Understanding Sensory Differences
Sensory Barriers
There is an absence of sensorily accessible learning and working environments in educational and other workplace settings, but it is important to understand that how we process sensory information will directly impact whether something feels like a barrier or not. Understanding some basic sensory differences is key to recognizing everyone's roles in making learning and working environments more accessible for everyone.
Image Description: Sabrina Guerra, a young pale-skinned human with curly brown hair sits in front of a star-decorated wall on green pillows. They are wearing blue jeans, a brown and white top and sneakers. A white cartoon of noise-cancelling earphones is superimposed over their ears. The text reads: "I find it hard to be in a lot of indoor places. Since I hear remarkably well I often need my headphones. They dampen the chaos." (Guerra, 2021)
Understanding Sensory Differences
Over the last decade, and especially over the last four years since the pandemic began, there has been a tremendous increase in Autistic-led research and internationally united advocacy efforts. While there are now many excellent tools explaining Sensory Differences amongst the Autistic and otherwise Neurodivergent community, the Sensory Processing Differences Toolkit, created for AIDE Canada (Shafai, Peña, & Dodman, n.d.) provides an excellent and clear overview as well as resources for understanding sensory regulation.
The toolkit explains how the 8 sensory systems, as illustrated below, can fluctuate in intensity, interact in different ways and be experienced quite differently amongst Autistics especially, not just compared with the general population, but also from Autistic to Autistic. Some are hyper-sensitive, some are hypo-sensitive and some are both, and this can change from time to time, and sometimes often and quickly depending on a variety of factors.(Shafai, Peña, & Dodman, n.d.) This can mean we experience things much louder or much brighter; however, it can also mean we seek out sensory experiences that others may assume we would avoid. This can also change not just from person to person but in the individual, and this can make it very hard to understand, describe and empathize with when, on the surface, it can seem there is no pattern to what happens. This can lead to Autistics not being believed, being dismissed, gaslighted and victimized. This is especially true when we are heavily masking our authentic responses in order to fit in. (Rose, K., and Pearson, A., 2024)
The graphic below shows the commonly known sensory systems: vision, hearing, taste, smell, and touch, as well as three other less commonly known yet major sensory systems which are continually processing information as well: the vestibular system relates to balance and coordination; proprioception relates to body position and movement, and interoception relates to what is being felt and experienced inside out bodies (e.g., knowing when you are hungry, tired or need a washroom)(Shafai, Peña, & Dodman, n.d.).
Figure 2.1
Sensory Processing Differences (8-sensory-systems-toolkit-worksheet-.pdf)
(Image Description: The graphic shows 8 human sensory systems, each represented by a graphic related to the body part associated: vision, hearing, taste, smell, and touch, vestibular (balance and coordination), proprioception (body position and movement), and interoception (knowing what is happening inside our bodies))
Impact of Sensory Barriers
While the processing of sensory information does not cause distress for many non-Autistics, for Autistics, our experiences can be quite different (MacLellan, 2021). Experiencing the world with heightened sensory perception or shifting and unpredictable sensory processing can be very hard to explain to someone who doesn’t experience it firsthand. However, the impacts are real, everpresent and exhausting. The following is a basic list of some of these impacts or the systems which are impacted:
Attention Regulation
Attention regulation refers to the ability to control and direct one's focus of attention in a manner that is appropriate for the task or environment. It involves the mechanisms by which individuals manage, maintain, and shift their attention as needed. (Posner & Rothbart, 2007)
Autistic Masking
Autistic masking refers to the practice of concealing or suppressing autistic traits and behaviours in order to fit in or conform to societal expectations.(Pearson & Rose 2021) Autistic Masking involves the unconscious and conscious suppression of authentic responses, including sensory triggers and is a conditioned trauma response. (Pearson & Rose, 2024)
Communication Impact
An individual's ability to effectively express themselves and understand others can be impacted by a variety of factors, including sensory processing differences. This can manifest in challenges with speech, nonverbal communication, and social interaction.(American Speech-Language-Hearing Association (ASHA, 2020)
Depletion of Energy Reserves (may also refer to 'Spoon Theory')
Depletion of energy reserves refers to the gradual exhaustion of mental and physical energy resources due to ongoing demands or stress. Based on Maja Toudal's research, "depletion of energy reserves" refers to the phenomenon where individuals, particularly those who are autistic, experience a significant drain on their cognitive and emotional resources due to the demands of sensory processing and social interactions. Toudal's work suggests that autistic individuals often face heightened sensory and social challenges that can lead to rapid exhaustion of their mental and physical energy reserves. This depletion can manifest as increased difficulty in self-regulation, reduced tolerance for stress, and a need for longer recovery periods.(Toudal & Attwood, n.d.) Many in the Disability community will also refer to The Spoon Theory which is a metaphor used to describe how people with chronic illness or disability manage their limited energy. (Miserandino, 2003). When all our "spoons" are used up, we have maxed our reserves for the day. When it comes to things like sensory triggers which often require more spoons or energy reserves for those of us with sensory processing differences, pacing our use of spoons or energy reserves is an incredibly important skill to acquire and this can be very had to do when societal and systemic barriers include significant gaps in understanding amongst employers, colleagues and community members.
