Skip to main content
Log in

Fascination and Isolation: A Grounded Theory Exploration of Unusual Sensory Experiences in Adults with Asperger Syndrome

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Unusual sensory experiences are commonly seen in people with Asperger syndrome (AS). They correlate with functional impairments and cause distress. The current study investigates how these experiences have affected nine adults with AS’s lives, as well as the coping strategies utilised. Semi-structured interviews were conducted using Instant Messaging software. Data were analysed using Grounded Theory. A number of inter-related categories and focused codes were identified. The categories included heightened senses, sensory stress, the stress avalanche, moderating factors, coping strategies, other people, self-acceptance, fascination, and isolation. A model was constructed as to how these categories and codes interact. How these findings link with previous research into autism spectrum disorders is discussed. Implications for services and future research are also made.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Notes

  1. * ntps: neurotypicals: a commonly-used word by people with Asperger Syndrome to describe those without an autistic spectrum disorder.

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. Washington DC: American Psychiatric Association.

    Google Scholar 

  • Baker, A. E., Lane, A., Angley, M. T., & Young, R. L. (2008). The relationship between sensory processing patterns and behavioural responsiveness in autistic disorder: A pilot study. Journal of Autism and Developmental Disorders, 38(5), 867–875. doi:10.1007/s10803-007-0459-0.

    Article  PubMed  Google Scholar 

  • Baranek, G. T. (2002). Efficacy of sensory and motor interventions for children with autism. Journal of Autism and Developmental Disorders, 32(5), 397–422. doi:10.1023/A:1020541906063.

    Article  PubMed  Google Scholar 

  • Baranek, G. T., Boyd, B. A., Poe, M. D., David, F. J., & Watson, L. R. (2007). Hyperresponsive sensory patterns in young children with autism. American Journal on Mental Retardation, 112(4), 233–245. doi:10.1352/0895-8017(2007)112[233:HSPIYC]2.0.CO;2.

    Article  PubMed  Google Scholar 

  • Baranek, G. T., David, F. J., Poe, M. D., Stone, W. L., & Watson, L. R. (2006). Sensory experiences questionnaire: Discriminating sensory features in young children with autism, developmental delay, and typical development. Journal of Child Psychiatry and Psychiatry, 47, 591–601. doi:10.1111/j.1469-7610.2005.01546.x.

    Article  Google Scholar 

  • Baron-Cohen, S., Ashwin, E., Ashwin, C., Tavassoli, T., & Chakrabarti, B. (2009). Talent in Autism: Hyper-systemizing, hyper-attention to detail and sensory hypersensitivity. Phil. Trans. R. Soc., 364, 1377–1383. doi:10.1098/rstb.2008.0337.

    Article  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Robinson, J., & Woodbury-Smith, M. (2005). The Adult Asperger Assessment (AAA): A diagnostic method. Journal of Autism and Developmental Disorders, 35(6), 807–819.

    Article  PubMed  Google Scholar 

  • Ben-Sasson, A., Hen, L., Fluss, R., Cermak, S. A., Engel-Yeger, B., & Gal, E. (2009). A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1–11. doi:10.1007/s10803-008-0593-3.

    Article  PubMed  Google Scholar 

  • Bronsard, G., Botbol, M., & Tordjman, S. (2010). Aggression in low functioning children and adolescents with autistic disorder. PLoS ONE, 5(12). doi:10.1371/journal.pone.0014358.

  • Brown, N. B., & Dunn, W. (2010). Relationship between context and sensory processing in children with autism. American Journal of Occupational Therapy, 64, 474–483. doi:10.5014/ajot.2010.09077.

    Article  PubMed  Google Scholar 

  • Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., et al. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68(5), 459–465. doi:10.1001/archgenpsychiatry.2011.38.

    Article  PubMed  Google Scholar 

  • Carrington, S., & Graham, L. (2001). Perceptions of school by two teenage boys with Asperger syndrome and their mothers: A qualitative study. Autism, 5(1), 37–48. doi:10.1177/1362361301005001004.

    Article  PubMed  Google Scholar 

  • Cesaroni, L., & Garber, M. (1991). Exploring the experience of autism through firsthand accounts. Journal of Autism and Developmental Disorders, 21(3), 303–313. doi:10.1007/BF02207327.

    Article  PubMed  Google Scholar 

  • Chamak, B., Bonniau, B., Jaunay, E., & Cohen, D. (2008). What can we learn about autism from autistic persons? Psychotherapy and Psychosomatics, 77(5), 271–279. doi:10.1159/000140086.

    Article  PubMed  Google Scholar 

  • Charmaz, K. (2006). Constructing grounded theory: A practical gudie through qualitative analysis. London: SAGE.

    Google Scholar 

  • Chen, Y. H., Rodgers, J., & McConachie, H. (2009). Restricted and repetitive behaviours, sensory processing and cognitive style in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 635–642. doi:10.1007/s10803-008-0663-6.

