WEBVTT - Kanner Syndrome

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<v Speaker 1>Hey, Karen, you remember when you were talking to that

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<v Speaker 1>librarian up in Canada. Yeah. Sure, we were trying to

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<v Speaker 1>check out whether this sort of amazing story we had

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<v Speaker 1>heard had really truly happened what like eighty years ago,

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<v Speaker 1>so that we could put it in our book if

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<v Speaker 1>it did turn out to be true. Oh yes, the

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<v Speaker 1>incident on the train tracks and Halifax. In this librarian

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<v Speaker 1>was really helpful. She led me to a story published

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<v Speaker 1>in seven in the Halifax Herald. Yeah, look at this

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<v Speaker 1>front page. All of these headlines from seven about how

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<v Speaker 1>the world was really starting to come apart, British soldiers

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<v Speaker 1>being Sheldon Shanghai, Italy walking out of a peace conference,

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<v Speaker 1>and a new law passed in Germany making it illegal

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<v Speaker 1>for Jews to go into business with non Jews, all

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<v Speaker 1>of this foreshadowing of World War two coming. And then

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<v Speaker 1>right here on the same front page this little headline

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<v Speaker 1>doctor Mrs Death. Well, you know, the story of autism

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<v Speaker 1>could have turned out very differently if what happened in

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<v Speaker 1>Halifax had a different ending too. September A brisk afternoon

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<v Speaker 1>by the harbor in Halifax, Nova Scotia. So close to

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<v Speaker 1>the water you can almost taste the salt in the air.

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<v Speaker 1>Dr leo'connor, who likes to walk, sets off on a

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<v Speaker 1>stroll along the train tracks that trace the shoreline. Connor

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<v Speaker 1>is forty three years old and about a year away

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<v Speaker 1>from starting the research on autism that today defines his

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<v Speaker 1>career for most of us. But at this point he's

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<v Speaker 1>already well known as the world's leading authority on child psychiatry.

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<v Speaker 1>His book on the topic is the standard text. He

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<v Speaker 1>heads the clinical Department of Child Psychiatry at Johns Hopkins,

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<v Speaker 1>the first of its kind in the world. He's up

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<v Speaker 1>in Canada for a conference. During a break, he takes

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<v Speaker 1>a ferry across Halifax Harbor to have lunch at the

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<v Speaker 1>home of an old friend. Afterwards, Connor decides to walk

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<v Speaker 1>back to the ferry landing. It's a gorgeous walk along

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<v Speaker 1>a set of railroad tracks. But at a certain point

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<v Speaker 1>these tracks cut out across a stretch of water, a

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<v Speaker 1>little inlet called Dartmouth Cove. So now the tracks are

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<v Speaker 1>running on top of this rickety wooden bridge. It's a

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<v Speaker 1>train trestle about twenty ft above the water, and it's

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<v Speaker 1>really narrow, just wide enough for a single set of

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<v Speaker 1>railroad tracks. So there's really no shoulder there and there

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<v Speaker 1>are no guardrails, but getting across it looks like it

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<v Speaker 1>should take a minute or two. It most so. Connor

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<v Speaker 1>continues on steps onto the trestle and starts stepping carefully

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<v Speaker 1>from railroad tie to railroad tie. He's out near the

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<v Speaker 1>middle of the bridge when he sees the train coming

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<v Speaker 1>at him. The train is moving fast. He's already too

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<v Speaker 1>late to run back. His only option jump, but he

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<v Speaker 1>doesn't jump. Instead, he attempts this sort of weird maneuver

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<v Speaker 1>where he steps out as far as he can on

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<v Speaker 1>one of the railroad ties, and he tries to make

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<v Speaker 1>himself as small as he can. I guess in the

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<v Speaker 1>hope that there would be enough rule him for this

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<v Speaker 1>oncoming locomotive to just squeezed by without hitting him. It

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<v Speaker 1>doesn't work. The train hits him. It just clips him.

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<v Speaker 1>Connor falls, his overcoat flapping up around him, his arms flailing,

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<v Speaker 1>and then he hits the water. He's terrified, and not

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<v Speaker 1>just because he's just been hit by a train. It's

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<v Speaker 1>for the same reason that he chose not to jump.

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<v Speaker 1>He can't swim. It is definitely not looking good for

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<v Speaker 1>the doctor from Baltimore. Question, what do I feel about

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<v Speaker 1>retirement of Well, for one thing, I so far, I

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<v Speaker 1>haven't retired. Here's Connor years later in an interview. The

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<v Speaker 1>quality is kind of rough here and there, so we

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<v Speaker 1>brought in a voice actor to recreate Connor's words verbatim.

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<v Speaker 1>What do I feel about retirement and dead? Well, for

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<v Speaker 1>one thing, so I haven't retired. Second, as to debt,

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<v Speaker 1>that is something that comes to everybody. I was near

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<v Speaker 1>death when I had my accident in Nova Scotia, and

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<v Speaker 1>since then it has given me a great deal of

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<v Speaker 1>satisfaction to know that at that time I wasn't panicking.

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<v Speaker 1>The only thought I had then was a good thing.

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<v Speaker 1>My insurance policies are all paid up. Dead comes to everybody,

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<v Speaker 1>it will come to me. So just when it looks

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<v Speaker 1>like he's going to drown, Connor gets really lucky. A

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<v Speaker 1>member of the train crew named Murray Hanes, according to

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<v Speaker 1>the newspaper story, sees the doctor hit the water and

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<v Speaker 1>Haynes dives into the cold waters. He gets to Connor

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<v Speaker 1>and pulls him to shore. A passerby runs for help

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<v Speaker 1>from a doctor who lives nearby. Connor is badly shaken

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<v Speaker 1>up and he has a broken hip, but he's alive,

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<v Speaker 1>and Connie recovered pretty quickly. He was out of his

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<v Speaker 1>plaster cast within him better of months, and never even

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<v Speaker 1>had a limp after everything that happened. He does complain, however,

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<v Speaker 1>that the accident left him unable to dance, which of

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<v Speaker 1>course was a joke, because Connor could never dance to

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<v Speaker 1>begin with. Connor may have made light of what happened,

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<v Speaker 1>but when John and I were researching the origins of

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<v Speaker 1>the autism diagnosis, we always wondered what would the world

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<v Speaker 1>be like if that guy hadn't jumped in to save him.

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<v Speaker 1>How would we be thinking about kids with autism? Would

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<v Speaker 1>we still be locking kids away for life, euthanizing them,

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<v Speaker 1>sterilizing them. Would autism as we understand it today even

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<v Speaker 1>have been recognized by now? Your question is an extremely

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<v Speaker 1>important one, probably an unanswerable one. That's Dr Leon Eisenberg.

