My Phone Sling Everyday Carry

My phone sling is my constant companion. The sling itself is a purpose-suited Ethnotek Chaalo Pocket and the contents are my carefully curated coping treasures covering six categories of quotidian need.

  • Cognitive Net and Executive Function
  • Sensory Management
  • PPE
  • Tools
  • Fidgets
  • Wallet

Cognitive Net and Executive Function

The primary purpose of the phone sling is quick draw access to my cognitive net: my phone and my index cards. These are first-order retrievable with one hand at all times.

My phone is an iPhone 12 Pro Max in an Apple MagSafe silicone case. Ulysses, Things, Fantastical, and DEVONthink live on my phone and get me through my days. I couldn’t cope and be productive without them.

MagSafe silicone case in Pink Citrus for my iPhone 12 Pro Max, which is not pictured because it's taking the picture
MagSafe silicone case in Pink Citrus for my iPhone 12 Pro Max, which is not pictured because it’s taking the picture

Digital is my productivity home, but I like to supplement digital with a touch of analog in the form of index cards. Each day, I transcribe 10 items or fewer from Things onto an index card. I use a second index card as a scratchpad for stack capture: takeout orders, notes to self, measurements, etc. I arrange the two cards back-to-back via a hacked-together double-sided index cardholder made from two Rite in the Rain index card wallets.

Fabricobbled double-sided index card holder with double-sided marker in pen loop
Fabricobbled double-sided index card holder with double-sided marker in pen loop

My index cards are silky soft 3”x5” Exacompta with a 5×5 mm grid that is perfect for accommodating 10 double-spaced checklist items. Over lots of iteration, I arrived at a very similar style to the Analog system. When it was announced, I tweaked my style to match Analog’s. I’ve been using the Analog method for months now and am ready for when my official Analog set arrives.

After trying many, many, many different styles of pens and inks for EDC, I now default to double-sided markers as my go-to writing instruments. My handwriting feels most comfortable and legible with felt tips. Double-sided markers let me make checklists on my index cards with the extra fine tip and make labels with the fine tip. They’re also cheap and not painful to lose. My current marker of choice is the Zebra Mackee Care Refillable Double-Sided Marker – Extra Fine / Fine in Black. I also like:

These are label markers with bold, consistent lines that work well on index cards and gaffer tape. I like ‘em.

Index cards allow me to avoid the distractions of the phone. I can get on task with the to-do list or capture stack with the scratchpad without getting waylaid by the infinite offerings of the phone.

The phone is one-hand retrievable from a dedicated phone pocket in the interior of the sling. The index cardholder is one-hand retrievable from a slip pocket on the back of the sling. The pockets on this sling happen to fit my digital + analog cognitive net quite nicely.

Sensory Management

AirPods Pro and a Vibes earplugs case with purple foam earplugs
AirPods Pro and a Vibes earplugs case with purple foam earplugs

I don’t go anywhere without noise-cancelling headphones and ear plugs. They are essential sensory management for this hyper-sensory autistic.

Autistic Odes to Noise-cancelling Headphones – Ryan Boren

The sling has a slip pocket on the interior organizer that fits an AirPods Pro case along with a Vibes earplugs case. AirPods Pro provide portable noise-cancellation and Siri access to my cognitive net. The Vibes case holds both Vibes ear plugs and also a pair of Mack’s Slim Fit Soft Foam Earplugs.

I feel exposed and vulnerable without my sensory management. The sling keeps them always at hand.

PPE

Black Tom Bihn mask on a rock
Black Tom Bihn mask on a rock

I welcome normalized masking and always have at least one with me. My favorites so far are from Tom Bihn and Ugmonk.

The front zippered pocket of the sling contains the mask and only the mask. The interior fabric is wipeable, and I hit it with an alcohol prep pad periodically.

Tools

I’ve tried all kinds of combinations of knives and multitools and flashlights and keychain tools to cover my daily needs. I’ve found a minimum effective dose with maximum daily application to be a trio of: bottle opener + slide razor + keychain flashlight.

My current implementation of this trio:

Flashlight, bottle opener, and touch-knife attached to a magnetic quick release
Flashlight, bottle opener, and touch-knife attached to a magnetic quick release

I use all of these daily. They are cheap, lightweight, and effective. I attach them to the sling’s key lanyard via an Urban Carvers magnetic quick release.

