I know 2 Russian Jews.....man and wife. I've asked her many questions. This was before Trump came on scene. After a long conversation with the wife I asked, "If you could tell America one thing, what would it be?"
Without any hesitation she said, "DON'T GIVE UP YOUR GUNS!!"
Post this comment to every Jen psaki we know on here! Posted to MSNBC for the fake crying.
Hey why not do an article on the amount of children opioids have killed over the past 2 decades? It’s not as sexy as gun violence, but it open borders and illegal fentanyl sure have done a job on our youth. More than 10,000 children have died from opioid poisonings, and for every child who died another four were hospitalized. The majority of children who die from opioid poisonings die in their own home. Fentanyl now accounts for ~95% of all fatal opioid poisonings Where is the anger about this?
Sasha, righteous riff, but I have a technical correction. "Going postal does not refer to random people shooting up post offices. It refers to a series of incidents in which a postal employee went berserk and shot fellow employees.
And it was later discovered that the way the mail sorting machines were programmed imitated the sound of machine gunfire. When that was fixed, the "going postal" situation resolved itself. Why? Because that was a time when there was a push to hire Vietnam Vets. So the sound daily of machine gunfire triggered some of them...
One thing to dig into is how mass shootings are accounted for when this data is reported (any shooting involving more than two shot). You’d be shocked to see how it’s manipulated to play into the gun control crowd. The lack of awareness about these mass shooters (an actual massacre), is the fact that in the past 20 years they all are trans/non-binary/LGBQ taking SSRIs. We have a mental illness issue in America and a medical community handing out pharmaceuticals like candy, all with very bad side effects including violent episodes and suicidal tendencies.
The safest places I have known were shooting ranges and historical reenactments. My husband owned several firearms and was the most gentle, even-tempered man you could find. It's not the guns: it's the psych drugs, gender confusion, bad parenting and poor social skills.
Good article. Good comments. What about cannabis (Marijuana)? This shooter worked at a dispensary. Most shooters are heavy pot users. People think pot is harmless, but psychosis is a side effect. Cannabis is fat soluble so builds up in the body. I encourage everyone to do some research. Its a factor no one ever mentions.
Feinstein's 1994 assault weapons ban helped Dems lose the House in 1994 for the first time in 40 years, as well as the Senate. In working-class states such as Michigan, Wisconsin and Pennsylvania, with large numbers of hunters, it was anathema. Mild correction: It never was renewed, but expired in 2004. Even when back in power, as in 2009 and 2021, Dems never seriously have tried to bring it back because of the memory of 1994. That's why Newsom, who has signed dozens of gun-control laws, is going to have problems in those states, even in the primaries.
One fact that gets glossed over is that nearly all mass shootings occur in "gun-free zones." If a would-be shooter is looking at causing the maximum loss of life with a minimum of risk, a gun-free zone is the best location.
This recent past tragic event was obviously a mental health issue and not about gun control. In dealing with my own mental health, let’s not forget that mental illness is real and that treatment options need to be paramount in reaching people displaying this type of behavior early on in their lives. This deranged shooter had been obviously acting crazy long before this happened and it’s not about being trans or confused. He was acting deranged for quite a while. Those other issues were a part of his illness. He seems to have been acting this way before he became an adult and if children are acting in such a way that is obviously deranged we need intervention from adults to treat this person at the onset. We are ignoring these young men while they suffer at stages long before tragic events like this. This could include medicine or therapy or hospitalization, but children displaying these behaviors need to be recognized and dealt with immediately and not ignored. In speaking toward a medication solution, the medicines we have out there are in no way perfect and cause many secondary side effects. We need to be extra careful about the meds we use and there needs to be a combination of therapy and hospitalization to monitor how those meds are affecting growing minds especially. The solution for our mental health crisis needs to be discussed because each mental health crisis is unique to each individual and we must learn how to catch it early for intervention. I think a good first step is access to doctors and hospitals needs to be increased and made easier. I’m ready for this conversation. It is long overdue.
Yes, although Robert's appeals to his mental state were NOT ignored, but enabled when the parents went through with the gender folly.
The hue and cry over "mental health" is intriguing. What is the cause of this so-called mental health crisis? What if being indoctrinated into believing that the SELF is paramount, one's APPEARANCE is of the highest value, and one's political proclivities are all there is to live for?
