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Shadi2
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26 May 2014, 9:24 pm

It doesn't say "severe", it says "significant":

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Criteria

Asperger syndrome is defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as a pervasive developmental disorder that is distinguished by a pattern of symptoms rather than a single symptom. It is characterized by impairment in social interaction, by stereotyped and restricted patterns of behavior, activities and interests, and by no clinically significant delay in cognitive development or general delay in language. Impairments must be significant, and must affect important areas of function, and the diagnosis is excluded if criteria are also met for autism. Intense preoccupation with a narrow subject, one-sided verbosity, restricted prosody, and physical clumsiness are typical of the condition, but are not required for diagnosis.

The World Health Organization ICD-10 criteria are almost identical to DSM-IV: ICD-10 adds the statement that motor clumsiness is usual (although not necessarily a diagnostic feature); ICD-10 adds the statement that isolated special skills, often related to abnormal preoccupations, are common but are not required for diagnosis; and the DSM-IV requirement for clinically significant impairment in social, occupational, or other important areas of functioning is not included in ICD-10.

Diagnosis of Asperger syndrome can be tricky as there is a lack of a standardized diagnostic screening for the disorder. According to the National Institute of Neurological Disorders and Stroke, physicians look for the presence of a primary group of behaviors to make a diagnosis such as abnormal eye contact, aloofness, failure to respond when called by name, failure to use gestures to point or show, lack of interactive play with others, and a lack of interest in peers.


I thought this was an interesting section as well:

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Dividing lines

Despite caveats in the introduction to the DSM, it has long been argued that its system of classification makes unjustified categorical distinctions between disorders, and uses arbitrary cut-offs between normal and abnormal. A 2009 psychiatric review noted that attempts to demonstrate natural boundaries between related DSM syndromes, or between a common DSM syndrome and normality, have failed. Some argue that rather than a categorical approach, a fully dimensional, spectrum or complaint-oriented approach would better reflect the evidence.

In addition, it is argued that the current approach based on exceeding a threshold of symptoms does not adequately take into account the context in which a person is living, and to what extent there is internal disorder of an individual versus a psychological response to adverse situations. The DSM does include a step (?Axis IV?) for outlining ?Psychosocial and environmental factors contributing to the disorder? once someone is diagnosed with that particular disorder.

Because an individual?s degree of impairment is often not correlated with symptom counts, and can stem from various individual and social factors, the DSM?s standard of distress or disability can often produce false positives. On the other hand, individuals who do not meet symptom counts may nevertheless experience comparable distress or disability in their life.


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Last edited by Shadi2 on 26 May 2014, 9:32 pm, edited 1 time in total.

daydreamer84
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26 May 2014, 9:30 pm

alright so the official definitions require significant impairment

Def: significant sufficiently great or important to be worthy of attention; noteworthy.

Def: imapired being in a less than perfect or whole condition: as
a : disabled or functionally defective ?often used in combination <hearing-impaired>


From: link

still points to disability, not just difference.



perpetual_padawan
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26 May 2014, 9:50 pm

daydreamer84 wrote:
@perpetual_padawan
I didn't say anything about writing. I just think WP's a skewed "sample" of people with ASD because I think a disproportionate amount are married, have full-time jobs, active social lives and friendships etc. than would be expected of people with ASD in the general population. I think that gives people who judge ASD by the lives of people on this site a false idea.


I realize that you didn't directly say writing in regards to employment, but what I was trying to suggest is that maybe it just seems like people are less impaired on WP due to the fact that they are better able to articulate themselves. I don't know. I haven't been on the forum for enough time to really form an opinion.

I do get what you're saying though about people saying that they don't have a lot of difficulties with the condition. In my own experience, I think it causes considerable difficulties in my everyday life. Yeah, I'm married, but my marriage always feels like an uphill battle. My wife is beginning to accept my Asperger's, but she uses it against me quite a bit, especially when I need my solitude to recharge from a particularly difficult day. I don't have any friends; the ones I've had in my life have moved away, and I made them because they reached out to me and brought me into their circle. I don't know how to do it on my own, as it's difficult to relate to people and bring up conversations (because I have zero idea what they are thinking the majority of time) when my own interests are very limited and I don't wish to discuss trivial matters. Also, I do work and my job isn't difficult at all (for a NT), but for me it causes considerable stress and anxiety, and I have to take medication so I don't have panic attacks due to the fact that I have to interact with people on a one-to-one basis. At the end of each shift it takes me a couple hours of decompression to get myself grounded again.

So, I guess if one chose to, they could argue that I've had some success because I am married (though it is my first significant relationship, and it didn't start until my early 30's), I work, I have a kid, and I've had friends, but in reality, all of that is just a smoke screen of sorts because the actual machinations of existence make my life profoundly difficult.

I don't know if this is making any sense.


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26 May 2014, 9:57 pm

daydreamer84 wrote:
Waterfalls wrote:
Maybe the definition of what it means to have ASD has changed. Maybe that doesn't have to be a bad thing.


The official definitions are currently still the ones in the DSM 5 and in the ICD 10, both of which include severe impairment in daily functioning.

Just because people think it means something different and that they have it doesn't make it true. Many people say "yeah, I'm so OCD' when they're a little perfectionist-y or obsessive about something and they associate OCD with that kind of punctiliousness. My aunt is obsessive and eccentric and she often used to say she was so OCD and my uncle used to call her OCD. She doesn't have compulsions or anxious obsessions that take up time during the day though she is anxious. The doctor diagnosed her with general anxiety and obsessional tendencies and SAD. She takes meds for it now. The point is , just because she and some others see OCD as being type A personality obsessiveness doesn't change what the thing actually is.

The thing I hate the most is when people diagnose themselves with a mental or developmental condition and then claim that the thing is different from the official definition because they experience it differently. It's very circular logic. Someone diagnoses himself with a condition with nothing to substantiate it and then says he's not impaired so therefore the condition doesn't involve impairment despite the official definition saying differently .

I meant the understanding of what ASD means seems to have changed. The way it is applied and the written definitions.

I don't understand what you and others are saying here. I get that you feel your aunt is mislabeling herself. And I am very frustrated when people don't make sense. Despite that they keep not making sense to me over and over. But this seems like something else?

Some people feel, I think, that there is personal harm being done to them if people with anxiety label themselves as having ASD when they do not?



Shadi2
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26 May 2014, 10:15 pm

daydreamer84 wrote:
alright so the official definitions require significant impairment

Def: significant sufficiently great or important to be worthy of attention; noteworthy.

Def: imapired being in a less than perfect or whole condition: as
a : disabled or functionally defective ?often used in combination <hearing-impaired>


From: link

still points to disability, not just difference.


I think we might have a misunderstanding, possibly because I'm not explaining myself correctly, I will try again.

I completely agree that some traits are disabling, and yes certainly, to get diagnosed with Autism you must have significant impairments. What I don't agree with is that Autism is a disability as a whole, nor that all traits typical of Autism are disabling. There is a lot more to Autism than the traits (or impairments) that you get diagnosed for (again I don't know if I am explaining correctly).

In addition to the disabling traits, the ones that will get you a diagnosis, there is other traits that are also due to (or typical of) Autism, that are either not disabling (or not the same way, or not as much), and some that can even be considered as talents and "gifts". There is also the traits that eventho they would be considered impairment if you wanted to do some things or in certain situations, can become a strength if you focus on other things where your traits or talents can be very useful. That's one of the reasons why, apart from people who are high functioning (for whom it might be easier to find and keep a job in general), some people are lucky enough to find the right job and the right boss (who can understand the impairments and work with/around them), and do really well despite serious disabilities. Like my loved one who was also diagnosed with Aspergers, he couldn't be, for example, a football player because, among other things, he can't run normally, but he sure as heck can focus for hours and be a good computer programmer. Like Temple Grandin, the way she thinks in images, it is considered an impairment, because to begin with it was difficult for her to communicate with others, but ultimately it has become a strength, because it allowed her to see and understand things that a neurotypical person can't.


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Last edited by Shadi2 on 26 May 2014, 10:24 pm, edited 1 time in total.

daydreamer84
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26 May 2014, 10:21 pm

^^^
What I think is that :

1)Conditions become trendy and then people think differently about those conditions by associating them with milder everyday personality traits similar to the condition but the condition itself isn't different and professionals don't necessarily think differently about it. ASD has changed in the way professionals see it but the requirement of impairment in daily functioning hasn't changed.

