Under Her Care

This book was a page turner for sure and I thought the protagonist was likable enough. I thought the police officer was trying to undermine Casey (the local autism expert) and that was kind of annoying because we know there's more to it.

In terms of autistic representation, I didn't really mind it but I have a lot of thoughts on it.

Firstly, I do not care if I'm being referred to as someone with autism or an autistic person, but I go with autistic person. I see that Casey leans into what the professional standard is and that doesn't surprise me, because it's not like she engages in online discourse. It's realistic, whether or not I agree. It may or may not be the author's beliefs but it doesn't matter to me. Other terminology is also reflected in current career field, rather than online discourse.

Mason's symptoms were too textbook autism at the beginning and I just knew it had to be coached. For example, Genevieve would obviously lean into the train stereotype because that's all she knows as she isn't autistic. She is also trying to convince other professionals that her son is autistic. I suppose I have my own experiences to reflect on, so that kind of ruins the surprise for me. However, I still didn't mind the unraveling playing out. Although I predicted and interpreted the ruse correctly whilst reading along, the explanation was still chilling and gross. Seeing an Autism Mom™️ fully realized is terrifying. I knew she was one 9% in the book (“Just that she's an expert on autism spectrum disorder, which is great, but I'm the expert on my son. We're going to get that straight from the beginning.”). Genevieve's reasoning is that her child was painfully average very soon after birth, she hardly knew him yet refused to accept him for who he is. She wanted to make him special and control him at the same time.


This is the entire point of the book. Stereotyping autism and showing that developmental or learning conditions can be faked if you try hard enough. Tricking so many professionals over time is psychologically messed up. It makes you question why anyone would induce symptoms and the simple answer is attention. There is the angle of exploitation from Mommy influencers and disabled children who cannot consent. Mason thrives at the end, which shows that he was never given the chance to before and reading his sections of the story is heartbreaking because he's been so abused and developmentally stunted. I do wish his POV was a bit longer.

I wasn't very surprised by a lot of the ending but I should have guessed that Samantha and her boyfriend were the blackmailers, so well done for not using a random character as a cheap exit.

In conclusion, this book made me think a lot about myself and how far I or people will go to maintain a good image. I don't find this representation offensive because there's a plot to justify why things are the way they are and that these aren't usual circumstances. I don't view thrillers as highly likely or realistic but possible. Also not everything is applicable to everyone and that doesn't make it bad representation but this wouldn't matter because it isn't really autism. In the end it's about intention and research, which has been done.