What has autism got to do with trauma?

Quite a lot, actually.

And not only because of what happens inside the autistic person, but because of what happens around us.

A thread 🧵

1/10

#Autism #Trauma #Neurodivergent

Autistic hypersensitivities are part of it, as they can make the world overwhelming to the point of distress.

But also, our communication styles bring difficulties with fitting in, and that onus gets placed firmly on our shoulders and ours alone.

2/10

It's usually seen as a matter of autistic deficit.

But research on the double empathy problem suggests something more relational.

Difficulties in understanding often arise across neurotypes - so not just on one side.

3/10

So the mismatch is also shaped by power.

Non-autistic communication is treated as the norm, and as more credible. And autistic people are left carrying the burden of adjustment.

4/10

This, of course, brings us to epistemic injustice.

Autistic people’s accounts of their own experience are often given less weight, or not properly recognised at all.

Over time, that can contribute to shame, self-hate, and associated mental health difficulties.

5/10

Then there's the sensory intensity experienced by so many autistic people, which can lead to real distress, especially in certain environments.

It can feel almost as though the middle range of our ‘feeling and experiencing’ dial has been taken out.

6/10

Autism often involves this hyper–hypo pattern; very intense experience in some areas, and very reduced experience in others.

But hypo-responsiveness can at times be a response to feeling too much, and (instinctively, as a survival mechanism) withdrawing in self-defence.

7/10

There are theories that speak to this.

The ‘Intense World Theory’ points to heightened sensitivity and reactivity; and many autistic people will recognise something in that immediately.

8/10

And then there is the external reality.

Autistic people are more likely to experience bullying, abuse, unemployment, financial insecurity, and other forms of adversity (refs at the end).

Many are also navigating other forms of marginalisation at the same time.

9/10

#LGBTQ #BlackLivesMatter #Poverty #Homelessness

So when you put together the communication mismatch, the burden of adaptation, the sensory intensity, and the external realities people are living in.

The entanglement between autism and trauma is not so hard to see.

End of 🧵

10/10

#Trauma #Autism

References for the Neurosense podcast

Epistemic injustice: Autism

Neurofabulous
@KatyElphinstone
This reference list looks fantastic - I’ll take my time going through it. A few things I’m aware of, but lots to discover here
@KatyElphinstone why do you call it a deficit?

@hermannus

You know what? My wording did imply that, didn't it! That wasn't intentional, and I've changed it now to make it clearer that that's not what I meant.

Words. Plah.
Thank you for pointing that out.

@KatyElphinstone
So much of this was so common, that for many of us it was normal. It's also why it was the steadily dripping tap that led many of us to develop PTSD and cPTSD without being able to recognise the trauma that was supposed to go with it.

@pathfinder

Yes. Under the radar. 😥

@KatyElphinstone this! I sometimes kinda enter a ‘shielded mode’ that tones down all the feelings if I have some overly intense income. Like, when I have bleeding sores on my feet and keep walking 5km more without noticing it further, but also without hearing the ambient noise, without seeing details, without reacting to the people talking to me etc - because I kinda tuned down the sensitivity to not feel the pain, but I can’t tune down only one thing at a time, I’m doing it with most of the sensory input

@olena

Yes, it's wild isn't it. I've given birth twice and it was kinda okay 😂
(esp given the outcome)

But I can't have bare feet on grass because 😳😳😳😳