Two interesting articles in the NYTimes today on Asperger's

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tall-p
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01 Feb 2012, 4:46 pm

I Had Asperger Syndrome. Briefly. Link

Asperger’s History of Over-Diagnosis Link


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01 Feb 2012, 4:48 pm

[Moved from General Autism Discussion to Autism Politics, Activism, and Media Representation]


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Verdandi
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01 Feb 2012, 4:59 pm

The first article is kind a guy generalizing his experiences into a trend.

The second article establishes a false dichotomy between Asperger's Syndrome and "true autism," and carefully places everyone diagnosed with the former outside the category of "autistic." I think it also has multiple factual inaccuracies. For example:

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Many people, now inappropriately labeled as Aspies, make the world a richer, more interesting place. Their quirky absorptions in, say, physics, baseball stats or investment strategies add enormously to human advancement. Unlike adults with a Peter Pan syndrome who never move beyond adolescence, children and young adults with significant social disabilities tend to grow quite effectively into their adult lives. Their seriousness and singularity of focus fit more compatibly with the interests of older adults rather than the interests of their childhood or young adult peers.



Dhawal
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01 Feb 2012, 5:12 pm

Desperate measures to justify the removal of aspergers from DSM 5 through media propoganda? Slimy b******ds, always picking on the weak. Before you know they'll make aspie a despised word through media propoganda. Much like communism or anarchism.


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What is the single most frequent thought that aspies have?

How do NTs do that?


Last edited by Dhawal on 01 Feb 2012, 5:23 pm, edited 1 time in total.

Verdandi
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01 Feb 2012, 5:23 pm

The article's riddled with numerous factual inaccuracies, and the writer seems to assume that anyone who has an AS diagnosis now would not meet the criteria for an ASD diagnosis. He also focused on speech delays as a necessary part of "true autism" when an ASD diagnosis requires no such thing.



fraac
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01 Feb 2012, 6:35 pm

It gets close to an important point though. I wouldn't be diagnosed with anything now (or maybe I would now but not a couple of years ago, and hopefully not in future). Yet I'm still autistic. It's abundantly useful for people to know that about themselves.



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01 Feb 2012, 6:39 pm

How can you be autistic but not diagnosable?



fraac
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01 Feb 2012, 6:51 pm

Well that's exactly what the proposed DSM changes do. Practically though it's a good question. Suddenly lots of passably weird people will have nowhere to go, which won't help them psychologically.



tall-p
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01 Feb 2012, 7:07 pm

I thought it was odd that one of the authors, the psychiatrist, mentioned "Peter Pan Syndrome." That "disorder" is not in the DSM.


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01 Feb 2012, 7:40 pm

fraac wrote:
Well that's exactly what the proposed DSM changes do. Practically though it's a good question. Suddenly lots of passably weird people will have nowhere to go, which won't help them psychologically.


Is it? My understanding is that the intended goal is related to the fact that the majority of people already diagnosed with autism, AS, or PDD-NOS will meet these criteria.

There's also social communication disorder (I think that's what it called) in DSM-5.



fraac
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01 Feb 2012, 8:39 pm

Oh. Then why are they changing it? Or does nobody know and that's what the fuss is about?



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01 Feb 2012, 9:56 pm

If you look up Asperger's Syndrome for the DSM-5, the rationale explains their reasons for changing it.

Short version: In practical application, what you get diagnosed with depends more on where you go to be diagnosed than it does on which symptoms you show.



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01 Feb 2012, 9:57 pm

fraac wrote:
Oh. Then why are they changing it? Or does nobody know and that's what the fuss is about?


Probably because of all the misdiagnoses and the criteria is too vague. It's sort of like the new ADHD... I predict that one day, doctors will check for neurological 'abnormalities' for things such as ADHD and Aspergers using brain scans. I hate to say it, but a lot of psychology is pure BS. Someday, when the brain and neurological and psychological differences are physiologically mapped to the brain, doctors will recall the present dark age where practitioners still use the DSM.



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02 Feb 2012, 11:51 pm

New ADHD? ADHD's criteria are not vague. If anything, in particular ways, they are entirely too specific (criteria written for children and not adults) which means that adults either go undiagnosed or misdiagnosed as PI instead of combined.



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03 Feb 2012, 11:05 am

all of these new definitions are beyond bizzare.i dont think we will fully know what all this means until may of 2013.and sadly enough i think we will be dealing with these rediculous articles for long time to come.i have never heard autism refered to as peter pan syndrome,has anyone else heard this.the new york times will get payback sunday thanks to Tom brady and the New England Patriots.


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06 Feb 2012, 1:42 pm

I believe that the second article might have some truth to it. There may be doctors out there who are diagnosing with either the wrong incentives (Insurance Company A will not pay for further treatments, or will not pay treatments over B amount of dollars, if the patient does not have a Class C diagnosis,) or there is someone exploiting the vague criteria given for Asperger's. Autism Spectrum requires you to have noticable neurological development problems. This includes physical impairments, either with dexterity (ex. building, tying, writing) or with gross motor movements (ex. running, jumping, balancing) and cognitive impairments. If this person does not have those clear distinctions, then that person may just have a social disability (schizoid, NVLD, sociophobia.) Right now the DSM-IV-TR is too vague with respect to this. DSM-V does not look like it is going to be much better. ICD-10 looks to have better guidelines.


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