Ishmael wrote:
Ah; but that was a problem - you can't have Aspergers and Tourettes.
It's the same mutation - you can have tourettes-like tics with Aspergers, more commonly with Autism, but you can't have both.
That would be like saying "What colour is the blue sky?"
But you can. But they must be obviously independent from your PDD. That means, that repetitive movements are not at all tics.
ICD-10 on tic disorders:
Quote:
The lack of rhythmicity differentiates tics from the stereotyped repetitive movements seen in some cases of autism or of mental retardation. Manneristic motor activities seen in the same disorders tend to comprise more complex and variable movements than those usually seen with tics.
Repetitive movement, for example stims such as flapping, rocking, whole body movements that appear in PDDs are not to be considered tics.
DSM-IV-TR on tic disorders:
Quote:
D. The disturbance is not due to the direct physiological effects of a substance (e.g., stimulants) or a general medical condition (e.g., Huntington's disease or postviral encephalitis).
In the section that elaborates on all criteria and explains differential diagnoses the DSM-IV-TR:
Quote:
Tics must also be distinguished from Stereotypic Movement Disorder and stereotypies in Pervasive Developmental Disorders. Differentiating simple tics (e.g., eye blinking) from the complex movements characteristic of stereotyped movements is relatively straightforward. The distinction between complex motor tics and stereotyped movements is less clear-cut. In general, stereotyped movements appear to be more driven, rhythmic, self-stimulating or soothing, and intentional, whereas tics have a more involuntary quality (although some individuals describe tics as having a voluntary component) and generally occur in temporal bouts or clusters.
Every person with a PDD is free to have Tourette's if they meet the criteria A to D by today's standard of DSM and/or and the criteria of the ICD.
I also want to remind of the fact that the DSM-IV-TR and the ICD-10 are only criteria put into existence on basis of what people thought disorders should look like and on what some studies at that point at which the editions were created said.
And some studies even today say that vaccination somehow causes ASDs. And many years ago, the DSM said autism doesn't exist and that it's just all schizophrenia. Before the DSM-IV-TR only those people had Tourette's who experienced distress by the tics while all those with no matter how many tics who didn't feel distressed didn't have Tourette's.
And I doubt that autistic people as the criteria define them today only exist since 1994/2000. And that autistic people as defined by different criteria in the DSM-III only exist since 1980.
I do not think that the first person with infantile autism was born after 1980 and rather think that the DSM was not all-knowing and universally correct. I also am certain that today we still officially believe many wrong things and that more incorrect assumptions are made each day. From such things as that one cannot have both ADHD and ASDs or that those with AS cannot have problems with self-help skills up to that vaccination causes ASDs and that autistic people can be made non-autistic.
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Autism + ADHD
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The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett