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Left Hemisphere, Right Hemisphere & The “Mechanics” Of Autism “Fruit Salads”

Autism and Aspergers Hemishpere Image

When looking at autism “fruit salads” and function of both brain hemispheres it is interesting look at the difficulties in each area.

Looking at Donna Williams’ work on the subject of the differences between “Aspie” and “Autie” fruit salads was to do with hemisphere dominance and neglect a trade off between on or the other with “Aspinauts” being the “grey area” of in-between.

On a personal note I always thought she was on to something and looking at this simple table backs it up, consultancy observations, personal experiences and tireless effort to give people a better understanding of both DISablity and disABILITY with autism.

http://brain.web-us.com/brain/LRBrain.html

Left Right Brain Functions Aspergers Autism Image 2018

Right Hemishpere (Asperger’s) “Fruit Salad”

Extralinguistic Deficits

Again, RHD patients are unlikely to display the kinds of phonological, syntactic or semantic problems associated with aphasia. However, although they do not typically have many specific language problems, they definitely have difficulty communicating. This impairment seems to follow from an inability to integrate information; RHD patients apparently do not make adequate use of context in their interpretations of linguistic or nonlinguistic messages. They have difficulty distinguishing significant from unimportant information. For example a patient of mine when asked to describe the “Cookie Theft” picture card from the Boston focused on irrelevant features without describing the overall picture. Some aphasics with typical left hemisphere lesions present with executive function disturbance similar to right hemisphere syndrome.

Literal Interpretations

RHD patients may be able to comprehend only the literal meaning of language. Thus, they will often fail to understand many jokes, metaphors, irony, sarcasm, and common sayings that include figurative language. For example, if an RHD patient hears someone say that they are about to “hit the ceiling,” he might assume that the person is really about to begin striking the ceiling. Such a patient may also have trouble understanding indirect requests. For example, if he is asked if he “could open the window,” he may fail to identify this as a polite request and simply answer “yes” rather than opening the window.

These problems with figurative language may be viewed as one manifestation of the inability to base interpretations on context.

Difficulty identifying relevant information

When listening to a conversation or reading, an RHD patient may fail to abstract the main point contained in the information being shared. This happens in spite of the fact that, unlike an aphasic, the patient can understand all the individual words and grammatical structures used. For RHD patients, it appears that their comprehension of everyday language is impaired by a failure to distinguish important information from irrelevant detail and also by an inability to integrate According to Blake 2007, RH patients have difficulty comprehending non-literal language, humor, and multiple interpretations Furthermore, Blake says that their difficulty with language production includes: impulsivity, inefficiency, and egocentricity. She also says that the same problems are seen in traumatic brain injury.

Inability to interpret body language and facial expressions

In a conversation, RHD may miss out on important cues that should tell them about the emotional state and true intention of the person with whom they are interacting. This inability to interpret body language and facial expression may be related to an overall failure to use context in the interpretation of individual pieces of information. Problems with the interpretation of facial expression may also be due to the fact that RHD patients often fail to maintain eye contact with their conversation partners.

Flat affect

RHD patients may fail to display a wide range of facial expressions themselves. Also their speech is frequently aprosodic, or lacking variations in pitch and stress. Some patients will sound “robot-like,” and thus be unable to express emotion or changes in meaning via changes in intonation. These patients will no longer be able to vary pitch to signal the difference between a question and a statement or use word stress changes within a sentence to signal a difference in meaning.

Problems with Conversational Rules

RHD patients may fail to follow conversational rules, including those governing turn-taking, the initiation and closure of a conversation. RHD patients may tend to dominate conversations, as they are frequently verbose. They may also fail to properly estimate levels of shared knowledge, failing to give the listener enough background information to understand their statements. According to Myers and Mackisack (1990), RHD patients appear to not care about the needs of the listener. They, like children in an early developmental phase, may assume too much knowledge on the part of the listener; or not enough. They appear to answer without adequate search for the right answer. They also may fail to pick up on non verbal cues that signal listener’s reactions.