Heightened Emotions
Heightened emotions refer to the experience of emotions at an intensity level that is higher than what is 'typically' expected. This can involve stronger reactions to stimuli, prolonged emotional responses, and greater sensitivity to emotional triggers. Heightened emotions are often observed in individuals with anxiety disorders, sensory processing differences, and certain neurodevelopmental conditions. (Linehan, 1993)
Hyperacusis
"Hyperacusis is a rare hearing disorder where sounds others perceive as normal seem uncomfortably — and often unbearably — loud. It’s also described as decreased sound tolerance, or DST. People with normal hearing experience a range of sounds with varying degrees of loudness. In contrast, people with hyperacusis experience sound in general with the volume turned too high.
Some examples of common sounds in everyday life that may feel intolerable to someone with hyperacusis include:
People chatting.
A car engine running.
Water running in the kitchen sink.
Household electrical appliances running.
Someone turning the pages of a book or newspaper.
Many other soft sounds.
The experience can take a toll on your mental health, causing you to feel irritable and anxious. Hyperacusis can impact your social life, too. Some people with hyperacusis avoid social situations to reduce the risk of experiencing intense loudness." (Cleveland Clinic, 2024)
Hyperacusis InfoGraphic above can be accessed directly from Cleveland Clinic website or via the google doc above.
Image Description: Infographic showing some symptoms of hyperacusis with accompanying visuals for each. These include:: ringing in ears, ear pain, fullness or pressure in your ears. Some negative symptoms with graphics for each are shown: Anxiety, Depression, Relationship Problems, Social Isolation and avoidance.
Hyperreactive auditory responses
Some examples include: covering ears around unpleasant noises (e.g. sirens); running away from certain noises or settings; yelling or trying to stop the noise (Shafai, Peña, & Dodman, n.d.)
Heightened or Muted Hearing
Auditory processing and what we can hear can be heightened or muted. As the infographics indicates:
Heightened may look like:
being distress (by loud or sudden noise
covering ears/using ear defenders
certain noises can cause strong emotions
avoiding busy or unpredictable places
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
Muted may look like:
seeking loud noise or holding noisy objects
being unaware of own volume
making loud noises in quiet situations
Auditory stims can include:
covering/uncovering ears
putting noise to ears (e.g., clicking or snapping, tapping )
singing, whistling, humming, talking to self
listening to same song repeatedly or ASMR
Hypersensitive (or Heightened) and
Hyposensitive (or Muted) Senses
As this graphic explains, someone with heightened sensory reception may avoid sensory input and may feel overstimulated; someone with muted sensory reception may seek sensory input and feel understimulated
Senses can fluctuate between heightened and muted frequently and suddenly.
