I didn’t want to accept that I was on
the autism spectrum. I hated the very idea of it. Come to think of it, my recent
reaction to the gastroenterologist’s conclusion that my year-long bout with
diarrhea was probably the result of gluten intolerance was remarkable similar to my realization that I was on the spectrum - a
lot of tears and anger, followed ultimately by reluctant acceptance.
This is
what happened.
John
asked me to complete an online questionnaire for the Cambridge Autism Research
Center, headed by Simon Baron-Cohen. John wanted me to complete it as he had
done so and had referred Jack (one purpose of the study is to track the
incidence of autism spectrum in biological families). Since Jack has also been
diagnosed as being on the spectrum, John wanted me to fill out the questionnaire
as Jack’s mother. I followed the link in his email, filled out my complete
contact information, and started answering questions.
I was immediately
struck by my responses to a number of the questions. I knew how “normal” (neurotypical) people
would answer them but I had to be honest – and my answers didn’t look at all “normal”
to me. There were three different test instruments, each about sixty questions
long. As I considered the totality of my answers, I grew more and more uncomfortable.
Although I was alone in the house and sitting at my desktop computer, I
suddenly cried out loud, “I’m fucking autistic!” and burst into tears. I sobbed
uncontrollably for a few minutes, then wiped my face and blew my nose. I finished
the survey and the results came immediately.I wasn’t surprised.
Although not an official diagnosis by a trained psychologist, the response said, there was a strong probability that I, like John and Jack, was on the spectrum. Was I willing to give contact information for my siblings and/or parents? I cried some more. I thought about my immediate relatives as I found a box of tissues in the bathroom closet. My mother was no longer capable of responding to such a query so I didn’t put her down. I did give contact information for my sister, Karen, and my brother, Ed. Karen opted to not take the survey. Ed did and, shortly after, he emailed me with his scores – they were even lower than my own. He was also probably on the spectrum. I felt better immediately. Misery loves company.
Although not an official diagnosis by a trained psychologist, the response said, there was a strong probability that I, like John and Jack, was on the spectrum. Was I willing to give contact information for my siblings and/or parents? I cried some more. I thought about my immediate relatives as I found a box of tissues in the bathroom closet. My mother was no longer capable of responding to such a query so I didn’t put her down. I did give contact information for my sister, Karen, and my brother, Ed. Karen opted to not take the survey. Ed did and, shortly after, he emailed me with his scores – they were even lower than my own. He was also probably on the spectrum. I felt better immediately. Misery loves company.
Despite the time (it was after midnight EST) I immediately
called Ed to discuss the survey. I was still very upset. He wasn’t surprised by
either of our sets of scores. As we chatted over the next three hours, we discovered
that we also shared an inability to recognize or describe the physical appearance of
others. I’ve since discovered that lot of others, although not everyone, on the
autism spectrum share this “face-blindness.” Oliver Sacks discusses it at
length in his book, “The Mind’s Eye.” He gave it a $500 name – prosopagnosia. I had
always thought that I was defective and that I had to hide my inability to recognize
people. I thought I was alone with this handicap. Now, I wasn’t the only weirdo
in the world. It’s amazing how sharing either a gift or a deficit can raise
your spirits – and it wasn’t merely company for my misery – it was the knowledge
that this essential part of me isn’t only mine, exclusively - that i wasn't totally wierd! I’d always tried to
disguise it and now, I didn’t have to! I can say it - I have prosopagnosia.
Actually, I’ve got a better
face-memory than many others with face-blindness – although I can never
describe the appearance of anyone that I haven’t (explicitly) verbally
described while they were in front of me, I can still recognize the people that
I see on a regular basis. I can even remember a lot of these people years
later, although I can’t put names to them. If I’ve gone to the trouble to
remember someone, I really remember them! I just have trouble entering them
into memory in the first place. I rarely remember people’s faces until I’ve met
them multiple times (or taken their photograph and studied it). I’ve been unable
to distinguish people that I’ve worked with for an entire day on the following day
unless I’ve used my own methods for remembering them. I CAN remember them; it's just very hard work.
Empathy
I have trouble with Simon Baron-Cohen’s
assertion that people on the autism spectrum have little or no sense of self – for
example, that they do not understand that others do not share their knowledge. I
have certainly been guilty of this but there is usually a good reason for my assumptions. I was utterly amazed that the crew of the
Learning Channel’s program thought that how John thinks is unusual – I tried to
explain that many of my acquaintances and members of my family have similar
ways of understanding but they didn’t want to hear it.
Since it was unusual to
them, it MUST be extraordinary. I tried to explain that normal is only the average of your personal sample of the people that you typically encounter – but my sample is not the same as their sample. My sample is probably not representative of the
population. If you lived in a town with a high number of functional mentally retarded people, you might think that any degree of creativity is
extraordinary. My sample is from the opposite end of the spectrum, so my
assumptions about what “most” people know is reasonable, given that most people
of my acquaintance are people of considerable talents.
Most people of my acquaintance
DO share my level of knowledge! I know that others may have fewer opportunities
to expand their knowledge base but, if I’m talking to them, it’s usually because they
are my students and I’m supposed to help them to understand more and I am trying to push them to excel. Everyone has some culture shock when they encounter people who do not share their system of beliefs and common knowledge. Neurotypicals are not assumed to have no sense of self as a result of that culture shock!
I have the ability to put myself in
another person’s position, commonly called empathy. I just have a very hard time trying to figure out what people are thinking on the basis of their visual cues. With my face-blindness, I
have trouble with situations that require me to interpret complex visual data. Baron-Cohen would not call a truly blind person non-empathic; why
am I considered by him to lack empathy because of my visual deficit?