02 April 2007

Comparisons with other conditions

I received an interesting and thought-provoking comment on my last entry that I thought warranted its own post in response, as I could see it being a long reply. I've linked to the post with the comment in question but the gist of it is this:

"What do you feel about the comparisons some people with BIID make between that and GID/transsexualism, and the connection some people make to Munchauser's Syndrome?"


The comparison with GID is definitely an interesting one on two levels, firstly because both conditions can cause an equal level of suffering and also have a disabling potential to them, in that the sufferer can become unable to function in life. I know of a great many people with GID who have at some point been unable to leave their own homes because they couldn't face the world at large due to their transsexuality and I hear occasional comments from BIID people that say pretty much the same thing.

The main reason BIID and GID are an interesting comparison is in the subject of how they manifest themselves. What's the effect of GID? A strong, possibly disabling, insistence that a person's physical sex is opposite to that of their mental sex; i.e. a condition where the brain tells you you're one thing and your body is another. What's the effect of BIID? A strong, possibly disabling insistence that a person's physical state is different to their mind's 'body image'; i.e. a condition where the brain tells you you're one thing and your body is another.

It's quite possible that they are entirely different disorders that give the same result but it's equally possible (because let's face it, there have been no decent studies of this condition) that they're the same condition manifesting in different ways. The comparison is therefore very interesting.

Munchausen Syndrome, however, is totally unrelated to BIID, in my opinion. I can see why some people would see a similarity but only in the same way as I can see why some people think transsexual people are just "gays who went too far"; i.e. they're ignorant and/or wanting to cause trouble.

In the case of Munchausen Syndrome a person feigns an illness or condition to get attention but someone with BIID emulates a condition in order to seek a release from the symptoms of their condition. I can't think of a single BIID sufferer who wants attention either, in fact the ones I've spoken to seek to be left alone while they go about their business. BIID people seem to have a massive hangup about being spotted and 'outed', so to speak, while emulating their desired condition.

So, in conclusion I'd say any connection with Munchausen Syndrome is a false one and could potentially be offensive, too.

01 April 2007

Getting to grips with screenreaders

As readers who have been following my progress for the last few days will already know, I am now learning to use the Orca screen reader. This is turning out to be a fantastic tool that's much nicer, in my opinion, than JAWS was; although I will admit that I did not give JAWS a real test drive because I was annoyed that it tried to take over my computer and broke my browser.

Orca has its problems, that much I will concede. The voice is still annoying but I'm working on finding a better voice for it (I'd like one that doesn't sound like a synthetic man, is that too much to ask?) but I was impressed with the range of regional accents it has to offer.

I'm once again writing this entry using the screen reader to help me, which feels so good and so right. I haven't managed to get up to my usual typing speed yet but I'm working on it and I'm sure I'll get there in the end once I'm used to waiting for Orca to tell me what I just typed (or maybe I'll turn that option off once I'm more confident).

I'm still having problems getting the screen reader to read websites for me but I'm now wondering if this is because of a badly programmed layout on the sites or if it really is down to me not understanding how these things work. I had Orca read out a whole paragraph of a website earlier when I used the 'speak entire document' option so I'm getting there!

But now I have work to do so I'll end this entry now and get on with work, then a bit more practice is in order, I'm sure! :)