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
Increased Efforts to Self-Regulate
Increased efforts to self-regulate involve the heightened or intensified attempts to manage one's emotional and sensory responses in challenging environments or situations.(Thompson, 2014)
Instinct to Avoid the Sensory Trigger
The instinct to avoid sensory triggers involves the natural tendency to evade or escape from sensory inputs that are perceived as unpleasant or overwhelming, such as strong smells, loud noises, or bright lights.(Grandin & Panek, 2013)(e.g., strong/pungent smell, loud/sharp noise, bright or flickering light and many others)
Internalized Ableism
Internalized ableism occurs when individuals with disabilities adopt and internalize societal prejudices and negative beliefs about disability, leading to self-doubt and reduced self-worth.(Gerschick, 2000)
Interoception
Interoception refers to our awareness and recognition of our internal signals and sensations.
The graphic to the right explains
1) Interoception may be heightened or muted.
2) Heightened may look like:
being very aware of body signals
frequently feeling pain, thirst, hunger
overwhelming feelings from their body
difficulty separating body signals
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
3) Muted may look like:
difficulty recognizing body signals (e.g., not recognizing hunger, thirst, fatigue)
having a higher pain threshold and/or difficulty knowing source of discomfort
4) Body signals can include:
hunger, tiredness, pain, heart rate, thirst, need for toilet, temperature, sickness, emotions (also see Alexithymia)
Misophonia
Misophonia is a condition where specific sounds provoke intense emotional and physical reactions. These reactions can be more extreme than typical responses to noise and can affect daily life. It affects 1 in 5 people in their lifetime. It is more common in women and those assigned female at birth, typically developing in early adolescence.(Cleveland Clinic, 2024)
Symptoms:
Emotional Reactions: Intense anger, anxiety, disgust, fear, and irritation.
Physical Reactions: Increased blood pressure, chest tightness, goosebumps, rapid heart rate, sweating.
Behavioural Reactions: Avoiding trigger sounds, leaving situations, vocal or physical reactions to stop the sound.
Common Triggers:
Eating/drinking noises (e.g., chewing, slurping).
Breathing noises (e.g., snoring, sniffing).
Activity and movement noises (e.g., tapping, clicking).
Mouth/throat noises (e.g., coughing, throat clearing).
Other noises (e.g., ticking clocks, ringing phones).
Causes:
Brain Structure Differences impact how the brain processes sound and emotions.
Neurodivergence such as ADHD, Autism, Tourette's
Mental Health Conditions including Depression, OCD, PTSD, BPD
Hearing-Related Conditions such as Hearing loss, tinnitus, hyperacusis
Genetic factors
Misophonia can vary in severity but developing situational and long-term coping strategies can improve quality of life. Managing triggers and emotional responses with support from mental health professionals, support groups, and understanding from family and friends can be crucial. (Cleveland Clinic, 2024)
Image Description: a colourful infographic explaining Misophonia from a reddit post titled: Good Infographic to share with friends and family who don't understand. Find original post here
Processing Differences
Processing Differences refer to the ways in which individuals perceive, interpret, and respond to sensory information differently than what is typical. These differences can manifest in various forms, including sensory processing issues, cognitive processing speed, and difficulties with processing complex information(Bogdashina, 2023).
