Category Archives: Autism Spectrum

The Cognitive-Behavioural Interpretative Isolationism of Intellectually Proficient Kanner’s & Asperger’s Autism (IPKAA)© Part 3 – The Myth of “Weak Central Coherence”

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Part 3 – The Myth of “Weak Central Coherence”

(Rev.) Romulus Campan
FdScMH, LTh (Hons), CertEd, QTS,
PgCert Special Psychopedagogy, PgCert Autism & Asperger’s

‘Frith (1989) attempted to sketch out the preliminary theory that one deep underlying cognitive deficit in autism has to do with a lack of coherence. In other words, autistic people lack the drive to pull information together into overall meaning.’ Hill (2004)

Hill seems to continue Frith’s rather hidden mentioning of the fact that while she proposes her theory as a ‘deep underlying deficit’, a door has been left open to a ‘lack of drive’ which implies a selective-volitional aspect, with what she proposes as an ‘information processing style, rather than a deficit’.
The coherence theory postulates that incoming information is usually processed in its context. Now, while acknowledging that oftentimes communicated information is meant to be processed in some context, I don’t believe that noticing ‘needles in the haystack’ while paying no interest whatsoever to the haystack’s any aspect, should be considered a deficit, but rather a valuable control asset, through which the flow of information can be monitored for systemic accuracy. And the fact that autistics may decide to ignore the context in order to gain through focus, a deeper understanding of the detail which flagged their attention, does not substantiate that contextual coherence is the required norm, but as Hill suggests, a ‘cognitive style’, which no autistic should be expected to justify, an even less to change.
I am also a theologian. This means that I was trained, and apparently excelled in interpreting textual and contextual details way beyond the newspaper reading level. And since theology should be first of all philosophy, I was given the chance to observe and contemplate, also judge and analyse thoughts hidden away, sometimes even to their writers.
Now if I would take Hill’s above quoted text, and gaze upon it just superficially, but with a rather merciless analytical rigor, I should note the following about “autism”:
-Autistic people suffer from a deep underlying (basic/fundamental) cognitive deficiency, which is lack of coherence, leaving them without the “drive” (ability/willingness/capacity?) to see/understand meaning in scattered fragments of information.
Unfortunately, “thanks” to the unmandated vigilantism of a way too noisy herd of dilettantes, whom mostly out of genuine, however misplaced concern have come to oftentimes falsely represent the entire intellectually proficient Kanner’s and Asperger’s autism (IPKAA) community, autistics without cognitively impairing intellectual deficiencies/disabilities have been left stranded at the mercies of a mercilessly mercantile “healthcare industry”, for whom the daily torture of having ALL our senses tortured, our personal space assaulted, our meticulousness abused, our silence raped and our solitude violated, means nothing because we have degrees and jobs…
So, here we are, probably the most vulnerable and exposed of us, trying to convince an already biased world that there’s no such “thing” as “simply autism”, that the Autistic Spectrum has two, fundamental categories, the Intellectually Proficient and the Intellectually Deficient, fact which shouldn’t be tampered with by semantic militias resembling more and more to editors of 1984’s Newspeak. Proficiency and Deficiency are existential opposites present everywhere from our vitamin D synthesising capabilities to our intellectual capabilities and shouldn’t be subject to any thoughtless political correctness. As most of the well-meaning, dedicated and yes, oftentimes heroic carers of intellectually deficient autistic individuals expect that those they love and care for will be given assistance as required by their specific needs, we, intellectually proficient autistic individuals expect to be listened to and assisted as required by our specific needs.
I hope to be mistaken when I speculate that the reason why the profiteering “healthcare” industry has successfully manoeuvred the not so neutral DSM and ICD into practically grinding to a halt decades of extremely promising research into High-Functioning and Asperger’s Autism by obnoxiously dropping Asperger’s as a subcategory, is the fear of having to listen to the scientifically and experientially valid opinion of a new generation of extremely capable autistic academics, diametrically opposed to the reductionist and generalising, clinically flawed stereotypes by which it’s cheaper to provide helmets to intellectually deficient, self-harming autistics, than answers to intellectually proficient, self-harming autistics.

