Is AS possibly something totally different than Clas autism?

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Joe90
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11 Mar 2016, 10:18 am

I was diagnosed with mild AS, but I've never felt autistic in my life. Instead I feel I'm an eccentric person who gets highly anxious and feels strong emotions and expresses them a lot, verbally and non-verbally. I have a good sense of humour, a creative mind, good social imagination, interested in social gossip, pick up on body language instictively, socially awkward in other ways, and I'm rather afflicted with social phobia, attention issues, eccentric (hyper) behaviour, and stress/anxiety disorder. So I feel I have lots of NT traits, mixed with some AS traits and ADHD too. I don't feel one bit autistic.


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ASPartOfMe
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11 Mar 2016, 10:20 am

animalcrackers wrote:
I think there are multiple autisms.

Shauna88 wrote:
The spectrum is broad enough as with any syndrome to go from Bill Gates (really HFA, you can barely tell) to a person with traditional Kanners Autism with no language skills and almost totally disabled.


It is a myth that all of Kanner's patients had no language skills. Read the original paper, you'll see for yourself.

http://neurodiversity.com/library_kanner_1943.pdf


Donald Triplett the first person diagnosed by Kanner graduated college, held down jobs, and traveled to several countries, still drives to his daily golf game. He hit these markers later then most but got there.


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11 Mar 2016, 10:43 am

Shauna88 wrote:
I used to lurk this forum as a teenager in the mid 2000's and I remember back then before the release of the DSM-5 (which reclassified Asperger's) people here on wrong planet would speculate about Asperger's being a totally different disorder unique from true Autism. But in recent times we know different.

There is is NO such thing as "Asperger's" - Asperger's is just high functioning autism. The spectrum is broad enough as with any syndrome to go from Bill Gates (really HFA, you can barely tell) to a person with traditional Kanners Autism with no language skills and almost totally disabled.


Functioning labels are suspect. High and low functioning autism are defined by IQ with 70 the dividing line. Autistic people can and often do literally function great in one area while hardly functioning even in a closely related area.

Aspergers when it was an official diagnosis in areas that used the DSM manual was high HFA with no significant language delays. Now it has morphed into Autism with high to genius intellegence. Because of the DSM and stereotypes most people disgnosable with Aspergers do not fit into what is known as Aspergers today. What was a useful name for some has been muddled.

There is no definitive proof Bill Gates is autistic period. People should stop saying without caveats that Bill Gates, other celebrities and historical figures are or were autistic. What Gates has are some obvoius autistic traits like rocking back and forth. So we can suspect that Bill Gates is Autistic but no more.


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Last edited by ASPartOfMe on 11 Mar 2016, 3:16 pm, edited 1 time in total.

naturalplastic
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11 Mar 2016, 12:12 pm

An African rock hyrax looks much an American gopher. But DNA tests show that the hyrax is not related to the rodent order, and is closer to elephants than it is to gophers.

A French Citreon car looks superficially like a VW bug. But mechanically theyre quite different.

Same could be true of aspergers vs HFA. Similar destinations coming from different causes and different points of origin. Who knows?



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11 Mar 2016, 12:17 pm

naturalplastic wrote:
An African rock hyrax looks much an American gopher. But DNA tests show that the hyrax is not related to the rodent order, and is closer to elephants than it is to gophers.

A French Citreon car looks superficially like a VW bug. But mechanically theyre quite different.

Same could be true of aspergers vs HFA. Similar destinations coming from different causes and different points of origin. Who knows?

I remember Dr. Attwood noting people with HFA and AS put out varying electrical patterns compared to the other. I get the sense there's minor details between the two that indeed lead to different paths to the same solution.



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11 Mar 2016, 12:43 pm

If we were to use the Solitary Forager Hypothesis we'd see that Clas Autism is probably HFA gone awry.

Autism would have been extremely beneficial back in Neanderthal times as a means of solo survival in the wild. Hearing and visual sensitivity, the instinct for collecting and categorizing things, observing patterns - especially those created by flora and fauna, avoiding eye contact (eye contact often seen as a threat by man and animal), poor social skills as a result of limited or no interaction with social groups, rigid thinking/black and white thinking/friend or foe thinking - no exceptions, extreme curiosity and preference for seeing projects through from imagination to creation, special recognition, etc. All benefits back in the day.

