Jim just answered a question about the Jade Court which probably applies to Mab. Jim said that members of Jade Court behave in a manner that might appear to be autistic, but not exactly. The reason it may apply to Mab is Jim said it's just the way that creatures who are functionally immortal keep themselves sane. They wrap themselves in ritual, performing specific behaviors. I think in the Jade Court's case this behavior is exacerbated by the fact that their particular culture is so insular to begin with.
This might explain why Mab told Harry that he should kill Molly if Mab died during the events in Battle Ground. Molly doesn't perform the kind of behaviors that Mab has become accustomed to doing to function as an immortal. However, it's possible that Mab is wrong, that Molly has just found a different way to adjust to the pressure of being immortal. I suppose that is a question for a different thread and probably one that cannot be answered until sometime in the future.
Here's a link to the exact quote: https://www.youtube.com/watch?v=pRcj4gvGXKI
The question starts at about 32:30 into the talk
It makes sense, neither the Fae or the Jade Court are human, they are not mortals even if they appear that way, thus their behavior cannot be judged as mortals judge mortal behavior. It does get tricky in cases like Mab, because she once was a mortal. As Mother Winter says with disgust, "she is a romantic," meaning in my opinion that she believes that Mab's judgement is sometimes influenced by what little human or mortal that is left in her. However Mab has worn a Fae mantel for so long she is 99.999% Fae now,views the world and reacts to the world mostly as a Fae, thus to mortals her behavior appears to be autistic..
Mother Summer tries to explain what ties and the divides mortals and the Fae to Harry in Cold Days pages 326-327
" You are endlessly fascinating. We conceive our children with mortals. We move and sway in time to the mortal seasons. We dance to mortal music, we make our homes like mortal dwellings, feast upon mortal foods. We find parts of ourselves becoming more like them, and yet we are not like them. Many of the things they think and feel, and a great many of their actions, are inexplicable to us."
Harry doesn't say it, but mortals can return the favor, much of what the Fae think, feel, and actions are inexplicable to mortals... Thus while some mortals may view Mab's behavior as being autistic, in the end she is just behaving like a Fae.