I also keep a double-sided hank for cleaning eyeglasses and camera lenses in the main compartment and an Olfa Graphics Knife for more refined cutting tasks in a pen slot. A Tile tracker tucks into the bottom of an organizer slot. I put trackers on everything.

An Olfa graphics knife and a Tile tracker rest on a Mighty Hanks hank
An Olfa graphics knife and a Tile tracker rest on a Mighty Hanks hank

Fidgets

A Gambit token and a CIVIVI spinner pen rest on a hank
A Gambit token and a CIVIVI spinner pen rest on a hank

The aforementioned magnetic quick release and Olfa graphics knife are good tactile and auditory stims. I also carry two things specifically as fidgets:

The pen is primarily a fidget but is also useful when I need a pen for paper incompatible with my double-sided marker. It lives in a pen slot on the interior organizer.

There are several ways to fidget with the Gambit token. I enjoy it. It rests somewhat inconveniently at the bottom of the main compartment, but diving for it feels like discovering a doubloon. Even so, I’d love a shallow coin pocket near the top of the main compartment.

Wallet

I rarely go out, and when I do it’s pre-paid curbside pickups. On those rare occasions I have to pay in person, I usually use Apple Pay via my watch. I don’t have a daily need for a wallet, so I keep it light and multi-functional with a Moft MagSafe wallet. It’s a phone stand that also compactly holds my ID and a couple of cards.

A Moft wallet and a hank pose on a rock
A Moft wallet and a hank pose on a rock

I like combining wallet and phone for cognitive simplicity. I never lose my phone, and the wallet goes along for the ride. But, magnetic charging compatibility means having a detachable phone wallet to keep up with. When the Moft is not attached to the phone, it is in the main pocket of the sling along with the fidget token and hank. It’s always either on the phone or in the sling. So must it be for my sanity.

That’s it. I also have belly bag, tablet sling, laptop messenger, and spinner suitcase load-outs that I might do blog posts for now that I’m retired. I love bags and curating collections within their confines.

What bag gets you through your day?

Neurominorities, Spiky Profiles, and the Biopsychosocial Model at Work

I’m making my way through my second read of the very interesting ”Neurodiversity at work: a biopsychosocial model and the impact on working adults”. There is a lot to digest. It offers:

  • definitions of neurotypical and neurodivergent based on spiky versus flat profiles
  • a taxonomy and timeline of neurominorities
  • an evolutionary critique of the psychomedical model
  • a biopsychosocial model for work
  • occupational considerations of neurodiversity
  • work-related difficulties and strengths attributed to neurominorities

I recommend this to all DEI and HR workers. Selected quotes:

There is consensus regarding some neurodevelopmental conditions being classed as neurominorities, with a ‘spiky profile’ of executive functions difficulties juxtaposed against neurocognitive strengths as a defining characteristic.

An evolutionary critique of the psychomedical model

Given the extent of overlap between the conditions, the under-diagnosis of females who instead present with anxiety, depression or eating disorders, and the estimated prevalence of each condition, a reasonable estimate of all neurominorities within the population is around 15-20%, i.e. a significant minority. Research supports a genetic component to most conditions which, when considered with combined prevalence rates, suggests an evolutionary critique of the medical model: if neurodivergence is essentially disablement, why do we keep replicating the gene pool? The less extensive, yet persistent, body of work indicating specialist strengths within neurodiversity, supports the hypothesis that the evolutionary purpose of divergence is ‘specialist thinking skills’ to balance ‘generalist’ thinking skills (as per the ‘spiky profile’). The evolutionary perspective is congruent with the Neurodiversity movement and essential to understanding the occupational talent management perspective that is currently in vogue.

The psychomedical histories outlined in Table 2 speak to the evolutionary critique for two reasons. Firstly, they demonstrate the consistency of the ‘specific’ rather than ‘general’ nature of impairment (the spiky profile) across all four conditions over time, irrespective of the changing nature of causal theories. The conditions are named and identified according to their most prominent deficits, which are themselves contextualized within our normative educational social history. Dyslexia is discovered around the same time as literacy becomes mainstream through education; ADHD becomes more prevalent with the increasing sedentary lifestyles from the industrial revolution; autism increases in line with modern frequency of social communication and sensory stimulation and DCD as our day-to-day need for motor control of complex tools and machinery becomes embedded. The evolutionary critique of neurodevelopmental disorders is that their perceived pathology is related to what we consider normal in modern times, as opposed to what is normal development within the human species.3,7,53–55 Secondly of interest from the timeline in Table 2 is the final column, wherein we see that, despite consistent observation of similar neurobiological differences, we lack a single unifying theory for any condition.