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<v Speaker 1>He worked under Connor as a young doctor, and then

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<v Speaker 1>he went on to become a huge figure himself in

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<v Speaker 1>child psychiatry. It's a question that's raised in physics so

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<v Speaker 1>all the time, and you get these wonderful stories about

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<v Speaker 1>the guy who goes to sleep and see the six

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<v Speaker 1>carbon atoms holding their hands, and when he wakes up

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<v Speaker 1>in the morning says, that's it, that's it, that's it. Well,

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<v Speaker 1>what capacity to take an abstract problem and to make

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<v Speaker 1>it visual to see the the atoms holding onto each other,

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<v Speaker 1>and then RAMI faded back towards is a question I

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<v Speaker 1>think we have a really successfully answered. So your question

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<v Speaker 1>is important. It's probably unanswerable. From my Heart radio, this

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<v Speaker 1>is autism's first child. I'm Karen Zucker and I'm John Dunvin.

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<v Speaker 1>In our last episode, we met Beamon and Mary Triplet

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<v Speaker 1>of Forest, Mississippi their determination to unlock the meaning of

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<v Speaker 1>their little boy, Donald's unexpected behavior. We'll change history in

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<v Speaker 1>this episode, Donald meets the father of child, said Kietry.

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<v Speaker 1>Episode two Connor Syndrome, a young couple from a town

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<v Speaker 1>called Forest, Mississippi, Beamon and Mary Triplet brought their three

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<v Speaker 1>year old boy, who was acting and speaking in ways

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<v Speaker 1>they didn't understand, to an institution about an hour and

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<v Speaker 1>a half from their home to live there without them.

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<v Speaker 1>They arrived at the institution, checked him in, and then

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<v Speaker 1>they drove home. There's no way for us to know

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<v Speaker 1>how painful this was for Mary and Beaman, but they

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<v Speaker 1>were doing what parents in that error were told to

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<v Speaker 1>do by almost the entire medical establishment whenever a child

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<v Speaker 1>in the family presented as mentally defective. Those two words

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<v Speaker 1>just sounds so horrible, but in that era, that's how

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<v Speaker 1>doctors talked about kids like Donald who were different. The

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<v Speaker 1>idea was to remove those kids from their families, like

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<v Speaker 1>they were not fully human and even posed a danger

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<v Speaker 1>to society. And then the families were told to move

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<v Speaker 1>on with their lives, as though these kids didn't even exist.

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<v Speaker 1>To get on with their lives, that was the phrase

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<v Speaker 1>they used. Have more kids, that kind of thing. Mary

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<v Speaker 1>and Beaman did that. They had another son, Oliver, with

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<v Speaker 1>Donald away, so they were kind of playing by the roles.

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<v Speaker 1>But there was a part of them that we sing

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<v Speaker 1>didn't feel right about that. And here's what we know

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<v Speaker 1>happened next. They wanted basically to get another opinion about Donald,

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<v Speaker 1>and they wanted to get it not just from another doctor,

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<v Speaker 1>but from the top child psychiatrist in the country, if

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<v Speaker 1>not the world, who was none other than the man

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<v Speaker 1>who nearly perished in that train accident less than a

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<v Speaker 1>year earlier. Dr leo'connor. Now Connor is a fascinating and

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<v Speaker 1>singular character. Here's Dr Leon Eisenberg again reflecting on his

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<v Speaker 1>mentors personnel pity. He who was an unusual child, who

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<v Speaker 1>is an unusual capacity for memory aver seeing patterns where

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<v Speaker 1>they were not fel Evidently, he was born in Austria

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<v Speaker 1>and he went to med school in Berlin. Well, I

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<v Speaker 1>might say briefly in the internroduction that I had originally

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<v Speaker 1>had my medical training in Berlin medical school. That's from

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<v Speaker 1>an interview with Dr Connor in two. It's one of

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<v Speaker 1>three long interviews recently discovered by the archivist at the

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<v Speaker 1>American Psychiatric Association, and these tapes have probably only ever

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<v Speaker 1>been heard by a handful of scholars. I had some

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<v Speaker 1>excellent teachers that included a classical student of organic psychosis

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<v Speaker 1>and would later be punished after going against Tyler and

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<v Speaker 1>his son was killed by Nazis. I specialized first in

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<v Speaker 1>internal medicine. I came in on the ground for of

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<v Speaker 1>electric cardiography and published my thesis on electric cardiographic work

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<v Speaker 1>and also my first paper. Connor was thirty years old

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<v Speaker 1>and had a growing medical practice in Berlin when he

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<v Speaker 1>moved to Yankton, South Dakota on a whim. An American

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<v Speaker 1>physician he had grown close to helped Connor land a

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<v Speaker 1>position at the South Dakota State Hospital for the Insane.

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<v Speaker 1>Connor was fluent in seven languages when he arrived in Yankton. Unfortunately,

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<v Speaker 1>English wasn't one of them. He worked at changing that,

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<v Speaker 1>just as he worked hard at becoming culturally American, buying

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<v Speaker 1>a Chevy, taking up golf, joining a weekly poker game.

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<v Speaker 1>Back then, the field of psychiatry was still new and

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<v Speaker 1>not really professionalized like it is today. Basically there was

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<v Speaker 1>Freud and a lot of Germans and Austrians theorizing about neuroses,

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<v Speaker 1>and then there were just regular doctors working in mental

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<v Speaker 1>hospitals figuring out how to help patients just using their instincts.

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<v Speaker 1>They were basically self taught, and that's how Connor learned psychiatry. Also,

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<v Speaker 1>working in Yankton, he developed his own values and philosophies

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<v Speaker 1>about how mental patients should be treated them. One of

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<v Speaker 1>them was he thought we should avoid pigeonholing people and

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<v Speaker 1>getting to know them as individuals, as people with their

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<v Speaker 1>own stories that needed to be listened to, and doing

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<v Speaker 1>that became one of the hallmarks of his life's work.

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<v Speaker 1>Here's the late doctor James Harris, another of Connor's protegees

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<v Speaker 1>from Hopkins, in an interview with the BBC, he was

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<v Speaker 1>a wise man, a scholar, a compassionate clinician. Although he

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<v Speaker 1>was retired, he would drop by the clinic and encourage

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<v Speaker 1>staff members in their work. But I think most importantly

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<v Speaker 1>was his rapport with children. Children talked to him, he listened.

