0:00:01.119,0:00:03.027 I always wanted to become 0:00:03.027,0:00:05.867 a walking laboratory of social engagement, 0:00:05.867,0:00:09.943 to resonate other people's feelings, thoughts, 0:00:09.943,0:00:14.999 intentions, motivations, in the act of being with them. 0:00:14.999,0:00:20.878 As a scientist, I always wanted to measure that resonance, 0:00:20.879,0:00:23.377 that sense of the other that happens so quickly, 0:00:23.377,0:00:25.682 in the blink of an eye. 0:00:25.682,0:00:28.032 We intuit other people's feelings. 0:00:28.032,0:00:29.019 We know the meaning of their actions 0:00:29.019,0:00:31.959 even before they happen. 0:00:31.959,0:00:33.857 We're always in this stance of being 0:00:33.857,0:00:36.828 the object of somebody else's subjectivity. 0:00:36.828,0:00:40.025 We do that all the time. We just can't shake it off. 0:00:40.025,0:00:41.676 It's so important that the very tools that we use 0:00:41.676,0:00:44.079 to understand ourselves, to understand 0:00:44.079,0:00:48.226 the world around them, is shaped by that stance. 0:00:48.226,0:00:51.460 We are social to the core. 0:00:51.460,0:00:54.234 So my journey in autism really started when I lived 0:00:54.234,0:00:57.811 in a residential unit for adults with autism. 0:00:57.811,0:01:01.129 Most of those individuals had spent most of their lives 0:01:01.129,0:01:05.021 in long-stay hospitals. This is a long time ago. 0:01:05.021,0:01:09.303 And for them, autism was devastating. 0:01:09.303,0:01:12.558 They had profound intellectual disabilities. 0:01:12.558,0:01:15.860 They didn't talk. But most of all, 0:01:15.860,0:01:19.690 they were extraordinarily isolated 0:01:19.690,0:01:22.931 from the world around them, from their environment 0:01:22.931,0:01:25.392 and from the people. 0:01:25.392,0:01:28.244 In fact, at the time, if you walked into a school 0:01:28.244,0:01:32.267 for individuals with autism, you'd hear a lot of noise, 0:01:32.267,0:01:37.730 plenty of commotion, actions, people doing things, 0:01:37.730,0:01:41.455 but they're always doing things by themselves. 0:01:41.455,0:01:45.527 So they may be looking at a light in the ceiling, 0:01:45.527,0:01:48.936 or they may be isolated in the corner, 0:01:48.936,0:01:52.495 or they might be engaged in these repetitive movements, 0:01:52.495,0:01:56.696 in self-stimulatory movements that led them nowhere. 0:01:56.696,0:02:00.095 Extremely, extremely isolated. 0:02:00.095,0:02:03.688 Well, now we know that autism 0:02:03.688,0:02:07.426 is this disruption, the disruption of this resonance 0:02:07.426,0:02:09.770 that I am telling you. 0:02:09.770,0:02:11.728 These are survival skills. 0:02:11.728,0:02:13.879 These are survival skills that we inherited 0:02:13.879,0:02:16.433 over many, many hundreds of thousands of years 0:02:16.433,0:02:18.719 of evolution. 0:02:18.719,0:02:24.033 You see, babies are born in a state of utter fragility. 0:02:24.033,0:02:26.064 Without the caregiver, they wouldn't survive, so it stands 0:02:26.064,0:02:28.447 to reason that nature would endow them with 0:02:28.447,0:02:31.680 these mechanisms of survival. 0:02:31.680,0:02:34.255 They orient to the caregiver. 0:02:34.255,0:02:37.697 From the first days and weeks of life, 0:02:37.697,0:02:41.183 babies prefer to hear human sounds rather than just 0:02:41.183,0:02:43.128 sounds in the environment. 0:02:43.128,0:02:45.138 They prefer to look at people rather than at things, 0:02:45.138,0:02:47.183 and even as they're looking at people, 0:02:47.183,0:02:49.747 they look at people's eyes, because 0:02:49.747,0:02:54.096 the eye is the window to the other person's experiences, 0:02:54.096,0:02:56.214 so much so that they even prefer to look at people who are 0:02:56.214,0:03:00.525 looking at them rather than people who are looking away. 0:03:00.525,0:03:03.131 Well, they orient to the caregiver. 