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Director Center for Adaptive Stress. The Evolutionary-Stress Framework, the New Energy Paradigm.

Cincinnati, OH
Joined June 2017
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Replying to @milton_damian
It’s not an epidemic. It’s emergence. What we’re witnessing in rising autism rates and chronic health conditions is not the result of a single cause. It’s the consequence of complex adaptive systems interacting over time—systems with initial conditions, leverage points, and variable but patterned outcomes. These outcomes are shaped not by defects, but by energy constraints, adaptive calibrations, traits, and trade-offs in increasingly stressed ecosystems. At the heart of the crisis is a breakdown in energy and stress regulation—not in individual bodies, but in the environments we’ve built. Environments that fail to nurture or even recognize complexity. Environments that are incapable of supporting the bio-neurodiverse needs of our population. We have constructed medical, educational, economic, and scientific systems on the flawed logic of reductionism, linear causation, and statistical averages—leaving behind those whose adaptive patterns don't conform. The so-called "cause" of increasing neurotypes in distress—especially those with higher support needs and complex medical profiles—is not a mysterious toxin or unmeasured gene. It is the very social and institutional frameworks that refuse to evolve. Movements like MAHA (Make Autism Healthy Again) claim to want solutions, but without offering a systems-based alternative, they risk dismantling imperfect structures only to replace them with worse ones: oversimplified, fear-driven, and biologically naive. You cannot solve a problem with the same paradigm that created it. Linear science built the world “not made for us”—a world designed around germ theory, causal logic, and “survival of the fittest.” It framed the average as healthy, and everything else as deficient. But humans were never meant to be uniform. We are diverse, and our survival depends on embracing that diversity. The only way forward—the only way to avoid repeating the same mistakes at greater scale—is to reframe the problem entirely. We need complexity science. We need bio-neurodiversity as a foundational principle. We need to ask better questions, rooted in systems thinking, energy dynamics, and emergent adaptation. Because what we’re facing isn’t a crisis of genetics or toxins. It’s a crisis of paradigm. And the only way out is through a new one.
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Emotions are not distractions from rational thought; they are integral to decision-making and survival. Without emotions, even the most logical choices become impossible to make.
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Replying to @sbkaufman
Absolutely agreed—this is a multifactorial, systems-level issue, and it’s essential that we approach the rising rates of autism diagnoses with rigor and nuance. However, we need to be careful not to confuse increased diagnosis with increased disease. Much of the “rise” in autism reflects a long-overdue recognition of neurodevelopmental diversity that has always existed—but is only now being more accurately identified. As you rightly noted, many autistic individuals were previously misclassified under outdated labels like “mental retardation,” “behavior disorder,” or “childhood schizophrenia.” But here’s where we need to go further. Autism isn’t merely a brain disorder or a genetic mistake. It’s better understood through the lens of evolutionary complexity, energy regulation, and adaptive stress responses. In the Evolutionary-Stress Framework (ESF), we explore autism and related neurotypes not as static pathologies, but as emergent expressions of bio-neurotypes interacting with environmental stress, nutrition, social conditions, and systemic design. Traits like sensory sensitivity, focused interests, and nonlinear thinking have deep evolutionary roots—and emerge differently depending on early-life energy balance, interoceptive safety, and stress regulation demands. Yes, exposures to environmental toxins (lead, mercury, etc.) are part of the picture, but they don’t cause autism in a single-cause way. Instead, they interact with vulnerable neurotypes and allostatic systems, increasing entropy and amplifying divergence. Similarly, genetics alone doesn’t determine autism—it’s about gene × environment × energy across time. And that’s why Trump’s focus on “investigating the causes” risks heading us backward if it leans toward blame, eradication, or simplistic biomedical narratives. What we need isn’t just more research funding—but a paradigm shift. From “what causes autism?” to “How do different neurotypes emerge in dynamic systems, and how do we build environments that support them?” We need research that embraces: Allostasis and stress-energy modeling Dynamic neurodevelopment and plasticity Systems biology and complexity science Environmental justice and neurodiversity rights This isn’t just about autism—it’s about building the next generation of medical, educational, and social systems that understand humans as complex, adaptive, diverse organisms, not deviations from a statistical average.