-Frith, U. (1989). Autism: explaining the enigma. Oxford: Blackwell
-Hill, E. L. (2004). Executive dysfunction in autism. TRENDS in Cognitive Sciences Vol.8 No.1, January 2004, 26 http://www.ucd.ie/artspgs/langimp/autismexecdysf.pdf

(to be continued…)

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The Cognitive-Behavioural Interpretative Isolationism of Intellectually Proficient Kanner’s & Asperger’s Autism (IPKAA)© Part 2 – Arbitrarily Set Standards of Executive Functioning

Part 2 – Arbitrarily Set Standards of Executive Functioning

By Rom Feldmann© FdScMH, LTh(Hons), CertEd,

PgCert Special Psychopedagogy,

PgCert Autism & Asperger’s, QTS

 

– The Theory of Executive Dysfunction

            ‘Executive function is an umbrella term for functions such as planning,       working memory, impulse control, inhibition, and shifting set, as well   as for the initiation and monitoring of action.’ (Hill, 2004, 1)

Hill states that in order to guide actions, these functions need to disengage from the immediate environment, which seems to suggest that at least part of an Executive Dysfunctionality has to present as an impairment of an autistic’s ability to disengage from the object/subject of their immediate environment’s single focus and shifting their attention to possible prompts by external stimuli.

However, I would question the axiomatic assumption that an apparent non-responsiveness to external focus-shifting prompts must be seen as an ‘impairment’, since such an assumption would imply a standard, focus-shifting expectation to all incoming external stimuli, mandatory for all, as a pre-requisite of a social interaction expectation singularity, a universal norm.

Judging such a perceived non-responsiveness as some pathologically uncontrollable ‘aloofness’ is a dangerous, a priori inconsideration of an autistic’s right to wilfully accept or reject incoming stimuli, regardless of their animate or inanimate origins. Autistics, as anyone else, have the fundamental right of deciding without any obligation to justify their choice, to accept or reject anyone’s, verbal or otherwise, approach.

Given the fact that most “Intellectually Proficient Autistics©” have an upper-level thought process best to be characterised as an intense continuum, would render approaches as unsolicited intrusiveness, met with and honest and non-dissimulated  disinterest or silent/verbal rejections. Justifiably, disrespectful insistence is oftentimes perceived as aggression, which could lead to provoked shut- or meltdowns. It is unfortunate that these provoked episodes with extremely distressful consequences are not considered or classified as physical and/or emotional abuse or in many cases, assault.

The other aspect of this theory (Frith et al, 2010, p15 footnote) is an analogy with neuropsychological patients displaying impaired executive functions caused by frontal lobes damage, suggested by similar ‘frontal test’ results produced by these subjects and individuals diagnosed with Asperger’s syndrome and high-functioning autism.

Again, validating such a theory ignores an autistic’s volitional selectivity, leaving us either presumably brain damaged, or without any control over some pathological compulsions.

The question however, the genuinely disturbing question is: who decided  what the ‘standards’ of executive functionality are, and why divergence from these ‘standards’ must be viewed as “impairment” or “pathology”?

A possible answer is as disturbing as the question: the decision was most probably taken by neurotypical gatekeepers, interested (consciously or not) in establishing, further maintaining easily controllable, rigidly normative societal structures, leaving most population subject to a mass Stockholm Syndrome, using arbitrarily imposed societal ‘norms’ as means of compliance control, rewarded with nothing else than randomly refrained law enforcement harassment, disguised as ‘protection under the rule of law’.

Pathologising on grounds of superficial behavioural observations and biased evaluation premises, “Intellectually Proficient Autism & Asperger’s©” (IPAA©) individuals, is nothing more than attempts to control the innate proneness to logical judgement and justice, oftentimes displayed by IPAAs deeply involved and attached to protecting the vulnerable, fact also clearly backed by Tony Atwood  (Wylie et al, 2016, pg. 12)…

Pathologising our dedication to equality is a sad and dangerous attempt to devaluate justice into a law enforced pragmatic utilitarianism, reminiscent of malthusianism…

(to be continued…)

 

-Frith, U. (Ed.), Asperger, H., Wing, L., Gillberg, C., Tantam, D., Dewey, M., Happé, F. G. E., (2010). Autism and Asperger Syndrome. Cambridge: Cambridge University Press

-Hill, E. L. (rev. 2004). Evaluating the theory of executive dysfunction in autism.  http://research.gold.ac.uk/2560/1/hill_devrev04_GRO.pdf accessed 10.01.2018

-Hill, E. L. (2004). Executive dysfunction in autism. TRENDS in Cognitive Sciences Vol.8 No.1, January 2004, 26 http://www.ucd.ie/artspgs/langimp/autismexecdysf.pdf accessed 10.01.2018

-Wylie, P., Lawson, W. B., Beardon, L., (2016). The Nine Degrees of Autism, A Developmental Model for the Alignment and Reconciliation of Hidden Neurological Conditions. Hove and New York: Routledge

The Cognitive-Behavioural Interpretative Isolationism of Intellectually Proficient Kanner’s & Asperger’s Autism (IPKAA)©- Part 1: What the “Theory of Mind” doesn’t understand about the Autistic Mind…

 

Part 1- What the “Theory of Mind” doesn’t understand about the Autistic Mind

Rom Feldmann© FDScMH, LTh(Hons), CertEd,

PgCert Special Psychopedagogy,

PgCert Autism & Asperger’s, QTS

 

On the back cover of the seminal “Neurotribes” (Silberman, 2015) the inquisitive eye should spot a hidden gem of apocalyptic proportions, basically stating that “the future of our society depends on our understanding” of what autism is. The statement is so powerful and frightening or maybe totally insane, that when I first blogged it, it attracted virtually no likes or comments. I will attempt to better understand why.

