2
THURSDAY. JUCT 5. 2001 Pjagnos . A/7<V*> <Jt» *' . \ t -; '. '• ' Thorrias /,--.<. / > •' >•"' -' V ' ' j > . , V .. *• < -^ . • ' -  ' , - . " " * •{ r' T homas Jefferson 11743-18261 w as widely considered one of the smartest of the F o u n d i n g Fathers. as well as one of the most enig- matic; th e title of a recent biogra- p h y described Jefferson as an "American Sphinx." F or rw o cen- turies, writers a n d historians have used ; dozens of adjecnves to describe Jefferson — , musician, farmer, surveyor, inventor, archi- ; tect.linguist.gourmand,diplomat -while ; questioning th e third preside nt's many , gianng idiosyncrasies: : -Why did Jefferson takeover 50 yean to [ complete his Virginia mansion. Monticei- i lo? •What accounted for his peculiar inter- ; personal behavior - hi s cold glaze, his awk- 1 ward body language, and his unkempt man- ' n e r of dress that left most of his contem- i poranes puzzled? •How could Jefferson, a meticulous I bookkeeper w ho lorded over his financial i transactions, die in debt? • And why did Jefferson, as has been spec- t ulated through welt-publicized DNA test- 1 ing, maintain a secretive long-term affair ' with his former slave. Sally Hemmgs? •" Now. histonan N orm an Ledgm uses a n e w adjective to characterize Jefferson: autistic. Ledgm in "Diagnosing Jefferson" (published b y F u t u r e Honzons Inc.) hypoth- esizes that Jefferson suffered from Asperg- er's syndrome (also called ASi. a form of high-functioning autism first classified in th e 19405 b ut only n ow r e c e i v i n g public attention. IJEDGIN INSISTS that an Aspenjer 1 * diag- nosis would account f o r these lingering questions about Jefferson. " I want ro set the record straight an d deal wuh the apparent contradictions," ledgin said in a telephone interview from h is Kansas home." Everything is explainable by an Asperger's perspective.* Among Ledgin's assertions: •Jefferson's obsession over Moncicello qualifies as an overriding special interest, something most A S people have. That th e creation a n d construction o f Monticeilo would cover 54 years of Jefferson's life from start to finish — and he was unwilling 'to admit that i t was ever finished' - is fair tes- timony to Monticello's being considered an interest of abnormal focus or an unusual fixation." LeUijin adds. "Jefferson's archi- tectural goals simply overrode such pncti- ca l concerns as the money to be found to pay fo r them." "Jefferson's relatively stony-faced reserve was a classic Asperger's trait." Ledgin writes. H e notes that one criterion for AS is a "marked impairment in the use of multiple nonverbal behaviors such as eye-t o-eye gaze , facial expression, body postures and gestures to regulate social interaction." •According to Ledgin. many A S people. like Jefferson, a r e "penny-wise jn d pound- foolish." Jefferson s habit or writing down every trivial financial transaction blinded him to th e fact that he was spending s o much more on Monticeilo. •Jefferson's apathy toward how the pub- li c felt about h is relationship with Hemings is a common trait among A S people. "W e must understand ... how vital to autistics is the quality of their self-isolation over social discomforts, and how essential that with- drawal becomes to escape pressures th e rest of us bnng to bear on them ." * Ledgin ha s received a cold shoulder from some historians, w h o find hi s Jefferson diag- nosis dubious. There's a lot of skepticism an d a, misunderstanding of Asperger's an d high-functioning autism." Ledgin says, not- in g that people often think a ll autistics ar e institutionalized, like Dustin Hof fma n's idiot savant in the movie. "Rain Man." The word "autism." Ledgin says, "brings to mind a helpless indiv idual incapable of self-suffi- ciency. That's n ot true of a spectrum disor- der" Fo r Ledgin. writing about Jefferson w as triggered b y a personal connection: H is teen- ag son. Fred, has Asperger's. "When my son was diagnosed in 1996." Ledgin said. "I began to read a great deal about AS . I tried to become acquainted with al l th e eccentricities a n d quirks that might fall on the continuum." O n e night, when Fred went to bed wearing sweatpants. Lcdgin asked him w hy he didn't wear pajama bot- toms. "The elastic waistband is bothering th e skin around m y waist," Fred replied. COINCIDENTAL!?, LEDGIN was in the mid- dle of reading a comprehensive biography o f Thomas Jefferson. 'Som»! material i n Dumas Malone's six-volume biography of Jef- ferson said something about Jefferson's pref- erence f o r corduroy/soft denim pants." Indeed, according to Asperger's expert Tony Atrwood. people with AS often have great sensitivity to types of clothing against their skin. (They m ay also have great insensitmry