Proprioception
Prioprioception, one of our senses) refers to where we are in relation to our environment (in a room, in relation to objects, people or the world). As the graphic shows,
Heightened proprioception can look like:
sensitivity to touch and light, clothes
clumsiness, difficulty with stairs
turning whole body to look
avoiding crowds, being close to others
Muted proprioception can look like:
seeking rough play or contact sports
liking pressure from tight clothes, vests, spaces, weighted blankets and hugs
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
misjudging personal space and pressure
bumping, bouncing and crashing into people or things
Proprioceptive Stims may include things like:
pressing body into objects/people and/or squeezing into small or tight spaces
tensing the joints or muscles
rough play or wrestling with peers
flapping arms or hands
Rejection Sensitive Dysphoria
Rejection Sensitive Dysphoria (RSD) refers to an intense emotional reaction to perceived or actual rejection or criticism. Individuals with RSD experience extreme sensitivity to rejection and often have strong emotional responses to it. (Dodson, 2024)
Sensory Overload
Sensory overload occurs when an individual is exposed to more sensory stimuli than they can process, resulting in feelings of being overwhelmed and stressed. This can lead to difficulties in functioning and coping due to the excessive amount of sensory input. (Scheydt et al., 2019)
Sensory Trauma
Sensory trauma refers to the distress or harm caused by overwhelming or harmful sensory stimuli, which can impact an individual's ability to process and respond to sensory input effectively.(Miller et al., 2007)
Sensory Triggers/Issues
physical environments are not designed with our sensory differences in mind
lighting choices are often the least expensive but the most triggering (e.g., many of us can hear the constant buzzing of fluorescent lights drilling into our brain)
harsh bells, buzzers, hand dryers, ringing phones are everpresent in places like schools, hospitals, and other organizations
open concept spaces and excessively echoing corridors and shared spaces
physical environments are built based on outdated notions of what is suitable
Fabrics, tags and seams can make simple activities like changing, putting on coats and shoes unbearable
Vestibular
Vestibular system is our sense of balance, movement and control over our bodies. As this graphic explains,
Heightened Vestibular may lppl like:
motion sickness or nausea more easily than most
avoiding movement, sports, swings
preferring to sit or lie on floor
holding bannisters/walls, looking clumsy
Muted Vestibular may look like:
seeking big movement(spinning, jumping)
constantly moving, getting up, fidgeting
hanging upside on furniture
running instead of walking
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
Stimming
Stimming, or self-stimulatory behaviour, refers to repetitive actions or movements that individuals, especially those who are Autistic, use to self-regulate or manage sensory input and emotions. Stimming can be internal (counting, thought patterns) or external (flapping, tapping, doodling, humming). Stimming is not a negative thing, however, individuals who are continually stimming to cope with sensory distress are often not understood by those around them who could be learning to adjust the environment and reduce sensory triggers.(Kapp et. al, 2019)
Image credit: AJ's Brain. To see more infographics, visit the AJ's Brain website. (A.J., 2024)
Trauma Response
When we feel the impact of sensory barriers, our learned instinct, our trauma-induced survival response is often to conceal the effect these triggers have on us as much as we can, for fear of standing out as “abnormal”. Despite societal conditioning to mask this impact, it is still a learned, unnatural response which requires us to expend extensive energy, and this causes a multitude of issues. In addition to the impacts described previously, the ongoing need to mask our response to these triggers leads to Burnout, Depression and worse. Autistics have high rates of depression, anxiety, and eating disorders as well as many other co-existing conditions. Many of these conditions may feasibly be related to anxiety and coping with human-made spaces which are not built for us and gold standards of what it means to be human that are not based on our realities. Identifying sensory triggers is key to finding accessible solutions.
Exponential Impact of the Sensory Trauma Cycle
Some impacts of Sensory Triggers causing trauma may be visible, but many are not:
Visible stimming may begin or increase due to sensory overload (Kapp et. al, 2019) or it may decrease if person is masking due to trauma (Pearson & Rose, 2024)
Distractibility, forgetfulness; poor performance or need to increase efforts to keep up
Loss or reduction of spoken language or other communication differences
Seen as “too emotional” even though the increased likelihood of emotional presentation is directly related
“Outed” as being different
Productivity decreased
Efforts to advocate for sensory safe spaces are ignored
Perception by others is altered if we reveal our sensory differences
Seen as a burden, pathologized, bullied for being different
Presumption of incompetence, pathologization by others
Reduced opportunities for advancement due to assumptions about capabilities
Discrimination
Stigmatization
Marginalization
Lack of Understanding at the Workplace
