
Episode #119
Who Speaks for Profound Autism? The Fight Over the Future of Autism Research with Tyler Hudson & Olivia Rojo
Who gets represented when the government decides the future of autism research? In this episode of INCHSTONES, Sarah Kernion is joined by advocates Tyler Hudson and Olivia Rojo for an urgent conversation about profound autism, caregiver stories, special needs parenting, and the families asking federal autism research to better reflect people with the most significant support needs. At the center of the conversation is the Interagency Autism Coordinating Committee (IACC) and its working draft for the next federal autism strategic plan. Sarah, Tyler, and Olivia discuss why the proposal has generated such intense debate—and why families raising children with profound autism believe this moment could help bring greater attention to a population they say has too often been missing from autism research. But this conversation goes far beyond one government document. What should autism research be trying to understand? Should researchers investigate causes, regression, medical complexity, communication challenges, gastrointestinal problems and other co-occurring conditions? How do we improve quality of life for autistic people today while still investigating the most disabling presentations of autism? And perhaps most importantly: who speaks for autistic people who cannot advocate for themselves? Tyler and Olivia discuss the tension between autism self-advocacy and parent advocacy, including their concern that conversations about autism acceptance can sometimes fail to represent families living with profound disability. They argue that acknowledging severe disability does not diminish an autistic person's dignity—and that accepting an autistic person and wanting to understand the causes of their suffering are not mutually exclusive. Olivia also shares the reality behind her advocacy: she is moving to another state seeking better care for her daughter while leaving her older daughter behind. Her family's experience opens a larger conversation about autism sibling dynamics, caregiver stress, profound care needs, and what happens when today's siblings become tomorrow's next of kin. Tyler shares his own family's experience trying to understand his son's recurring gastrointestinal problems and the exhaustion of parents being told, once again, that they are essentially responsible for experimenting, observing, adjusting, and trying to determine what helps their child. The three also confront a difficult reality of nonverbal autism and special needs parenting: much of the labor and suffering involved is invisible to people who have never lived it. Families may navigate dysregulation, communication barriers, medical issues, hypervigilance, sibling impact, and uncertainty about lifelong care—while simultaneously being criticized for talking publicly about those realities. This isn't a conversation asking for pity. It's a conversation asking for visibility, research, better systems, and the willingness to remain curious about what we still don't understand about autism. As Sarah says near the end of the episode: Severity is not the opposite of dignity. Families can fully love and accept an autistic person while still asking why they are suffering, what medicine may be missing, and what science still needs to understand. In This Episode 00:00 — Why Sarah, Tyler and Olivia came together for this conversation 01:55 — What families should understand about the IACC working draft 03:25 — “Autism is not a reason to stop looking” 03:50 — Profound autism and representation in autism research 06:35 — Why visibility matters for families with significant support needs 07:05 — Olivia's decision to move states seeking better care for her daughter 08:45 — Profound autism, terminology and representation 09:50 — Who advocates for autistic people who cannot self-advocate? 14:05 — What the proposed autism research framewor...