0:03:03.131,0:03:05.458 The caregiver seeks the baby. 0:03:05.458,0:03:09.085 And it's out of this mutually reinforcing choreography 0:03:09.085,0:03:12.904 that a lot that is of importance to the emergence of mind, 0:03:12.904,0:03:17.587 the social mind, the social brain, depends on. 0:03:17.587,0:03:20.268 We always think about autism 0:03:20.268,0:03:25.347 as something that happens later on in life. 0:03:25.347,0:03:30.745 It doesn't. It begins with the beginning of life. 0:03:30.745,0:03:35.049 As babies engage with caregivers, they soon realize 0:03:35.049,0:03:39.256 that, well, there is something in between the ears 0:03:39.256,0:03:40.666 that is very important -- 0:03:40.666,0:03:44.849 it's invisible, you can't see -- but is really critical, 0:03:44.849,0:03:46.308 and that thing is called attention. 0:03:46.308,0:03:49.138 And they learn soon enough, even before they can 0:03:49.138,0:03:51.818 utter one word that they can take that attention 0:03:51.818,0:03:57.555 and move somewhere in order to get things they want. 0:03:57.555,0:04:00.679 They also learn to follow other people's gaze, 0:04:00.679,0:04:02.949 because whatever people are looking at is 0:04:02.949,0:04:06.704 what they are thinking about. 0:04:06.704,0:04:09.346 And soon enough, they start to learn about the meaning 0:04:09.346,0:04:12.771 of things, because when somebody is looking at something 0:04:12.771,0:04:14.823 or somebody is pointing at something, 0:04:14.823,0:04:17.752 they're not just getting a directional cue, 0:04:17.752,0:04:20.310 they are getting the other person's meaning 0:04:20.310,0:04:23.389 of that thing, the attitude, and soon enough 0:04:23.389,0:04:27.488 they start building this body of meanings, 0:04:27.488,0:04:29.801 but meanings that were acquired within the realm 0:04:29.801,0:04:32.202 of social interaction. 0:04:32.202,0:04:34.043 Those are meanings that are acquired as part 0:04:34.043,0:04:38.030 of their shared experiences with others. 0:04:38.030,0:04:44.862 Well, this is a little 15-month-old little girl, 0:04:44.862,0:04:48.594 and she has autism. 0:04:48.594,0:04:52.016 And I am coming so close to her that I am maybe 0:04:52.016,0:04:56.265 two inches from her face, and she's quite oblivious to me. 0:04:56.265,0:04:57.623 Imagine if I did that to you, 0:04:57.623,0:04:59.549 and I came two inches from your face. 0:04:59.549,0:05:01.655 You'd do probably two things, wouldn't you? 0:05:01.655,0:05:05.767 You would recoil. You would call the police. (Laughter) 0:05:05.767,0:05:08.316 You would do something, because it's literally impossible 0:05:08.316,0:05:10.892 to penetrate somebody's physical space 0:05:10.892,0:05:12.247 and not get a reaction. 0:05:12.247,0:05:15.931 We do so, remember, intuitively, effortlessly. 0:05:15.931,0:05:17.348 This is our body wisdom. It's not something that is 0:05:17.348,0:05:21.898 mediated by our language. Our body just knows that, 0:05:21.898,0:05:24.661 and we've known that for a long time. 0:05:24.661,0:05:27.600 And this is not something that happens to humans only. 0:05:27.600,0:05:30.824 It happens to some of our phylatic cousins, 0:05:30.824,0:05:32.818 because if you're a monkey, 0:05:32.818,0:05:34.914 and you look at another monkey, 0:05:34.914,0:05:38.932 and that monkey has a higher hierarchy position than you, 0:05:38.932,0:05:42.485 and that is considered to be a signal or threat, 0:05:42.485,0:05:45.365 well, you are not going to be alive for long. 0:05:45.365,0:05:49.786 So something that in other species are survival mechanisms, 0:05:49.786,0:05:53.207 without them they wouldn't basically live, 0:05:53.207,0:05:55.907 we bring into the context of human beings, 0:05:55.907,0:06:00.070 and this is what we need to simply act, act socially. 