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This Autistic Professor Chooses Hope

Elizabeth McLain, PhD

Dear Higher Education,

I’ve fought like hell to be here.

To stay here

To be seen as worthy of being here

To get past the gauntlet of gatekeepers

            And prop the gates open behind me

                        With a cane

                        Crutches

                        Rollator

                                    My own body.

Now that I’m here, albeit with the ominous parenthetical (for now), earning tenure isn’t my biggest anxiety. While it’s far from assured, failing to receive tenure isn’t the scariest thing.

Dear Higher Ed, I’m autistic.

I’m a disabled, neurodivergent, autistic assistant professor of musicology and director of disability studies at Virginia Tech. I’ve been tremendously fortunate to build relationships with people who understand what I have to offer my alma mater, who support my work, and who have made this innovative position a reality.[1]

However, I’m also confronted daily with the reality of what it means for me—a disabled autistic woman—to be in this role. To be frank, many researchers of autism would rather not be confronted by the realities of autistic adults. They don’t want to hear how we have been traumatized by Applied Behavioral Analysis, nor do they want to discuss how we autistics successfully form community and connection with each other without nonautistic intervention.[2] Unfortunately, Virginia Tech is not spared these conflicts. I don’t have the energy or inclination to seek out fights, but they’ve come to my door (and my inbox) with frustrating regularity:

Students crying in disability studies courses when they listen to autistic people describe the experience of prone restraint (including how it kills kids) because they are being taught to perform prone restraint on autistic children.

A senior faculty member wants me to endorse their opinion that an autistic prospective student / current student should be pushed away from a career path based on assumptions about what autistic people can / can’t do, and what “type of person” a career requires.

Recurring emails: No, I’m not interested in adding your class that frames disabled people as broken burdens (or objects of curiosity and pity) to the disability studies minor. Yes, we need to revise this class that is already on the minor to center disabled people. Curriculum committee, I understand your concern about this new proposed course and the shallow bench of faculty capable of teaching it, but that’s why we need more out and proud and politically disabled  faculty members. No, if you are promoting Applied Behavioral Analysis and other autistic conversion therapies, you should not be using the “neurodiversity” label; what you are saying runs counter to the neurodiversity paradigm. Yes, I would appreciate if you hired a disabled speaker for Disability Employment Awareness Month. No, I don’t think it’s okay to exclude the disability community from the hiring committees for disability service professionals. No, I have never worked with the autism center; no, they have never asked me to speak at their conference; no, I don’t expect that they will.

A colleague wants advice on accommodating a student. Hours into the conversations and emails, I realize they just want my blessing to not accommodate a student.

The meeting is mandatory, in-person, unmasked, in an inaccessible building, with no clear path for me to get there, after usual work hours. And if I can’t go, it’s a strike against my “collegiality” and “professionalism.” (For some reason, failing to provide basic access does not have such consequences.)

After experiencing an injury more than thirty minutes into discovering closed and inaccessible paths, I start crying out of frustration. Is it more professional to arrive late, crying, and injured? Or is it more professional to just not arrive at all?

I send emails on my cell phone letting organizers and supervisors know the situation and that I will not attend. They are flabbergasted. Here are maps! (that don’t show accessible paths) Why didn’t you tell us sooner? Why didn’t you make another plan? Can you write up your experience in emails and send it to these people + offices? (Can you then argue with them about your experience until it gets perilously close to gaslighting?)

What do you expect? You can’t be accommodated if you don’t advocate for yourself!

Also, yes autism is often characterized as a social-communication disorder, but you should have known we didn’t literally mean (the rules that we wrote). You should have known (the rules that weren’t written). And you need to communicate more.[3]

I don’t get to experience a day where I am not reminded what it means to be autistic, to be disabled. Being autistic and being disabled means having a disproportionate amount of logistical and social-communication labor added to your daily life, labor which will never count towards tenure. But like I said: tenure is the least of my worries. Being autistic and being disabled means being aware every day that society at large, institutions, and sometimes specific individuals would rather you just not exist.

So, pardon me, Dear Higher Ed, if I was significantly less surprised by the results of the November 2024 election and the events of the last few months than many of my peers. Distress and alienation are close friends, and safety is a foreign concept to me.

I am fortunate to have so many people who believe in me, take a chance on me, invest resources in me. Yes, I’m worth it, and millions of my autistic and disabled siblings deserve this just as much as I do, but don’t receive it. Yet more and more since November, even the people closest to me—the ones who show up for me in a crisis without waiting for me to work up the courage to ask, the precious friends who interrupt the cycle of breathing in ableism and exhaling self-ridicule, this beautiful chosen family that is both the reason for and the means by which I keep going—even they don’t entirely get what life is like for me right now.

