Sunday, January 19, 2014

Concrete

All my steps will be encased in concrete. 
The tender steps on earthen moss,
Carrying nothing but my heart,
Carrying only what I need to survive:
These too will perish.

My heart will be encased in concrete.
Hardened by the frosts that consumed it,
And all the times it was measured, assessed and condemned--
Reduced to questions, like:
How many successful babies did she produce?
How many units of revenue did her time generate for someone rich? 
How many minutes of happiness compared to how many minutes of pain?
How many lovers hated her, in the end?
How many opportunities did she seize, compared to how many were squandered?
How many times did she let her brilliance die, to live in another's room and falter at being open-hearted?
How many poems were written about heavy, concrete hearts
Or political truisms, 
And were never shared?
How much did silence make her life small?
How many broken dreams were scattered to the wind, marring freshly laid concrete?

Even the woods weren't safe, 
Like when we were caught in a landslide and I was hoping and scared about dying,
Even then, as we
Measured steps, degrees on a map, turns not taken, feelings unshared, 
Degrees not finished,
Love found and lost or never pursued; or discovered, long ago, to have withered. 

In the end all is cocooned or
Mummified in an anonymous bank of time,
That is everywhen and nothing all at once.

This earthen heart, tread upon with so many breaths,
Cannot contain the question.


Monday, January 6, 2014

If You Turned the Volume Up on my Brain

There's a deep reason why I think that functioning labels, severity scales, and dominant definitions of autism, are faulty. The reason extends to why I can embrace the term autistic as a way to describe my experience without hiding it or couching it in ways that separate me from other autistics. The reason is that when I observe a fellow autistic at the museum [crouched on the floor, yelling, covering their ears but wanting to cover their eyes too) and their caregiver is hauling them off from the lobby because all of this is drawing too much attention from passersby, I think to myself, "me too". Because that's the way the museum feels.

No, I'm not crouched on the ground trying to cover my eyes and ears at the same time or trying to vocalize to match the auditory assault, but my experience of the museum allows me to know that if I took my experience and intensified it more, I would probably have the same reaction. I actually see it as a profound lack of empathy, understanding, and imagination, that an allistic (non-autistic) person doesn't get it. Maybe it's just ignorance, but that's every reason then to keep reading, searching, and trying to really understand what autistic sensory experience really is.

I've been following Intense World Theory for quite a while now. When my friend Michael Forbes Wilcox posted his own thoughts to a recent follow-on article by Maia Szalavitz, I got to thinking more about how a lot of things hang together through a refocus on sensory matters in autism.

The primary way I have come to understand being autistic is the very embodied experience of my world. I can recall this mattering from a very early age.

Some basic points in my story, which may or may not be worthy of mentioning in this context (and apologies for any repeated mention):

