Positive Psychology and Autism

I was part of a roundtable discussion on Positive Psychology & Autism, with Dr Dan Tomasulo, Dr Jodie Wilson, Dr Sara Woods and Dr Tayyab Rashid. Hosted by Mary Ann Liebert and Proof Positive. Discussion will result in an article in the peer-reviewed journal, Autism in Adulthood.

Your body position influences your emotional state

Research on posture and emotion has shown that adopting certain body positions can influence one's emotional state.

A study by Peper and Lin (2012) explored how body posture affects energy levels and the ability to generate positive and negative thoughts. They found that an upright posture can promote a more positive mood and energy levels, while a slumped posture can lead to increased feelings of depression.

Peper, E., & Lin, I. (2012). Increase or decrease depression: How body postures influence your energy level. Biofeedback, 40(3), 125-130.

Can CATI be used to measure autistic inertia

Can CATI be used to measure Autistic Inertia. 

Autistic inertia refers to the challenges autistics may face in initiating, switching, or stopping activities, which can significantly impact various aspects of their lives, from daily routines to employment and social interactions. It manifests in numerous ways, including difficulties with time management, adjusting to changes, motivation, and focusing on tasks. Support strategiesinclude providing structure, teaching time management, organizing activities around energy levels, using visual reminders, establishing routines, breaking tasks down into manageable steps, and offering prompts or assistance with task initiation. [More on autistic inertia here].

While there are no current scales to measure autistic inertia, we could perhaps use one of the measures like CATI (Comprehensive Autistic Trait Inventory) [post on CATI] which covers a broad range of autistic traits, and has subscales may indirectly relate to behaviors and experiences that could be associated with autistic inertia; specifically - social interactions (SOC), communication (COM), social camouflage (CAM), repetitive behaviors (REP), cognitive rigidity (RIG), and sensory sensitivity (SEN).

• Cognitive Rigidity (RIG) could relate to difficulties with changing activities or adapting to new tasks, as it may measure aspects of flexibility in thinking and behavior.
• Repetitive Behaviors (REP) might also have connections to autistic inertia, given that a preference for sameness and routine or repetitive actions could impact the ability to start or stop activities.
• Sensory Sensitivity (SEN) could influence autistic inertia by affecting how sensory inputs are processed, potentially making transitions between activities more challenging.
• Social Interactions (SOC): Difficulties in understanding and engaging in social interactions could exacerbate feelings of inertia by increasing anxiety or reluctance to transition into social activities or contexts, impacting the ability to initiate or change social engagements.
• Communication (COM): Challenges with verbal and non-verbal communication may contribute to autistic inertia by making the prospect of initiating or adapting to communicative tasks more daunting, leading to delays or avoidance of these activities.
• Social Camouflage (CAM): The effort required to mask autistic traits in social situations could lead to increased inertia, as the mental and emotional resources expended on camouflaging may reduce the capacity to engage with new tasks or changes.

While these subscales can provide insights into traits that might influence or correlate with autistic inertia, it's important to note that autistic inertia as a specific construct might require more targeted assessment tools or approaches to fully understand and measure its impact on autistics. The CATI provides a broad overview of autistic traits within the general population and is not designed to diagnose autism or directly measure autistic inertia. 

Our bodily states and emotional reaction

The relationship between bodily states and emotional reactions is a well-documented area in psychological research, with several studies supporting the idea that physical expressions and postures can influence emotions. Here are key findings from research that support the statement:

Facial Feedback Hypothesis: The facial feedback hypothesis suggests that facial movements can influence emotional experiences. For example, the act of smiling can actually make people feel happier. A seminal study by Strack, Martin, and Stepper (1988) found that participants who held a pen in their mouths in a way that facilitated a smile (without being aware of smiling) rated cartoons as funnier than those who held a pen in a manner that prevented smiling. This study demonstrates the effect of facial expressions on emotional experience.

Strack, F., Martin, L. L., & Stepper, S. (1988). Inhibiting and facilitating conditions of the human smile: A nonobtrusive test of the facial feedback hypothesis. Journal of Personality and Social Psychology, 54(5), 768-777.

