Paul Isaacs' Blog

Autism from the inside


Leave a comment

Autism, Information Processing and Train Travel

This is an article about autism and travel, on the context of a train station the potential pieces of a person’s autism and specific information processing challenges.

Face blindness

When on a train, waiting for a person at a station and/ or destination one may struggle with the ability to recognise someone by their face this is called prosopagnosia. Some people may need to different compensatory strategies to make the connection that they are a person that they know.

  • A board that has their name and the person’s name.
  • A familiar piece of clothing such as shoes, earrings, glasses etc.
  • The sound of the person’s voice.
  • The way in which the person moves such as gait, walk and stride.
  • Tactile and alternate sensory modulation to create association, such sniffing, tapping, rubbing etc.

Visual Perceptual Disorders

If a person has related visual perceptual challenges within a train station this can cause distraction but the way in which that connects with association is vast because of different experiences, variations and the personal emotions that got with.

  • Becoming increasingly “meaning blind” may mean the person goes into the system of “sensing” within their surroundings.
  • May experience intense euphoria and induced chemical highs due to simultagnosia and/or semantic agnosia’s. (fragmented vision).
  • May experience intense aversion and induced chemical highs due to simultagnosia and/or semantic agnosia (fragmented vision).
  • May need contextual means to be able to ground themselves this could be self-regulated or from another person.


Topographical Agnosia

When a person is in the same surroundings but cannot process or perceive where they are (even though they have been to this place many times) this could be to do with many factors – coming on a different train that is resided in a different place at the station for example or moving to the same location from a different angle.

  • Needing to find a place of association that is a landmark
  • Needing to be able to mentalise the new surroundings (through different modulations and associations).
  • Needing to be able to go to a place of safety.


Language Processing

This is a broad definition in which a person’s information processing ability to express and/or receive language may be for example be distorted the person loses words within a conversation. In a train station with external stimuli this could compound the ability to receive language further.

  • The person may need the aid of gesture and tone to get meaning.
  • The person may need the aid of objects of reference.
  • The person may need the aid picture/word association (if they do not have visual perceptual disorders).
  • The person may have delays in connections and a shared sense of “social” this means the person may only be able to do all self no other or all other no self.


Personality Types, Temperament & Resilience

It is worth noting that within the context of this article that other factors that come into is a person’s personality type which has its own values, systems, associations, temperament and varying degrees of resilience and association.

This means that if a person is idiosyncratic for example may have more novel ways of dealing with stress induced situations say than a more conscientious person who may be more linear.

Conclusion

In the context of autism this does count for a person is more than their information processing and one’s personhood rides with the latter and vice versa. People given the balanced nature of caregivers and other means of support can and do have the ability to change and adapt be healthily acknowledging their “autism fruit salads” but also their personhood to, for people are more than labels and so humanity starts with seeing people and everything that comes along with it.

Paul Isaacs 2021


Leave a comment

NAS Lambeth/A2ndVoice Workshop – Autism As A Fruit Salad & Sensory Perception Issues

This workshop is about Donna Williams’ “Fruit Salad” analogy of autism and sensory perceptual challenges and agnosias in the context of autism. Hosted by Venessa Bobb.

Further Information & Reading

What Is Autism?

Common Pieces In Autism “Fruit Salads

Sensory Perception in Autism

Paul Isaacs 2020


Leave a comment

Doing It Your Way – A Long Road to Autism & Self Care Skills

IMAG1230

Haha love this blog about autism and splinter skills and were one skill set can baffle and be up for contradiction in another.

Bathing, Temperature & No Sense of Time or Body 

It took me until sixteen onwards to understand the concept of bathing as a tool to wash your body in prior to this I would urinate in the bath, smear bubble bath liquid  on the tiles along with shaving foam.

A lot of times bathing the water would be too hot, too deep and would cause me to get light headed. I would sometimes lay in the bath for hours (until the water was cold), get lost dissociate, disconnect and focus on a fixed point and/or using the bath products.

The Art Of Toothbrushing

Tooth brushing I have yet to master, I have bouts of mild gingivitis, and a recent salivary gland infection which has “switched off” my left salivary gland. (I lose the patterns of how to brush my teeth for how long, the amount of pressure etc.) Dentists kindly remind me each time of how to do it.

