A thought that I've been really reflecting on from this thread is the risk that is posed by failing to safeguard against the risks that a person poses to those around them. To use the parallel of autism:
My daughter has a PDA (Pathological Demand Avoidance) style of response when she is highly anxious and is triggered. The PDA autism response comes from a fight or flight survival instinct - the person feels that whatever is being asked of them is going to cause them harm. Even something as basic as asking them to get their shoes on. When their anxiety is low, this response doesn't happen, so the main aim is to keep anxiety as low as possible through a variety of strategies. Some led by adults, some self-led. If things start to escalate, there are other strategies. But a key part of the PDA response is that it's performative. It's designed to get a reaction because what the person really wants is to gain back control in order to feel safe. Obviously the psychology behind the acronym is different (it's driven by sexual thrill, not survival) but the escalating dangers are sufficiently similar because they pose a real risk to others.
There is discussion and division amongst psychiatrists that PDA is either a completely separate type of autism or it's present in all autistic people, to a greater or lesser degree.
The reasonable adjustments that are accommodated at school in and around her lessons are there to lower her anxiety, not to accommodate dealing with her exploding (this is also managed of course, if needed). Society doesn't have to budge up and say "Oh, it's fine. She threw a chair but no worries". Instead she needs to learn strategies to help her understand the world and that this is not acceptable in society. Thankfully good progress is being made here. But if I had listened to the autism groups, helping her to build resilience and learn better strategies than throwing a chair is "ableist". The point at which I'd decided that the groups were of no use to me was where there was a discussion about prisoners and how people just needed to understand that many prisoners are autistic (OK... yes, agreed. That's helpful to understand how to both support and manage them).... and that's why we've got too many people in prison. Eh? WTAF?! So we should be giving people a gentle warning rather than a custodial sentence because they couldn't control themselves and society just has to budge up. No.
For me, having Phil at the conference and knowing the escalating risks of the acronym, this is a similar issue. In so far as it's pathway of escalating risk. If my daughter were to believe it was acceptable to throw chairs, what's going to come next when she feels out of control? If someone is allowed to perform their fetish, what next to get the next thrill? If Genspect is going to listen to all voices, they need to be completely on top of this.