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Replying to @PaulWhiteleyPhD
Agreed—there isn’t one autism. But it’s not just that autism is “too complicated”; it’s that we’re still using static categories to describe dynamic adaptive processes. What we call “autism” today is likely a set of emergent neurodevelopmental strategies—shaped by energy allocation, stress responsivity, and social-environmental adaptation. These aren't fixed traits but flowing systems that evolve across the lifespan, often under tightly constrained energetic trade-offs. If we trace autism back to its evolutionary roots, it likely reflects neurotypes tuned for different roles in cooperative ecosystems: intense focus, systemizing, sensory attunement, or pattern detection—all valuable but costly traits. These traits cluster differently based on bio-neurotype, stress load, developmental timing, and context. So rather than saying “autism is too complicated,” maybe we need to say: “we need better models—ones that treat autism as a living process, not a fixed category.” That’s where frameworks like ESF and complexity evolution come in: not to define one autism, but to model how many expressions emerge—and how biology, behavior, and environment co-produce those states.
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In mitochondria, respiratory supercomplexes (blue) pump protons across crista membranes to create an electrochemical gradient, fueling adenosine triphosphate (ATP) synthase (pink) to regenerate ATP—the energy currency of life. Now, cryo–electron tomography captures these supercomplexes in their native organization, illuminating how the coordinated action of these molecular machines drives life’s fundamental energy conversion. Learn more this week in Science: scim.ag/3FQ6bEh
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To be very, VERY reductionistic: Hard times + support = resilience Hard times - support = trauma
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Peripheral Minds retweeted
One of the clearest signs of learning is rethinking your assumptions and revising your opinions. 21 things I rethought in 2021: a thread...
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I am aware that the CDC is reopening the autism-vaccine debate by planning a large study into potential connections between vaccines and autism. It may surprise some people to know that I think this is a good thing. In my view, more rigorous scientific studies is a good thing. It's only a bad thing if you have a preconceived ideology that is written in stone, or you're a stuck in the mud scientist who refuses to look at the finer details of your data. While there are already credible existing studies showing that *overall* the development of autism is not linked to vaccines, I do believe there is also some credible evidence to suggest that children who have predisposing factors, such as a mitochondrial disorder, can be vulnerable to vaccine-injury and that screening for these conditions can be helpful. For instance, see Dr. Andrew Zimmerman's work , which has been ignored and even shouted down by activists. If there is something to what he's saying, I want this to be looked into. It could save lives. thehill.com/opinion/healthca… Regardless of whether vaccines are a cause of increasing rates of autism (I don't think they are, I think broader screening is likely the main reason), I believe this is an issue worth further investigation. There is never any "case closed" in science, especially when it comes to studying humans and human variability. Those who scream at you that the case is closed for all people and in all instances are the ones I worry about.
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Peripheral Minds retweeted
Latest lab review- The Gut microbiota-Immune-Brain axis: Therapeutic Implications. Just out in @CellRepMed Well done @kjdoriordan @gerrymoloney @LilyKeane & @UCCpsychiatry cell.com/cell-reports-medici…
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"If autism was part of evolution, there would not have been such a dramatic increase." 🤦‍♀️ Let’s break that down. 1. Evolution isn’t a frozen process—it’s always evolving. Traits don’t just appear and disappear in a vacuum; they shift with environmental pressures. 2. Autism isn’t new. What’s changing is how it manifests due to modern stressors—pollutants, bad medical advice (low-fat diets, calorie myths, "dose makes the poison"), and rigid, one-size-fits-all systems. 3. Evolution isn’t just about "selecting the best traits"—it’s about adapting to complex environments. If neurodiversity is becoming more visible, we should be asking why our environment is amplifying stress loads on these traits, not dismissing it as a disorder. The real issue? A medical system stuck in outdated, linear thinking. Instead of recognizing the evolutionary role of neurodiversity, it just slaps on a disorder label and ignores the bigger picture. If we actually applied evolutionary science (not just cherry-picked survival-of-the-fittest nonsense), we’d be asking: What conditions are making autism more expressed or more distressing? Because the answer isn’t autism itself—it’s what we’ve done to the environment and why.
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Autistic traits, along with the associated skills, processing priorities, energy strategies, and stress trade-offs, are an integral—if not foundational—part of evolution. These traits represent co-adaptive and intellectual strategies rather than deviations from a norm. Genes program for function, but every function comes with trade-offs. If autism were simply a form of damage, we would have clear evidence by now. The reason there is no single "cause" of autism—only associations—is that it does not fit within a simple cause-and-effect (pathology) framework. Instead, autism must be understood through the lens of evolutionary complexity, adaptation, and trade-offs. Autism is best understood as an emergent neurotype because it arises from both the personal strategies of the individual and the dynamic interplay of genetics, energy regulation, and adaptive trade-offs—rather than any single causal factor. Many factors can contribute to allostatic loads that recalibrate the system, but none define autism in isolation. This perspective has tremendous practical implications, especially for autistic individuals with profound trade-offs and complex medical needs. By recognizing autism as an emergent neurotype, we can shift from a pathology model to an adaptive health model—addressing emergent allostasis through personalized care, reducing inflammation, and optimizing well-being. Rather than forcing autistic individuals into rigid norms, this approach allows for tailored support that respects their energy constraints, stress responses, and biological needs—ultimately improving both quality of life and long-term health outcomes.
