Exec. Function problems vs. routines- contradiction?

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Sethno
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08 Jan 2014, 11:39 pm

I was just PMing with someone here, and it struck me-

Isn't it odd that while people on the spectrum tend to want to stick to routines, patterns, even rigidly, there's also a problem with executive functioning?

Isn't that sort of a contradiction?

I'm not saying either symptom is false, just that it's odd they'd be both symptoms of autism, since NOT keeping things in order seems to be the opposite of HAVING to do things "a certain way".


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08 Jan 2014, 11:47 pm

Well, not everyone with autism has problems with executive functioning, it is just a prevailing theory that doesn't always hold water, but I do think a high varied cognitive profile (strengths in some areas, weaknesses in others) is very common.

In theory, problems in cognitive flexibility, a facet of executive function, causes people to stick to the familiar. In rats, damaging certain areas of the brain responsible for this flexibility causes them to become behaviorally rigid, doing things the same way over and over. Of course, some people with AS have intact executive functioning, yet still display behavioral rigidness, so I expect poor executive functioning is not the cause at least in some.



Last edited by Gamer on 08 Jan 2014, 11:49 pm, edited 1 time in total.

Random42
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08 Jan 2014, 11:49 pm

I think routines and being rigid can be a way to cope with poor executive functioning because if you have a routine or a certain way if doing things you have fewer decisions to make.

Often the reason I don't vary what I eat is because I don't want to decide something different. It is easier to stick to routine.


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mikassyna
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09 Jan 2014, 3:59 am

In my very hectic life, the only way I can manage to keep my life together is to have routines. Whenever I start to become "flexible" I notice that my executive functioning suffers. I simply cannot keep track of things, I forget things, and I become even more anxious because of it. It is hard for me to "think on my feet" and I can become stuck and upset if an unexpected change occurs. I dig my feet in deeper to and become less flexible, because the unknown and its consequences are really, really scary! I have been learning to let things go, and try to go more with the flow, but it is extremely anxiety producing. I won't necessarily have a meltdown over it, but I will become much more easily frustrated over things. I am a planner. I just have a need to know and be able to visualize what is going to happen each step of the way, especially in anticipation of new situations. There have been times where my life was so out of order (meaning, my living environment was not organized and in total disarray) that I got depressed to the point of considering suicide. It seems pretty drastic in retrospect, oh boy.



bleh12345
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09 Jan 2014, 4:17 am

The routines can be subtle. They don't necessarily mean planning out every second of every day.



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09 Jan 2014, 4:24 am

Not really.
The routines are there to deal with the executive dysfunction. Without a rigid schedule, nothing gets done.


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bumble
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09 Jan 2014, 4:30 am

Your thinking is too either/or.

A person can like things the same and have routines in one way but be completely disorganised in another.

IE I will eat the same thing for lunch every day, in the same way and even at the same table in the same place with the same drink but the time that I eat lunch might vary for example so may not be very organised in nature as it could be any time of day as long as its after breakfast or after when breakfast should have been if I don't eat it, which could also be at any time depending on how hungry I am. I sometimes even skip breakfast and go straight to lunch as my first meal of the day...

Sameness amidst chaos.

This is where I confuse people.

Whilst I am horribly disorganised time wise, I get upset if my expected lunch is altered unexpectedly.



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09 Jan 2014, 6:47 am

Gamer wrote:
Well, not everyone with autism has problems with executive functioning,


Could you post a clinical/professional link suggesting/stating this?



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09 Jan 2014, 6:51 am

Random42 wrote:
I think routines and being rigid can be a way to cope with poor executive functioning because if you have a routine or a certain way if doing things you have fewer decisions to make.


This... yes!


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09 Jan 2014, 7:10 am

Executive Functioning Disorders are Characterized by the following symptoms:

Difficulty and/or lack of interest in setting goals
Little sense of pleasure in making progress towards a goal
Difficulty taking initiative
Motivated by immediate needs
Past Consequences for negative behavior don’t alter future actions
Inability to reflect on past experience to plan for the future
Difficulty adapting to change
May vacillate from impulsivity to rigidity
May continue to use the same strategy to solve a life problem, even when it has already proven ineffective.
Doesn’t learn to stop and select a strategy that best fits a problem before trying to solve it
Very poorly developed identity or self concept
Little awareness of, or interest in learning of personal limitations or weaknesses, even if presented in a constructive manner
Rapid mood fluctuations, not due to a psychiatric mood disturbance
Insensitivity to inner emotional state. May “act out” an emotion, rather than recognize and verbalize a feeling.
Poor frustration tolerance. Gives up easily when frustrated.
Sees personal problems as externally caused. Unable to see his/her own contribution to the problem.
Difficulty taking other’s perspective, or point of view
Lack of empathy

https://www.rdiconnect.com/blogs/rdi-co ... order.aspx



Pepe
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09 Jan 2014, 7:39 am

Sethno wrote:

I'm not saying either symptom is false, just that it's odd they'd be both symptoms of autism, since NOT keeping things in order seems to be the opposite of HAVING to do things "a certain way".


