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Where my daughter struggles with recognizing others' emotions are the ones where the facial features are ambiguous and she has to understand the social context in order to interpret them. Surprise vs. anxiety/fear, jealousy, embarrassment, etc. She definitely doesn't have the alexithymia mentioned but rather impaired "Theory of Mind".

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I suspect that my 8 year old autistic son does have alexithymia.

 

If I am reading aloud to him and stop to ask how he thinks a character is feeling, about 50% of the time he can correctly narrow it down to a generic "good" or "bad"...so, really, no better than flipping a coin.  It is very, very rare for him to be able to figure out if the "bad" feeling is anger or sadness or embarrassment or jealousy.  He can't identify those emotions in himself, in family or friends, and certainly not in book characters.

 

What really hinders DS socially is his completely inability to recognize or identify emotions as they build (in himself or others).  He doesn't see any of the (blatant to most people) signs that his behavior is annoying and frustrating his peers...right up until they refuse to be anywhere near him.  He doesn't have a clue when he is saying things that are making those around him uncomfortable.  He doesn't see any of the anger building in DH and I until we end up sending DS to his room because we don't trust ourselves to be around him.

 

His pediatrician summed it up pretty well way back when DS was 3: "He's really not tuned in to people at all, is he?"  Nope.  He pays attention to house flies (even imaginary ones), minute differences in the arrangements of items around the house, random math facts, hypothetical future schedule changes, etc.  But family members crying, vomiting, being furious, celebrating a birthday, breaking bones, clapping and cheering...meh, not on his radar.

 

Wendy

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