The media reports heavily about Autistic children. Autistic adults are just now gaining a voice. For a long time, autistic adults were invisible. But we do exist. Some of us live independently; engage in intimate adult relationships; go to college or receive advanced training for a career; work; make friends; and participate in the community. Others of us can not or do not.
Most of us have a mix of strengths, talents, and challenges. For example, I can't handle lots of socializing, but I am married to my partner. I have a master's degree but have struggled incredibly to find vocational success. I am articulate and outspoken, but sometimes I lose the ability to communicate verbally. I can "pass" and sometimes appear totally normal (whatever that means!) until you see me waving my hands around, or witness my confusion when I have to order dinner in a restaurant. I usually can't tell how I feel. I've almost passed out from not eating because I can't tell when I'm hungry. I can conduct advanced research, but I need visual aids to take a shower, otherwise I can't organize what I'm supposed to do. I can be stressed out by ordinary noises and lights and I have to eat alone. I usually wear dark sunglasses, ear plugs, and heavy wool clothes to cope with sensory issues, making me stand out in a crowd when that is not what I'm after. Despite my challenges, my Autistic way of being is the only one I've known, so to me I am normal. I actually like the way I am, and I perceive benefits to the way I am.
• Autistic Children Have It Worse Than Autistic Adults (or the reverse)
Parents ask me all the time if things are better now that I am an adult. Instead, I view Autism as something that evolves over the lifespan.
As a child I was sheltered - fairly lost and comfortable in my lonely but safe world. But in middle and high school, I was horribly depressed because the gulf between me and my peers became insurmountably wide. I didn't have a choice about going to school, so I had to deal with the other children who were there, and they were very cruel to me. The result of all this emotional pain, plus the repression I felt because I did not have a correct diagnosis, led to many years as a young adult, wandering, literally, around the United States, unable to come to any conclusion about my life. While I faced many dangers during this period, and while I might be living a very different kind of life had I been diagnosed correctly as a small child, I did learn a lot, I did have some fun, and I came to understand much about how people live and exist with one another.
As an adult, I have the freedom to associate with whom I choose. Adults, by definition, are supposed to be more mature than children, and as an adult it is easier to find a niche. While social pressures have eased, vocational and relationship issues have loomed larger. This is why I say Autism evolves over time. A child may struggle mostly with sensory and learning issues in the classroom, but have a structured social outlet at Girl Scouts or church. But when she reaches middle school and high school, social pressures may make it extremely difficult for her to survive those years unscathed. Success at college, in a career, or at work can replace lost self-esteem and lead to a meaningful life in society. But without careful planning and guidance, the pressures of adulthood can outstrip the opportunities for acheivement. This is why I believe it is important for all Autistic children to know about their diagnosis, to plan for a whole lifetime, and to build on Autistic strengths from an early age. Armed with self-knowledge, strategies, and information about what to expect at different stages of life, an Autistic person can more fully reach his or her dreams.
• Autism Can Be Cured
Nobody can cure autism. If a professional, doctor, or program claims to have a "miracle cure" you are being duped. Some treatments and interventions may help some, all, or a few Autistic people in a variety of ways. For example, some therapies can help Autistic people manage or reduce sensory discomfort. Educational methods can help autistic people, especially autistic children, learn adaptive, academic, and relationship skills. When Autistic children gain a way to communicate, their frustrations may ease. It is also true that autistic children do mature as they grow up, which can result in positive behavioral changes. But autism is a brain-based neurological difference. It doesn't go away.
• Diet Can Cure Autism
Special diets do not cure Autism.
It is clear that what you eat impacts your health. When you eat lots of junk food, you don't feel so good. I tried the gluten-free and casein-free diet for one year. The diet was difficult for me to follow because I don't eat meat. But I survived. I noticed an improvement in my proprioceptive sense - I had a better idea of "how big" my body is and how I moved around in space. I chose not to stay on the diet for reasons of convenience, though I continue to be very careful about what I eat.
When placed on a special diet, some children with autistic symptoms suddenly gain language and social skills, stop having sensory problems, and make developmental gains. In this case, two explanations are possible: One, The child did not have autism per se, but his nervous system was so damaged by food toxins that his behaviors appeared autistic - e.g. sensory issues, loss of language, unusual motor movements, or repetitive behaviors. Once the offending items were removed from his diet, he "recovered" - but from severe food allergies, not autism! Two, a subset of autistic children may also have concurrent food allergies. In this case, the child remains autistic, but his autistic behaviors appear less severe on the diet because the behaviors and problems caused by the food toxins are now eradicated.