According to the new occupant of the White House, I am “a dire threat to the American people and our way of life.”[4] Why? If you follow the order, it seems to be because disabled people like me can’t qualify for military service, and healthcare costs money. Rather than asking why, unlike citizens of peer nations, “Americans of all ages are becoming sicker, beset by illnesses that our medical system is not addressing effectively,” Trump’s executive order blames us disabled folks for harming “our economy, and our security.” His “solution” is to target individuals, blame them for the state of their health, and offer pseudoscientific critiques of environmental, medication, and food safety—while systematically defunding the federal agencies tasked with protecting Americans. And of course, there is no mention of poverty, racism, housing segregation, food instability, deregulation of industrial pollution, or predatory insurance practices that escalate costs and worsen care outcomes.

Who will chair this “Make America Healthy Again” commission? The Secretary of Health and Human Services, Robert F. Kennedy Jr.: politician, environmental lawyer, and anti-vaccine activist/conspiracy theorist. One of his primary reasons for undermining public trust regarding vaccines (even amidst deadly outbreaks of measles in the United States) is the repeatedly discredited myth that vaccines cause autism. Andrew Wakefield started this lethal lie to profit financially from legal consulting fees, and he planned ventures such as diagnostic test kits for his novel condition “autistic enterocolitis” and for an updated version of the MMR vaccine; you can follow the money of anti-vaxxers to find similar motivations for their misinformation.[5] Wakefield was struck off the UK Medical Register in 2010 (meaning he is unable to practice medicine), yet here we are, dear Higher Ed: our Secretary of Health and Human Services, who is going to “Make America Healthy Again,” convinces parents around the world to forego lifesaving vaccines so their kids don’t end up like me. I think it’s fair to summarize his position as “better dead than autistic.” And it’s not just his position. When President Trump addressed Congress on March 4, he, too came after us autistics: “Not long ago … 1 in 10,000 children had autism. Now it’s 1 in 36. There’s something wrong.”[6] I can’t find any credible source for his “1 in 10,000” figure, and treating 1 in 36 as an escalating crisis rather than improved diagnosis of autism (and decreased misdiagnosis of other conditions) amounts to fearmongering that only hurts autistic people.

This is often the moment when people are tempted to clarify that this anti-autistic hate—so virulent that it has caused children to die from preventable diseases—is not about people like me. It’s about “those” autistics: severe, Level 3, profound, nonspeaking, intellectually disabled, “mentally retarded,” self-harming, violent, dependent, immature, with the “mental age” of a child, tragedies….

Dear Higher Ed, with all due respect, that is bullshit. Autistic people aren’t tragedies. We are, however, systematically dehumanized, abused, and murdered.[7] Functioning labels, in any form, are inaccurate at best and deadly at worst. The autism spectrum is multidimensional, complex, and temporally specific: who I am now is not who I was, nor is it who I will become.[8] So yes, I am more like your autistic kid than I am like you, and your autistic kid will grow in their own time and pace, especially if you presume competence and help them access communication that works for them.[9] Autistic people are human beings, not burdens. We are creative, funny, empathetic, determined, innovative, and beautiful. The best future for all of us is one that fully includes and empowers autistic people, but we can’t get there if we defund Medicaid or institutionalize disabled people. When you deny our civil rights and dignity, you forfeit a piece of your humanity.

 My social media is filled with disabled brilliance and humor, including the wry observation that this Republican administration has accomplished something previous Democratic administrations never could: disability is finally part of diversity. The DEI attacks, such as “Ending Radical And Wasteful Government DEI Programs And Preferencing,” were in fact attacks on disability too, as spelled out in Section 2a:

The Director of the Office of Management and Budget (OMB), assisted by the Attorney General and the Director of the Office of Personnel Management (OPM), shall coordinate the termination of all discriminatory programs, including illegal DEI and “diversity, equity, inclusion, and accessibility” (DEIA) mandates, policies, programs, preferences, and activities in the Federal Government, under whatever name they appear.[10]

 I’ve seen many examples of parents of disabled kids expressing buyer’s remorse and regret after voting for Trump. They are shocked that his party is voting to defund Medicaid (yes, you cannot cut $880 billion of spending under the energy and commerce committee without impacting Medicaid), challenging Section 504 of the Rehabilitation Act of 1973 in court, threatening the Department of Education—and thus the funding and enforcement of the Individuals with Disabilities Education Act, 504s, and IEPs—and attacking the use of prescriptions to support their children’s health and wellbeing.[11] I grieve for these parents and invite them to join us as we resist these efforts to harm the disability community.

But can I let you in on a secret, Dear Higher Ed? We disabled folks weren’t surprised. Everything happening is consistent with Trump’s record.[12] More than that, all systems of oppression are interlocking and interdependent, so where any form of discrimination exists, ableism will follow. Ultimately, I cannot advocate for autistic people without also resisting racism, transphobia, sexism, and any other form of oppression. I am a White autistic woman, but I cannot ignore that Black autistic men are among the most at risk from police brutality.[13] I’m a cishet autistic woman, but I identify with the concept of “autigender,” which speaks to the ways in which my autistic brain impacts my experience of gender, even as I do not experience the discrimination that my queer and genderqueer siblings encounter every day. When autistic people are significantly more likely to defy gender binaries, you can’t be pro-neurodiversity and anti-trans. It is disturbing that more time, energy, money, and attention is spent debating trans athletes than the more numerous (and potentially deadly) cases of measles in the United States. An executive order declaring only two recognized sexes has no basis in biological reality, given the incontrovertible existence of intersex people, but the myth of the gender binary is perpetuated.[14] Without these spurious claims that God or “nature” dictates separate social roles for men and women, it becomes impossible to police gender identity, gender expression, or heteronormativity. This obsession with bodies as superior or inferior underlies racism, imperialism, and ableism. Is it any wonder that the Nazis burned books about trans health, or that they tested the technologies of the Holocaust first on disabled children?[15] Should it surprise us that queer people were murdered alongside Jewish, Romani, and other “non-Aryan” peoples? These connections are clear in Talila A. Lewis’s working definition of ableism (updated January 2022):

A system of assigning value to people’s bodies and minds based on societally constructed ideas of normalcy, productivity, desirability, intelligence, excellence, and fitness. These constructed ideas are deeply rooted in eugenics, anti-Blackness, misogyny, colonialism, imperialism, and capitalism.

This systemic oppression that leads to people and society determining people’s value based on their culture, age, language, appearance, religion, birth or living place, “health/wellness,” and/or their ability to satisfactorily re/produce, “excel” and “behave.”

You do not have to be disabled to experience ableism.[16]

These shared experiences of oppression rooted in the devaluing of bodies and minds become a call to action, mutual aid, and resistance.

Remember when I said that it sometimes feels like my chosen family doesn’t understand my life right now? I’m sure that seemed incredibly dark, but it’s actually a brilliant light that cuts through all darkness. Disability Justice teaches us that cross-movement organizing is essential, and that those most impacted by a situation ought to lead the development of solutions.[17] My nonautistic, nondisabled people don’t need to get it to be there, work alongside me, believe me, move with me, or trust me to move with them in return. I only know what it’s like to be me (and I barely know that, to be honest). I learn what it’s like to be them when I’ve earned their trust enough for them to entrust me with that sacred knowledge. And then we move together.

But if I can let you in on one last secret, Dear Higher Ed: there is no such thing as “nondisabled,” just “not yet disabled.” Disability is the most universal human experience. My autistic brain certainly puts me in the minority, but the neurodiversity paradigm teaches us that diversity of human cognition is not just a biological reality, but a source of strength if communities fully support all their members. We do not need to be afraid: we have everything we need to resist oppression and hate. None of us are free until all of us are free, so we work together to liberate each other.[18]

Dear Higher Ed, we’ve already made missteps. We’ve sacrificed the right to peacefully protest on our campuses and punished the student leaders creating the future of civil rights and liberation. We must hold the line before it is too late to reassert our First Amendment rights. Dear colleagues, please take a breath and take inventory of your privileges, power, advantages, resources, strengths, and networks. The atmosphere of Higher Education can atomize us, and we have to actively resist fear of authority and the competitive behaviors too often rewarded by academia. We must exercise our First Amendment rights to protect them, and we need to hold each other accountable in this work. Any shred of shared governance that still persists is power that cannot be ceded. Don’t wait to lose your grant, your postdoc, your job. Stand with your colleagues who are already being attacked: co-author with them, share resources, speak of their brilliance to anyone who will listen, and support them with meals, transportation, kind words, check-ins, and fulfilling whatever needs they share with you. We are witnessing the death of children from preventable diseases; the torture and murder of trans people; the destruction of the already weak social safety net; the corruption of our air, water, forests, safety regulations, and civil service; the abandonment of trusted allies and embrace of tyrants; and a crisis of our democracy. Failing to receive tenure isn’t the scariest thing.

