garyww wrote:
Self-diagnosis of any condition can be potentially dangerous. It's almost as bad a self-dentistry.
OTOH sometimes it's essential. If I hadn't done my own research and argued a cardiologist into doing a test he didn't want to do (and was sure would be negative), I'd probably be homeless and maybe dead. The professionals will say "trust us, we know what we're doing." Well, that's not always true.
Dr. Bryna Siegal, director of the San Francisco Medical School autism clinc considers
marriage a rule-out for Asperger's (link). How many people on this board does that un-diagnose? (She's also proud of frequently "un-diagnosing" people.) So it's not even as if the professionals are consistent among themselves about this stuff. And she's the director, which means she sets policy for the entire autism department at that medical school.
Also, the professionals and 'experts' are (but one case I've ever heard of) looking from the outside in. Maybe they own the label, but their understanding has limits because it's not first-person. Autism existed before they gave it a name.
On an autism list I was on years ago, before AS was a dx, there were people dx'ed 'HFA', 'LFA' and ux'dx and people with strings of misdiagnoses. Since there were people who related and seemed to fit but didn't meet the autism dx criteria, a term was invented. That term was combined with "autistics," and the resulting term was the one that was basically always used to refer to people there. There didn't seem too much concern about precisely where someone was on the spectrum, or their dx status. It was basically how much people related to other's experiences, and they pretty much got to be their own judge of that.
Then Asperger's became an official dx, and concern about fakers cropped up. I remember a guy arguing that all adult dx's were suspect and to be rejected, because the evaluator couldn't have made direct observations of childhood behavior. (Ironically, that person was dx'ed in adulthood. Go figure.)
Yeah there may be some misguided people who aren't on the spectrum and 'try' to be for emotional (or whatever) reasons, but OTOH over-concern about fakers strikes me as emotional as well -- being, saying "my pain, and my struggle, are real, and I don't want that soiled (by people who haven't suffered as much as I have)." That's a legitimate point (I'm not saying it means "poor me"), but it's an personal, emotional issue, and probably hits a raw nerve for a lot of people, and therefore is likely susceptible to over-concern for reasons that might not be as rational as people think. I wouldn't want to see a free-for-all, but this issue often strikes me as just a turf war.