How credible is the "intense world" syndrome theory of autism?
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http://www.wrongplanet.net/article419.html https://medium.com/matter/70c3d64ff221 The Intense World Theory states that autism is the consequence of a supercharged brain that makes the world painfully intense and that the symptoms are largely because autistics are forced to develop strategies to actively avoid the intensity and pain. Autistics see, hear, feel, think, and remember too much, too deep, and process information too completely. The theory predicts that the autistic child is retreating into a controllable and predictable bubble to protect themselves from the intensity and pain. The theory originated from neuroscientific discoveries on an animal model of autism and was extended by accounting for previous research on autism in humans. It is a unifying theory because it takes into account and explains the many different results and interpretations from a spectrum of studies on autism.
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Answer:
I think it is the most reasonable explanation I have heard yet for my own personal experiences. I have recently come across some research linking epilepsy to autism, and showing that autistic brains are more connected than neurotypicals'. This, together with intense world theory and my own experiences leads me to my own take on autism: The autistic brain, through increased neuronal connectivity and/or a lowered neuronal activation threshold, has a higher neuronal activation level and increased interaction between neurons. This, in turn, means that it takes longer for neuronal circuits to settle down into attractor states after being disturbed, and these attractor states are often more complex than those of neurotypicals. Additionally, the state of a given neuronal circuit will show greater sensitivity to impinging neural impulses. These neuronal-level differences manifest themselves at the conscious level as reduced filtering -- the intrusion of lower-priority thoughts, observations, perceptions, and stimuli upon consciousness, and greater priority levels being assigned to all inputs to consciousness. The increased information intruding upon the conscious mind results in increased cognitive load, which can lead to stress responses under circumstances that neurotypicals would find tolerable (possibly leading to a meltdown/shutdown, aka a nervous breakdown or panic attack), discomfort with and avoidance of highly stimulating environments, difficulty in picking out which of many possibilities or inputs is relevant (which leads to difficulties with social perception, difficulty in identifying emotions being experienced, trouble identifying which words or phrases correspond to which meanings, trouble with subtlety, and discomfort with new or unexpected environments), difficulty with generalization, greater attention to detail, repeated sensory stabilizing activities (stimming), longer processing/response times, etc. Additionally, due to the greater likelihood of a given neuronal circuit being stimulated by its neighbors, it becomes easier for runaway positive feedback loops to form, which manifest as seizures.
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Other answers
I think it is very promising. I am disappointed in a few aspects of the practice as it has been articulated to date: 1) There is an intense focus by the founders on the earliest stage of life, and a certain conviction that at a certain point the theory offers no further hope. What I have seen online suggests that they believe that after the age of 5 or so, there is no further insight from the theory that will be helpful. I understand why, given the nature of the research. Nevertheless I find this troubling because I think the human brain in considerably more plastic for a longer time than it is given credit for; and also because there is a certain suggestion that, if you can apply the insights of Intense World Theory at an early age, you can get a supergenius who is not troubled by the symptoms of autism. I am always nervous when people start talking about producing superman in the future instead of looking at what we already have. Given what we have seen in terms of changing the environment for people with autism, I am not so sure that this suggested goal is either possible or desirable. However, it can just as easily be true that this is the fault of the reporting. So I am holding this concern in abeyance at the moment. 2) The suggestions they do give border on sensory deprivation, and the suggestions are for children at a very early age. It would suck very much if you were to follow this advice and were wrong. Now, it is my hope that people would have enough sense to seee that a particular approach was not working and would change it; but I think the evidence suggests that this is not invariably the case. This worries me to some extent. I am not sure how much it worries me. I do think -- and have thought for a long time -- that simply looking at what a child is doing and working from that is certainly the best way to go. If this framework helps people to do that, then I am all for it. So as a conceptual framework I think it has promise. It is early days yet, so whether it works out in the specifics? Too early to tell. But I think its influence has been a positive thing.
Jeannine van der Linden
From a scientific point of view I think it counts as "interesting": The Markrams have published their theory in a peer-reviewed journal (https://www.researchgate.net/publication/49714733_The_Intense_World_Theory_-_A_Unifying_Theory_of_the_Neurobiology_of_Autism). Henry Markram in particular was granted a very large sum to build a computer model of the human brain - he is hardly a lightweight: http://www.wired.com/2013/05/neurologist-markam-human-brain/ There is at least one study which might support it: e.g.http://www.spring.org.uk/2014/02/intense-world-austistic-brains-create-42-more-information-at-rest.php The sense of being overwhelmed - of "too much" rather than "too little" - tallies with the subjective experience of adults on the autism spectrum. We are not deficient, but overstimulated. On the other hand, the Markrams themselves caution that their work requires much more research before one can talk about its validity, let alone appropriate therapies or treatment based on their work. The Intense World syndrome is a hypothesis, not a substantiated body of theory, as they acknowledge.Secondly, there are criticisms from others about apparent implications, including from reputable researchers like Uta Frith: https://spectrumnews.org/opinion/viewpoint/intense-world-theory-raises-intense-worries/The Intense World theory is based on work with rats involving valproic acid, a substance known to cause some cases of autism in humans. The problem here is that autism is a set of behaviours with many different causes, even if we just focus on genetic factors. There are single genes that can cause autism; copy number variations (where chunks of a chromosome either go missing or are repeated many times over); and many many candidate genes with a modest, but significant, correlation with autism. And then there are the various substances like valproic acid and thalidomide; and also illnesses during pregnancy like German measles. Different people may end up in the autism population from quite different causes, and it is unclear that a biological model based on just one causal factor can capture all the possible neurological issues and their behavioural implications.Personally I am agnostic about the underlying neurological theory in the Markram's paper. But I think their emphasis on autism as "too much", rather than as "too little", is a welcome change to the conversation about autism.
Ian MacKinnell
A2A. On the surface, there are things I agree with about the intense world theory, but in the first article there are parts of it I find disturbing and a bit like we are being viewed as potential X-Men. If raised in an ideal environment with just the right type of stimulation, we hold the secrets of the universe with our amazing brains and are the next stage in human evolution. I do not want any of us treated as lab rats in an attempt to unlock potential. We are people, gifted and flawed and complex. I also am not sure where they are finding autistic animals to do research on or how they are diagnosing animals; I thought it was difficult enough to diagnose people.But from the inside, I'd say some things in the theory are attractive. I have a couple family members with noses like bloodhounds, way more sensitive than the average person. Visually, I notice a lot of detail that most do not, and sounds as well. I as well as many others are more sensitive to drugs, alcohol, and medications. So my conclusion is that it is a decent way to understand the struggles and strengths of an autistic person, but mad scientists should stay away from optimizing us or institutionalizing children "for their own good." X-Men was a good movie but wouldn't be a good life.
Joy Carney
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