    Article  PubMed  Google Scholar 

  • Cutcliffe, J. R. (2005). Adapt or adopt: Developing and transgressing the methodological boundaries of grounded theory. Journal of Advanced Nursing, 51, 421–428. doi:10.1111/j.1365-2648.2005.03514.x.

    Article  PubMed  Google Scholar 

  • Davidson, J. (2008). Autistic culture online: Virtual communication and cultural expression on the spectrum. Social and Cultural Geography, 9(7), 791–806. doi:10.1080/14649360802382586.

    Article  Google Scholar 

  • Department of Health. (2010). Rewarding and fulfilling lives: The strategy for adults with autism in England. Retrieved from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113369.

  • Dunn, W. (1999). Sensory profile: User’s manual San Antonio. TX: The Psychological Corporation.

    Google Scholar 

  • Elliott, R., Fischer, C. T., & Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38(3), 215–229. doi:10.1348/014466599162782.

    Article  PubMed  Google Scholar 

  • Escalona, A., Field, T., Singer-Strunck, R., Cullen, C., & Hartshorn, K. (2001). Improvements in the behavior of children with autism following massage therapy. Journal of Autism and Developmental Disorders, 31, 513–516. doi:10.1023/A:1012273110194.

    Article  PubMed  Google Scholar 

  • Fleisher, M. (2001). Autism: An insider’s account. In J. Richer (Ed.), Autism: The search for coherence. London: Jessica Kingsley Publishers.

    Google Scholar 

  • Foss-Feig, J. H., Heacock, J. L., & Cascio, C. J. (2012). Tactile responsiveness patterns and their association with core features in autism spectrum disorders. Research in Autism Spectrum Disorders, 6, 337–344. doi:10.1016/j.rasd.2011.06.007.

    Article  PubMed  Google Scholar 

  • Frith, U. (1989). A new look at language and communication in autism. British Journal of Disorders of Communication, 24(2), 123–150. doi:10.3109/13682828909011952.

    Article  PubMed  Google Scholar 

  • Gabriels, R. L., Agnew, J. A., Miller, L. J., Gralla, J., Pan, Z., Goldson, E., et al. (2008). Is there a relationship between restricted, repetitive, stereotyped behaviors and interests and abnormal sensory response in children with autism spectrum disorders? Research in Autism Spectrum Disorders, 2(4), 660–670. doi:10.1016/j.rasd.2008.02.002.

    Article  Google Scholar 

  • Green, S. A., & Ben-Sasson, A. (2010). Anxiety disorders and sensory over-responsivity in children with autism spectrum disorders: Is there a causal relationship? Journal of Autism and Developmental Disorders, 40(12), 1495–1504. doi:10.1007/s10803-010-1007-x.

    Google Scholar 

  • Humphrey, N., & Lewis, S. (2008). ‘Make me normal’: The views and experiences of pupils on the autistic spectrum in mainstream secondary schools. Autism, 12(1), 23–46. doi:10.1177/1362361307085267.

    Article  PubMed  Google Scholar 

  • Jantz, K. M. (2011). Support groups for adults with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 26(2), 119–128. doi:10.1177/1088357611406903.

    Article  Google Scholar 

  • Jobe, L. E., & Williams White, S. (2007). Loneliness, social relationships, and a broader autism phenotype in college students. Personality and Individual Differences, 42(8), 1479–1489. doi:10.1016/j.paid.2006.10.021.

    Article  Google Scholar 

  • Jones, R. S. P., & Meldal, T. O. (2001). Social relationships and Asperger’s syndrome: A qualitative analysis of first-hand accounts. Journal of Learning Disabilities, 5(1), 35–41.

    Google Scholar 

  • Jones, R. S. P., Quigney, C., & Huws, J. C. (2003). First-hand accounts of sensory perceptual experiences in autism: A qualitative analysis. Journal of Intellectual and Developmental Disability, 28(2), 112–121. doi:10.1080/1366825031000147058.

    Article  Google Scholar 

  • Kazmer, M. M., & Xie, B. (2008). Qualitative interviewing in Internet studies: Playing with the media, playing with the method. Information, Communication and Society, 11(2), 257–278.

    Google Scholar 

  • Kern, J. K., Trivedi, M. H., Garver, C. R., Grannemann, B. D., Andrews, A. A., Savla, J. S., et al. (2006). The pattern of sensory processing abnormalities in autism. Autism, 10(5), 480–494. doi:10.1177/1362361306066564.

    Article  PubMed  Google Scholar 

  • Konstantareas, M. M., & Stewart, K. (2006). Affect regulation and temperament in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 36(2), 143–154. doi:10.1007/s10803-005-0051-4.

    Article  PubMed  Google Scholar 

  • Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M. L., Ebeling, H., et al. (2008). Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38(9), 1697–1709. doi:10.1007/s10803-008-0555-9.

    Article  PubMed  Google Scholar 

  • Lane, A. E., Young, R. L., Baker, A. E., & Angley, M. T. (2010). Sensory processing subtypes in autism: Association with adaptive behavior. J. Autism Dev Disorder, 40(1), 112–122.