Going gluten-free and casein-free is not considered harmful as long as the person receives enough nutrition from other foods. Diet probably does impact mood & physical health, so watching your child's diet or your diet as an adult on the spectrum may not be a miracle cure but may help with allergies, skin rashes, digestive complaints, attention span, asthma, feeling sluggy, & overall physical condition. If you're thinking about trying the diet, read more about it here .
But parents need to realize that there is no cure for autism. Be careful about claims of enormous gains made on the gluten-free and casein-free diet. Most people on the autism spectrum will be autistic no matter what they eat. Even if some gains are made, the child may have other problems at other ages and different stages of life. Parents should not feel guilty and should never be blamed for their child's autism.
• Some Children "Outgrow" Their Autism
Autistic children do mature. They may gain new ways to communicate, reducing frustration. They may learn better ways of coping with their emotions, something all children have to learn. They may become less rigid or fixated on routines, resulting in greater participation in family and community life. Their social skills and social life may become more complex, too. But autistic children do not "outgrow" their autism as they age.
Sometimes a child has delays and behavioral issues, but this can be due to other problems. For example, children who are chronically ill as toddlers are often behind their peers in language and social skills. Also, babies born premature often experience sensory integration problems and developmental delays. They may be incorrectly diagnosed as autistic, but most preemies catch up through the elementary school years. Suddenly people say, "See, she outgrew her autism!" - creating much confusion.
• Autistic Adults Should Just Try Harder
Almost all of us on the spectrum have heard this before. If we just tried harder, we could make friends. If we just tried harder, we could hold down a job. If we just tried harder, we could take care of ourselves.
The truth is, most of us are trying harder than anyone else on Earth!
For those of you on the spectrum, just take a deep breath the next time someone tells you that you aren't trying hard enough and then remind yourself of all the million little ways you try so hard every day to navigate through a world that is so complex, so hard to decipher, so loud, so social, so taxing. You are doing a great job!
• Autistic Adults Have Terrible Lives
I can't speak for every single autistic individual. Most of us have experienced times of difficulty, even great difficulty. But ultimately, I believe that all humans have the capacity to find joy in the objects, people, animals, and activites they like. Our sources of joy, from the simplest to the most complex, keep us going and make all lives sacred and important. It is not true that our lives are terrible. We are just different.
• Autistic People Diagnosed As Adults Can't Benefit From Treatments and Therapies
This is not true. One of my first memories is the pain in my eyes I experienced when I walked from my dark bedroom to the bright hallway as a small toddler. Ever since elementary school, I have worn sunglasses indoors. I also have severe convergence issues. Just because I didn't realize I was autistic until I was 31 doesn't mean I can't now make use of interventions and therapies to reduce my sensory discomfort if I find them helpful. But I am skeptical of any therapy, program, or intervention that suggests I can be cured as if I have a disease, or that suggests I can become "normal" - I am who I am.
If you are an adult on the spectrum and you want to try a therapy or intervention that you think might help you - many of which weren't even invented when we were children - go ahead. Just be a wise consumer, as you would with anything you want to try. Don't fall for scams or miracle cures, and watch out for unscrupulous professionals whose only goal is to use your vulnerabilities to con you out of a lot of money.
• Only "High-Functioning" Adults Talk About Autistic Strengths
This is definitely not true!
First of all, many leaders in the autistic self-advocacy movement were greatly challenged as children and continue to deal with great challenges as adults. It is a complete misconception that only the "highest functioning" autistic adults speak and attend conferences, write about their experiences, go to college, hold down jobs, form relationships, advocate for their rights, or live independently.
Second of all, I believe firmly that even the most severely challenged - on or off the autism spectrum - have gifts to offer the people around them and society in general. Everyone has gifts, strengths, interests, ideas, and feelings. Everyone.
Third of all, "high functioning" is a confusing term. Certainly, if you can go to college, take a bus downtown, and buy more toothpaste when you run out, what you worry about and what you go through is different than someone who can't do those things. But often, those of us labeled "high functioning" find ourselves going in circles. We're so high functioning, for example, that we do not qualify for state services - yet we can't hold down a job or secure a safe and stable place to live. Since we can talk, nobody understands how much effort it takes to do so and how quickly and easily we slip into shut-down mode. Sometimes people don't believe we are disabled. And then when we do succeed, they have no idea just what we went through to get where we are now. My point is, nothing is so easy. Labels rarely describe the whole picture. I know some "high functioning" people that are having more trouble than people labeled "not high functioning". Labels do not automatically correspond to how happy you are, how much you enjoy life, or how much trouble you experience on a daily basis.
All kinds of Autistic people from all over the spectrum with a mix of talents, strengths, and challenges, are contributing to their families, their communities, the autism community, and society-at-large, doing the best that they can, breaking down stereotypes and asking us to literally redefine our notions of disability, possibility, and humanity.
Autism Issues in Adulthood
Sensory Crashes
Slow Processing
Visual Thinking As An Autistic Strength To Build On
Who Are We Anyway?
• Sensory Crashes
Sometimes when we are overwhelmed by emotions, by the environment, or by a situation, some of us experience what I call a "sensory crash". In that moment, processing any more information or incoming sensory signals is not possible. We may lose the ability to be verbal or otherwise communicate. We may also lose our physical coordination or executive functioning. The "crash" phase can last anywhere from a few moments to a few days. I mention this because we may not know that this can happen to us, leaving us wondering what is going on.
The best remedy is to find a quiet spot away from the source(s) of distress, if possible, and to disengage in further interactions and discussions, if necessary. Try using Emergency Cards with loved ones, friends, and allies to explain you need a break, a strategy I discuss in greater detail in my book, Life and Love: Positive Strategies for Autistic Adults. If you have a sensory crash in the middle of situation you can't leave, try using a natural break in the activity to recompose yourself. For example, at work you can use your lunch time or at a restaurant you can use the bathroom. If it is impossible to take a break, or a short break isn't enough time, keep yourself together and ask permission to leave early or excuse yourself politely. You can always say you don't feel well. This is true, and it is something that others understand.
• Slow Processing
Autistic people have a tendency to process thoughts and emotions slower than others. Usually, parents and teachers will need to give an autistic child longer to answer questions, complete tasks, follow instructions, or explain himself. These processing delays persist into adulthood.
But what happens in the rapid-fire world of adults when you have processing delays? In terms of interactions, people may become impatient waiting for us to answer their questions, or may jump to the conlusion that we are ignoring them. At work, we may get in trouble for taking too long. Police, emergency personnel, and professional service providers may assume we are uncooperative if we can't explain what we are doing or how we feel quickly. At school, on the street, and "in life" we may not be able to make social decisions fast enough to keep ourselves safe.
If you notice that you process very slowly, preparing in advance can save a lot of trouble. Use a visual aid or an Emergency Card to let others know you need more time. You can use Emotion Scales to determine the "amount" of a feeling when faced with a social decision to help guide you in what to do. An entire chapter of my book is devoted to safety strategies like these that precisely address safety gaps arising from slower processing rates, and other chapters have great suggestions for dealing with processing rate challenges that arise in relationships of all sorts.
At work, visual schedules can help you stay on track. Also, if you are assigned a special project, ask the boss in advance how much time he expects it will take you to complete the task. If you are sure that you can't meet this expectation, asking for additional time or an assistant in advance can prevent the project from falling apart.
Don't forget to be patient with yourself. Leave extra time if you have to go somewhere. Sit down for a few minutes and determine what you want to say or do. This is actually an autistic strength that our super-hectic super-fast super-hasty society could really benefit from.
• Visual Thinking As An Autistic Strength To Build On
One of our greatest strengths can be our visual thinking skills. Many of us can "see" a process, an interaction, a method, or a structure in our minds, which can sometimes be applied to a vocation. Many of us can also "catalog" visual dictionaries that help us navigate through our lives. We often love studying, creating, and using maps and schedules.
This skill can also be used to meet many everyday challenges. For example, in
Chapter 4 of my book, I talk about using visual thinking skills to conquer grocery shopping. By drawing a map of your grocery store, or by using a copy of the store's floor plan, you can create a visual order to your shopping trip that makes the whole experience less daunting.
• Who Are We Anyway?
Autistic adults are all different. Each and every one of us is unique.
Visit the Autistic Adults picture project to learn more about autistic adults, our lives, and who we are in our own words. Can you find me? I'm on page 9.
Also watch the movie Mozart and the Whale - a wonderful and romantic film based on the real lives of Mary & Jerry Newport, two adults on the spectrum who fall in love & get married.
