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Fugu
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13 Jun 2015, 12:48 am

tall-p wrote:
Fugu wrote:
having a diagnosis isn't being chained to a doctor, and being defensive doesn't make you right by default.

Did I say that people who have an official dx are chained to a doctor? Maybe dependent on a "doctor's opinion (except for Rocket)?" Did I say I am "right?"
1) https://en.wikipedia.org/wiki/Hyperbole 2) your narrative kinda implied it heavily, as people generally get defensive when they're trying to hold onto a position they think is correct.



Last edited by Fugu on 13 Jun 2015, 12:53 am, edited 1 time in total.

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13 Jun 2015, 12:52 am

Sweetleaf wrote:
btbnnyr wrote:
Sweetleaf wrote:
btbnnyr wrote:
The most important purpose of professional diagnosis is outside observation to match individual traits to traits of autism.
The individual who self-diagnoses cannot do that, no matter how well they know themselves from the inside.
The autism traits are to be matched with individual traits from the outside, not the inside, so self-diagnosis of matching outside autism traits with inside individual traits is misuse of diagnostic criteria.
Self-diagnosis misses the most important component of autism assessment, then replaces that component with misuse of diagnostic criteria.


Expect outside observation is actually not the most important part or purpose of professional diagnoses...sure it is important but since it can be confused with other disorders, the self report as well as any history the individuals family can give is at least equally as important. But then I had to study the diagnoses process in abnormal psychology in college.


Outside observation is the most important part, as measured by structured/task-based interviews like ADOS.
Also comparison of person's behavior with official diagnostic criteria like DSM or ICD criteria.
Psychs write notes supporting the criteria that are matched in diagnostic report, and if not matched, they note that it is not matched.
Self-report and childhood history are both supplementing the outside observation.
Self-report is used in high-functioning adults.
Childhood diagnosis lacks self-report.
Childhood history is important, but not always done if parents or other family members are not available.
Neuropsych tests like IQ and other task-based tests are also given sometimes, but none are specific for autism, so they are optional in my opinion, esp if they cost a lot.


Well that is your opinion, but simple observation compared to traits in the DSM is not the most important part of diagnoses....it is just as important as everything else, but not the most important thing.


This is not my opinion.
This is how autism is diagnosed.
Neither self-report or childhood history are absolutely required, but behavioral observation and matching traits to official criteria is.


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13 Jun 2015, 1:09 am

kicker wrote:
Rocket123 wrote:
kicker wrote:
I've read through every page, every single post, it was like watching children arguing over whose the 'pooh pooh face'. With a select few being somewhat tolerant. (You can decide for yourself whose who, better yet just assume I think it was all childish then you won't argue with anyone who is willing to argue back.)

Both sides with extremely staunch views. [B&W thinking]
...

Kicker - Great post. Though, a question (and hopefully this doesn’t cause this thread to veer off topic). But, why is having an extremely staunch view on one particular topic B&W thinking? As a note, I recently started a thread about B&W thinking and am still confused about when someone qualifies as being a B&W thinker.


B&W thinking refers to the ideation or thought that if something was once A it will always be A never A+ or B. It's very stagnant and rigid thinking. Examples given here: Self diagnosis is invalid/Professional diagnosis is invalid. A 'grey' view would be, 'I'm glad that self diagnosis has worked for you, I however needed a professional one to feel confident. If you feel that you're current coping skills are insufficient a professional opinion might help.'


I just don't get in which way its 'invalid' there isn't really a set of rules that determine if a self diagnoses is valid or not...if a person thinks someones self diagnoses is invalid cool, but doesn't make a ton of sense nor is their opinion on the matter any more valid than said self diagnosers. I mean its funny to observe 'you don't have autism because your self diagnosed and dont have an official diagnoses' after claiming only professionals can make such claims to you people how is your opinion a self diagnosed person doesn't have autism any more valid than their opinion that they do?


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13 Jun 2015, 1:12 am

btbnnyr wrote:

This is not my opinion.
This is how autism is diagnosed.
Neither self-report or childhood history are absolutely required, but behavioral observation and matching traits to official criteria is.


