Alexithymia and Interoception in Autism

Alexithymia is a term used to describe individuals who have difficulty recognizing and articulating their emotions. This condition can lead to significant challenges in emotional expression and interpersonal relationships. Those with alexithymia often struggle to identify their own emotions and may have trouble describing them to others, which can hinder effective communication and emotional connection.

Interoception refers to the perception and awareness of internal bodily states. It involves the ability to sense and interpret physiological signals originating from within the body, such as hunger, thirst, heartbeat, temperature, respiration, and the need for bodily functions. Interoception is crucial for maintaining homeostasis and overall well-being as it allows an individual to respond appropriately to bodily needs and emotional states. This internal sensory system plays a significant role in emotional experiences and self-regulation by linking physical sensations with emotional responses.

And yes, both can co-exist in autism.  

Autistics often exhibit atypical interoceptive awareness, which can be either heightened or diminished. This variance can lead to unique challenges, such as difficulty identifying states of discomfort or illness, or misinterpreting signals of emotional changes, which are critical for social interactions and personal health management.

For example, autistics might find it difficult to recognize a sensation of fullness to prevent overeating or to feel a racing heartbeat when anxious. Moreover, atypical interoceptive awareness can affect pain perception, complicating healthcare experiences. An injection might feel more painful than usual, or a lack of reaction to pain might make it appear to healthcare providers that there is no injury or less pain. Additionally, autistics might confuse a racing heartbeat resulting from exercise (a positive physical activity) with a racing heartbeat due to fear or anxiety, leading to difficulties in emotional and physical self-regulation.

Furthermore, atypical interoceptive awareness can result in challenges such as delayed toilet training. Recognizing the need for bodily functions like urination may be delayed, inconsistent or unclear, leading to practical and social difficulties like random incontinence even in adulthood. 

From a neuroscience perspective, the insular cortex and anterior cingulate cortex (ACC) are critical regions involved in interoception. The insula integrates interoceptive signals with emotinal and cognitive processes, while the ACC is associated with the emotional experience of pain. In individuals with autism, atypical functioning in these brain areas can contribute to altered interoceptive processing and emotional awareness. For example, fMRI studies have shown differences in insula activation in response to interoceptive tasks in autism, which may underpin the atypical interoceptive awareness observed clinically.

Impaired interoceptive awareness can exacerbate the challenges faced by individuals with alexithymia, making it harder to connect emotional experiences with physiological responses. Consequently, addressing both alexithymia and interoception is crucial for enhancing emotional intelligence and overall well-being. Research indicates that improving interoceptive skills may offer a pathway to better emotional regulation and awareness, fostering improved interpersonal connections and emotional health.

2 Versions of this article: 

Related Posts on #Interoception, #Alexithymia


Looking back at the Fellowship

How do you describe The Paul & Daisy Soros Fellowships for New Americans program to others?


Keywords I would use to describe this Fellowship are community and vision. What I have found profoundly moving was that I was surrounded by a cohort who all shared a vision of transformation; albeit in our own ways and areas. It got me thinking that surely such mindsets will be paradigm-shifting.


23 Medals

At the recent Paris Olympics - UC Berkeley's contingent of 59 Olympians (current students and alums) amassed 23 medals in nine different sports at the 2024 Summer Games. If UC Berkeley were a country, it would rank 12th in the overall medal count.

https://calbears.com/news/2024/8/13/golden-bears-tie-school-record-with-23-medals.aspx


Proud alum of UC Berkeley..... Such amazing years there. 




How Your Posture Can Influence Your Emotions - Tips for Autistics

 

How Your Posture Can Influence Your Emotions -  Tips for Autistics

Did you know that the way you sit or stand can impact how you feel? Research by Peper and Lin (2012) has shown that adopting certain body positions can significantly influence your emotional state. For example, sitting upright can boost your mood and energy levels, while slouching can make you feel more down or even depressed.

Why This Matters for Autistics

For many autistics, understanding and managing emotions can be a unique challenge. However, becoming aware of how body posture affects feelings can be a simple yet effective tool for emotional regulation.