Posture and Emotion: Research on posture and emotion has shown that adopting certain body positions can influence one's emotional state. A study by Peper and Lin (2012) explored how body posture affects energy levels and the ability to generate positive and negative thoughts. They found that an upright posture can promote a more positive mood and energy levels, while a slumped posture can lead to increased feelings of depression.

Peper, E., & Lin, I. (2012). Increase or decrease depression: How body postures influence your energy level. Biofeedback, 40(3), 125-130.

Embodied Emotion: The theory of embodied emotion also supports the idea that bodily states influence emotional reactions. This perspective suggests that emotions are grounded in bodily sensations and that physical states can modulate emotional experiences. Niedenthal (2007) discusses how bodily sensations are integral to emotional processing, indicating that the body's posture, facial expressions, and actions can influence emotional states.

Niedenthal, P. M. (2007). Embodying emotion. Science, 316(5827), 1002-1005.

These studies collectively support the notion that bodily expressions and postures not only reflect our emotional states but can also influence them. The act of smiling can induce feelings of happiness, while adopting a slumped posture can contribute to feelings of depression, highlighting the intricate link between the physical body and emotional experiences.

Grief as an emotion can impact the autistic community in very different ways

Frist Center for Autism and Innovation Neurodiversity Inspired Science and Engineering Fellow Hari Srinivasan has published a new article in Psychology Today about the impact of grief on the autistic community.

In this article, Hari discusses his own moving experiences with grief after the recent loss of both of his grandparents and how grief as an emotion can impact the autistic community in very different ways.

As well as being a Neurodiversity Inspired Science and Engineering Fellow, Hari is a Ph.D. neuroscience student at Vanderbilt University, a graduate of UC Berkeley, a PD Soros Fellow, a Fellow at the Frist Center for Autism and Innovation, a non-federal member of NIH's Interagency Autism Coordinating Committee, and on various boards including Duke University's ACE and The Brain Foundation. He is a Public Voices Fellow of The OpEd Project.

You can read the full article here: https://www.psychologytoday.com/intl/blog/giving-voice/202402/the-spectrum-of-loss-grief-through-the-autistic-lens

 

Spectrum of Loss

https://www.psychologytoday.com/us/blog/giving-voice/202402/the-spectrum-of-loss-grief-through-the-autistic-lens

 

Implicit and explicit bias

Implicit bias and explicit bias are two distinct forms of bias that influence attitudes, beliefs, and behaviors toward individuals or groups, often based on characteristics such as race, gender, ethnicity and disability.

Implicit bias, also known as unconscious bias, refers to the automatic and unintentional attitudes or stereotypes that individuals hold about certain groups, even when they are unaware of these biases. These biases are typically deeply ingrained in our subconscious minds and can influence our actions and decisions without conscious awareness. For example, a person may hold implicit biases that lead them to associate certain racial groups with negative traits or behaviors, despite consciously believing in equality and fairness. Research has shown that implicit biases can impact hiring decisions, healthcare outcomes, and interactions with others, often in ways that perpetuate inequality and discrimination. Recognizing and addressing implicit bias is essential for promoting diversity, equity, and inclusion in various aspects of society.

Explicit bias, on the other hand, is conscious and deliberate prejudice or discrimination against specific groups of people. Unlike implicit bias, explicit bias is readily recognized by the individual holding these beliefs. For instance, an individual openly expressing discriminatory attitudes or engaging in discriminatory behaviors toward people of a certain ethnicity demonstrates explicit bias. Explicit bias can manifest in forms such as hate speech, discriminatory policies, or acts of prejudice. While implicit bias often operates beneath conscious awareness, explicit bias is a more overt and intentional form of bias. Combating explicit bias typically involves education, awareness campaigns, and legal measures to address and reduce discrimination. Both implicit and explicit biases are important to understand and address in order to promote a more equitable and inclusive society.

Philosophy v Psychology

Philosophy and psychology share intertwined histories yet represent distinct approaches to understanding the human experience. Philosophy, the ancient and foundational discipline, explores profound questions about existence, reality, knowledge, and ethics. Philosophers engage in abstract reasoning and critical thinking to analyze concepts, often delving into debates about consciousness, morality, and the nature of reality. Philosophy operates on a theoretical level, focusing on conceptual exploration and reasoning. Throughout history, philosophical inquiries laid the groundwork for the study of the mind and behavior, providing the philosophical underpinnings upon which psychology would emerge.

