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Autism from the inside


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Living With Anomic Aphasia In The Context of Autism

paul-amber-2002-3Note that this is from a personal perspective 

Speaking to a speech and language therapist yesterday it got me thinking about my autism trajectory and what residual and very apparent markers of disability are still present and more importantly how they manifest and present themselves.

LOOKING BACK 

As a child it took me a long to time to speak and use language in a functional way this meant that both receptive and expressive language was hard to filter and decode into something that was connecting and meaningful.

LEFT HEMISPHERE & LANGUAGE

As I have stated in previous blogs part of my development was due to brain injury to the left hemisphere this part of brain is were human language is formed (although other aspects of the brain will connect with this).

THE PRESENTATION NOW 1  – VERBAL LANGUAGE 

As an adult  the type of a aphasia  (receptive and expressive) as apart of my autism would be considered residual in presentation and it effects me with I tired my words get stuck like a “blockage” and I have to consciously “find” the words which seem almost on “there” but disappear leaving me to have longer pauses or repeat “umm” for example.

THE PRESENTATION NOW 2  – VISUAL PERCEPTUAL DISORDERS & MENTALISING

Lacking visual internalisation means that I don not have a “meta-reality” which involves complex pictural referencing in other words I do not “store visual information in a coherent way” meaning that retrieval and word association when tired can be slowed down.

Having simultagnosia means I see things in pieces that has an effect on how I internalise visual information and mentalising (organising) and need to focus on movement, pattern and touch to externally map-out something rather than internally.

Anomic aphasia (also known as dysnomia, nominal aphasia, and amnesic aphasia) is a mild, fluent type of aphasia where an individual has word retrieval failures and cannot express the words they want to say (particularly nouns and verbs).[1] Anomia is a deficit of expressive language. The most pervasive deficit in the aphasias is anomia. Some level of anomia is seen in all of the aphasias.[2] Individuals with aphasia who display anomia can often describe an object in detail and maybe even use hand gestures to demonstrate how the object is used but cannot find the appropriate word to name the object. [3]

CONCLUSION THE PRESENTATION NOW 3  – ANOMIA (WORD FINDING)

It is completely understandable that not having an visual memory and having a long developmental history of language associated issues that word finding at times for me can be difficult but one much use what they have and accept what is going on. I’m glad I am in a position to understand what is going on and I hope this blog helps others who can relate to this. 🙂

Paul Isaacs 2017

 

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My Language Development – Receptive & Expressive Aphasia & Visual Agnosias

IMAG0083Note this is from a personal perspective

Overview 

Yesterday I presented a speech on my life with autism afterwards I had an interesting conversation with a lady who specialises in aphasia and language development so I thought I would go through my language trajectory.

Speech & Language Delay

I had both delays in speech and language acquisition this means that I was missing milestones on both these areas of language development – this was noted by my parents during those early years of development and I didn’t a level of functionality to my speech until late infancy.

Receptive Aphasia

This meant the the language of “the world around me” was a garbled tumbling mess that was feel of noises, inflections but not “meaning” in the typical sense at times I would be interested in these “noises” perplexed, intrigued even but it was very much a swirling bottle neck with the words being at the deepest part of ocean within the sea-back grasping yet not.

Expressive Aphasia

When expressive language did present itself it was not at the level firstly of my chronological  age and secondly what coming did not reflect what I wanted to say to people around me so there was quite rightfully and frustration there as words would “drop” both receptively and expressibly sentence construction, “word-finding” and neologisms which came in the form of echolalia was present and having created my “own language” (pattern, them and feel) before typical  interpretative language and unpicking that was difficult. As I have said I had before I had “words” within my head but grasping them, finding them and using them was being “blocked” by other factors.

Conclusion

Looking at my overall trajectory would say that I had global anomic aphasia coupled with additional difficulties created by the visual perceptual disorders and oral apraxia.

OVERVIEW OF APHASIAS 

Visual Agnosias, Simultagnosia & Semantic Agnosia – Related to Anomia

The word finding aspects I can split into two aspects firstly the nature of aphasia itself and not being able to use word retrieval and secondly the perceptual disorders (visual fragmentation, visual semantic problems) and not having “visuals” for words meant that making tangible and “concrete” associations was difficult.

I had to use a lot of tactile-associative strategies sniffing, rubbing, mouthing and sculpting my “external reality” in order to get a aspect of meaning I still very much “live in a world” before the literal so significance and bridging the gaps are important to me.

This meant that perceiving objects, people, faces was one aspect verbally being able to name them was another aspect of language which I found difficult.

Oral Apraxia 

I had this which layered the impact of speech production the use of my tongue, mouth, jaw and having a level of “disconnect” between the “words”, the “mind” and “body” not acting as team and going on there own path this caused difficulties in expression this carried on for many years and was notable present in observations of me at a CAMHS assessment in 1996 for at that time clinical depression.

Residual Issues Still Present? 

