Asperger Syndrome and "Extreme Male Brain" Theory

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Alvin31
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08 Sep 2012, 7:34 am

Autism is linked to the theory of "extreme male brain"

According to this article : http://www.iancommunity.org/cs/understa ... male_brain

The Autism Spectrum: A Preponderance of Males

In many ways, males appear to be more vulnerable to life's hazards than females. For a variety of reasons, both biological and social, they are more prone to death or damage before birth, more likely to suffer accidents or fall victim to violence, and have a shorter average lifespan than females. 1 2 They are also more likely than females to have autism, pervasive developmental disorder not otherwise specified (PDD-NOS), Asperger's syndrome, or any other type of ASD. 3

In the first clinical account of autism in 1943, psychiatrist Leo Kanner noted that boys with the condition outnumbered girls by a ratio of 4 to 1. 4 Similarly, in 1944, when Hans Asperger described the syndrome that would come to bear his name, he initially found it only in boys. 5 The impression that there are far more boys with autism than girls, and that this is even more striking in Asperger syndrome, has not changed much in the years since. Recent studies continue to show that the ratio of boys to girls with autism is about 4 or 5 to 1, 6 7 while the ratio of boys to girls with Asperger's syndrome is between 6 and 11 to 1. 8 9

What no one has been able to discover yet is why.
Autistic Traits: Male Plus?

It is not just that there are more boys than girls with ASDs. Researchers have also noticed that there is something "male and then some" about the way individuals with ASD think, act, and cope. Asperger himself speculated that the characteristics he saw in his young patients could represent an "extreme variant of male intelligence." 10 More recently, Simon Baron-Cohen, a prominent autism researcher at Cambridge University, has proposed the extreme male brain theory of autism, which attempts to explain the remarkable similarities between traits generally associated with human "maleness" and traits associated with the autism spectrum. 11

What are these traits? For one thing, typically developing males tend to show strengths in mathematical and spatial reasoning and the ability to discriminate details from a complex whole. Compared with typically developing females, however, males tend to be at higher risk for language impairment and at a disadvantage on social-judgment tasks, measures of empathy and cooperation, and imaginary play during childhood. 12 Many of the traits associated with ASDs could be thought of as an extreme profile of "typical male" strengths and challenges. Where, on average, typical men may be good at detail-oriented processing, people with ASD may be incredibly good at perceiving detail...and impaired when it comes to seeing "the big picture." Where typical men may be less able than women to make social judgments or empathize with others, people with ASDs are literally disabled in these areas.

Baron-Cohen and colleagues have come up with a model for this idea which divides the way the brain works into two major dimensions: systemizing and empathizing.

Systemizing is defined as "the drive to analyze or construct systems" that "follow rules." 13 It also involves being able to predict the behavior of a system (as opposed to predicting or understanding the behavior of other people). 11 Males are, on average, more skilled at "systemizing" than females are. Think of mathematicians and engineers as good systemizers.

Empathizing is defined as "the drive to identify another person's emotions and thoughts, and to respond to these with appropriate emotion." It also involves being able to predict the behavior of people. Females are, on average, more skilled at "empathizing" than males are. Think of therapists and teachers as good empathizers.

Please note: The gender differences being discussed are "overall average" differences. In other words, it is understood that there are individual men who are wonderful at empathizing and women who are fantastic at systemizing; there are intuitive male therapists and brilliant female mathematicians.

The extreme male brain theory, meanwhile, views people on the autism spectrum as hyper-systemizers: people who are extremely interested in and engaged with rule-bound non-human systems, whatever their level of functioning. 14 For someone with less cognitive ability, "hyper-systemizing" might translate into collecting buttons, stones, or some other objects and organizing them by type. For someone with a higher IQ, it might translate into a huge catalog of knowledge on a particular subject, like insects, astronomy, or history -- a subject that is endlessly thought about, talked about, and expanded upon. Routine would be one form of system, and disruptions to routine would be upsetting because they interfere with expectations of a rule-bound system. Rigidity, not flexibility, would be the rule.

Empathizing, on the other hand, would be impaired in individuals with ASD. Reading social cues, noticing what others are feeling (let alone figuring out how to respond appropriately), and making sense of social hierarchies would be very challenging -- even more challenging than it might be for the average male.
Fetal Testosterone: Support for the Extreme Male Brain Theory?

