of Clinical Investigation, 135(22). https://doi.org/10.1172/jci201157
Center for Autism Research Autism Roadmap. (2020, June 18). What causes autism? Children’s Hospital of Philadelphia, Research Institute. https://www.research.chop.edu/car-autism-roadmap/what-causes-autism
Czopek, M. (2025, April 26). Fact-checking RFK Jr.’s claim that environmental toxins cause autism. PBS. https://www.pbs.org/newshour/health/fact-checking-rfk-jr-s-claim-that-environmental-toxins-cause-autism
Doi, M., Usui, N., & Shimada, S. (2022). Prenatal environment and neurodevelopmental disorders. Frontiers in Endocrinology, 13, Article 860110. https://doi.org/10.3389/fendo.2022.860110
Lintas, C., Cassano, I., Azzarà, A., Stigliano, M. G., Gregorj, C., Sacco, R., et al. (2023). Maternal epigenetic dysregulation as a Possible risk factor for neurodevelopmental disorders. Genes, 14(3), Article 585. https://doi.org/10.3390/genes14030585
Mayo Foundation for Medical Education and Research. (2025, May 22). Autism spectrum disorder. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928
National Institute of Environmental Health Sciences. (2026, April 2). Autism. U.S. Department of Health and Human Services. https://www.niehs.nih.gov/health/topics/conditions/autism
Wadman, M. (2025, April 16). Claiming autism ‘epidemic,’ RFK Jr. describes NIH initiative to find environmental causes. ScienceInsider. https://www.science.org/content/article/claiming-autism-epidemic-rfk-jr-describes-nih-initiative-find-environmental-causes
Genetics
BBC Future. (2025, April 15). The genetic mystery of why some people develop autism. https://www.bbc.com/future/article/20250415-the-genetic-mystery-of-why-some-people-develop-autism.
Castelbaum, L., Sylvester, C. M., Zhang, Y., Yu, Q., & Constantino, J. N. (2019). On the nature of monozygotic twin concordance and discordance for autistic trait severity: A quantitative analysis. Behavior Genetics, 50(4), 263–272. https://doi.org/10.1007/s10519-019-09987-2
Demirjian, K., Blum, D., & Ghorayshi, A. (2025, April 16). Kennedy calls autism ‘preventable,’ drawing ire from researchers. The New York Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/030_ASCDISTE_RFK-Jr.-Calls-Autism-‘Preventable-Dra.-From-Researchers-The-New-York-Times.pdf
Love, C., Sominsky, L., O’Hely, M. et al. Prenatal environmental risk factors for autism spectrum disorder and their potential mechanisms. BMC Med 22, 393 (2024). https://doi.org/10.1186/s12916-024-03617-3
Sandin, S., Lichtenstein, P., Kuja-Halkola, R., Larsson, H., Hultman, C. M., & Reichenberg, A. (2014). The familial risk of autism. Journal of the American Medical Association, 311(17), 1770. https://doi.org/10.1001/jama.2014.4144
Seattle Children’s Autism Center. (2015, February 13). Twins and autism. The Autism Blog. https://www.seattlechildrens.org/clinics/autism-center/the-autism-blog/twins-autism/
NOT-Causes
Circumcision
Beaumont, T., & Ungar, L. (2025, October 10). Reupping unproven claims about Tylenol, Kennedy claims a link between circumcision and autism. PBS. https://www.pbs.org/newshour/health/reupping-unproven-claims-about-tylenol-kennedy-claims-a-link-between-circumcision-and-autism
McCreary, J. (2025, October 10). RFK Jr. links circumcision to autism via supposed Tylenol use. MedPage Today. https://www.medpagetoday.com/washington-watch/washington-watch/117885
Moniuszko, S. (2025, October 14). RFK Jr. suggests circumcision is linked to autism. here’s what experts say. CBS News. https://www.cbsnews.com/news/rfk-jr-circumcision-linked-autism-experts/
Our response to US health secretary Robert F Kennedy’s claims linking autism and circumcision. National Autistic Society – Leading UK charity for Autistic people. (2025, October 10). https://www.autism.org.uk/what-we-do/news/our-response-to-rfk-autism-circumcision-claims
Parshall, A. (2025, October 9). RFK, Jr. says Tylenol use for circumcision causes Autism. Here’s why that claim is flawed. Scientific American. https://www.scientificamerican.com/article/rfk-jr-cites-truly-appalling-studies-to-tie-autism-to-circumcision-and/
