even restricted to sexual partners, in humans. Intimacy is just the belief—rewarded by the brain—that you know the people you love in almost the same fashion as you know yourself.”
The word “love” had come as a shock, in the middle of all that socio-biology. But he’d used it without a hint of irony or self-consciousness—as if he’d seamlessly merged the vocabularies of emotion and evolution into a single language.
I said, “And even partial autism makes that impossible? Because you can’t model anyone well enough to really know
Rourke didn’t believe in yes-or-no answers. “Again, we’re not all identical. Sometimes the modeling is accurate enough—as accurate as anyone’s—but it’s not rewarded: the parts of Laments area which make most people feel good about intimacy, and actively seek it out, are missing. Those people are considered to be ‘cold,’ ‘aloof.’ And sometimes the reverse is true: people are driven to seek intimacy, but their modeling is so poor that they can never hope to find it. They might lack the social skills to form lasting sexual relationships—or even if they’re intelligent and resourceful enough to circumvent the social problems,
I said, “Sexual relationships are difficult for everyone. It has been suggested that you’ve merely invented a neurological syndrome which allows you to abdicate responsibility for problems which everyone faces, as a matter of course.”
Rourke stared down at the floor and smiled indulgently. “And we should just pull ourselves together, and try harder?”
“Either that, or have autografts to correct the damage.” A small number of neurons and glial cells could be removed from the brain without harm, regressed to an embryonic state, multiplied in tissue culture, then reinjected into the damaged region. Artificially maintained gradients of embryonic marker hormones could fool the cells into thinking that they were back in the developing brain, and guide them through a fresh attempt to build the necessary synaptic connections. The success rate was unimpressive for the fully autistic—but for people with relatively small lesions, it was close to forty percent.
“The Voluntary Autists don’t oppose that option. All we’re campaigning for is the legalization of the alternative.”
“Enlargement of the lesion?”
“Yes. Up to and including the complete excision of Lament’s area.”
“Again, that’s a complicated question. Everyone has a different reason. For a start, I’d say that as a matter of principle, we should have the widest possible range of choices. Like transsexuals.”
That was a reference to another kind of brain surgery which had once been highly controversial: NCR. Neural gender reassignment. People born with a mismatch between neural and physical gender had been able to have their bodies resculpted—with increasing precision—for almost a century. In the twenties, though, another option had become feasible: changing the gender of the brain; altering the hardwired neural map of the body image to bring it into line with the existing flesh and blood. Many people—including many transsexuals—had campaigned passionately against legalizing NCR, fearing coercion, or surgery carried out on infants. By the forties, though, it had become generally accepted as a legitimate option, freely chosen by about twenty percent of transsexuals.
I’d interviewed people undergoing every kind of reassignment operation, for
I said, “The endpoint of either operation on transsexuals is a
Rourke countered, “But we do suffer a mismatch, just like transsexuals. Not between body and brain but between the drive for intimacy and the inability to attain it. No one—save a few religious fundamentalists— would be cruel enough to tell a
“But no one’s stopping you from choosing medical intervention. The graft is legal. And success rates are sure to improve.”
“And as I’ve said, VA don’t oppose that. For some people, it’s the right choice.”
“But how can it ever be
Rourke hesitated. No doubt he’d scripted and rehearsed everything he’d wanted to say—but this was the heart of it. To have any hope of winning support for his cause, he was going to have to make the audience understand why he did
He said carefully, “Many fully autistic people suffer additional brain damage, and various kinds of mental retardation. In general, we don’t. Whatever damage we’ve suffered to Lament’s area, most of us are intelligent enough to understand our own condition. We
“Why better off?”
“Because it’s a talent for self-deception.”
I said, “If autism is a lack of understanding of others… and healing the lesion would grant you that lost understanding—”
Rourke broke in, “But how much is understanding—and how much is a
I’d fallen silent, not knowing how to respond. Now I watched Rourke waiting for me to continue. Though he appeared as awkward and shy as ever, there was something in his expression which chilled me. He honestly believed that his condition had granted him an insight no ordinary person could share—and if he didn’t exactly
I said haltingly, “Autism is a… tragic, disabling disease. How can you…
Rourke was polite, but dismissive. “I'm not doing any such thing. I’ve met over a hundred fully autistic people, and their families. I
“But we have our own histories, our own problems, our own aspirations. We’re
I said angrily, “Cost is the least of the issues. You’re talking about deliberately—surgically—ridding yourself of something…
Rourke looked up from the floor and nodded calmly, as if I’d finally made a point on which we were in complete agreement.
He said, “Exactly. And we’ve lived for decades with a
Somehow, I whipped the interview into shape. I was terrified of paraphrasing James Rourke; with most people, it was easy enough to judge what was fair and what wasn’t, but here I was on treacherous ground. I wasn’t