Features
In new book, well-known psychologist argues that autism is grossly over-diagnosed
Book review by TOBY KLEIN GEENWALD Dr. Shoshana Levin Fox has authored a book that will hold you spellbound. Section I is titled “Children.” These first eight chapters are the stories of Jack, Sasha, Annie and others (all the children’s names used are pseudonyms) – children who came into the Feuerstein Institute after having been diagnosed as autistic. They exited with new hope, not only for themselves, but for their parents, who were usually devastated by their children’s diagnoses and needed their own emotional propping up.
The central theme of this book is that autism is grossly over-diagnosed. Levin Fox is a psychologist and play therapist who has worked with children for more than 30 years. In addition to lecturing and giving workshops in North America, Israel and Europe, she worked for 25 years in the prestigious Feuerstein Institute of Jerusalem, founded by the late Sorbonne-educated Professor Reuven Feuerstein.
Dr. Levin Fox lived for nearly twenty years in Canada. She completed an M.A. at Simon Fraser University and a Doctorate in Counselling Psychology at the University of British Columbia and worked for many years as a counsellor in the Special Services to Children program of the Vancouver Association of Neighbourhood Houses. Levin Fox was awarded a SSHRC (Social Sciences and Humanities Research Council of Canada) post-doctoral fellowship, which enabled her to do research and practical work in the field of autism at the world-renowned Feuerstein Institute in Jerusalem. Coincidentally, for many years Hadassah WIZO Canada were the prime funders of the Feuerstein Institute’s programs related to autism.
I warmly recommend the book, not just for the moving stories of the children who were salvaged from what proved to be inaccurate assessments, and not only for the intriguing descriptions of the practices of the world-renowned Feuerstein Institute, which Dr. Levin Fox combined with the wonders of the DIRFloortime method. This book should be read for its critical message to parents who have received an autism diagnosis for their son or daughter: Believe in your child. Talk to your child. Keep looking till you find her the best and most appropriate help and hope. Don’t let the “experts” get you down, because a true expert will find the formula to lift you – and your child – up.
Most importantly, do not assume that an expert who gave you an assessment of autism, that may feel like an emotional-cognitive death sentence, is right, and even if the assessment is accurate, and the child is truly autistic, that does not mean there is no hope.
This book is not only for parents of children with autistic symptoms; there is a message here for all parents: Even when there is a diagnosis of less daunting conditions — such as learning disabilities, ADHD, or other emotional, cognitive or developmental challenges — keep shopping till you find the professional who will light the way through the tunnel.
The idea of plasticity of the brain, writes Levin Fox, entered mainstream medicine several generations after Prof. Feuerstein had intuited and created materials and methods based on that reality. “There were no sacred cows for the Professor,” she writes, and decries the fact that “the diagnosis of autism is used as a sacrosanct truism…I have found that the term ‘autism,’ as it appears commonly in the field, in actuality is being used to describe children who suffer from a vast range of communication difficulties, from extreme shyness to psychotic conditions and just about everything in between.”
It is not clear to her how research studies can be reliable, writes Levin Fox, “with the current diagnostic criteria of autism so elastic and with the use of the term so liberal.”
The children whose stories are recounted in this book all made significant, even dramatic, progress. Levin Fox writes that, “Not every child began to speak fluently, to learn at a normative level and to play happily with friends…However, it can be safely and honestly stated that, inspired and mentored by the Professor, my colleagues and I made a huge difference in the lives of hundreds of children originally thought to be autistic.” She sees them, as a team, as having saved many lives.
Feuerstein sought to find the child’s latent strengths, and what he called “islets of normalcy.” She explains how “islets of normalcy” are identified and worked with. They include, among other elements, eye contact, human relationships, symbolic play, curiosity, humor and more. “The notion of islets of normalcy helps both parent and practitioner recognize the non-symptomatic behavior [of autism symptoms], the sparks of life and the glimmers of normative functioning within a child’s autistiform presentation.”
There was five-year-old Jack, whose parents came to the Institute and Levin Fox discovered in him an engaging child with a rich imagination. His parents told her that, as he had verbal communication problems, they had taken him to be tested and had been told he was autistic.
Levin Fox emphasizes that helping the parents to understand their children’s challenges, and not to be fearful and depressed about them, is part of the battle.