The Trans narrative is that Trump is denying his "right to exist." This is HYSTERIA. For the past several years, we've had to wade through one Left Think Hysteria after another.
The sky is falling! The sky is falling!
Even worse, adolescence is protracted well into adulthood. This was a 23-year-old man who wore his hair in PONY TAILS. With ribbons. Like a little girl. Sixty years ago, this man would have been working construction to support two kids. He wouldn't have had time to VAPE and FRET.
The Mental Health Crisis is borne of SELF-OBSESSION, and a culture that encourages it. Add to that (and my colleagues are guilty) professors and teachers running on the fumes of hysteria, frightening young people with doom and gloom stories of "injustice and oppression" rather than teaching them ABOUT THE WORLD OUTSIDE THEIR MYOPIA.
Mental illness is real. It needs treatment. It is not self or family induced. We must remove the stigma and treat it as any other illness and as early as possible. If he was treated as trans, what a mistake that was because obviously it had nothing to do with his illness. He had been writing violently for years before this.
I agree. I would look really hard at the mother and his upbringing. Interesting that she retained Colin Kaprenicks attorney and is not cooperating with the police.
Please add to your suggestion of "good first steps" the need for an intact, two-parent home, and a father who teaches his sons to turn their focus outward and away from the mirror.
American Psychiatrist Murray Bowen recognized in the course of his work (from the 50s to the 70s) many of the same ideas which Freud and Jung had postulated earlier. Bowen worked on NIH projects attempting to clarify this.
Medication and hospitalization are not the answer. In fact, they often open to the door to abuse of innocents, hate to say.
Excellent Psychoanalysis could help. But the average family is unlikely to go that route, even if they realize what is going on. They especially shy away when they learn that this is a problem of the entire Family System, and not just one "sick" member.
We need more doctors, therapists and hospitals. Many of those problems at hospitals are caused by the stigma and how the mentally ill are looked at by society. The better our network of mental care and awareness, the better those systems will become.
I had a pristine upbringing in all private schools with my parents regarded as saints, yet I have struggled my whole life with bipolar illness. I don’t agree with your statements about upbringing. We need to understand it is an illness and it needs real treatment and awareness from everyone involved with that person. We need to enhance awareness and get rid of the stigma. Mental illness is not the parent’s fault, they do not have the awareness and are hampered by the stigma of their child being sick.
The stigma is long gone. Young people introduce themselves via their mental illnesses; it's their identity.
At the university where I teach, faculty are salivating over rooting out depressed students they can rescue by shepherding them down to health services for Mental Health Treatment.
Pills are handed out like candy.
If you're responding to me, I don't see anything in my comment about upbringing. But I am talking about a CULTURE that ENCOURAGES SELF-OBSESSION.
OK, mental health issues are real. Yes. Some people experience a deep abiding malaise. My point is that our culture has guided young people INTO that, where otherwise they’d get onto the business of living with the reality of suffering which no one escapes anyway.
I think we are moving toward awareness and getting rid of the stigma and our children and adults who deal with them in education are much more aware, but the stigma exists in misunderstandings about mental illness from society in general and resistance to this awareness. It needs more understanding. People do not get it.
While I agree with you that most people do not fully understand that, to the individual, there is still some stigma attached to having a mental health issue, I believe that there is a growing population who believes in wearing their diagnoses like a combat ribbon. While some people, usually those who feel that any illness is a weakness that can be overcome on one's own, struggle to admit their problems and seek help, the younger generation seems to adopt their self-diagnosed mental illness as a persona.
Then there are the parents that use their child's illness as a method of gaining sympathy or attention; particularly if the child is diagnosed with gender dysphoria. However, that is a topic for another time.
"...and that treatment options need to be paramount in reaching people displaying this type of behavior early on in their lives."
Well good luck on that. Unlikely to happen. These issues need to be dampened by healthy family life. The state can offer the right environment for healthy families, but they cannot do the actual job.