  • Pre-natally, my mother worked at a bank and it was robbed while she was 7 months pregnant with me. I have no memory of this, but the details of the incident and imagining the stress that incident must have caused, I don't doubt the experience impacted me, even if it was just a 7-month cortisol spike.
  • I was colicky and difficult to soothe as baby. I'm told that if they put me an elevator or the car I would fall asleep. Motion helped. 
  • I read early, and taught myself. My mother had no idea I could read until she had me in the seat of a shopping cart and I told her that she couldn't take it out of the parking lot; she asked how I knew that and I replied, "It says it right here [on the handle], 'Do Not Remove From Parking Lot'." This is the stuff of legends
  • I recall a lot of physical discomfort even from an early age - itchy clothing, pilled bedsheets, the confines of shoes, the tenderness of bare feet, dissonance of 80s radio music, horrible perfume smells of old people, distasteful food textures, loud noises, the wonderful smell of leaded gasoline, the startling strobe effects of light through trees, lining up pennies according to year, organizing crayons according to hue, noticing defects in the oriental rug and tracing the patterns with my eyes over and over, always needing to pee urgently because I couldn't tell before it was urgent, gastrointestinal distress (including mid-meal pain and loose stools I never told anyone about), being overwhelmed at attention paid to me, being so shy, being so afraid that I couldn't bear to make noise for fear of being noticed...
  • They called me little professor. For a long time I was touted in my family for being so 'mature' (though I think this was a typical point of praise for not just me), in part because my vocabulary and way of speaking was so serious, so intense. I rarely spoke but when I did it was with purpose, thoughtfulness, and with a tone and language that gave my words a kind of adult quality. I think it masked how much I struggled.
  • I recall in grade 3 how confused I was by the ways girls played, and the politics of friendship. I know it was before then that I felt I was different, and before then that my high levels of anxiety and distress informed the way I experienced the world; but grade 3 remains a retroactive marker of some point at which my memory of deviating from my peers stands out. Before that, I can't say my play or behavior differed so much, but it was some part of the social developmental landscape that changed then -- and I never really quite caught up. School years got more and more insufferable.
I mastered the ability to make a locked bathroom door open and close silently. I learned how to get dishes out of the cupboard without making a noise. I learned which places on the steps made noises and learned to avoid them. I think I did this to not be heard, but also because all of those sounds distressed me.

I coped with auditory processing disorder, an inability to process speech in noise (every sound is the same volume), often missing what someone said but would pretend that I heard.

I was teased for the way I looked, the way I dressed, the way I excelled in school, the way I didn't understand social cues (and specific tricks were played on me because of this). I cowered when the substitute teacher would loudly reprimand all of the unruly misbehaving kids but wish they would shut up because I couldn't hear; I would excel in school only through my ability to read copiously and accurately.

For a long time now, I have liked to wear something on my head. I wear winter hats indoors, bandanas for days and days, loved the years I kept my head shaved because the sensory experience of my head is really important to how grounded and coherent I feel (and covering my head keeps me from scratching my scalp compulsively -- so does keeping my nails short, and I can't have any whites in my nails if I want to tolerate typing).

My memory for textual information is solid -- where I lack auditory memory, I make up for it in my ability to read through a manual for that new piece of electronics or whatever, and recall the information later. Or to bring up odd and obscure facts about something, or a memory of childhood, because of associated information read, smelled, felt, processed in that visceral way I have come to understand as an autistic, heightened version of the way memory works.

I don't look at faces very well. I can feel like faces are too much information. If I'm trying to listen for information, looking at a face will drown out my ability to process the voice. I have learned to mitigate this by looking at cheekbones or hairlines or lips. However I believe I miss a lot of cues, because it's too much information, it always has been. 

In her book When the Brain Can't Hear, Teri James Bellis talks about a feature of Auditory Processing Disorder that opened up yet another realm -- a right-brain aspect of processing tone of voice that she discovered was affected in her after a car accident. She began to perceive people speaking nastily to her. I know I have always felt highly sensitive to the way people spoke to me. While I can't say for sure whether I am misperceiving tone of voice in people, I do know that with some people, mostly personal relationships, I can really hear an exaggerated melody and meaning that I can interpret as hostile. Even non-personal relationships can be this way. Other people express surprise that I can really bristle at the way Tom Ashbrook seems to talk in a sardonic way to some guests or callers -- most people think he's far too agreeable!

Looking back (and into now), it's impossible to tell whether my not reading body language and mishearing tone of voice came out of my sensory experiences, but I suspect this. Even now, I find my ability to connect with others fluctuates with the degree of sensory cohesion I experience. 

What I mean is, that I can be more socially present when I am less overwhelmed: when I'm in a quiet environment, when I'm in comfortable clothing, when my body functions aren't nagging on my attention (or out of conscious awareness but still painful or problematic); when I've eaten well, exercised recently or had sex, which can be highly integrating if it's good, when I've felt not taxed.

