The Journal of Best Practices (3 page)

BOOK: The Journal of Best Practices
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We finished the quiz, and Kristen took a moment to gaze at me before asking, “What do you think?”

“I think that was a very telling list of questions,” I said. “Did you write those?”

She explained that she had stumbled upon the questionnaire while searching online for Asperger’s evaluation resources, though, notably, she offered little explanation as to
why
she had been looking for those resources. I had to assume that it wasn’t strictly for her job.

I felt like I was free-falling. “Okay,” I said.

“Ready to find out what it says?”

“Sure,” I said, though I was anything but.

Kristen clicked the mouse and my score flashed onto the screen: 155 out of a possible 200.

“One fifty-five?” I asked. “What is that? Is that a lot?”

“That’s a whole lotta Asperger’s,” she said, nodding.

“Are you serious?”

“That’s what it says.”

“I have Asperger’s? I have autism?! I mean . . . holy shit! Right?”

“Dave, you don’t have autism. You don’t even officially have an Asperger’s diagnosis. This is just a self-quiz and I’m not a doctor, but I think you may have Asperger syndrome. That’s why I wanted you to take this quiz. Based on your score, you’d probably receive the diagnosis if a doctor gave you a formal evaluation.”

I repeated myself: “Holy shit!”

At that point, all I knew about Asperger syndrome was what I’d heard from Kristen over the years. I understood that it was an autism spectrum condition and that those with Asperger’s had a difficult time engaging with others socially. I knew a few people with Asperger syndrome—diagnosed children and adults—and they seemed to function at different levels; some had obvious telltale behaviors while others could have been written off as shy or odd. I also understood that it could easily be misdiagnosed.

Wanting to know if the online quiz was a reliable weather vane, I asked Kristen—who is perhaps the most un-Asperger’s person that I know—to evaluate herself. She agreed, and scored an eight.

A few minutes passed as I sat on my hands, rocking back and forth, trying to process what I had just learned. Kristen sat patiently, keeping her eyes trained on me, waiting for my reaction. I was not upset. I was not conflicted. The knowledge felt amazing. It was cathartic. And it made perfect sense.
Of course!
Here were answers, handed to me so easily, to almost every difficult question I’d had since childhood: Why is it so hard for me to engage with people? Why do I seem to perceive and process things so differently from everyone else? Why do the sounds and phrases that play in a continuous loop in my head seem louder and command more attention than the actual world around me? In other words, why am I different?
Oh my God, I have Asperger’s!

 

While someone else might question why his wife would sit him down and informally evaluate him for Asperger syndrome—in her pajamas, no less—at no point during that evening in Kristen’s office did I wonder about it. For one thing, there are certain orders and tasks that I simply don’t dispute; I just follow commands and generally do whatever people tell me to. But there’s no particular consistency to this, which is strange. Frequent requests from Kristen such as “Please remember to run the dishwasher tonight” don’t have much of an effect. But if I walked into a grocery store and someone grabbed my elbow and asked me to put on a hot dog costume, two minutes later I’d be standing there, a six-foot wiener in a neoprene bun, wondering how long I was supposed to keep it on.

What I found most remarkable about that evening—besides the part where I found out that I have Asperger syndrome—was that Kristen and I had shared some good hours together for the first time in months. There was laughter and insight and deep discussion. There was warmth and affection and unmistakable love—I could see it in her eyes, feel it in our closeness. Though we had been married only five years, such moments had become painfully rare. We both knew that our marriage had fallen apart, that our mutual feelings of helplessness and disappointment had pushed aside the fun and happiness we once shared, and more than once we found ourselves wondering if a separation was the only way out. Of course it wasn’t gloom and doom all the time, but I couldn’t deny the fact that we were estranged. That was not something we had ever envisioned happening to our relationship.