In contrast, psychology emerged as a separate scientific discipline in the late 19th century, building upon the philosophical inquiries of earlier scholars. In the 19th century, figures like Wilhelm Wundt and William James are often credited with establishing psychology as a separate discipline. Wundt, for instance, founded the first psychological laboratory in 1879 in Leipzig, Germany, where he conducted experiments to study the elements of human consciousness. James, in the United States, wrote the influential book "The Principles of Psychology" in 1890, which helped establish psychology as a formal academic discipline.

Rooted in empirical observation and experimentation, psychology employs rigorous scientific methods to study human thought, emotion, and behavior. Psychologists use experiments, surveys, and observations to gather data, aiming to understand the underlying mechanisms that govern human actions. While philosophy contemplates abstract questions, psychology employs empirical evidence and data-driven approaches to explore topics such as perception, memory, and social behavior. Despite their shared historical roots, philosophy and psychology represent distinct methodologies—one characterized by theoretical inquiry and abstract reasoning, the other by empirical investigation and scientific observation.

Cognitive Dissonance

Cognitive dissonance theory, proposed by psychologist Leon Festinger in the 1950s, is a fundamental concept in psychology that explores the discomfort people experience when they hold conflicting beliefs, attitudes, or values. When individuals encounter information or situations that challenge their existing beliefs or attitudes, they often experience cognitive dissonance, a state of psychological tension. This tension arises from the inconsistency between what they believe and what they are confronted with.

To reduce this discomfort, individuals typically employ various cognitive and behavioral strategies. They may change their beliefs or attitudes to align with the new information, seek out information that supports their existing beliefs (confirmation bias), or downplay the significance of the conflicting information. For example, if someone holds a negative stereotype about a particular group but then has a positive encounter with a member of that group, they might experience cognitive dissonance. To alleviate this discomfort, they may adjust their stereotype or minimize the significance of the positive encounter.

Cognitive dissonance theory is crucial for understanding the dynamics of attitude change and behavior. It highlights the human tendency to strive for consistency in our beliefs and actions and the discomfort that arises when inconsistency occurs. By recognizing cognitive dissonance, psychologists and individuals alike can better understand the processes underlying attitude change, prejudice reduction, and decision-making in the face of conflicting information

An article where I talk about its impacts with respect to autism 

https://disabilityvisibilityproject.com/2021/02/06/a-boy-like-me/

Stereotype Prejudice Discrimination

Stereotype, prejudice, and discrimination are interconnected concepts that play a significant role in shaping attitudes and behaviors toward individuals or groups based on perceived characteristics such as race, gender, religion, or disability.

Stereotype refers to a widely held and oversimplified belief or mental image about a particular group of people. Stereotypes often involve generalizations and assumptions about the characteristics, behaviors, or abilities of individuals within that group. For example, the stereotype that women are less competent in technical fields is a pervasive belief that can lead to biases in hiring decisions and educational opportunities. Another prevalent stereotype is that challenges in speaking ability (a function of the oral-motor muscles) amongst many autistics must equal low cognitive ability. Stereotypes can be overly positive too (such as all autistics must be tech geniuses) and negative, but they tend to oversimplify and dehumanize individuals by reducing them to a set of assumed traits.

Prejudice, on the other hand, involves a negative emotional or evaluative response directed at individuals or groups based on their perceived attributes or membership in a particular category. It represents an attitude or a set of attitudes characterized by bias, animosity, or irrational dislike. Prejudice can manifest as feelings of hostility, resentment, or fear toward the target group and often results from stereotypes. For instance, a person who holds a prejudice against a certain ethnic group may harbor negative emotions and beliefs about its members, leading to discriminatory behaviors or attitudes.

Discrimination encompasses actions or behaviors that treat individuals or groups unfairly or unjustly based on their perceived attributes or group membership. Discrimination can take various forms, including institutional discrimination (e.g., discriminatory laws or policies), interpersonal discrimination (e.g., unfair treatment by individuals), and microaggressions (subtle, often unintentional acts of discrimination). Discriminatory actions can result from prejudiced attitudes or stereotypes and can have serious consequences, such as limiting opportunities, perpetuating inequality, and causing harm to individuals' physical and mental well-being. Addressing discrimination involves efforts to promote equality, enforce anti-discrimination laws, and challenge biased attitudes and behaviors in society.

