Do self-diagnosers ruin it for the rest of us?

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Apple_in_my_Eye
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30 Mar 2010, 10:12 pm

CerebralDreamer wrote:
I've been keeping up with this thread for quite a while, and don't think I've yet had the chance to respond.

There are several places that have problems with 'self-diagnosis' of medical disorders. It's a big problem with Social Security in the United States. People will find a disorder, mimic its symptoms for the sake of diagnosis, and use it as an excuse to get out of work and a lot of ordinary social requirements. The problem is that the mere existence of these labels means people will try to take advantage of them. With the bad rap sheet neurological disorders are getting just from social security, the 'social norms' thing doesn't help.


I have a hard believing that would work, or that there are so many people doing it, let alone successfully. I think this is a ghost story like the "welfare queen" of the 1980's. It reminds me of stories of people having, say, multiple expensive vehicles on SSI -- if you know the system you know that's BS. But most people don't know so they keep passing these stories around until they become legend.

SS is not going to accept a self-diagnosis for anything. If people are mimicking symptoms, it's not in front of a SS clerk -- that's not how it's done. You'd have to mimick in front of a doctor paid by SS to be as skeptical as possible.

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Anytime we look for extra support in trying to figure things out, using 'Asperger's Syndrome' as a label, people assume right off the bat that we're looking to make excuses. The thought never crosses their mind that the person in question is actually asking for help and support in figuring things out.

Given the number of self-diagnosed individuals (most of whom probably actually have it), it's pretty easy to see where the hostility comes from. The occasional AS brat using it as an excuse obviously doesn't help our case.


I dunno, I don't see any diagnosed or self-diagnosed people around IRL at all. Then again I don't get out much.



CerebralDreamer
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30 Mar 2010, 10:37 pm

Apple_in_my_Eye wrote:
I have a hard believing that would work, or that there are so many people doing it, let alone successfully. I think this is a ghost story like the "welfare queen" of the 1980's. It reminds me of stories of people having, say, multiple expensive vehicles on SSI -- if you know the system you know that's BS. But most people don't know so they keep passing these stories around until they become legend.

SS is not going to accept a self-diagnosis for anything. If people are mimicking symptoms, it's not in front of a SS clerk -- that's not how it's done. You'd have to mimick in front of a doctor paid by SS to be as skeptical as possible.

It happens, but the people involved are always criminals. At the very least it's run of the mill tax evasion. People work 'under the table' for cash, which doesn't get reported to the IRS. In more extreme cases, the reason money doesn't get reported is because of its connection with drugs.

Unless you're involved with these types of people (either through law enforcement or shady friends), then you'll probably never see it first hand. The fact is that some businesses do hire employees 'under the table', and drug dealers aren't exactly going to shy away from sleazing the system.

The problem is that people who want to tear away social supports for those who actually need it, tend to ignore the fact that the people in these 'sleazy leach' stories are outright criminals. They're always talking about systematic abuses, and never the fact that the IRS would love to meet those 'cheating the system'. (Let's not forget any involvement the FBI/DEA would love to have in this matter.)


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30 Mar 2010, 10:44 pm

*sigh* I'm not saying non-impaired autistics aren't autistic. I'm saying they're non-diagnosable. There's a difference.

"Impairment" includes having to try so hard to be normal that you burn out. It includes having to spend a great deal of effort to do something that the typical human does easily. Not having that reserve of effort left over for something else IS an impairment.

Non-disabled autistics cannot be diagnosed. Mildly disabled autistics, on the other hand, can be, and should be.

I think we're just too insistent on calling ourselves "not disabled" because the stereotype of disability is of something extreme, something that means you can't work, can't marry, can't do what you want with your life, have to be forever dependent and incapable. It's not like that. Disability is, simply, not being able to do something that is expected of the people in the society you live in.

Non-disabled autistics are the people who have the autistic cognitive style but can do the things society expects of them in ways that don't require assistance or extra effort (though they may not be the mainstream methods). They're either broader autism phenotype or a lost childhood diagnosis; either way, there's so much in common with the diagnosable autistics (and a blurry border between diagnosable and not) that if you stuck them into a random group of autistic people, you probably couldn't tell the difference until you started evaluating skill levels and matching them up with what's expected of typicals.

This isn't an analogue of the child with CP who struggles to walk; it's more like the preemie who lags behind full-term infants and catches up by kindergarten. You can't call him developmentally delayed anymore, even though he was in the past. Same goes for autistics who gain the skills they need to match up to society.