But once I learned that I have Asperger syndrome, the fact that we’d had these serious marital problems seemed less surprising. Asperger syndrome can manifest itself in behaviors that are inherently relationship defeating. It’s tricky being married to me, though neither Kristen nor I could have predicted that. To the casual neurotypical observer (
neurotypical
refers to people with typically functioning brains, i.e., people without autism), I may seem relatively normal. Cognitive resources and language skills often develop normally in people with Asperger syndrome, which means that in many situations I could probably pass myself off as neurotypical, were it not for four distinguishing characteristics of my disorder: persistent, intense preoccupations; unusual rituals and behaviors; impaired social-reasoning abilities; and clinical-strength egocentricity. All of which I have to an almost comically high degree. But I also have the ability to mask these effects under the right circumstances, like when I want someone to hire me or fall in love with me.

Looking back, I suppose a diagnosis was inevitable. A casual girlfriend might have dismissed my compulsion to arrange balls of shredded napkin into symmetrical shapes as being idiosyncratic or even artistic. But Kristen had been living with me—observing me for years in my natural habitat—and had become increasingly skilled in assessing autism spectrum conditions in her job as a speech therapist. While it is technically inaccurate to say that she
diagnosed
me (that wouldn’t have been possible or ethical, as she’s not a doctor), as far as I was concerned, I
had
received a diagnosis that evening. I went to bed 100 percent convinced that I had Asperger syndrome. I later received a formal Asperger’s diagnosis from a doctor, but that exercise hardly seemed necessary. Given my behaviors, it would have been just as easy to diagnose a nosebleed.

One of my most obvious symptoms is the way I handle myself in unexpected social interactions. Especially conversations, which involve many subtle rules. My problem is that I can’t seem to learn and apply the rules properly, though not for lack of trying. One is simply supposed to know the right way to respond to people or initiate conversations, but my attempts rarely pass muster. And due to my intense preoccupations with certain things, I have a tendency to discuss very strange topics at length, oblivious to the listener’s level of interest. A typical conversation might go something like this:

“How ’bout those Bears, Dave?” a colleague will ask.

“I don’t really follow sports, so I decline to form an opinion other than that I like their uniforms. It’s funny you mention bears because last night I was reading about grizzly bears, which are my favorite kind of bear, and I learned something rather unsettling about their mating habits.”

“Never mind.”

My responses confound people, I’m garrulous about all the wrong things, my speech is awkward, and then there’s also my not-at-all-charming delay in processing, which makes for disjointed conversation and missed social cues. Conversations either persist much longer than either party would like them to (“And here’s
another
thing that fascinates me about sewing machines . . .”), or they end too quickly (“You did hear correctly, we had a baby yesterday and it wasn’t without its complications. See you later”). Even if I manage to deliver my point, it’s usually somewhat irrelevant. (“So I guess what I’m trying to say about the Civil War is, how about the beards on those soldiers, huh? Where’s everybody going?”)

Over the years, I have learned some ways to compensate. When I know ahead of time who I’ll encounter in a particular situation, I can prepare. I have a strong tendency to assume characters—versions of myself that are optimized for the social environment at hand. Conversations must be scripted, facial expressions rehearsed, personalities summoned. This strategy has enabled me to succeed at work and in school and to do well enough socially. If I’m with conservative work colleagues, I’m reserved and willing to discuss Christianity and handgun rights. Neighbors enjoy a lawn-care enthusiast and classic-rock fan when I arrive at the block party, and Kristen’s relatives are always excited to see the gregarious, supportive man who values a respectful handshake. Whatever the occasion, and whichever corresponding persona I choose to wear for it, pulling off a successful social exchange is a lot of work. It’s exhausting. I don’t know how neurotypicals do it, let alone how they look forward to it.

Under the right conditions, I do enjoy going out with friends. We’ve already established common ground and I know what they expect from me. I get high from making people laugh, from performing. Goofing around with my buddies is still tremendously hard work requiring much preparation, but at least there’s a payoff: laughter. When I am on, and I’m with the right people, I am killing and full of deranged brilliance (I like to think). A pita may be swiped from someone’s plate and used as a potty-mouthed talking vagina, or I may demonstrate what I believe would be a controversial but effective new wiping technique for the bathroom. They laugh, go home, and wake up the next morning with real-world problems on their minds. I go home to review my performance.
Was the talking pita vagina
too
potty-mouthed? Did the elderly couple a few tables over think I was boorish? How might I incorporate beating off into the bit about folk musicians?
My head spins as it hits the pillow.