Understanding these three concepts—stereotype, prejudice, and discrimination—is essential for addressing social and systemic issues related to inequality and bias. It is crucial to recognize the role these concepts play in shaping individual and societal attitudes and to work toward creating a more inclusive and equitable world where individuals are judged based on their unique qualities and contributions rather than on stereotypes or prejudiced beliefs.

Attribution Errors

Attribution errors, also known as attribution biases, are cognitive biases that affect how individuals interpret and explain the behavior of themselves and others. These biases involve making inaccurate or biased judgments about the causes of behaviors, often by attributing them to dispositional (internal) factors or situational (external) factors. One common attribution error is the fundamental attribution error (FAE), which occurs when people tend to overemphasize dispositional factors and underestimate situational factors when explaining the behavior of others. For instance, if someone witnesses a colleague being late to work, they might attribute it to the colleague's laziness or lack of punctuality (dispositional), while ignoring the possibility that the colleague might have encountered traffic or had an emergency (situational).

Another attribution error is the actor-observer bias, which relates to the tendency for individuals to attribute their own behavior to situational factors (e.g., "I was late because of traffic") but attribute the behavior of others to dispositional factors (e.g., "They were late because they're always irresponsible"). This bias highlights the differing perspectives people have when explaining their own actions versus the actions of others, often giving themselves the benefit of the doubt while judging others more critically. Understanding attribution errors is essential because they can lead to misunderstandings and conflicts in interpersonal relationships and can affect how individuals perceive and interact with others. Recognizing these biases can help people become more empathetic and make more accurate judgments about the behaviors and motivations of those around them.

Social Media Mentions

 https://www.psychologytoday.com/us/blog/giving-voice/202307/dignity-remains-elusive-for-many-disabled-people

Psychology Today Article.

https://www.psychologytoday.com/us/blog/giving-voice/202307/dignity-remains-elusive-for-many-disabled-people

 

Oddball Paradigms

 [Concepts in Sensorimotor Research]

Oddball trials, also known as oddball tasks or oddball paradigms, are a type of research experimental design. In oddball trials, a sequence of stimuli is presented to participants, and their task is to detect and respond to specific target stimuli embedded within a stream of more frequent, standard stimuli. The oddball paradigm has been widely used in autism research to investigate sensory processing differences, attentional issues, and cognitive control.

The oddball paradigm typically consists of two types of stimuli:

• Standard Stimuli: These are the most common stimuli presented in the sequence and serve as the baseline / control stimuli, occurring with higher frequency. Participants are generally instructed to ignore standard stimuli and withhold any response to them
• Target Stimuli: These are the less frequent or "oddball" stimuli that differ in some way from the standard stimuli. Participants are instructed to actively detect and respond to these target stimuli. The target stimuli can be defined by various characteristics, such as a different color, shape, sound, or any other perceptual feature.

The purpose of oddball trials is to investigate how the brain processes and detects rare or deviant stimuli amidst a background of more common stimuli. By manipulating the frequency and characteristics of the target and standard stimuli, researchers can examine various aspects of cognitive processing, including

• Attention: how participants allocate and sustain their attention to detect infrequent target stimuli. It allows researchers to explore the mechanisms of selective attention, attentional capture, and the ability to filter out irrelevant information.
• Perception & perceptual processing: how the brain discriminates between different stimuli; how the brain detects and discriminates deviant stimuli based on sensory features, and how it forms representations and expectations about the environment
• Memory and Cognitive Control: Participants may be required to remember the occurrence or characteristics of the target stimuli and maintain this information for subsequent recall or recognition. Also sheds light on cognitive control processes, such as response inhibition and response selection when distinguishing between standard and target stimuli.

During an oddball task, researchers typically measure various physiological and behavioral responses, such as reaction times, accuracy rates, ERPs (via EEG) or fMRI (to examine neural activity patterns).