What might explain this tendency of people with ASD towards an extremely male style of thinking and coping with the world? Could factors that contribute to human "maleness," especially if intensified, be somehow associated with the development of ASD?

Baron-Cohen and colleagues hypothesized that high levels of fetal testosterone, a hormone that drives the development of male physical and cognitive characteristics, were involved. 15 After all, the differentiation of male vs. female begins at conception and continues through prenatal development and beyond. Could a high dose of fetal testosterone explain the "very male" cognitive and emotional profile of people with ASD, as well as the fact that so many more males have ASD compared with females?

Some key studies have been carried out to try to answer this question. In one, researchers found that girls who had been exposed to high levels of fetal testosterone in the womb due to a genetic disorder had a more male-typical play style. 16 In another, using amniotic fluid that had been collected during pregnancy, researchers were able to demonstrate that the lower the level of fetal testosterone in the womb, the higher a child's ability to empathize as measured by eye contact, quality of peer relationships, and other factors 6 to 8 years later. 17

Finally, researchers explored whether there was any association between high fetal testosterone levels during pregnancy and autistic traits in children. Over 200 mothers who had had amniocentesis during pregnancy completed questionnaires about their child's behavior, including social, language, and repetitive-behavior traits common to ASDs. The researchers found that the higher the level of fetal testosterone during the pregnancy, the more likely the now 6-to-10-year-old child was to have some autistic characteristics. 15

How about your brain ???



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08 Sep 2012, 7:51 am

Well.. I'm female, yet my ring finger is notably longer than my index finger, which is a very "male" thing (usually a woman's index finger is longer or as long as the ring finger), and I feel like I act more "male" than other women sometimes. I still look and feel feminine though.



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08 Sep 2012, 8:18 am

Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


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08 Sep 2012, 8:28 am

I relate to this. I have problems stepping out of what my "male brain" in some way wants me to do, which is very stereotypical. It is some very interesting science you have there, though also a bit disquieting. I tend to systemize and dig very deep into subjects, and everything else you mention, it's a big part of my life. I'm bad at the other stuff. I don't want this to decide over me, tho >_< I hate brain science for this.



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08 Sep 2012, 8:32 am

Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


Does a male brain imply masculinity in that person's personality?



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08 Sep 2012, 8:45 am

Underscore wrote:
Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


Does a male brain imply masculinity in that person's personality?

The term "male brain" as used in the Extreme Male Brain theory of autism ONLY refers to the discrepancy between empathising and systemising ability.



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08 Sep 2012, 8:48 am

Though I was born female, I look much more masculine than I do feminine. I also have a voice that's as deep as a man's. I have larger hands than all the members of my immediate family, male or female. I also have muscular arms for my actual gender and they're actually bigger than my best friend's arms who's 6 ft, hefty and male. I also grow some facial hair that needs to be shaved every 2 days. From what I see with my own two eyes, I also look like a younger Mick Avory from the 60s in my face and everywhere else, especially my body language. I've also considered getting a sex change, because I've never felt female in my life.


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08 Sep 2012, 11:19 am

CockneyRebel wrote:
Though I was born female, I look much more masculine than I do feminine. I also have a voice that's as deep as a man's. I have larger hands than all the members of my immediate family, male or female. I also have muscular arms for my actual gender and they're actually bigger than my best friend's arms who's 6 ft, hefty and male. I also grow some facial hair that needs to be shaved every 2 days. From what I see with my own two eyes, I also look like a younger Mick Avory from the 60s in my face and everywhere else, especially my body language. I've also considered getting a sex change, because I've never felt female in my life.


What I find interesting is that gender identity problems seem to be much more common among Aspies. I sometimes said "I want to be a boy" when I was a child, because I couldn't get along with other girls and liked climbing on trees and playing with mud. I never really felt like one, though.



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08 Sep 2012, 11:22 am

yellowtamarin wrote:
Underscore wrote:
Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


Does a male brain imply masculinity in that person's personality?

The term "male brain" as used in the Extreme Male Brain theory of autism ONLY refers to the discrepancy between empathising and systemising ability.


The actual SQ vs EQ theory may or may not be correct, but Autism definitely isn't defined by a literal extreme male brain.


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08 Sep 2012, 2:04 pm

yellowtamarin wrote:
Underscore wrote:
Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


Does a male brain imply masculinity in that person's personality?