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<v Speaker 1>His timing was exceptional. He was particularly concerned the children

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<v Speaker 1>be treated as individuals. They tell the stories if you

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<v Speaker 1>let them, if you don't use the aha reaction, you

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<v Speaker 1>know what they mean by that. Some people look at

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<v Speaker 1>drawing and say, Aha, this means this, and this means

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<v Speaker 1>that to home to the interpreter. But if you're going

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<v Speaker 1>to give a chance to talk about it, you'd get

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<v Speaker 1>their story and not your biases and preoccupations. Connor got

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<v Speaker 1>restless and yanked in and he left to work on

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<v Speaker 1>a three year fellowship at Johns Hopkins in Baltimore. When

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<v Speaker 1>the fellowship was finished, Hopkins gave Connor the job of

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<v Speaker 1>setting up the first psychiatric department within a pediatric hospital

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<v Speaker 1>in the United States. In short order, he became the

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<v Speaker 1>field's most prominent figure. But at the start, the hospital

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<v Speaker 1>provided Connor with just a small room that had a

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<v Speaker 1>washstand and a desk. The little acorn from which the

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<v Speaker 1>oak of the Children's Psychiatric Service at Yarns Hopkins Hospital

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<v Speaker 1>grew was not much to look at. I was installed

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<v Speaker 1>in an abandoned annex and the Harrott Lynn Home, which

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<v Speaker 1>was once used as an isolation ward for children with

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<v Speaker 1>infectious diseases. The room assigned to me had a shaky

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<v Speaker 1>white table, there was no waiting room, and there was

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<v Speaker 1>nobody to look after the children when I interviewed the parents.

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<v Speaker 1>Occasionally an adventurous rodent found its way up from the

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<v Speaker 1>cellar and enabled at the sandwich which I had brought

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<v Speaker 1>for lunch. But it grew from there as Connor became

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<v Speaker 1>a major figure in the United States and eventually around

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<v Speaker 1>the world, whose textbook called Child Psychiatry became the standard

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<v Speaker 1>in the field, and Hopkins itself became the training ground

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<v Speaker 1>for dozens of young doctors who would go on to

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<v Speaker 1>forever change our understanding of pediatric psychiatry. And it's where

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<v Speaker 1>one day in the summer of Connor received a letter

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<v Speaker 1>from the father of Donald Triplet. Now John and I

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<v Speaker 1>knew something about the backstory of this letter. We know

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<v Speaker 1>that back in forest, Beaman triplet dictated to his secretary

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<v Speaker 1>while she filled her notepad with shorthand then she typed

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<v Speaker 1>it all up. Beamon wasn't just a successful lawyer. He

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<v Speaker 1>was a man with first rate observational skill, and he

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<v Speaker 1>was determined to compose a really full, complete, comprehensive biography

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<v Speaker 1>of this four year old child that he and his

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<v Speaker 1>wife had sent away. And this letter he wrote would

0:14:11.960 --> 0:14:14.880
<v Speaker 1>turn out to be a game changer. In time. His

0:14:14.960 --> 0:14:17.840
<v Speaker 1>words would travel far and wide around the world. They

0:14:17.880 --> 0:14:20.840
<v Speaker 1>would be quoted in scholarly research, They would be discussed

0:14:20.840 --> 0:14:24.720
<v Speaker 1>in university classrooms. They would be translated into many many languages.

0:14:25.520 --> 0:14:28.000
<v Speaker 1>But on that human day and forest, it was just

0:14:28.280 --> 0:14:32.280
<v Speaker 1>one father speaking from his heart about his boy. You

0:14:32.320 --> 0:14:35.320
<v Speaker 1>seem to be self satisfied. He is never glad to

0:14:35.360 --> 0:14:39.240
<v Speaker 1>say father or mother. He has no apparent affection when petted,

0:14:39.640 --> 0:14:42.960
<v Speaker 1>it does not observe the fact that anyone combs or goes. It.

0:14:43.000 --> 0:14:46.040
<v Speaker 1>Never seemed glad to say father or mother or any playmate.

0:14:46.680 --> 0:14:50.000
<v Speaker 1>He seems to draw into his shell and live within himself.

0:14:50.000 --> 0:14:53.440
<v Speaker 1>He seldom comes to anyone when called, but actually picked

0:14:53.480 --> 0:14:55.920
<v Speaker 1>up and carried or led wherever he ought to go.

0:14:56.920 --> 0:15:01.600
<v Speaker 1>Beamon described Donald's eating habits, his verbal patterns, the age

0:15:01.600 --> 0:15:04.640
<v Speaker 1>of which he learned to walk and count and hum

0:15:04.640 --> 0:15:08.760
<v Speaker 1>and sane. And here's the thing, Little Donald showed glimmers

0:15:08.760 --> 0:15:11.640
<v Speaker 1>of real brilliance for a young child, and has just

0:15:11.800 --> 0:15:14.520
<v Speaker 1>tantalized his parents to see how he dialed in on

0:15:14.560 --> 0:15:18.160
<v Speaker 1>activities that captivated him in such an intense way at

0:15:18.160 --> 0:15:20.480
<v Speaker 1>the age of two, that will memorize the words of

0:15:20.520 --> 0:15:23.200
<v Speaker 1>many songs and the melodies that went with them, the

0:15:23.280 --> 0:15:26.800
<v Speaker 1>names of all of the presidents of the United States.

0:15:26.800 --> 0:15:30.280
<v Speaker 1>But here's the other thing. According to his father, Donald

0:15:30.280 --> 0:15:33.440
<v Speaker 1>could do little with these facts beyond reciting them rotely.

0:15:33.920 --> 0:15:36.560
<v Speaker 1>He said that conversation with his son was impossible because

0:15:36.600 --> 0:15:38.680
<v Speaker 1>Donald seemed to have no interest in people, and he

0:15:38.720 --> 0:15:42.600
<v Speaker 1>wasn't learning to ask or answer questions. In fact, he said,

0:15:42.600 --> 0:15:46.280
<v Speaker 1>his son seemed unreachable by any of the usual ways

0:15:46.280 --> 0:15:49.840
<v Speaker 1>that parents connect with their kids. He appears to always

0:15:49.840 --> 0:15:54.000
<v Speaker 1>be thinking and thinking, and to get his attention almost

0:15:54.080 --> 0:15:57.280
<v Speaker 1>requires wanted to break down a mental barrier between his

0:15:57.400 --> 0:16:03.560
<v Speaker 1>inner consciousness in the outside world. Beaman's letter went on

0:16:03.680 --> 0:16:07.040
<v Speaker 1>and on like this. By the time as secretary finished

0:16:07.080 --> 0:16:11.080
<v Speaker 1>typing the letter, it ran to thirty three single space pages,

0:16:11.920 --> 0:16:14.200
<v Speaker 1>and it's historic because it would be the basis of

0:16:14.200 --> 0:16:17.520
<v Speaker 1>a landmark account of a child with autism, a term

0:16:17.720 --> 0:16:23.560
<v Speaker 1>and diagnosis that did not yet exist. When we return

0:16:24.240 --> 0:16:27.800
<v Speaker 1>Beaman and Mary Triplets stage a rescue for their little boy.

