Tag Archives: Interpersonal Relationships

Object Permanence


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Object Permanence

Have you ever walked into a room looking for something, only to forget what it was? Now imagine if, for a moment, that item simply ceased to exist in your mind. This is how object permanence can feel for many neurodivergent individuals.


Understanding Object Permanence in Autism and ADHD

Object permanence is the understanding that objects continue to exist even when they are not visible or directly observed. This cognitive concept, typically developed during infancy, plays a crucial role in how individuals interact with their environment and maintain relationships. However, there is ongoing debate regarding how object permanence manifests in neurodivergent individuals. Psychological definitions of object permanence are based on theories developed through observing infants, but these do not necessarily account for the lived experiences of those with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD). Unfortunately, there is no better term to describe the experiences neurodivergent individuals report, leading to unnecessary invalidation.

The term “object permanence” was first introduced by Jean Piaget in 1963 as part of his theory of cognitive development. Since then, it has been widely used in psychology to describe a milestone reached in infancy. While object permanence, by its strict psychological definition, may not apply to neurodivergent individuals, the experience itself is very real. As research on neurodiversity continues to expand, many individuals who were studied as children are now adults, offering new perspectives that may challenge traditional psychological assumptions. Some may describe their experiences differently, but the underlying cognitive struggles remain significant. When medical professionals assert that object permanence issues do not exist beyond infancy, it can lead to family members dismissing the struggles of their neurodivergent loved ones. A well-meaning parent or spouse may inadvertently invalidate their experience by suggesting they should simply “try harder” to remember, when in reality, the issue is rooted in cognitive processing differences.

While object permanence, by its strict psychological definition, may not apply to neurodivergent individuals, the experience itself is very real. As research on neurodiversity progresses, a more precise diagnostic term may emerge. Until then, it is crucial to acknowledge that what neurodivergent individuals experience is significant and has a real impact on their daily lives.

Object Permanence: A Cognitive Milestone

Originally identified by Jean Piaget in 1963, object permanence is a developmental milestone in the sensorimotor stage of cognitive development. Most children achieve this understanding by the age of two. However, individuals with ASD or ADHD might experience atypical development in this area, which can persist into adulthood. Piaget’s conclusions were based on observations of infants who could not verbalize their thoughts, making it an assumption rather than an absolute truth.

When applied to neurodivergent individuals, object permanence may be more nuanced than Piaget’s traditional definition. Instead of a complete inability to grasp that objects continue to exist, the difficulty often lies in consistently recalling objects, tasks, or even people when they are not immediately present.

Challenges in Autism

For individuals with autism, object permanence issues might mean that objects out of sight are out of mind. This can affect how they interact with their physical environment. For example, if a person with autism places a sandwich in the fridge and it gets moved behind other items, they might not remember or realize it is still there. This isn’t just about forgetting; the sandwich effectively ceases to exist in their cognitive map of the fridge.

This phenomenon may be more about irregular neural connectivity impacting memory encoding rather than a traditional lack of object permanence. In autistic individuals, sensory overload or intense focus on a singular task can prevent certain pieces of information from being properly stored for future recall.

Implications in ADHD

Individuals with ADHD may struggle with object permanence in a different way. Due to difficulties with attention and executive function, something as simple as a moved sandwich might be completely forgotten or overlooked. This is compounded by the tendency of those with ADHD to be easily distracted, which can shift their focus away from searching for the sandwich to entirely different activities.

Additionally, encoding and retrieval difficulties in ADHD brains may cause inconsistencies in memory recall. If the brain is prioritizing other tasks, emotions, or stimuli at the time an object, task, or person is encountered, that information may not be effectively encoded into memory. This can lead to moments of surprise when encountering an object later, as if it were entirely new, before eventually recalling its original context.

Extending to Personal Relationships

The concept of object permanence also extends to personal relationships. People with ASD or ADHD might not reach out to friends or family unless reminded of these individuals in some way. It’s not that they don’t care; rather, they might not have the person on their mental radar if they aren’t physically present or recently mentioned. This can lead to misunderstandings or feelings of neglect among loved ones who might interpret this behavior as indifference or forgetfulness.

Again, this is likely due to how neurodivergent brains process and retrieve information. It’s not an emotional deficit but rather a difference in cognitive function that can be addressed through supportive strategies.

A Coding Error: The Role of Irregular Neural Connectivity

Rather than viewing object permanence challenges as a flaw, it may be more useful to frame them as differences in cognitive processing. Many neurodivergent individuals experience what could be considered “coding errors”—a result of the brain’s prioritization of certain types of input over others, leading to gaps in recall.

Irregular connectivity in neurodivergent brains means that some pathways are more active while others are weaker, contributing to:

  • Encoding Issues – The brain may fail to properly store certain information due to competing demands on attention or emotion.
  • Retrieval Difficulties – Even when something is encoded, accessing that information later can be inconsistent, leading to moments of forgetfulness or delayed recognition.
  • Surprise and Relearning – Objects, tasks, or even people can feel “new” when re-encountered after being forgotten, until further context triggers recognition.

Understanding this as a cognitive processing variation rather than a deficiency helps reframe the experience in a way that encourages self-compassion and effective coping strategies.