Surprisingly for a pathologized, general view of autism, Attwood (2002) mentioned research by Hans Asperger (1906-1980) in identifying “a consistent pattern of abilities and behaviour”.

The battleground becoming contention is therefore seeing and accepting the autism spectrum as a pattern of abilities or disabilities, branching itself further into seemingly endless explanatory theories and terminology wars, which I will attempt to deconstruct and re-construct from a personalised academic and philosophical perspective.

1.The Theory of Mind (ToM):

‘[…] ToM is the ability to put oneself into someone else’s shoes, to imagine their thoughts and feelings, so as to be able to make sense of and predict their behaviour. It is sometimes called mind-reading or mentalising.‘ (Baron-Cohen, 2008, 57)

Expanding further on his own statement, Baron-Cohen summarises on the same page, that ToM can be thought of as a theory which explains that a neurotypical (NT) person is normally/usually able to explain and predict other people’s behaviour, thus leaving autistics unable to use the ToM to interpret or anticipate the actions and/or intentions of individuals whom they have contact with, and therefore mind-blindly disadvantaged.

In my opinion, -and leaving aside a random personal thought about the fairly entertainment industry resembling concept of ‘mind-reading’-, Baron-Cohen and other scientists considering this theory, have attempted through ToM to understand why autistics seem unable to mentalise/mind-read, having observed NT and autistic children/adults, comparing their reactions mainly from an observable, neurotypical-behaviour perspective, without focusing on the much more important, individually specific, selectively volitional, pre-behavioural aspect. Because regardless of age, autistic individuals may possess a more functional capacity to individually and gradually select -or not-, a momentary focus of attention, leaving a NT observant genuinely mind-blind to the fact that autistic pre-decisional mental analytics are de facto behind what could be perceived as obnoxiousness or an inability of perception. However, especially at early stages of individual development, autistics are less aware of the reasons why mentally they may decide to fixate on some encountered aspects while actively ignoring any others, even if someone tries to divert their fixated attention, oftentimes provoking as a result, unexpected reactions commonly called shut- or meltdowns. Depending on an autistic individual’s level of what I propose to be identified as a Neurobiological Socio-Interconnectivity Predisposition (NSIP), unfortunately mistaken sometimes for other, valid learning disabilities (LD) such as ‘congenital abnormalities of the frontal lobes’ (Attwood, 2002), adult autistics may decide to learn (or not), to mentally re-negotiate maintaining, or shifting the focus of their fixation, identified by Murray et al (2005) as monotropism.

Because each individual is entitled to have someone else’s undivided attention, as much as the individual(s) from whom they expect such attention, decide for reasons they should not be expected or forced to disclose, to grant it or not. Autistics have the inalienable right to ignore at least as much as we are oftentimes ignored, without any obligation whatsoever to provide a reason for our choice to socially interact or prefer to remain asocial.

(to be continued…)

 

-Attwood, T., (2002). Asperger’s Syndrome – A Guide for Parents and Professionals. London: Jessica Kingsley Publishers

-Baron-Cohen, S., (2008). Autism and Asperger Syndrome. London: OUP

-Murray, Dinah; Lesser, M.; Lawson, W (1 May 2005). “Attention, monotropism and the diagnostic criteria for autism”  Autism. 9 (2): 139–56.

-Silberman, S., (2015). Neurotribes. London: Allen & Unwin

 

 

 

 

Per aspera ad astra…

Yes, I reverted my Twitter handle back to @Aspergreatness

I was diagnosed with ASD/Asperger’s Syndrome according to DSM5/ICD-10.

What Hans Asperger shouldn’t have done in history’s darkest hours, I can’t change.

The legacy of his research into understanding my neurobiology, saved my life.