0:16:31.640 --> 0:16:34.920
<v Speaker 1>So Beaman sent the letter off to Baltimore, and Connor

0:16:35.000 --> 0:16:37.680
<v Speaker 1>received it and he read it, and he wanted to

0:16:37.760 --> 0:16:41.240
<v Speaker 1>see Donald. A date was set, and in those days

0:16:41.240 --> 0:16:44.720
<v Speaker 1>far As, Mississippi was a long way away from Baltimore, Maryland,

0:16:45.120 --> 0:16:47.400
<v Speaker 1>but that's where Donald was heading now for an in

0:16:47.480 --> 0:16:50.800
<v Speaker 1>person meeting with Dr Connor during the first week of October.

0:16:52.760 --> 0:16:57.480
<v Speaker 1>Beamon triplets letter describing Donald is a hugely important document

0:16:57.920 --> 0:17:03.440
<v Speaker 1>because it's just so influential. But sadly for us, for everyone,

0:17:03.600 --> 0:17:07.000
<v Speaker 1>most of what he wrote has been lost. We have

0:17:07.119 --> 0:17:11.440
<v Speaker 1>excerpts quotations from it that Connor published, but the original

0:17:11.760 --> 0:17:16.000
<v Speaker 1>it's gone and there don't seem to be any copies,

0:17:16.320 --> 0:17:19.160
<v Speaker 1>so we've never been able to read the full text,

0:17:20.119 --> 0:17:22.399
<v Speaker 1>not that we didn't try. In fact, we searched for

0:17:22.400 --> 0:17:25.360
<v Speaker 1>that letter a long long time. We pastor Johns Hopkins

0:17:25.359 --> 0:17:28.240
<v Speaker 1>to look through their archives and they never turned it up,

0:17:28.280 --> 0:17:31.400
<v Speaker 1>although we did find some of Donald's initial medical records. There,

0:17:32.119 --> 0:17:34.320
<v Speaker 1>we went through every page of the Connor archive at

0:17:34.320 --> 0:17:37.760
<v Speaker 1>the American Psychiatric Association. Then we went down to Forest

0:17:37.840 --> 0:17:40.080
<v Speaker 1>and visited Beamon's old law office, where there was a

0:17:40.160 --> 0:17:44.600
<v Speaker 1>room stuffed with old, rusting metal file cabinets stuffed with papers,

0:17:44.640 --> 0:17:47.280
<v Speaker 1>but nothing there of that letter. We went to an

0:17:47.320 --> 0:17:50.200
<v Speaker 1>old bank vault in Forest that his family used to

0:17:50.240 --> 0:17:52.880
<v Speaker 1>store the overflow from Beamon's law practice and went through

0:17:52.880 --> 0:17:56.199
<v Speaker 1>all of those filing cabinets. Nothing there. Then Donald let

0:17:56.280 --> 0:17:59.119
<v Speaker 1>us go through all of the cupboards and closets and

0:17:59.240 --> 0:18:01.600
<v Speaker 1>drawers and a x in the house where he grew up.

0:18:01.840 --> 0:18:04.960
<v Speaker 1>His family had saved everything. In fact up in the attic.

0:18:04.960 --> 0:18:07.480
<v Speaker 1>We found love letters between Mary and Beeman in the

0:18:07.560 --> 0:18:11.560
<v Speaker 1>early nineteen twenties, perfectly preserved after a century. But we

0:18:11.680 --> 0:18:15.000
<v Speaker 1>just didn't find what we were looking for, that famous letter.

0:18:17.440 --> 0:18:21.280
<v Speaker 1>So writing that letter was just one step Donald's parents stuff.

0:18:21.920 --> 0:18:25.399
<v Speaker 1>The next one was even more important in Donald's life.

0:18:26.040 --> 0:18:28.760
<v Speaker 1>They had sent him away because they were told it

0:18:28.800 --> 0:18:32.560
<v Speaker 1>was the right thing to do. Now they decided it

0:18:32.600 --> 0:18:36.960
<v Speaker 1>wasn't the right thing at all. Here's Donald's nephew, Oh B. Triplett.

0:18:37.560 --> 0:18:39.360
<v Speaker 1>I think one day. So she said, you know what,

0:18:39.840 --> 0:18:42.439
<v Speaker 1>I'm not doing this. I am not doing this. It

0:18:42.520 --> 0:18:44.719
<v Speaker 1>doesn't you know, doesn't pay all right or whatever. And

0:18:44.760 --> 0:18:46.920
<v Speaker 1>then you know, we're going to turn the page and

0:18:47.200 --> 0:18:49.359
<v Speaker 1>started to know the chapter in the life of Don.

0:18:50.320 --> 0:18:52.720
<v Speaker 1>So they drove back down to that institution and they

0:18:52.840 --> 0:18:55.760
<v Speaker 1>told the director they were taking Donald out and taking

0:18:55.800 --> 0:18:59.280
<v Speaker 1>him back home. And here's the amazing thing. They got

0:18:59.320 --> 0:19:03.320
<v Speaker 1>pushed back. Okay, the director insisted, and this is a quote.

0:19:03.600 --> 0:19:06.879
<v Speaker 1>Donald is getting along nicely now, and he said they

0:19:06.880 --> 0:19:10.119
<v Speaker 1>should leave him alone, which meant leave him there. But

0:19:10.200 --> 0:19:13.280
<v Speaker 1>Mary's mind was made up. She dressed Donald and clothes

0:19:13.359 --> 0:19:15.720
<v Speaker 1>she had brought him from home, and then the three

0:19:15.760 --> 0:19:18.680
<v Speaker 1>of them got in the car and they drove home

0:19:18.720 --> 0:19:25.360
<v Speaker 1>together and now to Baltimore. Donald had just turned five

0:19:25.400 --> 0:19:27.760
<v Speaker 1>a few days earlier when he and his parents boarded

0:19:27.800 --> 0:19:31.280
<v Speaker 1>the train in Meridian, Mississippi. The train journey took two

0:19:31.359 --> 0:19:35.199
<v Speaker 1>days across seven states, and for Donald, we imagine this

0:19:35.240 --> 0:19:39.000
<v Speaker 1>trip must have been one of those bewildering, maybe mesmerizing

0:19:39.040 --> 0:19:43.480
<v Speaker 1>explosions of new sensory experiences. I mean, don't we all

0:19:43.520 --> 0:19:45.840
<v Speaker 1>have that experience in a train at night, staring out

0:19:45.880 --> 0:19:53.800
<v Speaker 1>the windows, watching the lights, sling through the blackness outside.