Services for Adults
Zosia is trying to create a list of services for adults and service providers who work with adults. If you know of a service or provider who you would like to see added to this list, please email Zosia. Thanks! Again - these links are listed here for informational purposes only.
Government Services
Therapists
• Government Services
Government Services Listed by State
compiled by Asperger Foundation International
More coming soon!
• Therapists
New Jersey
Patricia Hart, MSW
(609) 921-2756
Princeton
*specializes in adults on the spectrum
New York
Irene Brody, PhD
(845) 657-5847
Woodstock
*also does educational consulting and family advocacy
Valerie Gaus, PhD
(631) 692-9750
Long Island
*specializes in Cognitive Behavioral Therapy
Linda Geller, PhD
(212) 679-3948
New York City
Self-Advocacy Links: Provided as an Informational Service
• Autistic Self-Advocacy Network
• ANI: Autism Network International
Favorite Books & More
• Books
Check out the resources section of the page for parents of autistic children for a list of favorite books.
• Websites
Autistic Adults Picture Project - I'm on page 9!
• Movies
Mozart and the Whale: The Movie - A fantastic film that realistically portrays our lives as Autistic adults.
What's The Difference Between Asperger Syndrome & Autism?
• Diagnostic Differences
According to the DSM-IV, the manual professionals use to diagnose children and adults, those with autism have delays in toddlerhood; those with Asperger Syndrome do not. Autism is also defined as being a more severe challenge. For example, those diagnosed with autism may be nonverbal, may have trouble learning academic subjects, may have pronounced motor movements, and may have difficulty living independently.
No matter what autism diagnosis a person receives, autistic people have challenges in at least three core areas: 1) communication 2) socializing and 3) repetitive/restrictive behaviors. This is often referred to as the "triad of impairments" and this triad is seen across the spectrum.
Autism is defined by behaviors. Remember, many behaviors can look autistic, causing confusion. Also, an individual may behave in ways that suggest a diagnosis of Asperger Syndrome, but he had delays in toddlerhood. Vice-versa, someone may behave in ways that suggest a diagnosis of autism though no delays were noted in early childhood. This is because human beings are complex. When someone doesn't fit precisely into the Asperger Syndrome or Autism categories, or when professionals are unclear about a person's behavior, the person may get a diagnosis of Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS).
• Clinical Differences
Autism and Asperger Syndrome clearly involve clinical differences as well. Clinical concerns are not the same as diagnostic features. For example, diagnostic features for Asperger Syndrome might include original thought or special interests. You don't treat special interests. Diagnostic behaviors are simply clues that the person might be on the autism spectrum.
Clinical differences can be thought of as "typical problems" - but what issues someone might face depends a lot on the context, the diagnosis, local resources, and family philosophy. For example, repetitive motor movements are a diagnostic clue, but repetitive motions do not automatically need to be treated by a clinician. You really only need to treat repetitive hand motions if the person doing the motions is injuring herself or others in the process.
Some parents and professionals may determine that an individual doing repetitive motions has an underlying sensory issue and the resulting anxiety and discomfort have led to the behavior. In this case, you could correct the sensory problem. Other parents and professionals may be concerned about social acceptance. From the self-advocacy perspective, you could teach the individual who does repetitive motions how others tend to react. But as long as the individual has the "hidden curriculum" information to make a choice, you leave it up to them.
This is why it is hard to say what clinical issues someone on the spectrum will have or what corresponding services a person on the spectrum needs. While the clinical picture depends on many factors as explained in the previous paragraphs, several professionals have attempted to create a general picture of the clinical issues that come up for each diagnosis. One of the most concise discussions of the clinical differences between autism and Asperger Syndrome is in the book The Asperger Plus Child by George T. Lynn (AAPC 2007). I do not agree with all of his assertions, but he breaks down the differences in a clear way. I have created a summary of his ideas and my responses to them in the following table.
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Autism
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Asperger Syndrome
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My Response
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Learning difficulties at school; IQ range varies
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Average or above average IQ
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Even those of us with Asperger Syndrome can have "learning differences" and sometimes someone seems "intellectually disabled" but this is just because he doesn't have a way to communicate yet.