Practical Tips for Families

Families can adopt strategies to better manage these challenges:

  • Clear organization – Keep the home organized in a way that minimizes the need to remember where things are. Labels, clear containers, and consistent placement help.
  • Regular communication – Set up regular check-ins or reminders for family members to connect, helping bridge the gaps in object permanence.
  • Visual aids – Use visual aids and cues to remind individuals with ASD or ADHD of tasks, events, and people. Photos, calendars, and apps can be effective tools.
  • Memory triggers – Pairing new tasks or objects with familiar ones can help reinforce their presence in memory.

Conclusion

Understanding the nuances of object permanence in individuals with ASD and ADHD can significantly improve family dynamics and daily functioning. It’s important to recognize that challenges with object permanence are not intentional or malicious but are part of how their cognitive processes function. By adopting supportive strategies and maintaining open communication, families can ensure that both practical and emotional needs are met, fostering stronger, more understanding relationships.

BPD and Autism

Borderline Personality Disorder vs. Autism Spectrum Disorder: Understanding the Distinctions

Borderline Personality Disorder (BPD) is a complex mental health condition characterized by intense emotional instability, self-image issues, and difficulty in managing interpersonal relationships. Individuals with BPD often experience an ongoing pattern of varying moods, self-perception, and behaviour, leading to significant distress or impairment in personal, family, social, educational, occupational, or other important areas of functioning.

DSM-5 Symptoms

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), outlines several criteria for the diagnosis of BPD, requiring that at least five of the following symptoms are present:

  1. Frantic efforts to avoid real or imagined abandonment.
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  3. Identity disturbance: markedly and persistently unstable self-image or sense of self.
  4. Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
  5. Recurrent suicidal behaviour, gestures, threats, or self-mutilating behaviour.
  6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
  7. Chronic feelings of emptiness.
  8. Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
  9. Transient, stress-related paranoid ideation or severe dissociative symptoms.

Diagnosis Requirements

For a diagnosis of BPD, an individual must exhibit at least five of the symptoms listed above. These symptoms must be long-standing (usually beginning in adolescence or early adulthood), pervasive across different situations, and not better explained by another mental disorder or substance use. A thorough clinical interview, often supplemented by standardized questionnaires or psychological tests, assesses these criteria.

Similarities and Differences with Autism

Similarities:

  • Social Interaction Difficulties: Both BPD and autism spectrum disorder (ASD) can involve challenges in social interactions, although the underlying reasons may differ.
  • Sensitivity to Rejection: Individuals with BPD and those with ASD may display heightened sensitivity to rejection or perceived abandonment.
  • Routine and Structure: Some individuals with BPD may prefer routines or structure, which is more commonly associated with ASD, to manage feelings of instability.

Differences:

  • Emotional Regulation: BPD is primarily characterized by intense emotional instability and difficulty regulating emotions, which is not a defining feature of ASD.
  • Relationship Patterns: Unlike ASD, where difficulties in social interaction are often due to deficits in social-emotional reciprocity and understanding social cues, BPD involves a pattern of intense and unstable relationships, with fluctuations between idealization and devaluation.
  • Self-Identity Issues: Issues with self-identity and self-image are central to BPD but are not characteristic of ASD.
  • Brain Impairments: Neuroimaging studies suggest different areas of brain involvement in BPD and ASD. For BPD, impairments in the prefrontal cortex and amygdala are often implicated in emotional regulation difficulties. In contrast, ASD is typically associated with differences in brain regions related to social communication and repetitive behaviours.

Causes and Theories

The causes of BPD are multifactorial, involving a combination of genetic, biological, and environmental factors. Theories include:

  • Genetic: There’s evidence suggesting a hereditary component to BPD, though no specific genes have been definitively linked to the disorder.
  • Neurobiological: Differences in brain structure and function, particularly in areas involved in emotion regulation and impulse control, may contribute to BPD symptoms.
  • Environmental: Early childhood trauma, such as abuse, neglect, or abandonment, is a significant risk factor for BPD. Invalidating environments during childhood, where emotional responses are routinely dismissed or punished, can also contribute to BPD development.

Understanding BPD requires a nuanced approach that recognizes the complexity of the disorder and its distinct differences from ASD despite some superficial similarities. Treatment often involves psychotherapy, such as dialectical behaviour therapy (DBT), which is particularly effective for BPD, alongside medication management for co-occurring conditions or specific symptoms.

Resource Videos

Dr. K Explains: Borderline Personality Disorder

Today, we’re diving into a crucial discussion surrounding Borderline Personality Disorder (BPD). BPD stands as one of the most misunderstood and unfairly stigmatized mental health conditions, often shrouded in misconceptions and biases.

Psychiatrist Explains BPD (Borderline Personality Disorder) – Psychology 101 HealthyGamerGG

Childhood Trauma, Affect Regulation, and Borderline Personality Disorder

Bessel van der Kolk, MD, delivers the lecture “Childhood Trauma, Affect Regulation, and Borderline Personality Disorder” as part of the 9th Annual Yale NEA-BPD Conference.

Childhood Trauma, Affect Regulation, And Borderline Personality Disorder Yale University

Borderline Misunderstands Her Emotions (as do Narcissist, Psychopath)

Borderlines and narcissists mislabel their emotions. Emotions start with cognitions (thoughts), information gleaned from the body, plus data from the environment (contextual intake). When there are fundamental, ubiquitous cognitive deficits and biases, emotions get misidentified (impaired internal reality testing).

Borderline Misunderstands Her Emotions, Prof. Sam Vaknin