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Welcome to From the Spectrum Podcast. This is a podcast about autism. It is my

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goal to explain what is autism. I intend to use a mixture of scientific literature,

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personal experience, and opinion. With opinion, I will explain why I feel the

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way I do and give examples. I will provide links to various references for each episode.

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For each episode, we will discuss various aspects of autism. The From the Spectrum

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podcast will mostly avoid causes of autism, and I will try avoiding the increases of

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diagnoses of late. This is like playing tug of war with barbed wire, and I don't think I want to

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travel down that path. For today's episode, we will spend time discussing symptoms of criteria

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A from the DSM-5-TR. Remember episode one, these symptoms are crude and it tends to capture the

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spectrum. In addition, I will provide personal examples, observations of others, and dialogue

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from others. Remember, these symptoms are not exhaustive, neither by the DSM or the ones I

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provide. Lastly, like reviewing criteria B, some of the word selection here makes it sound like

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autistics need changed and moded to fit an acceptable phenotype. And to that, I want to say,

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at times parsing this out is challenging because we are all unique and have a capacity for superpowers.

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In other words, our behaviors and interests might not be acceptable to all. And now, A1, deficits

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and social, emotional, reciprocity, in other words, back and forth. Ranging, for example,

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from abnormal, abnormal in quotations here, abnormal social approach and failure of normal

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back and forth conversation. Two, reduced sharing of interest, emotions or effect. To

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failure to initiate or respond to social interactions. Okay, first, are you interesting? Do you see

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the things we see? Do you have a wonderful ability to become captivated by a range of

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whatever we are interested in? Do you have that ability? Please don't limit another person or force

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them to do things that you think they ought to do so it eases whatever conflicting response you have

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to the situation. Remember, some components from criteria B, those unique abilities, we can call

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superpowers. I want to qualify my comment. I want to qualify it because humans in our internal

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states are all on spectrums. I want you to say, don't change people just because. Help them become

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them. Help them to understand their abilities and themselves as they are created, not as you think

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they should be. Please check out Simon Baron Cohen and Temple Grandin on how to cultivate

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autistic's incredible gifts. Because I am on this topic now, yes, Simon Baron Cohen and the actor

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Sasha Baron Cohen are first cousins. Both Simon Baron Cohen and Temple Grandin, who is also autistic,

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have a lifelong work of doing great things for autism. We know speech and language difficulties

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align with autism. The why is less interesting to me. Sure things like the sensory processing

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problems resulting in becoming overwhelmed, a lack of opportunity to develop social skills,

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and a history of bad experiences, the breakage and choppage of speech and language, and so forth.

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All of these are possible causes. It is known, autistic's with good speech and language still

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have trouble with the back and forth of conversation. But remember, what we are experiencing inside

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our brain is captivating and safe. Examples of A1 include, when and how to join a conversation.

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This is me. I will walk up to two or more people and I have a purpose. I need something from one or

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more of the people. It is challenging and awkward interfering that conversation. To extract what

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we need. What I need. At times I can stand there and I suspect because maybe this is what people do,

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the others think I'm there to join the conversation. Not likely. At times I can begin dialogue with

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myself. Is now good time? Is there a break in the action to jump in? Am I interfering? Maybe I should

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just come back. Or most likely I'm thinking and will do. I'll just figure it out myself. People

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with autism become very self-sufficient. And often I can miss that opportunity to join the

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conversation. It is complicating. When I was younger and still today, ending a phone conversation

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is awkward. That standard back and forth. When is it over and when to hang up the phone? Overall,

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the phone conversation at times is difficult to know when to talk. Now at 43 it is funny. And I

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have experience with others capturing my awkwardness. And it is indeed funny. However, at different

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stages, such as as a teenager, it is a different feeling. It is fascinating on different ages,

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impact is different. The obvious challenges with back and forth and my typical monotone voice

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introduces weird feelings. Another factor is the monotone voice. To me, I am loud. As a child and