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"Full Field" perceptual style
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"Fixed Figure" perceptual style
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Lynne suggests that those with autism can't screen and process incoming signals efficiently. An autistic person takes in all the sensory and social information swirling around the environment, can't prioritize it or cope with it, and collapses internally from overwhelm. He suggests that those with Asperger Syndrome have the reverse perceptual style - they shut out everything except those details, facts, and facets of the environment that the individual considers interesting or worthy of his attention. I suggest that this "perception" boundary may not be so rigid. I was diagnosed with Asperger Syndrome, yet I often have "full field" perceptual style and the world in those moments is just a swirl of amazing, intense, awful or beautiful, and completely overwhelming input, so where would that put me? I think maybe those with Asperger Syndrome have the capacity to switch to "fixed figure" as an option that helps us cope with the overwhelming input. If we can, we turn on the "fixed figure" perception switch, and pick out one area to hyperfocus on, but we usually still have trouble prioritizing, and we can still collapse from the overwhelm.
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Lack of focus
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Extreme focus
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Again this does seem to be true in a general sense. Lynne's concept is that autistic people are so overwhelmed and find it so difficult to communicate with words that they often space out, whereas those with Asperger Syndrome narrow in on some fascinating or captivating detail that becomes all-consuming (see "perceptual style" above). However, I suggest that those with Asperger Syndrome may start out with the same sense of overwhelm and confusion as autistics, and that hyperfocus is a method of coping. In other words, those with Asperger Syndrome have a similar neurological world view as those with autism, but those with Asperger Syndrome can (sometimes) jump on a topic or object of special interest as a strategy to gain an anchor to reality, with varying degrees of success.
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Exclusively visual thinkers
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A mix of visual and verbal thinking
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This does seem to be true. Most autistic adults think visually and may struggle with writing tasks or with the auditory based learning that pervades our education system, but they tend to excell at vocations that depend on visual and spatial skills. Most Asperger Syndrome adults do not have trouble with writing or with learning in an auditory classroom, and many women with Asperger Syndrome are gifted writers. On the other hand, in my experience, children and adults with Asperger Syndrome may still need new concepts or lessons displayed visualy, some of us rely on pictorial instructions for self-care and other tasks, and many of us use visual schedules to cope with transitions and change. Perhaps with Asperger Syndrome, the visual thinking and learning is still prominent but flexible, or is as equally as strong as our verbal thinking.
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Lack of eye contact
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Situational eye contact
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Lynne suggests that those with autism do not make eye contact at all because they do not ascribe meaning to faces, they become overwhelmed on a sensory level, or they do not pick out details (required to notice eyes), wherease those with Asperger Syndrome can and do make eye contact when the sensory system is not overloaded. I disagree slightly. My personal experience is that looking at eyes does completely overload the circuitry. But I also don't get much useful information from another person's eyes. So I only look because I have learned by rote when it is appropriate to do so. In other words, those with Asperger Syndrome may make more eye contact, but not necessarily because they have greater skills with nonverbal body language.
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Reciprocal behaviors totally lacking
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Reciprocal behaviors but low initiation or motivation
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Lynne suggests that those with autism do not engage in reciprocal social interactions. For example, they don't point out something of interest to their parents. They don't play games with parents or peers. They don't seek someone out when they feel sad. They could care less about rewards for good behavior. Lynne suggests that people with Asperger Syndrome have a different problem. Someone with Asperger Syndrome will grab someone else by the hand to show them something fascinating. A small child with Asperger Syndrome will play games like "peek-a-boo". Someone with Asperger Syndrome might seek out an interaction, or care about other people's social response to him. But these reciprocal skills are usually only put to use if the person with Asperger Syndrome sees a purpose. Those with Asperger Syndrome rarely initiate social interaction because it just isn't that important or useful. Lynne is generalizing, but the generalization does seem true in my experience. This may be one reason why children are diagnosed with Asperger Syndrome much later on.
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Extreme sensory reactions
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Mild sensory disruptions
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This I disagree with. Those with Asperger Syndrome can have just as severe reactions to sensory stimuli, making it impossible for them to eat with others, wear certain clothes, go certain places, concentrate at school or work, or socialize in groups.
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Physical coordination
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Clumbsy
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This I agree with. Most autistic people do not have problems with physical coordination. In fact, some autistic children and adults have incredible balance and excel at gymnastics or climbing. On the other hand, many of us with Asperger syndrome are very clumbsy. Engaging in sports or doing occupational therapy can help. But the clumbsy aspect seems to persist.
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• Common Misconceptions
It is often mistakenly assumed that those with Asperger Syndrome have a lot less trouble in life. It is also mistakenly assumed that those with autism cannot succeed at school, at work, or in the community. Both polarities are not true.
