Thinking in Pictures: My Life with Autism (14 page)

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Authors: Temple Grandin

Tags: #Psychopathology, #Psychology, #Cognitive Psychology, #Autism Spectrum Disorders, #Patients, #General, #United States, #Personal Memoirs, #Grandin, #Biography & Autobiography, #Autism - Patients - United States, #Personal Narratives, #Autistic Disorder, #Temple, #Autism, #Biography

BOOK: Thinking in Pictures: My Life with Autism
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My emotions are simpler than those of most people. I don 't know what complex emotion in a human relationship is. I only understand simple emotions, such as fear, anger, happiness, and sadness. I cry during sad movies, and sometimes I cry when I see something that really moves me. But complex emotional relationships are beyond my comprehension. I don 't understand how a person can love someone one minute and then want to kill him in a jealous rage the next. I don 't understand being happy and sad at the same time. Donna Williams succinctly summarizes autistic emotions in
Nobody Nowhere
: “I believe that autism results when some sort of mechanism that controls emotions does not function properly, leaving an otherwise relatively normal body and mind unable to express themselves with the depth that they would otherwise be capable of. ” As far as I can figure out, complex emotion occurs when a person feels two opposite emotions at once. Samuel Clemens, the author of
Tom Sawyer
, wrote that “the secret source of humor is not joy but sorrow, ” and Virginia Woolf wrote, “The beauty of the world has two edges, one of laughter, one of anguish, cutting the heart asunder. ” I can understand these ideas, but I don 't experience emotion this way

I am like the lady referred to as S. M. in a recent paper by Antonio Damasio in
Nature
. She has a damaged amygdala. This part of the brain is immature in autism. S. M. has difficulty judging the intentions of others, and she makes poor social judgments. She is unable to recognize subtle changes in facial expression, which is common in people with autism. In developing many varied, complex ways to operate the squeeze machine on myself, I keep discovering that slight changes in the way I manipulate the control lever affect how it feels. When I slowly increase the pressure, I make very small variations in the rate and timing of the increase. It is like a language of pressure, and I keep finding new variations with slightly different sensations. For me, this is the tactile equivalent of a complex emotion and this has helped me to understand complexity of feelings.

I have learned how to understand simple emotional relationships that occur with clients. These relationships are usually straightforward; however, emotional nuances are still incomprehensible to me, and I value concrete evidence of accomplishment and appreciation. It pleases me to look at my collection of hats that clients have given me, because they are physical evidence that the clients liked my work. I am motivated by tangible accomplishment, and I want to make a positive contribution to society.

I still have difficulty understanding and having a relationship with people whose primary motivation in life is governed by complex emotions, as my actions are guided by intellect. This has caused friction between me and some family members when I have failed to read subtle emotional cues. For instance, it was difficult for my younger sister to have a weird sister. She felt she always had to tiptoe around me. I had no idea that she felt this way until years later, when she told me about her childhood feelings toward me. Motivated by love, my mother worked with me and kept me out of institutions. Yet sometimes she feels that I don 't love her.

She is a person for whom emotional relationships are more important than intellect and logic. It pains her that I kicked like a wild animal when I was a baby and that I had to use the squeeze machine to get the feeling of love and kindness. The irony is that if I had given up the machine, I would have been a cold, hard rock. Without the machine, I would have had no kind feelings toward her. I had to feel physical comfort in order to feel love. Unfortunately, it is difficult for my mother and other highly emotional people to understand that people with autism think differently. For her, it is like dealing with somebody from another planet. I relate better to scientists and engineers, who are less motivated by emotion.

At a conference a man with autism told me that he feels only three emotions, fear, sadness, and anger. He has no joy. He also has problems with the intensity of his emotions, which both fluctuate and get mixed up, similar to sensory jumbling. My emotions don 't get mixed up, but they are reduced and simplified in some areas. The emotional jumbling described by this man may be like the sudden emotional changes that normally occur in two-year-old children. They can be laughing one minute and having a tantrum the next. The tendency to shift emotional states rapidly often occurs in autistic children at a later age, whereas older autistic children may have the emotional patterns of a younger child.