As ever, Sasha's writings are thoughtful and informed enterprises. I would like to distill this to action. A "conversation" is what the Left always wants, but they only shout, they do not converse. JFK in 1963 signed the Community Mental Health Act, and sadly, Reagan furthered it. Justice in American society is punishing criminals, making victims and families whole in whatever way is possible - sparing no expense - and SEPARATING bad people from normal, law-abiding good people. It's time for involuntary institutionalization and for facilities to be modernized and rebuilt to keep madness out of normal society. A slippery slope? Let's see. The SCOTUS gets petitions for 7,000 to 8,000 for hearing each year. They accept anywhere from 70 to 80 cases on average. Reopening and building new institutions for the mentally ill? My deceased younger brother (schizophrenia) and I will believe it when we see it.
It all comes down to political will. Political will vs political correctness... Just walk the streets in any major (and especially blue) city and yes--there are those that need to be separated from society. But instead--they just drug them up, shove them out on the streets to scream and yell at someone just walking down the street to a restaurant....
Once again the "authorities" and MSM ignore the elephant in the room. Was the murderer going through gender transition on SSRI's and other drugs that may have contributed to this demonic act.
When we had Islamists going on rampages and killing people the "authorities" studiously avoided mentioning radical Islam as a root cause. Here's just 1 example:
Nidal Malik Hasan (born September 8, 1970) is an American former United States Army major, physician, and mass murderer convicted of killing 13 people and injuring 32 others in the Fort Hood mass shooting on November 5, 2009. Hasan, an Army Medical Corps psychiatrist, admitted to the shootings at his court-martial in August 2013. Only long after this tragedy did we learn he was a radical Islamist.
Thank God for alternate news sources and RFKJR who will at least discuss what may have happened. For example -even looking for root causes is condemned.
"Minnesota Sen. Tina Smith (D) blasted Health and Human Services Secretary Robert F. Kennedy Jr. on Thursday after he suggested psychiatric drugs given to children could partly be to blame for school shootings." (The Hill)
Doctors who prescribe Selective Serotonin Reuptake Inhibitors (SSRIs)—a common class of antidepressants—must carefully monitor patients, particularly during the early stages of treatment or when adjusting doses. This is due to the increased risk of suicidal thoughts or behaviors, especially in children, adolescents, and young adults under the age of 25.
Has anyone spoken to the doctors who treated this monster? Not one "journalist even asked this question. For some in the medical community, gender affirming care is a huge potential profit area. Here's just some of the costs:
Low-end (minimal intervention): Hormones + minor procedures may start around $5,000–$10,000.
Typical comprehensive transitions: Combine hormones, hair removal, voice, FFS, breast augmentation, and vaginoplasty—expect $40,000 to over $100,000.
Here in the UK they took the guns when I was young and before that the gun control was insanely closely monitored.
We still have gun crime, murders and killings with guns. Now they are coming for the knives, not store bought knives the ones in the kitchen as if this was the root of the knife crime.
Disarming the public does not make them safer, it just makes them lambs to the slaughter.
Do you think, there would be any school shootings if every teacher was trained in fire arms and every class had a pistol or military style automatic rifle in a locked case, just like a fire axe with in case of emergencies written on it.
You would still get the occasional nut job but far less people would be killed as the protagonist would be down in seconds as they came under a reign of fire themselves. Instead of wait for cops to show up.
Protect our offsprings not just from the shooter but the deranged woke psychopathic pandemic being forced onto the undeveloped minds!
You are your own first responder. On average it takes the police 6 minutes to respond after the first 911 call. This is not their fault but the unforgiving math of time and distance. If you don't support arming and training school staff you are accepting double digit casualty counts.
Levon is for sure way up there. I’m partial to Razor Face, myself. Early Elton is sooo good.
Gonna be really curious to see the mg level of SSRI’s that Robert was on, and for how long. My guess is it will be north of 40mg per day of either Prozac, Zoloft or Lexapro.
I know 2 Russian Jews.....man and wife. I've asked her many questions. This was before Trump came on scene. After a long conversation with the wife I asked, "If you could tell America one thing, what would it be?"
Without any hesitation she said, "DON'T GIVE UP YOUR GUNS!!"
Post this comment to every Jen psaki we know on here! Posted to MSNBC for the fake crying.
Hey why not do an article on the amount of children opioids have killed over the past 2 decades? It’s not as sexy as gun violence, but it open borders and illegal fentanyl sure have done a job on our youth. More than 10,000 children have died from opioid poisonings, and for every child who died another four were hospitalized. The majority of children who die from opioid poisonings die in their own home. Fentanyl now accounts for ~95% of all fatal opioid poisonings Where is the anger about this?