Autistics with a lost diagnosis are legitimately autistic. I don't see any logic in the notion that autism, a disorder which blends quite seamlessly into the typical, must arbitrarily end at the point where one can meet society's demands. A diagnosis, though, makes no sense; the point of a diagnosis is to categorize someone's traits so as to offer specialized education and treatment, and if no support is needed and probably never will be needed, there is no point in a diagnosis. I think maybe "self-identification" is a better term in the (probably minority) of cases where self-diagnosis is made in the absence of impairment... but then, that's splitting semantic hairs, really.

The problem isn't that non-disabled, non-diagnosable autistics exist. Of course they do. It's that the people who deal with autism don't realize this, ignore the existence of autistic diversity, and make one of two assumptions: Either all autistics who do not meet the obvious, severe stereotype are faking; or else anyone who is autistic must be of the obvious, severe, stereotypical sort, and therefore can be assumed to be whatever their idea of "disabled" is.

It's really just an extension of the same old problem--assuming that people with the same diagnosis must all have the same traits; assuming that disability is always obvious, severe, and totally incapacitating; and assuming that disability is a negative, shameful thing to be "overcome" rather than the way things just happen to be.

Put all those together, and there are only two ways to treat somebody who identifies with a label that triggers the disability stereotype: Reject the stereotype and accuse him of hypochondria or fakery, or else accept the stereotype and saddle him with all the object-of-pity assumptions that come with it.

Nobody seems to realize that we can just dump the disability stereotype altogether.


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30 Mar 2010, 11:04 pm

GuyTypingOnComputer wrote:
Shebakoby wrote:
There seems to be a pervasive attitude that people are all over the internet self-diagnosing themselves with AS or Autism. This tends to diminish the credibility of honest-to-god diagnosees.


I have no reason to believe anyone on the Internet, which makes this whole Diagnosed v. Self-Diagnosed debate frustrating to me. Everyone on this board is Self-Identified, so I assume anyone of either identification could be lying.


It is true that people on the internet can pretty much say anything.



Tetraquartz
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30 Mar 2010, 11:56 pm

anbuend wrote:
So... That one woman might have been awful for both of us but I bet you did make a difference for the other parents. I know the other parents at my talk were not all like the one awful one.


Thanks for telling your story of something similar happening to you, it lends some perspective on my own experience.


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31 Mar 2010, 7:18 am

Danielismyname wrote:
b9 wrote:
autism for me means that i live only in my own world, and i can not situate my conscience in the world of any other person but me.


Yeah, but how many girlfriends have you had in person? :roll:


huh? what are you talking about? what did i say that is pertinent to girlfriends?
maybe your idea of what i said is polluted with some misgiving you have about you not having a girlfriend?

Danielismyname wrote:
In your own world means exactly that, and you need to put your mind out for others to see for them to know you,
if even for the shortest amount of time.

i try to speak on this public forum. i do not care if i am not understood. i just want my thoughts to be visible. i will be the same as i always have been whether anyone understands me or not. it is like buying a lottery ticket. maybe i will win the understanding of someone, but i really do not hope for it.

Danielismyname wrote:
If you did what you said you are doing, you wouldn't even be here talking to others, no matter how detached and impersonal it is.


well i said more in my post that evaded your inspection. i said i like to post things i think on sites that will retain my words in case my computer dies.

i never said i do not like to say things in a public arena. i just said the equivalent of that i do not expect to be understood or responded to... which is fine by me.

take your shots at your bottles and not at me. you can not hit me with your ammunition and i will keep proving it if you try.

i am always locked tight in my own mind, and that does not equal "i do not want to talk to anyone".

fine tuning is hard with a small knob i guess.



natty
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31 Mar 2010, 7:26 am

fine tuning is hard with a small knob i guess.[/quote]


my only skill in life is spotting a good inuendo , its supposed to be a totally un aspie thing .



DeaconBlues
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31 Mar 2010, 10:21 am

natty wrote:
fine tuning is hard with a small knob i guess.



my only skill in life is spotting a good inuendo , its supposed to be a totally un aspie thing .[/quote]
Not as such - many aspies enjoy wordplay. Not all, of course, but quite a few...


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anbuend
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31 Mar 2010, 10:46 am

CerebralDreamer wrote:
anbuend wrote:
Honestly, I don't buy that people claiming to have things for social security is the problem. That's just always been the excuse to use terribly dehumanizing methods to separate out the "deserving poor" from the "undeserving poor", and it's existed since long before the aid being given to poor people was specifically about disability. Associate people who want aid with lazy people who just don't want to work, and then use that stereotype to justify behaving in extremely crappy ways to those applying for said aid.

snip...