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adult, I have experience with appraisals calling me monotone. Most of my life, people thought I

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said Brian when saying my name. The lack of annunciation and the monotone was a bad combination. I can

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say that experience did not help me and my social desires or lack of. As an adult, has gotten much

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easier for me. A known complication with socialness and autism is how unpredictable social context

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in the world is. Already, we have built in protection whereby the brain is a prediction

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machine. See Carl Deiseroth and Lisa Femin Barrett on this work. And the most crucial job of the

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brain is keeping us safe. That is a bad combination to the autistic brain. The world around us is

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already fast paced. But the unpredictableness of it is it. Now, just imagine multiple people in the

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conversation, especially when the normal interaction is occurring. There is a little about that. It

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seems fine. Keeping with the sensory processing theme, when multiple people are talking or multiple

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conversations are occurring around us, even at normal volumes, sounds begin to blend. Eventually,

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the sounds become similar to the late 60s Beatles track. When they started to experiment with blends

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of noises and strange objects and instruments while flexing the pan and the speakers, the volume

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left or right and the noises going up and down, it's very strange sound blends. That is a lot

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going on. And this becomes exhausting. We need breaks. We need social isolation. And why not? They

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never fell. So now I negotiate with myself. The unpredictableness and overwhelming sensory inputs

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or that calm and exciting safety net of what is extremely interesting going on in my brain at

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that time, those extreme fixated interest will always win. The propensity of the so-called

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abnormal fixations and intensity is not difficult. This is preferred. Lastly, on this topic, you

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can understand that indifference discussed in the first episode. I suspect we get stronger at

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blocking out that outside world. When you think of the indifference to pain and temperature or

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adverse reaction to certain touch or sounds, well likely that just interfered with what we are

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doing inside and that extreme attention to our inner world, that dialogue and extreme interoceptive

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capabilities. With a one, remember eco-lelea. It is hard to keep pace with the social back and

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forth, especially when we get hitched on the word or phrase and understanding what it means. Now,

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imagine multiple people around or in the conversation. That situation or our inner dialogue,

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it is not complicated to understand our wise. I have noticed at times when speaking, I put my

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hands out as if pushing on a wall. I just simply have my palms out facing away from me and facing

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the world. This is me trying to slow down the outside world. It is a barrier so I can remain in

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thought and dialogue with hopes. Only hopes my speech and language will not fail. Now, with

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speaking, when I am speaking thoughts, I have a propensity to the blockage and broken speech. It is

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difficult to merge everything into the same pace. The sensory processing comes at higher rates of

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speed. Diceroth says it is a fire hose of information. When reading out loud, this is the

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hardest. Reading to myself is already difficult. I transform everything into visual pictures and

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movies if the context is interesting enough. So I am processing the visual system. Things like

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the retina, the lateral geniculate, the occipital lobe, likely some hippocampal activation for the

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memory, and then recruiting my broca and brinecki for the speech and language. Merging that speech

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and language with the visual processing of words, the context of the story, and the memory, I still

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have to execute the spoken words. That is a lot to think about. More social exhaustion. More needed

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rest away from the social world. It is not uncommon I get hitched on a word. I know. But at that time,

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the word looks too close to other words. That is a conundrum. The English language is pretentious

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and lazy. For example, if you have a moment, or if you want to do it after the episode, go to

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your search bar and type in biweekly. And look at the definition to biweekly. Another note about

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social communication and interaction. I have no idea how much you know about a topic and how much

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I should provide. In addition, I have no idea if you are even interested. Now, A2. Deficits and

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nonverbal communicative behaviors used for social interaction. Ranging, for example, from poorly

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integrated verbal and nonverbal communication to abnormal in eye contact and body language, or

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deficits in understanding and use of gestures. Two, a lack of facial expressions and nonverbal

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communication. Two things here. Well, three, that's a lot. But first, we already discussed, are you

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interesting? And two, are you trying to mold us into something we are not when evaluating us