People don’t know. Now some do. It’s all bad.
Sasha, righteous riff, but I have a technical correction. "Going postal does not refer to random people shooting up post offices. It refers to a series of incidents in which a postal employee went berserk and shot fellow employees.
Here you go:
https://allthatsinteresting.com/going-postal
And it was later discovered that the way the mail sorting machines were programmed imitated the sound of machine gunfire. When that was fixed, the "going postal" situation resolved itself. Why? Because that was a time when there was a push to hire Vietnam Vets. So the sound daily of machine gunfire triggered some of them...
THAT somehow escaped being noted. Thanks!
FACT!
One thing to dig into is how mass shootings are accounted for when this data is reported (any shooting involving more than two shot). You’d be shocked to see how it’s manipulated to play into the gun control crowd. The lack of awareness about these mass shooters (an actual massacre), is the fact that in the past 20 years they all are trans/non-binary/LGBQ taking SSRIs. We have a mental illness issue in America and a medical community handing out pharmaceuticals like candy, all with very bad side effects including violent episodes and suicidal tendencies.
💥
The safest places I have known were shooting ranges and historical reenactments. My husband owned several firearms and was the most gentle, even-tempered man you could find. It's not the guns: it's the psych drugs, gender confusion, bad parenting and poor social skills.
Correct.
Good article. Good comments. What about cannabis (Marijuana)? This shooter worked at a dispensary. Most shooters are heavy pot users. People think pot is harmless, but psychosis is a side effect. Cannabis is fat soluble so builds up in the body. I encourage everyone to do some research. Its a factor no one ever mentions.
100% Alex Berenson is all over this point.
Ask any honest ex-hippie who lived thru the late 1960s, and you'll get 100% confirmation of that as truth.
I couldn’t agree with this observation more.
The 2nd amendment is there for us to stop a totalitarian government as well as self defense from crime or threat to life.
Unfortunately it was completely ineffective in opposing the imposed tyranny that can be called Coronamania.
Feinstein's 1994 assault weapons ban helped Dems lose the House in 1994 for the first time in 40 years, as well as the Senate. In working-class states such as Michigan, Wisconsin and Pennsylvania, with large numbers of hunters, it was anathema. Mild correction: It never was renewed, but expired in 2004. Even when back in power, as in 2009 and 2021, Dems never seriously have tried to bring it back because of the memory of 1994. That's why Newsom, who has signed dozens of gun-control laws, is going to have problems in those states, even in the primaries.
Gun free zone = game preserve
One fact that gets glossed over is that nearly all mass shootings occur in "gun-free zones." If a would-be shooter is looking at causing the maximum loss of life with a minimum of risk, a gun-free zone is the best location.
This recent past tragic event was obviously a mental health issue and not about gun control. In dealing with my own mental health, let’s not forget that mental illness is real and that treatment options need to be paramount in reaching people displaying this type of behavior early on in their lives. This deranged shooter had been obviously acting crazy long before this happened and it’s not about being trans or confused. He was acting deranged for quite a while. Those other issues were a part of his illness. He seems to have been acting this way before he became an adult and if children are acting in such a way that is obviously deranged we need intervention from adults to treat this person at the onset. We are ignoring these young men while they suffer at stages long before tragic events like this. This could include medicine or therapy or hospitalization, but children displaying these behaviors need to be recognized and dealt with immediately and not ignored. In speaking toward a medication solution, the medicines we have out there are in no way perfect and cause many secondary side effects. We need to be extra careful about the meds we use and there needs to be a combination of therapy and hospitalization to monitor how those meds are affecting growing minds especially. The solution for our mental health crisis needs to be discussed because each mental health crisis is unique to each individual and we must learn how to catch it early for intervention. I think a good first step is access to doctors and hospitals needs to be increased and made easier. I’m ready for this conversation. It is long overdue.
Yes, although Robert's appeals to his mental state were NOT ignored, but enabled when the parents went through with the gender folly.
The hue and cry over "mental health" is intriguing. What is the cause of this so-called mental health crisis? What if being indoctrinated into believing that the SELF is paramount, one's APPEARANCE is of the highest value, and one's political proclivities are all there is to live for?
The Trans narrative is that Trump is denying his "right to exist." This is HYSTERIA. For the past several years, we've had to wade through one Left Think Hysteria after another.