More than behavior observation and matching traits to the DSM criteria is required for any in depth diagnoses, those two things are like the most basic minimal requirements for a diagnoses. As I said I was studying abnormal psychology in college part of that is learning about the diagnoses process, the flaws in it, the fact mental health professionals can be biased, also ideas change in this profession nothing is concrete. Psychology isn't even a real science technically, its a social science. So yes it's your opinion....since what you say isen't the end all, be all of how it works, not to mention even within the psychology field there is question as to the validity of the DSM-5 its self. If anything its moving in the direction of taking more imput from patients/people with conditions whearas historically once you're a mental health patient of any kind anything you think, feel, say ect is invalid because only the professionals know all of whats going on a crazy person cannot possibly have any insight into themselves...seems like that is the way you think it ought to be.


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13 Jun 2015, 1:26 am

Fugu wrote:
tall-p wrote:
Fugu wrote:
having a diagnosis isn't being chained to a doctor, and being defensive doesn't make you right by default.

Did I say that people who have an official dx are chained to a doctor? Maybe dependent on a "doctor's opinion (except for Rocket)?" Did I say I am "right?"
1) https://en.wikipedia.org/wiki/Hyperbole 2) your narrative kinda implied it heavily, as people generally get defensive when they're trying to hold onto a position they think is correct.


Maybe they think they are right, but aren't denying the possibility they could be wrong...hence the defensiveness, but lack of black and white thinking about it. I did not see where they said having an official diagnoses chains anyone to a doctor. I sometimes get defensive in threads like this to, because I was initially self diagnosed before getting it official and have first hand experience with the crap people sling about when it comes to self diagnoses. But also as far as this site is concerned its for officially diagnosed, non-officially diagnosed spectrum people as well as those not on the spectrum...its an inclusive website. If you want an exclusive club for officially diagnosed autistics only there is the entire internet, sure you could find something. So yes it pisses me off when people make people feel unwelcome for not being officially diagnosed, or not being on the spectrum as if those are rules for being on this site, well they aren't.


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kicker
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13 Jun 2015, 1:42 am

Sweetleaf wrote:
kicker wrote:
Rocket123 wrote:
kicker wrote:
I've read through every page, every single post, it was like watching children arguing over whose the 'pooh pooh face'. With a select few being somewhat tolerant. (You can decide for yourself whose who, better yet just assume I think it was all childish then you won't argue with anyone who is willing to argue back.)

Both sides with extremely staunch views. [B&W thinking]
...

Kicker - Great post. Though, a question (and hopefully this doesn’t cause this thread to veer off topic). But, why is having an extremely staunch view on one particular topic B&W thinking? As a note, I recently started a thread about B&W thinking and am still confused about when someone qualifies as being a B&W thinker.


B&W thinking refers to the ideation or thought that if something was once A it will always be A never A+ or B. It's very stagnant and rigid thinking. Examples given here: Self diagnosis is invalid/Professional diagnosis is invalid. A 'grey' view would be, 'I'm glad that self diagnosis has worked for you, I however needed a professional one to feel confident. If you feel that you're current coping skills are insufficient a professional opinion might help.'


I just don't get in which way its 'invalid' there isn't really a set of rules that determine if a self diagnoses is valid or not...if a person thinks someones self diagnoses is invalid cool, but doesn't make a ton of sense nor is their opinion on the matter any more valid than said self diagnosers. I mean its funny to observe 'you don't have autism because your self diagnosed and dont have an official diagnoses' after claiming only professionals can make such claims to you people how is your opinion a self diagnosed person doesn't have autism any more valid than their opinion that they do?


How does telling someone that's struggling to cope to seek professional help in any way invalidating their self diagnosis or saying they don't have autism again? I'm completely lost as to how you made that connection. If you could clarify that for me it might help me answer your questions.



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13 Jun 2015, 1:50 am

kicker wrote:
Sweetleaf wrote:
kicker wrote:
Rocket123 wrote:
kicker wrote:
I've read through every page, every single post, it was like watching children arguing over whose the 'pooh pooh face'. With a select few being somewhat tolerant. (You can decide for yourself whose who, better yet just assume I think it was all childish then you won't argue with anyone who is willing to argue back.)