0:06:00.070,0:06:02.973 Now, she is oblivious to me, and I am so close to her, 0:06:02.973,0:06:04.971 and you think, maybe she can see you, 0:06:04.971,0:06:06.591 maybe she can hear you. 0:06:06.591,0:06:08.931 Well, a few minutes later, she goes to the corner of 0:06:08.931,0:06:14.530 the room, and she finds a tiny little piece of candy, an M&M. 0:06:14.530,0:06:19.400 So I could not attract her attention, 0:06:19.400,0:06:21.829 but something, a thing, did. 0:06:21.829,0:06:24.471 Now, most of us make a big dichotomy 0:06:24.471,0:06:28.806 between the world of things and the world of people. 0:06:28.806,0:06:33.397 Now, for this girl, that division line is not so clear, 0:06:33.397,0:06:36.527 and the world of people is not attracting her 0:06:36.527,0:06:38.010 as much as we would like. 0:06:38.010,0:06:40.044 Now remember that we learn a great deal 0:06:40.044,0:06:42.445 by sharing experiences. 0:06:42.445,0:06:45.616 Now, what she is doing right now is that 0:06:45.616,0:06:50.095 her path of learning is diverging moment by moment 0:06:50.095,0:06:53.913 as she is isolating herself further and further. 0:06:53.913,0:06:56.879 So we feel sometimes that the brain is deterministic, 0:06:56.879,0:06:59.401 the brain determines who we are going to be. 0:06:59.401,0:07:02.241 But in fact the brain also becomes who we are, 0:07:02.241,0:07:06.254 and at the same time that her behaviors are taking away 0:07:06.254,0:07:09.137 from the realm of social interaction, this is what's happening 0:07:09.137,0:07:14.529 with her mind and this is what's happening with her brain. 0:07:14.529,0:07:20.367 Well, autism is the most strongly genetic condition 0:07:20.367,0:07:23.820 of all developmental disorders, 0:07:23.820,0:07:26.695 and it's a brain disorder. 0:07:26.695,0:07:29.304 It's a disorder that begins much prior to the time 0:07:29.304,0:07:32.170 that the child is born. 0:07:32.170,0:07:35.884 We now know that there is a very broad spectrum of autism. 0:07:35.884,0:07:38.396 There are those individuals who are profoundly 0:07:38.396,0:07:41.394 intellectually disabled, but there are those that are gifted. 0:07:41.394,0:07:43.522 There are those individuals who don't talk at all. 0:07:43.522,0:07:45.794 There are those individuals who talk too much. 0:07:45.794,0:07:48.295 There are those individuals that if you observe them 0:07:48.295,0:07:51.304 in their school, you see them running the periphery fence 0:07:51.304,0:07:53.603 of the school all day if you let them, 0:07:53.603,0:07:55.961 to those individuals who cannot stop coming to you 0:07:55.961,0:07:57.966 and trying to engage you repeatedly, relentlessly, 0:07:57.966,0:08:01.897 but often in an awkward fashion, 0:08:01.897,0:08:05.672 without that immediate resonance. 0:08:05.672,0:08:09.604 Well, this is much more prevalent than we thought at the time. 0:08:09.604,0:08:11.088 When I started in this field, we thought that there were 0:08:11.088,0:08:13.941 four individuals with autism per 10,000, 0:08:13.941,0:08:15.972 a very rare condition. 0:08:15.972,0:08:20.005 Well, now we know it's more like one in 100. 