The sky is falling! The sky is falling!
Even worse, adolescence is protracted well into adulthood. This was a 23-year-old man who wore his hair in PONY TAILS. With ribbons. Like a little girl. Sixty years ago, this man would have been working construction to support two kids. He wouldn't have had time to VAPE and FRET.
The Mental Health Crisis is borne of SELF-OBSESSION, and a culture that encourages it. Add to that (and my colleagues are guilty) professors and teachers running on the fumes of hysteria, frightening young people with doom and gloom stories of "injustice and oppression" rather than teaching them ABOUT THE WORLD OUTSIDE THEIR MYOPIA.
Mental illness is real. It needs treatment. It is not self or family induced. We must remove the stigma and treat it as any other illness and as early as possible. If he was treated as trans, what a mistake that was because obviously it had nothing to do with his illness. He had been writing violently for years before this.
I agree. I would look really hard at the mother and his upbringing. Interesting that she retained Colin Kaprenicks attorney and is not cooperating with the police.
One wonder who reached out to whom? Did she seek him? Or did he seek her.
My guess he’s an ambulance chaser and he reach out to her.
Please see my comments to the original post.
I said I agreed.
Please add to your suggestion of "good first steps" the need for an intact, two-parent home, and a father who teaches his sons to turn their focus outward and away from the mirror.
See Bowen Theory.
American Psychiatrist Murray Bowen recognized in the course of his work (from the 50s to the 70s) many of the same ideas which Freud and Jung had postulated earlier. Bowen worked on NIH projects attempting to clarify this.
Medication and hospitalization are not the answer. In fact, they often open to the door to abuse of innocents, hate to say.
Excellent Psychoanalysis could help. But the average family is unlikely to go that route, even if they realize what is going on. They especially shy away when they learn that this is a problem of the entire Family System, and not just one "sick" member.
We need more doctors, therapists and hospitals. Many of those problems at hospitals are caused by the stigma and how the mentally ill are looked at by society. The better our network of mental care and awareness, the better those systems will become.
Doctors are sometimes a problem here, rather than the solution.
A do-it-yourself model is offered by Dr. Howard Schubiber in his book "Unlearn Your Pain: A 28-day process to reprogram your brain".
Although an adolescent may not be at the stage where they could or would use this themselves.
I had a pristine upbringing in all private schools with my parents regarded as saints, yet I have struggled my whole life with bipolar illness. I don’t agree with your statements about upbringing. We need to understand it is an illness and it needs real treatment and awareness from everyone involved with that person. We need to enhance awareness and get rid of the stigma. Mental illness is not the parent’s fault, they do not have the awareness and are hampered by the stigma of their child being sick.
The stigma is long gone. Young people introduce themselves via their mental illnesses; it's their identity.
At the university where I teach, faculty are salivating over rooting out depressed students they can rescue by shepherding them down to health services for Mental Health Treatment.
Pills are handed out like candy.
If you're responding to me, I don't see anything in my comment about upbringing. But I am talking about a CULTURE that ENCOURAGES SELF-OBSESSION.
OK, mental health issues are real. Yes. Some people experience a deep abiding malaise. My point is that our culture has guided young people INTO that, where otherwise they’d get onto the business of living with the reality of suffering which no one escapes anyway.
Medication on its own is a mistake….it must be in combination with therapy and hospitals to manage the side effects. The meds are VERY imperfect.
I think we are moving toward awareness and getting rid of the stigma and our children and adults who deal with them in education are much more aware, but the stigma exists in misunderstandings about mental illness from society in general and resistance to this awareness. It needs more understanding. People do not get it.
While I agree with you that most people do not fully understand that, to the individual, there is still some stigma attached to having a mental health issue, I believe that there is a growing population who believes in wearing their diagnoses like a combat ribbon. While some people, usually those who feel that any illness is a weakness that can be overcome on one's own, struggle to admit their problems and seek help, the younger generation seems to adopt their self-diagnosed mental illness as a persona.
Then there are the parents that use their child's illness as a method of gaining sympathy or attention; particularly if the child is diagnosed with gender dysphoria. However, that is a topic for another time.
"...and that treatment options need to be paramount in reaching people displaying this type of behavior early on in their lives."
Well good luck on that. Unlikely to happen. These issues need to be dampened by healthy family life. The state can offer the right environment for healthy families, but they cannot do the actual job.
