Understanding autism: Rethinking functioning labels and linear spectrums
The autism spectrum is often misunderstood. Many people think of it as a straight line, where someone can be “a little autistic” or “very autistic.”
However, autism is far more complex than that. It varies greatly from person to person and even within the same person over time.
In this blog post, we will explore why functioning labels like “high-functioning” or “low-functioning” are unhelpful and how our environments can significantly impact autistic people.
Autism is Not a Linear Spectrum
Autism is a spectrum, but not in the way you might think. It’s not a straight line from less autistic to more autistic. Instead, think of it as a colour wheel, with different colours representing different traits and abilities. Each autistic person has their own unique combination of these traits.
Here’s a quote that captures this well:
“For me, what is of essential importance is the impact that being autistic has on a person at any given time. This can range from horrifically negative right through to sublimely positive – and sometimes both can be found in the same individual. So, if this dramatic difference can be seen at different times in the same person – what ‘grade’ is that person? Clearly, this is where the whole notion of ‘autism severity’ crumbles.” (Beardon, 2017, p. 10)
Why Functioning Labels are unhelpful
Labels like “high-functioning” or “low-functioning” are often used to describe autistic people. However, these labels are not only unhelpful but also misleading. They oversimplify the complex autism spectrum.
For example, someone labelled as “high-functioning” might be able to hold a job but struggle with sensory overload in busy places. Conversely, someone labelled as “low-functioning” might
have difficulty with daily tasks but excel in a particular skill.
Functioning labels fail to capture the full picture. They can create unnecessary barriers and misconceptions, leading people to misunderstand or underestimate an autistic person’s abilities and needs.
The Impact of Environment
The environment plays a crucial role in the lives of autistic people. A supportive and understanding environment can help an autistic person thrive, while a stressful or overwhelming one can make things much harder.
Positive Environments
In a positive environment, autistic people can use their strengths and manage their challenges more effectively. For example:
- Quiet Spaces: Many autistic people are sensitive to noise. Providing quiet spaces at work or school or university can help them concentrate better.
- Clear Communication: Using clear, straightforward language can make a big difference in helping autistic people understand and follow instructions.
- Predictable Routines: Having a predictable routine can reduce anxiety for many autistic people.
Negative Environments
On the other hand, a negative environment can exacerbate challenges and hinder an autistic person’s ability to function. For instance:
- Sensory Overload: Busy, noisy, or bright environments can be overwhelming and lead to sensory overload, causing significant distress.
- Unclear Expectations: When expectations are not clear, it can create confusion and anxiety.
- Lack of Support: Without proper support and understanding, autistic people might struggle to cope with daily tasks and social interactions.
Moving Beyond Labels
Instead of relying on reductive labels, we should focus on understanding and supporting the unique needs and strengths of each individual. This approach recognises the full range of autistic experiences and fosters a more inclusive and compassionate society.
Here are some ways we can move beyond labels:
- Listen and Learn: Take the time to listen to autistic people and learn from their experiences.
- Avoid Assumptions: Don’t assume someone’s abilities or needs based on labels. Everyone is different.
- Provide Support: Offer support tailored to the individual’s needs, whether it’s through accommodations at work, school, or in social settings.
- Raise Awareness: Educate others about the full spectrum of autism and the importance of understanding and acceptance.
Conclusion
Autism cannot be neatly categorised by linear spectrums or functioning labels. Each autistic person has a unique combination of traits, and their abilities and needs can change over time and in different environments. By focusing on understanding and supporting each individual, we can help create a more inclusive and compassionate world for everyone.
Attention Deficit Hyperactivity Disorder (ADHD)
ADHD is characterised by a predominance of either inattentive or hyperactive-impulsive symptoms, or a combination of both. The condition involves challenges in managing attention, with considerable variability in how individuals focus on tasks based on their relevance. ADHD individuals often seek sensory stimulation and may have a strong need for movement, which can aid in concentration, anxiety regulation, or serve as a form of release. Organisational tasks can be particularly challenging, and there may be difficulties in retaining information in working memory. Written instructions or note-taking can be beneficial. Support in breaking down tasks and managing organisation is often needed.
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Neurodiversity
Neurodiversity acknowledges the natural variations in human brain function and behavioural traits as integral to human diversity, viewing conditions like autism, ADHD, dyslexia, dyspraxia, and dyscalculia not as disorders but as different aspects of neurocognitive functioning. It advocates for societal shifts towards greater acceptance, rights, and accommodations for those with neurological differences, emphasizing inclusion and support. The concept of a "spiky profile" integrates with this view, illustrating how individuals may exhibit significant strengths in certain areas while facing challenges in others, further highlighting the diverse spectrum of human abilities and the need for tailored support.
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Dyspraxia
Dyspraxia affects both fine and gross motor skills, significantly impacting writing, typing, and self-care activities. Dyspraxic individuals may also face challenges with memory, attention, perception, and processing, leading to difficulties in planning, organisation, executing actions, or following instructions in the correct order.
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Dyscalculia
Individuals with dyscalculia struggle with mastering arithmetic skills, calculations, number sense, and mathematical reasoning. Challenges often extend to understanding quantities, time, and abstract numerical concepts. Dyscalculia is frequently accompanied by working memory difficulties. Approximately 50% of individuals with dyscalculia also face reading challenges, and many experience significant maths anxiety.
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Dyslexia
Dyslexia is a learning difficulty that affects the ability to develop automatic and fluent word reading and spelling skills. It is often associated with challenges in phonological awareness, which involves understanding and manipulating the sounds in words, and may also impact orthographic processing—the recognition of whole words, letter strings, or spelling patterns. Dyslexic individuals might be self-conscious about reading aloud, which can also hinder comprehension, and may avoid using complex vocabulary in writing to prevent spelling errors. Though not officially part of the diagnostic criteria, dyslexic individuals often struggle with organisation, sequencing, and may have low academic self-esteem. A notable discrepancy exists between their confidence in verbal tasks versus written tasks.
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Autism
According to current diagnostic criteria, autistic individuals face challenges primarily in social communication and exhibit restricted, repetitive patterns of behaviour. The severity of these challenges can vary significantly. Many autistic individuals have sensory sensitivities that are particularly challenging in new and unfamiliar environments. Furthermore, they often prefer structured and predictable settings, benefiting from ample time to process information and adapt to changes. Social anxiety can pose a significant challenge in unstructured and unpredictable social situations. While the challenges of autism might be less visible in certain settings, they can still have a profound, cumulative effect on mental health, well-being, and may lead to burnout.
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