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MrXxx
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02 Jul 2018, 4:28 pm

MalchikBrodyaga wrote:
What about looking at mental conditions at-large as nuts? Then you would end up relating Asperger to schizophrenia and bipolar, but you wouldn't like that one would you.


You are aware that Aspeger's Syndrome was eventually defined because research was being done in what used to be called "Schizophrenic Autism?" That was the origin of the use of the term Autism. Asperger's research all began on kids that showed signs of Schizophrenic Autism, but were clearly not schizophrenic. That is why, at least in part, schizophrenia was usually ruled out before assigning a diagnosis of either Asperger's Syndrome OR Autism.

Therefore, by definition, Asperger's is NOT schizophrenia, and for the same reason, neither is Autism.

AS has for decades been, by definition, a form of Autism. Nobody "got rid of" Asperger's Syndrome. It's just not an "official" separate diagnosis in DSMV. It is included in the definitions of Autism now by virtue of the symptoms. That is the ONLY difference. Look, before DSMV came out everybody was screaming "The sky is falling!" but nothing terrible ever came of it. I haven't heard any horror stories about people suddenly losing out on anything.

MalchikBrodyaga wrote:
Also ask yourself this question: whom is aspie closer to, to an NT or to a severely autistic who can't say a single word and just rocks all the time? I would say to an NT.


And I agree, but all that argument does is prove my point. Aspie's are, in a way "closer to being NT," but they are still not NT, are they?

MalchikBrodyaga wrote:
And then there are some other conditions that *might* be related to autism, such as social communication disorder and schizoid personality disorder. Yet they are classified separately. So where do you draw the line between classifying something separately from autism and classifying it together?


I don't draw any lines. I'm not a member of the APA. That's their job, and the lines are drawn by virtue of the criteria they've agreed upon.

MalchikBrodyaga wrote:
The same question applies to any other personality disorder by the way: for example, Borderline Personality disorder might well be related to bipolar, so why is it classified separately?


Because they are defined very differently. Remember that a lot of DX's in existence today did not exist decades ago. Should they just leave the DSM as it was fifty years ago? In spite of the tons of evidence that it should be changed?

MalchikBrodyaga wrote:
The point is that there is a lot of gray area all over the place, and its not as obvious as you think.


But it is obvious. From Asperger's own description of AS, at about the same time as Kanner's research, there was already talk of the similarities of both to each other. It was not very long before consensus was reached that AS IS a form of Autism. All they did when the DSM was rewritten for version V was combine the two into one diagnosis, with scales of severity. It changed virtually nothing! People who were diagnosed AS previously still call themselves AS and so do most of their doctors.

My entire point is that it's all gray areas. The people who are splitting hairs are those who can't seem to accept that. I don't get it. What on earth is the big deal? Call yourself whatever you want. It doesn't bother me, and it most likely won't bother your doctor either.


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GoodBlade
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02 Jul 2018, 4:39 pm

MrXxx wrote:
My entire point is that it's all gray areas. The people who are splitting hairs are those who can't seem to accept that. I don't get it. What on earth is the big deal? Call yourself whatever you want. It doesn't bother me, and it most likely won't bother your doctor either.

I don't think almost anybody who's discussing this matter on this thread, is bothered by whether Asperger's is autism or not. We're all just, kinda curious to find out and hear other people's opinions on the matter. Nothing wrong with that. Being curious about something has nothing to do with being bothered about it, etc.



ASPartOfMe
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02 Jul 2018, 7:36 pm

MalchikBrodyaga wrote:
ASPartOfMe wrote:
MalchikBrodyaga wrote:
ASPartOfMe wrote:
It was taken out because it was felt Aspergers was being overdiagnosed thus costing insurance companies and school districts money.


It didn't have to be the case. Not every diagnosis costs money. Extreme example: common cold. More relevant example:ADHD, Schizoid personality disorder, etc are all less severe than Asperger, yet they weren't removed, so appartly they don't cost money either. In fact, the part of Asperger spectrum that doesn't meet DSM 5 criteria for ASD is now diagnosed as social communication disorder, which apparently doesn't pose a burden on the insurance companies either.