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THURSDAY. JUCT 5. 2001

Pjagnos. A/7<V*>f̂J*<Jt» *'«. >\4*t

-; '. '• '

Thorrias

/ , - - . < . /> • •' > • " ' -' V ' '

j > . , V .. • •*•< -^ . • '-••  ', • - ."" * •{ r'

Th o m a s J e f f e r s o n 1 1 7 4 3 - 1 8 2 6 1 w asw i d e l y c o n s i d e r e d o n e o f the

s m a r t e s t o f th e F o u n d i n g F a t h e r s .as w e l l a s o n e o f t h e m o s t e n i g -m a t i c ; th e t i t l e of a r e c e n t b i o g r a -p h y d e s c r i b e d J e f f e r s o n as an" A m e r i c a n S p h i n x . " F or rw o c e n -

t u r i e s , w r i t e r s a n d h i s t o r i a n s h a v e u s e d; d o z e n s of a d j e c n v e s to d e s c r i b e J e f f e r s o n —, m u s i c i a n , f a r m e r , s u r v e y o r , i n v e n t o r , a r c h i -;

t e c t . l i n g u i s t . g o u r m a n d , d i p l o m a t - w h i l e; q u e s t i o n i n g th e t h i r d p r e s i d e n t ' s m a n y, g i a n n g i d i o s y n c r a s i e s :: - W h y d i d J e f f e r s o n t a k e o v e r 5 0 yean to[ c o m p l e t e h i s V i r g i n i a m a n s i o n . M o n t i c e i -i lo?

• W h a t a c c o u n t e d fo r h is p e c u l i a r i n t e r -

; pe rs onal be havi or - hi s c o l d g l a z e , his a w k -1 w ard body language,and h is u n k e m p t m a n -' n e r of dre s s — that l ef t m o s t of h i s c o n t e m -i poranes p u z z l e d ?

• H o w c o u l d J e f f e r s o n , a m e t i c u l o u sI b o o k k e e p e r w ho l o r d e d o v e r h i s f i n a n c i a li transactions, di e i n d e b t ?

• And wh y d id J e ffe rs on , as has been spec-t u l a t e d t h r o u g h w e l t - p u b l i c i z e d D N A t e s t -1 i n g , m a i n t a i n a secretive l o n g - t e r m a f f a i r' w i t h h i s f o r m e r sl a v e. S a l l y H e m m g s ?•" N o w . h i s t o n a n N o r m a n L e d g m u s e s a

n e w a d j e c t i v e t o c h a r a c t e r i z e J e f f e r s o n :au tist ic. Ledg m in " D i a g n o s i n g J e f f e r s o n "( p u b l i s h e d b y F u t u r e H o n z o n s I n c . ) h y p o t h -e s i z e s t h a t J e f f e r s o n s u f f e r e d f r o m As pe rg-e r ' s s y n d r o m e ( a l s o c a l l e d ASi . a f o r m ofh i g h - f u n c t i o n i n g a u t i s m f i r s t c l a ssi f i ed inth e 1 9 4 0 5 b ut o n l y n ow r e c e i v i n g p u b l i ca t t e n t i o n .