The way forward is not easy, but it is simple. If we want to do better, we must do the emotional labor required to accept that we have harmed each other. We have participated in and perpetuated ableism, racism, sexism, transphobia, homophobia, and other forms of oppression. We are going to let go of our ego, listen to each other, believe each other, protect each other, and build the world we want to see. We will extend grace and forgiveness to grow and learn, and we will reject complacency and hubris. We will stop complying with unjust directives in advance, and instead draw on the rich legacies of resistance passed down from our ancestors and elders to survive, thrive, create, help each other, uphold our shared humanity, and find joy everywhere we can.

Dear colleagues, I am honored to be in this struggle with you.

In Hope,

Elizabeth McLain, PhD


Notes

[1] I’d like to thank some of these supportive people for reviewing an early draft of this piece, especially Atlas Vernier, Ashley Shew, and Andrew Dell’Antonio. Any brazenness or errors are entirely my own, but I am indebted to their advice on writing (and so many other things!).

[2] Critiques of Applied Behavior Analysis are outside the scope of this piece, but Julie Roberts, MS, CCC-SLP, The Gold Standard Fallacy of ABA: A Reference Guide for Therapists, Educators, & Parents (Neurobloom Publishing, 2024) is an excellent resource to learn more.

[3] NB: if you see yourself in any of these stories, that’s a coincidence. Statistically speaking, I wasn’t thinking of you. These incidents happen so often that the situation I’m thinking of as I write this is unlikely to be yours. But if you’re feeling uncomfortable right now, you might consider being proactive about addressing it.

[4] “Establishing the President’s Make America Healthy Again Commission,” February 13, 2025: https://www.whitehouse.gov/presidential-actions/2025/02/establishing-the-presidents-make-america-healthy-again-commission/

[5] Brian Deer, “How the Vaccine Crisis was Meant to Make Money,” BMJ: British Medical Journal (Online) 342, (Jan 11, 2011), https://doi.org/10.1136/bmj.c5258

[6] White House version, “Remarks by President Trump in Joint Address to Congress,” remarks dated March 4, 2025; post dated March 6, 2025: https://www.whitehouse.gov/remarks/2025/03/remarks-by-president-trump-in-joint-address-to-congress/. Note also Representative Al Green’s interruption protesting the attack on Medicaid.

[7] Joseph Guan et al. “Homicide Incidents Involving Children with Autism Spectrum Disorder as Victims Reported in the US News Media, 2000-2019.” Journal of Autism and Developmental Disorders vol. 52, 4 (2022): 1673-1677. doi:10.1007/s10803-021-05065-x

[8] Steven K. Kapp, “Profound Concerns about ‘Profound Autism:’ Dangers of Severity Scales and Functioning Labels for Support Needs,” Education Sciences 13, no. 2 (2023): 106. https://doi.org/10.3390/educsci13020106

[9] To learn more about communication access for nonspeaking people, follow the work of CommunicationFIRST https://communicationfirst.org/

[10] “Ending Radical And Wasteful Government DEI Programs And Preferencing,” January 20, 2025:https://www.whitehouse.gov/presidential-actions/2025/01/ending-radical-and-wasteful-government-dei-programs-and-preferencing/

[11] Congressional Budget Office memo “Mandatory Spending Under the Jurisdiction of the House Committee on Energy and Commerce,” March 5, 2025: https://www.cbo.gov/system/files/2025-03/61235-Boyle-Pallone.pdf; Texas v Becerra: https://www.texasattorneygeneral.gov/sites/default/files/images/press/HHS%20Rehabilitation%20Act%20Complaint%20Filestamped.pdf

[12] Donald Trump met with Andrew Wakefield in 2016, after which Wakefield described Trump as “on our side” against vaccines and autism: Owen Dyer, “Andrew Wakefield Calls Trump ‘on Our Side’ over Vaccines after Meeting.” BMJ (Online) 355 (2016): i6545–i6545. doi:10.1136/bmj.i6545. It was widely reported that Trump openly mocked disabled reporter Serge Kovaleski on the campaign trail in 2015, and the video is easily accessible online (Associated Press, “Reporter mocked by Trump says the 2 knew each other well” November 27, 2015: https://apnews.com/united-states-presidential-election-general-news-events-08876797f35e48da8597e97976a67d8a). Trump also mocked Kamala Harris as “mentally disabled,” prompting a response from the American Association of People with Disabilities in a press release dated September 29, 2024: https://www.aapd.com/ableist-trump-comments-september-24/ . In his 2024 memoir All in the Family: The Trumps and How We Got to Be This Way, Fred C. Trump III claims his uncle, President Donald Trump, “told him that people like his son, who has intellectual and developmental disabilities, ‘should just die.’”: https://www.disabilityscoop.com/2024/07/25/trump-suggested-some-with-disabilities-should-just-die-nephew-says/30983/. Trump blaming the January 30, 2025 Washington, DC plane crash on disabled people—without any evidence yet as to the cause of the crash and no credible reason to believe people with disabilities had any involvement in the incident—was not terribly surprising: January 30, 2025 Press Release from the National Disability Rights Network: https://www.ndrn.org/resource/dca-crash/

