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978-1572305441

autism

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William 87<br />

detail. At least that is how it is experienced by the person on the outside<br />

of that private meaning.<br />

I remember William once going through a period of calling all men<br />

who visited the house “Mr. Pipes.” His mother told me that once he saw<br />

an anatomical drawing of the inside of a person with the trachea and<br />

lungs highlighted. Since seeing that picture he called all men “Mr.<br />

Pipes.”<br />

“Oh,” I said, “it’s like they are made of pipes as in the picture.”<br />

“No,” he said, “they are Mr. Pipes.” In other words there was no appreciation<br />

that the picture was a metaphor—that people might look like<br />

they have pipes inside them but these were drawings used to represent<br />

lungs. To William, people had pipes, people were pipes, pure and simple.<br />

* * *<br />

Metaphor creates new meaning by allowing us to experience and<br />

understand one thing in terms of another. New meaning is conveyed by<br />

an unfamiliar combination of familiar words. As a result, metaphors<br />

also play a fundamental role in our understanding of the world by structuring<br />

language, thought, feelings, and actions and making possible an<br />

understanding of complexity, subtlety, and nuance. But children with<br />

autism and AS live without metaphors, not only in their language but in<br />

their understanding of the world. Living without metaphors is a common<br />

theme that runs through many of the cognitive models we’ve been<br />

exploring to explain the symptoms and behaviors of children and adults<br />

with ASD—theory of mind, executive function deficits, and weak central<br />

coherence (though perhaps not the concept of difficulty in disengaging<br />

visual attention). Living without metaphors means there is no<br />

distinction between the literal and the figurative; all is literal meaning.<br />

Holding two meanings in place at the same time is just not possible.<br />

One thing is not understood in terms of another; it is just understood as<br />

it is. A facial expression does not imply an emotion, a figure does not<br />

imply a ground, a solution that does not work does not imply that one<br />

must look for another.<br />

Living without metaphors may be sufficient for many things in<br />

life—going to school, turning on the TV, or going shopping—the<br />

instrumental demands of daily life. But it is insufficient for the more<br />

complex demands of learning, for navigating the ambiguity of social<br />

interactions, for self-reflection, and for generating novel ways to solve

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