At the Institute Jack thrived, and left the early diagnosis of autism far behind. The details of the process are in a fascinating ten-page chapter.
She writes about a little girl, Annie, who clearly had developmental difficulties, but, “Each of a child’s tangible, visible symptoms is a world in itself. Like the shoots of a green plant, symptoms have intricate roots.”
Levin Fox gave the parents tools to work with their daughter and continued to follow her progress. When she met her again at the age of six, she wrote, “The sweet, charming, warm, open and communicative child…bore no trace of the detached, imploded, silent, starving two-and-a-half-year-old of years ago.”
Then there was Davie, who had “a longer journey,” and teenaged Joe, who did not make progress to the same extent as some of the other children, but who years later was a happy, functioning adult living in a group setting with other mildly impaired adults. And Mikey, who began to improve significantly when his parents began to talk to him. He still had a long way to go, but Levin Fox writes, “I learned never to give up on a parent.”
There was Max, who had oral dyspraxia, and his lack of speech had been “misunderstood as an autistic avoidance of speech…his story…dramatically illustrates the tragedy of this kind of misdiagnosis.” She cautions that children’s hearing should always be tested; sometimes the non-responsive child is discovered to be simply hearing-impaired.
In Part II, “Theoretical Groundings,” Levin Fox gives the intense and thorough theoretical background to the success stories, which are plentiful. Six more case studies are interwoven in the text to help bring the theory alive.
This section also describes the fascinating roots of Feuerstein’s methods. He began by working with orphan children who had been traumatized after WWII, decided there were flaws in the standard diagnostic tests, and rather than focusing on performance, he focused on the child’s ability to develop learning processes.
“Current studies on brain plasticity…scientifically substantiates what [Feuerstein] proposed two generations ago – that brain cells are modifiable and respond to the stimuli of the environment.” She writes that for Feuerstein it was an “I told you so” moment.
“He understood that human beings can change…when the environment anticipates and promotes such change.” The children mentioned earlier “markedly diminished their autistic-like symptoms…We believed that the potential was there. We sought it. And when we could not see it, we worked hard to elicit it, and even to create new facts on the ground.” The staff saw themselves as warmly interactive mediators.
One of my favorite stories appears in Chapter 15, “A Paradigm Shift,” where Levin Fox describes in great detail the captivating case history of Ben, whom she first met when he was five-years-old. The end of the chapter, with the sub-heading, “Ben’s Epilogue,” describes a chance meeting between Levin Fox and Ben’s parents, many years later, at the luggage carousel in the arrival area of the airport. “Dr. Shoshana!” they called out, and his mother pulled out her cellphone. “The happy faces of Ben and his wife, holding their newborn son, smiled back at me,” writes Levin Fox. “For Ben, the paradigm-shift had indeed been life-saving.”
I found other words to describe the journeys and the miracles of the children portrayed in this book: life-affirming.
And hope.
“An Autism Casebook for Parents and Practitioners: The Child Behind the Symptoms” is published by Routledge, Taylor & Francis and available on Amazon. Read more about Dr. Shoshana Levin Fox’s work at: https://shoshanalevinfox.com/
Toby Klein Greenwald is an award-winning journalist, educational theater director, teacher and the editor-in-chief of WholeFamily.com.
Features
Winkler nurse stands with Israel and the Jewish people
By MYRON LOVE Considering the great increase in anti-Semitic incidents in Canada over the past 20 months – and the passivity of government, federally, provincially and municipally, in the face of this what-should-be unacceptable criminal behaviour, many in our Jewish community may feel that we have been abandoned by our fellow citizens.
Polls regularly show that as many as 70% of Canadians support Israel – and there are many who have taken action. One such individual is Nelli Gerzen, a nurse at the Boundary Trails Health Centre (which serves the communities of Winkler and Morden in western Manitoba). Three times in the past 20 months, Gerzen has taken time off work to travel to Israel to support Israelis in their time of need.
I asked her what those around her thought of her trips to Israel. “My mother was worried when I went the first time (November 2023),” Gerzen responded, “but, like me, she has trust in the Lord. My friends and colleagues have gotten used to it.”