I J E D G I N I N S I S T S t h a t an A s p e n j e r1* di a g -

n o s i s w o u l d a c c o u n t f o r t h e s e l i n g e r i n g

q u e s t i o n s a b o u t J e f f e r s o n ." I w a n t ro set the re cord s t ra i ght an d dealwuh t h e a p p a r e n t c o n t r a d i c t i o n s , " ledgins a i d in a t e l e p h o n e i n t e r v i e w f r o m h isKans as h o m e . " E v e r y t h i n g is e x p l a i n a b l e byan A s p e r g e r ' s perspectiv e .*

A m o n g L e d g i n ' s a s s e r t i o n s :• J e f f e r s o n ' s obsession over M o n c i c e l l o

q u a l i f i e s a s a n o v e r r i d i n g s p e c i a l i n t e r e s t ,s o m e t h i n g m o s t A S p e o p l e h a v e . That th ec r e a t i o n a n d c o n s t r u c t i o n o f M o n t i c e i l ow o u l d cove r 54 ye ars of J e f f e r s o n ' s l i fe fromst a rt t o f i n i s h — a n d h e w a s u n w i l l i n g 'toa d m i t t h a t i t was e v er f i n i s h e d ' - isf a i r tes-t i m o n y t o M o n t i c e l l o ' s b e i n g c o n s id e r e d a ni n t e r e s t o f a b n o r m a l focus o r a n u n u s u a lf i x a t i o n . " L e U i j i n a d d s . " J e f f e r s o n ' s a r c h i -t e c t u r a l g o a l s s i m p l y o v e r r o d e s u c h pncti-

ca l c o n c e r n s as the m o n e y to be f o u n d to payfo r them."

• "J e ffe rs on 's re l at i ve l y stony -faced reservew a s a cl as s ic As pe rg e r ' s t ra i t ." Le dgi n writes .H e notes t h a t o n e c r i t e r i o n f o r A S i s a" m a r k e d i m p a i r m e n t i n t h e u se of m u l t i p l en o n v e r b a l b e h a v i o r s s u c h as e ye - to-e ye gaze ,facial e x p r e s s i o n , body pos ture s and g estu resto r e g u l a t e s o c i a l i n t e r a c t i o n . "

• A c c o r d i n g t o L e d g i n . m a n y A S p e o p l e .l i k e J e f f e r s o n , a r e " p e n n y - w i s e jn d p o u n d -

f o o l i s h . " J e f f e r s o n s h a b i t or w r i t i n g d o w ne ve ry t r i vi a l f i n a n c i a l t r a n s a c t i o n b l i n d e dh i m t o th e f a c t t h a t h e w a s s p e n d i n g s om u c h m o r e on M o n t i c e i l o .

• J e f f e r s o n ' s a p a t h y t o w a r d h o w t h e p u b -li c f e l t about h is r e l a t i o n s h i p w i t h H e m i n g sis a common t r a i t a m o n g A S p e o p l e . "W emust understand . . . how v ital to autistics ist h e q u a l i t y o f t h e i r s e l f - i s o l a t i o n ove r s oci a ld i s c o m f o r t s , a n d h o w e s s e n t i a l t h a t w i t h -d r a w a l becomes to e s cape pre s s ure s th e re s to f u s b n n g t o b e a r o n t h e m . " *

Le dgi n ha s received a c o l d s h o u l d e r f r o ms o m e h i s t o r i a n s , w h o f i n d hi s Jefferso n d i a g -n o s i s d u b i o u s . There's a lo t o f s k e p t i c i s man d a, m i s u n d e r s t a n d i n g of A s p e r g e r ' s an dh i g h - f u n c t i o n i n g a u t i s m . " L e d g i n sa ys, no t -in g t h a t p e o p l e o f t e n t h i n k a ll autistics ar e

i n s t i t u t i o n a l i z e d , l i k e D u s t i n H o f f m a n ' si di ot savant in the movie. "Rai n Man." The

w o r d " a u t i s m . " Ledg in says, " b r i n g s to m i n da h e l p l e s s i n d i v i d u a l i n c a p a b l e o f se lf -suf f i -ci e ncy. T h a t ' s n ot true of a spectrum d i s o r -d e r "

Fo r L e d g i n . writing a b o u t J e f f e r s o n w astr iggered b y a p e r s o n a l connection: H is t e e n -ag e s o n . F r e d , h a s A s p e r g e r ' s .