0:19:49.560 --> 0:19:57.560
<v Speaker 1>Their journey ended in Baltimore at the Harriet Lane Home

0:19:57.640 --> 0:20:01.720
<v Speaker 1>for Invalid Children. After a physical exam, Donald was led

0:20:01.760 --> 0:20:04.520
<v Speaker 1>into a hospital library and presented to a group of

0:20:04.600 --> 0:20:09.040
<v Speaker 1>roughly thirty physicians. Donald blocked eyes on some alphabet blocks

0:20:09.040 --> 0:20:12.120
<v Speaker 1>in one of the doctor's hands. He grabbed them and

0:20:12.280 --> 0:20:17.760
<v Speaker 1>started spinning them, seemingly completely oblivious to anything else going on.

0:20:18.400 --> 0:20:20.399
<v Speaker 1>And a little later he walked up to one of

0:20:20.440 --> 0:20:23.399
<v Speaker 1>the older doctors and reached up to stroke his beard.

0:20:24.280 --> 0:20:27.119
<v Speaker 1>Our research on Donald's story brought us to the library

0:20:27.160 --> 0:20:30.920
<v Speaker 1>at the American Psychiatric Association in Arlington, Virginia. He spent

0:20:30.960 --> 0:20:34.440
<v Speaker 1>a lot of time there and found, amongst many other things,

0:20:34.480 --> 0:20:38.720
<v Speaker 1>that Leo Connor had written an unpublished autobiography. More recently,

0:20:38.760 --> 0:20:41.359
<v Speaker 1>a series of audio recordings of long interviews Connor sat

0:20:41.400 --> 0:20:44.200
<v Speaker 1>for in the late nineteen sixties and nineteen seventies was discovered,

0:20:44.560 --> 0:20:46.639
<v Speaker 1>and Karen, you made a really interesting find in the

0:20:46.680 --> 0:20:49.920
<v Speaker 1>Hopkins archives, the intake notes on Donald for when he

0:20:49.960 --> 0:20:52.520
<v Speaker 1>first got to Hopkins. Yeah, they were only a few

0:20:52.560 --> 0:20:55.560
<v Speaker 1>pages long, but no journalists had ever seen them before.

0:20:56.840 --> 0:21:00.560
<v Speaker 1>In October nine hundred and thirty eight, a five year

0:21:00.560 --> 0:21:04.159
<v Speaker 1>old boy was brought to me from Forest, Mississippi. I

0:21:04.240 --> 0:21:08.800
<v Speaker 1>was struck by the uniqueness of the peculiarities which Donald exhibited.

0:21:09.560 --> 0:21:12.240
<v Speaker 1>He could, since the age of two and a half years,

0:21:12.760 --> 0:21:16.640
<v Speaker 1>tell the names of all presidents and vice presidents, recite

0:21:16.760 --> 0:21:21.040
<v Speaker 1>the letters of the alphabet forwards and backwards, and flawlessly,

0:21:21.200 --> 0:21:25.200
<v Speaker 1>with good enunciation, rattle off the twenty third song. Yet

0:21:25.240 --> 0:21:29.680
<v Speaker 1>he was unable to carry on an ordinary conversation. He

0:21:29.760 --> 0:21:32.240
<v Speaker 1>was out of contact with people. What he could handle

0:21:32.280 --> 0:21:37.440
<v Speaker 1>objects skillfully, His memory was phenomenal. The few times when

0:21:37.440 --> 0:21:41.720
<v Speaker 1>he addressed someone, largely to satisfy his wants, he referred

0:21:41.760 --> 0:21:44.680
<v Speaker 1>to himself as you and to the person a desk

0:21:44.760 --> 0:21:48.720
<v Speaker 1>as I. He didn't respond to any form of intelligence testing,

0:21:49.320 --> 0:21:55.480
<v Speaker 1>but manipulated intricate form boards jointly. Donald remained in Baltimore

0:21:55.560 --> 0:21:59.199
<v Speaker 1>for two weeks observation and study at the Child Study Center,

0:21:59.320 --> 0:22:04.520
<v Speaker 1>on whose the directors I was a member, and of

0:22:04.560 --> 0:22:06.560
<v Speaker 1>course Connor and his colleagues remarked on all of the

0:22:06.600 --> 0:22:10.560
<v Speaker 1>ways that Donald appeared to isolate himself. Connor observed that

0:22:10.640 --> 0:22:13.560
<v Speaker 1>Donald showed disappointment when he didn't get his way, and

0:22:13.640 --> 0:22:17.320
<v Speaker 1>it seemed that he did like getting praise. That's all

0:22:17.359 --> 0:22:20.400
<v Speaker 1>stuff a typical child would do. But Connor also noted

0:22:20.400 --> 0:22:24.320
<v Speaker 1>Donald doing some really unusual things. For example, he would

0:22:24.320 --> 0:22:26.720
<v Speaker 1>walk around drawing letters in the air with his fingers

0:22:26.760 --> 0:22:31.280
<v Speaker 1>and speaking out random words like semicolon and capital and

0:22:31.680 --> 0:22:35.000
<v Speaker 1>twelve twelve. He chewed on paper, he put food in

0:22:35.080 --> 0:22:38.200
<v Speaker 1>his hair, he threw books into the toilet, he put

0:22:38.200 --> 0:22:41.480
<v Speaker 1>a key down the water drain, he threw temper tantrums,

0:22:41.480 --> 0:22:44.560
<v Speaker 1>he climbed all over the furniture. So Donald spent two

0:22:44.560 --> 0:22:47.840
<v Speaker 1>weeks being observed in Baltimore, and after that the family

0:22:47.880 --> 0:22:50.600
<v Speaker 1>went back home to Mississippi, and from that point on,

0:22:50.680 --> 0:22:54.520
<v Speaker 1>Mary started sending almost monthly letters to Connor describing how

0:22:54.560 --> 0:22:56.320
<v Speaker 1>he was doing at home, and some of what she

0:22:56.359 --> 0:22:59.280
<v Speaker 1>wrote showed some real development going on. He learned to

0:22:59.280 --> 0:23:02.520
<v Speaker 1>read fluently and to play simple tunes on the piano.