The social aspect, however, is only one piece of the Asperger’s puzzle. Sensory issues present another problem for me. As humans, we learn about our world through sensory stimulation. But for me, certain sensations become so overwhelming that I lose control of myself. While most people can go about their business oblivious to their partially untucked shirts and itchy sweater collars, I suffer major emotional tailspins over something as supposedly minor as pilly jean pockets. On many occasions, I’ve had to excuse myself from meetings at work to duck into the men’s room, take off my clothes, and completely redress myself because my underwear has bunched up, or my socks have twisted around my shins, or, heaven forbid, my shirt has static buildup. My solution is to buy several identical garments that feel all right against my skin, then wear them over and over until they fall apart. Take away the black jacket (those sleeves would drive me mental), and I’m like the Michael Kors of the Asperger’s community.

Of course, sensory issues and clumsy social exchanges don’t ruin marriages. What brought my marriage to its knees were my God-given egocentricity and inability to cope with situations and circumstances beyond my control. Put the two qualities together, and you’re left with something that looks like a combination of pathological closed-mindedness and an obsessive-compulsive disorder. OCD might not take down a marriage, but I’m certain that pathological closed-mindedness isn’t one of the top qualities a person would look for in a spouse.

Everybody likes to have things in order, and everybody likes things to go according to plan. But because of the way my brain developed, I
need
things to be in order, and I
need
things to go as planned. If they don’t, I come unglued. If left unchecked, my reactions resemble the tantrums my two-year-old would throw whenever someone would disturb his meticulous line of toy train cars. My inability to cope partially explains my horrible flash temper. If the grocery store is out of my preferred hamburger buns, for example, three hours later it will result in a nuclear reaction of cynicism and anger. The disruption of my routine is so upsetting that I can’t—not won’t,
can’t
—contain myself, and everyone around me sees the unpleasant effects. I’ve been told a million times to “get over it,” but I can’t. My brain won’t let me. Just as I can’t seem to prevent the regrettable outbursts that usually follow.

My preoccupations or obsessions often play a big part in this. To avoid meltdowns, I indulge certain obsessions, often at the expense of being on time for things. I
must
eat eggs and cereal for breakfast, for example. If we are out of cereal, then I will go to the grocery store and buy some, even if people are waiting for me at work. I may arrive at the office a couple hours late, but I’m satisfied and ready to focus on my assignments.

Fortunately, I have an assortment of routines that are very calming when properly executed. If my intense preoccupations resemble Obsession, then my calming rituals would be like Obsession’s diaper-wearing pet monkey, Compulsion. I spend my day lining certain items up just so, tapping or lightly touching objects in a particular way, and gazing at my own penmanship. The compulsive behaviors are really quite small and limited, and with the exception of my nightly circling the house, having to correctly perform a mental ritual before exiting certain rooms, flicking light switches on and off, and repeatedly opening and closing doors, they’re really not all that intrusive. They tend to become more pronounced when I’m anxious about something, but all things considered, I’ve got it easy.

Kristen, on the other hand, doesn’t have it so easy. She’s married to all of this. Her frustration is inevitable, no matter how much she loves me. But that’s how it goes, especially in neurologically mixed marriages such as mine. Were I just another one of the kids she works with, Kristen wouldn’t be frustrated by me. But I’m her husband.

Kristen and I had been friends since high school, had fallen in love after college, and had gotten married shortly thereafter. During the years we dated, I was on my best behavior.
Don’t talk about semiconductors all night,
I’d remind myself.
Remember to keep the conversation moving and focused on things she likes, such as Vince Vaughn and clothes. If she doesn’t feel like eating hamburgers for dinner, just be okay with it and don’t flip out.

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