Impulsivity

RHD patients may exhibit poor judgment and problem solving abilities. They may require constant supervision due to a tendency to attempt tasks of which they are no longer physically capable. This may be related to anosognosia. They may also exhibit impulsivity in the sense of failing to censor the statements they make to other people.

Confabulation

RHD patients may make untrue statements. These do not usually seem to be deliberate lies. According to Brownwell et al. (1995), this may be the patient’s way of responding to his own confusion rather than attempts to mislead the listener

The Neuroscience on the Web Series:
CMSD 636 Neuropathologies of Language and Cognition

CSU, Chico, Patrick McCaffrey, Ph.D.

There tends to be a lower level of visual-verbal processing difficulties in this profile, social emotional agnosia, alexithymia, issues around a shared “sense” of social, self and other. Internal mentalising (to gain meaning)  would make sense.

 

Left Hemisphere (Autism)  “Fruit Salad”
  • Sensory disturbances, weakness or paralysis on the right side of the body. Read more.
  • Impaired vision on the right hand side of both eyes. (hemianopia)
  • Speech and language problems (aphasia).
  • Difficulties in recognizing objects (agnosia).
  • Problems with daily activities, routines that used to go well (apraxia).
  • Reduced memory for verbal (spoken) matters.
  • Decrease in analytical skills.
  • Problems with chronology (in order of time, cause and effect)
  • Reduced timing and speed of skills
  • Confusing left and right
  • Difficulty in dealing with numbers, understand numbers and dealing with money
  • Become slow
  • Exhibit insecure, anxious and withdrawn behavior
  • Risk of depression
  • Chance of changing moods, easily overwhelmed by emotions

© 2014 – 2018 Braininjury-explanation.com Foundation

There seems to be a higher level of visual-verbal processing difficulties, language processing disorder, sensory perctupaul agnosias, problem with a sense of “self” and other.  External mentalising (to gain meaning) would make sense.

Paul Isaacs 2018

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Autism & Personality Types – They Do Exist

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Personality Types & Autism 

When we look at “autism” looking at personality types is just as important as any other factors. We could look at these aspects of a human being they are very much the “soul” of the person they pepper one’s temperament, personal outlook, emotional regulation, friendships, relationships and aspects of social and emotional interaction.

Identity Crisis

For people who are on the autism spectrum not all their “being” is dictated by the diagnosis that they have. This of course will vary from person to person depending on what part of their “fruit salad” are impacting and how they view their personhood within that. Is it hidden by language processing disorder? Is it being tempered and challenged by health issues? Or are there underlying mental health issues that are being called “the autism” when they are not?

Autism Isn’t a “Collective” 

Some people see their autism as “ego-syntonic” that is all their person and they feel it all of the time, others like myself see their autism as part of their “being” this means that other factors come into it such as environmental factors, mental health, identity and learning style all human being are made of up these things . For me it seems to over simplified and reductive to suggest that people on the spectrum share common goals, values and outlooks as a collective experience.

The “Sameness” Machine

“We” do not all come from the same place, we do not have a carbon copy autism “fruit salad” that is  shared from person to person. That means that one should be seen as an individual not just a sausage machine of traits. People are born with no labels what so ever and no one person is defined by “one word”.

Paul Isaacs 2018

 

 


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“Neurotypical”, Reverse-Bigotry & The Warped Lense Of Equality

 

Related image

Not this is from personal experiences

“Neurotypical” Is Inaccurate & Misleading? 

The word Neurotypical is used to describe people who are “non-autistic” but what if we have got that all wrong? What if the barriers are being created by the assumptions of what “autism” is that then thrusting one’s own presumptions of what it is like to be “non-autistic”?  I think that there really is no such thing.