She also reports that she is part of a small group of fellow believers that meet online regularly and pray for Israel.
Gerzen is originally from Russia, but grew up in Germany. Her earliest exposure to the history of the Holocaust, she relates, was in Grade 9 – in Germany. “My history teacher in Germany in Grade 9 went into depth with the history of World War II and the Holocaust,” she recalls. “It is normal that all the teachers taught about the Holocaust but she put a lot of effort into teaching specifically this topic. We also got to watch a live interview with a Holocaust survivor.”
What she learned made a strong impression on her. “I have often asked myself what I would do if I were living in that era,” she says. “Would I have been willing to hide Jews in my home? Or risk my life to save others?”
Gerzen came to Canada in 2010 – at the age of 20. She received her nursing training here and has been working at Boundary Trails for the last three years.
“I believe in the G-d of Israel and that the Jews are his Chosen People,” she states. “We are living at a time of skyrocketing anti-Semitism. Many Jews are feeling vulnerable. I felt that I had to do something to help.”
Gerzen’s first trip to Israel was actually in 2014 when she signed onto a youth tour organized by a Christian group, Midnight Call, based in Switzerland. That initial visit left a strong impact. “That first visit changed my life,” she remembers. “I enjoyed having conversations with the Israelis. The bible for me came to life. Every stone seemed to have a story.”
She went on a second Midnight Call Missionaries tour of Israel in 2018. She went back again on her own in the spring of 2023. After October 7, she says, “I couldn’t sit at home. I had to do something.”
Thus, in November 2023, she went back to Israel, this time as a volunteer. She spent two weeks at Petach Tikvah cooking meals for Israelis displaced from the north and the south as well as IDF soldiers. She also spent a day with an Israeli friend delivering food to IDF soldiers stationed near Gaza. She notes that she wasn’t worried so close to the border.
“I trusted in the Lord,” she says. “It was a special feeling being able to help.”
Last November, she found herself at Kiryat Shmona (with whom our Jewish community has close ties), working for two weeks alongside volunteers from all over the world cooking for the IDF.
On one of her earlier visits, she recounts, a missile struck just a few metres from the kitchen where the volunteers were working. There was some damage – forcing closure for a few days while repairs were ongoing, but no injuries.
In January, she was back at Kiryat Shmona for another two weeks cooking for the IDF. She also helped deliver food to Metula on the northern border. This last time, she reports, there was a more upbeat atmosphere, “even though,” she notes, “the wounds are still fresh. It was quieter. There were no more missiles coming in.
“Israelis were really touched by the presence of so many of us volunteers. I only wish more Christians would stand up for Israel.
“It was really moving to hear people’s stories first-hand.”
She recounts the story of one Israeli she met at a Jerusalem market who fought in the Yom Kippur war of 1973, who was the only survivor of the tank he was in.
“This guy lost so much in his life, and he was standing there telling the story and smiling, just trying to live life again,” she says. “The people there are so heartbroken.”
Back home, she has been showing her support for Israel and the Jewish people by attending the weekly rallies on Kenaston in support of the hostages whenever she can.
She is looking forward to playing piano at Shalom Square during Folklorama.
Nelli Gerzen doesn’t know yet when she will be returning to Israel – but it is certain to be soon. “This is my chance to step up for the truth,” she concludes. “I know that supporting Israel is the right thing to do. When I am there, it feels like my heart is on fire.”
Features
Antisemitism in the Medical Profession in Canada
By HENRY SREBRNIK (June 27, 2025) Antisemitism in Canada now flourishes even where few would expect to confront it. Since the Hamas attack on Israel on October 7, 2023, there has been a resurgence of antisemitism noticeable in the world of healthcare.
When Israeli Gill Kazevman applied to medical school, and circulated his CV to physician mentors, their most consistent feedback was, “Do not mention anything relating to Israel,” he told National Post journalist Sharon Kirkey in an Aug. 10, 2024, story. As a student at the University of Toronto’s Temerty Faculty of Medicine, “I began to see all kinds of caricatures against Jews. I saw faculty members, people in power, people that I’m supposed to rely on, post horrible things against Jews, against Israelis,” he added. The faculty created a Senior Advisor on Antisemitism, Dr. Ayelet Kuper, who in a report released in 2022, confirmed widespread anti-Jewish hatred.
