My next review is of Thinking in Pictures and Other Reports from My Life with Autism by Temple Grandin. For me it follows on from Pete Wharmby’s autobiographical book on autism, Untypical, and Steve Silberman’s history of autism, Neurotribes.
Thinking in Pictures is comprised of 11 thematic chapters which typically contain a mixture of reflections on the author’s personal experiences with autism, animal handling technology and research into autism and how it is treated. Grandin is very well known in the field of animal handling, one third of the animals slaughtered in the US are processed using machinery she has designed.
The core of Grandin’s experience of autism is visual thinking. She describes having a library of video clips in her mind which she combines in order to think new thoughts – verbal thinking is a second language to her. This makes some tasks easy, like designing animal processing equipment, and other tasks difficult – verbal tasks require her to find the right piece of video to capture the words, and abstract ideas are a real challenge. Similarly arithmetic is challenging for her.
Grandin was diagnosed as autistic relatively young, she learnt to speak quite late, was prone to tantrums and did not like being touched. She was born in 1947, 4 years after Leo Kanner’s landmark paper defining autism. This was at a time when autism was not widely known, and the diagnostic criteria were very strict. Her diagnosis was triggered by her mother who was very committed to getting the best for her daughter – she has written her own autobiography (A Thorn In My Pocket: Temple Grandin’s Mother Tells the Family Story by Eustacia Cutler).
In common with Wharmby, Grandin sees autism as very much a sensory issue. Sights, sounds and touch are often not processed in the same way by autistic people and it is from this their symptoms arise – sensory over-sensitivity overwhelms their brain’s ability to carry other tasks. Sounds may be garbled: their ability to hear frequencies is unimpaired but distinguishing words or separating different voices is challenging. Similar issues can apply with vision.
Grandin talks here about her “Squeeze Machine” a device she invented based on a cattle crush which allowed her to apply soothing pressure to herself – a device later marketed more widely – and to which she attributes the ability for her to empathise with others. She found touch from people stressful, and the feel of clothes very difficult to cope with.
In her early years Grandin was given very intensive teaching based on the Lovaas method which involves a lot of repetition and positive reinforcement. It was sufficient to get her into mainstream school but she was thrown out for misbehaviour and went to a small boarding school specialising in bright children with emotional problems. Here she seems to have clicked with one science teacher in particular who supported her in her interests and odd ways. Interestingly she later ponders the value of online school for some “high functioning” autistic people – as she points out learning to build social relationships with teenagers is not an important life skill outside of school!
Grandin entered the world of work in a crabwise fashion, writing to an agricultural journal to publish an article she had written on animal handling which led on to a regular column in the journal. This was to become a full-time job in designing animal handling equipment. She preferred to work as a consultant since this allowed her to get work without interviews and removed a lot of the social difficulties of a fixed workplace. Grandin felt she needed to learn social niceties explicitly rather than dropping into them naturally. She used her visual thinking both in terms of understanding machinery but also the behaviour/thoughts of cattle moving through machinery. She believes that animals must think visually, as she does. Her record is a testament to how good she is at her job.
Grandin talks in some detail about her use of antidepressants to address her autism related anxiety, this is part of quite a lengthy chapter discussing a wide range of drugs and how they have worked for different individuals.
Grandin says she would not want to give up her autism and lose the skills she has, this leads into a wider discussion of other potentially autistic people (Einstein, Wittgenstein, Van Gogh) and how their genius lay in part in their autism. I think it is common to see these retrospective diagnoses as problematic these days, it is something that Silberman touches on in his book. She also talks a bit about the parents of autistic children and their higher prevalence of autism, anxiety, depression or panic attacks. It seems that autism is very substantially genetic. There is also a chapter on “savant” skills, and how in some senses these might be considered “unthinking”.
The books finishes with a chapter on religion, Grandin believes in a personal God for logical reasons but points out that other autistic people have no personal God or are entirely fanatical about religion. Interestingly she sees the books she writes as her version of an afterlife and finds the destruction of culture very upsetting because it is taking away an afterlife. Thinking in Pictures ends rather abruptly on this point – there is no “conclusions” chapter.
I found Grandin’s descriptions of how she thought and animal handling technology the most interesting, the autism research feels a little dated to me (this revised edition of the book was published over 20 years ago) and have the air of notes transcribed with little synthesis.