0:08:20.005,0:08:25.028 There are millions of individuals with autism all around us. 0:08:25.028,0:08:28.394 The societal cost of this condition is huge. 0:08:28.394,0:08:31.557 In the U.S. alone, maybe 35 to 80 billion dollars, 0:08:31.557,0:08:34.864 and you know what? Most of those funds are associated 0:08:34.864,0:08:37.044 with adolescents and particularly adults 0:08:37.044,0:08:39.205 who are severely disabled, 0:08:39.205,0:08:41.344 individuals who need wrap-around services, services 0:08:41.344,0:08:44.070 that are very, very intensive, and those services 0:08:44.070,0:08:48.339 can cost in excess of 60 to 80,000 dollars a year. 0:08:48.339,0:08:51.901 Those are individuals who did not benefit from early treatment, 0:08:51.901,0:08:56.360 because now we know that autism creates itself 0:08:56.360,0:08:59.064 as they diverge in that pathway of learning 0:08:59.064,0:09:01.200 that I mentioned to you. 0:09:01.200,0:09:03.613 Were we to be able to identify this condition 0:09:03.613,0:09:07.680 at an earlier point, and intervene and treat, 0:09:07.680,0:09:09.654 I can tell you, and this has been probably 0:09:09.654,0:09:13.034 something that has changed my life in the past 10 years, 0:09:13.034,0:09:16.765 this notion that we can absolutely attenuate 0:09:16.765,0:09:18.922 this condition. 0:09:18.922,0:09:21.301 Also, we have a window of opportunity, because 0:09:21.301,0:09:24.437 the brain is malleable for just so long, 0:09:24.437,0:09:25.789 and that window of opportunity happens 0:09:25.789,0:09:27.492 in the first three years of life. 0:09:27.492,0:09:30.890 It's not that that window closes. It doesn't. 0:09:30.890,0:09:34.459 But it diminishes considerably. 0:09:34.459,0:09:37.563 And yet, the median age of diagnosis in this country 0:09:37.563,0:09:39.714 is still about five years, 0:09:39.714,0:09:41.980 and in disadvantaged populations, 0:09:41.980,0:09:45.229 the populations that don't have access to clinical services, 0:09:45.229,0:09:48.338 rural populations, minorities, 0:09:48.338,0:09:50.957 the age of diagnosis is later still, 0:09:50.957,0:09:53.302 which is almost as if I were to tell you that we are 0:09:53.302,0:09:55.719 condemning those communities to have individuals 0:09:55.719,0:10:00.195 with autism whose condition is going to be more severe. 0:10:00.195,0:10:03.168 So I feel that we have a bio-ethical imperative. 0:10:03.168,0:10:06.025 The science is there, 0:10:06.025,0:10:09.083 but no science is of relevance if it doesn't have an impact 0:10:09.083,0:10:12.741 on the community, and we just can't afford 0:10:12.741,0:10:14.705 that missed opportunity, 0:10:14.705,0:10:17.861 because children with autism become adults with autism, 0:10:17.861,0:10:22.139 and we feel that those things that we can do 0:10:22.139,0:10:24.462 for these children, for those families, early on, 0:10:24.462,0:10:26.856 will have lifetime consequences, 0:10:26.856,0:10:30.952 for the child, for the family, and for the community at large. 0:10:30.952,0:10:33.672 So this is our view of autism. 0:10:33.672,0:10:36.538 There are over a hundred genes that are associated 0:10:36.538,0:10:38.664 with autism. In fact, we believe that there are going to be 0:10:38.664,0:10:43.168 something between 300 and 600 genes associated with autism, 0:10:43.168,0:10:46.839 and genetic anomalies, much more than just genes. 0:10:46.839,0:10:51.430 And we actually have a bit of a question here, 0:10:51.430,0:10:54.915 because if there are so many different causes of autism, 0:10:54.915,0:10:57.930 how do you go from those liabilities 0:10:57.930,0:11:00.930 to the actual syndrome? Because people like myself, 0:11:00.930,0:11:03.615 when we walk into a playroom, 0:11:03.615,0:11:06.835 we recognize a child as having autism. 