The Jewish Medical Association of Ontario (JMAO) conducted a 2024 survey of 944 Jewish doctors and medical students from across Canada. Two thirds of respondents were “concerned that antisemitic bias from peers or educators will negatively affect their careers.” Dr. Lisa Salomon, JMAO’s president, reported that at the University of Toronto medical school only 11 Jewish students were completing their first year of medical school out of a class of 291. The medical school in 1974 saw 46 Jews in a class of 218.
Also in Toronto, Hillel Ontario called on Toronto Metropolitan University to investigate Dr. Maher El-Masri, who has served as the director of the Daphne Cockwell School of Nursing, because, the group contended, he has “repeatedly engaged with and spread extreme, antisemitic, and deeply polarizing content on his social media account.”
The National Post’s Ari Blaff in an article on June 12, 2025 quoted social media posts from an account Hillel claimed belongs to Dr. Maher El-Masri, who has been the director of the Daphne Cockwell School of Nursing. One message concerned a post about Noa Marciano, an Israeli intelligence soldier abducted by Hamas on Oct. 7, 2023, who later died in captivity. “This is what is so scary about people like her,” the TMU professor wrote. “They look so normal and innocent, but they hide monstrous killers in their sick, brainwashed minds.” Israel, he asserted a day after the Hillel notice, “is a baby killer state. It always has been.”
The Quebec Jewish Physicians Association (AMJQ) is fighting antisemitism in that province. Montreal cardiologist Dr. Lior Bibas, who also teaches at Université de Montréal, co-founded the group in the weeks following the October 7 terrorist attack. They feel young doctors have been bearing the brunt of anti-Israel sentiment since then. “We heard that trainees were having a hard time,” he told Joel Ceausu of the Canadian Jewish News Feb. 3. “We saw a worsening of the situation and were hearing stories of trainees removed from study groups, others put on the defensive about what’s happening,” and some saw relationships with residents deteriorating very quickly.
Dr. Bibas thinks there are similarities with Ontario counterparts. “Trainees are getting the brunt of all this. Their entire training ecosystem — relationships with peers and physicians — has changed.” Whether anti-Zionist remarks, blaming Jews for Israel’s actions, or other behaviour, it can be debilitating in a grueling academic and career setting. The fear of retaliation is so strong, that some students were unwilling to report incidents, even anonymously.
Jewish physicians have now founded a national umbrella group, the Canadian Federation of Jewish Medical Associations (CFJMA), linking the provinces, and representing over 2,000 Jewish physicians and medical learners, advocating for their interests and promoting culturally safe care for Jewish patients. And “it’s really been nonstop, given that we have a lot of issues,” Dr. Bibas told me in a conversation June 17. “People have been feeling that there’s been a weaponization of health care against Israel.”
He stressed that health care should remain politically neutral – meetings are an inappropriate venue in which to talk about the war in Gaza, he stated, and “this will just lead to arguments.” Nor should doctors, nurses and hospital staff wear pins with Palestinian maps or flags. And no Jewish patient being wheeled into an operating room should see this “symbol of hate.”
On Jan. 6, a group of Montreal-area medical professionals walked off the job to protest outside Radio-Canada offices, calling for an arms embargo, ceasefire and medical boycotts of Israel. Those who could not attend were encouraged to wear pins and keffiyehs to work. When asked if such a walkout should be sanctioned, Quebec Health Minister Christian Dubé’s office had no comment. Neither did the Collège des médecins (CDM) that governs professional responsibilities. The leadership of many institutions have remained passive.
B’nai Brith Canada recently exposed a group channel, hosted on the social media platform Discord, in which Quebec students engaged in antisemitic, racist, misogynistic and homophobic rhetoric. More than 1,400 applicants to Quebec medical schools, as well as currently enrolled medical school students, were in the group, which was ostensibly set up to support students preparing for admission to Quebec’s four medical programs. “I saw it, and it’s vile,” remarked Dr. Bibas, noting how brazenly some of the commentators expressed themselves, using Islamist rhetoric and Nazi-era imagery, such as referring to Anne Frank as “the rat in the attic.”