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against that symptom? With that, I did not say don't help those that have obvious challenges

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with communication and things like asking for help and learning how to engage to meet their needs

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and wants. Be careful parsing that out. We already discussed the eye contact and the fire hose of

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information. For me, eye contact while listening is much easier than when speaking. I want to give

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an opinion. ABA therapy is delicate, whereby it is one human teaching another human. I think of

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live the Kowski and the more knowledgeable other. But be careful. The ABA therapist is human. All

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humans are subjective to their own here and now factors. And those can complicate the behaviorism

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and the development. I recently heard while speaking about ABA that the goal ought to be to

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help the person thrive in their environment, not to treat. You don't treat the autism. You just

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help the person thrive in the environment. And I like that. Now with the verbal and nonverbal.

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The overarching phenomenon is sustaining the appropriate and quotations, behaviors for

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durations. It requires vast mental effort, a complete exhaustion of our metabolic energy. Hopefully,

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as we are reviewing symptoms, you can understand how the anxiety is tracking alongside here. With

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A2 and really all of criteria A, that loss of opportunity to build those social skills. A

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significant source of our social skills comes from interacting, participating and observing. It is

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not difficult to understand much of our ability comes from watching others, especially at young

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ages. As a child, a teen or adult, people with autism miss this learning source. Think about how

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your interest, autism or not, provides you comfort. The comfort in that nervous system. You can

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sustain that topic. If you are speaking about a topic that you enjoy, it's easier. The interaction,

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the more you have knowledge on the topic, it becomes much easier. With autism, this accelerates

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those restricted type behaviors and makes something already difficult, like socialness, worse. Another

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type of communication, students in class. For me, despite how hard I try, despite how much

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deliberate effort I exert listening and following along and or while taking notes is always been

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nearly impossible. Processing the sensations, following along with any visual thinking and keeping

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up with the listening and note taking is a problem. Also, the challenges with spelling adds to the

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trouble. I suspect as part of the speech and language problem, spelling is hard. For me,

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spelling is hard. I simply cannot keep up while listening in a classroom and trying to take

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notes. However, my listening skills and visualization of the things that I am processing, remember

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that accelerated learning explained in the previous episode. This is superior for me. This is a

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superpower. And lastly, A3. Deficits in developing, maintaining and understanding relationships.

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Ranging, for example, from difficulties adjusting behavior to suit various social context to

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difficulties in sharing imaginative play or in making friends to absence of interest and peers.

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Other people, the outside world has a tough task with competing against our fixated and energetic

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interest in mind. I cannot overstate this. As a child, eight or so, I was playing cops and robbers

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with a peer. The peer was one year younger. The game was simple. The cop used the plastic handcuffs

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to arrest the robber and the cop would take them to our make believe jail. I was the robber first

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and I went to the jail. Easy task. Then we switched roles. The other child, being a child,

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decided the robber wasn't going to jail and tried to escape. This isn't far off from child's play.

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However, for me, that wasn't the rules and I got overwhelmed. How difficult was it to follow the

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rules of the game? The plastic toys broke for my inability to understand it was just imaginative

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play. I broke the toys. I broke the handcuffs while attached to the other child. I was trying to move

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him to the jail area and was not budging from the simple rules. Fits like this was common. Another

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example, in the 80s and 90s, the video games kind of emerged and took off. They were common for us.

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I remember we played a lot of sports games. At that point, I could interact with children around my

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neighborhood. We were fairly close. We would play sports games outside and inside on the video games.