Bigotry Is Still Bigotry 

Reverse bigotry is still that bigotry and if someone is using the words “NT” or “Neurotypical” to dehumanise, belittle or bully someone then surely that very generalised assumption if wrong? How does that become validated? Is it a sense of one’s own self importance, ego, group think and conformation bias, upbringing and/or past experiences? What gives someone the right to say these things and not take social emotional impact it has on the people in question?

“Autistic Identity”

This has worryingly been created through a “narrow” bandwidth of what autism “is” and “isn’t” but also what being “non-autistic” “is” and “isn’t”. The truth is there are far more similarities between people than not so why over invest in stereotypes? Which in the long run give people  a generic tick list of “traits”?

More Voices? More Perspectives? 

If we created so many degrees of separation do we strive to lose our objectivity? Being grounded means looking at things from the angle of non-bias. I have seen too much militancy that means that some people’s experiences have been silenced because they have not fitted the status quo that means there is rhetoric and that is unhealthy. Equality is for everybody.

No one “owns” autism it is not a thing to be bought or sold, no one should be able to cherry pick what autism “should look like” because guess what? It doesn’t have a “look” and more you give it one ironically the more voices will be lost.

Paul Isaacs 2018


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Colour Me With A Personality – Autism, Personality Types and “Disordered Extremes”

Malice Mizer Bara No Seidou 20004All human beings have personality types they are part of what makes “soul” along with are senses, information processing, reactions, life experiences, our friends, family members and cherished ones.

Many  a disagreement has been  made about me bringing up about personality types in the context of autism people have quite rightfully misunderstood my intentions or misunderstood the point of points I was trying to make so  lets look at this a bit more.

Of the 16 common personality traits identified by Oldham, all of us will have around 4-6 of these which tend to be our main personality traits, what collectively presents to others as ‘who we are’, our ‘self’, ‘personhood’, ‘identity’, ‘soul’. When these are not overdeveloped, they present merely as ‘traits’.  However, a particular personality trait or traits can become overdeveloped or stay at such a ‘volume’ that the person is functioning and presenting in the personality disorder range for that trait.  If they don’t break free of this they will progressively so identity with their own personality disorder they will take it as their ‘normal’.  Donna Williams (Polly Samuel)

NOT EVERYTHING IS THE “AUTISM” 

It is not restrictive or silly to point out that personality types do exist within human beings and in context of this segment with people with autism. Human being not only have 4 – 6 main personality types (no we are not machines we “encoding”) and you can also have what is called “secondaries” (mine I would say are conscientious and adventurous) that come along for the ride and they may well clash “internally” with the main traits themselves.

This is fluid and normal there is of course genetic factor to these traits maybe you can see “yourself” in another family member certain behaviours you can relate to and/or acknowledge, just like you can have personality clashes at work because you cannot relate to how some operates this is normal.

Some of the most common personality disorders in people in the autism spectrum include Obsessive-Compulsive, Schizoid and Schizotypal personality disorders and Avoidant and Dependent personality disorders.  Those with dissociative disorders may more commonly experience AvoidantSelf Defeating, Schizotypal, Borderline or Passive-Aggressive personality disorders.  Some personality disorders are commonly misdiagnosed as mood or anxiety disorders but unlike mood or anxiety disorders, personality disorders generally fail to respond significantly to medication.  Donna Williams (Polly Samuel) 

EGO- SYNTONIC & SEEING THE PERSONALITY DISORDER AS “THE AUTISM”

Ego- Syntonic Meaning Consistent with one’s sense of self, as opposed to ego-alien or dystonic (foreign to one’s sense of self). Ego-syntonic traits typify patients with personality disorders.

If a person or people around the person “sees” their “autism” as everything about them (including dictating their personality) then hypothetically if they acquired a personality disorder would they see it just apart of of their autism? Not needing to be changed? Or modified?