Doctors Against Racism and Antisemitism (DARA) said in a statement, “These messages are the direct result of the inaction and prolonged silence of medical school and university leaders across Canada since October 7, 2023, in the face of the meteoric rise of antisemitism in their institutions. Silence is no longer an option. Quebec’s medical schools and universities must act immediately. These candidates must not be admitted to medical school.” DARA member Dr. Philip Berger stated that “there’s been a free flow, really, an avalanche of anti-Israel propaganda, relentlessly sliding into Canadian medical faculties and on university campuses.”
In Winnipeg, a valedictory speech delivered to the 2024 class of medical school students graduating from the Max Rady College of Medicine at the University of Manitoba on May 16, 2024 set off a storm of controversy, as reported by Bernie Bellan in this newspaper. It involved a strongly worded criticism of Israel by Dr. Gem Newman. “I call on my fellow graduates to oppose injustice -and violence — individual and systemic” in Palestine, “where Israel’s deliberate targeting of hospitals and other civilian infrastructure has led to more than 35,000 deaths and widespread famine and disease.” The newspaper noted that “loud cheers erupted at that point from among the students.”
The next day, the dean of the college, Dr. Peter Nickerson, issued a strongly worded criticism of Dr. Newman’s remarks. On Monday, May 20, Ernest Rady, who made a donation of $30 million to the University of Manitoba in 2016, and whose father, Max Rady, now has his name on the school, sent an email in response to Dr. Newman’s remarks.
“I write to you today because I was both hurt and appalled by the remarks the valedictorian, Gem Newman, gave at last week’s Max Rady College of Medicine convocation, and I was extremely disappointed in the University’s inadequate response. Newman’s speech not only dishonored the memory of my father, but also disrespected and disparaged Jewish people as a whole, including the Jewish students who were in attendance at that convocation.”
In subsequent weeks Jewish physicians in Manitoba organized themselves into a new group, “The Jewish Physicians of Manitoba.” As Dr. Michael Boroditsky, who was then President of Doctors Manitoba, noted, “Jewish physicians in cities across Canada and the U.S. have been forming formal associations in response to heightened antisemitism following the Hamas massacre of October 7.”
After October 7, Jewish students at the University of Calgary’s Cumming School of Medicine reported exposure to repeated antisemitic posts by peers on social media, being subject to antisemitic presentations endorsed by faculty during mandatory classes, social exclusion and hateful targeting by university-funded student groups, and removal from learning environments or opportunities subsequent to antisemitic tirades made by faculty in public spaces.
In addition to online vitriol, medical students have been subject to antisemitic actions coordinated by university-funded student groups with physician-faculty support under the guise of advocating against the actions of the Israeli government. All instances of discrimination, they stated in a brief, have been witnessed by and/or reported to senior leadership of the medical school without incurring condemnation of the discrimination.
In Vancouver, social media posts vilifying Israel and espousing Jew hatred were circulated by physicians at the Faculty of Medicine of the University of British Columbia, noted an article in the National Post of May 25, 2025. Allegations included Christ-killing, organ trafficking, and other nefarious conspiracies supposedly hatched by Jewish doctors. Some asserted that Jewish faculty should not be allowed to adjudicate resident matching because the examining doctors were Jewish and might be racist.
In November of 2023, one-third of all UBC medical students signed a petition endorsing this call. Jewish learners who refused to sign were harassed by staff and students on social media. When challenged, the Dean of the medical faculty refused to recognize antisemitism as a problem at UBC or to meet with the representatives of almost 300 Jewish physicians who had signed a letter expressing concern about the tolerance of Jew hatred, and the danger of a toxic hyper-politicized academic environment. This led to the public resignation of Dr. Ted Rosenberg, a senior Jewish faculty member.
Here in the Maritimes, things seem less dire. I spoke to Dr. Ian Epstein, a faculty member in the Division of Digestive Care & Endoscopy at the Dalhousie University Faculty of Medicine. He helps coordinate a group supporting Jewish and Israeli faculty, residents and medical students.
“Our group is certainly aware of growing antisemitism. Many are hiding their Jewish identities. There have been instances resulting in Jewish and Israeli students being excluded and becoming isolated. It has been hard to have non-Jewish colleagues understand. That said our group has come together when needed, and we have not faced some of the same challenges as larger centres,” Dr. Epstein told me. Dalhousie has also taken a stand against academic boycotts of Israel, which some view as a form of antisemitism. The University of Prince Edward Island in Charlottetown has just opened a new medical school. Let’s hope this doesn’t happen here.