The term "male brain" as used in the Extreme Male Brain theory of autism ONLY refers to the discrepancy between empathising and systemising ability.

But why? If fetal T levels are elevated wouldn't you expect all neurological measures of maleness to be exaggerated?

Or, if it really is only about 2 measures/qualities (EQ, SQ) out of the constellation of traits called "male neurological traits," then why call it "extreme male brain?"

I know Baron-Cohen's response to these questions, I just think that his theory is incoherent.



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08 Sep 2012, 2:57 pm

Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


This is really interesting! Does anyone know the sources for these studies?



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08 Sep 2012, 6:19 pm

Apple_in_my_Eye wrote:
yellowtamarin wrote:
Underscore wrote:
Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain.


Does a male brain imply masculinity in that person's personality?

The term "male brain" as used in the Extreme Male Brain theory of autism ONLY refers to the discrepancy between empathising and systemising ability.

But why? If fetal T levels are elevated wouldn't you expect all neurological measures of maleness to be exaggerated?

Or, if it really is only about 2 measures/qualities (EQ, SQ) out of the constellation of traits called "male neurological traits," then why call it "extreme male brain?"

I know Baron-Cohen's response to these questions, I just think that his theory is incoherent.

I agree that it's a poor choice of label for the theory. It causes people to argue against the theory by saying the autistic brain isn't a male brain in x other ways, but that's not what the theory is about.



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08 Sep 2012, 7:54 pm

http://www.ajnr.org/content/33/1/83.full

"we did not find that individuals with AS have a more masculinized brain, as postulated in the core hypothesis of the EMB theory."

" the difference between males and females, present in both groups, was weaker in AS participants than controls."

As for EQ and SQ, I had the impression those tests were poorly designed, incorporating too many things that are part of social norms for males and females. SBC defines SQ as "male" and then evaluates it by testing people on their conformity to male gender roles rather than isolating a tendency to "systemizing"; likewise for EQ and stereotypical femininity. He chooses examples of "systemizing" (like interest in cars) that are already considered masculine. With some effort, more gender-neutral examples could probably be found, even if SQ is a better fit with male stereotypes. How else does he expect to accurately test SQ in women or EQ in men?



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08 Sep 2012, 8:22 pm

i saw some criticism of this theory in Delusions of Gender by Cordelia Fine:

Quote:
As journalist Amanda Schaffer pointed out in Slate there is something curious about equating empathizing with the female brain when, albeit by a whisker, the majority of women do not claim to have a predominantly empathizing focus. She reports that when she asked Baron-Cohen about this, he "admitted that he's thought twice about his male brain/female brain terminology, but he didn't disavow it."

And while we're on the subject of terminology, calling a test the "Empathy Quotient" does not, on its own, make it a test of empathizing. Asking people to report on their own social sensitivity is a bit like testing mathematical ability with questions like I can easily solve differential equations, or assessing motor skills by asking people to agree or disagree with statements like I can pick up new sports very quickly. There's something doubtfully subjective about the approach.

...

(...[G]ender differences were greatest on tests in which it was very clear what was being measured, that is, on self-report scales. Smaller differences were seen when the purpose of the of the testing was less obvious. And no difference was found for studies using unobtrusive physiological or facial/gestural measures as an index of of empathy.)

In other words, women and men may differ not so much in actual empathy but in "how empathetic they would like to appear to others (and perhaps, to themselves," as Eisenberg puts it to Schaffer.

http://www.cordeliafine.com/delusions_of_gender.html
[paragraphination and bolding mine]


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Alvin31
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08 Sep 2012, 11:59 pm

Quote:
Ganondox wrote:
Another study showed that males with autism had normal testosterone levels, though those with higher levels had more severe features. I'm not sure if it was the same study or another one, but it's results showed males with autism actually don't tend to have a more masculine digit ration, it actually showed the opposite. A study showed males with AS tend to have more androgynous facial features. Another study showed brain scans of people with AS were definitely not hyper-masculine, they were more androgynous with the males with AS having less masculine brains. The extreme male brain theory only takes one factor into account when far more is demonstrated in both autism and sexual differences. Autism is not an extreme male brain
.

really ?,where do you know that most people with AS tend to have more androgynous facial features.is there any relevant source or statistic about this study ?



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09 Sep 2012, 12:18 am

Confirmation of X-Men?