" W h e n m y s o n w a s d i a g n o s e d in 1 9 9 6 . "L e d g i n s a i d . " I b e g a n to r e a d a g r e a t d e a l

a b o u t AS .I

t r i e d to become a c q u a i n t e d w i t hal l th e e c c e n t r i c i t i e s a n d q u i r k s t h a t m i g h tf a l l o n t h e c o n t i n u u m . " O n e n i g h t , w h e nF r e d w e n t to bed wearing sweatpants. Lcdgi nas k e d h i m w h y h e d i d n ' t wear p a j a m a b o t -toms . "T he e l a s t i c w a i s t b a n d is b o t h e r i n gth e s k i n a r o u n d m y w ai s t ," Fre d r e p l i e d .

C O I N C I D E N T A L ! ? , L E D G I N w a s i n t h e m i d -d l e o f r e a d i n g a c o m p r e h e n s i v e b i o g r a p h yo f T h o m a s J e f f e r s o n . ' S o m » ! m a t e r i a l i nD u m a s M a l o n e ' s six -volume b i o g r a p h y of J e f -fe rs on said something a b o u t J e ffe rs on 's p r e f -erence f o r c o r d u r o y / s o f t d e n i m p a n t s . "I n d e e d , a c c o r d i n g to Asperger's e x p e r t T o n yA t r w o o d . people w i t h A S o f t e n h a v e great

s e n s i t i v i t y t o types of c l o t h i n g a g a i n s t t h e i rs k i n . (T he y m ay also have great i n s e n s i t m r y

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these truths to be self evident...

[*to temperature and choose to wear lightclothing during th e winter an d heavy cloth-

Ling during the summer.lAn intrigued Icdgin began w r i t i n g down

I s i m i l a r i t i e s between hi s son's be havi or an dI Jefferson's. "By the time I got to 50." he said.' "I though!I'd better examine this."

I ASPERGEH'S S Y N D R O M E w as f i rs t di ag-nosed during the 1940$. at about the same

! time that autism itself wasfirst recognized.

: In 1944. Viennese pediatricianHansAs pe rg-er diagnosed f o u r boys he treated as suf fe r -ingfrom what he called "autistic psychopa-

thy." While they behaved normally, they

I showed touches of autism — hey had obses-

sions with one or two subjects (Asperger

called his patients "little professors'l. they

had limited facial motion, motor skills,

I social skills an d general empathy. W i t h thehelp of a n u r s e , he developed an e d u c a t i o n -al program for thesechildren which includ-

I ed speech, drama and gym classes.Gi v en thatAspergerwrote inG e r-man duringWorld War fl. his

findings were largely for-gotten. But in 1981. a

year after hisdeath, aI British psychiatrist

I named LornaW i n g discoveredAsperger'sresearch andpublished a.—r • •

paper o n t h e ,.....'- -syndrome for

th e journal.Psychological

|Medicine.

D u r i n g the

I last f i v e years,several books havebeen p u b l i s h e dabout A S . BucksC o u n t y autism doctor

represent some sense of mastery over theunpre di ctabi l i ty of other people."

Y et obsessions among AS people come ata price. So h n says. "Any special interest can

b e c o m e an obsession w h e n it crosses th ethre s hol d of a l l - c o n s u m i n g , causes ithe ASc h i l d to be i upset when they cannot be

e ngage d in . replaced other activities in th eperson's repertoire."

Or as AS expert Fred V o l l m a r told Th e N ewYork Ti m es in 1999. "(Tlhe ke y point in their

diagnosis is that their obsessive behavior sig-ni f i c a nt l y impairs their soaal functioning."

JOSEPH UUD, a 22-y ear -old AS adult f ro mM o u n t V e r n o n . N.Y.. said. " M ay be the allegedlack of a social life helped me develop good

study habits." But often as a result of beingteased w hi l e growing up. those with Asperg-er's eventually discover that their intelligence

"/ think this is themost

extraordinary collectionof talent,of humanknowledge, thathas ever

been gathered togetherat theWhite House, with the possible

exception of when Thomas

Jefferson dinedalone."— President John F.Kennedy, welcominganaudience of

izarion would be quite be ne fi c i a l ." She runs aregularsenes of discussion groups for ,AS adults

on the Douglass c a m p u s , which focus on these

social skills.