[13] Diana Paulin’s site “Locating Black Autism” is an archive and living document of the Black Autist experience: https://dianapaulin.domains.trincoll.edu/locating-black-autism/emerging-media/autistic-blackness-in-an-ableist-and-racist-police-state/ .

[14] The complexity of biological sex is explored in Elof Axel Carlson, The 7 Sexes: Biology of Sex Determination (Indiana University Press, 2013). For a brief summary: Claire Ainsworth, “Sex Redefined: the Idea of 2 Sexes is Overly Simplistic,” Nature Magazine, February 18, 2025 (reproduced in Scientific American, October 22, 2018: https://www.scientificamerican.com/article/sex-redefined-the-idea-of-2-sexes-is-overly-simplistic1/ ). The mentioned Executive Order 14168 “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government” was signed January 20, 2025 and can be found at https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/

[15] Brandy Schillace, “The Forgotten History of the World’s First Trans Clinic,” Scientific American (May 10, 2021): https://www.scientificamerican.com/article/the-forgotten-history-of-the-worlds-first-trans-clinic/. United States Holocaust Memorial Museum, “Holocaust Encyclopedia: Euthanasia Program and Aktion T4” https://encyclopedia.ushmm.org/content/en/article/euthanasia-program.

[16] Working definition by @TalilaLewis, updated January 2022, developed in community with disabled Black and negatively racialized folks. Read more: bit.ly/ableism2022

[17] Sins Invalid, Skin, Tooth, and Bone: The Basis of Movement is Our People, A Disability Justice Primer, second edition (2019). See also Sins Invalid, “10 Principles of Disability Justice,” https://sinsinvalid.org/10-principles-of-disability-justice/ (with link to ASL video).

[18] Emma Lazarus, Fannie Lou Hammer, Maya Angelou, and so many of our ancestors and elders teach us this.


About the author

Elizabeth McLain, PhD (she/her) is an Assistant Professor of Musicology and Director of Disability Studies at Virginia Tech. A scholar of music and spirituality in the twentieth century, she has published on George Crumb for the Journal of Musicological Research as well as Olivier Messiaen in Messiaen in Context (Cambridge University Press) and Mystic Modern: The Music, Thought, and Legacy of Charles Tournemire (Church Music Association of America). Her lived experience as a chronically ill rollator-wielding autistic compels her to transform music scholarship through the principles of disability justice, and she has had the privilege of shifting her career towards community-driven research. Thanks to a grant from the Mellon Foundation, McLain and Ashley Shew co-founded and co-directs the Disability Community Technology Center. Her contributions include leading disabled artist residencies and Open the Gates Gaming, a transdisciplinary research initiative that increases access to tabletop roleplaying games through cognitive access tools and adventures that empower everyone to tell their stories.

 

McLain’s research on disability culture and the arts has an (auto)ethnographic bent, capturing an insider’s perspective on the creative lives of disabled artists. Currently, she is a professional and verified member of RAMPD: Recording Artists and Music Professionals with Disabilities and a professional member of the Recording Academy.  With the support of an NEH Digital Humanities Advancement Grant and an ACLS Digital Justice Seed Grant, her a2ru’s Ground Works team is documenting the inaugural CripTech incubator with an emphasis on ethical consent processes and access. Her most recent publication is a collaboration with Andy Slater entitled Unseen Sound: One Step into the Blind Future (Academic Access Version),” in Leonardo.

 

For too long, disabled people have been treated as objects of study rather than generators of knowledge; when disabled artists reclaim the narrative, they reveal disability as creativity, innovation, community, and a culture all its own. Whether through partnerships with venues like The Cedar Cultural Center or her book project Krip Time: The Rhythm of Disabled Music, Life, and Activism, McLain hopes that by amplifying the stories of disabled musicians, she will add to the growing movement to center disabled voices until “Nothing About Us Without Us” is not just a rallying cry but a reality for the disability community in the arts, education, and beyond.

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This Autistic Professor Chooses Hope Copyright © 2025 by Elizabeth McLain, PhD is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.