During the last couple of years, I have become more aware of a kind of electricity that goes on between people which is much subtler than overt anger, happiness, or fear. I have observed that when several people are together and having a good time, their speech and laughter follow a rhythm. They will all laugh together and then talk quietly until the next laughing cycle. I have always had a hard time fitting in with this rhythm, and I usually interrupt conversations without realizing my mistake. The problem is that I can 't follow the rhythm. Twenty years ago, Dr. Condon, a Boston physician, observed that babies with autism and other developmental disorders failed to move in synchrony with adult speech. Normal infants will tune into adult speech and get in synch with it.

The work I do is emotionally difficult for many people, and I am often asked how I can care about animals and be involved in slaughtering them. Perhaps because I am less emotional than other people, it is easier for me to face the idea of death. I live each day as if I will die tomorrow. This motivates me to accomplish many worthwhile things, because I have learned not to fear death and have accepted my own mortality. This has enabled me to look at slaughtering objectively and perceive it the way the cattle do. However, I am not just an objective, unfeeling observer; I have a sensory empathy for the cattle. When they remain calm I feel calm, and when something goes wrong that causes pain, I also feel their pain. I tune in to what the actual sensations are like to the cattle rather than having the idea of death rile up my emotions. My goal is to reduce suffering and improve the way farm animals are treated.

People with autism are capable of forming very strong emotional bonds. Hans Asperger, the German doctor after whom the syndrome is named, states that the commonly held assumption of poverty of emotion in autism is inaccurate. However, my strong emotional bonds are tied up with places more than people. Sometimes I think my emotional life may appear more similar to those of animals than humans, because my feelings are simpler and more overt, and like cattle, I have emotional memories that are place-specific. For instance, I am not aware of a subconscious full of memories that are too painful to think about, and my emotional memory is very weak. It is highly doubtful that cattle become emotionally aroused when they think about a cowboy who whipped them, but they will have a measurable fear response, such as increased heart rate or stress hormone release, when they see that particular cowboy or return to the place where they were whipped. They often associate danger with a specific place. People with autism also have place- or object-specific memories. Going back to the place where something good happened or looking at an object associated with good feelings helps us reexperience the pleasure. Just thinking about it is not enough.

I have emotional reactions to places where I 've stayed for a number of days or weeks while working on designing a livestock system. One of my clients told me that I fussed over a project for two weeks like a mother with a new baby. Places where I invest a lot of time become emotionally special. When I return to one of these spots, I am often overwhelmed with fear as I approach. I panic, thinking that I will be denied entry to my special place. Even though I know it 's irrational, I always survey each place I work in to make sure I can get back in. Large meat-packing plants have security guards, but in almost every plant I have figured out how to evade security, just in case it becomes one of my special places and I need to get back in. Driving by, I will see every hole in the fence and every unlocked gate and imprint them in my memory forever. My fear of blocked passages feels very primal, as though I were an animal that has been trapped.

For me, finding these holes and gaps is similar to the way a wary animal surveys new territory to make sure it has safe escape routes and passages, or crosses an open plain that may be full of predators. Will the people try to stop me? Some of the surveying is automatic and unconscious. I'll find the unlocked gate even when I am not looking for it. I can 't help but see it. And when I spot an opening, I get a rush of happy excitement. Finding all the holes in the fence also reduces fear. I know I am emotionally safe if I can get through the fence. My fear of blocked passages is one of the few emotions that is so great that it 's not fully suppressed by my antidepressant medication.

I had similar fearful reactions when I approached my symbolic doors. I was partly afraid that the door would be locked, like the blocked burrow of a tunneling animal. It was as if an antipredator system deep in my brain was activated. Basic instincts that we share with animals may be triggered by certain stimuli. This idea has been suggested by respected scientists such as Carl Sagan in his book
The Dragons of Eden
and Melvin Konner in
The Tangled Wing
. Judith Rapoport suggests in
The Boy Who Couldn 't Stop Washing
that obsessive-compulsive disorders, where people wash their hands for hours or repeatedly check whether the stove is off, may be the result of an activation of old animal instincts for safety and grooming.