2) There are people on this site who are self diagnosed and have described their lives and said that they're very successful and they think ASD is a gift, a positive thing, just a difference and not a disability ect. I went to an ASD social group once, I only went to one meeting and never went again. One person there was self diagnosed and actually said when I said I hate the "ASD people are superior" attitude in response to something else that he think's "we are superior" and that "we're like X-men". My point is that these people say they have a condition that is defined by impairment then say they are not impaired and that the condition does not involve impairment. That doesn't make sense and is specious reasoning, that's all I'm saying. I certainly wasn't accusing you or any particular person here of this faulty logic but from what I've seen and heard there some people do think this way. This could be the new way of seeing ASD for some people.



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26 May 2014, 10:33 pm

@anyone with whom I'm debating- Okay, I seem to be arguing a lot with everyone in this thread tonight and I'm exhausted so sorry if I'm inarticulate or not explaining myself well.


@Shadi2- Sure there are talents that can come along with the disorder, like better attention to detail and better rote memory , for example. That doesn't make it any less a disability or a disorder though. Many disorders and disabilities have compensatory benefits, so to speak. Bipolar Disorder was shown in at-least one study to be linked to increased creativity, blindness is associated with higher verbal IQ, deafness with increased spatial visual skills. This was from lecture by Dr Weizmann in an Atypical Development course at York University two years ago. link



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26 May 2014, 10:34 pm

daydreamer84 wrote:
^^^
What I think is that :

1)Conditions become trendy and then people think differently about those conditions by associating them with milder everyday personality traits similar to the condition but the condition itself isn't different and professionals don't necessarily think differently about it. ASD has changed in the way professionals see it but the requirement of impairment in daily functioning hasn't changed.

2) There are people on this site who are self diagnosed and have described their lives and said that they're very successful and they think ASD is a gift, a positive thing, just a difference and not a disability ect. I went to an ASD social group once, I only went to one meeting and never went again. One person there was self diagnosed and actually said when I said I hate the "ASD people are superior" attitude in response to something else that he think's "we are superior" and that "we're like X-men". My point is that these people say they have a condition that is defined by impairment then say they are not impaired and that the condition does not involve impairment. That doesn't make sense and is specious reasoning, that's all I'm saying. I certainly wasn't accusing you or any particular person here of this faulty logic but from what I've seen and heard there some people do think this way. This could be the new way of seeing ASD for some people.


Yes I understand what you mean. I think you will find this feeling of superiority more with people who are either high functioning or are very gifted (like very high IQ, etc), despite their disabilities. Myself I sure don't feel superior lol if anything I have low-self esteem, but I still wouldn't want to be anyone else, I finally learned to like myself, ... a little bit at least :)


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26 May 2014, 10:35 pm

daydreamer84 wrote:
^^^

2) There are people on this site who are self diagnosed and have described their lives and said that they're very successful and they think ASD is a gift, a positive thing, just a difference and not a disability ect. I went to an ASD social group once, I only went to one meeting and never went again. One person there was self diagnosed and actually said when I said I hate the "ASD people are superior" attitude in response to something else that he think's "we are superior" and that "we're like X-men". My point is that these people say they have a condition that is defined by impairment then say they are not impaired and that the condition does not involve impairment. That doesn't make sense and is specious reasoning.


I agree with that entirely.I think that even if one has a diagnosis on the absolute most mild pole of the spectrum they will have still had to experience the requisite "significant" impairment in their daily lives. X-Men? Seriously? If I'm going to play that game I guess my special mutant power are excellent visual and rote memory skills. Bring it on baddies!!


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26 May 2014, 10:40 pm

daydreamer84 wrote:
@anyone with whom I'm debating- Okay, I seem to be arguing a lot with everyone in this thread tonight and I'm exhausted so sorry if I'm inarticulate or not explaining myself well.


@Shadi2- Sure there are talents that can come along with the disorder, like better attention to detail and better rote memory , for example. That doesn't make it any less a disability or a disorder though. Many disorders and disabilities have compensatory benefits, so to speak. Bipolar Disorder was shown in at-least one study to be linked to increased creativity, blindness is associated with higher verbal IQ, deafness with increased spatial visual skills. This was from lecture by Dr Weizmann in an Atypical Development course at York University two years ago. link


Speaking of which, my brother was diagnosed with bipolar disorder. I wanted to add, about the people you mentioned in your other post, there is also different personalities, it is possible that these people would feel superior no matter what, with or without autism. There is some NTs like that as well, I have an ex sister-in-law who was like that, her self-esteem was way high lol, and she was very NT.