But here's the thing -- I learned really early on, I think, that all of these experiences and needs are unusual. Even though no one explicitly gave me the message that it was wrong to feel those things, I instinctively began to hide (and suffer), rather than be a burden or focus of attention. 

It was either a blessing, a curse, or both, that I could basically straightjacket my behavior into Compliant Well-Behaved Girl and still perform well at school enough to not really ever touch special education (I was not sent to gifted program though because of some social/emotional reason, however).

I spoke recently with a staff member at the Aspergers Association of New England about the profile of girls coming to their services, and for the most part, the Compliant Well-Behaved girls are still flying under the radar and being missed, until probably adolescence when they may have an eating disorder, or self-injure, or have other difficulties that lead them to be identified (or not even then; I was self-injuring, but I remained under the labels of anxiety and depression until 2009). 

Just because I was Compliant Well-Behaved Girl, I experienced an intense world. I relate highly and strongly to autistic writers on all parts of the spectrum who talk about their sensory experiences. Some people unacquainted with autistic adults might comment that I'm nothing like the autistics/their autistic child who can't speak, or control their bowel movements, or rock and cover their ears in public spaces... The internet goddesses know how many autistic adults have had to endure battle after battle over how "We Are Like Your Child" and this post may very well draw that kind of battle (and my intense world will cower at it all, which is why I've rarely posted here as the fire got hotter).

But I do relate to autistic writing, especially of a sensory nature, and my strong instinct is that it's all a matter of degree. While on the outside my straightjacketed compliant self seems worlds away from dominant "autism as pity/tragedy" ideas, I firmly believe that if you took my brain and turned the volume even further up, my ways of coping would look very different.

Sunday, October 6, 2013

Central Auditory Processing Disorder

I wrote the thing below the video after waking up from a dream in which someone moved my notebook from the seat beside the teacher (who happened to be Barack Obama, just finishing a radio interview). When I mentioned my notebook had been at the seat, the person sitting in it resisted moving so I begrudgingly sat beside them, with someone else to my right. Then I experienced not being able to pay attention to the seminar class. Person to my right kept talking to me. And feeling angry, yet holding back being able to do anything for fear of seeming controlling. The rest spilled out from there. 

This doesn't encompass all of the ways I think I am affected by having an Auditory Processing Disorder, but words only go so far. 

I also offer up this wonderful short film called "How English Sounds to Non-English Speakers" as a different take. While it's not the intention of the video makers, I feel this captures my experience well. Notice if when you're watching the video, whether your mind or ears are straining to make out the words that aren't English. You can hear some of the words just fine, but then a lot is just garbled. I don't always hear that way, but it happens. And it is oh so taxing.


Auditory Processing Disorder means..

Trying to listen to people and having their spee jus not soun rye 
Missing the majority of emotional non-verbal information because it's not possible to 
take in all of the body language and facial expression and still process what they're 
saying
Not really learning how to express emotion non-verbally because that information never 
made much sense

Seeming controlling because where we sit and who sits where is important to being able
to hear anybody
Seeming anti-social when it didn't matter that the maitre'd moved us twice, because 
afterwards someone seated a loud party of six right near our table
Going to a loud environment and needing a day to have silence afterward

Trying to converse, read, write, paint, or think in a loud environment and feeling unable 
to do it
Just not going places because they are too loud and chaotic, even if not trying to have a 
conversation
Finding out that those places don't seem loud to other people

Feeling a physical constriction of the ear canal when uncomfortable noises happen
Not enjoying 80s music because MIDI sounds are painful
Knowing what a sine wave sounds like because it hurts
Feeling "old" at 19 because loud bass coming from the next floor of the dorm is a 
Sensory nightmare that brings on nausea and JUST MAKE IT STOP

