Name: 自閉症的 3 種奇特測試方法！ (3 WEIRD Ways Autism is Tested)
Uploaded: 2025-11-25T18:05:37.000Z
Duration: 5 min 43 s

Have you ever wondered how a clinician evaluates and diagnoses autism?

你是否曾好奇臨床醫生是如何評估和診斷自閉症的呢？

It's not as simple as a boring questionnaire in a cold office setting.

這可不是在冰冷的辦公室裡做一份無聊的問卷調查那麼簡單。

In fact, some questions asked in the assessment can be pretty bizarre and confusing, but

事實上，評估中有些問題可能會有點奇怪和令人困惑，但

So without further ado, let's go over the unique and sometimes very weird ways autism is evaluated during an assessment.

那麼，我們就來看看在評估自閉症時，那些獨特又有點奇特的做法吧。

Let's begin Toothbrushing did you know that toothbrushing can be a test for autism?

我們先從刷牙開始，你知道刷牙也可以是評估自閉症的一種方式嗎？

Toothbrushing is one of the multiple parts of an assessment for daily living skills and sensory sensitivities that clinicians often use when evaluating for autism spectrum disorder.

刷牙是臨床醫生在評估自閉症譜系障礙時，用於評估日常生活技能和感官敏感性等多個項目中的一部分。

Tooth brushing is a common area where challenges related to autistic traits become apparent.

刷牙是自閉症特質相關挑戰變得明顯的常見領域。

For example, many individuals with autism experience sensory sensitivities that make tooth brushing uncomfortable or even distressing.

舉例來說，許多自閉症患者有感官敏感性，這會讓刷牙變得不舒服，甚至很痛苦。

The texture of the toothbrush, the taste or foaming of toothpaste, the sound of brushing, or even the feeling of bristles around the gums can trigger sensory overload.

牙刷的質地、牙膏的味道或起泡程度、刷牙的聲音，甚至是牙齦周圍刷毛的感覺，都可能引發感官超載。

Additionally, difficulties may arise from fine motor coordination challenges related to gripping the toothbrush or following a sequence of brushing steps.

此外，抓握牙刷或按照刷牙步驟順序進行的精細動作協調挑戰，也可能帶來困難。

Some individuals might also struggle with communication or executive functioning, which affects their ability to remember, plan, or independently complete the routine.

有些人可能還會遇到溝通或執行功能方面的困難，這會影響他們記憶、規劃或獨立完成日常事務的能力。

Clinicians use this information as part of adaptive behavior assessments such as the Vineland Adaptive Behavior Scales or the Adaptive Behavior Assessment System, which measure practical, everyday skills.

臨床醫生會將這些資訊納入適應行為評估的一部分，例如 Vineland 適應行為量表或適應行為評估系統，這些評估用來衡量實際的日常生活技能。

These assessments ask caregivers about how independently a person manages hygiene tasks like tooth brushing, bathing, and dressing.

這些評估會詢問照護者關於個人獨立完成衛生任務，像是刷牙、洗澡和穿衣服的程度。

Additionally, occupational therapists may observe the tooth brushing process directly to understand how sensory, motor, and

此外，職能治療師可能會直接觀察刷牙過程，以瞭解感官、運動和

cognitive factors interact during the activity.

認知因素在活動中如何相互作用。

So while toothbrushing itself isn't a formal or stand alone test for autism, it's an important piece of the larger picture.

所以，雖然刷牙本身並不是自閉症的正式或獨立測試，但它是更廣泛情況中的一個重要環節。

It offers valuable insight into how sensory experiences, motor skills, and

它能提供關於感官體驗、運動技能和

daily living abilities come together, helping clinicians paint a more complete picture of an individual's unique strengths and challenges.

日常生活技能如何結合，協助臨床醫生描繪出個人獨特優勢與挑戰的完整圖像。

Would you rather go to a library or a party?

Clinicians evaluating for autism aren't always checking whether you say library or party.

進行自閉症評估的臨床醫生，不一定總是在檢查你會說圖書館還是派對。

They're also secretly testing whether you need lots of clarification.

他們也在偷偷測試你是否需要很多澄清。

Like if you immediately respond, it depends.

像是如果你立刻回應，這要看情況。

I need more information to answer, Is it a Harry Potter themed party?

我需要更多資訊才能回答，是哈利波特主題派對嗎？

Where's the venue, and is it close to where I live?

What kind of books are there at the library?

Clinicians take note of this because it reflects the cognitive and social communication patterns often associated with autism.

臨床醫生會注意到這一點，因為這反映了常與自閉症相關的認知和社交溝通模式。

For instance, many autistic individuals prefer predictability and clear rules.