• Artificial Concept?
Many adults in the autism community choose to de-emphasize the wall between Asperger Syndrome and autism. Obviously, the difference is important because the services and assistance you might offer someone who is nonverbal, unable to function in a classroom setting, or unable to live on his own are different than the services you might offer someone who is highly articulate, gets straight As at school, holds down a job, and gets married. But ultimately, human beings are complicated.
Your diagnosis does not indicate what you will be able to acheive, how happy or satisfied you will feel about your life, or what others should assume about you. I know people with autism who are now earning Ph.D.s and I know people with Asperger Syndrome who dropped out of school and are chronically homeless. In other words, we are autistic individuals who are "somewhere" on the autism tree, and whatever autism label we receive, we have more in common with each other than we do with non-autistic people.
This is where a diverse autistic culture emerges. We have different opinions, different gifts, different struggles. What we have in common is a neurological condition that poses challenges in communication, socializing, and repetitive behaviors. In my humble opinion, it is unnecessary to divide us into two camps on opposite sides of the autism river. Most of us are swimming somewhere in the middle.
Work Issues for Autistic Adults
I am currently taking a class on vocational (career) counseling as part of my program in rehabilitation counseling. I wrote a bit about work issues for Autistic adults in my book Life and Love: Positive Strategies for Autistic Adults. The class has inspired me to post some information here about these issues.
What I think is most daunting for us is the social skills that are the framework for any job. You can have all the work-related skills in the world but if you don't know how to navigate socially then success will be elusive. Here is a quick example: When I got my "dream internship" working as a science writer at the American Museum of Natural History, I thought that all I had to do was write. I have very strong writing and researching skills. I had no idea that at least half of it - if not more - had to do with promoting yourself, befriending key people, going to lunch with colleagues, developing friendships, and joining Museum life. I would still be sitting up there in the library writing right now, happy as can be, if we were judged simply by our merit and the worth of our contributions. But so much more goes into a job and this is where I think we have the greatest trouble. Think about this list of social skills that can be required on an average day. These are all things those of us on the spectrum don't natuarally do or must learn consciously. And learning doesn't happen one time - the social world is ever-evolving.
Sample List of Social Skills Used in the Work Place
• shake hands at the right moments and with the right pressure and speed
• remember rules of polite interaction
• remember pleasantries like, “Good morning”
• determine when to exchange pleasantries
• determine whom to exchange pleasantries with versus when to leave someone alone
• determine tone of voice and content of pleasantries, depending on audience (boss vs. UPS man)
• decode idiomatic expressions
• decode humor
• respond appropriately to humor
• offer humor appropriately
• keep up with social expectations (for example, lunch requests)
• determine with whom to chat
• determine when and how to chat casually
• determine the content of a small chat
• modulate voice during the chat
• listen carefully for conversational clues that indicate interest, boredom, confusion, etc.
• determine one’s turn to talk/respond
• respond appropriately to what the other person contributes to the chat
• handle interruptions smoothly even when frustrated
• notice the feelings and comfort level of others
• respond to co-workers who may be dissatisfied, upset, hurt, or confused by you
• respond to co-workers who may be happy, satisfied, concerned about, or jealous of your work
• receive and give constructive criticism
• handle requests and complaints from customers, clients, suppliers, boss, etc.
• organize desk and projects with regard to others working in the same environment
• share and ask for supplies
• communicate regarding sensory issues
• figure out social norms
• compensate for sensory issues without overstepping social norms (for example, sunglasses OK at desk but not at executive meeting)
• cope with the irritating behavior of others (for example, slurping coffee or snapping gum)
• defend oneself against unjust accusations politely, while at the same time take responsibility for weaknesses constructively
• know when to ask for help (and when not to!)
• formulate appropriate requests for help
• balance the need for help with the ability to learn/work independently (for example, balance seeming too dependent versus seeming too independent)
• pick up slack left by lazy coworkers without being used
• decode social politics (for example, why person X complains about person Y, then treats Y to lunch)
• determine personal boundaries (for example, if someone is taking advantage of you by asking you to do her filing)
• ask for clarification of tasks, requests, jokes, conversational meanings, and innuendos
• explain problems and relay relevant details
• balance priorities, responsibilities, and loyalties to different people
• know when to do a favor versus when to report an ethical or behavioral irregularity (for example, to tell the boss person X is late again for the 50th time, or not)