Tolerating simultaneously the noises of the hard drives, air conditioners, dying 
fluorescent lights, squeaky chairs, squeaky shoes, nails on denim, loud breathing, 
music through someone's headphones, brakes on a car a block away, sirens, piped in 
music, plates clanking, keyboards clacking, paper rustling, other conversations, birds 
outside, tinnitus inside, noises of cars, church bells, telephones ringing too loudly, 
-- and then people wondering why one direct tiny thing creates a overly sensitive reaction

Showing up early to get a seat in the front because not sitting in the front means it is 
impossible to filter out people talking who shouldn't be
Realizing that five minutes before the event starts no one else is in the front row anyway 
because no one sits in the front
Being perceived as the teacher's pet because paying attention requires all the focus, 
and sitting in the front is too keen for the cool kids.
Getting older and realizing that being the teachers pet wasn't a bad thing, except it has 
resulted in fear and self-consciousness every time because of all the teasing.
Not even understanding how much teasing happened because it was not possible to 
hear most of it.

Writing everything down because reading the text is easier than hearing it, but then having writers cramp AND brain cramp by the end because it was so much effort
Figuring out just the right amount of effort to apply to be able to hear and process, but 
not so much that focusing to the end is impossible

Feeling emotionally broken because upset and excited and angry voices scramble 
Thinking to the point that nothing makes sense
Feeling cut off from everyone because nothing makes sense

Asking for an assistive device every time at the movies, and only going to certain movie 
theaters because other theaters don't have the desired movie in captioning that day 
which means watching a movie but not understanding it
People not understanding why a captioning device would be needed for someone who 
seems to hear just fine
Videos online with no captioning and the music is too loud so turning up the volume 
makes 
Automatic captioning on youtube that doesn't work (which is worse than no captioning)
turning on some music in order to relax and then getting stuck trying to do the task that 
was at hand

Trying to listen to a person while doing a task and missing parts of what they're saying
Having to ask a person to repeat themselves
Having to ask a person to repeat themselves
Having to, sorry, ask a person to repeat themselves
Feeling embarrassed when it still doesn't make sense

Feeling like people expect an answer faster than it's possible to process a question and 
then formulate an answer
Stumbling through a group conversation because it's not possible to process five other 
people at once

Feeling fake because making eye contact while conversing makes listening hard but 
looking away makes people think they aren't being paid attention to
Feeling fake after discovering it's possible to trick people by looking at their foreheads or 
their lips

Feeling not smart with a far above average IQ
Feeling slow because it takes longer to respond
Feeling powerless because some voices are too hard to hear

- by Karen. 
You may link to this post, please only republish with permission.

Monday, January 21, 2013

Everywhere I Go There I Am

I didn't really know what to call this post. I've been a bit "underground" of late, despite recent posts. I duno. Part of it has to do with the new job -- which has been amazing, by the way, and fully accommodating of autistic me, and while I still overcompensate in some ways, I feel the easement of demands on me to be "not me". It's a paradigm shift that I haven't fully processed.

This post is in response to some articles, I guess. It's an attempt at my own situated response to what has been ongoing identity politics in the autistic community, which echoes the identity politics I've encountered in other groups (mainly LGBTQQ groups back in the late 90s). I see identity politics as a kind of necessary step a movement goes through as it sorts itself (and its language) out. However, the movement of autistic people is kind of confusing and even more complicated -- rife with power politics -- because some of the claims aren't even being made by autistic people. The policing of who can call themselves autistic is so based within a medical model of illness and within a discourse of 'parent strife' that I feel the very act of trying to engage my own identity is like wandering into a sucking swamp full of mud-dwelling pirhanas.

Pardon the image.
I'll dwell no longer on the scariness of the prospect of my publishing this post.

This is who I am. I am many things. Many of them have nothing to do with autism.

I taught myself to read and yet I can have trouble processing (and therefore remembering) things when they are spoken to me instead of being written down.

I sometimes hit myself, or stim, when I leave an environment of high anxiety or when I've done something wrong.

I've also cut myself.
I've also banged my head over and over against things.
I've become non-verbal.