SOHN DEFINES SOCIAL SKILLS as "all thereciprocal actions that involves communica-

t i on with others." including sharing, taking

turns and reading such social cues as body lan-

guage and voice inflection f W h e n is somebody

angry? surprised? embarrassed?!As a result of theircondition.AS adults often

f i n d starting and maintaining romantic rela-tionships very di ffi cul t . "I've seen couples t hat

have worked out their relationship just fine."

Oomanski said. " B ut it may not be an easy sit-uation fo r many A S (people). Difficulties with

empathizing, physical closeness, flexibility in

routines, etc.. may interfere with the ability to

get close, or let others get close."F i n d i n g su i t a bl e jobs can also be tncky.Sohn

said that, "generally speaking."A S adults are

"good for factual, solitary, researchjobs." Domanski adds, "those

™~ ™ (careerslthatarenotdependent

on excellent social skillsw o u l d probably b e most

successful. "I f the jobskills are most impor-

tant, as opposed tof i t t i n g i n s oci a l l y,

th e A S individual

m ay be of greatvalue."

L e d g i n hopes

to achieve twogoals with "Diag-n o s i n g J e f f e r -

son." "I want tos pre ad more i n f o r -

m a t i o n about

Asperger's an d h ig hf u n c t i o n i n g a u t i s m ,

a n d l e t people become

more i n f o r m e d on a con-

$£X?K̂of Nobel Prize winners to theWhite House, Apnl 1962.

i n t e r e s t : "There ar e many more1individualsw ho have t h i s condition:

it ha s captivated th e media'sa t t e n t i o n : par-| ent groups ar e much more i n v o l v e d : l a n d iI th e computer/Web ha s allowed fo r more

i n f o r m a t i o n t o b e a v a i l a bl e an d d i s s e m i n a t -ed."

F A M I L Y AN D CLASSMATESoften call chi l -dren with AS "walkingencyclopedias" or "lit-tle dictionaries." because of their c o m p r e -h e n s i v e knowledge o f o ft en arcane i n f o r -mation, and for the pedantic and detailed

w ay they talk about their obsessions. T h etopi cs AS people obsess over range from b usand train schedules, to lists of members of

'jgCongrea an d p r e s i d e n t s , to baseball statis-tics, toworld records.

David Roths chi l d, a 24-year-old withA Swh o l i v es i n N ew York City, grew u p d e v o u r -

Jng HardyBoys mystery novels. He suggested

on e explanation fo r h is obsessive reading:

"Socially. I had difficulty modeling my

behavior. I always thought I could f i nd a key

to human relationships i n o n e incredibly

f u n n y joke, or knowing more than anyone

else did.*Asperger's expert Oigby T antam made a

similar point in a recent essay: "Sizes of

cities, records, birthdays. 100-20 lists, waist

measurements — a ll numbers that m ypatients with AS have memorized — may allbe attempts to f i nd a powerful q u a nt i t a t i v eclue to society. For a person with AS. know-

ing the largest city or the tallest building

puts a bound on human endeavor and may

doesn't translate into intelligent socialskills.U p o n l e a r n i n g o f h e r d a u g h t e r ' s Asperg -

e r di agnos i s , author Liane Ho l i da y W i l l eyrealized that sh e herself h a d A S . (One s r u d yc o n c l u d e d t h a t o n e - t h i r d o f c h i l d r e n w i t hAs pe rge r s had at least one parent who al s oha d A S . ) S he wrote i n h e r memoir. "Pre-t e n d i n g to Be Normal." that h e r o w n child-

hood and adolescence did not prepare her

for t h e t r o u b l e s A S would cause outsideofthe class room:

"I ha d convinced mys e l f that m y high IQ.an d h i g h academic a c h i e v e m e n t record

m e a n t 1 w a s strong enough to handle what-

e ve r came m y way. "I wa s h it h a r d when Iha d to realize smarts were n ot enough tomak e i t i n this world. I w a s turned upside

d o w n w h e n 1 h a d t o admit I could no t f i nda n y o n e w h o s a w things like I did. I was crip-

pled when I f o u n d it took more than I had togive to m a k e n ew friends." I w a s n o t very

good at figuringpeople out. And so itseems,no one.was v ery good at figuring me out."

