Asperger’s
A Workplace Guide
                                             Rosita Bird
                                             Abstract: This article aims to provide enough information
                                             to foster a better understanding and acceptance in the
                                             workplace among both employers and employees of the
                                             condition of Asperger’s Syndrome, which is one of the
                                             three recognized types of Autism. It provides an introduc-
                                             tion to the signs and symptoms and how best to interact,
                                             communicate, and cope with any issues that may occur.
                                             Keywords: Autism—Asperger’s, Employers and
                                             employees guide providing information and coping
                                             strategies for working with Asperger’s.
                                             Introduction: What Is Autism?
                                             Autism was a term first used by a psychiatrist called E ugen
                                             Bleuler in 1908. At that time, he used it to describe a
                                             schizophrenic patient who had withdrawn into his own
                                             world. The word autós is a Greek word which meant self,
                                             and the word autism was used by Bleuler to mean morbid
                                             self-admiration and withdrawal within self. There are still
                                             arguments over whether it has something to do with over-
                                             indulgence, labeled by some as spoilt brat syndrome. There
    Rosita Bird is a British children’s      are still those who debate how much of these traits can be
 author and a mental health, children
   and animal rights advocate. She is
                                             traced to upbringing. The first pioneers who did research
  married with two children and four         into autism were Hans A      sperger and Leo Kanner. This
  grandchildren. Her first job was as a      is where the name Asperger’s comes from and describes
  secretary in a law firm. After having      those children who were very able, while Kanner described
  children she became self-employed
                                             children with more severe symptoms. They were working
   as a childminder, parent guardian,
    foster care provider, and nursery        separately in the 1940s. Their views remained useful for
assistant. She has a very keen interest      physicians for the next three decades.
    in both the mental and physical             It is important to understand that autism is a lifelong
    welfare of children. Through her         developmental disability that is caused by neurological
experience with children, she became
 a children’s author, writing on topics
                                             differences in the brain and is not an illness or disease
      of healthy eating, confidence,         that requires curing. It is known that there are many more
self-esteem, mental health, friendship,      men on the spectrum than women. The easiest way to
 acceptance, and autism. Rosita is also      describe this is being wired up differently. Autism has an
  a keen environmentalist and animal
                                             effect on how people perceive the world and how they
                   lover.
                                             interact with others. Autistic people see, hear, and feel
                                             the world differently from other people. All autistic peo-
                                             ple share certain difficulties, but being autistic will affect
                     © Business Expert Press 978-1-94819-841-7 (2018)     Expert Insights
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                                                 Asperger’s
    them in different ways. Some autistic peo-          to the point of having to wear earplugs.
    ple will have learning disabilities, mental         Unfortunately, there is no cure for this, but
    health issues, or other conditions such as           it can be managed with cognitive behavioral
    misophonia, savant, obsessive compulsive             therapy and counselling. It is, however, im-
    disorder (OCD [mysophobia]), depression,              portant to address this issue as it can become
    and epilepsy. These different conditions              obsessive and can create anger and frustra-
    all require different kinds of support. This           tion r esulting in violent behavior.
    does not mean any one person will have
    all of these conditions. While it is statisti-      Savant
    cally accepted that there are more men              Approximately half of savants have autism.
    than women who have autism, it does not             The rest is down to central nervous sys-
    mean that there are not actually as many            tem injury or disease. It is estimated that
    women who have autism. The reason most              10 p ercent of those with autism have some
    recently accepted is that women are better          form of savant abilities. Savant is someone
    at masking their traits. Today, an increas-         who seems to have learning difficulties
    ing number of women are being diagnosed             but is, at the same time, exceptionally and
    for this condition. With the right kind of          highly gifted with one limited specialized
    support it is possible that people on the au-       field to the detriment of other abilities.
    tistic spectrum can learn and develop and           Examples of this is being a genius in math-
    therefore be helped to live a more fulfilling        ematics or memory recall but unable to
    life of their own choosing. Autism is a wide         complete simple everyday tasks for exam-
    umbrella, and while the most severe may              ple cooking or personal hygiene. Savants
    need a lot of help and support to e    nable        may be able to play a piece of music after
    them to live independently, there are                hearing it once or create a piece of artwork
    others who are quite able to support and            from memory.
