Professor Simon Baron-Cohen’s lecture Given at the AGM of Relate Cambridge Thursday 17th September 2009 Couples often seek counselling when at least one person is suffering from feeling misunderstood. But it isn’t always appropriate or productive to urge their partners to see things from the other’s point of view, especially if one of them is suffering from undiagnosed Asperger’s Syndrome and has genuine difficulty in reading other people’s feelings. This was the thrust of Prof Simon Baron-Cohen’s lecture ‘Empathy: Difficulties in Autism and Asperger's Syndrome: the implication for Relationships’, given at the AGM of Relate Cambridge on 17 September, 2009. People with Asperger’s Syndrome, which is a form of autism, can reach adulthood without it being recognised, especially if they have a supportive family. ‘It may be only when something goes wrong in their life, such as in marriage, that it reflects a difficulty in that person’s neurology,’ he said. One per cent of the population has a form of autism, which is a disability that covers a broad spectrum but is generally characterised by social and communication difficulties. Sufferers are typically male, have narrow interests, are often obsessional, fond of routines, and resistant to change. Statistically, four boys for every girl have autism, and ten boys for every girl have Asperger’s. There is strong evidence of genetic input. Those with classic autism usually have below-average IQ and learning difficulties. People with Asperger’s, however, can be extremely intelligent high-achievers, often married with children, without ever having a diagnosis. (Prof Baron-Cohen stressed that adult diagnosis should only be made if the person seeks it themselves because they want help.) Everyday difficulties for those with Asperger’s include: relationship difficulties, making social small talk, accepting another perspective, making faux pas, and social isolation and depression. The key reason for these problems is a lack of empathy, which Professor Baron-Cohen divided into two areas: cognitive, which is difficulty identifying another person’s thoughts and feelings, and affective, which is difficulty responding appropriately to others’ thoughts and feelings. ‘On average, women find it easier to empathise than men, and researchers are trying to understand if something about the psychology of Asperger’s Syndrome and Autism is linked to the differences between men and women,’ he said. These psychological differences have been shown, in brain-scanning tests, to be mirrored at the level of the brain. Prof Baron-Cohen’s research at the Rosie Maternity hospital in Cambridge has also revealed a link between poor emotional intelligence and high testosterone levels in the womb, showing that ‘empathy is not just the result of how we socialise our children.’ But there is also good news: those with Asperger’s have an above average flair for systemising, which means they excel in jobs such as engineering, computing, tool-making or library cataloguing. They often shine at everyday problems that require attention to detail, such as understanding car engines or coping with wiring problems at home. ‘It’s important to link autism to talent rather than what people can’t do,’ said Professor Baron-Cohen, ‘and this includes dealing with relationship problems.’ He believes that: ‘once we acknowledge these differences, we may not set the expectations so high. We need to accept that there are individual limitations in a relationship, rather than insisting that they must try harder.’ Give allowances for people undiagnosed with AS. Try to look at the positives rather than the negatives. This is a recipe for good relationships anyway. Simon Baron-Cohen is Professor of Developmental Psychopathology at the University of Cambridge and Fellow at Trinity College, Cambridge. He is director of the Autism Research Centre (ARC) in Cambridge, which has a clinical service for diagnosing adults with autism. His books include: The Essential Difference: Men, Women and the Extreme Male Brain (Penguin UK/Basic Books, 2003). Report by Belinda Bamber for Relate Cambridge 2009