Singer, J. A. (2025, October 10). Circumcision, Tylenol, and Autism? RFK Jr. misses the cut. Cato Institute. https://www.cato.org/blog/circumcision-tylenol-autism-rfk-jr-misses-cut
Tylenol
Acetaminophen is safe for children when taken as directed, no link to autism. American Academy of Pediatrics. (2025, October 29). https://www.aap.org/en/news-room/fact-checked/acetaminophen-is-safe-for-children-when-taken-as-directed-no-link-to-autism/?srsltid=AfmBOoqVo6rjMueDfOnDrV4V59upgqG5IG4wMwKMfjkxTlIJY1iqWwqA
Ahlqvist VH, Sjöqvist H, Dalman C, et al. (2024, April 9). Acetaminophen use during pregnancy and children’s risk of autism, ADHD, and intellectual disability. Journal of the American Medical Association. https://jamanetwork.com/journals/jama/fullarticle/2817406
D’Antonio F, Flacco M, Valle L et al. (2026). Prenatal paracetamol exposure and child neurodevelopment: a systematic review and meta-analysis. The Lancet Obstetrics, Gynecology & Women’s Health, 2026; 2, e190-e198. https://www.thelancet.com/action/showPdf?pii=S3050-5038%2825%2900211-0
Fleischman, S. J. (2025, September 22). ACOG affirms safety benefits of acetaminophen during pregnancy. American College of Obstetricians and Gynecologists. https://www.acog.org/news/news-releases/2025/09/acog-affirms-safety-benefits-acetaminophen-pregnancy
Kellman, L. (2025, September 23). Trump’s “tough it out” advice to expectant moms is the latest example of men opining on women’s pain. Fox News. https://fox59.com/news/health/ap-health/ap-trumps-tough-it-out-advice-to-expectant-moms-is-the-latest-example-of-men-opining-on-womens-pain
Makary, M. A. (2025, September 22). Notice to physicians on the use of acetaminophen during pregnancy. U.S. Food and Drug Administration. Retrieved from https://www.fda.gov/media/188843/download?attachment=&utm_medium=email&utm_source=%20govdelivery.
Merritt, M. (2025, September 22). Our response to president Trump’s announcement on Tylenol and vaccines. National Autistic Society. https://www.autism.org.uk/what-we-do/news/response-to-president-trump-tylenol-and-vaccines
Moniuszko, S., & Watson, K. (2025, September 22). Trump and RFK Jr. make autism announcement as tylenol maker and medical experts push back. CBS News. https://www.cbsnews.com/news/trump-autism-tylenol-medical-experts/
SMFM statement on acetaminophen use during pregnancy and autism. Society for Maternal-Fetal Medicine. (2025, September 5). https://www.smfm.org/news/smfm-statement-on-acetaminophen-use-during-pregnancy-and-autism
Statement from Autism Science Foundation regarding Wall Street Journal Report “RFK Jr., HHS to link autism to tylenol use in pregnancy and folate deficiencies.” Autism Science Foundation. (2025, September 5). https://autismsciencefoundation.org/press_releases/statement-from-autism-science-foundation-regarding-wall-street-journal-report-rfk-jr-hhs-to-link-autism-to-tylenol-use-in-pregnancy-and-folate-deficiencies/
Winny, A. (2025, October 7). Understanding the evidence on tylenol and autism. Johns Hopkins Bloomberg School of Public Health. https://publichealth.jhu.edu/2025/the-evidence-on-tylenol-and-autism
Vaccines
AAFP: Linking Vaccines to Autism is Unproven and Dangerous. The American Academy of Family Physicians. (2025, September 22). https://www.aafp.org/media-center/aafp-statements/linking-vaccines-to-autism-is-unproven-and-dangerous
Autism and vaccines. Autism Science Foundation. (2025a, November 24). https://autismsciencefoundation.org/autism-and-vaccines/
Children’s Hospital of Philadelphia. (n.d.). Vaccine and autism: What you should know Q&A. Vaccine Education Center. https://www.chop.edu/sites/default/files/vaccine-education-center-autism.pdf
Deer, B. (2011). How the vaccine crisis was meant to make money. British Medical Journal, 342(7789), c5258–c5258. https://doi.org/10.1136/bmj.c5258