Mental Age

The concept of "mental age" in assessments has been subject to criticism and limitations. Here are some reasons why

• Normative Bias: Mental age is based on comparing an individual's performance to the average performance of a specific age group. However, these age norms may not adequately account for cultural, linguistic, or socioeconomic differences. The concept assumes that all individuals progress at the same rate, which may not be true or fair across diverse populations.
• Arbitrary Cutoffs: Mental age relies on the notion of discrete age categories, which can lead to arbitrary cutoffs and potential misclassifications. Development is a continuous process, and individuals may display a range of abilities that do not neatly align with specific age groups.
• Lack of Sensitivity: The concept of mental age does not capture the full complexity and multidimensionality of human intelligence. It may oversimplify and overlook individual strengths, weaknesses, and variations in cognitive abilities across different domains.
• Limited Predictive Value: Mental age alone may not provide sufficient information about an individual's future development or functional outcomes. It does not account for the dynamic nature of cognitive abilities and the potential for growth and change over time.
• Reinforcement of Deficit-Based Approaches: The focus on mental age as a deficit-oriented measure may perpetuate stigmatization and negatively impact individuals' self-perception and opportunities for growth.

It is essential to approach assessments and diagnostic criteria with a comprehensive and nuanced perspective, considering multiple factors beyond a single measure like mental age to ensure a holistic understanding of an individual's abilities and needs.

IQ Testing

IQ is a measure designed to assess an individual's cognitive abilities and intellectual functioning; specifically it aims to assess various aspects of intelligence, including verbal comprehension, perceptual reasoning, working memory, processing speed, and problem-solving abilities. These tests typically cover domains such as language, math, spatial reasoning, and logical thinking.

IQ scores are derived by comparing an individual's performance on the test to a representative sample of the population. The scores are standardized and follow a bell curve distribution, with the average score set at 100. Scores above 100 indicate above-average intelligence, while scores below 100 indicate below-average intelligence. The standard deviation is typically 15 points, meaning that about 68% of the population falls within the range of 85-115.

Commonly used IQ tests in Autism 

• WAIS: Wechsler Adult Intelligence Scale (ages 16-90)
• WISC-V: Wechsler Intelligence Scale for Children (ages 6-16)
• KABC-II: Kaufman Assessment Battery for Children (ages 3-18)
• MSEL: The Mullen Scales of Early Learning (ages birth - 5)
• DAS: The Differential Ability Scales (ages 2-17)
• Leiter-R (ages 2-20+)
• RIAS (ages 3-94)
• CAS Cognitive Assessment System (ages 5-17)

See Post: Why is IQ Testing especially problematic in the Autistic Population

Other general problems and limitations of IQ Testing:

• Narrow Assessment: IQ tests primarily measure cognitive abilities related to academic success and may not capture the full range of human intelligence, such as creativity, emotional intelligence, or practical skills.
• Cultural Bias: IQ tests have been criticized for potential cultural bias, as they may reflect the experiences, values, and knowledge of specific cultural or socioeconomic groups. Some questions or tasks may be more familiar or relevant to individuals from certain backgrounds, leading to potential disparities in scores.
• Limited Contextualization: IQ tests provide a snapshot of an individual's abilities at a specific point in time and may not account for the influence of environmental or socio-economic factors, educational opportunities, or individual motivation on test performance.
• Interpretation Challenges: IQ scores are often misinterpreted or used as a sole indicator of an individual's worth or potential, neglecting the complexity of human intelligence and the importance of other factors such as motivation, personality traits, or social and emotional skills.

History: The concept of IQ testing dates back to the early 20th century. Alfred Binet and Theodore Simon developed the first modern intelligence test in 1905. Over time, numerous IQ tests have been developed, revised, and standardized. 

Why IQ Testing is Problematic in Autistics

 

Some reasons why  IQ Testing is Problematic in Autistics.[What is IQ Testing]

• Communication, Language and Social Challenges: Many IQ tests heavily rely on verbal and social interaction (including comprehension, vocabulary, & verbal reasoning), which can be challenging for autistics who may experience difficulties with language, communication, (eg: difficulties with expressive and receptive language, pragmatics, and understanding abstract or ambiguous language) and social skills. This can lead to misinterpretations of their abilities.