What if it is having an impact on the person but they just can not unpick or see that it is an issue and it is having an overall impact on their functioning? Their judgements? Their reactions? Their interpersonal skills? Their daily living skills? What then? This is food for thought from both a practical sense and how specialists can diagnose and treat those with personality disorders on the autism spectrum.

MY FOUR MAIN PERSONALITY TYPES WITH THE DISORDER VARIANTS

As you can see on the left I have my personality types and on the right I have the “disordered” variants of those types the explained in the middle is clear these “stresses” can cause the “normal” personality types to expand and “grow” the person themselves may well be observed by others as being “different” quick to temper, quick to cry for example their reactions are heightened to an extreme.

For more info on personality types look at www.ptypes.com

2007 PERSONALITY DISORDERS A PERSONAL PERSPECTIVE

In 2007 I suffered a nervous breakdown my parents had noticed a change in “me” looking through my medical records two words sprung out at me “borderline” and “schziotypal”.

 These had an effect on these five main areas of functioning

  • Personal Judgement
  • Interpersonal Skills
  • Personal Skills
  • Professional Skills
  • Daily Living Skills

Borderline Personality Disorder

It is characterized as:

A pervasive pattern of instability of interpersonal relationships, self-image and affects, as well as marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
  1. Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  3. Identity disturbance: markedly and persistently unstable self-image or sense of self.
  4. Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse,reckless driving). Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
  5. Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself.
  6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).
  7. Chronic feelings of emptiness
  8. Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
  9. Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms

Schizotypal Personality Disorder

It is characterized as:

A disorder characterized by eccentric behaviour and anomalies of thinking and affect which resemble those seen in schizophrenia, though no definite and characteristic schizophrenic anomalies have occurred at any stage. There is no dominant or typical disturbance, but any of the following may be present:
  • Inappropriate or constricted affect (the individual appears cold and aloof);
  • Behaviour or appearance that is odd, eccentric, or peculiar;
  • Poor rapport with others and a tendency to social withdrawal;
  • Odd beliefs or magical thinking, influencing behaviour and inconsistent with subcultural norms;
  • Suspiciousness or paranoid ideas;
  • Obsessive ruminations without inner resistance, often with dysmorphophobic, sexual or aggressive contents;
  • Unusual perceptual experiences including somatosensory (bodily) or other illusions, depersonalization or derealization;
  • Vague, circumstantial, metaphorical, overelaborate, or stereotyped thinking, manifested by odd speech or in other ways, without gross incoherence;
  • Occasional transient quasi-psychotic episodes with intense illusions, auditory or other hallucinations, and delusion-like ideas, usually occurring without external provocation.

PEOPLE WITH AUTISM DO HAVE PERSONALITIES

These had a great impact on my overall functioning and it took over two years to bring the “volume” down on these aspects of my personality to levels of “normality”.

The first issue I want to address is within the autism community? I want to healthily challenge people who do not think (or acknowledged) that firstly personality types exist with people on the spectrum and secondly if they do what are they? And thirdly do you think you have ever had any personality disorders either yourself? Or in a loved on? If so what helped?

COLOUR MY PERSONALITY 

To acknowledge personality types is not constricting it is in fact the opposite the world is an can be a colourful place and differing personality types are part of the package for everybody.

Paul Isaacs 2016


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“Autism” Is Not A Single Thing – So Why Is It Still Being Presented As That?

20160730_121048DIFFERENT PRESENTATIONS 

No one “owns” Autism that includes me, you the person next door- I think it is important to know what “autism” and “asperger’s” in terms of profiles are the presentations that come with them.

POSSIBILITIES AND OPENNESS  

What are the components? (information processing, environment, mental health, personality, identity, learning types) By looking at these pieces you can understand what to do (or not to do) there are many different paths so by being open to possibilities.

GOING AGAINST THE GRAIN

I know my views aren’t popular for one because they go against the status quo of “neurodiversity” that is fine.

LOOKING BEYOND THE RHETORICS

Has anybody wondered what autism really is? Has anybody can beyond the passe rhetorics, memes or generalised views to know how to understand it? To empower  people with autism, their parents and professionals etc?