Deer B. (2011). How the case against the MMR vaccine was fixed. British Medical Journal (Clinical research ed.), 342:c5347. https://doi.org/10.1136/bmj.c5347
Deer, Brian. (2010, March 16). MMR doctor given legal aid thousands. The Times & The Sunday Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/029_ASCDISTE_MMR-doctor-given-legal-aid-thousands.pdf
DeStefano, F., & Shimabukuro, T. T. (2019, April 15). The MMR vaccine and autism. Annual Review of Virology. https://www.annualreviews.org/content/journals/10.1146/annurev-virology-092818-015515
Di Pietrantonj, C., Rivetti, A., Marchione, P., Debalini, M. G., & Demicheli, V. (2021). Vaccines for measles, mumps, rubella, and varicella in children. Cochrane Database of Systematic Reviews, 2021(11). https://doi.org/10.1002/14651858.cd004407.pub5
Eggertson L. (2010). Lancet retracts 12-year-old article linking autism to MMR vaccines. Canadian Medical Association Journal. 182(4), E199–E200. https://doi.org/10.1503/cmaj.109-3179
Fact checked: Vaccines: Safe and effective, no link to autism. American Academy of Pediatrics. (2025, December 4). https://www.aap.org/en/news-room/fact-checked/fact-checked-vaccines-safe-and-effect-no-link-to-autism/
George, J. (2026, June 12). Study linking vaccines to autism retracted. MedPage Today. https://www.medpagetoday.com/neurology/autism/121745?xid=nl_mpt_morningbreak2026-06-15&mh=19fc70be323445d4f8f43b251328cfa5&zdee=gAAAAABqJrpHq_40DTAJR8P4jMc-6ac1akWAD09WtUiOVpoB8Mjb-uWC8Oh-O_c_K1PsMV-OPDmca0CwIdnm5WMc6R0smXriRjt0X5Ujs-ZPniX8_ypBvcI%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=MorningBreak_061526&utm_term=NL_Gen_Int_Daily_News_Update_active
Goin-Kochel, R. P., Fombonne, E., Mire, S. S., Minard, C. G., Sahni, L. C., Cunningham, R. M., & Boom, J. A. (2020). Beliefs about causes of autism and vaccine hesitancy among parents of children with autism spectrum disorder. Vaccine, 38(40), 6327–6333. https://doi.org/10.1016/j.vaccine.2020.07.034
Gulati, S., Sharawat, I. K., Panda, P. K., & Kothare, S. V. (2025). The vaccine–autism connection: No link, still debate, and we are failing to learn the lessons. Autism, 29(7), 1639–1645. https://doi.org/10.1177/13623613251345281
Hotez, P. (2017, February 24). Autism spectrum disorder: If not vaccines, then what?. Baylor College of Medicine Blog Network. https://blogs.bcm.edu/2017/02/24/autism-spectrum-disorder-if-not-vaccines-then-what/
International Vaccine Access Center. Across the U.S., childhood vaccination rates continue to decline. Johns Hopkins Bloomberg School of Public Health. (2025, August 20). https://publichealth.jhu.edu/ivac/2025/across-the-us-childhood-vaccination-rates-continue-to-decline
Jewett, C., & Stolberg, S. G. (2026, May 11). Kennedy is driving a vast inquiry into vaccines, despite his public silence. The New York Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/057_ASCDISTE_RFK-Jr.-Is-Driving-a-Vast-Inquiry-Into-.is-Public-Silence-The-New-York-Times.pdf
LeGare, J. (2022, March 24). Link between autism and vaccination debunked. Mayo Clinic Health System. https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/autism-vaccine-link-debunked
Madsen, K. M., Hviid, A., Vestergaard, M., Schendel, D., Wohlfahrt, J., Thorsen, P., Olsen, J., & Melbye, M. (2002). A population-based study of measles, mumps, and rubella vaccination and autism. New England Journal of Medicine, 347(19), 1477–1482. https://doi.org/10.1056/nejmoa021134
Mandavilli, A. (2026, March 16). Judge strikes down kennedy’s vaccine policies. The New York Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/065_ASCDISTE_Judge-Strikes-Down-RFK-Jr.s-Vaccine-Po.ps-Health-Agenda-The-New-York-Times.pdf
Mensah-Bonsu, N. E., Mire, S. S., Sahni, L. C., Berry, L. N., Dowell, L. R., Minard, C. G., Cunningham, R. M., Boom, J. A., Voigt, R. G., & Goin-Kochel, R. P. (2021). Understanding vaccine hesitancy among parents of children with autism spectrum disorder and parents of children with non-autism developmental delays. Journal of Child Neurology, 36(10), 911–918.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/069_ASCDISTE_Understanding-Vaccine-Hesitancy-Among-Parents-of-Children-with-Autism-Spectrum-Disorder-and-Parents-of-Children-with-Non-Autism-Developmental-Delays.pdf