Both sides with extremely staunch views. [B&W thinking]
...

Kicker - Great post. Though, a question (and hopefully this doesn’t cause this thread to veer off topic). But, why is having an extremely staunch view on one particular topic B&W thinking? As a note, I recently started a thread about B&W thinking and am still confused about when someone qualifies as being a B&W thinker.


B&W thinking refers to the ideation or thought that if something was once A it will always be A never A+ or B. It's very stagnant and rigid thinking. Examples given here: Self diagnosis is invalid/Professional diagnosis is invalid. A 'grey' view would be, 'I'm glad that self diagnosis has worked for you, I however needed a professional one to feel confident. If you feel that you're current coping skills are insufficient a professional opinion might help.'


I just don't get in which way its 'invalid' there isn't really a set of rules that determine if a self diagnoses is valid or not...if a person thinks someones self diagnoses is invalid cool, but doesn't make a ton of sense nor is their opinion on the matter any more valid than said self diagnosers. I mean its funny to observe 'you don't have autism because your self diagnosed and dont have an official diagnoses' after claiming only professionals can make such claims to you people how is your opinion a self diagnosed person doesn't have autism any more valid than their opinion that they do?


How does telling someone that's struggling to cope to seek professional help in any way invalidating their self diagnosis or saying they don't have autism again? I'm completely lost as to how you made that connection. If you could clarify that for me it might help me answer your questions.


I didn't say that was invalidating...I mean when people assert themselves as the authority on whether or not a random self diagnosed person on the internet has autism by claiming they don't have it because they don't have an official diagnoses. It wouldn't be invalidating to encourage a self diagnosed person to be professionally assessed, though if they state they cannot afford it it would be invalidating to ignore that and go on like they're just refusing to. I was more or less agreeing with your post if that helps.


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13 Jun 2015, 1:55 am

Fugu wrote:
JenniferJones2015 wrote:
Fugu wrote:
B19 wrote:
What then is your explanation of professional misdiagnosis? What goes wrong with those missed or misdiagnoses?
I have no answer to your transparent attempt to elevate self-diagnosis beyond flawed.


To the person who is struggling and in pain, and has felt this pain her/his whole life, a 'flawed' self-diagnosis might be a sanity- or life-saver, and far from irrelevant. Also, what is considered 'flawed' is probably based on 'objective' criteria set up by a limited group of people in power. Research criteria/parameters and scientific/social science/medical research-diagnosis research methods which are considered as leading to 'flawed' results when the results are outside of those parameters at one point in time becomes the 'norm' at another point in time, if enough people fight for their voice and against discrimination.
it could as easily be incorrect, and lead the person to cause themselves more pain and create further struggles because they're NOT A MEDICAL PROFESSIONAL and likely do not have the training, the knowledge or the experience to make a valid diagnosis. Autism isn't the common cold, attempting to say "oh i have autism" without a diagnosis just validates the internet hypochondriacs and should be avoided.


So how DO you explain trained professionals who come out with things like "You can't have autism because you didn't wet the bed, start fires or be cruel to animals as a child" and "If you weren't diagnosed as a child, you definitely aren't autistic"? :)
(Those are actual examples that I've seen on these forums.)

Oh, and BTW, I am professionally diagnosed, so don't try "But but but you're just trying to justify your self-diagnosis!"


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13 Jun 2015, 2:14 am

Who_Am_I wrote:
Fugu wrote:
JenniferJones2015 wrote:
Fugu wrote:
B19 wrote:
What then is your explanation of professional misdiagnosis? What goes wrong with those missed or misdiagnoses?
I have no answer to your transparent attempt to elevate self-diagnosis beyond flawed.


To the person who is struggling and in pain, and has felt this pain her/his whole life, a 'flawed' self-diagnosis might be a sanity- or life-saver, and far from irrelevant. Also, what is considered 'flawed' is probably based on 'objective' criteria set up by a limited group of people in power. Research criteria/parameters and scientific/social science/medical research-diagnosis research methods which are considered as leading to 'flawed' results when the results are outside of those parameters at one point in time becomes the 'norm' at another point in time, if enough people fight for their voice and against discrimination.
it could as easily be incorrect, and lead the person to cause themselves more pain and create further struggles because they're NOT A MEDICAL PROFESSIONAL and likely do not have the training, the knowledge or the experience to make a valid diagnosis. Autism isn't the common cold, attempting to say "oh i have autism" without a diagnosis just validates the internet hypochondriacs and should be avoided.


