This is something I've struggled to put in to words for many years. I still don't think I have it quite right though and would appreciate feedback.
-----
Hierarchal Social Structures
Most people live with and require a hierarchal structure in their social groups. There will be a leader of the group, second rank, third rank, etc. right down to the lowliest and newest member of the group. Most people seem to be able to navigate these structures of hierarchy with ease and effortlessly place themselves in the correct rank without even realising that they are doing so.
Ref: https://royalsocietypublishing.org/doi/10.1098/rstb.2020.0440
Most autistic people are unable to live like this. We often do not recognise the social cues that I believe must exist there somewhere and instead we tend to treat all people as our equals. This causes no problems for people that consider themselves to be lower ranking within a group but it irritates and frustrates people that consider themselves to be our betters.
It irritates and frustrates us too because we refuse to be meekly put in our place, in truth we don’t even understand that we have a place to be put in. This always leads to conflict, most obvious as children in a school yard but more problematic in a work place environment. People that refuse to meekly accept their place within a hierarchal structure will be bullied and victimised by most other members of the group until they relent and accept their place. No matter how high functioning autistic people are it seems we are simply not capable of doing this.
I was lucky in my early life in that I learnt a physical trade. In a trade environment social status is acquired by productivity. By skill, knowledge, ability, quality of work produced, speed at which work is produced, and reliability. This was a form of hierarchy that I understood and worked well with. Although I had social issues with some employers I was highly valued and usually exempted from having to try and fit in with any other form of social hierarchy.
It wasn’t until my trade (printing) started to die out and I had to work in other environments that I began to realise just how protected I had been. At this time I knew nothing about autism and I really struggled to cope with the world I found myself in. It was many years later before I began to understand what had happened to me.
This hierarchal structure affects many different aspects of our lives, including access to medical help. Most doctors believe they rank highly in a societal hierarchy because they have a PhD, and they seem naturally offended by high functioning autistic people who don’t meekly submit to that structure. I have had problems with doctors most of my life because of the way they react to me. I speak very clearly and describe what I believe is wrong politely and eloquently but most doctors have a knee jerk reaction to my lack of deference.
They will listen attentively to what I am saying and then deliberately go out of their way to prove me wrong, to prove that they are smarter than me and higher ranking in society than me. They will completely ignore all of my symptoms and go against all medical training and even defy logic in order to try and make me accept that they are of a higher social rank than me. Misdiagnosis is guaranteed.
I have met a few doctors over the years who don’t live by this hierarchal structure and have no social issues with me, I have found those doctors to be very clever, insightful and helpful. Those doctors are extremely rare though and as I get older I find myself having less and less faith in the medical profession in general.
An inability to navigate complex social hierarchies also dramatically affects our social lives. Most of us tend to only have one or two close friends and prefer to socialise in one on one situations. This negates most of the need for a form of hierarchy. Other social relationships tend to be kept more at arm’s length because we struggle to fit in and find our place. This also shows in the sports we tend to prefer, avoiding team situations and mostly aiming for personal achievements.
We are all social creatures and we need companionship, we need to feel like we belong and that we are part of a community, but most of us are incapable of learning the skills required. Our brains don’t work that way.
-----
Hierarchal Social Structures
Most people live with and require a hierarchal structure in their social groups. There will be a leader of the group, second rank, third rank, etc. right down to the lowliest and newest member of the group. Most people seem to be able to navigate these structures of hierarchy with ease and effortlessly place themselves in the correct rank without even realising that they are doing so.
Ref: https://royalsocietypublishing.org/doi/10.1098/rstb.2020.0440
Most autistic people are unable to live like this. We often do not recognise the social cues that I believe must exist there somewhere and instead we tend to treat all people as our equals. This causes no problems for people that consider themselves to be lower ranking within a group but it irritates and frustrates people that consider themselves to be our betters.
It irritates and frustrates us too because we refuse to be meekly put in our place, in truth we don’t even understand that we have a place to be put in. This always leads to conflict, most obvious as children in a school yard but more problematic in a work place environment. People that refuse to meekly accept their place within a hierarchal structure will be bullied and victimised by most other members of the group until they relent and accept their place. No matter how high functioning autistic people are it seems we are simply not capable of doing this.
I was lucky in my early life in that I learnt a physical trade. In a trade environment social status is acquired by productivity. By skill, knowledge, ability, quality of work produced, speed at which work is produced, and reliability. This was a form of hierarchy that I understood and worked well with. Although I had social issues with some employers I was highly valued and usually exempted from having to try and fit in with any other form of social hierarchy.
It wasn’t until my trade (printing) started to die out and I had to work in other environments that I began to realise just how protected I had been. At this time I knew nothing about autism and I really struggled to cope with the world I found myself in. It was many years later before I began to understand what had happened to me.
This hierarchal structure affects many different aspects of our lives, including access to medical help. Most doctors believe they rank highly in a societal hierarchy because they have a PhD, and they seem naturally offended by high functioning autistic people who don’t meekly submit to that structure. I have had problems with doctors most of my life because of the way they react to me. I speak very clearly and describe what I believe is wrong politely and eloquently but most doctors have a knee jerk reaction to my lack of deference.
They will listen attentively to what I am saying and then deliberately go out of their way to prove me wrong, to prove that they are smarter than me and higher ranking in society than me. They will completely ignore all of my symptoms and go against all medical training and even defy logic in order to try and make me accept that they are of a higher social rank than me. Misdiagnosis is guaranteed.
I have met a few doctors over the years who don’t live by this hierarchal structure and have no social issues with me, I have found those doctors to be very clever, insightful and helpful. Those doctors are extremely rare though and as I get older I find myself having less and less faith in the medical profession in general.
An inability to navigate complex social hierarchies also dramatically affects our social lives. Most of us tend to only have one or two close friends and prefer to socialise in one on one situations. This negates most of the need for a form of hierarchy. Other social relationships tend to be kept more at arm’s length because we struggle to fit in and find our place. This also shows in the sports we tend to prefer, avoiding team situations and mostly aiming for personal achievements.
We are all social creatures and we need companionship, we need to feel like we belong and that we are part of a community, but most of us are incapable of learning the skills required. Our brains don’t work that way.