Pariente, N. (2025). Vaccines work… and do not cause autism. Public Library Of Science, 23(4). https://doi.org/10.1371/journal.pbio.3003143
Qian, M., Chou, S., & Lai, E. K. (2020, March). Confirmatory bias in health decisions: Evidence from the MMR-autism controversy. Journal of Health Economics. 70, 102284. Retrieved from: https://www.sciencedirect.com/science/article/abs/pii/S0167629619302450?via=ihub
Taylor, B., Miller, E., Farrington, C. P., Petropoulos, M. C., Favot-Mayaud, I., Li, J., & Waight, P. A. (1999). Autism and measles, mumps, and rubella vaccine: no epidemiological evidence for a causal association. Lancet (London, England), 353(9169), 2026–2029. https://doi.org/10.1016/s0140-6736(99)01239-8
Vaccines do not cause autism. Johns Hopkins Bloomberg School of Public Health. (2025, March 19). https://publichealth.jhu.edu/2025/vaccines-do-not-cause-autism
Vaccine Education Center. (2025, September 27). Vaccines and autism. Children’s Hospital of Philidelphia. https://www.chop.edu/vaccine-education-center/vaccine-safety/vaccines-and-other-conditions/autism
Disinformation
Andoh, E. (2025, September 24). Psychologists advocate for autism amid a wave of misinformation. American Psychological Association: Monitor on Psychology, 56(6). https://www.apa.org/monitor/2025/09/advocate-autism-wave-misinformation
American Psychological Association. (2025, November 21). Addressing recent misinformation about autism. APA/APASI Response Center: Policy Changes & Advocacy Updates. https://updates.apaservices.org/autism?utm_source=apa.org&utm_medium=referral&utm_conten+t=%2Fmonitor%2F2025%2F09%2Fadvocate-autism-wave-misinformation
Debunking 8 autism myths and misconceptions. Cleveland Clinic. (2024, May 29). https://health.clevelandclinic.org/autism-myths-and-misconceptions
Debunking common myths about autism. Autism Learning Collaborative. (2026, April 7). https://www.autismlearningcollaborative.com/debunking-common-autism-myths/
Geddie, B. (2025, April 17). Leading autism organizations release joint statement on upholding scientific integrity and supporting the autism community. Autism Society. https://autismsociety.org/leading-autism-organizations-release-joint-statement-on-upholding-scientific-integrity-and-supporting-the-autism-community/
Interlandi, J. (2026, March 23). Takeaways from the times’s inside look at the C.D.C. The New York Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/052_ASCDISTE_Takeaways-From-The-Timess-Inside-Look-at-the-C.D.C.-The-New-York-Times.pdf
Jacobson, L. (2025, April 23). Fact-checking Robert F. Kennedy Jr.’s statements on autism. PBS. https://www.pbs.org/newshour/politics/fact-checking-robert-f-kennedy-jr-s-statements-on-autism
LoBue, V. (2025, October 6). A history of mom-blaming for autism. Psychology Today. https://www.psychologytoday.com/us/blog/the-baby-scientist/202510/a-history-of-mom-blaming-for-autism
Mitchell, S. D. (2017, June 7). The ill-logic of alternative facts (sic). The Equation.
https://blog.ucs.org/science-blogger/the-ill-logic-of-alternative-facts-sic/
O’Connell-Domenech, A. (2025, September 15). 1-in-6 parents rejecting vaccine recommendations: Poll. The Hill. https://thehill.com/policy/healthcare/5503896-declining-vaccination-rates-parents/
Schering, S. (2025, September 23). “Dangerous claims” about causes of autism confuse parents, harm children. American Academy of Pediatrics. https://publications.aap.org/aapnews/news/pdfDownload/33405
Waltz, M. M. (2015, April). Mothers and autism: The evolution of a discourse of blame. AMA Journal of Ethics: History of Medicine. https://journalofethics.ama-assn.org/article/mothers-and-autism-evolution-discourse-blame/2015-04.