     look after themselves, including being able
     to work independently and successfully.            Obsessive Compulsive Disorder
     The various conditions that may be associ-         OCD is a type of anxiety disorder that
     ated with autism are as follows:                   manifests itself in repetitive behavior and
                                                        obsessions. Sufferers are often plagued with
    Misophonia                                           thoughts that are out of their control, such
    Misophonia is a deep sensitivity to certain          as feelings, impulses, and images. These
    noises. The sound most of us hate is finger-         can manifest as intrusive thoughts and can
    nails dragged on a blackboard, which makes           be based on worrying about        everything
    our hair stand on end; this is one most of us        and what may happen; if certain r ituals are
    can sympathize with. For some people there           not followed, this may give rise to a fear of
    are many other sounds that can irritate and          contamination and often brings about exces-
    cause distress. It is impossible to list all the     sive handwashing and cleaning. R    epetitive
    sounds that might cause a problem such as             checking if doors are locked or switches are
    eating sounds like chewing (this is quite a           off, for example, which comes from a fear
    common one as many of us cannot stand                 that something bad may happen if they
    this sound), crunching, licking, swallowing,          don’t do this a set number of times. Hoard-
    and talking with the mouth full. Other noises         ing is another form of obsessional behavior
    are drinking,  burping, breathing heavily,           that, in extreme cases, will render sufferers
    tapping, and picking fingernails. There are         unable to dispose of items in a rational way.
     many external noises—dogs barking, lawn-
     mowers, music from cars, neighbors, head        Mysophobia
     phones, mobile phones. The list is endless        Mysophobia is a common part of the OCD
     and one or many of these can cause problems        and is the dread of germs or any kind of
2                     © Business Expert Press 978-1-94819-841-7 (2018)   Expert Insights
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                                           Asperger’s
contamination. This is often seen in exces-        and treated with medication earlier in their
sive handwashing. This can result in not us-       childhood or teenage years. However, there
ing public lavatories for fear of germs and        can be an onset of epilepsy at any age.
contamination. Sometimes this will result
in people with mysophobia not      entering       Communication and Language
public places, shaking hands, and using            Autism presents differently in each individual
doorknobs without a glove or tissue cover-         and is usually picked up within the first
ing their hands.                                   5 years of childhood. A child may show signs
                                                   through finding difficulties with social com-
Depression                                         munication and interaction at school. This
Research suggests that people with autism         is the time when intervention should start.
are at a higher risk of depression. This could     This may show itself as repetitive behavior
be again down to communication frustra-            and meltdowns (this is usually down to an
tion. People with autism are less likely to        overload of the senses), which can manifest
go and seek help for their symptoms again          in screaming, crying, and even self-harming,
because of lack of communication. This             rocking, lack of attention in lessons, and a
will often fester, and they will start to have     bad reaction to sounds and light—all these
behavioral p  roblems such as repetitive or       are signs that may indicate autism.
ritualistic behavior and/or become more ag-           Autistic people have difficulties with
gressive. OCD can be a ssociated with a utism    interpreting both verbal and nonver-
                                                   
and therefore could increase with anxiety          bal  language like gestures or tone of
and depression if it is not addressed. It is       voice. Many have a very literal under-
thought that around 50% of people with au-         standing of language and think people
tism will suffer depression at some stage          always mean      exactly what they say.
in their life, while the general statistic for     Understanding, tone of voice, jokes or
this is rising to around 30% for those with-       sarcasm as well as body language and
out autism. Signs to look out for are changes      facial expressions may all prove to be a chal-
in behavior. With depression, there could          lenge for autistic people. The limited abil-
be signs of increased anxiety of symptoms          ity to communicate does not mean they do
they  already have, as mentioned earlier,         not understand anything. Although speech
or a withdrawal of their usual self, maybe         may be difficult for them, they may prefer to
becoming withdrawn and quiet and in some          express themselves using sign language or
 cases the opposite of what they normally          visual symbols in some situations.
 are. Extra vigilance in checking whether             Some will have good language skills, but
 they are okay and happy is a good way to          they may still find it hard to understand
 ensure that their well-being is maintained.       the expectations of others within conver-
                                                   sations, sometimes repeating what they
                                                   have just heard (this is called echolalia) or
Epilepsy                                           talking at length about their own interests.
Epilepsy and autism can be connected, and          Autistic people often take things literally;
around a quarter of those with autism will         therefore, they cannot understand some
have epilepsy. Scientists have found the           jokes.
genes that are linked to both. Epilepsy can           Autistic people often have difficulty
cause people to have seizures and in autism        reading the body language in others and
it can be more difficult to spot as sometimes      often struggle knowing what is appropri-
their behavior can mimic the same signs as         ate to say. To others this can come across
epilepsy. These seizures are caused by abnor-      as insensitive and distant. It is a struggle
mal electrical activity in the brain. Mostly,      to empathize and understand the feelings
those with epilepsy will have been diagnosed       and emotions in others. Although autistic
                 © Business Expert Press 978-1-94819-841-7 (2018)   Expert Insights
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