Friday, February 1, 2013

What Is Autism?

There are people who are complete strangers to autism.  I have to keep reminding myself because I spend my days immersed in thinking about my child, autistic persons, disability rights, barriers, myths, and stereotypes.  But there are many people who don't know anything about autism.  What would I tell them - someone who approached me and asked to learn about autism?

Autism is a way that the brain receives, processes, and responds to information.  This way of processing results in variations in the way the world is experienced and the way learning, communication, and movement occurs.  Autistic persons often have sensitive hearing, vision, touch, sense of smell, or taste.  They direct their eyes away or use their hands differently to regulate input.  They may develop skills on a different timetable or in a different order than expected.

Autism comes with a deep passion for interests, allowing autistic persons to focus in great detail on specific topics that they enjoy.  Autistic persons are often emotionally intuitive, picking up on strong emotions very easily.  That sensitive emotional radar may even cause them to be overwhelmed.  Autistic persons are  individualists, not easily swayed by peer pressure, in what interests them or how they move or talk.  With autism comes a need for movement, sometimes to comfort anxiety, sometimes to experience joy, in patterns and ways that are individual.  Some movement expressions include rocking, flapping, spinning, hand movements, dancing, or jumping.  Autistic persons often recognize visual, musical, social, or emotional patterns that others cannot.  This set of strengths - interests, passion, drive, pattern recognition, and individualism - allows autistic persons to excel in many different fields.

The challenge with autism is providing accommodations in the environment, learning, public accommodations, employment, and society to allow autistic people to experience the world, learn, work, play, and live with the same ease as everyone else.  Accommodations include providing education tools, like Universal Design for Learning, incorporating interests into learning, and using multi-sensory methods (including movement) of learning.  They include mindfulness training for the person and the support team so they can both learn ways to process overwhelming emotions.  Yoga and breathing mediation provide tools to become aware of and calm the mind.  Other accommodations include allowing for more processing time with questions and answers and reducing the amount of sensory input, like fluorescent lighting, flash photography, strong odors, and noise levels.  There are sensory accommodations like noise-cancelling headphones, movement tools like fidgets, ball seats, and mini trampolines, and tinted glasses to reduce glare.  Autistic persons should have communication accommodations available to them such as typing or alternative augmentive communication devices.

Autism is a disability and with it comes difficulties like sleep patterns, intense frustration, anxiety, difficulty with daily living skills, depletion of energy.  Other problem areas include difficulty recognizing faces, the passage of time, or body signals, and a fluctuating ability to communicate or express verbally.  If the right accommodations are not in place, the autistic person becomes at risk for exhaustion, malnutrition, depression, abuse, neglect, or social isolation.

The biggest challenge for autistic persons is the common misunderstanding that autism is a disease that requires treatment to make them look "normal," to get them to stop looking, talking, or acting so different. A first step in overcoming this misunderstanding is parent training, like DIR/Floortime and Playful Parenting, and to help the family understand how autistic children receive, process, and respond in relationships.  Resources for autistic persons and their families that help in this process are Autistic Self-Advocacy Network, the books I Love Being My Own Autistic Self, and Loud Hands: Autistic People, Speaking.

And then I'd tell them about my child.  I'd tell them how his experience of the world gives him an amazing focus on detail, how he can tell the difference between a 2005 Jeep Wrangler and a 1985 Jeep Wrangler by the placement of the word Wrangler.  I'd tell them about his ability to pick up on emotions so easily that he can tell when I am tense before I am aware of it.  I'd tell them about his joyful dancing, the way he runs back and forth in excitement.

I'd tell them that parenting an autistic child is intense.  It requires flexibility, an open mind, exertion, and mindfulness, just as being an autistic person does.  But I'd also tell them about how my child and I recreated Lincoln's death and funeral, building the funeral hearse with black draping, lantern, and gilded eagle - all at his request.  I'd tell them about how much he loves cars, presidents, bowling, cats, horses, dogs, his family and friends.  I'd tell them about his natural curiosity, how much he enjoys learning about ideas, things, people.  I'd tell them how much I've learned about my own frailties and how much I've grown.  And I'd tell them how bubbly my child is, how much he loves, and how joyful he is.

That's what autism means. 

****

32 comments:

  1. Well said. Beautiful, infromative and positive.

    ReplyDelete
  2. brenda! amen.
    thank you, dear friend xoxo

    ReplyDelete
  3. Why do you not use "person with Autism"? The affliction is not the person, the person has the affliction. I see and hear this all the time in college and in the schools and it's kind of irritating to me that people say Autistic person. I have two children who have Dyslexia, but they are people first. I'm just curious if you are concerned about this type of terminology for your child?

