Improving mentalization and context blindness?

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Eloa
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03 Apr 2015, 4:31 pm

I had a new testing and it is written that I among other problems I have weak mentalization and severe context blindness.

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In psychology, mentalization is the ability to understand the mental state of oneself and others which underlies overt behaviour. Mentalization can be seen as a form of imaginative mental activity, which allows us to perceive and interpret human behaviour in terms of intentional mental states (e.g. needs, desires, feelings, beliefs, goals, purposes, and reasons).Another term that David Wallin has used for mentalization is "Thinking about thinking".


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Autism as Context Blindness
Research into the role of context in human information processing has revealed that contextual sensitivity is crucial in exactly those areas known to be affected in autism: social interaction, communication, and flexibility in thoughts and behavior. This has led to the hypothesis of context blindness as the common pathway in the cognitive deficits in autism. Interestingly, lack of contextual sensitivity can account for many of the cognitive assets in autism such as the ability to think logically without being disturbed by contextual elements (e.g., emotions).

Context blindness refers to a reduced spontaneous use of context when giving meaning to a stimulus. To put it more simply: the autistic brain thinks in an absolute way, rather than a relative, contextually defined way. Remember the scene in the movie, Rain Man, where Raymond is trying to cross a street? In Raymond’s mind when the sign displays “Don’t walk,” it means only one thing: “Don’t walk.” We laugh when the sign changes from “Walk” to “Don’t walk” and Raymond stops in the middle of the intersection. Raymond does not understand that “Don’t walk” means many different things, depending on the situation or context. When you’re halfway through the crossing, it means “hurry up” instead!

Here is another example of context blindness: When the doorbell rang, the mother of a seven-year-old boy with autism asked him to open the door. He opened the back door instead of the front. His reaction was logical, but his choice of door was out of context.


I have really difficulties to relate to my surrounding world and feel like I do not understand a lot and therapy is not really improving anything for me.
I am on disability but do from time to time volunteers work.
I have only one friend who is mildly autistic as well.
It is also written in that report that I have an "highly unique and idiosyncratic way to look at things".
The Rorschach test was used as measurement and interview.
In Rorschach I did not give "popular" answers, because I did not see those things (like a vase or animal fur or other stuff people usually say), therefore I could not give these answers.

There is more written but for now problems with mentalization and context blindness I want to address because I want to improve it.
How can I do this?
I am not happy anymore the way I am and very lonely all day long, but I know that I have to improve my abilities.


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kicker
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03 Apr 2015, 5:57 pm

I can tell you what I do, it's up to you to decide if you want to try it or not. It won't "fix" anything, but it can minimize the impact of such deficits. Ask for clarification. ie Which door would you like me to open? What exactly do you mean? I don't understand, could you clarify it for me?



Eloa
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03 Apr 2015, 6:41 pm

kicker wrote:
I can tell you what I do, it's up to you to decide if you want to try it or not. It won't "fix" anything, but it can minimize the impact of such deficits. Ask for clarification. ie Which door would you like me to open? What exactly do you mean? I don't understand, could you clarify it for me?


It's like I really do not function in areas of life,
started with education and being able to be employed and social contacts and self-care I have done 5 years of therapy with people having knowledge in autism but I still was a "mystery" to them as I am really slow but I do have above average IQ, so people expect much more from me and like people said often to me it seems like I have only "one brain cell working" and it seems like I cannot make connections to "real life", the demands of "real life" and being an adult and in this forums I read that autistic people do have jobs and friendships and marriage and a lot I do not archieve and it seems that problems in mentalization and context blindness and idiosyncratic perception are severe impairment in me as it is reported and I ask if there are ways to improve it.
Thank you for your reply.


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kicker
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03 Apr 2015, 7:35 pm

What are you defining as "real life" as opposed to your life?



animalcrackers
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03 Apr 2015, 8:32 pm

Maybe just trying to put yourself in social situations and then, if you get a chance, trying to ask people questions about their thoughts and experiences and comparing theirs to yours might be helpful for mentalization -- both for learning about unfamiliar perspectives and for practicing thinking about them. It takes a bit of luck, though, especially if you don't have many social opportunities. (I have never successfully initiated a friendship and have difficulty with conversations beyond specific, familiar task-related settings and those with people who are familiar with my brand of weird and are not put off when I say odd things or nothing at all.)

Do you know anybody who would be willing to explain other people's perspectives in confusing situations and tell you about any general sort of social rules that apply -- or about what "most people" would see or think or feel or do? I wonder if that might also be helpful. I've found it helpful (well, not so much the "most people" stuff -- which I find difficult to apply and often untrue....there are a lot of different groups of "most people".....but the explanations of what other people mean and what's going on in specific situations).

If you have language problems then therapy for that might be helpful, if you haven't already got therapy for it.

Context blindness is hard....I'm not sure how to improve that. Maybe figuring out/asking someone which things could be important in specific contexts and then practicing looking at those things? Sort of like...developing algorithms for interpreting situations. (I guess that's not really improving context blindness so much as compensating for it.)


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btbnnyr
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04 Apr 2015, 10:49 pm

I wouldn't focus on improving mentalization and context blindness, but instead, focus on specific practical functions to learn and become proficient at independently. In the process of doing that, your cognitive skills in whichever areas they are deficient may improve.


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Eloa
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05 Apr 2015, 3:42 pm

kicker wrote:
What are you defining as "real life" as opposed to your life?


People tell me that I do not live in "real live" and say not the responsability of having a job or children and taking up responsabilities like car-driving where you can help out people, also that I am very withdrawn.