PE OPLE WITH AS OFTEN have difficul ty

u n d e r s t a n d i n g basic social situations. "M a nystudents with AS do not have academic d if -ficulties." according to Rochelle Domanski,

a coordinator of educational services at Rut-gers University's Douglass Developmental

DisabilitiesCenter. "Social skills training andproviding appropriate activities for social-

t h e o t h er s i de, i s l i m i t i n g s o m e peo-ple. It'ss o m e t h i n g w e don't know a l otabout." H e said that studying h i g h - fu nc t i o n-

in g a u t i s m m i g h t h e l p u s t o r e i n t e r p r e t o u rbasic u n d e r s t a n d i n g o f h u m a n i n t e l l i g e n c e .

"W h a t we m ay l i nd is that "The Bell C u r v e 's h o u l d n ' t applv. " lie said. re lL ' rnn i ; 10 C h a r l e sM u r r a y a n d K ic h a r d H e r r s t c m ' s c o n t r o v e r s i a l1995 bo o k l i n k i n g I Qs to race.

"At the hi gh end. w e m a y have a d i f f e r e n tclass of i n te l l i ge nce thanks t o t he a b n o r m a l i t y .If w e (ind t h a t g e n i u s is an a b n o r m a l i t y , w e cer-

tainly should stop measuring intelligence th ew a y w e used t o . W e m a y h a v e a totallyd i s t i n c tclass of intellect among us. because of this

( b r a i n l a b n o r m a l i t y . " Us i gi n s a i d.

ULLO TELLS PAREN TS o f AS children to relaxa b o u t t h e condition. "It's n ot your fa u l t . M ymother thought t h a t to o m a n y t i m e s d u r i n gmy childhood." Rothschild offers similaradvice:

"Seek whatever help y o u c a n with your child,

but understand that having A S is not a disease

— i t 's a fundamental part of their identity. Help

your child grow socially, but accept them fo rwho they are."

Le dgi n said the primary reason he wrote"Diagnosing J e f f e r s o n " was to give children

with AS some encouragement. "M y m am inter-

est is to provide y o u n g Asperger's people with

a role model.T he y've had role models, but they

never had a former president as one." Ledgin

hopes his f i n d i n g s will giveAS children "a rea-

son for hope and pride, and a faith in their

potential and hope fo r success."Maat Dy vwrew M*w

DIAGNOSTICCRITERIA

FOR ASPERGER'S

Here's a summary of one of themedical definitions of AS:OSM-iV definition of AsoergerSyndrome (called 'AsoergerDisorder")(APA. 1994)

Qualitative Impairment Insocial Interaction,asmanifestedby atleast two of the following•marked impairment in trie useof multiple nonverOal behaviorssuch as eye-to-eye gaze, facialexpression, Body postures, andgestures to regulate socialinteraction•failure to develop peerrelationshipsappropriate to

developmental level•a lack ofspontaneousseeking

to share enoyment, interests, orachievements with other people• ack of social or emotionalreciprocity

Restricted repetitiveandstereotyped patterns ofbehavior, interests,andactivities, as manifested by atleast one of the following:•encompassing preoccupationwitfi one or more stereotypedand restnctedpatterns of interestthat isabnormal either in

' intensity or focus•apparently inflexibleadherenceto specific, nonfunctionalroutines or nruals•stereotyped and repetitivemotor mannensms•persistent preoccupation withparts of objects

Th e disturbancecausesclinically significantimpairment insocial,occupational,or otherimportant areas of functioning

There is noclinicallysignificant generaldelay inlanguage(e.g.,single wordsusedby age 2, communicativephrases used by age 3)

There is noclinicallysignificant delay incognitivedevelopment or in thedevelopment of age-appropriateself-helpskills,adaptive behavior (other thanin social interaction),andcuriosityabout theenvironment in childhood

Criteria are not met foranother specific PervasiveDevelopmental Disorder orSchizophrenia.

— Andrew Milner