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I am autistic with multiple overlapping mental health issues. I recognize the word had a technical meaning, which shifted to a colloquial meaning and insult. I don't consider the word offensive, any more than I find referring to something disparagingly as autistic offensive. 🤷🏼‍♂️
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Ok. Unless used in a clear and deliberately hostile context to someone with an intellectual disability, there’s no real harm to it. Same with most insults.
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