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Replying to @NTFabiano
No scientific discipline operates in isolation—so why do we study them as if they do? The easy answer? Because linear science is easier. It’s easier to silo knowledge and get absolute answers. But that’s not how reality works. To apply linear knowledge to nonlinear dynamics, we need complexity science. And to quantify and create predictable models, we need to understand the formulations of complexity—initial conditions, leverage points, and the medium in which they communicate: stress and energy. But we’re not doing this. Why? Because we’ve trained generations to seek absolutes—single-source causation, mechanisms of action, and fixes for individual problems. Meanwhile, "holistic" medicine identifies toxins and promotes healthy lifestyles but often lacks integration with complexity science. Both have merit, but they don’t truly combine until we shift to a complexity evolution framework—a metabolism-first perspective. To get there, we need to re-examine our biases, understand bio-neurodiverse energy-driven subtypes, and recognize the different cognitive projectors that shape how we interpret data. This requires a shift in priorities, incentives, and narratives. Science must evolve beyond silos, beyond reductionism, and embrace the reality of interconnected systems. Do you think we are ready to make that shift?
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Peripheral Minds retweeted
In your experience, what is health?
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Emotion is the foundation of all intelligence. Logic is not separate from emotion but rather a structured expression of it. While emotion alone is not enough for rational argument, logic itself cannot exist without emotional motivation and context. Effective reasoning balances both—using emotion to drive inquiry and logic to refine and communicate it.
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Peripheral Minds retweeted
Who knows what is really in Elon’s mind, but what he is doing with all these women bearing his children is not evolutionarily sophisticated—if that is even his aim. Yes, it will increase the representation of his genome in future generations—to a TINY degree. But if he understood what that does and does not accomplish, I’m pretty sure a guy as smart as Elon would not care. And there is a strong argument that this strategy of his is counterproductive to the things he appears to actually value. The calculus may actually be the opposite for the women in question—who probably think they’re getting genius genes (and are not) and who would be wise to produce kids with an involved father, but have driven a mediocre bargain and are not—but who are getting security and access for their children that can’t be bought at any price. This analysis won’t make sense to anyone who got the standard evolutionary lessons in school and came away thinking that reproduction is the same as evolutionary fitness. If that’s your model, it’s time to level up.
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Replying to @hubermanlab @NIH
We've already done enough exploratory research to recognize that 'diseases' aren’t what we thought they were. Choosing between general exploration and disease-specific research is a false choice. The NIH should shift its foundational focus from treating isolated diseases to understanding health as an emergent energy-regulation system. Research must prioritize bio-neurotypes, stress mechanisms, and allostasis—how bodies adapt under different conditions, the trade-offs of protective mechanisms, and their costs. We need complexity-based models that integrate cognitive types, neurodiversity, leverage points, adaptive calibrations, and predictive modeling—not just linear cause-effect approaches.
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Peripheral Minds retweeted
Exercise doesn’t do as much good to everyone. Studies are always based on group average responses, but looking closely at the data there are always non-responders or negative responders. Finding what optimally stimulates energy and information flow in each person may be key.
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Replying to @MitoPsychoBio
Or to put it another way... Health is not a one-size-fits-all process; it is a dynamic and individualized journey shaped by unique biological, psychological, social, and environmental factors. Each person’s path to health reflects a combination of their innate energy strategies, adaptive responses, and lived experiences, which interact in complex, nonlinear ways. To truly understand health, we must move beyond reliance on comparing to the norms that obscure individual variation and fail to represent the richness of human diversity. Instead, we need a science of medicine and health rooted in complexity and personalization—one that respects the nuanced interplay of bio-neurotypes, stress dynamics, and energy regulation as essential forces driving individual well-being.
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Peripheral Minds retweeted
This is Jessie Inchauspé. She's a biochemist who's dedicated her life to researching sugar. Her message? Everything you've been taught about sugar is WRONG. You don't have to cut it out... Here are the "Glucose Goddess'" 7 Hacks for mastering your sugar intake:
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