0:11:06.835,0:11:08.978 So how do you go from multiple causes 0:11:08.978,0:11:12.428 to a syndrome that has some homogeneity? 0:11:12.428,0:11:15.005 And the answer is, what lies in between, 0:11:15.005,0:11:17.660 which is development. 0:11:17.660,0:11:20.776 And in fact, we are very interested in those first 0:11:20.776,0:11:23.515 two years of life, because those liabilities 0:11:23.515,0:11:26.269 don't necessarily convert into autism. 0:11:26.269,0:11:28.765 Autism creates itself. 0:11:28.765,0:11:33.614 Were we to be able to intervene during those years of life, 0:11:33.614,0:11:36.117 we might attenuate for some, and God knows, 0:11:36.117,0:11:39.753 maybe even prevent for others. 0:11:39.753,0:11:41.837 So how do we do that? 0:11:41.837,0:11:44.753 How do we enter that feeling of resonance, 0:11:44.753,0:11:48.778 how do we enter another person's being? 0:11:48.778,0:11:52.276 I remember when I interacted with that 15-month-older, 0:11:52.276,0:11:54.438 that the thing that came to mind was, 0:11:54.438,0:11:56.953 "How do you come into her world? 0:11:56.953,0:12:01.233 Is she thinking about me? Is she thinking about others?" 0:12:01.233,0:12:05.577 Well, it's hard to do that, so we had to create 0:12:05.577,0:12:09.056 the technologies. We had to basically step inside a body. 0:12:09.056,0:12:12.985 We had to see the world through her eyes. 0:12:12.985,0:12:16.024 And so in the past many years we've been building 0:12:16.024,0:12:19.657 these new technologies that are based on eye tracking. 0:12:19.657,0:12:22.175 We can see moment by moment 0:12:22.175,0:12:25.456 what children are engaging with. 0:12:25.456,0:12:28.175 Well, this is my colleague Warren Jones, with whom 0:12:28.175,0:12:31.152 we've been building these methods, these studies, 0:12:31.152,0:12:33.143 for the past 12 years, 0:12:33.143,0:12:35.863 and you see there a happy five-month-older, 0:12:35.863,0:12:41.686 it's a five-month little boy who is going to watch things 0:12:41.686,0:12:44.509 that are brought from his world, 0:12:44.509,0:12:47.088 his mom, the caregiver, but also experiences 0:12:47.088,0:12:51.520 that he would have were he to be in his daycare. 0:12:51.520,0:12:54.152 What we want is to embrace that world 0:12:54.152,0:12:55.481 and bring it into our laboratory, 0:12:55.481,0:12:58.603 but in order for us to do that, we had to create 0:12:58.603,0:13:01.853 these very sophisticated measures, 0:13:01.853,0:13:05.280 measures of how people, how little babies, 0:13:05.280,0:13:08.263 how newborns, engage with the world, 0:13:08.263,0:13:09.890 moment by moment, 0:13:09.890,0:13:13.163 what is important, and what is not. 0:13:13.163,0:13:16.104 Well, we created those measures, and here, 0:13:16.104,0:13:19.503 what you see is what we call a funnel of attention. 0:13:19.503,0:13:21.836 You're watching a video. 0:13:21.836,0:13:24.494 Those frames are separated by about a second 0:13:24.494,0:13:27.262 through the eyes of 35 typically developing 0:13:27.262,0:13:28.544 two-year-olds, 0:13:28.544,0:13:31.519 and we freeze one frame, 0:13:31.519,0:13:35.020 and this is what the typical children are doing. 0:13:35.020,0:13:39.461 In this scan pass, in green here, are two-year-olds with autism. 0:13:39.461,0:13:43.084 So on that frame, the children who are typical 0:13:43.084,0:13:46.039 are watching this, 0:13:46.039,0:13:48.588 the emotion of expression of that little boy 0:13:48.588,0:13:51.498 as he's fighting a little bit with the little girl. 0:13:51.498,0:13:53.558 What are the children with autism doing? 