The Delicacy of Shaving

Shaving my face I find odd too most of the hair density is below my jaw line, as such I am still so disconnected from body (so again losing patterns, strategies, movement and motion.) Leaving me with a blotchy and blood ridden skin at times.

Toilet Trouble 

Toileting is a lot about were my body is in relation to the toilet and pan, knowing the internal reasonings, feelings and sensations that go with it. This is secondary to shy bladder and bowel syndrome.

Mop Maintenance 

Hair brushing is a trial I have long thick curly hair and I have days and moments in which struggle  to obtain and use right brushes and the stratagems to untangle.

Learning, Context & Conclusion 

Context and meaning blindness, the inability to visually mentalise, visual perception, motion perception and body agnosias mean I rely on placement, position and associated contexts.

I suppose I did it my way.😉👍

Paul Isaacs 2020


2 Comments

Autism, Mentalising, Alexithymia & Introspection

Note – This is from a personal perspective

Language Processing, Alexithymia, Visual Perception and Mentalising

As a child I was unable to process language with meaning this meant that the ability marry words with association, then the ability to reason those words into a meta-reality (context and how they “looked”). I was severely face blind, object blind and meaning blind this meant the inability to visual internally my external world meant that I had to use my body to EXTERNALISE to INTERNALISE in other words I mapped out my world through placement, smell, texture, movement and taste.

Body Disconnection, Exposure Anxiety and Dissociation

I was unable to map out my own body, its parts, their placement in association with me or the outside world so I had a level of body agnosias which meant my body with FRAGMENTED as well as my vision and internalisation of receptive language. My conscious mind was seemingly blank as I subconsciously took in the information around me in but was unable to consciously piece it together despite the fact is was near hiding in plain site, akin to playing smoke and mirrors but with my own self.

Exposure anxiety rendered me powerless when confronted with “self” the awareness of my own self existence was too powerful for me to handle. So I disassociated, created characters (each assigned duties, personality types, communication styles) to handle the task of being exposed, mutism, echolalic litanies (once functional speech was acquired).

However I seemed to retain the ability to have introspection, the system of sensing still means I FEEL first and then have to unpick the interpretation secound.
The Self and Other Paradox

Fast track to know I had an experience in which I got to that level which I have described bearing in mind this had not happened in roughly 23 Years! It was shock was unable to do a shared self and other (which can last up to two hours plus), language was losing meaning, visuals where fragmenting (I made error of taking my tints off) and I was feeling detached coming out with stock phrases and it made me think about how I was then

So with help, kindness and assistance of friends and colleagues I was able to map and piece together my emotional states through three videos.
Loss

This video signifies loss that the emotional roller-coaster of meeting loss head on, the process of emotion, the realisation, the impact it has on you and other around them and the great sense of vulnerability that comes with it.

Light and Hope

This video is more metaphor and symbolical in its reverence with me the smoke that plums as he enters the arena is has a great impact on me as it represents hope through the darkness, as he walks to the ring a single light envelopes him which for me feels that light can be achieved in times of such darkness, the creating of light towards end is hope.

This Detachment of Self and Other

The final video to me represents my sometimes lack of ability to get a shared sense of “self and other” and “shared social” in which my conscious thoughts are not married up straight away with other and vise versa, when I LOSE the ability to keep the process becomes mechanical, artificial the automata represents this aspect and also ALL SELF and Casanova represents ALL OTHER .

Paul Isaacs 2020


2 Comments

Autism, Meaning Blindness and The Phantom Rainbow Flask

Related image

Note This was from a personal perspective

There are times when I even question my own perception visual and/or otherwise and got the the point wonder of how I cam to this conclusion.

Noticing An Object With No Context? 

I was presenting a workshop around a week ago and in the room something every so often was catching my eye and intriguing me, its was shiny and rainbow coloured in presentation however I ignored for a while.

Interpretive Meaning vs. Non-Interpretive Experience? 

I was then talking about experiences of being object blind (simultagnosia) and meaning blind (semantic agnosia) and turned the the object of intrigue and held it and proclaimed and questioned  “what is this?” in about 5 seconds or more the audience explained that it was a hip flask!

It just goes to show that even on a residual level my visual perceptual challenges take me by surprise this were I made an effort to remember the object by touching the its smooth and bobbled surface.

