Given the immense amount of perceptual stimuli we receive at a given moment, it is critical that our brains make sense of what surrounds us. For people with Asperger Syndrome (AS), interacting with the perceptual world becomes a constant struggle, which we typically take for granted. AS falls under the category of autism spectrum disorders, which are childhood-onset neurodevelopmental disorders affecting key fronto-striatal and fronto-parietal circuits that are important for executive functions. [1] An executive function is a neurophysiological term used to describe mental functions with which higher life forms, such as the prefrontal cortex, govern their behavior. [2,3] Due to deficits in executive functions, those with AS experience altered sensory input and thus attach altered meanings to sensations, which may in turn give rise to the syndrome’s key symptoms. Classic symptoms include alexithemia (inability to talk about one’s emotions), intense fixations on an object or activity, precocious language, and extreme attention to detail. Often, these symptoms label AS individuals as loners or socially awkward, and as a result they suffer from depression and anxiety as they enter their teenage and adult years from social isolation. [4] Given the scant knowledge on how to treat the syndrome, the best way to ‘treat’ the symptoms is to use behavioral therapy to teach AS patients how to compensate for their altered forms of perception so that they can become functional, to a degree, in society. [5] Thus, it becomes necessary to understand how AS individuals perceive so that we, as a society, can teach them as well as ourselves how to interact in such a way that augments perceptual and social understanding.
There are several clues present in AS cases that can help us understand how they see the world. AS individuals often display hyperacuity in one sense, while they display hypoacuity in other senses. The person is able to become hypersensitive to one channel of sensory input by relying on ‘monotropism,’ or one-track processing, to make sense of their surroundings.[6] Normally, people are polytropic in order to synthesize multiple channels of stimuli to make a cohesive story of their environment. AS individuals, however, lack the executive functions to process multiple channels and thus concentrate all of their processing abilities on one channel. As a result, AS individuals perceive their environment holistically in one type of sensation, rather than selecting the relevant stimuli from the background noise coming from all sensations, which makes it extremely hard for AS individuals to sift through all the incoming sensory information. Commonly when asked to prioritize stimuli, AS individuals categorize normally irrelevant stimuli as very important. This explains why young children with AS are misdiagnosed with ADHD. [7] These children are trying to learn how to prioritize what is relevant in their environment, but their mono-channel processing does not allow them to pick up all the cues that should help them make sense of their environment. In particular, this monotropism may account for AS individuals’ ineptitude in social interactions, as they do not learn to pay attention to the normal emotional expressions or social cues. Often AS children are so transfixed on their own pedantic preoccupations (such as describing the circuitry of a computer), that they do not pay attention to other children’s boredom and are eventually ostracized by the other children because the other children do not know what to make of such discourse.
Another common feature of AS is that AS individuals are not fooled by psychological illusions, such as the chalice/face illusion. Rather they perceive these illusions for what they are; as in the case of the chalice/face illusion, an AS individual would perceive the chalice and face at the same time, placing the same amount of priority to the chalice as to the face. This is due to the fact that their brains do not filter what they are perceiving. In effect, AS individuals perceive the world as it really is- their brain does not stand in the way of misinterpreting the world. [8] And sometimes this can be an advantage, rather than a defect. For instance, AS artists can depict a scene with incredible detail by starting at any point of the scene. Normally, artists have to start at the focal point and then orient themselves to depict the scene from that focal point. Given that AS individuals perceive scenes holistically, they do not have to start at the focal point to accurately depict the scene. For them, there is no focal point, and each point of the scene earns as much relevance as any other point in the scene. As a result, AS individuals are incredibly good at depicting what really is there- their brains do not stand in the way of trying to create a false interpretation of the world.
To compensate for their monotropism, AS individuals have to relearn how to detect relevant stimuli from the environmental noise. According to Signal Detection Theory, an AS individual’s ‘present’ and ‘not present’ detection curves are practically overlapping, so they have to learn how to be extremely vigilant in order to detect the relevant stimuli. The methods used by AS individuals to compensate for signal detection are extremely variable, but AS individuals are also commonly known to be synesthetes. [8] They learn to make associations between two perceptions, typically between hearing and seeing, in order to make up for the lack of multiple-channel processing. This can become a problem, however, when AS children go to school and are bombarded with extraneous sensory information while trying to take in what the teacher is telling them. Therefore, it becomes crucial for the teacher to have the AS student’s utmost attention while he/she is learning in order to make sure the student is properly learning. However, given the present conditions in the classroom, it becomes near impossible for teachers to take on such a responsibility, and the student is left to become a classroom liability rather than an active participant.
Asperger Syndrome is a very hard neurodevelopmental defect to characterize, given the wide array of phenotypes that manifest in diagnosed AS patients, and so it is hard to pinpoint any sort of treatment. With emerging neuroscience technology, it will become easier for scientists to begin looking at the biological aspects of AS. Society, on the other hand, has a long way to go to make room for any changes that will make it easier for the integration of individuals with Asperger Syndrome. But for now, the best thing we can do is to view those with Asperger Syndrome as individuals with an altered way of looking at the world rather than people with neurological defects.
1. Hill, E.L: Evaluating the theory of executive disfunction in autism. Dev Rev 2004, 24: 189-233.
2. Middleton, F.A. and Strick, P.L.: Cerebellar projections to the prefrontal cortex of the primate. J Neurosci 2001, 21: 700-712.
3. Middleton, F.A. and Strick, P.L.: Basal-ganglia ‘projections’ to the prefrontal cortex of the primate. Cereb Cortex 2002, 12:926-35.
4. Delacato, C. The Ultimate Stranger: The Autistic Child. Noveto, CA: Academic Therapy Publications, (1974).
5. Frith, U. Emanual Miller Lecture: confusions and controversies about Asperger syndrome. J Child Psychol Psychiatry 2004, 45: 672-686.
6. Lawson, W. ‘Reflection on autism and communication: A personal account.’ Autism99 Internet Conference Papers, (1999). www.autism99.org
7. Sinzig, J. et al. Inhibition, flexibility, working memory and planning in autism spectrum disorders with and without comorbid ADHD-symptoms. Child and Adolescent Psychiatry and Mental Health 2008, 2: 4-15.
8. Bogdashina, O. Sensory Perceptual Issues in Autism and Asperger Syndrome: Different Sensory Experiences, Different Perceptual Worlds. London: New York, electronic reproduction (2004).