All of the above impacts are compounded by a lack of understanding by others at the workplace (especially those in positions of responsibility). When your sensory experience is so different from others, you have to work so much harder to fend off the impact of sensory inaccessible spaces. This often means masking the impact AND also compensating for the impact by working harder to achieve what others do even though, most of the time, we could achieve it easily in the right sensory circumstances). The lack of understanding by those in hiring, planning and leadership roles may be because of factors such as:
Lack of current job-embedded training--people don't know what they don't know
Neurotypical Privilege-people often don't recognize
barrier if it is not a problem for them
Lack of and inaccurate representation of Autistics in the media
Personal and Professional ingrained biases
Internalized Ableism due to own undisclosed or unknown neurodifferences
Systemic Ableism embedded into policies and procedures (e.g., interviews, hiring, promotional processes, networking)
Systemic Ableism
Systemic Ableism refers to the structural and institutional discrimination that devalues individuals with disabilities by prioritizing able-bodied norms and standards. This form of ableism is deeply embedded in societal systems, such as education, employment, and healthcare, leading to inequitable opportunities and social exclusion for disabled individuals. It operates both consciously and unconsciously, through policies, practices, and cultural beliefs that perpetuate the marginalization of disabled people (Bogart & Dunn, 2019), With regards to sensory barriers, systemic biases can manifest in many ways:
Organizational Biases which work against Autistic ways of experiencing the world
Accommodation Efforts improperly implemented
Systemic defaults which favour Neurotypical standards
Training frequently comes from a pathologized, deficit-based understanding of Autism
disconnect between accommodation process and what is actually needed because those in HR and management as well as colleagues have never been trained authentically by those with lived experience
ironically rampant ableism in educational sector which is still largely due to legacy of historical systemic oppression and Medical Model
Disclosing being Neurodivergent in many ways is still unsafe, and when you do it is held against you; instead, many mask all aspects of our authentic ways of being, which means we also can’t use the strategies we could use to assist us (e.g., we are not safe to openly stim or we out ourselves; this is true for wearing tinted glasses, brimmed hats, using lamps instead of fluorescent death beams)
Double Empathy Problem
All of these factors can be understood through Damian Milton’s Theory of the Double Empathy Problem (DEP) The Double Empathy Problem (DEP) is a theory by Dr. Damian Milton, an Autistic Autism researcher. The DEP highlights the mutual difficulties in understanding between autistic and non-autistic people:
Mutual Misunderstanding: Both autistic and non-autistic individuals struggle to empathize with each other's perspectives and experiences. This misunderstanding is not one-sided; it affects both groups.
Reciprocal Challenges: The problem arises from the differences in how people process and interpret social and emotional information. Autistic individuals may find it challenging to interpret non-autistic social cues, while non-autistic individuals may struggle to understand autistic social and emotional expressions.
Beyond Deficit Model: The Double Empathy Problem shifts away from viewing autism solely as a deficit in social skills. Instead, it emphasizes that empathy issues are a two-way street, influenced by the diverse ways people experience and respond to social interactions.
Overall, the theory encourages a more inclusive approach that considers the communication and understanding challenges faced by both autistic and non-autistic individuals.(Milton, 2012) With this in mind, the Double Empathy Problem (Milton, 2012) can be used as a framework to explain the disconnect between Autistics and non-Autistics when it comes to communication differences, but it can also explain the disconnect between how non-Autistics and Autistics experience the world sensorily (i.e., because non-Autistics don’t live life through Autistic sensory experience, they don’t understand us and this makes it hard to empathize with our experiences). By working together to bridge the divide in communication, related to sensory differences, Non-Autistics can become better allies and amplify Autistic perspectives on the path to sensory inclusion.
After all, we are different, not less. Treating us as abnormal marginalizes us and perpetuates the power and privilege which is so deeply entrenched in the Neuromajority.
Glossary
(adapted from: sensoryfriendly.net)
Hypersensitive: compared to statistical norm, responds more than usual to sensory input.
Hyposensitive: compared to statistical norm, responds less than usual to sensory input.
Sensory avoidant: Avoiding sensory input or experiences. (i.e., someone who does not like noisy, busy, bright places.)
Sensory craving/seeking: Craves sensory input or experiences and seeks out sensory-rich environments.
Sensory discrimination: The ability to tell the difference between one sense and another, and within one sense. (e.g., know if something is smooth or rough by touch.)
Sensory-friendly: Describes a place or event where noise levels are less, bright lights are less. A sensory-friendly environment is generally more comfortable, in particular for people with sensory issues. Sensory relaxed and sensory inclusive are similarly used terms