0:13:53.558,0:13:57.003 They are focusing on the revolving door, 0:13:57.003,0:13:59.094 opening and shutting. 0:13:59.094,0:14:01.546 Well, I can tell you that this divergence 0:14:01.546,0:14:02.415 that you're seeing here 0:14:02.415,0:14:05.605 doesn't happen only in our five-minute experiment. 0:14:05.605,0:14:09.006 It happens moment by moment in their real lives, 0:14:09.006,0:14:11.726 and their minds are being formed, 0:14:11.726,0:14:14.806 and their brains are being specialized in something other 0:14:14.806,0:14:18.585 than what is happening with their typical peers. 0:14:18.585,0:14:21.772 Well, we took a construct from 0:14:21.772,0:14:24.966 our pediatrician friends, 0:14:24.966,0:14:26.893 the concept of growth charts. 0:14:26.893,0:14:28.862 You know, when you take a child to the pediatrician, 0:14:28.862,0:14:33.066 and so you have physical height, and weight. 0:14:33.066,0:14:35.895 Well we decided that we're going to create growth charts 0:14:35.895,0:14:38.354 of social engagement, 0:14:38.354,0:14:41.155 and we sought children from the time that they are born, 0:14:41.155,0:14:46.984 and what you see here on the x-axis is two, three, four, 0:14:46.984,0:14:50.824 five, six months and nine, until about the age of 24 months, 0:14:50.824,0:14:53.555 and this is the percent of their viewing time 0:14:53.555,0:14:55.251 that they are focusing on people's eyes, 0:14:55.251,0:14:57.611 and this is their growth chart. 0:14:57.611,0:15:00.641 They start over here, they love people's eyes, 0:15:00.641,0:15:03.095 and it remains quite stable. 0:15:03.095,0:15:07.021 It sort of goes up a little bit in those initial months. 0:15:07.021,0:15:09.315 Now, let's see what's happening with babies 0:15:09.315,0:15:11.823 who became autistic. 0:15:11.823,0:15:14.028 It's something very different. 0:15:14.028,0:15:17.818 It starts way up here, but then it's a free fall. 0:15:17.818,0:15:21.237 It's very much like they brought into this world the reflex 0:15:21.237,0:15:25.168 that orients them to people, but it has no traction. 0:15:25.168,0:15:28.238 It's almost as if that stimulus, you, 0:15:28.238,0:15:31.139 you're not exerting influence on what happens 0:15:31.139,0:15:35.030 as they navigate their daily lives. 0:15:35.030,0:15:41.052 Now, we thought that those data were so powerful 0:15:41.052,0:15:44.060 in a way, that we wanted to see what happened 0:15:44.060,0:15:47.453 in the first six months of life, because if you interact 0:15:47.453,0:15:48.790 with a two- and a three-month-older, 0:15:48.790,0:15:53.342 you'd be surprised by how social those babies are. 0:15:53.342,0:15:55.949 And what we see in the first six months of life 0:15:55.949,0:16:02.087 is that those two groups can be segregated very easily. 0:16:02.087,0:16:04.961 And using these kinds of measures, and many others, 0:16:04.961,0:16:08.977 what we found out is that our science could, in fact, 0:16:08.977,0:16:11.618 identify this condition early on. 0:16:11.618,0:16:14.522 We didn't have to wait for the behaviors of autism 0:16:14.522,0:16:17.670 to emerge in the second year of life. 0:16:17.670,0:16:20.932 If we measured things that are, evolutionarily, 0:16:20.932,0:16:25.054 highly conserved, and developmentally very early emerging, 0:16:25.054,0:16:27.755 things that are online from the first weeks of life, 0:16:27.755,0:16:29.617 we could push the detection of autism 0:16:29.617,0:16:32.081 all the way to those first months, 0:16:32.081,0:16:36.222 and that's what we are doing now. 0:16:36.222,0:16:39.290 Now, we can create the very best technologies 0:16:39.290,0:16:42.895 and the very best methods to identify the children, 0:16:42.895,0:16:46.038 but this would be for naught if we didn't have an impact 0:16:46.038,0:16:49.680 on what happens in their reality in the community. 