I would say the are in particular when I am tired this is something I have become more aware of as I have researched and got older so this means that sometimes my expressive speech can become laboured, slow and I can miss out words in sentences and struggle with “word-finding” etc. What helps me is music, gesture, tone, placement, telegraphic language and objects of reference to gain the firstly and foundation and then secondly meaningful association. However as always I continue to live life, experience life and enjoy life as much as possible with new experiences, friends and creativity 😉

Paul Isaacs 2016

 

 


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Emotions, Words and Speech Production In The Context Of Autism

Paul 1996 - 7 2Note – This is from a personal perspective 

The Landscape of Words

Speaking and going on and on for the one’s sake not knowing the beginning where it started nor where it ended or  were it should end the internal cluttering coming from within me like a tidal wave of phonics being spurted out in a “scatter gun” approach the receptive sounds coming into my consciousness  – I had a speech and language delay (I had no coherent words in my head until I was 7/8 years old) and the words are still whirling trying to pin point meaning, context, relevance, need, want, substance, creativity, what the other person wants, what I want it doesn’t always fit it at times is  lack of coherence a kaleidoscope of feelings with no visual basis or formation. I will always try and have a go and feel by trying it is giving me more opportunities  to integrate and connect.

Logorrhea

In psychology, logorrhea or logorrhoea (from Ancient Greek λόγος logos and ῥέω rheo “to flow”) is a communication disorder, expressed by excessive wordiness with minor or sometimes incoherent talkativeness.

Sometimes I talk and talk but it doesn’t mean I understand or connect with what I am saying (the expressive function) and also the I don’t always process what the other person is saying (receptive function) this is in context is to do with with aphasia and the “cluttering” of language based auditory information. This is reflected in the content and the way in which I am expressing the information at the time.

Thought Disorder

In psychiatry, thought disorder (TD) or formal thought disorder (FTD) refers to disorganized thinking as evidenced by disorganized speech. Specific thought disorders include derailment, poverty of speech, tangentiality, illogicality, perseveration, neologism, and thought blocking.

Derailment

In psychiatry, derailment (also loosening of association, asyndesis, asyndetic thinking, knight’s move thinking, or entgleisen) is a thought disorder characterized by discourse consisting of a sequence of unrelated or only remotely related ideas. The frame of reference often changes from one sentence to the next.

In the context of how I process words and my own emotions which is a condition called alexithymia (I connect with gesture, movement, tactile feeling, textures and tastes) my thoughts are buried beneath many hidden levels this can lead to thoughts ebbing and flowing from within me with multiple things being said from different areas. The irregular retrieval means that I always trying to find words for emotions and the emotions come first so it happens in reverse causing the issues stated above also.

Conclusion 

I will continue to try and find the things within me that connect with being human which make me feel inclusive, connected and integrated with the world around me using the tools i have learned to the best of my abilities. 🙂 Poetry from a personal perspective has helped me with these processes of word formation and emotions. 🙂

Paul Isaacs 2014


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Visual Perceptual Disorders In Autism & Not Thinking In Pictures

Me On My OwnUnderstanding, Processing Visuals & Typical Interpretive Language 

Note this is from a personal developmental perspective 

For someone like me who got diagnosed with Autism in 2010 and later in Scotopic sensitivity syndrome with Visual agnosias (object, meaning and face blindness) as well as Visual-Verbal agnosia (comprehension blindness) and associated learning difficulties this is what I can relate to – I had oral apraxia compacted by auditory and visual processing disorders I saw  (and still  in the present without my tinted lenses) shapes, movements, colours and blobs and couldn’t contextualise where I was in space and time what I was doing (learning by route was a system I learnt) – I had speech and language delay as well as significant motor delays, echolalia and late speech compacted on my ability to understand typical language

I had NO contextual words within my head for along time (even though the capacity was there and I would have gleaming moments of clarity which no one saw or noticed) but I recited jingles, sounds, hums and treated words like “sounds” nor could I visualise words either.

I relate to Donna Williams in this way and it’s important to debunk the myth that all people on the spectrum are thinking in pictures when many clearly aren’t. I still find typical language difficult but I can but try to integrate as much as possible.

One must also differentiate and language processing disorder from mutism it was ironic though when I gained functional speech I had bouts of mutism so the two can interact.

I also have and Autie based profile as opposed to Aspie and this may certainly be one of the reasons why.

Paul Isaacs Adult With Autism 2014


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Autism & “Route” Expressive Language & Pattern, Theme & Feel Language (D.Williams)

The Inside Story Milton Keynes 2011OVERVIEW

EXPRESSIVE LANGUAGE

I was non-verbal for about 5 years, I had speech delay and language delay, oral apraxia and then I was pre-verbal and I gained “functional” expressive speech (of a three year old) between the ages 7/8. Before that I lived in a pattern, theme and feel (Donna Williams) with language creating sounds, movements to convey my emotions and communicate as well as touching and sculpting.

TYPICAL FUNCTIONAL EXPRESSIVE SPEECH “IS NOT MY NATIVE LANGUAGE”

Typical/functional speech is to me still not my native language, my native language is before typical interpretation and meaning – even now this is still the case this is do with many factors.

CONCLUSION

I have learnt to use functional language as a route pathway and cross-over for people who process typical interpretive expressive  and receptive language. much like refined echolalia. 🙂 I still live in a word before typical interpretation. 🙂

Paul Isaacs Adult with Autism 2014


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Life With Autism Videos Parts 1 and 2 – Autism From The Inside

OVERVIEW

Theses are two videos about life with Autism which cover developmental history, education and employment. 🙂

Enjoy. 🙂

Paul Isaacs 2014