With today being the Lunar New Year (the year of the dragon!), I just wanted spend this blog post telling you about Asian culture & autism. My mom's side of the family is of Chinese descent & while I definitely have had an American upbringing, Asian culture has had great influence over the way I was raised. In the Asian culture, you are taught from a very young age that all of your personal difficulties are to remain inside of the home. In fact, if you were to be open about your challenges in public, you would likely be thought of as a disgrace. Unfortunately, the majority of Asian Americans still have this mindset to this day. One of the times my mom taught me about this was when she talked to me about hiding the bottles of antidepressants that I was taking before my grandparents arrived for a visit (particularly because of my grandpa's background in pharmacology) in order to prevent questioning & criticism. Moments like these are probably why I have always been more comfortable confiding in my dad than my mom, both as a child & as an adult. I have always felt like the fact that I have had lifelong mental health difficulties, & now autism, is something to be ashamed of because in the Asian culture it is. Another example of this occurred many, many years ago when my grandparents took my mom & my aunt on a tour of China. I remember my mom telling me that everyone wanted to take pictures with a person in their tour group who was using crutches. The reason why? If you're using crutches or a wheelchair in China, you generally don't leave your home. So, that's not something you ever see out on public streets. Asian Americans love to pride themselves in (& even brag about) which colleges & universities they got into & their SAT scores & then later on, how successful their careers are. I remember my grandma telling me about a time in school when she cried (something I have never seen her do EVER) because she got a 98 on a test. I can't picture myself ever crying over a 98. In Asia, when students don't do well on a test, even if it was the entire class that didn't do well, it is never the teacher's fault. It is never because the teacher didn't teach the material well enough or the test was written poorly, for example. It is always because the student didn't study hard enough. When a child has a disability that makes achieving the types of academic & professional successes that Asian people strive for much more difficult, such as autism, it poses a very significant problem for the child & her or his family. Asian Americans don't have any issues asking for help when it comes to furthering their child's academics or career, but when it comes to autism, they tend to refuse help & then the child is left to suffer alone, in silence. When children are diagnosed with autism in China, they are often sent to costly private treatment centers for ABA therapy. However, while this type of therapy is the most common type of therapy for autistic children, it is an extremely traumatic type of conversion "therapy" that essentially teaches autistic children to act in ways that make allistic, or non-autistic people more comfortable. Children who have received this type of therapy often develop post traumatic stress disorder by the time they reach adulthood.
Sadly, autism is still a relatively new condition in the Asian community, with China first recognizing it as a neurological disability as recently as 2006. In fact, many Asians have heard about autistic non-Asians, but they've never encountered an autistic Asian before. This is because less than one percent of autistic Asians have been evaluated for autism, let alone are receiving support for it. The thought that ninety-nine percent of autistic Asians are undiagnosed is quite staggering. Asians are likely not diagnosed with autism because they are afraid of being a disappointment, something I felt that I was until shortly before my thirty-second birthday, when I learned that I was autistic.
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September 2nd, as well as the several days following it have been hard days for me ever since I can remember. The reason why? My birthday is over. It feels weird & inappropriate typing that out because what thirty-something-year-old still loves her birthday as much as she loved it when she was a child? 🙋🏻♀️ That would be me. This Is The Main Reason Why: My life is so isolating. Most of the time, I feel like I'm a fly on the wall. The whole world is going by & I'm just sitting there watching from a distance. I blame autism for my isolation. I have vivid memories of my maternal grandfather, my Gung-Gung, saying to me when I was a preteen & a teenager, "You're so pretty. If you would just talk more, you would have so many friends," & then giving me a squeeze. I don't remember what my response to him was, but I knew that while I completely agreed with him, doing that wasn't possible. I couldn't talk more. In fact, whenever I did talk, it caused panic & anxiety because I felt like I couldn't say the right things & I had a tendency to stumble over my words. Also, if I was ever wrong about something, I felt like my whole world came crashing down & I wanted to hide under a rock & never come out. This is probably also why my dad has told me multiple times that I'm always right. I only speak when I'm 1,000% certain that I'm right. This is why I never, ever, ever, ever raised my hand in class when I was in school. And those are also the reasons why I had such a hard time making friends as a child. When I had friends over when I was growing up, I got a sense of relief when they went home because I could finally relax & I would no longer have to be so tense over keeping a conversation going. Now I know that the reason for these struggles was that I was unknowingly autistic. Throughout my entire life, I have always either had just one friend or no friends at all. Sometimes, there was a group of friends that I was a part of, but whenever that was the case, I was always on the outside, never really fitting in & only truly being friends with one girl in the group. If they were gonna leave someone out, it would always be me. My ability to make friends hasn't changed since. My birthday is the one day out of the whole entire year where everything is about me. It's the one day a year where I feel like people remember that I exist. I hear from people I haven't heard from in 365 days, since my last birthday. Once my birthday is over, once September 2nd arrives, all of that stops & I go back to being a fly on the wall & feeling like no one remembers I exist. I wish I could feel like people loved & cared about me on days other than September 1st. My birthday celebration with my family is tomorrow, so luckily, the celebrating isn't over just yet. The Birthday Blues:
Believe it or not, the birthday blues or birthday depression is a pretty common experience. It is not a diagnosable mental health condition, but many people experience sadness in the days leading up to their birthdays. People experience it for many reasons, including but not limited to fears about aging & dying, not having people to celebrate with, having expectations that are not met, having experienced a traumatic birthday in the past, & not being in the place in life where they think they should be. For me, I don't experience these feelings in the days leading up to my birthday, which is the definition of the birthday blues. It is the days following my birthday that are the issue. Besides the issue that I described above, every year, there is at least one person who forgets my birthday who should have remembered. I also have experienced sadness the past several years around the issue of not being in the place in life I think I should be. I now know that this due to unknowingly being autistic, so now that I know this about myself, I can take the steps that are necessary to move forward in my life. Autistic Birthday Experiences: Autistic people experience birthdays a lot differently than allistic, or non-autistic people do, so before ending this blog post, let's talk about how I experience my birthdays now & how I experienced them as a child. Being The Center Of Attention: I've never liked this. This is why I was always glad that my birthday was at the very beginning of the school year, before they started announcing birthdays over the intercom. I need to get to a certain level of comfort with someone before I'm comfortable being wished a happy birthday by that person, so I'm not someone who likes everyone knowing when my birthday is. This is also why I stopped having birthday parties at such a young age & wanted to have weekends away with my family instead. I never liked the amount of attention I got at birthday parties, especially because I was never confident that my reaction or facial expression were gonna be appropriate in every situation (& to be honest, they probably weren't). Singing Happy Birthday: I never knew what my face should be doing at this part of a birthday party. Does my face look okay? Is now an okay time to smile, should I have a straight face, or a totally different expression I haven't thought of? And who should I make eye contact with? I never knew & everyone was looking at me, the birthday girl, so now wasn't the time to screw this up! Opening Gifts: I never liked surprises because I never knew if I was reacting to them appropriately. In fact, I remember saying to my mom once, "Don't you ever throw me a surprise party!" And she never has. When I said that to her, I didn't think she ever would, but I just wanted to make sure. With gifts, if I knew what it was ahead of time, I could try to prepare myself. I've always had this fear of not being able to hide when I didn't like the gift I just opened, but I also had a fear of looking like I didn't like something when I really loved it. I've often had a hard time matching my facial expressions to the way I really feel. Is Autism Really More Common In Males?: Statistically, boys are four times more likely to be autistic than girls, but because we know so much more about autism now than ever before, we are now questioning if it is actually more common in boys or if it is just more commonly diagnosed in boys. Since it was historically believed that autism was more prevalent in boys than in girls, scientists & doctors have focused their autism research on boys. Because of this, the diagnostic criteria for autism is modeled around male behavior. What we didn't know until very recently is that autism can look very differently in girls. Since autistic girls often have different traits that do not match the diagnostic criteria for autism, traits are easier to miss & are mistaken for other things, like shyness & social anxiety, which are much more socially acceptable in girls than in boys. Girls are also more likely to mask their autistic traits & may mimic appropriate social behaviors by copying behaviors that they see in everyday life & on tv in order to fit in. For example, many girls & women force themselves to maintain eye contact by looking in between someone's eyes rather than into them if eye contact makes them uncomfortable. (I do this until a certain level of comfort with a person is reached, which is when eye contact becomes comfortable & natural for me.) Masking is something that is much less common for boys & men to do. Girls are also often diagnosed with depression &/or anxiety, conditions that frequently coincide with autism, rather than with autism spectrum disorder itself. Because scientists & doctors just began learning about how autism presents itself differently in females within the past decade, many women in their twenties & older have just now been receiving the autism diagnoses that they deserve. Many of these late-diagnosed autistic women never presented stereotypical male autistic traits. These women tended to be evaluated for & diagnosed with autism spectrum disorder after having significant problems with things in their adult lives such as treatment-resistant mental health issues, employment, friendships, romantic relationships & more (all things I struggle with). Other women were diagnosed after their child(ren) was/were diagnosed & they recognized some of the same traits in themselves. I truly believe that the reason I was not diagnosed during childhood is because of my gender. What Does Autism Look Like In Females?:
Social Deficits
Pretend Play One of the most common traits of both male & female autism is not knowing how to participate in pretend play. However, it is more likely that this struggle will be noticed in boys because girls tend to be taught from a very young age to be little caretakers, taking care of a baby doll or a stuffed animal. Because boys tend to be not taught this, struggling with pretend play is much more obvious in males. However, I only knew how to play with baby dolls & stuffed animals. When my little cousin asked me to use her plastic horses & farm animals to engage in pretend play with her, that was a struggle for me. I would often ask my little three-year-old cousin what to say or do. My aunt bringing out a craft project for me to help my cousin with brought great relief! Special Interests One of the most common symptoms of both male & female autism is having a special interest. However, male special interests tend to be very specialized & technical, where female special interests tend to be more "normal." For females, the level of intensity of the interest is what is abnormal. Because of this, it can be harder to notice the difference between a "normal" interest & a special interest. Common special interests in females are:
Wheels Many autistic children have a fascination with spinning wheels that are on a toy truck or train, for example. However, because toy vehicles tend to be boy-specific toys & I was a very feminine girl, I didn't own any toys that had wheels other than a child-sized stroller I used to push my baby dolls & stuffed animals around in the neighborhood. Miscellaneous
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AuthorHello! My name is Kim, I didn't know I was autistic until I was in my thirties, & this is my story. Categories
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May 2024
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