LOOKING DEEPER MEANS LOOKING AT WHAT IS THERE

Isn’t it time to know what makes up a person on the autism spectrum?  Dig deeper? I can tell you this is what my autism is made up of –

  • brain injury
  • hemiplegia
  • developmental delay
  • speech and language delay
  • language disorders
  • tic disorders
  • mutism
  • related anxiety disorders
  • personality disorders
  • learning difficulties etc.

This took six years of research and self-reflection to get to this point.

 I say to people reading this do not remember me for saying but remember the template that is being presented and what you can relate to and do not relate to

LETS THINK ABOUT IT 

For a so called “accepting autism community” I have seen plenty of internal upset, bullying, gas-lighting, trolling,  arguing, tears and upset to last a life time. Autism has created a “culture” around itself and personally I have seen nothing healthy come out of it. I came into this in 2010 with my parents we quickly got out of it my parents still don’t “get it” the militancy by people on and off the autism spectrum and I have recently been reminded of why I stay clear of it.

The people and parents who seen themselves as human beings first  (not defining by their “autism”), who are living their lives not consumed by labels and redundant definitions are the ones who are great examples.

This isn’t a game and when you are toying with people’s feelings directed at people who dare to above the parapet a speak from the heart and not tow the line Is this fair? I am all for healthy disagreement lets start listening.

Paul Isaacs 2016


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Over Generalisations In Autism

20160730_114554When people think of autism? One may need to consider this that is has never been a singular thing. In my previous blogs I have mentioned people like Donna Williams and Manuel Casanova who in their own unique style content has indicated through different observations and experiences that autism is not a generic, unmovable or flat presentation and that the components are different between person to person. That in turn means that different sources of help, aid and empowerment would be needed. It is very individualised.

Generalisations? Too Easy To Digest?

Generalisations are easy to digest I suppose they create a bubble in which the person has these sets of “traits” and one goes from there,  to point out the massive differentiation in autism it is surely more than healthy and beneficial? Also leading  finding why and how the person in question could be helped and empowered.

The Issues Around Autism “Culture”

“Autism” is not a culture that (to me) doesn’t make sense at all fitting into one individual into   culture means surely you are treading into many further degrees of separation which for me is very uncomfortable to consider or even acknowledge as something I would want to do or pursue as a goal.

To over invest in a label  means you are seeing your self as a single thing  and one definable thing and not seeing that like all human beings ALL people have different interacting personality types, environments, experiences, thoughts and feelings.

Something I strive for seeing the validity of being rather than over defining. This relates very much to over generalisations of “us” and “we” do this and “us” and “we” don’t do that if you step back think about this scenario and ethos is that (as the bigger picture) over time helpful?

Conclusion

The “autism world” has many hidden voices and experiences that people need to hear acknowledge and affirm reality for them – I once wrote in a previous blog that it is about listening to ALL people’s views whether they are parent, professional, person on spectrum or person off the spectrum.

Breaking down barriers of generalisations will lead to hopefully an fuller open dialogue in which we CAN learn and acknowledge from others with out man-made barriers which have been created in the “autism world.”

Paul Isaacs 2016

 


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Meeting Up With The King’s

 

This week I had the pleasure of meeting up with the King’s they are family that live in the north of England in the Wakefield. Sharon and Richard have three children on the autism spectrum Rosie who is diagnosed with Asperger’s Syndrome, Lenny with Classic autism and Daisy with Kabuki Syndrome and Classic autism.

Staying with the family was very interesting and reflective on my part, as all the family showed deep love and care for each other being honest about the difficulties and  balanced about them showing deep care and empowerment for each other.

Their kindness and humility was reflected in the hospitality shown to me and the others we met on our travels to the park during my visit it is sometimes the little things that matter as much as the big ones. I look forward to meeting them again.

Paul Isaacs  2016