    ReplyDelete
    Replies
    1. Hi, Pamela. Thank you for asking. This is a familiar topic in the autism community. Here's my post on it
      http://mamabegood.blogspot.com/2012/09/autistic-or-person-with-autism-who.html

      which includes references to Lydia Brown's post about it
      http://www.autistichoya.com/2011/08/significance-of-semantics-person-first.html

      I hope those thoughtful discussions help.

      Delete
    2. Pamela,
      Perhaps you could do some more reading on the subject of the controversy about "Person First" language in the Autism Self-Advocacy movement. Many autists and Aspies don't view their ASD as an "affliction" but a difference and one to be claimed - proud of - not drummed out of them. There are many different opinions on this, but just so you know, it is not universally viewed as derogatory to phrase things as Mamabegood did in her blog.

      Delete
    3. Many (but not all) in the autistic community actually prefer "autistic" over person-first language. Autism, unlike most other disabilities, is not separable from the person. It is the way we're wired; it's an intrinsic quality of who we are as people. There would be no such thing as me without autism, so "with" autism doesn't make much sense, either.

      Delete
    4. And this from Henry: "I am autistic. I choose to use this because of community. Not to tell you what I am or what I am not. This is my choice."
      http://ollibean.com/2013/01/05/labels/

      Delete
    5. Another chiming in to say that my Autistic children (one of whom is a burgeoning adult at 16) favour calling themselves Autistic over 'having autism'. They use them interchangeably depending on context of course. But the person-first argument doesn't fit with Autism, according to many, including them, and me.

      Delete
    6. I call myself an aspie or an autie (a way of saying I am autistic.) I have depression and anxiety but i am autistic. There are a few folks who prefer not to call themselves autistic (they say i have autism) but its rare. It is about embracing that part of me.

      Delete
    7. I'm autistic and I prefer being called autistic, though I don't mind "person with autism." I don't see autism as something shameful, so I'm not offended if someone calls me "autistic." Also, being called "autistic" doesn't imply that I *am* autism, any more than being called "Canadian" implies that I'm Canada. Also, "affliction" is a very negative, hurtful term. Please don't use it to describe autism which, while difficult to deal with at times, also has positive qualities. Plus, it's my "way of being," so to speak, and I don't want to hear my way of being referred to as an "affliction."

      Delete
    8. I don't have a preference. Autistic or autistic person or person with autism or any similar phrasing. As long as no disrespect is intended, it's just words. I care much more about the intent than the semantics. I know I am in the minority in that view. Most people seem quite opinionated on the topic, though it's like a mine field, because you can't tell without stepping in which they prefer.

      Delete
  4. That is a beautiful description. I'd want to add just one detail, because it has come up so often in my own world. People with autism have a range of academic intelligence, just like people without autism. My daughter with autism is at the quite low end of that range. It doesn't mean she isn't very smart in other ways, but it's quite unlikely, even with wonderful accommodations, that she will learn to read, learn to do all her self-care, learn to live alone. This in no way makes her less valuable, of course. or less deserving of all the help we can give her. But often lately, it seems people are far more aware of autism without intellectual disability than autism with it, and I'd always want to make sure kids like my Janey are included in people's view of autism! Thanks for your always thoughtful blog.

    ReplyDelete
    Replies
    1. Awesome comment. I agree, everyone should be respected and included and your comment highlights this point. We all contribute different things to our communities and EVERYONE can contribute.

      Delete
  5. This is a great description, Brenda. Some of the more popular explanations--that it's a disorder or social skills, of empathy, of theory of mind on one hand, or a devastating disorder that leaves someone without any hope of a real life on the other--not only don't capture the experience at all, they're not even consistent with each other.

    I tend to tell people something along the lines of the following:

    1. It's a pervasive neurodevelopmental condition. It can't be traced down to one gene, one glitch, or one thing that's gone wrong; it's complex and completely pervasive.

    There's been a meme going around that says something along the lines of "It's not a bug; it's a different operating system." I think this is very accurate.

    2. It's a pattern of atypical or asynchronous development. We're on a vastly different developmental trajectory from non-autistic people. We're just on a different timetable.

    3. Though professionals define it this way, it is NOT only a collection of deficits; it's a condition that confers strengths and pleasures as well.

    4. It affects language and communication development and usage (even when we have good language skills, we use language in very different ways from non-autistic people), information and sensory processing, emotional experience, body language and movement patterns.

    5. "Spectrum" implies a two-dimensional continuum from mild to severe, but that's not really accurate. People can have mild to severe expressions of many different aspects. It's more of a constellation than a spectrum.