I agree completely. The problem is how do you deal with that?

This strikes at the very heart of a difficult issue, and without a way to deal with it, we're basically running in circles after our own tails, either by policing ourselves or defending ourselves against people who will never change their mind.

How do we deal with that? I'm looking for answers, not rants, not complaints. I want ideas, not feelings.


How do we deal with what?


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CerebralDreamer
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31 Mar 2010, 11:28 am

anbuend wrote:
CerebralDreamer wrote:
anbuend wrote:
Honestly, I don't buy that people claiming to have things for social security is the problem. That's just always been the excuse to use terribly dehumanizing methods to separate out the "deserving poor" from the "undeserving poor", and it's existed since long before the aid being given to poor people was specifically about disability. Associate people who want aid with lazy people who just don't want to work, and then use that stereotype to justify behaving in extremely crappy ways to those applying for said aid.

snip...

I agree completely. The problem is how do you deal with that?

This strikes at the very heart of a difficult issue, and without a way to deal with it, we're basically running in circles after our own tails, either by policing ourselves or defending ourselves against people who will never change their mind.

How do we deal with that? I'm looking for answers, not rants, not complaints. I want ideas, not feelings.


How do we deal with what?

I was hoping you had some ideas. I'm fresh out. :lol:


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31 Mar 2010, 11:47 am

You mean actually getting somewhere in the way of advocacy rather than spending all our time on fighting each other or yelling at people who are so set in their ways that they'll never listen? I don't know, really.


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anbuend
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31 Mar 2010, 12:17 pm

I may have ideas if I had any clue what it was we were talking about.


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31 Mar 2010, 12:23 pm

"Do self-diagnosers ruin it for the rest of us?"

Nah, ... in some states and countries it can be next to impossible to get a real diagnosis done.

I actually had to diagnose myself before I got my official diagnosis, because I didn't have enough money to pay for the real thing. So it wasn't until after I had confirmed in every way that I do in fact have Asperger's Syndrome, that I went and got a diagnosis made at the highest expertise in the field that we have in my country.
They had no problem finding out that I do indeed have AS.

But even so I had to fight for another few years before I finally succeeded in having my diagnosis made official ... that is, before the state accepted the diagnosis made by the head psychiatrist who made it (and who is the leading expert in the field of Asperger's Syndrome not only in my country, not only in Scandinavia, but in Europe)!

So I was self-diagnosed for some years before I officially was recognized for being a person with Asperger's Syndrome.

Yet, I am one of the lucky ones around here (my end of the world: Scandinavia). Most people wouldn't have neither the stamina, nor the luck(, nor the IQ ... we don't all have 148+ IQ, even if we tend to be highly intelligent). - And I haven't even
mentioned all the factors that aren't easily cotegorized.

.......

Yeah, I definitely understand why people feel the need to diagnose themselves.
Getting an official diagnosis can be very costly, and living with AS but not having the understanding that comes with having an official diagnosis from at least some of your surroundings - means a lot. The next best thing is Knowing in and with yourself!


Having official recognition may in fact even mean more to people with AS than it would to an NT.
We often fight with self-understanding and perception of traits within ourselves.
An example of this is how many of us seem to "adopt" mimics and mannerisms from our surroundings, and yet we don't feel those traits represent us. (those of you who haven't come across this "specialty" with people who hav AS might want to read a short autobiographic article by the world famous music critic Tim Page:

Parallel Play [<- klick!]

*******

How should self-diagnosing people hurt us?

Have any of you met a self-diagnosed person who did not have Asperger's Syndrome after all, but who fooled you to think they did?

Another thing: Which of our precious privileges should we be afraid to share? ... :-D



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31 Mar 2010, 12:45 pm

anbuend wrote:
Tetraquartz wrote:
pumibel wrote:
Tetraquartz wrote:
People with official diagnoses aren't always necessarily properly diagnosed either.

Did you mean people who aren't sincere when they say they are autistic? I noticed some parents of autistic children got quite hostile with me when I told them, at a meeting for parents of special needs kids, that I was autistic. They don't seem to like the idea that adults are autistic, I don't understand the hostility...


It is fear they are externalizing as hostility. They see that adults are also autistic and it shatters their belief that their beloved child will not be "cured" or grow out of it. It is quite poignant if you think about it.