0:16:49.680,0:16:51.986 Now we want those devices, of course, 0:16:51.986,0:16:54.839 to be deployed by those who are in the trenches, 0:16:54.839,0:16:57.362 our colleagues, the primary care physicians, 0:16:57.362,0:17:00.067 who see every child, 0:17:00.067,0:17:02.210 and we need to transform those technologies 0:17:02.210,0:17:05.315 into something that is going to add value to their practice, 0:17:05.315,0:17:07.520 because they have to see so many children. 0:17:07.520,0:17:09.594 And we want to do that universally 0:17:09.594,0:17:11.727 so that we don't miss any child, 0:17:11.727,0:17:14.180 but this would be immoral 0:17:14.180,0:17:19.081 if we also did not have an infrastructure for intervention, 0:17:19.081,0:17:20.328 for treatment. 0:17:20.328,0:17:22.864 We need to be able to work with the families, 0:17:22.864,0:17:26.279 to support the families, to manage those first years 0:17:26.279,0:17:30.191 with them. We need to be able to really go 0:17:30.191,0:17:34.348 from universal screening to universal access to treatment, 0:17:34.348,0:17:37.451 because those treatments are going to change 0:17:37.451,0:17:41.030 these children's and those families' lives. 0:17:41.030,0:17:45.287 Now, when we think about what we [can] do 0:17:45.287,0:17:48.510 in those first years, 0:17:48.510,0:17:50.910 I can tell you, 0:17:50.910,0:17:53.737 having been in this field for so long, 0:17:53.737,0:17:56.832 one feels really rejuvenated. 0:17:56.832,0:18:00.664 There is a sense that the science that one worked on 0:18:00.664,0:18:04.371 can actually have an impact on realities, 0:18:04.371,0:18:07.266 preventing, in fact, those experiences 0:18:07.266,0:18:11.268 that I really started in my journey in this field. 0:18:11.268,0:18:14.460 I thought at the time that this was an intractable condition. 0:18:14.460,0:18:18.346 No longer. We can do a great deal of things. 0:18:18.346,0:18:21.083 And the idea is not to cure autism. 0:18:21.083,0:18:23.683 That's not the idea. 0:18:23.683,0:18:25.889 What we want is to make sure 0:18:25.889,0:18:28.465 that those individuals with autism can be free from 0:18:28.465,0:18:32.695 the devastating consequences that come with it at times, 0:18:32.695,0:18:35.569 the profound intellectual disabilities, the lack of language, 0:18:35.569,0:18:39.238 the profound, profound isolation. 0:18:39.238,0:18:41.505 We feel that individuals with autism, in fact, 0:18:41.505,0:18:44.300 have a very special perspective on the world, 0:18:44.300,0:18:47.723 and we need diversity, and they can work extremely well 0:18:47.723,0:18:50.090 in some areas of strength: 0:18:50.090,0:18:53.493 predictable situations, situations that can be defined. 0:18:53.493,0:18:56.502 Because after all, they learn about the world almost like 0:18:56.502,0:19:01.203 about it, rather than learning how to function in it. 0:19:01.203,0:19:04.001 But this is a strength, if you're working, for example, 0:19:04.001,0:19:06.081 in technology. 0:19:06.081,0:19:08.354 And there are those individuals who have incredible 0:19:08.354,0:19:09.779 artistic abilities. 0:19:09.779,0:19:11.699 We want them to be free of that. 0:19:11.699,0:19:15.084 We want that the next generations of individuals with autism 0:19:15.084,0:19:18.239 will be able not only to express their strengths 0:19:18.239,0:19:20.461 but to fulfill their promise. 0:19:20.461,0:19:24.030 Well thank you for listening to me. (Applause)