Paul Isaacs 2019

 


1 Comment

Autism, Mentalising & Gestalt Perception

Note this is from person perspective

Gestalt perception can account for both strengths and weaknesses of autistic perception. On the one hand, they seem to perceive more accurate information and a greater amount of it. On the other hand, this amount of unselected information cannot be processed simultaneously and may lead to information overload. Autistic people may experience gestalt perception in any sensory modality.

Olga Bogdashina 2014

About a month ago I was a friend of mine who is a speech and language therapist who works with people with autism, brain injuries (associated with language processing) other other neurological conditions.

Visual Perception & Memory

She asked me about how I mentalise the world around despite having challenges with visual-verbal connections and the ability to “marry” words and images together. This made me think about how I piece my “world” together and what tools I have used to do so. So she suggested about a simple memory comparison which was to see in the mind’s eye a generic church figure which she could.

Sensory Associative Memory

I said that when I think of a church I think of the feel and texture of the grass, the feel of the aged stone walls, the loud squeak of the wooden door, the musky smell of the aged church. She said can you bring all the those senses (experiences) together. I said I cannot as I think of them one sense at a time.

There appear to be multiple pathophysiological mechanisms that result in apperceptive visual agnosia. These may be related to the misperception of shapes due to defects in representing the elementary properties of curvature, surface and volume149 or failure to integrate multiple elements into a perceptual whole.150 Patients with severe apperceptive agnosia usually have extensive and diffuse occipital lesions and tend to have residual field defects.151

D. Tranel, A.R. Damasio, in International Encyclopedia of the Social & Behavioral Sciences, 2001

Conclusion

It’s clear that I have documented about having faceblindness, object blindness and meaning blindness which of course leads to “blindisms” in visual surroundings in which one has “context blindness” in which objects, faces and places lose their significance and visual-verbal meaning.

However it is clear from this conversation that the way in which I store memories through fragmented pieces of information bring about and evoke an emotional connection with what I am talking about.

Paul Isaacs 2019


1 Comment

So What is Simultagnosia & Semantic Agnosia? In The Context Of Autism?

Note: This is from a personal perspective

Simultagnosia is a condition that effects the occiptal lobes of the brain this is where visual perception and processing is connected, it also can have an impact on visual association, language perception/processing and overall navigation of the visual world around you.

“Blindisms”

For me it meant not being able to access the visual world with coherence rendering me unable to access with my “eyes”and having to build up the visual world in a “non-visual” way such as.

  • Smelling
  • Touching
  • Sculpting
  • Licking
  • Tapping
  • Moving

This started early in my development with my Mum’s observations thinking I was both deaf and blind (which is a common observation with people with visual agnosias) I was imprinting through EXTERNAL stimulus to build up a representation and connecting through other sensory modulations to make sense of the experience around me.

“Mapping” A System

As I have got older and with more awareness of the condition I have system in place where I do not hide anything from my view and placement of objects are important in relation to their context.

Context & Relevance

I still have a level of context blindness which means that things that are not being used “lose there relevance” (what they are, their use and function in relation to the environment) I may mistake objects for other things entirely and/or be caught up in how they make me feel rather than what they are.

Paul Isaacs 2019


6 Comments

There Are Two Types of “Social Emotional Agnosia” in Autism

abstract background close up construction

“Typical” Social Emotional Agnosia

Social emotional agnosia is the inability to see and/or perceive body language, facial expression and tone of voice, this mean that the person is only “seeing” factual information this rides along side an secondary factors such as a language processing disorder, alexithymia, mood, compulsive and anxiety disorders for example.

This tends to be found in people with a diagnosis of Asperger’ syndrome and is related the right hemisphere for the brain up to 30% also have faceblindness and sensory hypersensitivities.

“Perceptual” Social Emotional Agnosia

If we think of visual information up to 70% of is visual so what if a person simultagnosia? The inability to perceive more than one thing in their visual field rendering the ability to take in “social” information difficult, perceiving faces, objects and surroundings as “pieces”. What if the person has a receptive aphasia, auditory verbal agnosia and cannot retain information secondary to oral apraxia, verbal agnosias, exposure anxiety , mood, compulsive and anxiety disorders for example.

This tends to be found in people with a diagnosis of Autism and is related to the left hemisphere of the brain and the occiptal lobes and sensory perceptual disorders.

