Is Asperger's A Form Of Autism?
I've seen both sides argued here, and I'm interested in seeing it all hashed out in one place.
Obviously, some traits between classic autism and AS are different. Some people have visual-spatial strengths, others weaknesses. Some have sensory processing problems, some don't. Some have nonverbal learning strengths--math and science--others don't. In the past, I have seen the assumption that, if you are autistic, you must have
sensory problems
visual/spatial strengths
better ability in math/science compared to languages
pictorial thinking
sensory problems
stimming
Is this true? Where does it leave those of us who are most comfortable with words, even obsessed with them, or who experience no sensory difficulties or stims?
Are there several different phenotypes of autism? How can that be?
fiddlerpianist
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fiddlerpianist
Veteran
Joined: 30 Apr 2009
Age: 47
Gender: Male
Posts: 1,821
Location: The Autistic Hinterlands
I just wanted to add a little more information that you may find helpful. The website supposes that Asperger's is a type of autism, but it may help explain why AS traits seem to vary a lot more widely in nature and severity than classic autism:
http://www.autismasperger.net/intro.htm
Keep in mind that, while the wedge model is interesting, at the end of the day it is just a model. In reality it's a lot more complex than that.
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"That leap of logic should have broken his legs." - Janissy
I think one reason why people are confused over this is that they erroneously believe Kanner autism is some kind of autism default and other things are judged autistic by determining that they-sufficiently mimic Kanner type Autism.
Actually both Kanner and Asperger type Autism were first described in published literature about the same time, and in both instances the word autism was applied. The word was co-opted based on what it described, which was behavioral traits. Both Kanner and Asperger type autism were referred to as Autistic at around the same time because the word had a meaning that applied to both. The difference is that only one of these conditions was widely known about in the West for a number of decades.
Kanner type autism is no more autistic than Asperger type, yet how often do we hear anyone asking if Kanner type autism is autism like Asperger type is?
The autism spectrum is a concept based on certain similarities of traits among people with different mental conditions...so it is more of a social reality than a neurological one, although it is based on our limited understanding of neurological differences.
The best understanding of the autism spectrum I've been able to come up with, as an NT reading the works of both people on the spectrum and not on it but who study it, is this:
-almost always, if not always, some kind of sensory processing issue, though some might grow out of it. Stimming is usually a by-product of sensory processing issues and is supposedly also found in people with sensory processing issues who do not meet the full criteria for the autism spectrum. Some freak-outs, and pickiness in eating, are also related to this.
-Always some delay in nonverbal communication (expressive and receptive) and sometimes verbal communication (expressive) as well. (Delays in the latter denote Kanner's or "HFA" usually.) However, many autists who can't speak can still understand language; otherwise Kanner folks wouldn't be able to learn to type like quite a few learn to do.
-Usually, some need for order and routine. Hence they often play by lining or stacking things up neatly as children, and develop comforting habits.
-High awareness of detail and ability to focus on interests. Combined with the need for order and routine, this can lead to the infamous freak-outs that may occur when one important detail in the comforting routine is out of place. Can also manifest as Savant Syndrome or just plain talent, on the positive side.
-Difficulty understanding how NT's think...because, well, NT's think so differently from themselves. "Cognitive empathy" is thus relatively poor, though "emotive empathy" or awareness of others' feelings is high or even enhanced.
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Right planet, wrong country: possibly PLI as a child, Dxed ADD as a teen, naturalized citizen of neurotypicality as an adult
Autism is a group of disorders that happen to affect the same area of the brain. However each different cause also happens to affect other area's of the brain, collateral damage would be a good term to use. This is why we share a core-group of symptoms but vary hugely in other symptoms.
As for your original question, although aspergers and autism are similar they are not the same disorders.
[...]
Kanner type autism is no more autistic than Asperger type, yet how often do we hear anyone asking if Kanner type autism is autism like Asperger type is?
I agree with that.
I don't see that AS is any more or any less autism than classical. Names aren't telling more than that someone like me, a person with language, thought to call something by a certain name based on their opinion or coincidence. We could just as well call AS giraffe and classical autism point.
The similarities of the behavioural manifestation of giraffe and point will remain the same (and we'll probable wonder whether points are related to giraffes or not) as that of when the patterns of behaviours are called AS and classical.
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Autism + ADHD
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The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett
Actually both Kanner and Asperger type Autism were first described in published literature about the same time, and in both instances the word autism was applied. The word was co-opted based on what it described, which was behavioral traits. Both Kanner and Asperger type autism were referred to as Autistic at around the same time because the word had a meaning that applied to both. The difference is that only one of these conditions was widely known about in the West for a number of decades.
Kanner type autism is no more autistic than Asperger type, yet how often do we hear anyone asking if Kanner type autism is autism like Asperger type is?
I agree. Besides, the criteria that are currently in both DSM and ICD don't say anything about sensory problems, visual spatial problems or math skills. The only differences between Kanner and Asperger autism, criteria-wise, are language ability (and this applies only in early life) and in some cases IQ.