0:23:02.640 --> 0:23:05.760
<v Speaker 1>He began responding to yes or no questions. He started

0:23:05.760 --> 0:23:09.160
<v Speaker 1>building things with his blocks, watering flowers with his hose,

0:23:09.840 --> 0:23:14.000
<v Speaker 1>playing store with the household groceries. Yet it was clear

0:23:14.000 --> 0:23:18.399
<v Speaker 1>that Donald still had some serious challenges, and he made

0:23:18.520 --> 0:23:21.240
<v Speaker 1>several more visits to Baltimore over the next few years,

0:23:21.280 --> 0:23:24.560
<v Speaker 1>kind of becoming one of Connor's favorite patients. The truth

0:23:24.640 --> 0:23:27.520
<v Speaker 1>is Donald fascinated le O'Connor and made him want to

0:23:27.520 --> 0:23:31.520
<v Speaker 1>figure out exactly how this boy was different and why,

0:23:31.760 --> 0:23:35.399
<v Speaker 1>and Donald's parents wanted to know the same thing. We

0:23:35.480 --> 0:23:38.680
<v Speaker 1>found some correspondence between Connor and Mary where she admitted

0:23:38.720 --> 0:23:42.879
<v Speaker 1>to being worried that she had quote a hopelessly insane child.

0:23:43.640 --> 0:23:46.600
<v Speaker 1>Connor took these feelings seriously, and he wanted her to

0:23:46.640 --> 0:23:49.760
<v Speaker 1>be more optimistic. In his next letter, he urged her

0:23:49.840 --> 0:23:54.320
<v Speaker 1>to quote refrain from that type of gloom. Many times

0:23:54.359 --> 0:23:57.080
<v Speaker 1>he wrote to reassure her that our efforts to help

0:23:57.119 --> 0:24:02.520
<v Speaker 1>Donald were splendid and often heroic. Donald, he insisted, was

0:24:02.640 --> 0:24:06.520
<v Speaker 1>fortunate in having you for a mother. Important things were

0:24:06.520 --> 0:24:09.520
<v Speaker 1>happening in Donald's life during these years. In the fall

0:24:09.560 --> 0:24:12.639
<v Speaker 1>of nineteen thirty nine, he began the first grade. Mary

0:24:12.720 --> 0:24:17.280
<v Speaker 1>wrote Connor about that also October nineteen thirty nine. The

0:24:17.359 --> 0:24:21.080
<v Speaker 1>first day was very trying for him, but each succeeding

0:24:21.160 --> 0:24:25.760
<v Speaker 1>day he's improved very much. Dawn is much more independent.

0:24:26.080 --> 0:24:29.280
<v Speaker 1>He wants to do many things for herself. He marches

0:24:29.320 --> 0:24:33.000
<v Speaker 1>in line nicely, answers when called upon, and is more

0:24:33.080 --> 0:24:37.760
<v Speaker 1>bidable and obedient. In March of nineteen forty, in the

0:24:37.760 --> 0:24:40.800
<v Speaker 1>middle of the first grade year, Mary noted to Connor,

0:24:41.200 --> 0:24:44.560
<v Speaker 1>the greatest improvement I noticed is in his awareness of

0:24:44.640 --> 0:24:48.119
<v Speaker 1>things about him. He talks very much more and asked

0:24:48.119 --> 0:24:52.000
<v Speaker 1>a good many questions. Not often does he voluntarily tell

0:24:52.040 --> 0:24:55.160
<v Speaker 1>me things at school, but if I asked leading questions,

0:24:55.200 --> 0:24:59.240
<v Speaker 1>he answers them correctly. He really enters into the gangs

0:24:59.240 --> 0:25:02.959
<v Speaker 1>with other children. One day he enlisted the family in

0:25:03.080 --> 0:25:06.200
<v Speaker 1>one game he had just learned, telling each of us

0:25:06.320 --> 0:25:09.879
<v Speaker 1>just what to do. Donald paid another visit to Connor.

0:25:10.080 --> 0:25:14.679
<v Speaker 1>In one he was inexhaustible and bringing up variations like

0:25:14.880 --> 0:25:16.840
<v Speaker 1>how many days in a week, years in a century,

0:25:16.880 --> 0:25:18.920
<v Speaker 1>hours in a day, hours and a half day, weeks

0:25:18.920 --> 0:25:21.639
<v Speaker 1>in a century, centuries and a half a millennium. So

0:25:21.680 --> 0:25:25.000
<v Speaker 1>it's now four years since Connor and Donald met, and

0:25:25.040 --> 0:25:28.960
<v Speaker 1>Mary starting to get impatient for something. She wants a

0:25:29.040 --> 0:25:34.280
<v Speaker 1>solid explanation, a diagnosis. She writes to Connor, complaining that

0:25:34.320 --> 0:25:37.919
<v Speaker 1>he had given her only generalities. The truth was, he

0:25:38.000 --> 0:25:41.119
<v Speaker 1>confessed that he still simply could not match Donald with

0:25:41.200 --> 0:25:45.280
<v Speaker 1>any familiar or standard label, nothing that was in the textbooks,

0:25:45.560 --> 0:25:50.200
<v Speaker 1>nor could he predict Donald's future prospects. Donald's behaviors comprised

0:25:50.200 --> 0:25:53.280
<v Speaker 1>the syndrome. Connor was still struggling to see in full.

0:25:53.840 --> 0:25:56.040
<v Speaker 1>But then he told her some news that he was

0:25:56.080 --> 0:25:59.040
<v Speaker 1>beginning to realize that Donald had a novel kind of syndrome.

0:25:59.520 --> 0:26:02.600
<v Speaker 1>He said, he is putting together a paper detailing the

0:26:02.640 --> 0:26:06.080
<v Speaker 1>outlines of this new diagnosis. He kept this news to himself,

0:26:06.080 --> 0:26:08.840
<v Speaker 1>he said, because he wanted to have sufficient time to

0:26:08.880 --> 0:26:12.960
<v Speaker 1>observe the children and follow their development. Soon, however, he

0:26:13.000 --> 0:26:15.320
<v Speaker 1>intended to go public with these findings and to give

0:26:15.440 --> 0:26:20.320
<v Speaker 1>his discovery a name. In Dr Leo O'Connor published his

0:26:20.400 --> 0:26:26.159
<v Speaker 1>landmark paper Autistic Disturbances of Effective Contact. For here we

0:26:26.280 --> 0:26:32.040
<v Speaker 1>seem to have pure cultural examples of inborn artistic disturbances

0:26:32.040 --> 0:26:37.040
<v Speaker 1>of effective conduct. The way Connor describes autism, the way

0:26:37.040 --> 0:26:39.480
<v Speaker 1>he wrote about it, and the language he used, was

0:26:39.640 --> 0:26:43.760
<v Speaker 1>remarkable in itself. What he did made autism, you know,

0:26:43.920 --> 0:26:47.639
<v Speaker 1>sort of a thing because it was so clear and

0:26:48.359 --> 0:26:52.919
<v Speaker 1>accessible to the reader. That's Dr Joseph Pivet. I'm a

0:26:52.920 --> 0:26:57.720
<v Speaker 1>psychiatrist with training and child menolyist and psychiatry and adult psychiatry.

