It's not so different from a building where the engineering doesn't quite line up, where trusses are designed for one set of supports but installed upside down. The structure might look familiar at a glance, but the load paths are off, stress gathers in the wrong places, and over time you start to see cracks and warping, not because the materials are flawed, but because the system lacks coherence. In the same way, even thoughtful frameworks can create pressure and breakdown when they're not designed to work together, and the part that gives way first is the one with the least spare capacity. That's why the question has to shift away from which framework we prefer and toward something more fundamental: are we actually understanding the state the child is in, and are we building around that, or are we still asking them to fit the structure we've already decided to use?
For real, we're literally asking these kids to describe their own deficits for our own understanding without a baseline of their 'normal', so that we can compare them to conventions they can't meet. It's ugly, people.
I'm sorry boy. I apologise for all the times I cant translate these messes for you, while holding your hand, letting you borrow my nervous system so that at the very least, we can hold hands with love in our hearts.