So how DO you explain trained professionals who come out with things like "You can't have autism because you didn't wet the bed, start fires or be cruel to animals as a child" and "If you weren't diagnosed as a child, you definitely aren't autistic"? :)
(Those are actual examples that I've seen on these forums.)
they're idiots?
Quote:

Oh, and BTW, I am professionally diagnosed, so don't try "But but but you're just trying to justify your self-diagnosis!"
nice strawman



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13 Jun 2015, 2:28 am

Quote:
they're idiots?


So what you're saying is that training and accreditation don't in fact make a person infallible?


Quote:
nice strawman


Quote:
that's a lot of words to say "I think I have autism, but I've never been to a doctor, please believe me internet people!"


It's only a strawman if it's inaccurate.


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kicker
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13 Jun 2015, 3:24 am

btbnnyr wrote:
My problems with self-diagnosis are not the type that could be resolved by "it's good that it works for you, but it doesn't work for me". I don't believe in the validity of the process of self-diagnosis, and I consider saying that one is autistic without official diagnosis to be misrepresentation. I also don't believe in diagnosis for personal or group identity reasons. I believe in diagnosis to address impairments. I find more connection with people who don't self-diagnose, but recognize that they have autistic traits, they seem more similar to me in terms of how they think and feel.


Didn't you just tell someone else on another thread that from one post it sounded like they were suffering from social anxiety. Didn't ask any questions, didn't personally observe them, no assessment needed. You knew.

Kind of like the self diagnosed know. Maybe you have more in common with them then you think.



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13 Jun 2015, 4:59 am

I would venture to suggest that people with autism know more about it then mental health professionals. Professionals can only see the symptoms, we know about the experience.



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13 Jun 2015, 6:01 am

Your environment can have a great deal to do with how your condition is expressed.

For instance, as an adult, I had no trouble assembling workshop of two lathes, a milling machine, air compressor/airbrush, and bandsaw to build a couple hundred model rockets. And a printer that for making white and metallic decals. One might look inside a box and see a dozen very similar rockets and conclude that this person must be an Aspie--each one must have taken 20 hours to build! Or maybe not, maybe this person just had a lot of cool tools and was really gifted. Maybe he had an interest in history and wanted to show the different markings of an infamous rocket.



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13 Jun 2015, 1:32 pm

Unless the current understanding of Autism is radically wrong one is either Autistic or one is not. Diagnosing it, creating an autistic identity, how is autism defined is all about trying to determine if someone is Austitic not whether he /she is.

Despite occasional claims made in self-diagnosis threads I was not allistic until August 26, 2013 at age 55 then became Autistic when I was professionally diagnosed that day.


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13 Jun 2015, 1:56 pm

kicker wrote:
I actually didn't say anything I didn't believe.

Kicker, my apologies. After reading your response, I realized that I responded to your posting from my perspective, not from yours.

Basically, I read your response and I thought, “No, I would not have said that. I would have said this instead”. That was my immediate thought (and why I responded the way I did). I wasn’t thinking about what you were thinking about at all. It didn’t cross my mind. Oops.

In case you are curious, my view is something different (than yours). First, some background. Before I was diagnosed, I had doubts about whether or not I had Asperger’s. I am not certain why, but I was part way expecting a diagnosis of Generalized Anxiety Disorder, Obsessive Compulsive Personality Disorder, maybe even Schizoid or some combination. After I was diagnosed, I still had doubts (was the clinical psychologist qualified, was the process suitable, were the correct tests administered, etc.). That’s just me. I am skeptical of just about everything.

With that background in place, I personally cannot imagine how someone can have the level of confidence needed to self-diagnose. So, my response would have been, “I want to understand your psyche and how you have such confidence to do that”. Which is why I responded to your post that way. I couldn’t write what you wrote. I would want understanding before I could say anything else. If I am not mistaken, this is how I generally interact with others, in person. It works wonderfully for information exchange. Though, I am guessing it’s lousy for building relationships. LOL.

