iiinova — where your digital self keeps evolving

Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 02/10/2026

The FDA has a public comment period open right now on regulating generative AI medical devices. The discussion paper doesn't mention neurodivergent patients once. That's a gap we can still fix before October 19. zurl.co/nUV8F

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 28/09/2026

Accessibility isn’t a costume you put on a surveillance device. If your “assistive technology” quietly ships facial‑recognition code for strangers’ faces, you’re not supporting disabled people. You’re weaponising them as a PR shield.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 25/09/2026

Pennsylvania just sued a chatbot for practicing medicine without a license. Its AI 'psychiatrist' had no license, because it can't have one. Every state should be filing this exact claim right now. zurl.co/pYCkR

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 24/09/2026

After years of researching AI ethics, neurodivergent cognitive liberty, and the psychology of digital design, I built something practical: Consent Compass.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 09/09/2026

Accommodation Is Not a Favor. It Is a Right. Stop Treating It Like a Gift. zurl.co/Ie4nA As long as inclusion is framed as generosity, every accommodation can be rescinded, minimized, or weaponized as evidence of burden.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 07/09/2026

Autism Research Has Not Failed. It Succeeded — at the Wrong Goal. Autism research has not failed. It succeeded — at the wrong goal. zurl.co/LlLpB

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 05/09/2026

The Autism, ADHD, and Neurodiversity fix isn't another diagnostic refinement. It's redistributing epistemic authority — recognizing that neurodivergent people as the experts on their own experience they've always been. zurl.co/5Q1Sl

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 02/09/2026

$5 billion of Meta's settlement is contingent on TikTok and YouTube agreeing to the same terms. That means the Meta settlement's gaps are about to become the industry standard, unless advocates close them before the next deal is signed. zurl.co/Sb2Ty

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 02/09/2026

Who Owns the Biometric Data Your Autistic Child Generated Today? zurl.co/rK0tg Who owns the biometric data your autistic child generated today? Who can access it later? What happens when the vendor gets acquired?

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 31/08/2026

The Device Tracking Your Child's "Engagement" Cannot Turn Down the Lights If the device tracks your child's "engagement" but can't turn down the lights, ask what it's actually for. zurl.co/VdQAd Measurement without intervention is not accommodation.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 31/08/2026

The Meta settlement proves the engagement algorithm was built to exploit adolescent psychology on purpose. It says nothing about the neurodivergent teenagers whose engagement patterns the algorithm's own aggregate design never accounted for in the first place.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 27/08/2026

Meta just agreed to pay $17.1 billion for building an addiction machine aimed at kids. The court-mandated fix requires Meta to build an age-verification and behavior-tracking machine instead. Nobody has asked where that data goes next. zurl.co/vD1Pj

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 26/08/2026

How cool is this? Dear David, Thanks for this. Your article (zurl.co/aL2AI ) is asking better questions than most!

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 26/08/2026

When a Doctor Says "There's No Evidence for That," Ask: Evidence for Whom? "There's no evidence for that" is not the neutral scientific statement it sounds like. zurl.co/TU0L5 Autistic adults are experts on their own neurological experience.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 24/08/2026

The Study That Proved This Treatment Works — Probably Didn't Include Anyone Like You The study cited to justify your treatment probably didn't include anyone like you. zurl.co/aE1SK

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 22/08/2026

Before trusting an 'evidence-based' label, ask: who was actually in that trial? If it wasn't people like you, the evidence is an extrapolation, not a match. zurl.co/NmVlF #Autism #EvidentialPluralism #ClinicalResearch #Neurodiversity

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 20/08/2026

Platforms already prompt you before you send a slur. They could just as easily add friction before you mock someone who just died. This isn't censorship. It's one second of pause. zurl.co/pQtVo #Neurodiversity #MentalHealth #PlatformDesign

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 19/08/2026

Grief is not a policy. Outrage at cruel comments is not a safeguard. Here's what institutions, media, and platforms actually owe the next disabled person whose worst week goes viral. zurl.co/8aNLY #MentalHealth #Autism #Neurodiversity #Accountability

drdavidruttenberg.substack.com

Jason Arday, and What Comes Next

What we owe the next disabled person whose worst week becomes the public’s best content

