Part I
Clinical Constructions
1
No Search, No Subject?
Autism and the American Conversion Narrative
James T.Fisher
Autism is widely understood as a disorder of selfhood in which persons fail by virtue of their condition to fulfill the birthright of developing, disclosing, and searching for an individual identity. The presence of autistic persons thus constitutes a kind of scandal in a culture where the subject in search of self is virtually equated with what makes us human. The best-known literary works treating autism in America are conversion narratives: these texts resuscitate the imperiled humanity of their subjects while confirming the efficacy of therapeutic interventions, which, in the twentieth century, rivaled traditional religious practices as chosen vehicles for personal transformation. As heirs to a traditionâwith deep roots in the Augustinian sensibility of Puritanismâpacking as much normative power as American culture permits, these narratives tend to immunize themselves from interrogation.
The conversion narrativeâa record of the quest for a transformed or redeemed selfâis such a pervasive motif in the American idiom that contemporary versions are rarely identified as such or contextualized against the genreâs evolving history, from colonial-era Protestant narratives of spiritual conversion to its many subsequent permutations in classic and vernacular American literature. In seventeenth-century New England, âpotential church members had to deliver conversion narrativesâoral testimoniesâto prove themselves worthy to the minister and church elders before they were allowed to become full members and participate in the Lordâs Supper and vote in church meetingsâ (Reis 22). This ritual was designed to ensure âthat all members were among the savedâ (22). In the eighteenth and nineteenth centuries African-American slaves and free persons of color, westwardexpanding White Protestants, and many others adapted the conversion narrative to their own forms of evangelical piety, the public expression of which often conferred cultural and spiritual authority on the bearer. Even immigrant Catholics developed a communal variant of the conversion narrative through the intercession of the parish mission, which exposed urban congregations to the heart-rending sermons of itinerant revival preachers (Dolan). In the twentieth century, the conversion narrative served widely diverse purposes, from the southern âracial conversion narrativesâ charted by literature scholar Fred Hobson (in which white authors âconfess racial wrongdoings and are âconverted,â in varying degrees, from racism to something approaching racial enlightenmentâ: 2) to ubiquitous popular chronicles of recovery from addiction.
Though the contemporary literature of self-help/recovery has been lampooned by scolding critics as symptomatic of a post-Christian âtriumph of the therapeuticâ (Rieff) or a âculture of narcissismâ (Lasch), the distinction between religion and psychology was often creatively blurred in twentieth-century conversion narratives. The broader tradition was grounded, as histo-rian John O.King explained in The Iron of Melancholy, in âa certain literary genre and style of self-examinationâthe idea that to be of the saints is to be mentally besetâ (331). King argues that the conversion narrative evolved across a trajectory marked by the shift from âPuritan conscience to Victorian neurosisâ (his subtitle) where it stalled out amid the struggles of secularizing late-nineteenth-century Protestant intellectuals to work through obsessive ideations that rendered them âmentally besetâ but spiritually stranded without access to the consolations of saintliness. William Jamesâs monumental Varieties of Religious Experience (1902) was conceived in large part as a response to this dilemma; a series of lectures informed by classic conversion narratives, Varieties also charted the stages of Jamesâs own personal âtransformation, refashioning the landscape of the pilgrimâs journey in the terms of the new psychologyâ (King 192), a modern psychology of unfolding selfhood that James himself helped construct. James and the cohort of psychologists, psychoanalysts and social critics who came after him grafted new layers of meaning onto the traditional conversion narrative, yet the practice of psychotherapy in the twentieth century found its cash nexus primarily in the treatment of âneurosesâ that rarely yielded dramatic cures to rival the transformative personal narratives animating the older tradition that James found so compelling.
By the time âinfantile autismâ was isolated as a distinct disorder by Johns Hopkins psychiatrist Leo Kanner in 1943, the psychoanalytic interpretive categories that enjoyed hegemony among American cultural elites tended to highlight the grinding labor of adjusting instinct to the civilizing process. Autism was dramatically different: a condition whose alternative labelâchildhood schizophreniaâevoked a terrifying blend of innocence and madness. The temptation for some psychoanalytic theorists and psychotherapists to manipulate this new disorder so as to showcase their prowess at treating the most challenging mental pathologies (in this case by transforming mute subjects into authentic selves) proved irresistible. The threat of competing counternarratives authored by parents or other nonprofessionals (or autistic persons themselves) was quickly subdued by Kanner in his published accounts of ârefrigerator mothers,â a motif ritually invoked in virtually all authoritative autism narratives published over the next two decades and beyond.