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I remember if my character was doing too good, if it was unrealistic, such as a baseball player

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getting, let's say, 12 straight hits, he went 12 for his last 12, I would blow up. That couldn't

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possibly be. That would throw me into fits and tantrums. I had troubles with maintaining the

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video games and being able to interact on things like that. If you think about children at 8, 9, 10,

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11, 12 even, and they have a character that they're controlling and this character is doing

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unbelievably well. I think most children would capture that and enjoy that and try to maintain

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that, keep that up. Me, on the other hand, I would take control of it and deliberately, let's say,

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for the baseball player, make outs. I would get him out to regulate his, let's say, batting average

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to a realistic range. That is what I preferred. I didn't want to have the character over-succeed

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and make it unrealistic. I just couldn't understand that. And if you would think about how other

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children would interact with that, that was tough. It presented a lot of problems with my

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social interaction even, even with people I was close to at the time. Also as a child and like

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the telephone problem, I have a history of being made fun of. But we should normalize this in a way.

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Maybe as a child and teen, that is common situation. And maybe those pointing it out had a high

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affinity for wanting that recognition, wanting to be known as the funny one. That I can understand.

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As a child and still today, people can't interrupt or finish what I'm saying. If it is my

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topic, I suspect maybe they are having a hard time keeping up. So there's some interruption. But

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mostly, the trouble with formulating the thoughts into speech and language are broken. From the

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previous episode, the CNT NAP2 gene is a common factor for speech and language. Now, a complete

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contrast from what we were previously discussing. As I have aged, I have found myself severely

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touched and moved with hearing things from others, such as in psychotherapy practice. I

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genuinely care and can experience empathy. A lack of empathy from autistics is a misnomer. Look

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for some links covering this. Empathy appears to be a general description. I don't know if this is a

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good thing or confusing thing to break empathy down into several subtypes. Does this add to the

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challenges of the human language? I'm not sure. However, with empathy, two subtypes, emotional

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empathy and cognitive empathy. Emotional empathy is the ability to share another person's feelings.

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And cognitive empathy is the capacity to understand such feelings. Now, with autism,

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people with autism have a high ability for the emotional empathy and a low ability for the

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cognitive empathy. And I can attest to this. I can understand this. Regardless of the subtypes,

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scientists and humans, we like to break things down and to add to the language and definitions,

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add more nouns, etc. So empathy has subtypes. Also later in my life, over the past five to

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six years, I can find myself not bothered by seemingly small talk from strangers.

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What helps is knowing these are short time scales. And I have an out. Knowing that this

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is going to come to complete stop. And I will be able to move on. It's crucial.

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To normalize this, I can't say I have a consistent deep relationship or friends.

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Emotional or romantic relationships are extremely challenging and non existing.

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I think those brief bouts of interaction, I do get supplements that void in my life.

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Those little acute conversations act as supplements for those voids.

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And before we end today, I want to review other symptoms.

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Often it appears we are not paying attention. Not true. Our inner world is just safe.

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We can still listen. Eyes, our vision, ears, or auditory. We are often passive in the passive

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assertive spectrum. If assessed, this will likely be caught. This manifests from we don't persuade,

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manipulate, or care much about your decisions. They're your decisions.

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Often, at least a couple of times a week, and I've done this for decades, I wonder

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how many hundreds of decisions we make per day. It's wild.

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We give a perception of being rude or aggressive. Remember those items we covered about opportunity

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and being direct. We have no gray areas. We see the objectives. Let's just get to it

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while communicating. Also, marketing ourselves and talking about ourselves is awkward.

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I never understood why a job interview would ask me why I'm a good candidate.

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This is the worst possible question. Pull the answers of the candidates to know why this is

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a bad question. We are often awkward in those interviews too. We don't do interviews well.

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Before we end, I have a correction. Last episode, I said Leo Kanner published in pathology.

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It is actually published in Nervous Child.

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Leo's publishing falls in the pathology section of Nervous Child.

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As we wrap up today's episode on criteria A, I ask you to understand how these symptoms

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implicate our ability to socialize and build and maintain relationships. Also, how much criteria B

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is a factor. It is okay to have criteria B. It is okay to live like B movie.

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If you have questions, comments, concerns, criticism, or you just want to reach out,

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please do. I would enjoy your conversation. You can email me at info.fromthespectrum.com.

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Thank you for listening to From the Spectrum podcast.