Please see my comments to the original post
As ever, Sasha's writings are thoughtful and informed enterprises. I would like to distill this to action. A "conversation" is what the Left always wants, but they only shout, they do not converse. JFK in 1963 signed the Community Mental Health Act, and sadly, Reagan furthered it. Justice in American society is punishing criminals, making victims and families whole in whatever way is possible - sparing no expense - and SEPARATING bad people from normal, law-abiding good people. It's time for involuntary institutionalization and for facilities to be modernized and rebuilt to keep madness out of normal society. A slippery slope? Let's see. The SCOTUS gets petitions for 7,000 to 8,000 for hearing each year. They accept anywhere from 70 to 80 cases on average. Reopening and building new institutions for the mentally ill? My deceased younger brother (schizophrenia) and I will believe it when we see it.
It all comes down to political will. Political will vs political correctness... Just walk the streets in any major (and especially blue) city and yes--there are those that need to be separated from society. But instead--they just drug them up, shove them out on the streets to scream and yell at someone just walking down the street to a restaurant....
Once again the "authorities" and MSM ignore the elephant in the room. Was the murderer going through gender transition on SSRI's and other drugs that may have contributed to this demonic act.
When we had Islamists going on rampages and killing people the "authorities" studiously avoided mentioning radical Islam as a root cause. Here's just 1 example:
Nidal Malik Hasan (born September 8, 1970) is an American former United States Army major, physician, and mass murderer convicted of killing 13 people and injuring 32 others in the Fort Hood mass shooting on November 5, 2009. Hasan, an Army Medical Corps psychiatrist, admitted to the shootings at his court-martial in August 2013. Only long after this tragedy did we learn he was a radical Islamist.
Thank God for alternate news sources and RFKJR who will at least discuss what may have happened. For example -even looking for root causes is condemned.
"Minnesota Sen. Tina Smith (D) blasted Health and Human Services Secretary Robert F. Kennedy Jr. on Thursday after he suggested psychiatric drugs given to children could partly be to blame for school shootings." (The Hill)
Doctors who prescribe Selective Serotonin Reuptake Inhibitors (SSRIs)—a common class of antidepressants—must carefully monitor patients, particularly during the early stages of treatment or when adjusting doses. This is due to the increased risk of suicidal thoughts or behaviors, especially in children, adolescents, and young adults under the age of 25.
Has anyone spoken to the doctors who treated this monster? Not one "journalist even asked this question. For some in the medical community, gender affirming care is a huge potential profit area. Here's just some of the costs:
Low-end (minimal intervention): Hormones + minor procedures may start around $5,000–$10,000.
Typical comprehensive transitions: Combine hormones, hair removal, voice, FFS, breast augmentation, and vaginoplasty—expect $40,000 to over $100,000.
Here in the UK they took the guns when I was young and before that the gun control was insanely closely monitored.
We still have gun crime, murders and killings with guns. Now they are coming for the knives, not store bought knives the ones in the kitchen as if this was the root of the knife crime.
Disarming the public does not make them safer, it just makes them lambs to the slaughter.
Do you think, there would be any school shootings if every teacher was trained in fire arms and every class had a pistol or military style automatic rifle in a locked case, just like a fire axe with in case of emergencies written on it.
You would still get the occasional nut job but far less people would be killed as the protagonist would be down in seconds as they came under a reign of fire themselves. Instead of wait for cops to show up.
Protect our offsprings not just from the shooter but the deranged woke psychopathic pandemic being forced onto the undeveloped minds!
You are your own first responder. On average it takes the police 6 minutes to respond after the first 911 call. This is not their fault but the unforgiving math of time and distance. If you don't support arming and training school staff you are accepting double digit casualty counts.
Your subhead says it best. Being disarmed in not an option for at least half of the population.
You had me at Levon baby. Best song Elton ever did
Levon is for sure way up there. I’m partial to Razor Face, myself. Early Elton is sooo good.
Gonna be really curious to see the mg level of SSRI’s that Robert was on, and for how long. My guess is it will be north of 40mg per day of either Prozac, Zoloft or Lexapro.
He also said he had health issues from too much vaping.
A bit off topic, but I think next month RFK Jr. is going to announce link between rise in pregnant mother’s taking SSRI’s and rise in autism.