I was bullied.
I was abused, and this experience is interlaced with my experiences of non-verbalness and dissociation. And spent years trying to figure out feelings I didn't know how to articulate, and still struggle to figure out how to feel legitimate in my needs and feelings, and self-advocate.

I can talk to someone for a long time about how Foucault influenced the way I think about power.
But in my marriage I struggle with the pragmatics of everyday communication about emotions or what we are going to have for dinner.

I am measured, by IQ standards as superior in most areas, average in a few (and these feel like deficits)
But I don't really understand and get overwhelmed easily, I have trouble reading an analog clock, when someone explains something to me sometimes I don't understand it. Or I understand it and I can't respond. There are holes in my knowledge so wide that my intellectual peers tend to talk circles around me. (But then, I'm not exactly lamenting that I can't quote Dostoevsky).
I'm great at a lot of tech stuff. But I'm by no means someone who can write code because of object relations problems or something. But I have such extreme ability to pay attention to detail and to systematize the world that I often perform tasks more quickly, with greater accuracy, and more artistic flair than most people.

And.
I forget to eat
I forget to bathe -- or have such intense sensory aversions to cold or dryness or my hair being staticky or wet or greasy -- that I end up paralyzed in a pit of being unable to self-care about anything. Even if this is brief, it is real.
I can fail to recognize that I have to use the bathroom, until it is very very urgent. I also have IBS. I walk a fine line at times, but I don't have accidents.

I identify more, often enough, with my non-verbal, or highly sensory-affected contemporaries. I identify with the things they write about their experience. Like Carly and Amy
I can feel I have less in common with people I could get lumped with because of some arbitrary DSM artifact.

I may exist on the other side of some line of "passing"-"not-passing" or presumed compentence/intelligence spectrum, but I do not see these as real lines, but ones imposed on people. The impositions don't serve us -- on either side.

But let me be clear. Needing to use AAC and not needing to use AAC makes a real difference in ones experience of the world. Needing to wear a diaper is a different experience than not needing to wear one. Self-harming sometimes is a different experience than constantly doing so -- but the reasons why aren't clear to many people -- but then reasons for self-harm aren't often understood. An attempt at self-regulation is but a guess, in line with Linehan's work married to Intense World Theory.

I don't know.
Sometimes, like today, I can feel lost and disorganized, and all these words, in text, on a page, and the fact that I might be able to get some things done at work, doesn't undermine the ways I do all of these things as an autistic person, with an auditory processing disorder, with sometimes very intense sensory experiences, with a limited pragmatic language ability, with a highly intense emotional world.

My heart breaks when people fight identity politics in autism
And forget what that we ALL deserve to fight for is respect and our own humanity.

Peace.

Sunday, December 16, 2012

On Autistic, Mentally Ill, Godless Evil

I'm struck by how much dialogue and debate here (in the US, where I'm not originally from) spills into illogical and irresponsible use of religion, the constitution, and even the value of letting the real emotions of trauma *be*. Processing events of magnitude (even when they aren't on the news, even when they are and we aren't directly experiencing the trauma) is a process. All the stuff people are saying is necessary. It is heinous, what Huckabee said. But it was said because at the very least he, a person in power who has an audience to say these things publicly, said them, believes them, and then others agree. So it needed to be said and now it needs to be engaged with, and some engagement will change minds, a lot won't, and a lot of hurt will be dredged up. A lot of old wounds from very deep important philosophical debates emerge from tragedy. Fine. Do it.

But I'm very disturbed about how autism coming up as a "reason" and how the reaction of many autism people(?) (not so much self-advocates) are blaming mental illness. And people who have so called mental illnesses or are on psych mess or whatever, are not blaming autistic people, but either way, it's disturbing to me that people need these scapegoats in order to feel safer. Dehumanizing the criminal by lumping them in with the majority of non criminals who have that label, effectively dehumanizes all of us who have that label.