We don't plan on "NOT keeping things in order"...
It is not our intention to embrace chaos...
It is simply a consequence of EFD...

Having rituals/routines helps to alleviate the confusion/indecisiveness in our lives...

BTW, I often don't have rituals/routines...
I simply blunder through life as best I can, much of the time...



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09 Jan 2014, 9:09 am

Pepe wrote:
Gamer wrote:
Well, not everyone with autism has problems with executive functioning,


Could you post a clinical/professional link suggesting/stating this?


http://www.tandfonline.com/doi/abs/10.1 ... 013.799644

I think a common finding is that EF tends to be impaired in comparison to estimated IQ, but because of the variance in IQ in those with autism spectrum, many will fall within normal range, some have above-normal estimates, suggesting a different pathway to the communication and sensory problems. Doing a search on executive functioning test on this forum will also confirm this, based on the scores people posted. I suggest that the tendency to local process over global process has more to do with the communication and sensory issues those with AS face.

There are also disorders that are solely defined with executive dysfunction, such as ADHD, which don't have behavioral rigidity and communication problems as a core symptom.

There are also some confounding variables when trying to imply that AS is completely due to executive dysfunction, such as the possibility that those with AS simply exercise less than average, which will impair the EF of NTs as well.

This article suggests that savants are just autistics with strong executive functioning. http://www.science20.com/news_articles/ ... mmon-96252



Adamantium
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09 Jan 2014, 9:44 am

Coping with Executive Function issues is one reason people might seek comfort in routiines, sensory issues are another. Routines are an imposed order and can be a defense against chaos.

There really is no contradiction--it's like a person who has a bad sense of direction and gets lost often carrying a bunch of maps, a compass and a GPS. A rational adaptation, rather than a contradiction, I would say.

I am not that heavily into routines, I think. I probably need more of them to help with EF issues.



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09 Jan 2014, 9:59 am

I find that nearly all of my symptoms of Asperger's contradict each other.


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09 Jan 2014, 1:17 pm

Quote:
xecutive functioning was investigated in 34 children (24 boys and 10 girls) with developmental language disorder (DLD) and 21 children (18 boys and 3 girls) with high-functioning autistic disorder (HAD) matched on Full Scale IQ, Nonverbal IQ, age (mean age 9 year, 1 month), and SES. The DLD group had a Verbal IQ that was 10 points higher than the HAD group. These children were given the Wisconsin Card Sorting Test (WCST), the Mazes subtest from the WISC-R, the Underlining test, and the Rapid Automatized Naming test. In addition, these children were given the Vineland Scales of Adaptive Functioning and the Wing Diagnostic Symptom Checklist in order to assess severity of autistic symptomatology. Results indicated that the only significant difference between the two groups on the cognitive tasks was perseverative errors on the WCST; there was no significant difference on total number of categories achieved or total number of errors on the WCST or on the other executive function measures. There was also significant overlap in the scores between the two groups and the difference in perseverative errors was no longer significant when Verbal IQ was partialled out. Executive functioning was strongly related to all IQ variables in the DLD group and particularly related to Verbal IQ in the HAD group. Although there was a relationship in the HAD group between executive functioning and adaptive functioning, as well as between executive functioning and autistic symptomatology, these relationships were generally no longer significant in the HAD group after the variance due to Verbal IQ was accounted for. The results are interpreted to indicate that although impaired executive functioning is a commonly associated feature of autism, it is not universal in autism and is unlikely to cause autistic behaviors or deficits in adaptive function.


http://onlinelibrary.wiley.com/doi/10.1 ... ated=false



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09 Jan 2014, 4:02 pm

Random42 wrote:
I think routines and being rigid can be a way to cope with poor executive functioning because if you have a routine or a certain way if doing things you have fewer decisions to make.


Exactly.

And the more rigid you are about doing things a certain way, the more likely it is that the whole routine or system could fall apart if just one small thing changes. So you can go from one extreme to the other.