It could be that which you described, yes, because I've heard people say only kids can be autistic, which is a lot of nonsense...
She seemed to be specifically hostile in that I wasn't autistic enough, whereas her child was very autistic, as though it were some sort of... contest? She went on to say, or rather, shout, that I was too eloquent, made eye contact, and smiled too much to be autistic. :?
What she didn't realize was that my manner was the result of a carefully orchestrated act, that took a lot of mental/emotional energy to perform. When she shouted at me it all vaporized and I just sat down and the counselor quickly ended the meeting. I had been specifically invited by her to tell the pother parents my story, and it ended up in a bit of a disaster. I got very resentful of this woman as a result.
I thought it would give them hope, to see someone who was learning to cope and at times maybe, possibly, passing for normal. At least being able to function enough to get by... I had drawn that conclusion because at least one other parent was happy to talk with an adult autistic to get an idea of how their kids may become. Hopefully the child of this parent will become a person with more self confidence because their parents worked to understand instead of constantly being punished for being autistic, like I was, growing up...
Ah, well. Human nature.


I once gave a talk for parents (was invited like you were to a small group) about how to prepare a child of any diagnosis or level of ability to advocate for themselves. Where advocacy can be anything from saying things in words to behaving in ways that will help prevent abuse. I used reference materials and barely said a thing about my own life.

One thing to understand is that I am very visibly autistic. At the time I gave the talk I was stimming, vision was almost completely shut down, and communicating entirely with a keyboard. And even when not stimming I look unusual enough for people to be surprised when I communicate. (Except now that I always use a wheelchair some people blame it on a physical impairment.). And I was there with a staff person.

So this woman that even I could tell was dripping with hostility (and my staff person said through the whole talk she was flipping her hair at me and stuff)... She asked me and my staff person, "So which one of you is supposed to be autistic again?"

Then she said "Are you talking about autism or Asperger's?". I explained how the suggestions I gave could be applied to anybody regardless of diagnosis or ability.

Then she said "So I guess you don't believe autism is heavy metal poisoning?". I told her my beliefs on that were totally irrelevant to the topic.

Then she said, or more like barked, "I have a nine year old son with autism and mental retardation." As if that meant... something more than the literal although ice never figured it out.

Eventually she just stormed out. The other parents were asking relevant questions. One father told me his boy looked just like me and that until today he would never have believed someone who looked like me could think. He decided he wanted to try alternative communication methods with his son. And then the entire room apologized for the one woman's behavior and said she was totally out of line and confused them as much as she confused me.

And the best part of all was this autistic boy who normally just ran around the room in circles, came right up to my communication device and stared with totally rapt attention.

So... That one woman might have been awful for both of us but I bet you did make a difference for the other parents. I know the other parents at my talk were not all like the one awful one.

I think some parents, probably a minority, get massively massively upset about seeing autistic adults with any means of communication at all. It's not just because their kid has no communication system. That's an excuse. If it were true then I would never have gotten such good remarks from that father and other parents. And the fact that she slipped in the mercury thing when I hadn't mentioned causation and asked which of us was autistic when it was flagrantly obvious... I think some people just have a chip in their shoulder and that's their problem not ours. Some of them get really wrapped up in the idea that the only real autism is their kids autism. Some of them are actually terrified that their kid might be thinking and respond with rage to the very idea (I know it sounds weird but people are weird sometimes). Others want it to be a constant pity party. But in any case it's them that are being out of line.


First: I didn't realize you were only able to communicate with a keyboard, funny how assumptions work huh? I'm happy for you that you're able to get your thoughts across to others, the thought of not being able to do that terrifies me.

Second: I encountered the same thing from a parent of a "locked in" LFA in his early 20's, her youtube videos are full of her talking about how there is no thought or reason going on in her sons head, and how he just reacts if he thinks you have food or whatever.

She got mad at me when I questioned her assumption, told me I was attacking her, told me I was hateful, and that being hateful isn't something anyone with real autism has, so I must be a fake-aspie.

Quite a shocking reaction to telling someone "your son isn't just reacting because he's hungry, he walks towards you because he recognizes you and loves you", I thought.


Especially seeing his 2 year old niece treating him like a normal person, and the way he reacts to her, then hearing the mothers comment "don't put your fingers in his mouth, he'll bite"... like he's just a big human shaped animal.