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 19/08/2026

Your Body Has Been Keeping Score of Every Meeting You Masked Through If you're autistic, your body has been keeping score of every meeting you masked through — and now the science backs it up. zurl.co/xM1Ut

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 17/08/2026

78% of High-Masking Autistic Adults Are Already in Burnout. zurl.co/k39rM We're Praising the Other 22%. 78% of high-masking autistic adults meet clinical burnout criteria. "She presents so well" is not a compliment.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 17/08/2026

If your first instinct when someone is struggling is to mock them, the problem usually isn't the person struggling. It's the person watching. My thoughts are with Jason Arday's family. #MentalHealth #Autism #Neurodiversity #Compassion

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 15/08/2026

Sad news about Jadon Arday. As someone who has spent much of my career advocating for neurodivergent people, I am deeply saddened to see the public reaction in some quarters. Mental illness and psychological trauma are no more a choice than pediatric cancer.

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Reposted by Dr David Ruttenberg (he/him)

Caitlin Sheahan 🇦🇺 @caitlinsheahan.bsky.social · 10/07/2026

This is the problem! If we addressed issues like poverty, discrimination, family support, inclusive education, trauma-informed care, I’m sure we’d spend less in the long run across so many government systems, #MentalHealth

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 13/08/2026

At a moment when the public is rightly demanding transparency and accountability concerning the Epstein matter and the exploitation of children... ...It is ESPECIALLY INDEFENSIBLE to deploy children’s health and autism as political theatre. zurl.co/MBEAE

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Reposted by Dr David Ruttenberg (he/him)

Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 12/08/2026

Trump just rewrote the childhood vaccine schedule by executive order, citing autism, with zero evidence. His own NIH director publicly disagreed with him days earlier. This isn't policy. It's a hunch with a presidential seal. zurl.co/WPcIB

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 12/08/2026

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 12/08/2026

AI Hiring Isn't Screening for the Best Candidate. It's Screening for the Most Predictable One. zurl.co/I6sfG AI hiring tools don't screen for talent. They screen for statistical predictability.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 11/08/2026

TOMORROW • 9 AM EST HERE and on SUBSTACK What’s really behind the politics of this move on vaccines—and why is it raising alarms even among the President’s own supporters? Tomorrow, I’ll unpack the science, the politics, and the uncomfortable questions hiding in plain sight. Watch this space.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 10/08/2026

A Billion Applications. A 30% Higher Error Rate for Disabled Applicants. One Lawsuit. A federal judge just ruled Workday must face a lawsuit covering 1.1 billion job applications. zurl.co/wOqsA

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 07/08/2026

A federal judge just ruled Workday must face a lawsuit covering 1.1 billion job applications. AI hiring tools filter out neurodivergent candidates before a human ever sees their name. zurl.co/oriCV

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 05/08/2026

The New Workplace Divide: Workers Who Use AI vs. Workers Managed By It There's a new class divide at work: people who use AI, and people who are managed by it. zurl.co/CBSVN

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 03/08/2026

Meta Is Training AI on Your Keystrokes. Your Autistic Colleague's Too. Meta is reportedly training AI agents on employee behavioral data. zurl.co/TIFVj

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 01/08/2026

You didn't consent to this monitoring. It was buried in onboarding paperwork you had to click through to get the job. That's not consent — that's coercion with a checkbox. zurl.co/V7SDz #Bossware #WorkplaceSurveillance #Neurodiversity #DisabilityRights

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 29/07/2026

8 in 10 Autistic Employees Are Masking at Work Right Now A June 2026 survey found 80% of autistic employees report masking and emotional exhaustion at work, right now, today. This isn't a personal coping issue. It's a structural management failure at scale.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 27/07/2026

Your Employer Gave You an Accommodation. They Still Own Your Burnout.

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 25/07/2026

Ask your HR team one question: how do you know the accommodation is actually working? If there's no answer, you have a liability shield, not a support system. zurl.co/VWEWJ #WorkplaceAccommodation #HR #DisabilityRights #Neurodiversity

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Dr David Ruttenberg (he/him) @drdavidruttenberg.bsky.social · 24/07/2026

A form. A token policy. A quiet room. Most workplace accommodations aren't built to help you — they're built to survive a lawsuit. zurl.co/gipHs #WorkplaceAccommodation #ADA #Neurodiversity #DisabilityRights #HR

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