0:26:58.440 --> 0:27:02.200
<v Speaker 1>I've done a number of different things in my research career.

0:27:02.520 --> 0:27:06.159
<v Speaker 1>Now is looking at infants at high familiar risk for

0:27:06.240 --> 0:27:09.360
<v Speaker 1>autism and following them over time, looking at how their

0:27:09.400 --> 0:27:13.280
<v Speaker 1>brains develop and their behavior, and have kind of connected

0:27:13.400 --> 0:27:17.760
<v Speaker 1>with leo'connor in that area. Dr Piven is a big

0:27:17.840 --> 0:27:21.080
<v Speaker 1>fan of Leo connor's. I give a lot of talks

0:27:21.119 --> 0:27:24.679
<v Speaker 1>to trainees and students and particularly those that don't know

0:27:24.680 --> 0:27:29.560
<v Speaker 1>about autism, maybe graduate students in neuroscience, and and I

0:27:29.640 --> 0:27:33.160
<v Speaker 1>asked the students to read that first paper because while

0:27:33.200 --> 0:27:37.320
<v Speaker 1>it's not synonymous with the breath and of the way

0:27:37.320 --> 0:27:40.439
<v Speaker 1>we think about autism today, it's just so rich and

0:27:40.520 --> 0:27:43.760
<v Speaker 1>it's description. I often talk about how you could you

0:27:43.760 --> 0:27:46.400
<v Speaker 1>could read the d s M all day and sit

0:27:46.480 --> 0:27:49.000
<v Speaker 1>on the bus next to somebody with autism and not

0:27:49.119 --> 0:27:51.879
<v Speaker 1>realize that they have autism. But if you read Lee

0:27:51.880 --> 0:27:55.520
<v Speaker 1>O'Connor's accounts, it just as you say, leaps off the page.

0:27:56.280 --> 0:27:59.119
<v Speaker 1>You know, not only was he institute observer in general

0:27:59.160 --> 0:28:01.640
<v Speaker 1>and a great writer, but he was able to kind

0:28:01.680 --> 0:28:05.560
<v Speaker 1>of distill some of the essential features out that are

0:28:05.600 --> 0:28:07.960
<v Speaker 1>still with us today. And we're still sort of wrestling

0:28:08.000 --> 0:28:13.840
<v Speaker 1>with terms that really kind of have persisted in our conversation,

0:28:14.400 --> 0:28:19.359
<v Speaker 1>like insistence on sameness, something that's important to understand the

0:28:19.480 --> 0:28:23.159
<v Speaker 1>term autistic wasn't something that Connor came up with on

0:28:23.200 --> 0:28:25.640
<v Speaker 1>his own. It had been quite a few decades earlier

0:28:25.680 --> 0:28:27.879
<v Speaker 1>to describe a behavior that was thought to be unique

0:28:27.880 --> 0:28:32.440
<v Speaker 1>to schizophrenia, where people sometimes withdraw for a while socially

0:28:32.480 --> 0:28:35.400
<v Speaker 1>and appear to lose contact with the outer world. So

0:28:35.680 --> 0:28:39.240
<v Speaker 1>back in the nineteen thirties and nineties, psychiatrists who described

0:28:39.240 --> 0:28:42.600
<v Speaker 1>somebody as autistic or displaying autism meant only that the

0:28:42.600 --> 0:28:45.520
<v Speaker 1>person was behaving that way, that socially withdrawn way for

0:28:45.600 --> 0:28:49.120
<v Speaker 1>the moment. It described one symptom, not a syndrome, and

0:28:49.200 --> 0:28:52.080
<v Speaker 1>definitely it did not yet describe the diagnosis we know today.

0:28:52.680 --> 0:28:56.320
<v Speaker 1>Various psychiatrists applied it to various people with various constellations

0:28:56.320 --> 0:28:59.480
<v Speaker 1>of behaviors, and now Connor was using it to characterize

0:28:59.480 --> 0:29:02.400
<v Speaker 1>something about the complex set of behaviors he saw Donald

0:29:02.400 --> 0:29:06.120
<v Speaker 1>and the other children that together he believed constituted a single,

0:29:06.560 --> 0:29:13.560
<v Speaker 1>never before recognized diagnosis. Here's Connor again, in in my

0:29:13.640 --> 0:29:18.719
<v Speaker 1>search find appropriate designation, I decided on the term early

0:29:18.920 --> 0:29:25.080
<v Speaker 1>infantile autism, thus accentuating the time of the first manifestations

0:29:25.120 --> 0:29:30.400
<v Speaker 1>and the children's limited accessibility. Years later, Dr Connor claimed

0:29:30.400 --> 0:29:35.280
<v Speaker 1>that identifying autism was serendipity. He didn't discover this syndrome,

0:29:35.360 --> 0:29:40.200
<v Speaker 1>he said, because it was always there. Connor, however, news

0:29:40.200 --> 0:29:43.960
<v Speaker 1>that in psychiatry the obvious often went unrecognized until someone

0:29:44.000 --> 0:29:46.200
<v Speaker 1>looked at it with the right set of eyes. And

0:29:46.280 --> 0:29:51.000
<v Speaker 1>that's what leo'connor had meeting Donald. Thinking about Donald gave

0:29:51.080 --> 0:29:54.480
<v Speaker 1>him the right set of eyes to recognize what today

0:29:54.680 --> 0:30:04.560
<v Speaker 1>we call autism. Today we call it autism, but there

0:30:04.640 --> 0:30:06.800
<v Speaker 1>was a time and you can still find this in

0:30:06.840 --> 0:30:09.720
<v Speaker 1>the medical literature from the nineteen fifties when the syndrome

0:30:09.800 --> 0:30:12.840
<v Speaker 1>that Leo Connor wrote about was called by many professionals

0:30:13.320 --> 0:30:19.320
<v Speaker 1>Connor's syndrome. In the mid twentieth century, having a syndrome

0:30:19.400 --> 0:30:22.280
<v Speaker 1>named for you is considered a great honor, but Connor

0:30:22.640 --> 0:30:28.000
<v Speaker 1>didn't really go for it. I'm identified little too closely

0:30:28.320 --> 0:30:31.560
<v Speaker 1>with one particular thing that I did, and that I

0:30:31.640 --> 0:30:37.680
<v Speaker 1>consider a vignette of my activities rather than the main principle.