When a heinous thing happens its not about autism, mental illness, a lack of god. None of these things actually explain what a person experienced that led to this.

the best thing anyone can do, as uncomfortable as this is, is to process the fact that we are connected and process the contradiction of that connection as is it bound up with the individual decisions each person makes. Community and individual actions are inextricable. Do not attempt to render the trauma as good vs evil. what if those concepts were removed?

What if a broken system had less to do with the absence of god in them and more to do with the presence of god in them? What if the very reasons people are alienated from community and are suffering further is so bound up a dominant view of God/Satan/good/evil?

What if the way to deal with suffering is to go to it, not alienate it?
What if it were the case that it is only possible for a person to become separate from the web of community when the community breaks them off and convinces them (and they themselves choose to believe) that they don't deserve the caring and regard of humanity?

What happens when, instead of just being victim to a narrative of ones life in which they are a loser who doesn't measure up, a human being who has been traumatized by life and feels angry about that (for whatever reason, autism label, mental label, or other) -- what happens when that person instead chooses to not be a victim but has no outlet for anger?

Anyone in a vacuum can become distorted in thinking.
Germany was systematically cut off from the outside world, fed propaganda, and we Jews became a scapegoat for all kinds of problems, and genocide resulted.

Think about your own vacuums. Those distortions may be privilege in disguise. Or the seeds of your own suffering.

As uncomfortable as it is to process these traumatic events, it can't be done by the dehumanization of the perpetrator(s). It only allows the possibility for the same thing to repeat itself, because we fail over and over to understand the roots of suffering.

Monday, December 10, 2012

Sensory Issues

The abstract for Intense World syndrome is is so incredibly validating to me I just about cried.  I probably teared up. I don't think an abstract has ever made me cry before. The thought was, "finally".

It's not about fidgeting/repetitive behaviour/stimming/flapping/twirling/whatever.
It's not about lack of making eye contact.
It's not lacking emotional empathy.

In my estimation, based a lot on what autistic people have written about themselves, many of the common external signs of autism result from an overwhelmed sensory system.

Not all of autistic stuff is sensory processing, but I venture a guess that a lot of it is. And I venture to say that at least a few people who might sit in the camp of mourning the loss of Asperger's Syndrome might also argue that they aren't like the people who had an autism dx rather than an Aspergers dx. However I often identify strongly in the other direction.

- since autism 'lines' [of severity] can't be drawn around IQ, nor around functioning (google some critiques of the functioning trope to understand that), I propose those lines aren't really possible to draw in any meaningful way.

- sensory processing is a thing we all do, is a neurological and nervous system (or whole system) kind of thing. If a person has a divergent system for processing external information, so much of that is a 'fish in water' kind of experience. My sensory issues weren't at all apparent to me. Until I got tested by an audiologist and had a consult with an OT.

- this is purely speculative, but based on sensory experiences communicated by my peers who maybe also get labeled as more severe than me or whatever -- may other-verbal, or do more stim stuff or self-injury or have more meltdowns and in different ways than me -- that I would be doing those same things if my sensory integration issues had the volume turned up on them. In other words, I can handle some time in a grocery store. But for someone who doesn't handle that as well, I think much of that has to do with being more affected than me by the fluorescent lights or the noises or the smells, temperatures, etc. Even if the experiences aren't exactly the same, there is the same root at play. Sensory. Not behavioral.

