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Petra Russell's avatar

Scott, thanks for putting words to the knot so many of us are wrestling with — how to celebrate neural variety without diluting the very signal that unlocks real-world support.

Where your argument really resonates:

If every quirk becomes a clinical badge, HR budgets and public-school IEP funding will evaporate; labels lose their power to trigger accommodations.

Reduced stigma is a gift. Late-diagnosed adults I coach often say the label finally let them swap “What’s wrong with me?” for “How do I work with my wiring?”Where my work in companies adds a nuance:

Trait × Context = Impairment. An ADHD engineer in a flow-friendly scrum team may need zero formal supports; the same brain in an open-plan help-desk can burn out in a week. Severity isn’t just biological, it’s environmental.

Self-diagnosis alone rarely unlocks anything at work—legal accommodation processes still hinge on formal evaluation—yet many gifted/ND adults hesitate to disclose at all. We often coach them out of internalised ableism, not victim-performance.

What keeps the term useful is tying it to design levers, not identity politics.

Universal tweaks everyone loves (clear agendas, camera-optional meetings) + opt-in personal adjustments (noise-cancelling stipend) = no one has to prove they’re “ND enough” for basic humanity, while resources remain targeted.

So maybe the next evolution is: “We’re all neurologically unique; some of us need system tweaks to hit the same outcomes.” That keeps the label actionable while honouring the spectrum within the spectrum.

Would love your thoughts on how this trait-context framing might translate in education settings, where the resource crunch is even sharper. Always appreciate your willingness to tackle the messy middle ground.

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Daryl Chow's avatar

Scott, love this essay. It gives voice to concerns I have as a clinician. Nick Haslam's idea of Concept Creep speaks to what you are pointing at too.

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