ADOS - Autism Diagnostic Observation Schedule

The Autism Diagnostic Observation Schedule (ADOS) is a semi-structured assessment for diagnosing autism. It consists of various social and play-based activities designed to observe behaviors related to autism. [See posts on other Screening/Diagnostic Measures]

Limitations of ADOS as a dx tool

1. Not a Standalone Diagnostic Tool: It is intended to be part of a comprehensive evaluation, which should also include other assessments and detailed developmental history.
2. Snapshot in Time: ADOS provides a snapshot of an individual's behavior during the time of the assessment, which may not capture the full range of behavior or abilities.
3. Limited Scope: It primarily focuses on two areas: social interaction and communication, and restricted/repetitive behaviors. Other aspects of autism, such as sensory issues or co-occurring conditions, are not part of the primary scoring system.
4. Language and Age Constraints: While ADOS offers different modules for different developmental stages and language abilities, it may not be entirely suitable for all individuals, particularly those with complex profiles or co-occurring conditions.
5. Requires Specialized Training: to ensure accurate administration and interpretation of the results. This requirement can limit its accessibility and use.
6. Culture and Context: The ADOS was developed in English-speaking countries and may not fully account for cultural differences in behavior and communication. Translated versions are available, but they may not capture all nuances.
7. Reliability of Diagnosis over Time: Some studies have questioned the reliability of the ADOS over time, especially in younger children, where symptoms and behaviors can change significantly as the child grows and develops.

Microaggressions

Microaggressions are brief and commonplace verbal, behavioral, or environmental actions that communicate hostility, bias, or prejudice towards a particular group of people. These actions can be intentional or unintentional and are often committed by individuals who are not aware of the impact of their words or actions on marginalized groups.

In the context of autism and disability, microaggressions can take many forms, including making assumptions about a person's capabilities based on their diagnosis, using language that reinforces negative stereotypes about disability, treating someone with condescension or pity rather than as an equal and capable individual, or failing to make reasonable accommodations to support their needs.

These kinds of actions, while seemingly minor, can have a significant impact on the well-being and self-esteem of individuals with autism or disabilities, and can contribute to systemic inequality and discrimination. It is important to be aware of these kinds of microaggressions and strive to create an environment that is inclusive and respectful of all individuals, regardless of their abilities or diagnoses.

Self Perception

Self-perception refers to how individuals perceive themselves, including their physical, cognitive, emotional, and social attributes. It involves forming an understanding of one's own characteristics, abilities, and behaviors. Self-perception can encompass both internal aspects, such as thoughts and emotions, and external aspects, such as appearance and social roles. It involves recognizing oneself as a distinct entity separate from others and the environment.

• Formation: Self-perception starts to develop early in life and continues to evolve throughout one's lifespan. It begins with self-recognition during infancy and progresses through social interactions, personal experiences, and feedback from others. As individuals engage with their environment and receive information about themselves, they construct their self-perception.

• Multifaceted Nature: Dimensions include physical attributes, such as appearance and health; cognitive aspects, such as intellectual abilities and problem-solving skills; emotional characteristics, including one's emotional states and temperament; and social aspects, such as social roles, identities, and relationships. These facets come together to form a multifaceted self-perception.

• Internal and External Factors: Internal factors, such as one's own thoughts, beliefs, and self-reflection, contribute to self-perception. For example, individuals might assess their own abilities and personality traits through introspection. External factors, on the other hand, include feedback and evaluations received from others, social comparisons, cultural norms, and societal expectations. Both internal and external factors shape and influence self-perception.

• Self-Consistency and Cognitive Dissonance: Self-perception theory suggests that individuals strive for consistency between their attitudes, beliefs, and behaviors. When there is a mismatch between one's self-perception and their actions, cognitive dissonance arises, leading individuals to seek alignment. This can result in changes in self-perception or adjustments in behavior to restore consistency.
• Self-Esteem and Self-Perception: Self-perception and self-esteem are closely intertwined. Self-esteem refers to an individual's overall evaluation and subjective feelings of self-worth. Positive self-perception, where individuals perceive themselves favorably in various domains, tends to contribute to higher self-esteem. Conversely, negative self-perception can lead to lower self-esteem and negative self-evaluations.
• Contextual and Cultural Influences:  Cultural values, beliefs, and socialization practices shape how individuals perceive themselves and what aspects they prioritize in their self-perception.