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26 May 2014, 10:44 pm

Shadi2 wrote:
daydreamer84 wrote:
^^^
What I think is that :

1)Conditions become trendy and then people think differently about those conditions by associating them with milder everyday personality traits similar to the condition but the condition itself isn't different and professionals don't necessarily think differently about it. ASD has changed in the way professionals see it but the requirement of impairment in daily functioning hasn't changed.

2) There are people on this site who are self diagnosed and have described their lives and said that they're very successful and they think ASD is a gift, a positive thing, just a difference and not a disability ect. I went to an ASD social group once, I only went to one meeting and never went again. One person there was self diagnosed and actually said when I said I hate the "ASD people are superior" attitude in response to something else that he think's "we are superior" and that "we're like X-men". My point is that these people say they have a condition that is defined by impairment then say they are not impaired and that the condition does not involve impairment. That doesn't make sense and is specious reasoning, that's all I'm saying. I certainly wasn't accusing you or any particular person here of this faulty logic but from what I've seen and heard there some people do think this way. This could be the new way of seeing ASD for some people.


Yes I understand what you mean. I think you will find this feeling of superiority more with people who are either high functioning or are very gifted (like very high IQ, etc), despite their disabilities. Myself I sure don't feel superior lol if anything I have low-self esteem, but I still wouldn't want to be anyone else, I finally learned to like myself, ... a little bit at least :)


Interestingly arrogance is supposedly a prevalent coping mechanism for Aspies, though the "I'm superior to NT's" line is going a bit overboard. I have an IQ in the gifted range--some things come incredibly easy to me--but I'd never once consider myself to be superior to anyone because I'm lucky to remember to zip up my fly or button my shirt correctly. Also, I doubt there are many superior individuals that can't wear white, due to the fact that their garments would be covered with what they ate that particular day for breakfast and lunch.


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26 May 2014, 10:49 pm

^
Yeah, definitely, there are just narcissists out there but some of these people seem to like the idea of having one of these trendy conditions that they think makes them smarter or more creative or more interesting. ASD isn't the only one, ADHD was very trendy for awhile but I think it isn't as much anymore and people also associated it with creativity. I'm not sure if there was any truth to the creativity in ADHD idea, any empirical evidence to support it or not but I've seen online that people think it.



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26 May 2014, 10:50 pm

This is unrelated to the topic, but I just discovered that I blink ultra-fast.
Almost all of my blinks are less than 100 ms in duration.
The median of my blink duration is 52 ms.
This is my mutant special power, I think.


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Shadi2
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26 May 2014, 10:55 pm

perpetual_padawan wrote:
Interestingly arrogance is supposedly a prevalent coping mechanism for Aspies, though the "I'm superior to NT's" line is going a bit overboard. I have an IQ in the gifted range--some things come incredibly easy to me--but I'd never once consider myself to be superior to anyone because I'm lucky to remember to zip up my fly or button my shirt correctly. Also, I doubt there are many superior individuals that can't wear white, due to the fact that their garments would be covered with what they ate that particular day for breakfast and lunch.


Same here. I am always surprised when I meet people who think they are superior to everyone else, but like I said there is people like that who are very NT, maybe it has something to do with the way they were raised, I don't know. I think some people with feel superior no matter what, for whatever reasons that I don't understand. One of my uncles is like that, but he is narcississtic, so that doesn't help either.


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Last edited by Shadi2 on 26 May 2014, 10:58 pm, edited 2 times in total.

perpetual_padawan
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26 May 2014, 10:55 pm

btbnnyr wrote:
This is unrelated to the topic, but I just discovered that I blink ultra-fast.
Almost all of my blinks are less than 100 ms in duration.
The median of my blink duration is 52 ms.
This is my mutant special power, I think.


Awesome! Do you find the extra speed of your blinking gives you the extra propulsion necessary to get off the ground for flight :D ?


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26 May 2014, 11:07 pm

perpetual_padawan wrote:
btbnnyr wrote:
This is unrelated to the topic, but I just discovered that I blink ultra-fast.
Almost all of my blinks are less than 100 ms in duration.
The median of my blink duration is 52 ms.
This is my mutant special power, I think.


Awesome! Do you find the extra speed of your blinking gives you the extra propulsion necessary to get off the ground for flight :D ?


So far, I have not put my mutant blinking to good use, but I will try to combine it with my abnormally oblique saccade angles to achieve heretofore unimagined feats of mutant freakazoidism.


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