Clas Autism is malfunctioning autism, if you will. The survival instinct is greatly reduced in that LFA folks often remain in one place when they are told to stay somewhere - deadly in past times. A meltdown as a means of attention would get you killed in the wild because of bringing unwanted attention to yourself. Absolute silence is a virtue, probably why some kids don't start speaking till they're four or five, sometimes never. The incontinence some kids have is probably related to situational awareness gone amok for lack of social instructions.

Basically, in autism, the amygdala/limbic system (the flight or fight system in the brain) is in hyperdrive compared to NT's. IN LFA the amygdala is probably misfiring, sending out erratic signals.

Of course, I'm just guessing. Much more research needs to be done.



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11 Mar 2016, 2:21 pm

naturalplastic wrote:
An African rock hyrax looks much an American gopher. But DNA tests show that the hyrax is not related to the rodent order, and is closer to elephants than it is to gophers.

A French Citreon car looks superficially like a VW bug. But mechanically theyre quite different.

Same could be true of aspergers vs HFA. Similar destinations coming from different causes and different points of origin. Who knows?


I suspect that there are multiple autistic subtypes with neurobiological differences among them; But I have doubts about how well those hypothetical neurobiological differences would actually match up with any of the diagnostic subcategories used now or in the past.


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11 Mar 2016, 2:49 pm

I am one of those who totally like the term "Autistic Spectrum" instead of having to choose by force whether someone is Asperger or autistic. This and the new DSM-V categories make us (health/education professionals) see more under the stereotypic two main groups, and define the syndrome in terms of what is important: amount of help needed, and whether there is language or intellectual impairment or not. This big "spectrum" term makes easier to see that the people in it are all diverse, and not just 2 different types. Specially it doesn't make sense any more when somebody says "I was autistic as a child but now I'm Asperger", then you see clearly how irrelevant the distinction is. It's better to say that you had a severe language impairment which you overcame. But you are some one in the autistic spectrum from the cradle to the grave.
And it's proved already that the neuro-anatomical bases are common to everyone in the spectrum. Whenever I find again where I read it, I will share it.


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11 Mar 2016, 3:02 pm

I find it unlikely that there isn't some sort of neurological link between all forms of autism. Regardless of any biological divergence, the prevalence of common traits can't be completely coincidental.

Perhaps there is a difference that separates different forms of autism, but I've yet to see definitive proof that there is a clear-cut division of autistic types beyond artificially-created diagnostic criteria-based separation. The biggest sign of a division seems to be whether or not verbal skills are developed at a normal rate or are delayed, but that could be due to any number of things, e.g. a secondary effect that autism might cause under certain conditions or it could be as a result of an increased severity of certain atypical neurological traits.

I suppose this is what makes people believe Asperger Syndrome might be something separate, but is it like saying that if everyone is a car, AS and autism are just similar-looking cars? I don't believe so. It's more like if everyone is a car, AS and autism are bikes (motorcycles), but AS bikes have built-in headlights, whilst other forms of autism need to have them installed after production. Yet should bikes be separated into categories based on when they got their headlights (and how good those headlights are)? No, bikes come in all shapes and forms, with all sorts of specs that are different, for better or for worse.


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greenylynx
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11 Mar 2016, 3:17 pm

Riik wrote:
I find it unlikely that there isn't some sort of neurological link between all forms of autism. Regardless of any biological divergence, the prevalence of common traits can't be completely coincidental.

Perhaps there is a difference that separates different forms of autism, but I've yet to see definitive proof that there is a clear-cut division of autistic types beyond artificially-created diagnostic criteria-based separation. The biggest sign of a division seems to be whether or not verbal skills are developed at a normal rate or are delayed, but that could be due to any number of things, e.g. a secondary effect that autism might cause under certain conditions or it could be as a result of an increased severity of certain atypical neurological traits.

I suppose this is what makes people believe Asperger Syndrome might be something separate, but is it like saying that if everyone is a car, AS and autism are just similar-looking cars? I don't believe so. It's more like if everyone is a car, AS and autism are bikes (motorcycles), but AS bikes have built-in headlights, whilst other forms of autism need to have them installed after production. Yet should bikes be separated into categories based on when they got their headlights (and how good those headlights are)? No, bikes come in all shapes and forms, with all sorts of specs that are different, for better or for worse.

