Communication, interaction and autism

The characteristics of autism vary from person to person but are generally divided into three main groups; difficulties with social communication, social interaction and social imagination (or the theory of mind). Difficulties in communication involved difficulties understanding communications from others (including misunderstandings) and difficulty in knowing how to communicate with others. Difficulties with interaction include the desire for social interaction but also the exhaustion and frustration of finding interaction uncomfortable, dull or confusing. Lorna Wing originally described the triad of impairments as social interaction, language and rigidity of thinking and behaviour.

Luke describes the triad of impairments.

Age at interview 18

Gender Male

Age at diagnosis 8

The people we talked to explained how some or all of these kinds of difficulties affected their lives and those of their partners and family members. A few people we interviewed had limited speech and were supported by key workers.

Misunderstandings

People on the autism spectrum may have difficulties with both verbal and non-verbal language. They can find it difficult to use or understand facial expressions or jokes and may not understand the ‘give and take’ nature of conversations.

Julie lets Tim know she is joking by saying ‘joke alert.

Age at interview 39

Gender Male

Age at diagnosis 39

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Ian finds it difficult to know if people are laughing at him or with him.

Age at interview 22

Gender Male

Age at diagnosis 8

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Jamie ‘bumps into difficulties’ now and again because he misinterprets things.

Age at interview 22

Gender Male

Age at diagnosis 9

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Richard feels uncomfortable about jokes made by a member of staff.

Age at interview 22

Gender Male

Age at diagnosis 2

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Understanding things literally was a common area for misunderstandings. John, for example, felt that he took the instructions from his father when he was young to ‘be no trouble to his Nan’ and ‘you’ll never get anywhere without maths’ so literally that they have coloured his whole life. Being literal also led to people being overly trusting. Laurie commented ‘I basically think I’m rubbish at relationships and I am slow to figure things out sometimes. I’m not savvy and I think life could have been so much different if I had been a little bit more streetwise’.

John describes how people with Asperger syndrome interpret things literally.

Age at interview 65

Gender Male

Age at diagnosis 62

Julie has to mediate misunderstandings that occur between her husband and two sons.

Age at interview 39

Gender Male

Age at diagnosis 39

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John has always had great difficulty assessing ‘good and bad faith in other people’ which has…

Age at interview 65

Gender Male

Age at diagnosis 62

When someone told Debbie that they would start working with her in four weeks, she expected them…

Age at interview 44

Gender Female

Age at diagnosis 35

Alex is very trusting but is more accepting now when people lie.

Age at interview 28

Gender Female

Age at diagnosis 3

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Difficulties in social interaction

The unspoken rules about conversations and turn taking were not understood by several people. They did not understand how to greet people or how to maintain a conversation. Some people wanted to interact with other people and make friends, but they were not sure how to go about it (see ‘Friendships’). Some people experienced ‘face blindness’ and sometimes could not recognise people they knew in a different context or setting.

Laurie says the hardest thing about Asperger’s is the difficulty she has making friends.

Age at interview 49

Duncan often didn’t realise when people were talking to him.

Age at interview 17

Gender Male

Age at diagnosis 13

Catherine could not bear to speak in front of other people and describes the fear she experiences…

Gender Male

Harriet won’t do ‘social mixing’ unless she is forced and avoids situations with more than three…

Age at interview 49

Vicky finds it difficult to communicate with people.

Age at interview 37

Gender Female

Age at diagnosis 33

Ian explains why he finds some behaviour disrespectful.

Age at interview 22

Gender Male

Age at diagnosis 8

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Mark talks about his experiences of commuting and how baffling his experiences were for other…

Age at interview 27

Gender Male

Age at diagnosis 26

One of Paul I’s friends unfriended him on Facebook when he didn’t recognise her face.

Age at interview 29

Gender Male

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There were also difficulties in processing details quickly enough to keep up with conversations. This, in turn, was often related to distractions caused by anxious or obsessive thoughts or sensory sensitivities (see ‘Sensory sensitivities’).

Russell finds that the effort to control what he is saying can result in the loss of control of…

Age at interview 21

Gender Male

Age at diagnosis 12

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Sam finds socialising difficult partly because he finds most people uninteresting.

Age at interview 26

Gender Male

Age at diagnosis 24

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‘I try to improve on my conversation for the next time’

People were often aware of these problems and worked hard to try to overcome them. Several reflected on conversations afterwards and tried to work out where ‘it had gone wrong’.

Duncan describes ‘social suicide situations’ where he says something that makes him feel stupid.

Age at interview 17

Gender Male

Age at diagnosis 13

Mary puts on an act to appear more confident than she is.

Age at interview 22

Gender Female

Age at diagnosis 21

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Daniel describes how he notices very little when he is concentrating on something and sometimes…

Gender Male

Age at diagnosis 11

Simon thinks he has overcomplicated interactions because he is so conscious of them.

Age at interview 22

Gender Male

Age at diagnosis 5

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Partners also found socialising tiring. Julie, for example, felt she had to be over sociable to compensate for Tim’s quietness in company. Susie has helped Oliver to learn to ask people questions and to talk about things he may not be interested in.
Some people talked about a preference to being on their own while others talked about the tension they felt between wanting to be on their own but also wanting the company of others. A further difficulty was the difficulty some participants had in assessing people and their motivations.

John is content to be on his own but that is ‘unacceptable by wider society.

Age at interview 47

Gender Male

Age at diagnosis 45

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People irritate Martin who prefers his own company.

Age at interview 16

Gender Male

Age at diagnosis 12

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Sam is more optimistic about the balance between socialising and being on his own.

Age at interview 26

Gender Male

Age at diagnosis 24

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Peter describes how he will walk out of the room when Myrtle is talking not realising there is…

Age at interview 83

Gender Male

Age at diagnosis 80