In a Different Key

The Story of Autism

by John Donvan and Caren Zucker

An extraordinary narrative history of autism: the riveting story of parents fighting for their children ’s civil rights; of doctors struggling to define autism; of ingenuity, self-advocacy, and profound social change

Nearly seventy-five years ago, Donald Triplett of Forest, Mississippi, became the first child diagnosed with autism. Beginning with his family’s odyssey, In a Different Key tells the extraordinary story of this often misunderstood condition, and of the civil rights battles waged by the families of those who have it. Unfolding over decades, it is a beautifully rendered history of ordinary people determined to secure a place in the world for those with autism—by liberating children from dank institutions, campaigning for their right to go to school, challenging expert opinion on what it means to have autism, and persuading society to accept those who are different. 

It is the story of women like Ruth Sullivan, who rebelled against a medical establishment that blamed cold and rejecting “refrigerator mothers” for causing autism; and of fathers who pushed scientists to dig harder for treatments. Many others played starring roles too: doctors like Leo Kanner, who pioneered our understanding of autism; lawyers like Tom Gilhool, who took the families’ battle for education to the courtroom; scientists who sparred over how to treat autism; and those with autism, like Temple Grandin, Alex Plank, and Ari Ne’eman, who explained their inner worlds and championed the philosophy of neurodiversity.

This is also a story of fierce controversies—from the question of whether there is truly an autism “epidemic,” and whether vaccines played a part in it; to scandals involving “facilitated communication,” one of many treatments that have proved to be blind alleys; to stark disagreements about whether scientists should pursue a cure for autism. There are dark turns too: we learn about experimenters feeding LSD to children with autism, or shocking them with electricity to change their behavior; and the authors reveal compelling evidence that Hans Asperger, discoverer of the syndrome named after him, participated in the Nazi program that consigned disabled children to death.

By turns intimate and panoramic, In a Different Key takes us on a journey from an era when families were shamed and children were condemned to institutions to one in which a cadre of people with autism push not simply for inclusion, but for a new understanding of autism: as difference rather than disability.


Recent Reviews

In a Different Key

Emma Billingsley

3 Stars

I picked this book because autism is typically the type of book. I was skeptical because it seemed more scientific than memoir, but overall I think it was a good mix. However, the book was unnecessarily long, and could have been drastically…

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In a Different Key

Sefina Hawke

4.5 Stars

I found this very interesting as I always enjoy learning more about autism. A friend of mine works with autistic kids and I can't wait to recommend this book  to her. I found all the information about autism to be helpful for…

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In a Different Key

K Jewell

4 Stars

“At one time – and it was only a generation or so ago…autism was shrouded in shame, secrecy and ignorance…Indeed, the diagnosis itself does not go back far, dating only to World War II. Then, once…

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in a different key

Filza Qureshi

4.5 Stars

An amazing story in its own right, this book has something for most people. The narrative style though is the winner, genuinely leaving each chapter on a…

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