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Callista
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19 Nov 2010, 4:40 pm

I don't know whether it's a term in general usage, but I use the phrase "culturally autistic" to refer to the people who identify as autistic, whether or not a diagnosis is needed.


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theexternvoid
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19 Nov 2010, 6:29 pm

Given this I'd probably not be diagnosed:

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The disturbance causes clinically significant impairments in social, occupational, or other important areas of functioning.

I do have significant impairment with keeping friends. But... I don't care. I don't believe that having more friends would make my life more fulfilling. So if this criterion doesn't apply since I don't need help.

The funny thing is that if I were someone who really needed friendships then I probably would be diagnosed, even though my brain would still operate the same way. Thus two people might be equally autistic, but not equally diagnosable!!

Here's a question: Suppose that you don't need help now, but earlier in life you could have used the help. Like suppose your Asperger's makes it hard to find a spouse and you are depressed, then you'd be diagnosed if you went to a specialist. But you don't and eventually you do manage to find a spouse and have a happy successful marriage. Since you no longer need help for your depression, does that mean you are officially no longer diagnosable with Asperger's? If so then I declare the field of psychology to be Officially Illogical!



RainingRoses
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19 Nov 2010, 6:55 pm

theexternvoid wrote:
The funny thing is that if I were someone who really needed friendships then I probably would be diagnosed, even though my brain would still operate the same way.

I would argue that if you were someone who really needed friendships, then your brain would be operating in a different way.

theexternvoid wrote:
Here's a question: Suppose that you don't need help now, but earlier in life you could have used the help. Like suppose your Asperger's makes it hard to find a spouse and you are depressed, then you'd be diagnosed if you went to a specialist. But you don't and eventually you do manage to find a spouse and have a happy successful marriage. Since you no longer need help for your depression, does that mean you are officially no longer diagnosable with Asperger's?

Until you got divorced and the depression returned? Then you would "come down with" AS again? No, you don't slip in and out of it depending on your mood.

If all you complained about initially was an inability to find a spouse and the resulting depression, then you would not be diagnosed with AS. If you presented lots of other characteristics, however, you might be. (AS is not depression, obviously.)

Suppose you received a diagnosis. If you then went on to find a spouse, and that relieved your depression, the question would center on what happened to those other characteristics. If you were properly diagnosed, then most of them (and maybe some additional or different ones) would still be present. You'd just be living a happier AS life. People with AS are allowed to change. They change within AS, however -- not in and out of it.


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theexternvoid
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19 Nov 2010, 8:33 pm

I think the depression for aspies comes from having getting social needs go unfulfilled, not due to the Asperger's itself. And having a spouse is one of those needs for many people. So if Asperger's makes it hard to find a spouse then that meets the diagnostic criteria. I don't actually believe that one is then "cured" by getting married and fulfilling that social need. I was more poking fun of the psychiatrists who might be inclined to give a different diagnosis depending on how lucky or unlucky you are: the one aspie who was in the right place at the right time to find a woman who gets along great with aspie men vs. the one who wasn't.



RainingRoses
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19 Nov 2010, 8:56 pm

theexternvoid wrote:
I think the depression for aspies comes from having getting social needs go unfulfilled, not due to the Asperger's itself.

I think the sequence probably looks like this:
AS --> difficulty with social interactions --> failed relationships --> loneliness --> depression

theexternvoid wrote:
I was more poking fun of the psychiatrists who might be inclined to give a different diagnosis depending on how lucky or unlucky you are: the one aspie who was in the right place at the right time to find a woman who gets along great with aspie men vs. the one who wasn't.

I simply think you're placing too much emphasis on one feature of a very wide landscape. The ability to have a happy, successful marriage may not help you win an AS diagnosis, but I hardly think that's the main event. In other words, I highly doubt that this would become a make or break issue for a specialist. If you truly have AS and a wife, you will be diagnosed with AS, and your wife will be diagnosed with having a husband with AS. The psychitraist "who might be inclined to give a different diagnosis" shouldn't be seeing patients with AS. Although I'm sure there are some who are.


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19 Nov 2010, 8:57 pm

theexternvoid wrote:
I don't actually believe that one is then "cured" by getting married and fulfilling that social need. I was more poking fun of the psychiatrists who might be inclined to give a different diagnosis depending on how lucky or unlucky you are: the one aspie who was in the right place at the right time to find a woman who gets along great with aspie men vs. the one who wasn't.


Exactly, or more to the point, ASD becomes a big problem for me when I get stressed and put under pressure, in a stressed state I might make the diagnostic cut off, when I'm relaxed I'm back out. I'm the Aspie Hulk, don't make me stressed, you won't like me when I'm stressed.



ThomasL
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23 Nov 2010, 2:34 am

theexternvoid wrote:
... If so then I declare the field of psychology to be Officially Illogical!