0:30:37.840 --> 0:30:42.000
<v Speaker 1>But now autism is identified with me, and I with it.

0:30:43.120 --> 0:30:45.000
<v Speaker 1>I think it just speaks to the fact that he

0:30:45.080 --> 0:30:49.120
<v Speaker 1>was an incredible human being, and incredible human beings don't

0:30:49.240 --> 0:30:52.880
<v Speaker 1>try and sell themselves on one thing they accomplished, that's

0:30:53.080 --> 0:30:56.560
<v Speaker 1>Dr Piven. If you train at Hopkins and Child Psychiatry,

0:30:56.680 --> 0:31:00.840
<v Speaker 1>interacting with Leo Connor is on a warble, you know.

0:31:01.040 --> 0:31:05.600
<v Speaker 1>So he clearly was the first director of child psychiatry Hopkins.

0:31:05.640 --> 0:31:09.400
<v Speaker 1>That's not a small thing in those days. He wrote

0:31:09.400 --> 0:31:13.600
<v Speaker 1>the first textbook on child psychiatry, so he essentially established

0:31:13.840 --> 0:31:17.120
<v Speaker 1>the field of child psychiatry. But he also used his

0:31:17.160 --> 0:31:20.280
<v Speaker 1>stature and position in some of the cultural wars of

0:31:20.360 --> 0:31:23.240
<v Speaker 1>his era. Remember he was working when ideas like eugenic

0:31:23.320 --> 0:31:26.360
<v Speaker 1>still had a huge following among important people. Well, here's

0:31:26.360 --> 0:31:28.920
<v Speaker 1>a clip of Connor describing an argument he started at

0:31:28.960 --> 0:31:34.240
<v Speaker 1>the American Psychiatric Association meeting in twenty five years ago.

0:31:34.360 --> 0:31:37.680
<v Speaker 1>At the meeting of the a p A in Richmond

0:31:37.760 --> 0:31:42.320
<v Speaker 1>in nineteen forty one, then famous neurologists from New York

0:31:42.440 --> 0:31:46.520
<v Speaker 1>gave a talk on euthanasia for the feeble minded, with

0:31:46.640 --> 0:31:50.680
<v Speaker 1>the general feeling they are dragon society off with their

0:31:50.720 --> 0:31:55.360
<v Speaker 1>heads too much money. I rarely get real angry, but

0:31:55.440 --> 0:31:59.320
<v Speaker 1>they did at the time, and there was no discussion anticipated,

0:31:59.400 --> 0:32:02.479
<v Speaker 1>but I got up and had my say, whereupon I

0:32:02.560 --> 0:32:04.880
<v Speaker 1>was asked to give a talk the next year at

0:32:04.880 --> 0:32:08.880
<v Speaker 1>the two meeting in Boston, which I did, and which

0:32:08.880 --> 0:32:13.760
<v Speaker 1>I called Exoneration of the feeble Minded. You know, Connor's

0:32:13.840 --> 0:32:16.880
<v Speaker 1>use of the term feeble minded reminds us that he

0:32:16.920 --> 0:32:19.160
<v Speaker 1>was still very much a man of his time, But

0:32:19.240 --> 0:32:22.200
<v Speaker 1>the fact that he was doing battle with the eugenicists

0:32:22.240 --> 0:32:25.360
<v Speaker 1>also shows us how he was ahead of his time too,

0:32:25.760 --> 0:32:29.719
<v Speaker 1>and that he pioneered the entire field of child psychiatry,

0:32:29.720 --> 0:32:34.240
<v Speaker 1>which took that special ability to listen and to empathize.

0:32:34.720 --> 0:32:36.680
<v Speaker 1>It really helped to open the door to a lot

0:32:36.720 --> 0:32:41.239
<v Speaker 1>of progress and growth and killing. And yes, if he

0:32:41.360 --> 0:32:45.240
<v Speaker 1>hadn't survived being hit by that train, who knows where

0:32:45.280 --> 0:32:48.680
<v Speaker 1>we'd be. But we know Connor would never have met Donald,

0:32:49.400 --> 0:32:53.200
<v Speaker 1>and Donald would never have met Connor. And in this

0:32:53.320 --> 0:32:55.520
<v Speaker 1>version of how autism came to be known to the

0:32:55.520 --> 0:32:59.920
<v Speaker 1>world at large, well the two of them meeting, it's

0:33:00.080 --> 0:33:08.080
<v Speaker 1>how it did happen, and it really was everything. I'm

0:33:08.160 --> 0:33:11.760
<v Speaker 1>John don Vent and I'm Karen Zuker. Autism's First Child

0:33:11.880 --> 0:33:14.640
<v Speaker 1>is a production of School of Humans and I Heart Podcasts,

0:33:14.680 --> 0:33:17.760
<v Speaker 1>and it's based on our book and our documentary film

0:33:17.800 --> 0:33:21.280
<v Speaker 1>in a different Key. Autism's First Child is produced by

0:33:21.280 --> 0:33:24.720
<v Speaker 1>Alexander Ritchie our story. Editors are Matt Riddle and Alex French,

0:33:24.880 --> 0:33:28.600
<v Speaker 1>senior staff writer at I Heeart Originals. Original score composed

0:33:28.600 --> 0:33:32.920
<v Speaker 1>and mixed by Alice McCoy. Additional scoring, mixing and mastering

0:33:33.000 --> 0:33:38.520
<v Speaker 1>by Alexander Ritchie. Executive producers are Virginia Prescott, Brandon Barr,

0:33:38.680 --> 0:33:43.240
<v Speaker 1>Elsie Crowley and Jason English. Special thanks to Ray Conley, Ernie,

0:33:43.240 --> 0:33:46.880
<v Speaker 1>Indra Doot and Will Pearson. Editing an assembly by Kareem

0:33:46.880 --> 0:33:50.240
<v Speaker 1>ben Yagoub. Voice worked by Louis Carloso, Ben Ritchie and

0:33:50.360 --> 0:33:53.400
<v Speaker 1>Missy Ritchie for the recordings of Dr Lee O'Connor. Special

0:33:53.440 --> 0:33:57.160
<v Speaker 1>thanks to Dina Goreland of the American Psychiatric Association Foundation,

0:33:57.360 --> 0:34:01.080
<v Speaker 1>Melvin Saption, Empty Librarian Archives, and A p A Foundation

0:34:06.080 --> 0:34:08.759
<v Speaker 1>School of Humans m