I used to think AS and classic Autism were separate, but now I realize they're two separate presentations that are at their core both in the same spectrum.



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11 Mar 2016, 3:33 pm

Great neuropsychological revision article of 2012, which analizes the findings in functional MRI throughout the different processes which are anomalous in autism (communication, social cognition...) and makes no distinction between forms of autism.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513685/

"Likely due at least in part to the heterogeneity of symptom expression in ASDs, there is no unifying account of brain dysfunction that explains all the core symptoms of ASDs. Instead, the triad of defining ASD symptoms (ie, impaired social functioning, impaired communication, and restricted and repetitive behaviors and interests) suggests distinct neural systems. Additionally, it is common for some cognitive systems to be spared in individuals with ASDs (eg, even severe cases of ASDs may be accompanied by high intelligence and other so-called “islets of ability”8), suggesting that brain dysfunction in ASDs may be domain-specific"


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11 Mar 2016, 3:37 pm

Aspergers or whatever you want to call is a subcatagory of Autism like different genders or races are subcatogories of human. Prostrate cancers are generally milder then liver cancers in that you will likely die of something else instead the prostrate cancer, if you have liver cancer you are in trouble. Not in all cases like with aspergers there is severe prostrate cancer. Nobody makes a seperate disease of prostrate cancer and nobody eliminates the prostrate cancer diagnosis and calls it cancer severity level one because it is really just all cancer or saying you have prostrate cancer makes you ableist against prople with more severe cancer. For the most part we subcatogorize stuff because us helps define and therefore deal with situations. But with autism we can't do that, it must be just autism, anything else divides the community and just plain offensive smh.


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11 Mar 2016, 3:43 pm

Now remember: I didn't say I had Asperger's. I wouldn't have been diagnosed with it under the DSM-IV. Instead, I said I was ASPERGIAN. This means, in a subjective sense, I present more as Asperger's than as someone with Classic Autism. I'm not putting down Classic Autism. I feel we are all part of a Spectrum.

I was actually diagnosed with Classic Autism when I was about three. I had no speech, and I had no awareness of many things. Alas, my parents don't remember too much else about that time.

If one would read "Elijah's Cup," one would see what I mean when somebody presents as Kanners as a young child, then presents as Aspergian when older.



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11 Mar 2016, 3:49 pm

Thanks for the clarification, I had not picked up on the distinction in your post. :)

Following my diagnosis of AS last year it started to click that not only have I always displayed similarities to those of my friends who also have Asperger's, but also a lot in common with those with more classical Autism.



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11 Mar 2016, 3:56 pm

Sethno wrote:
I don't understand that. I thought that the only difference between Aspies and other high-functioning Autistics is that Aspies never had any language loss-regain or delayed language.

What do you think makes you "Aspergian", not a high-functioning classic Autistic?

Once a high-functioning Autistic is talking, there is no difference between the two, or so they say. It's the past that makes for the difference.


There is in fact a difference. I'd even say a difference that could be considered significant. Read this if you will:

Quote:
High-functioning autism is characterized by features very similar to those of Asperger syndrome. The defining characteristic most widely recognized by current psychologists is a significant delay in the development of early speech and language skills before the age of 3 years.[2] The diagnosis criteria of Asperger syndrome exclude a general language delay.[5]

Further differences in features between people with high-functioning autism and those with Asperger syndrome include the following:[2][6][7][8]

People with HFA have a lower verbal intelligence quotient
Better visual/spatial skills (higher performance IQ) than people with Asperger syndrome
Less deviating locomotion than people with Asperger syndrome
People with HFA more often have problems functioning independently
Curiosity and interest for many different things, in contrast to people with Asperger syndrome
People with Asperger syndrome are better at empathizing with another
The male to female ratio of 4:1 for HFA is much smaller than that of Asperger syndrome


There is something to what the OP is saying. It's not just speculation. At least not to the extent that most people seem to think it is.



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11 Mar 2016, 3:59 pm

^Yes, but those things are generalizations. They don't apply to everyone with AS or HFA.