Towards a biopsychosocial model

The spiky profile may well emerge as the definitive expression of neurominority, within which there are symptom clusters that we currently call autism, ADHD, dyslexia and DCD

Within the biopsychosocial model of neurodiversity, understanding work-related intervention and treatment becomes more about adjusting the fit between the person and their environment than about treating a disorder. Critical review of the extant biopsychosocial research supports the social model proposition that the individual is not disabled, but the environment is disabling.

The legal status of neurodiversity

Disability status is predicated not on diagnosis of condition, but on the assessment of functional impairment, the extent to which the individual is inhibited and excluded.

Many neurominority employees find themselves in need of disability accommodation at work. Irrespective of legal protection, social and occupational exclusion are endemic for neurominorities.

Occupational considerations of neurodiversity

A reductive, medical paradigm of research is incongruent with the legal status of neurominorities as protected conditions in most developed countries, to which organizations must adjust.

Occupational symptomatology

At the functional level, there are similarities between neurominorities in terms of presentation. As alluded to in Table 2, executive functions are a common psychological complaint, resulting in difficulties with short-term and working memory, attention regulation, planning, prioritizing, organization and time management. Self-regulation of work performance is required in many modern employment contexts and therefore these issues present as the most disabling for individuals. There is also commonality among strengths, many related to higher order cognitive functioning reliant on comprehension and creativity.Table 3, adapted again from the British Psychological Society’s 2017 report, describes reported strengths and weaknesses associated with the four main neurominorities. The comparatively fewer references regarding strengths may reflect a research bias as opposed to an accurate representation of lived experience; it certainly is incongruent with the ‘talent’ narrative that is becoming dominant in workplaces.

Accommodations

The aim of occupational accommodations for neurominorities is to access the strengths of the spiky profile and palliate the struggles.

When assessment methods are more matched to the eventual job performance (for example observation of physical examination skills using role play patients) extra time becomes less important. This principle applies across education, recruitment and employment but is poorly understood by lay people or those without an understanding of cognitive functions and the antecedent components of job performance.

Following Diagnosis

Once a condition or conditions have been identified, an individual may feel vindicated, and experience catharsis. Psychology practitioners report their clients’ mental shift following correct diagnosis at the identity level and warn that, done badly, it can lead to disempowerment.12 However, done well, understanding one’s strengths and weaknesses can lead to breaking down barriers and removing self-reproach.

Accessing adjustments

Adjustments tend to be provided as a compliance activity per individual, with few businesses looking systemically at Universal Design for neurominorities as would be recommended in the United Nations Convention on disability. Access to accommodations is thus predicated on individual disclosure, typically occurring following a conflict or episode of poor performance. Individuals are reluctant to voluntarily disclose in advance as they fear discrimination (with some justification) and therefore the aims of the disability legislation programs worldwide are not yet having the intended effect on inclusion.

Accommodations in providing medical treatment

Differences in sensory perception have been reported as a hallmark of neurominority internal experience, which may affect pain management, sleep patterns and increase routine-change difficulties during in-patient care.

Conclusions

From within an emerging paradigm, clinicians and researchers must appreciate the shift in discourse regarding neurodiversity from an active, vocal stake- holder group and embrace new avenues for study and practice that address practical concerns regarding education, training, work and inclusion. This article has provided an overview of the neurodiversity employment picture; namely high percentages of exclusion juxtaposed against a narrative of talent and hope. Understanding the importance of nomenclature, sensory sensitivity and the lasting psychological effects of intersectional social exclusion is key for physicians wanting to interact confidently and positively with neurominorities. The proposed biopsychosocial model allows us to provide therapeutic intervention (medical model) and recommend structural accommodation (legislative obligation) without pathologization (social model). In other words, we can deal pragmatically with the individuals who approach us and strive for the best outcomes, given their profile and environment.

Source: Neurodiversity at work: a biopsychosocial model and the impact on working adults | British Medical Bulletin | Oxford Academic

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