The fear of blocked passages persisted in both my visual symbolic world of doors and in the real world long after I stopped using door symbols. In my early days I would find the doors that opened up to the roofs of the highest buildings on the school campus. From a high vantage point I could survey the danger that lurked in the next stage of my life. Emotionally I was like an animal surveying the plains for lions, but symbolically the high place signified striving to find the meaning of life. My intellect was trying to make sense of the world, but it was being driven by an engine of animal fears.

Nearly thirty years ago, when I was navigating my visual symbolic world of doors, I recognized that fear was my great motivator. At that time I didn 't realize that other people experience other major emotions. Since fear was my major emotion, it spilled over into all events that had any emotional significance. The following diary entry shows very clearly how I attempted to deal with fear in my symbolic world.

October 4, 1968
I opened the little door and went through tonight. To lift up the door and see the wide expanse of the moonlight roof before me. I have put all my fears anxieties about other people on the door. Using the trap door is risky because if it were sealed shut I would have no emotional outlet. Intellectually the door is just a symbol but on the emotional level the physical act of opening the door brings on the fears. The act of going through is my overcoming my fears and anxiety towards other people.

The intellectual side of me always knew that making changes in my life would be a challenge, and I deliberately chose symbolic doors to help me get through after the first door almost magically appeared. Sometimes I had massive activation of my sympathetic nervous system — the system that enables an animal or person to flee from danger — when I went through a door. It was like facing a lion. My heart would race and I would sweat profusely. These reactions are now controlled with antidepressant drugs. In conjunction with vast amounts of stored information in my memory, the drugs have enabled me to leave the visual symbolic world behind and venture out into the so-called real world.

Yet, it has only been during the last two or three years that I have discovered that I do not experience the full range of emotions. My first inkling that my emotions were different came in high school, when my roommate swooned over the science teacher. Whatever it was she was feeling, I knew I didn 't feel that way toward anyone. But it was years before I realized that other people are guided by their emotions during most social interactions. For me, the proper behavior during all social interactions had to be learned by intellect. I became more skilled at social interactions as I became more experienced. Throughout my life I have been helped by understanding teachers and mentors. People with autism desperately need guides to instruct and educate them so they will survive in the social jungle.

Update: Empathy and Emotions

There are some situations where “normal ” people have a horrific lack of empathy. Some of this lack of empathy is beyond my comprehension. Time after time I read in the paper about a company that is in financial trouble and they need to ask the workers to take a cut in pay. The workers agree to a pay cut, but the chairman of the board gives himself a bonus. This often makes the workers really angry. The workers would be more willing to undergo hardship if their leader had some hardship. This is a situation where ego and emotion blinds empathy. Why does this blindness occur? Power and ego circuits that I do not have cause this blindness. These managers seem to be incapable of learning from this same mistake made by other companies. Possibly these managers do not have empathy because they do not directly see how the workers react. In most cases, he or she does not face them. New research is revealing how empathy works. Brain circuits called mirror areas are activated when a person sees another person hurt. These circuits enable a person to experience the other person 's pain. Brain imaging studies by Finnish scientists have shown that the mirror circuits in people with Asperger 's syndrome have less activation compared to normal people.

People have empathy when they directly experience suffering. In my work with restaurant companies, I have taken many top executives on their first tours to farms and slaughter plants. Prior to the site visits, animal welfare was just an abstract thing. After they saw suffering firsthand, they made big changes and forced their suppliers to comply with animal welfare guidelines. Executives who had been apathetic jumped into action. One of them was totally disgusted after he saw a half-dead dairy cow going into their product. My job was to implement an auditing system for measuring animal welfare standards in slaughter plants. There was only one executive who reacted differently. On the flight home he clapped on a headset and told silly airline pilot jokes. He wanted to avoid discussing his visit to a slaughter plant because his reaction had conflicted with his beliefs. His company is one of the few companies that has failed to implement strong welfare guidelines.

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