Kanner was a gifted clinician who came to understand the damage wrought by that one most infelicitous turn of phrase. He deigned finally to âacquit you people as parentsâ (Park, Exiting 11) at a meeting of the fledgling National Society for Autistic Children in 1968, but not before a small but profoundly influential subgenre of autism conversion narratives had emerged, exalting visionary therapists who rescued children from toxic parents and the hostile culture threatening sensitive young people in postwar America. Although the psychoanalyst-manquĂ© Bruno Bettelheim would achieve great celebrity for his 1967 work, The Empty Fortress: Infantile Autism and the Birth of the Self, with its claims of âcureâ for numerous autistic children, the most enduring work in the genre is surely Virginia Mae Axlineâs 1964 best-seller, Dibs: In Search of Self. This remarkably durable, perpetually reprinted workâoriginally subtitled Personality Development in Play Therapyâis structured after the classic American conversion narrative: a youthful (extraordinarily youthful, in this case) subject, an estranged or âdivided selfâ (the category first devised by William James in 1902), achieves wholeness and authentic selfhood following an arduous journey of self-discovery:
âDibsâ was a semi-mute, withdrawn and tormented child attending a fancy Manhattan private school when his desperate parents reached out to Axline, who worked in a Child Guidance Center at an undisclosed nearby location. Over the course of a handful of weekly play therapy sessions Dibs undergoes a miraculous transformation from an echolalic (echolalia is the repetition of words or phrases one has heard), obsessively pronoun-reversing, miserable young soul to perhaps the most adult-sounding, self-aware six-year-old in the annals of American literature. Axline used dollhouse figures to âunlockâ Dibs from the source of his antisocial rage, his cold and unfeeling parents, especially Dibsâs mother, a former surgeon who reportedly confessed to Axline: âIt was bad enough to have a child, but to have a mentally retarded child was really more than we could bearâ (65). At a crucial stage of his recovery, Axline encourages Dibs to fantasize about his parents trapped in their burning home. âThey scream and cry and beat on the door,â intones Dibs. âThey want to get out. But the house is burning and they are locked in and they canât get out. They scream and cry for help.â Axline writes: âDibs clasped his hands together and tears streamed down his face. âI weep! I weep!â he cried to me. âBecause of this I weep.â Do you weep because the mother and father are locked in the house and canât get out and the house is burning?â Axline asks.â âOh no!â Dibs replied. A sob caught his voice and broke it. He stumbled across the room to me and flung his arms around my neck while he wept bitter tears. âI weep because I feel again the hurt of doors closed and locked against me,â he sobbed. I put my arm around himâ (125â126). His parents could put out their own damn fire.
Although it is sorely tempting to dismiss this work as a hoax, or one very bad novel, Dibs is in fact a landmark autism conversion narrative, in which âautismâ as such is revealingly invoked but twice in the book and never by Axline (Dibsâs nameless mother and teachers separately confess their fear of the diagnosis before Axline saves him), though âthere can be no doubt,â as Catherine Maurice writes in Let Me Hear Your Voice, âthat Dibs is indeed autisticâ (279). Axline eschewed applying a formal diagnosis to Dibs, a strategically potent move at a time when autism was still viewed as extremely rare. She linked Dibsâs condition to an emotional injury susceptible to cure by a gifted, empathetic healer such as herself. Because autism itself continued to be viewed as an emotional disorder caused by bad parenting, Axline could draw on the Kanner/Bettelheim mother-bashing tradition (though The Empty Fortress would not appear until 1967, Bettelheimâs theories were familiar via his earlier writings) while reaching out to a much wider general audience than those writers had found. Her relative humility was a key to the bookâs everlasting popularity: while Dibsâs symptoms clearly indicate autism, the treatment is grounded in a simple approach accessible to readers and practitioners alike. Inadvertently, perhaps, Axline shifted the public perception of autism from its location in a bizarre precinct of abnormal psychology into a metaphor for the human condition itself, a literary coup that was astonishingly successful.
Dibs, as best-seller and conversation piece, surely exposed millions of Americans to autism for the first time, albeit to an egregiously inaccurate if clinically validated version of emotional malaise rather than to a neurological condition. Though not widely reviewed or aggressively marketed at the time of its initial publication (and Axline totally evaded the glare of celebrity in the decades prior to her death in 1988), the New York Times reported in 1969 that Dibs (âthe most unlikely-sounding best-seller everâ) was still âselling madlyâ; by 1979 more than one and one-half million copies were in print. Dozens of printings later, Dibs soldiers on in a life wholly independent of the autism wars: school children honor its compassionate spirit in book reports; online customer reviews tout it as a miracle text holding the key to recovery from autism and less daunting ailments alike.
The popular reception of Dibs is testament to the enduring centrality of conversion narratives in American culture, especially those blending an inclusive postdenominational spirituality with a highly accessible therapeutic ethos. Axlineâs skill in this genre was first evidenced in Play Therapy: The Inner Dynamics of Childhood (1947), a casebook grounded in the application of âEight Basic Principlesâ she devised to guide therapists in this relatively new psychotherapeutic technique (75â76). These principlesâdesigned for therapists but structured in a spiritually progressive manner akin to the 12 Steps of Alcoholics Anonymousâurge a radical acceptance of each childâs unique selfhood and a ânon-intrusiveâ technique adapted from the work of Axlineâs mentor Carl Rogers (1902â1987), an erstwhile Protestant seminarian turned therapist/guru of untapped human potential. Axline studied under Rogers at...