    Article  Google Scholar 

  • Liss, M., Saulnier, C., Fein, D., & Kinsbourne, M. (2006). Sensory and attention abnormalities in autistic spectrum disorders. Autism, 10(2), 155–172. doi:10.1177/1362361306062021.

    Article  PubMed  Google Scholar 

  • Locke, J., Ishijima, E. H., Kasari, C., & London, N. (2010). Loneliness, friendship quality and the social networks of adolescents with high-functioning autism in an inclusive school setting. Journal of Research in Special Educational Needs, 10(2), 74–81. doi:10.1111/j.1471-3802.2010.01148.x.

    Article  Google Scholar 

  • McDougle, C. J., Scahill, L., Aman, M. G., McCracken, J. T., Tierney, E., Davies, M., et al. (2005). Risperidone for the core symptom domains of autism: Results from the study by the Autism Network of the Research Units on Pediatric Psychopharmacology. American Journal of Psychiatry, 162(6), 1142–1148. doi:10.1176/appi.ajp.162.6.1142.

    Article  PubMed  Google Scholar 

  • Miral, S., Gencer, O., Inal-Emiroglu, F. N., Baykara, B., Baykara, A., & Dirik, E. (2008). Risperidone versus haloperidol in children and adolescents with AD: A randomized, controlled, double-blind trial. European Child and Adolescent Psychiatry, 17(1), 1–8. doi:10.1007/s00787-007-0620-5.

    Article  PubMed  Google Scholar 

  • Muller, E., Schuler, A., & Yates, G. B. (2008). Social challenges and supports from the perspective of individuals with Asperger syndrome and other autism spectrum disabilities. Autism, 12(2), 173–190. doi:10.1177/1362361307086664.

    Article  PubMed  Google Scholar 

  • National Audit Office (2009). Supporting adults with autism through adulthood. Retrieved from http://www.nao.org.uk/publications/0809/autism.aspx.

  • Piravej, K., Tangtrongchitr, P., Chandarasiri, P., Paothong, L., & Sukprasong, S. (2009). Effects of thai traditional massage on autistic children’s behavior. Journal of Alternative and Complementary Medicine, 15(12), 1355–1361. doi:10.1089/acm.2009.0258.

    Article  Google Scholar 

  • Punshon, C., Skirrow, P., & Murphy, G. (2009). The ‘not guilty verdict’: Psychological reactions to a diagnosis of Asperger syndrome in adulthood. Autism, 13(3), 265–283. doi:10.1177/1362361309103795.

    Article  PubMed  Google Scholar 

  • Silva, L. M. T., Schalock, M., Ayres, R., Bunse, C., & Budden, S. (2009). Qigong massage treatment for sensory and self-regulation problems in young children with autism: A randomized controlled trial. American Journal of Occupational Therapy, 63(4), 423–432.

    Article  PubMed  Google Scholar 

  • Singer, J. (1999). ‘Why can’t you be normal for once in your life?’ From a ‘problem with no name’ to the emergence of a new category of difference. In M. Corker & S. French (Eds.), Disability discourse (pp. 59–67). Buckingham: Open University Press.

    Google Scholar 

  • Stieger, S., & Goritz, A. S. (2006). Using Instant Messaging for internet-based interviews. Cyberpsychology and Behavior, 9(5), 552–559. doi:10.1089/cpb.2006.9.552.

    Article  PubMed  Google Scholar 

  • Tomchek, S. D., & Dunn, W. (2007). Sensory processing in children with and without autism: A comparative study using the short sensory profile. American Journal of Occupational Therapy, 61(2), 190–200. doi:10.5014/ajot.61.2.190.

    Article  PubMed  Google Scholar 

  • White, S. W., & Roberson-Nay, R. (2009). Anxiety, social deficits, and loneliness in youth with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(7), 1006–1013. doi:10.1007/s10803-009-0713-8.

    Article  PubMed  Google Scholar 

  • Wing, L., Leekam, S. R., Libby, S. J., Gould, J., & Larcombe, M. (2002). The diagnostic interview for social and communication disorders: Background, inter-rater reliability and clinical use. Journal of Child Psychology and Psychiatry, 43(3), 307–325.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Great thanks goes to the participants for their honesty and eloquence. Many thanks to Dr Krysia Canvin, Department of Psychiatry, University of Oxford, for all her invaluable help and infectious enthusiasm making the study a Grounded theory one. Thanks also to Dr Myra Cooper, Oxford Institute of Clinical Psychology, for her advice throughout the process. This paper is based on research forming part of a doctorate in Clinical Psychology.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard S. Smith.

Additional information

Dr. Richard S. Smith formerly worked at Oxford Institute of Clinical Psychology, University of Oxford and Oxford Health Foundation Trust, Oxford, England, where the research was conducted.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Smith, R.S., Sharp, J. Fascination and Isolation: A Grounded Theory Exploration of Unusual Sensory Experiences in Adults with Asperger Syndrome. J Autism Dev Disord 43, 891–910 (2013). https://doi.org/10.1007/s10803-012-1633-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-012-1633-6

Keywords

Navigation