So, if it was up to me, I would have kept Asperger, I would have simply made sure Asperger label doesn't cost an insurance money. I don't know who makes the decision as to what label costs how much money. Perhaps, the fact that Asperger is considered part of autism spectrum us what makes it coat money? In this case, I would have simply removed it from autism spectrum and classified it separately? I mean, they did that with social communication disorder -- despite the fact that one might argue that it is related to autism, too. So why not simply re-name social communication disorder into Asperge? Then the new version of Asperger won't be in autism spectrum any more, since social communication disorder isn't, and therefore won't cost insurance any money.


While considered part of the Autism Spectrum by professionals in the DSM IV Aspergers was a seperate diagnosis. The point of the subsuming Aspergers was not to have different diagnosis but less diagnosis. If a person is not diagnosed they are expected to need no support and just try harder not costing insurence companies money and school districts extra money. If something is in the DSM it is supposed to mean one need supports. DSM stands for “Diagnostic Manuel of Mental DISORDERS. The diagnosis was “Aspergers DISORDER” not “Aspergers Personality”. That is one reason why there are people that are happy that the Aspergers diagnosis is not in the manuals.


Decreasing the number of labels available won't decrease the number of people diagnosed because then everyone who used to be diagnosed with a label they got rid of will simply be re-diagnosed with a different label. The key factor that *might* reduce the number of people being diagnosed is raising the diagnostic threshold. The DSM 5 threshold for ASD is, indeed, higher than DSM 4 threshold for Asperger. *BUT* in the current scenario it doesn't help because the threshold for social communication disorder is *lower* than Asperger, so everyone with Asperger that can't be diagnosed with ASD will simply be re-diagnosed with social communication disorder. That's why I don't see how this move would lower the number of people diagnosed, if what you talk about is the diagnoses across the entire DSM rather than its particular sections.


It might not have lowered the number of people diagnosed. The Autism prevalence rate was 1 in 68 in 2012 and 1 in 59 in 2014 a year after the new manual came out.


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MrXxx
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02 Jul 2018, 7:56 pm

GoodBlade wrote:
MrXxx wrote:
My entire point is that it's all gray areas. The people who are splitting hairs are those who can't seem to accept that. I don't get it. What on earth is the big deal? Call yourself whatever you want. It doesn't bother me, and it most likely won't bother your doctor either.

I don't think almost anybody who's discussing this matter on this thread, is bothered by whether Asperger's is autism or not. We're all just, kinda curious to find out and hear other people's opinions on the matter. Nothing wrong with that. Being curious about something has nothing to do with being bothered about it, etc.


Your noobieness is showing. :lol: :lol:

Just kidding man. Stick around a while you'll be surprised at how many actually are truly bothered by it.


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I'm not likely to be around much longer. As before when I first signed up here years ago, I'm finding that after a long hiatus, and after only a few days back on here, I'm spending way too much time here again already. So I'm requesting my account be locked, banned or whatever. It's just time. Until then, well, I dunno...


GoodBlade
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03 Jul 2018, 7:55 am

MrXxx wrote:
GoodBlade wrote:
MrXxx wrote:
My entire point is that it's all gray areas. The people who are splitting hairs are those who can't seem to accept that. I don't get it. What on earth is the big deal? Call yourself whatever you want. It doesn't bother me, and it most likely won't bother your doctor either.

I don't think almost anybody who's discussing this matter on this thread, is bothered by whether Asperger's is autism or not. We're all just, kinda curious to find out and hear other people's opinions on the matter. Nothing wrong with that. Being curious about something has nothing to do with being bothered about it, etc.


Your noobieness is showing. :lol: :lol:

Just kidding man. Stick around a while you'll be surprised at how many actually are truly bothered by it.

I don't think being bothered is necessary. Maybe curious, concerned, etc. are more appropriate things to feel about it. If a large part of the community is really bothered then that's pretty sad.



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03 Jul 2018, 10:01 am

Asperger's is considered a (usually) mild form of autism.

You can have classically autistic people who are "higher functioning" than a person with Asperger's.

I feel the difference between Asperger's and classic autism (both are under the autism spectrum) is one of emphasis.

In Asperger's, the verbal realm, in general, is a particular strength.

In classic autism, the visual-spatial (performance) realm , in general, is a particular strength.


Of course, under the DSM-V, Asperger's is no longer a diagnostic category. Though, under the ICD-10, it remains. It remains to be seen if Asperger's will be "gotten rid of" under the ICD-11. For now, it's not a diagnostic category under the ICD-11, though that can change. The ICD-11 will not be fully implemented until January, 2022 at the earliest.