Yandell, K., McDonald, J. RFK Jr. misleads on autism prevalence, causes. Factcheck.org https://www.factcheck.org/2025/04/rfk-jr-misleads-on-autism-prevalence-causes/
Neurodiversity
Miller, C. (2026, January 29). What is neurodiversity?. Child Mind Institute. https://childmind.org/article/what-is-neurodiversity/
Neurodivergent: What it is, symptoms & types. Cleveland Clinic. (2022, June 2). https://my.clevelandclinic.org/health/symptoms/23154-neurodivergent
Prevalence
Broadening of the Definition
Autism Society of America responds to new CDC report on updated autism prevalence rates. Autism Society. (2025, April 15). https://autismsociety.org/autism-society-of-america-responds-to-new-cdc-report-on-updated-autism-prevalence-rates/
Barr, S. (2020, April 2). What is asperger syndrome and how many people does it affect?. The Independent. https://www.the-independent.com/life-style/health-and-families/world-autism-awareness-week-asperger-syndrome-symptoms-a9433311.html
Frances, A. (2025, June 23). Autism rates have increased 60-fold. I played a role in that. The New York Times.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/040_ASCDISTE_Opinion_Autism-Rates-Have-Increased-6.d-a-Role-in-That.-The-New-York-Times.pdf
Furnier, S. M., Gangnon, R., & Durkin, M. S. (2026). Trends over time in the prevalence of autism by adaptive and intellectual functioning levels. Official Journal of the International Society for Autism Research, 19(1), e70167. https://doi.org/10.1002/aur.70167
Hughes, M. M., Shaw, K. A., DiRienzo, M., Durkin, M. S., Esler, A., Hall-Lande, J., Wiggins, L., Zahorodny, W., Singer, A., & Maenner, M. J. (2023, April 19). The prevalence and characteristics of children with profound autism, 15 sites, United States, 2000-2016. Public Health Reports, 138(6), 971–980. https://doi.org/10.1177/00333549231163551
National Center for Education Statistics. (2024). Students With Disabilities. Condition of Education. U.S. Department of Education, Institute of Education Sciences. https://nces.ed.gov/programs/coe/indicator/cgg.
Rudy, M. (2025, September 4). Autism by the numbers: Experts share reasons for the dramatic surge in diagnoses. Fox News. https://www.foxnews.com/health/autism-numbers-experts-share-reasons-dramatic-surge-diagnoses.print
Santomauro, D., Erskine, H., Mantilla Herrera, A., Miller, P., Shadid, J., Hagins, H., Addo, I., Adnani, Q., Ahinkorah, B., Ahmed, A., Alhalaiqa, F., Ali, M., Al-Marwani, S., Almazan, J., Almustanyir, S., Alvi, F., Amer, Y., Ameyaw, E., Amiri, S., … Ferrari, A. (2025). The Global Epidemiology and Health burden of the autism spectrum: Findings from the global burden of disease study 2021. The Lancet Psychiatry, 12(2), 111–121. https://doi.org/10.1016/s2215-0366(24)00363-8
Vos, T., Allen, C., Arora, M., Barber, R. M., Bhutta, Z. A., Brown, A., Carter, A., Casey, D. C., Charlson, F. J., Chen, A. Z., Coggeshall, M., Cornaby, L., Dandona, L., Dicker, D. J., Dilegge, T., Erskine, H. E., Ferrari, A. J., Fitzmaurice, C., Fleming, T., … Murray, C. J. (2016). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: A systematic analysis for the global burden of disease study 2015. The Lancet, 388(10053), 1545–1602. https://doi.org/10.1016/s0140-6736(16)31678-6
Increased Public Awareness
CDC reports profound autism statistics for the first time. Autism Science Foundation. (2023, May 16). https://autismsciencefoundation.org/press_releases/cdc-profound-autism-statistics/
Nawaz, A., & Norris, C. (2023, March 23). Why more children are being diagnosed with autism and what it means for their families. PBS. https://www.pbs.org/newshour/show/why-more-children-are-being-diagnosed-with-autism-and-what-it-means-for-their-families
Straiton D, Pomales-Ramos A, Broder-Fingert S. Health Equity and Rising Autism Prevalence: Future Research Priorities. American Academy of Pediatrics. 2024;154(4):e2023064262. https://doi.org/10.1542/peds.2023-064262