Lior Bibas in Montreal indicated that his group is worried “not only as Jewish doctors and professionals, but for Jewish patients who are more than ever concerned with who they’re meeting.” Can we really conceive of a future where you’re not sure if “the doctor will hate you now?”
Henry Srebrnik is a political science professor at the University of Prince Edward Island.
Features
One Epic Trip From Rugged Roads to Remote Lakes
There are road trips you plan for leisure and then there are road trips that change you. For Alexia Krizia La Palerma, what started as a multi-day drive from Montreal to a frozen lake in Thetford Mines turned into something far more meaningful. With her toddler son Leone in the backseat and a car full of diving gear, she embarked on a trip that blurred the line between motherhood and exploration.
Behind the wheel of a Mitsubishi Outlander PHEV, Alexia made her way through snow-covered landscapes and silent forests, chasing a singular goal: to freedive beneath the ice of Flintkote Quarry. It was more than just an outdoor challenge. It was an inward journey that demanded focus, courage, and a deep breath.
Gear, Grit, and a Plug-In Hybrid
Driving through Canadian winters is no small feat, especially when you’re hauling sensitive equipment, handling unpredictable road conditions, and taking care of a toddler. The Mitsubishi Outlander PHEV turned out to be an ideal travel partner, combining electric power with rugged capability. Super All-Wheel Control gave Alexia confidence behind the wheel, and the generous cargo space meant there was room for everything from Leone’s essentials to fins, wetsuits, and oxygen kits.
This trip wasn’t about rushing to the finish line. It was about having a vehicle that could keep up, adapt, and support the type of journey where the road itself is as important as the destination.
A Pause in the Trees
Before heading to the dive site, Alexia took a detour to the Bubble Hotel at Centre de l’Hêtre near Quebec City. There, she and Leone slept in a transparent dome surrounded by trees. Under a canopy of stars, the pause served a purpose. It grounded her, helping her mentally prepare for the cold-water challenge ahead.
These intentional breaks are often the secret to making epic trips feel manageable. They offer room to breathe, especially when the final goal requires both physical endurance and emotional clarity.
Dropping Into Stillness
At Flintkote Quarry, Alexia and her team cut a triangular hole into thick lake ice. Known for its eerie underwater wrecks and unusual clarity, the quarry is one of the few places to freedive Canada in such stark, beautiful conditions.
Slipping into a 5mm wetsuit and prepping her descent line, Alexia focused on her breath. Underneath the frozen surface, the water was calm and dark, broken only by shafts of sunlight from the hole above. Every movement mattered. There was no scuba tank, no noise. Only control, silence, and the rhythm of lungs trained to perform under pressure.
Though physically intense, the dive was meditative. It reminded her why she fell in love with freediving in the first place: the quiet, the simplicity, and the sense that you’re alone with your thoughts in a way that’s almost impossible on land.
Resurfacing With Perspective
When Alexia climbed out of the water, Leone was waiting. That moment captured something powerful. It wasn’t just about completing the dive. It was about sharing the spirit of exploration with the next generation.
By choosing to bring her son along rather than leave him behind, Alexia redefined what it means to balance adventure with responsibility. For her, being a parent didn’t limit what she could experience. It added new depth to it.
A Vehicle That Moves With You
The Outlander PHEV didn’t just get them from point A to B. It was a space to decompress between stops, a gear hauler, and a climate-controlled haven after hours spent in the cold. Its hybrid engine meant fewer emissions during long drives, which aligned with Alexia’s deep respect for nature.
For anyone looking to freedive Canada or explore off-the-grid locations, the right car isn’t just useful. It’s essential. And in this case, it was an enabler of something unforgettable.
Driving Into the Unknown
This wasn’t just a trip across Quebec. It was a passage between everyday life and something more expansive. Rugged roads, quiet lakes, and frozen silence gave way to a deeper understanding of self.
Epic doesn’t have to mean extreme. Sometimes it just means choosing the kind of journey that demands more from you and gives more back.