- communication frustration is a huge part of why I may self-injure (severe or not, overt or covert), why I may yell, why I may fail to respond to the person I'm talking with. Feeling misunderstood and stymied in communication is so terribly frustrating. I can imagine that if I more frequently got into non-verbal spaces, or was always that way (because verbal speech production and cognitive understanding are not the same thing), I would be even MORE frustrated. I would be less understood. Fewer people would even be making the effort to listen. Especially if those communications weren't even verbal in the traditional way. (I could ASL as a legitimate Lternative to speech, but AAC is probably even more viable, and for in either case where motor skills affect the use of these, assistance with producing communication is a highly viable path to someone having agency with their voice)

- so. The world is a disorganized, highly intense place. What if the emotional empathy Rachel Cohen-Rottenberg talks about is so very present, but the cognitive production of an empathic response being interfered with (by internal sensory and communication challenges) as well as outside disempowerment) --

Then we are less broken than imagined.

and all those parents claiming that kids who are nonverbal and hitting themselves or whatever are so different than those of us who can write, or talk, or have a cogent argument that challenges their -- or rather discomfort with another way of being -- there is no possible chance of helping.

But if there is a way to understand about sensory issues and communication (organization, and the connection between nervous system integration and cognitive organization) -- it may be possible to address some of the side effects that allistic (non-autistic) people cite as non-empathy or the behaviors that manifest in a lack of social support for autistic people.

Having sensory integration issues and communication issues (that are tied to those sensory issues) is difficult for me, and if the volume were turned up on those issues I think I would have the manifestations of what DSM V calls more severe/lower functioning.

Therefore, the DSM change makes sense, insofar as it has included sensory issues in the realm of ASD. That connection was sorely missing before. I think we need to explore (and research the heck out of) what these sensory systems are doing in autism, how these sensory differences can have multiple causation factors including environmental and genetic, and take those of us with perhaps less severe manifestations of sensory issues and challenge/push the sensory system, in research settings, and study what happens. Study what that does to cognitive processing. Understand better how gut and immunity and cognition and communication and sensory integration aren't all separate.

This post is long and not well written or cited or linked or anything. Don't shoot me (that's what the next post will be about). It's just a mash of my thoughts on why its okay there's no Aspergers anymore. Those people who didn't get the privilege of an Aspergers label? They have been more disadvantaged than me, in a lot of ways because of systemic abuse and other barriers, but I'm not so different from them. I can feel that in all the circuits of my highly empathic nervous system.

Wednesday, October 24, 2012

On Overload and Retail (Part 2?)

I wrote here a long while ago, and it was about my job. Here's another post about my job. I'm doing this instead of other things I guess I need to do, like buying cat food and cleaning up, but maybe I just needed a down day after everything going on the last few days (work, informational interview about a new career, other important conversations with my husband..)

So, I work retail. I mainly do cashiering, but I also do sales and a bit of stocking, or I work in shipping and receiving. The majority of my days at work are in front of customers, however, servicing the line of people checking out.

It's become an increasing issue for me that when I leave work and get home after a full 8 hour day of Customer Service (CS), I am very overloaded. There are some mitigating factors, like if I've remembered to take anxiety med, if I have remembered my brimmed hat (for fluorescent lights), and how well I've eaten. Food plays a big part in how I function. So these factors can amplify (or not) the experiences I describe below.

I'm in general, not a very verbal person. Some people are surprised by that, because I can certainly have modes where I talk and talk and talk. The talkative mode(s) are often due to high anxiety or even sense of ungroundedness which leads me to think a bunch of things at once and have a hard time focusing. In these states I can often not do a very good job of matching the mood around me; so people might be stressed, or subdued, or whatever, and I'm bouncing happy. I can imagine this being annoying at times.

So as a not particularly verbal person, and one who, frankly, is depressive in general, when I work my job I have to put a great deal of effort towards the task of serving customers.

Smile

Sometimes I just don't feel like smiling. I can watch co-workers do their job without any particular amount of projected joy, even with some degree of outward disinterest; but I can't. If I'm not putting forward that positive, energetic persona, I feel utterly incapable at my job.

So I have something akin to a verbal smile. It's not that I'm always smiling outright, but there's this stance of smiling in the process of talking to someone that is possible even if I feel like crawling into a corner and covering myself with a blanket. It is something I picked up over time, I think, from listening to other people speak. I have learned it's possible to make certain inflections sound genuine even if what I feel inside is completely opposed to the happy, energetic persona I have to project.