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Eloa
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05 Apr 2015, 4:03 pm

animalcrackers wrote:
Maybe just trying to put yourself in social situations and then, if you get a chance, trying to ask people questions about their thoughts and experiences and comparing theirs to yours might be helpful for mentalization -- both for learning about unfamiliar perspectives and for practicing thinking about them. It takes a bit of luck, though, especially if you don't have many social opportunities. (I have never successfully initiated a friendship and have difficulty with conversations beyond specific, familiar task-related settings and those with people who are familiar with my brand of weird and are not put off when I say odd things or nothing at all.)


Thank you for replying.
I have two people I do talk to and I do ask them where their thoughts come from and the connections they make but it feels like I could not come up with it myself.
I do have a "inner box" where I store information about people but that leads to me always talking about the same (the bit of the inside of the box) and even my brother complained to my autistic friend why I was always talking about the same.
Lately I watch a lot of reality TV to try to figure out where peoples thoughts come from and the connections they make.

animalcrackers wrote:
Do you know anybody who would be willing to explain other people's perspectives in confusing situations and tell you about any general sort of social rules that apply -- or about what "most people" would see or think or feel or do? I wonder if that might also be helpful. I've found it helpful (well, not so much the "most people" stuff -- which I find difficult to apply and often untrue....there are a lot of different groups of "most people".....but the explanations of what other people mean and what's going on in specific situations).


Yes, the two people explain it to me sometimes, still I always feel that I do forget it again or I don't know.



animalcrackers wrote:
If you have language problems then therapy for that might be helpful, if you haven't already got therapy for it.

Context blindness is hard....I'm not sure how to improve that. Maybe figuring out/asking someone which things could be important in specific contexts and then practicing looking at those things? Sort of like...developing algorithms for interpreting situations. (I guess that's not really improving context blindness so much as compensating for it.)


I do look at patterns, they are pictured inside that little box in the inside, but I feel that it is very restricted and does not allow a wider range of contact.


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Eloa
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05 Apr 2015, 4:20 pm

btbnnyr wrote:
I wouldn't focus on improving mentalization and context blindness, but instead, focus on specific practical functions to learn and become proficient at independently. In the process of doing that, your cognitive skills in whichever areas they are deficient may improve.


Thank you for replying.
I did improve a bit already, but still I am very easily overloaded by many things, also due to executive dysfunction, but the transition from sharing a place with a housemate (who is now a friend) and living in my own space helped as I can focus better on only my stuff that needs to be done (with a small amount of outside help), but it is not stable to say I manage all functional routines on regular basis.
I also have had an idea to maybe earn some extra money, because my very first special interest from age three somehow aroused strongly again, and I would need a little support to put it into practice, but I lack making contact to people enough to get support and also I would be working on myself again and via the internet solely. (but still I love this idea).
A problem is that due to the cognitive perception I have people are unpredictable for me and I therefore I withdraw a lot from people.
Cats are predictable so much more!


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animalcrackers
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08 Apr 2015, 6:31 pm

Eloa wrote:
I do have a "inner box" where I store information about people but that leads to me always talking about the same (the bit of the inside of the box) and even my brother complained to my autistic friend why I was always talking about the same.

Do you mean like if someone tells you they like bicycles that you'd always try to talk to them about bicycles?


Eloa wrote:
Lately I watch a lot of reality TV to try to figure out where peoples thoughts come from and the connections they make.

Does it help?


Eloa wrote:
animalcrackers wrote:
Do you know anybody who would be willing to explain other people's perspectives in confusing situations and tell you about any general sort of social rules that apply [etc].

Yes, the two people explain it to me sometimes, still I always feel that I do forget it again or I don't know.

Is the forgetting sort of like an information retrieval problem? Or like you don't understand the explanation? Or like you do understand the explanation for that situation, but it doesn't help you understand other situations?


Eloa wrote:
I have two people I do talk to and I do ask them where their thoughts come from and the connections they make but it feels like I could not come up with it myself. [...] I do look at patterns, they are pictured inside that little box in the inside, but I feel that it is very restricted and does not allow a wider range of contact.


I'm not sure what exists beyond pattern matching and asking.


btbnnyr wrote:
I wouldn't focus on improving mentalization and context blindness, but instead, focus on specific practical functions to learn and become proficient at independently. In the process of doing that, your cognitive skills in whichever areas they are deficient may improve.

I think this is good advice.


Eloa wrote:
I also have had an idea to maybe earn some extra money, because my very first special interest from age three somehow aroused strongly again, and I would need a little support to put it into practice, but I lack making contact to people enough to get support and also I would be working on myself again and via the internet solely. (but still I love this idea).

I hope you can make your idea work. When you say you lack making contact to people enough to get support, do you mean any of these things:

You don't know how to describe/ask for the support you need?

You don't know who to ask for the support you need?

You don't know how to describe your idea to people?


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kicker
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08 Apr 2015, 8:34 pm

Eloa wrote:
kicker wrote:
What are you defining as "real life" as opposed to your life?


People tell me that I do not live in "real live" and say not the responsability of having a job or children and taking up responsabilities like car-driving where you can help out people, also that I am very withdrawn.



Those individuals are being judgmental. Your life is "real life" for you. Where their ideas of "real life" is life for them. Comparing yourself to others is a practice in futility. You will always be able to find someone who is doing better, has more, etc. If you are happy with where your life is, don't allow others to sway that. If you are not improve to your standards not theirs. :D