Page 3 of 3 [ 37 posts ]  Go to page Previous  1, 2, 3

visagrunt
Veteran
Veteran

User avatar

Joined: 16 Oct 2009
Age: 57
Gender: Male
Posts: 6,118
Location: Vancouver, BC

31 Jan 2013, 12:30 pm

IChris wrote:
To me it is a difference, but to my culture it is an impairment. In the same way as a delusion seldom is a delusion to the person having it, but to not classify it as such in a culture may be a problem. So after all, as I live in a culture it is the definition of the culture rather than my own definition which is what classify me.


But the clinical significance of impairment is based on subjective experience, not on objective classification. If you tell me, "I don't have a problem getting along with my friends," then I believe you. Unless there is evidence to suggest to me that you are lying, when you say you don't have a problem, then you don't have a problem. And if you don't have a problem, then you aren't disordered. Period.

It doesn't matter whether the culture calls you different or disordered. What matters is whether you have present qualitative abnormalities in social interaction. From everything that you've said, I don't see that this is the case.

There is no part of practicing medicine that is more frustrating than the patient who will not take, "there's nothing wrong with you," for an answer.


_________________
--James


IChris
Snowy Owl
Snowy Owl

User avatar

Joined: 15 Dec 2012
Age: 40
Gender: Male
Posts: 138
Location: Norway

31 Jan 2013, 5:07 pm

visagrunt wrote:
IChris wrote:
To me it is a difference, but to my culture it is an impairment. In the same way as a delusion seldom is a delusion to the person having it, but to not classify it as such in a culture may be a problem. So after all, as I live in a culture it is the definition of the culture rather than my own definition which is what classify me.


But the clinical significance of impairment is based on subjective experience, not on objective classification. If you tell me, "I don't have a problem getting along with my friends," then I believe you. Unless there is evidence to suggest to me that you are lying, when you say you don't have a problem, then you don't have a problem. And if you don't have a problem, then you aren't disordered. Period.

It doesn't matter whether the culture calls you different or disordered. What matters is whether you have present qualitative abnormalities in social interaction. From everything that you've said, I don't see that this is the case.

There is no part of practicing medicine that is more frustrating than the patient who will not take, "there's nothing wrong with you," for an answer.


In my country a subjective experience alone can't be used for an autism spectrum diagnosis, an objective classification done by a professional is a requirment.

As you have not seen me in social interaction, I can't see how you can conclude about it.



Anomiel
Veteran
Veteran

User avatar

Joined: 17 Dec 2012
Age: 37
Gender: Female
Posts: 1,023

31 Jan 2013, 5:31 pm

visagrunt wrote:
IChris wrote:
To me it is a difference, but to my culture it is an impairment. In the same way as a delusion seldom is a delusion to the person having it, but to not classify it as such in a culture may be a problem. So after all, as I live in a culture it is the definition of the culture rather than my own definition which is what classify me.


But the clinical significance of impairment is based on subjective experience, not on objective classification. If you tell me, "I don't have a problem getting along with my friends," then I believe you. Unless there is evidence to suggest to me that you are lying, when you say you don't have a problem, then you don't have a problem. And if you don't have a problem, then you aren't disordered. Period.

It doesn't matter whether the culture calls you different or disordered. What matters is whether you have present qualitative abnormalities in social interaction. From everything that you've said, I don't see that this is the case.

There is no part of practicing medicine that is more frustrating than the patient who will not take, "there's nothing wrong with you," for an answer.


Since when was autism just about social interaction?



DeVoTeE
Deinonychus
Deinonychus

User avatar

Joined: 16 Sep 2006
Age: 56
Gender: Female
Posts: 340
Location: United States

01 Feb 2013, 2:04 pm

My opinion is that they learned to hide it from the rest of the world after months of therapy.



btbnnyr
Veteran
Veteran

User avatar

Joined: 18 May 2011
Gender: Female
Posts: 7,359
Location: Lost Angleles Carmen Santiago

01 Feb 2013, 3:30 pm

Social behaviors can be learned, so it's not surprising that some children with mild autistic traits can learn enough to no longer have significant impairments by teenage years. A lot of autistic children diagnosed today have mild autistic traits, so it is possible for them to learn a lot of social behaviors. Children with more severe traits can also learn social behaviors, as long as they don't have cognitive deficits preventing them from doing so.