Stick to the Script

"Hi, how are you today?"
"Did you find everything okay?"
"Are you a member?" "Okay, great, can I have your phone number?"
"Nick?" "Thank you" 
"Your total is 375.69"
"Is that debit or credit?"
"May I see the card to verify your signature?"
"Just hit the green button to confirm the amount"
"Thank you, have a great day"

"Thank you for calling _____, Karen speaking, how may I direct your call?"

I have scripts for all the different situations -- returns, selling memberships, special orders, phone calls, complaints, inquiries, bartering, etc.

Overload Heaven

It's hard to describe what it's like in the fifth hour of the day, after doing this with so many people. I would love to know how many transactions I process on an average day at work. how many times I have to go through the same thing.

Then, on a Saturday, it's not just the fact that the volume of customers goes up and I basically go non-stop (and have to turn someone back to the line in order to take breaks) -- the level of noise in the store goes up TENFOLD.  The number of cashiers doubles at least. During a sale, moreso. The level of noise affects my diagnosed Central Auditory Processing Disorder. I have to work harder to hear through the noise, and so my nervous system is on overdrive. So on a quiet Monday, I can basically deal with the radio background noise, and a bit of other ambient noise, sometimes another cashier's voice, but only one. On a Saturday, I may have a customer and cashier pair speaking on either side of me, the person I have to hear, and then a hundred other voices and children crying, bicycle bells dinging (by children), paper bags crinkling, beeps, printers printing, the smells of perfume and garlic and that new clothing smell. I do my best to dress comfortably so that I don't feel my clothes all day, and it took me a long time to find good shoes so that my body wouldn't hurt after a day on my feet.

Some of these things affect everyone, in the sense that it's always harder to hear in a noisy environment. I wish I could simulate what it sounds like to me when English turns into a mess (I can't hear words well or hang onto the words) because of my auditory issues.

In many other circumstances besides work, I think the equivalent level of stress on my system would shut me down. If I was in a noisy environment like that for hours on end with my husband and some other people, I probably would at some point just say I need to leave. But here I don't, or I can't, and so I stick it out. An interesting thing happens. I kind of go on autopilot, and push through the overload. 

I still use my scripts, and everything goes fine. But I feel a pressure at the front of my skull. I feel a fatigue underneath the verbal smile, and I am less and less inclined to do anything but the bare minimum of what I have to say. If there are enough other cashiers, I will find a task to do that doesn't involve talking, like go take a full rack of hangers back to the warehouse. Or I'll admit to even just ducking into the back room and turning my head upside down (when this happens), taking long breaths, and just hiding for a few moments.


Verbal Load

By the time I get home from work, I'm not in any shape to talk to my husband. I need a serious break from listening and speaking. The listening may be just as important as the speaking part, here. This really affects our relationship in negative ways; if we end up getting into something and I'm still trying to recover from the fallout of working, I may invariably be unresponsive, or just not really engage, or worse, be irritable and end up having a fight because I can't really glean all the subtext of what is happening in our interaction. CS is straightforward; and even if someone is difficult or especially taxing, chances are I won't see them again, or only seldom. 

In my marriage, it's important to me to be there with my husband but I feel like I've spent all my spoons. This happens over and over, and it's taking its toll on our relationship.

So while I'm lauded at work for being great, it comes at a price. A kind of invisible price.

I've considered asking for an accommodation like one extra ten minute break only if needed (Breaks PRN!), but haven't been able to really convince myself that this would be okay. Or that if I really need it.

I've written about accommodations before; it's a tricky thing, because, even like things with the hat, invisible disabilities mean that other people don't necessarily understand the reason for the accommodation and can perceive preferential treatment, and there's no graceful way of making that happen without "coming out" over and over, or being horribly cryptic about "medical reasons". 

This video is a decent sensory comparison for how it can feel.











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