I would say yes, simply due to the same tendency to social impairment. I was a classic example of "little professor syndrome", so I never had any problems with language. I also got a 790 on the verbal portion of the SAT as compared to only 710 on the math. Even this is hard to label, as I got a perfect score on the calculus II homework I did while I was too drunk to sit up straight.
I also have the same type of sensory issues as an autistic person might, although they have lessened. I used to not be able to get in a hot tub without feeling like I was boiling alive, but now it is one of the most relaxing feelings to me. I tend to stim as well; I've noticed I rock in rhythm to whatever song is stuck in my head.
To me, Asperger's is definitely on the autism spectrum. It is much less severe, but that is what makes autism a spectrum: the varying symptoms and severity.
I think that the differences between Kanner's and Asperger's types are no greater than the differences you might get if you divided the overall "autistic" group by some other criterion. There are definitely differences; it's just that the differences they've chosen to divide the two groups are fairly arbitrary, and other differences could be used just as well--for example, the VIQ/PIQ gap, the extent of desire to socialize, the presence or absence of a working theory of mind...
If I had my way about it, I would re-name them and have them like this: Asperger's is just "autism without specific language delay", and Kanner's is "autism with specific language delay". IQ has no bearing on it, for two reasons: One, an overall developmental delay will lead to language delay even if there is no specific difficulty with language. And two, IQ and autism don't really mix well to begin with.
That would lead to a group of people who are autistic and have functional speech at or near the level one would expect from their other skills (average level, in this case, since those skills can be so disparate). Another group would have speech either delayed or absent. That would be a useful diagnostic category, because one group might benefit from speech/language therapy, and the other group wouldn't need it. Both groups might be developmentally delayed, average, or gifted. You could of course jump from one group to another if you caught up with your language ability.
There could be other tags you could put onto the autism diagnosis, too... for other important features of that particular case, like executive dysfunction, problems with novelty and transitions, etc. I don't know whether you'd have to put that in the diagnosis. I'd just write down "Autism" and then put down the biggest features. They already do this with both ADHD and schizophrenia, both of which are as varied as autism, and it works for those categories to define the specific features of a case even when the overall category says little or nothing about them.
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People, both NT and autistic, have an extraordinary capacity for denial when some truth or likelihood doesn't meet their psychological needs. It seems to me that some AS, and those close to them, look down on non-verbal Kanner's autistics and don't want to be associated with them. These people therefore vehemently deny that their condition is related, even though all the evidence is to the contrary. I agree with the observation that AS autism is equally autistic as Kanner's type.
I mean no disrespect at all, and welcome your NT contribution, but in my autistic view this statement is backwards. It smacks of NT misunderstanding stemming from observable traits. As an autist I consider autism to be a neurological reality, not social one. I am an autist because of how my mind works, period.
wildgrape: I wasn't trying to deny the importance of the neurological underpinnings of what we call autism, I was trying to say that the fact that we take this particular range of neurological wirings and lump it into a category called "autism" rather than just calling it "cognitive styles" or "perceptive styles" is because of a social reality. That's not to say that these wirings are not real and are not responsible for the personality types, thinking styles, and perceptive styles of people we call "on the autism spectrum," it's to say that it's for social reasons that we lump all these neurological quirks together and give it the name "autism spectrum." Particularly, because people with these cognitive and perceptive styles tend to have similar troubles relating to those of us with more common cognitive and perceptive styles, which you autistic people, out of necessity, have dubbed "neurotypicals." If there weren't these communication gaps between "AS" and "NT" (and perhaps someday there will no longer be, as technology improves and, hopefully, appreciation of neuorpsychological difference for what it is improves), the labels "AS" and "NT" would probably not be necessary, as the differences that distinguish between the two are no longer socially relevant. That's not to say that people would not have these wiring differences, though.
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Right planet, wrong country: possibly PLI as a child, Dxed ADD as a teen, naturalized citizen of neurotypicality as an adult
There could be other tags you could put onto the autism diagnosis, too... for other important features of that particular case, like executive dysfunction, problems with novelty and transitions, etc. I don't know whether you'd have to put that in the diagnosis. I'd just write down "Autism" and then put down the biggest features. They already do this with both ADHD and schizophrenia, both of which are as varied as autism, and it works for those categories to define the specific features of a case even when the overall category says little or nothing about them.
it seems like NLD would fit into this as well, since NLD brain function is so physically similar to autism, yes?
GhostsInTheWallpaper:
So, if I understand you correctly, you are saying that if we just acted the same way as NT's do it wouldn't matter to you that our brains operated differently. Isn't that the same as telling someone with flat feet that if he keeps his shoes on we won't recognize his flat feet, or telling someone with red hair to keep his hat on and we won't call him a red head?
Do we have troubles relating to NT's, or do NT's have troubles relating to us? Yes, I know, according to NT logic since you are in the majority you feel entitled to believe, and tell us, that the troubles are ours. As an autist, I don't accept this.
So, if it weren't for these "communication gaps" we could deny our autism and all would be well. I'm sorry that you feel that there is something wrong with being an autist. According to your reasoning, if black people were white there would be no racism. Right you are!
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