According to the NHS, severe asthma means the condition is uncontrolled even when sufferers are taking medication, and people with it can see their symptoms suddenly triggered when exposed to an allergen. Anne explained how she had a near-death experience in November 2016 when she smelt “pine cones impregnated with citrus” in a garden centre, ending up in her being to hospital and given steroids to ease her condition. She was told it was a “close call”. Ever since, Anne has chosen to finish her Christmas shopping by September to avoid being around festive smells in shopping. It also means she is often forced to turn down invites to Christmas parties, which she finds difficult. She told PA Real Life: “It can be quite isolating – if friends want to go out around Christmas, I have to ask them to go to different places where I know are safe. I can’t eat or be anywhere near things that smell like Christmas, or eat anything Christmassy like mince pies and stollen cake – I don’t touch them with a 10-foot barge pole. Just smelling a mince pie could kill me. So many things have Christmassy spices that you wouldn’t normally think of too.” Murray, D., Lesser, M., & Lawson, W. (2005). Attention, monotropism and the diagnostic criteria for autism. Autism, 9(2), 139–156.

Part of the variation in autism is also likely to be due to different degrees of monotropism: it has been suggested that the trait might follow a normal distribution, with some people being very monotropic, while others (perhaps the world’s natural multitaskers and people-wranglers) are unusually polytropic. However the trait is distributed, the implication is that some people are closer to having autistic minds than others without qualifying as autistic themselves, and some autistic people have more atypical minds than others in terms of monotropism. This doesn’t make the spectrum linear: there are so many different ways for autism to manifest, and so many co-occurring conditions, that no one variable can come close to capturing them all.

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The bulk of what’s usually referred to as ‘executive dysfunction’ in autism – difficulties getting going with things, executing plans, and tearing ourselves away from things once we’ve started – are more informatively talked about as ‘autistic inertia’. That is, resistance to a change in state: difficulty starting, stopping or changing direction. This is central to many of the difficulties autistic people face in life, but it is also part of what makes autistic thinking distinctive and valuable. MurrayandMe's personalised pieces are all handprinted, which means each letter, number, punctuation and symbol is individually handprinted into your jewellery. Due to the nature of this technique, spacing, depth and alignment will vary. This is the beauty of handprints as each piece is completely unique and distinctive. If you prefer a uniform look, chances are you prefer engraved jewelry. McDonnell, A., & Milton, D. (2014). Going with the flow: reconsidering ‘repetitive behaviour’ through the concept of ‘flow states’. A lot of processing power goes into modelling other minds, something that can seem effortless but is never trivial. It becomes much harder when the minds in question are very different from your own. When autistic people fail to do this, it’s not so much that we’re unable – the idea of ‘mind-blindness’ is deeply misleading – but that we don’t always have the processing power left over to do it effectively, when our attention is being pulled strongly in another direction.

This could be about to change. More researchers in recent years have started listening seriously to autistic perspectives on our own experiences and the theories used to describe us, and this is undoubtedly part of the reason monotropism has been gaining more attention. As psychologists dig deeper into aspects of autistic experience they have tended to overlook, including perceptual processing and the nature of autistic interests, there is great appeal in a framework that ties together these seemingly disparate strands (while deepening explanations of things like executive function and social problems). Perhaps it can also provide some helpful hints for neuroscientists. Meanwhile, insight into the monotropic mind is already helpful for anyone living and working with autistic people; I would love to see more practice-based research, looking at the impact of being able to make better sense of autistic behaviour and perspectives. Lawson, W. (2011). The passionate mind: How individuals with autism learn. Jessica Kingsley Publishers. So I grew up knowing about monotropism, and we have discussed it extensively since. I always knew that my way of thinking tended that way, but it took years for either of us to fully identify with it. In many ways, our autism is atypical — we are not introverted, nor socially unskilled, and our interests are wide-ranging (if sometimes all-consuming). We fit the profile sometimes misleadingly labelled ‘female autism’ rather well, but this was even less understood then that it is now. It took spending a lot of time around autistic people to recognise that our easy understanding of their way of thinking came not just thanks to the valuable lens of monotropism, but also because it often resembled our own." It is easier for autistic people to process one channel at a time. Distributing our attention between multiple streams takes effort, and sometimes just doesn’t work at all. Again, monotropism is characterised by intensity wherever our focus is, at the cost of processing resources that might otherwise be used to deal with other input or interests. This is often a problem in social situations. Autism is occasionally mistaken for deafness, especially in small children: if our attention is elsewhere, auditory input might register as an unwelcome interruption we would much rather ignore, or it might not register at all.

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Fergus Murray (aka Oolong) is a science teacher and writer based in Edinburgh; formally assessed as autistic in 2010, at the age of 32. None were enmeshed in the world of professional psychology, and despite Lawson’s book pointing to several possible tests, they do not seem to have known which strings to pull to make sure psychologists conducted the empirical work needed to rigorously test monotropism. Autism deserves good, well-evidenced theories, and while it is easy to point out major flaws in autism theories that psychologists have largely accepted, it makes sense that they would be reluctant to accept a newer theory from relative outsiders, however much it explains. Sue Fletcher-Watson, a psychologist in the field, points out that ‘often in psychology a new theory is built on top of an empirical finding — this is what happened certainly with Theory of Mind which was rooted in a 1985 experimental study by Simon Baron-Cohen, Alan Leslie and Uta Frith. For non-autistic psychologists, there is no lived experience of autism out of which to build a theoretical model and so experimental data have to come first. This could be another reason why autistic-led theories, drawn at least in part from internal observations, struggle to make a big impact in mainstream research.’ Personalised each bead with a single initial on the reverse or wear plain with each bead representing someone special.