Image result for shoes paired

Image result for shoes paired

You can have two pairs of shoes that “look” the same but once you look inside them you realise they are different in terms of “mechanics” that would mean differing styles of learning, communication and mentalising will come into play.

Paul Isaacs 2018


3 Comments

Autism, Semantic Agnosia & “The Eyes That Don’t See”

Shorts

Note – This is from a personal perspective
The Eyes Are Deceptive?

Think about it a person who eye’s are organically “normal” and the ability “see” from an psychical perspective is there but the brain is not able to process visual information that is coherent and meaningful.

Sensory Explorer 2
Reality vs. Context? The Hidden Link

As a child association was created through my body this could be through objects and or people. Touch gave me a reality and context that my eyes could not the contours of what touched beamed into my inner world as a way of saying “hello” to the outside from inside and secret bridge that was being made every time.

Quinn and I
Movement, Mapping and Tactile Association

I was eager to be bare foot and “mapped” out my surroundings, movements, twists and turns around the “dead space” that enveloped in was both my enemy and my friend all at once. Touching, licking, sniffing, tapping and rubbing gave “life” to everything around me on an unconscious level of was working out world.

• This is the most studied type: easier to detect.
• Stimuli misrecognized visually, can be recognized:
– through tactile manipulation
– from verbal description
– based on its characteristic sound or noise
object
early visual processing
image viewer-dependent
object-centered (3D)
(2 and 1/2 D)
(
episodic structural description
)
structural description system
semantic system
output phonological lexicon
object naming
AGNOSIAS & SEMANTIC DEFICITS Raffaella Ida Rumiati, Cognitive Neuroscience Sector Scuola Internazionale Superiore di Studi Avanzati Trieste, Italy
A Blindism

One could call this a “blindism” a state in which visual perception is not giving the associative signals and/or visual association of what an object “is” regardless of where you find it, what angle you see and so forth. This could lead problems with context and a distortion of memory.

Conclusion

As an adult I still rely more on my movements that what I am “seeing” this means that can still get lost in my surroundings but with my tinted lenses this is able to keep my conscious mind on track with meaning.

Paul Isaacs 2017


1 Comment

Autism, Visual Agnosias And Making Connections

Note this is from a personal perspective

As a child my Mum thought I was “deaf and blind” and this was to do with both “blindisms” and “deafisms” this is how it presented itself through behaviours that I did show.

Baby Pictures Deck Chair I Year Old

  • Staring through objects and people and appearing “blind”.
  • Getting stimulation and “lost” such as staring at water, lint and small fragments this would include finger flicking and hand flapping to “bind together” visual information and give coheranence.
  • Poking the side of my eyes to create colours also forcing my eyes shut at night to create internal colours and shapes.
  • Focusing on mouths rather than a whole face (which I couldn’t process as a cohesive whole).
  • Processing people in “pieces” focusing on one part of the body and neglecting everything else (this extends to the whole visual field).
  • Getting an external “reality” from kinaesthetic/tactile association such as touching, licking, sniffing, tapping rubbing my surroundings these are my “eyes”.
  • Connecting with people by “sculpting” their faces, rustling through their hair and thus creating association/bonding.
  • Using peripheral vision rather than using my central visual field sot “shut off” a part of visual processing.
  • Being lost meant that others had to find me.
  • Fluctuations and distortions in depth percpetion, foreground and background.
  • Filling in my time with repetition such as echolalia, videos and music that are unconscious thought and “being” as opposed to conscious thought and “doing”.
  • Finding people asking me directly to “do” difficult jolting my reality this is secondary to langauge processing disorders, aphasia, aqquistion of “self” and “other” which is also a result of exposure anxiety and problems with direct confrontation.
  • Finding objects, placement and context has to be formed on a personal level that means all things of significance and relevance must be on display.
  • When objects are not moving their reality is not acknowledged.

Context, Language and Perception

Having a level of visual agnosia, simultagnosia, prosopagnosia and semantic agnosia meant that association and context was and is at times is very difficult. As well as having a level of aphasia which meant the visual/language link took a long time to bridge and form.

Tinted Lenses

Tinted lenses have helped bring a level of visual binding, coherence and an ability to keep up with visual information at a much quicker rate, recognise non-verbal cues and sort out my placement while moving from place to place.

Paul Isaacs 2017