One other note. Just because I lack confidence does not mean I doubt others (who self-diagnose). Or that I dislike or hate them. However, one thing I can do (in threads like this) is learn from them. Which is why I find these threads oh so interesting.

Who_Am_I wrote:
So how DO you explain trained professionals who come out with things like "You can't have autism because you didn't wet the bed, start fires or be cruel to animals as a child" and "If you weren't diagnosed as a child, you definitely aren't autistic"? :)
(Those are actual examples that I've seen on these forums.)

I must not be paying attention. I didn’t realize that bed wetting and pyromania were common amongst Aspies. :o

This definitely brings backs some “choice” memories from childhood. I still remember how uncomfortable I felt while watching The Loneliest Runner when I was 13. It certainly was an unpleasant reminder from my bedwetting days. And, Pyromania. Really? I had no idea. I used to carry matches with me all the time when I was 10, 11, 12. Simply put, I loved fire. However, it wasn’t always fun and games. I still vividly remember the 2nd degree burn I received on 3 fingers when trying to light a bunch of gunpowder collected from previously lit firecrackers the day after July 4th. Almost as bad, a trouble making friend and I set a fire inside the classroom during Sunday School.

“Fun” memories aside, I am not certain what either (bed wetting or pyromania) has to do with being an Aspie. Can anyone explain?



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13 Jun 2015, 2:28 pm

Rocket123 wrote:
kicker wrote:
I actually didn't say anything I didn't believe.

Kicker, my apologies. After reading your response, I realized that I responded to your posting from my perspective, not from yours.

Basically, I read your response and I thought, “No, I would not have said that. I would have said this instead”. That was my immediate thought (and why I responded the way I did). I wasn’t thinking about what you were thinking about at all. It didn’t cross my mind. Oops.

In case you are curious, my view is something different (than yours). First, some background. Before I was diagnosed, I had doubts about whether or not I had Asperger’s. I am not certain why, but I was part way expecting a diagnosis of Generalized Anxiety Disorder, Obsessive Compulsive Personality Disorder, maybe even Schizoid or some combination. After I was diagnosed, I still had doubts (was the clinical psychologist qualified, was the process suitable, were the correct tests administered, etc.). That’s just me. I am skeptical of just about everything.

With that background in place, I personally cannot imagine how someone can have the level of confidence needed to self-diagnose. So, my response would have been, “I want to understand your psyche and how you have such confidence to do that”. Which is why I responded to your post that way. I couldn’t write what you wrote. I would want understanding before I could say anything else. If I am not mistaken, this is how I generally interact with others, in person. It works wonderfully for information exchange. Though, I am guessing it’s lousy for building relationships. LOL.

One other note. Just because I lack confidence does not mean I doubt others (who self-diagnose). Or that I dislike or hate them. However, one thing I can do (in threads like this) is learn from them. Which is why I find these threads oh so interesting.


Not a problem, I probably took it to literal as well. I have a tendency to do that as well as forget to look at things from another's perspective. So no worries. :D

My background is I was told I have an ASD with no prior knowledge that I did by a professional and shortly there after was diagnosed. I have been seeing a therapist once a week for 22 years, because I thought I was defective. Still do some days. I did think I was 'crazy' that entire time and spent most of it depressed. I even needed a second and third opinion to tell me that I have ASD. (2 full Evals (one was a psych evaluation the other ASD)1 just interview type thing.) I've probably put my therapist, my room mate, and my mom through hell going over every detail. I still have days when I doubt it, probably will for a while.

Having gone through the hell and circumstances that I did from childhood till now has taught me how to be compassionate towards those less fortunate. As I tried to find answers for myself I learned and studied really hard why everyone else was different. (Of course it figures I was studying the wrong things.) There are many many people who are worse off than you or I, whether it's from lack of education, money, social-emotional support, food, shelter, health, mental health, etc. Each producing its own set of challenges and each producing unique perspectives.

Actually it's a lot like you are doing with finding these discussions interesting. I find them boring, but at one point I would have found them interesting. I've moved on to more trying to solve what I see.