Here’s how posture can help:

  • Boost Mood: Standing or sitting up straight can naturally elevate your mood and increase your energy levels.
  • Manage Emotions: When feeling anxious or low, adjusting your posture to a more upright position can help improve your emotional state.
  • Easy to Implement: This strategy doesn’t require any special equipment or training. Just being mindful of your posture can make a difference!

Quick Tips to Try:

  • Check Your Posture: Throughout the day, notice if you’re slouching. Straighten up to see if it changes how you feel.
  • Practice Mindfulness: Engage in activities like stretching or gentle yoga to improve body awareness and posture.
  • Encourage Awareness: Have people around you check in on you and perhaps gently remind you about posture as a tool for emotional management. 
By paying attention to your body position, you can take control of your emotional well-being in a simple and effective way. Give it a try and see how a small change in posture can make a big difference!




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

Understanding Autistic Inertia

PlainSpeak. In Plain Language for the Lay Audience

Newton's Law of Inertia

Newton's Law of Inertia says that an object will stay still if it's already still, and if it's moving, it will keep moving in the same direction and speed unless something makes it change.

Autistic Inertia

We use this idea to describe how some autistic people have trouble starting or stopping tasks.

  • Starting Tasks: Just like an object at rest, some autistic people find it hard to begin tasks. They might feel stuck and need something to help them get going.

  • Stopping Tasks: Once they start a task, it can be hard to stop. They might keep doing the same thing over and over, like being stuck in a loop.

This difficulty also affects:

  • Switching Between Tasks: Changing from one activity to another can be tough.
  • Adjusting to Changes: Adapting to new environments or situations can be challenging.
  • Maintaining Focus: Staying focused on a task can be hard, but so can switching off that focus when needed.
  • Decision Making and Planning: Making decisions, planning, and following through with plans can be difficult.
  • Mental Health: Anxiety and depression can make these challenges worse.

Even if someone knows they need to start or stop a task, they might feel stuck and unable to do so, which can be exhausting. This can lead to burnout, where they feel completely worn out.

Causes

Autistic inertia can be caused by:

  • Sensory Overload: Too much sensory input can make it hard to start or stop tasks.
  • Motor Issues: Problems with movement and coordination.
  • Executive Dysfunction: Difficulty with planning and organizing.
  • Anxiety: High levels of anxiety can make these challenges worse.

This can make it hard to finish tasks, meet deadlines, and stick to a schedule for work or school, often leading to burnout.

Advantages

Sometimes, autistic inertia can help with hyper-focus, allowing someone to deeply concentrate on learning a specific topic.

Misconceptions

Autistic inertia is often misunderstood as laziness or lack of motivation. It can affect anyone, regardless of their support needs or ability to speak. It can be even more complex for those with movement issues, sensory challenges, and coordination problems.

What Can Help

To help manage autistic inertia:

  • Use Reminders: Set reminders on your watch or calendar.
  • Get Support: Ask others for help when needed.

Everyone’s needs are different, so the type and amount of help will vary from person to person.

Hybrid as an accommodation


Hybrid as an accommodation gets to the heart of some of the core features of autism: social communication challenges and sensory sensitivities.
- Hari Srinivasan, Fortune





Being more disabled often means that you have to meet a higher bar (that is both undefined and a moving target) to be considered for inclusion.

An important reminder

  "Disability only becomes a tragedy when society fails to provide the things needed to lead one's daily life."  - Judy Heumann (Disability Rights Activist)

"Positive psychology should help autistics move beyond surviving to thriving and flourishing." - Hari Srinivasan

Hostile Attribution Bias

Autism Lexicon: Hostile Attribution Bias 

Hostile attribution bias is a cognitive tendency to interpret ambiguous behaviors of others as having hostile intent or leading to hostile outcomes. In autism, this bias is linked to social communication challenges and a heightened sensitivity to perceived social threats. 

PlainSpeak:   Hostile attribution bias is when someone thinks others are being mean on purpose, even if it's not clear. In autism, this happens more often because autistic people can struggle with understanding social cues and might feel more easily threatened.

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Read more on Hostile Attribution Bias: [Version for Scientific/Academic Audience],  [PlainSpeak for the Lay Reader], [A Simple Definition]

Related Posts on [Neuroception], [Negative Attribution Bias]