Oh, that is most definitely the case - the whole field is extremely mushy. The science just isn't there yet. Nobody really knows what any of this stuff is (autism, depression ,etc.), let alone what causes it, much less how to "cure" it. At this point, it's all theoretical and experimental (if you subject yourself to any kind of "treatment", you should know that you're essentially a guinea pig).



Robdemanc
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23 Nov 2010, 4:24 am

Moog wrote:
theexternvoid wrote:
Veyr interesting: Asperger's syndrome only exists in the eyes of a doctor if it causes you problems and you need help. I find that strange... But in a way it makes sense from a medical profession point of view.

So do people on this forum think one has Asperger's / is an aspie if one is neuroligically the same but is lucky enough to not be experiencing life problems nor suffering in a way that requires help?


I feel as you do; it makes no sense, but I understand that the diagnosis is there to help those with needs. I'd still call people with a predominantly aspie or autie way of seeing and interacting with the world 'aspie', they just don't need so much aid to be independent and happy.


I would say its true for most conditions. If its not causing you any problems in life then don't diagnose it. But then I suppose if it wasn't causing problems for someone then that someone would not be sat in a psychiatrists office. My AS was uncovered by a psychiatrist only because I went to see one about depression and stress due to problems at work. I am glad it was highlighted to me now, as it is the best explanation I have for my strange life. But I wonder if I never sufferred the stress and depression and instead allowed my anger to get the better of me then I may have ended up in a police station and now be labeled an anti-social undesireable.

I think it is very rare if someone with AS does not have significant problems with people. But I don't think all people with AS end up at a pshyciatrist.



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23 Nov 2010, 5:49 am

Skinnyboy wrote:
Callista wrote:
Asperger Syndrome

Read that. You see where it says "at least two", or "at least one", or some such? The lowest number possible from I and II is the threshold for Asperger's. If there are fewer than that AND criterion III is still fulfilled, then that goes into PDD-NOS territory. If Criterion III is NOT fulfilled, no matter how many other traits are present, then it's not diagnosable as anything at all. If Criterion IV or V is not fulfilled (meaning a language delay is present), then that goes into PDD-NOS or autistic disorder. And Criterion VI means that it's not Asperger's but some other PDD or schizophrenia.


Here's the problem I have, all my life I've taken a secret pride in denying myself rituals that I know are unnecessary. I've remained calm in situations where the environment or people are stressing me out. I've gone to great pains to try and talk to others, and have developed a handful of good friends, never more than one at a time really, but it's a good friendship. I take these questions literally (another common trait) and have to answer it's very hard but I can do it, it that a yes or no?

To this day it's an everyday struggle to get past these AS traits, but since I can function pretty well and get around these impulses, am I not Aspie? Is it the point that I take a deep breath and step out of my routine that I leave the spectrum? I'm not trying to get anything under insurance so I don't need a diagnosis, for me I'm happy to identify with ASD and call it good.

Taking things literally is not just an autistic thing. Many other disorders have that symptom. ADHD is one.
You don't seem to have any impairments. Autism and AS are disorders. If they weren't then they would never have existed. People need to think about that next time they say autism isn't a disorder.

Also people without AS also get anxious, depressed, stressed and have mental breakdowns. They have social anxiety and are excluded by other people. It's not always AS that makes you that way. However if you had stronger symptoms in childhood, ok, you have AS.


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23 Nov 2010, 6:34 am

It looks like they've combined the previous lI and II on that assessment scale. So how would you describe someone who met all of criteria I (to a clinically significant degree) and had also fulfilled criteria II, but not to a clinically significant degree? Isn't criteria I more significant to autism? It seems like criteria II could be easily explained by other things. Why wouldn't such a person at least fulfill the criteria for PDD-NOS?



RainingRoses
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23 Nov 2010, 10:25 am

Callista wrote:
I decided to make up a flowchart for autism diagnosis.

I found this extremely helpful. Thanks!


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Mysty
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23 Nov 2010, 11:41 am

theexternvoid wrote:
RainingRoses' description is interesting, the whole "there's only you" paragraph. Does anyone believe that describes Asperger's, and anyone who does not fit that description must be NT?


NT does not stand for "non-Asperger's".


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23 Nov 2010, 3:56 pm

Will someone attempt to answer my question? I'm really curious about this.



wavefreak58
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23 Nov 2010, 4:11 pm

Aimless wrote:
Will someone attempt to answer my question? I'm really curious about this.


Your question has no clear answer. There is no bright line of division between Asperger's and autism, nor Apserger's and neurotypical. Even the criteria as spelled out in the DSM are subject to wide interpretation and further one mental health professional can evaluate the same individual as another and give a completely different diagnosis.



Callista
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23 Nov 2010, 5:34 pm

It's so complicated that I had to draw a flowchart. And if I can't get something across without using flowcharts, you KNOW it's complicated.


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23 Nov 2010, 6:49 pm

That's a good flow chart. I think I was confused by criteria 3 and thinking it referred to stereotypical behaviors/strict routines and/or obsessive interests.