    ReplyDelete
    Replies
    1. chavisory, great comment, addition, supplement to Brenda's post. Comment and post are strong compliments to each other, plus each could also stand alone.

      Delete
    2. I agree with all of it up to the comment about 'spectrum' conferring continuum. I think continuum confers continuum, and spectrum is an accurate description of ASDs and the fact that peoples strengths and deficit profile can be all over that spectrum. Great info though! Thank you for sharing chavisory.

      Delete
    3. Actually I agree with chavisory about the word 'spectrum'... I think it's probably the best word we've got BUT it is very '2 dimensional' ... there are people who are 'high functioning' in an intellectual way but have great difficulty processing emotional and sensory imput ... and people who are not so-high functioning in an intellectural sense but have a lesser degree of social/emotional/sensory difficulties ... the whole 'high functioning / low functioning' confuses me! ... the one person can have areas in which they are high functioning and areas in which they are low functioning... kind of like the person themselves contains a spectrum within themselves as well as occupying a 'place' on the spectrum which is autism. hmm ... I don't know how well I explained that :(

      Delete
  6. Awesome. I would add that the autistic brain tends to be very literal. Abstract concepts do not compute, and the thought process is "facts first, then (perhaps) emotion," as opposed to the NT gut-reaction that begins with emotion and then, hopefully, proceeds to facts. This factual way of thinking is very logical and useful, but there may be misunderstandings when the autistic person is unaware of an NT's emotional entanglements with words or concepts, and the NT is unaware that some people don't share those entanglements.

    ReplyDelete
  7. Tasia, while the "facts first, then maybe emotion" is very common among autistic people, it is not universal. I believe it has to do with levels of alexithymia, or else not being allowed to express emotion (because of others not understanding it) and so learning not to figure it in.
    Difficulty with abstract concepts has two components: difficulty with abtract thinking and difficulty with abstract *communication.* My thinking can be extremely abstract to other people (seems perfectly obvious to me), and their thinking is difficult for me to understand, but I think often this comes down to communication and shared frames of reference.

    ReplyDelete
    Replies
    1. The distinction in abstract reasoning and identifying abstract concepts as opposed to abstract/figurative verbal communication is important.

      Some adults diagnosed with autistic disorder whose intelligence cannot adequately be measured with standard measures of intelligence that measure verbal intelligence, actually score higher than individuals without autistic disorder, in the Progressive Raven Matrices measure of non-verbal intelligence that measures abstract reasoning and ability for abstract concept identification through visual images instead of abstract/figurative language through verbal measures of intelligence.

      Difficulties with abstract/figurative language are in reference to understanding the figurative language of metaphors, sarcasm, and other more emotional aspects of verbal communication, which can be impacted in part by difficulties with Alexithymia, a condition present in up to 85 percent of individuals on the spectrum.

      Many individuals on the spectrum excel in abstract reasoning and in identifying abstract concepts that may at the same time have substantial difficulties with understanding and using abstract/figurative language.

      http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0025372

      There is still an ongoing myth of stereotype in some areas that individuals diagnosed with Autism and/or Asperger's syndrome have substantial deficits in abstract reasoning and identifying abstract concepts. Research with alternate means of measuring intelligence has provided evidence that this is not the case, and that it is actually a strength rather than a deficit for many on the spectrum.

      Delete
  8. How wonderful! Thank you for for putting this out there. Sometimes subject matter as broad as Autism needs to be "nutshelled." I think you have done a wonderful job of that.

    ReplyDelete
  9. Thank you. I love this.

    ReplyDelete
  10. Beautifully put. Children on the spectrum seem to have the heart of an angel and see so many things the rest of us miss.

    ReplyDelete
  11. This is the first time I've read a blog post or anything for that matter that mentions how autistic people often have a great capacity to pick up on emotions. Maybe it is not the case for everyone, but it is the case for me. I often understand motivations more then people understand, and am often trying to explain something to someone long before they understand that that was what was going on. I am an individualist, very much so, even when I did not know much about autism I knew that I was different and I saw no reason to change. Although people say I often misinterpret interactions between people, I am often able to see peer pressure and I am able to name it. I am also very interested in sociology because I see patterns in the world and how different groups of people are treated differently. Thank you for posting such a helpful post. =) I definitely want to show this to friends and family.

    ReplyDelete
  12. You mean Universal Design for Learning when speaking about UDL...

    ReplyDelete
  13. Research through sharp observation and summarizing of human characteristics in different varieties increases human comprenhension and understanding people who have their own
    unique ways of living, and discovers a new way of integrating with one another.

    ReplyDelete

ShareThis