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31 Mar 2010, 2:03 pm

I have also met very vicious people with bizarre seemingly contradictory beliefs. And some if the nastiest are ones who think disabled people are pure, sweet, uncomplaining, unbearably passive, almost holy or saintlike, people. Then if you contradict them you aren't like the real disabled people. And the ones they say are real are either crushed into passivity, or else unable to contradict this saintlike view of them. The reality is nobody is really like that but if you dare to say that around these people they will rip you a new one. I once encountered a mother of a supposedly saintly innocent daughter, who got so vicious to me that she was thrown off a mailing list that had never had to throw anyone off before. And at one point she seemed to want me to absolve her of everything she ever did wrong to her daughter, at another point she accused me of psychic attack, it was so weird and over the top. But I've noticed people with that view to be amazingly vicious when provoked and it takes very little to provoke them.


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31 Mar 2010, 2:38 pm

Callista wrote:
*sigh* I'm not saying non-impaired autistics aren't autistic. I'm saying they're non-diagnosable. There's a difference.

"Impairment" includes having to try so hard to be normal that you burn out. It includes having to spend a great deal of effort to do something that the typical human does easily. Not having that reserve of effort left over for something else IS an impairment.

Non-disabled autistics cannot be diagnosed. Mildly disabled autistics, on the other hand, can be, and should be.

I think we're just too insistent on calling ourselves "not disabled" because the stereotype of disability is of something extreme, something that means you can't work, can't marry, can't do what you want with your life, have to be forever dependent and incapable. It's not like that. Disability is, simply, not being able to do something that is expected of the people in the society you live in.

Non-disabled autistics are the people who have the autistic cognitive style but can do the things society expects of them in ways that don't require assistance or extra effort (though they may not be the mainstream methods). They're either broader autism phenotype or a lost childhood diagnosis; either way, there's so much in common with the diagnosable autistics (and a blurry border between diagnosable and not) that if you stuck them into a random group of autistic people, you probably couldn't tell the difference until you started evaluating skill levels and matching them up with what's expected of typicals.

This isn't an analogue of the child with CP who struggles to walk; it's more like the preemie who lags behind full-term infants and catches up by kindergarten. You can't call him developmentally delayed anymore, even though he was in the past. Same goes for autistics who gain the skills they need to match up to society.

Autistics with a lost diagnosis are legitimately autistic. I don't see any logic in the notion that autism, a disorder which blends quite seamlessly into the typical, must arbitrarily end at the point where one can meet society's demands. A diagnosis, though, makes no sense; the point of a diagnosis is to categorize someone's traits so as to offer specialized education and treatment, and if no support is needed and probably never will be needed, there is no point in a diagnosis. I think maybe "self-identification" is a better term in the (probably minority) of cases where self-diagnosis is made in the absence of impairment... but then, that's splitting semantic hairs, really.

The problem isn't that non-disabled, non-diagnosable autistics exist. Of course they do. It's that the people who deal with autism don't realize this, ignore the existence of autistic diversity, and make one of two assumptions: Either all autistics who do not meet the obvious, severe stereotype are faking; or else anyone who is autistic must be of the obvious, severe, stereotypical sort, and therefore can be assumed to be whatever their idea of "disabled" is.

It's really just an extension of the same old problem--assuming that people with the same diagnosis must all have the same traits; assuming that disability is always obvious, severe, and totally incapacitating; and assuming that disability is a negative, shameful thing to be "overcome" rather than the way things just happen to be.

Put all those together, and there are only two ways to treat somebody who identifies with a label that triggers the disability stereotype: Reject the stereotype and accuse him of hypochondria or fakery, or else accept the stereotype and saddle him with all the object-of-pity assumptions that come with it.

Nobody seems to realize that we can just dump the disability stereotype altogether.


It doesn't need to be a severe impairment to be diagnosable. Especially under the new DSM standards, but also under the old ones.
Let me put it this way, under my therapist I am diagnosed as PDD-NOS. "Clinically significant impairments" is a vast area, that covers alot of issues, and can be extremely narrow to be a diagnosable condition. For example my infrequent meltdowns are considered a clinically significant impairment, while they do not happen often, they still have an effect. Impairments do not need to be constant, rather "clinically significant", clinically significant is meant to cover even minor impairments.

I know this may sound odd. But the very fact is I do have a therapist to deal with my issues. I have a professional doctorate, do not have any problems going to work, have friends, a relationship with a loving boyfriend. But I still fall under clinically significant because the few impairments I have are significant enough for me to seek treatment. The question becomes where this is a disability, and sometimes that spectrum may narrow, but it usually does not go away entirely, to the point it is not clinically significant. The highest functioning/mildest ASD folks may still have problems with interpersonal communications, sensory issues, meltdowns, etc. The impairment can be very narrow to be clinically significant and still be diagnosable.

Basically even minor issues can be considered a clinically significant impairment justifying diagnosis in the psych profession.

Hopefully that makes sense.