例如，許多自閉症人士偏好可預測性和清晰的規則。

So a vague social question like this can feel ambiguous or incomplete without specifics.

所以像這樣模糊的社交問題，如果沒有具體細節，可能會讓人覺得含糊不清或不完整。

On the other hand, neurotypical individuals might be more likely to give a quick, socially oriented answer like party if they're outgoing or library if they're studious, without needing to dissect the scenario.

另一方面，神經典型人士如果外向，可能會給出像「派對」這樣的快速、社交導向的答案；如果愛讀書，則可能回答「圖書館」，而無需仔細分析情境。

These kinds of responses can also give clinicians insight into social motivation, anxiety, social sensory preferences, and

這類回應也能讓臨床醫生了解社交動機、焦慮、社交感官偏好，以及

Someone who prefers the library might not necessarily be asocial they could simply find quieter environments more comfortable due to sensory sensitivities.

偏好圖書館的人不一定不善社交，他們可能只是因為感官敏感性而覺得安靜的環境更舒適。

Meanwhile, someone who hesitates or asks for more details might be demonstrating analytical reasoning, not avoidance.

同時，猶豫不決或要求更多細節的人，可能是在展現分析性推理，而非迴避。

The goal isn't to judge the right or wrong answer, but

to understand how the person thinks, communicates, and

而是要了解這個人如何思考、溝通，以及

So when an evaluator asks whether you'd rather go to a library or a party, they're not testing your taste in books or your social preferences.

所以當評估者問你寧願去圖書館還是派對時，他們不是在測試你的閱讀品味或社交偏好。

They're exploring your thought process, your tolerance for ambiguity, and your social cognitive style.

他們是在探索你的思考過程、你對模糊性的容忍度，以及你的社交認知風格。

It's a small, deceptively simple question that opens a window into how your brain interprets the world.

這是一個小巧、看似簡單的問題，卻能讓我們一窺你的大腦如何解讀世界。

A strong preference for concrete information and communication is another key aspect to consider when evaluating autism.

當評估自閉症時，對具體資訊和溝通的強烈偏好是另一個需要考量的關鍵面向。

Social Scenario Questions Weirdly enough, some autism assessment questions may make you feel that you're on a television game show rather than a clinician's office.

社交情境題 有趣的是，有些自閉症評估題目可能會讓你覺得自己像是在電視遊戲節目裡，而不是在臨床醫生的診間。

You might be asked, if you found a penguin in your freezer, what would you do?

你可能會被問到，如果你在冰箱裡發現一隻企鵝，你會怎麼做？

Or if your friend looks sad but didn't say anything, how would you react?

或者，如果你的朋友看起來很難過但什麼都沒說，你會怎麼反應？

As bizarre and abstract as these questions may seem, I mean, don't most people have penguins hanging out or chilling in their freezer?

這些問題聽起來雖然奇怪又抽象，但我想，難道不是大家冰箱裡都會放隻企鵝嗎？

They do serve a purpose, which is to evaluate whether the person can apply social reasoning in a novel setting.

這些問題確實有其目的，那就是評估這個人在新的情境下是否能運用社交推理。

Clinicians pay attention to whether responses are literal or abstract, socially appropriate, context aware, or focused on a single detail, as well as how the person navigates ambiguity without relying on learned scripts.

臨床醫生會注意回答是字面上的還是抽象的、是否符合社交情境、是否考量了上下文，或是隻專注於單一細節，以及這個人在沒有依賴學習腳本的情況下如何應對模糊不清的情況。

By using these unusual scenarios, evaluators can assess core aspects of autism such as social communication, empathy, and

透過這些不尋常的情境，評估者可以評估自閉症的核心面向，例如社交溝通、同理心，以及

cognitive flexibility, while complementing observations of daily living skills, sensory sensitivities, restricted interests, and

認知彈性，同時補充對日常生活技能、感官敏感性、侷限性興趣和

repetitive behaviors to create a comprehensive understanding of an individual's strengths and challenges.

重複性行為的觀察，以全面瞭解個人的優勢和挑戰。

那麼大家對這個話題有什麼看法呢？

We'd love to hear your feedback and personal opinions in the comment section.

我們很想在留言區聽聽大家的意見和個人想法。

If you're interested in learning more, check out our other videos on autism.

如果你想了解更多，可以看看我們關於自閉症的其他影片。

Like 10 Signs yous Might Be on the Autism Spectrum by Brian Cham.

像是 Brian Cham 的「你可能有自閉症譜系的 10 個跡象」。

As always, thank you for watching and have a wonderful day.

最後，謝謝大家的收看，祝你有美好的一天。