I became an Asper 😡♿✡

Proudly 🐉

Asper Latin DefPer_aspera_ad_astra,_1894

The Autistic Maelstrom …

The_Corryvreckan_Whirlpool_-_geograph-2404815-by-Walter-Baxter

In the new, updated edition of “The Autistic Spectrum” (2002), Lorna Wing offered on page 23 a brief history of the chaos which seems to continue to this day, surrounding risen and fallen efforts to decide the main, and sub-categories of what she identified as the Autistic Spectrum. In order to justify my statement, please allow me to quote:

“The changes in ideas about autistic disorders can be seen in the history of the two international systems of classification of psychiatric and behavioural disorders. These are the International Statistical Classification of Diseases and Related Health Problems (ICD) published by the World Health Organisation, and the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association. The first edition of the ICD did not include autism at all. The eighth (1967) edition mentioned only infantile autism as a form of schizophrenia and the ninth (1977) edition included it under the heading of ‘childhood psychosis’.
The 10th edition of the ICD (1992) and the third (1980), third revised (1987) and fourth (1994) editions of the DSM take the modern view that there is a spectrum of autistic conditions and that they are disorders of development, not ‘psychoses’.”

On page 29 of the same book, Wing details the reasons for this nosologic maelstrom:

“When an autistic disorder is diagnosed, there is the further problem of deciding which sub-group in the spectrum the individual belongs to. Now that the term Asperger’s syndrome is being used more widely, parents and professional workers as well, want to know how it differs from other forms of autism. Since Asperger’s group, unlike Kanner’s, includes mostly those of average or high levels of ability, the main question is how to tell Asperger’s syndrome from high-functioning Kanner’s autism. There is no simple answer.” Because as she establishes further, while some individuals present all the features of either, other individuals fit neither of these symptoms precisely, having (as myself…) mixtures of features of both.

And we haven’t even touched the serious problem of symptomatic and existential gender differentials, which is becoming more and more obvious, at least for the individuals on the autistic spectrum, because for the diagnostic and assessment services (at least in the UK, in my understanding) the primary diagnostic differentials are only age related. However, the UK’s NAS (The National Autistic Society) proves a genuine awareness of the necessity for further research at http://www.autism.org.uk/about/what-is/gender.aspx

To make things even more confusing, the DSM-5 published in May 2013, factually canceled Asperger’s as a separate diagnosis and included it as an autism spectrum disorder, with adjacent severity stages. It mentions nevertheless, that “Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder.”

But if one may think that the ICD-10 is of any better clarity, a quick look at its ‘F84.5 Asperger syndrome’ entry, reveals an opening statement which I would call at least seriously problematic: “A disorder of uncertain nosological validity“, as I’m not really sure that a standard international classification should be based on anything “uncertain”.

The reason for the rather thought-twisting title of this post, can be found in a well hidden -in plain sight- introductory statement, on an oddly placed (right after the front cover page, without obvious authorship or number) page of Uta Frith’s “Autism and Asperger syndrome” (2010) edited book, which opens its last phrase with the statement “Current opinion on Asperger syndrome and its relationship to autism is fraught with disagreement and hampered with ignorance”, followed nevertheless by the reassurance that the book “gives the first coherent account of Asperger syndrome as a distinct variant of autism …” I have insofar found the attempts to systematize Autism maelstrom-like, because as their aquatic correspondents, they absorb all concepts and definitions in their way, just to scatter them on devastated, more or less scientific ocean-floors, without seemingly ever considering that behind words and terminologies, are real-life human beings, suffering the oftentimes indifferent detachment of those we trust(ed) for a better life…

And this very statement would be exactly the conclusion-prelude to a series of open enquiries attempting to discover the adult, gender specific understanding of first of all, the most commonly and widely used autism screening tool, the Autism Quotient 50 (AQ-50). As an incentive for the reader’s personal consideration and most welcome comments, I am providing a link to a short scientific paper from the “Journal of Autism and Developmental Disorders, Vol. 31, No. 1, 2001” at http://docs.autismresearchcentre.com/papers/2001_BCetal_AQ.pdf

In my next post, I will attempt to offer for an even more personalized analysis and comments, the first ten (1 ÷ 10) questions of the AQ-50 autism screening questionnaire, in the hope of initiating a “real-life” and “Actually Autistic” blog-forum, where especially adults on the autistic spectrum can evaluate in a safe, anonymously confidential environment their gender specific, unique understanding of the relevance of these questions for their own screening and diagnostic assessments, in an atmosphere of non-belligerent acceptance, mutual respect, civilised ‘agreement to disagree’ attitude and constructive tolerance.

Most sincere apology to my readers and followers, and Word of Caution:

Having painfully learnt my lessons elsewhere, and in order to protect the emotional wellbeing and dignity of all well-meaning viewers and participants, all comments and replies henceforth, will be monitored and subject to approval. Therefore, if your comment and/or reply doesn’t show immediately, please be patient. But if your comment and/or reply doesn’t show at all, please rephrase!

Because no one shall be bullied or harassed in my own blogyard! 👾🤓

 

Photo credit: By Walter Baxter, CC BY-SA 2.0, https://commons.wikimedia.org/w/index.php?curid=33579199