Wallis, K. (2023, June 14). Rates of autism increase, but numbers don’t paint the full picture.Children’s Hospital of Philadelphia: Policy Lab. https://policylab.chop.edu/blog/rates-autism-increase-numbers-dont-paint-full-picture
Reaching Under-Represented Cohorts
2023 Community Report on Autism. (2023, March 23). Spotlight on closing the racial and ethnic gaps in the identification of autism spectrum disorder among 8-year-old children. Centers for Disease Control and Prevention. https://archive.cdc.gov/#/details?archive_url=https://archive.cdc.gov/www_cdc_gov/ncbddd/autism/addm-community-report/executive-summary.html
Arky, B. (2026, February). Why many autistic girls are overlooked. Child Mind Institute. https://childmind.org/article/autistic-girls-overlooked-undiagnosed-autism/
Aylward, B. S., Gal-Szabo, D. E., & Taraman, S. (2021). Racial, ethnic, and sociodemographic disparities in diagnosis of children with autism spectrum disorder. Journal of Developmental and Behavioral Pediatrics, 42(8), 682–689. https://doi.org/10.1097/DBP.0000000000000996
Habayeb, S., Kenworthy, L., De La Torre, A., & Ratto, A. (2022). Still left behind: Fewer Black school-aged youth receive ASD diagnoses compared to White youth. Journal of Autism and Developmental Disorders, 52(5), 2274–2283.
https://www.barbaraboroson.com/wp-content/uploads/2026/06/047_ASCDISTE_Still-Left-Behind-Fewer-Black-School-Aged-Youth-Receive-ASD-Diagnoses-Compared-to-White-Youth.pdf
Jang, S. (2024, October 25). Why can’t we talk about autism in the Asian American community? Autism Parenting Magazine. https://www.autismparentingmagazine.com/autism-asian-american-community/?srsltid=AfmBOoosjmjBSX61bOgLFamitHk8pwP7lQzeEGFiAhiahOiGf2bMo-xl
Musto, J. (2023, March 25). Autism rates on the rise, especially among minorities: CDC. Fox News. https://www.foxnews.com/health/autism-rates-kids-rise-minorities-cdc.print
Minutoli, R., Marraffa, C., Failla, C., Pioggia, G., & Marino, F. (2025). Female gender and autism: Underdiagnosis and misdiagnosis – clinical and scientific urgency. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1704579
Office of Minority Health. (2026, March). Neurodevelopmental disorders and Asian Americans. U.S. Department of Health & Human Services. https://minorityhealth.hhs.gov/neurodevelopmental-disorders-and-asian-americans
Shaw KA, Williams S, Patrick ME, et al. (2025, April 17). Prevalence and early identification of autism spectrum disorder among children aged 4 and 8 years — Autism and developmental disabilities monitoring network, 16 Sites, United States, 2022. MMWR Surveillance Summary 2025;74(No. SS-2):1–22. DOI: http://dx.doi.org/10.15585/mmwr.ss7402a1
U.S. Department of Health and Human Services. (2021, April 19). Early intervention for autism. Eunice Kennedy Shriver National Institute of Child Health and Human Development. https://www.nichd.nih.gov/health/topics/autism/conditioninfo/treatments/early-intervention
Wilkins, F. (2025, February 17). Why do Black children with autism get diagnosed late? Child Mind Institute. https://childmind.org/article/why-do-black-children-with-autism-get-diagnosed-late/
Zablotsky, B., Ng, A. E., Black, L. I., & Blumberg, S. J. (2023). Diagnosed developmental disabilities in children aged 3–17 years: United States, 2019–2021 (NCHS Data Brief No. 473, Figure 4). National Center for Health Statistics, U.S. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. https://www.cdc.gov/nchs/data/databriefs/db473.pdf
Universal Screening
American Academy of Pediatrics. (2016, May 1). PAS coverage: Children are diagnosed with autism at younger ages since push for Universal Screening. American Academy of Pediatrics. AAP News. https://publications.aap.org/aapnews/news/12553/PAS-Coverage-Children-are-diagnosed-with-autism-at?autologincheck=redirected


