Why Do People Hate Self-Diagnosers?
ASPartOfMe
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The individual who self-diagnoses cannot do that, no matter how well they know themselves from the inside.
The autism traits are to be the 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.
That may not be true if their autism investigation involves asking other people about themselves.
That is not good substitute for professional observation. The others are usually amateurs who don't assess people for autism. The responses are modulated by relationship with the person. The person can interpret what others say however they want. The info from others provided to a professional using questionnaire or interview is best way to take into account others' views of the person being assessed for autism.
While not optimal for the reasons you stated the professionals do interview relatives as part of assessments because it's the best available. I have not thought of it before but a thorough self investigator probably should give the better online questionnaires to people who know them.
Interviewing others who know the person is what I said is part of the professional diagnosis process, not always, but often the parents are interviewed in person or by phone and given multiple questionnaires, sometimes the spouse or a sibling if parents are not available.
It's all about using best available options whatever they are. That is all one can ask for
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“Self Acceptance is a process not a performance”
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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.
btbnnyr
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Some people try to make others who don't support self-diagnosis seem like bad people, this is commonly observed behavior on wp threads about self-diagnosis, and it is often the same individuals behaving this way. I don't really mind that they engage in this behavior, it is interesting to observe it.
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Drain and plane and grain and blain your brain, and then again,
Propane and butane out of the gas main, your blain shall sustain!
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.
The sometimes aggressive, condescending remarks aimed at the self-identified contribute to an atmosphere of destructive conflict; these have ranged from wild and unsubstantiated sneering insinuations "we know they are all making it up, just for attention!" to more subtle pressures " but you are really missing out on help!" to outright invalidation that often sounds more like a power trip that an interest in weighing a variety of factors that influence how accurate diagnosis actually is. The apparently calculated unkindness in dissing something - anything - which to a large section of the WP membership is personally meaningful and important is driven by something, and I wonder what it is (have theories!)
There is nothing wrong at all with stating a belief that formal diagnosis was right for you; there is something wrong with disrespecting those who don't share that belief. Whether you are formally diagnosed or not - feeling confident as a person on the spectrum won't come from attempts to form a hierarchy of valid and non-valid members - which is what some posters seem to aim for. Extremists suggest that anyone not formally diagnosed cannot possibly be on the spectrum; but diagnosis doesn't create ASD; it may - or may not - confirm it.
Finally, if you are self-diagnosed and are feeling brutalised by some of the attacks in this thread, an observational quote from Goethe:
"Look closely at those who patronise you; half are unfeeling, half untaught".
What does "bias" mean in regard to professional assessors assessing ASD.
Does it mean they lack knowledge about ASD?
Then they should not offer diagnosing autism but saying that the lack knowledge about it and refer people to a specialist who has knowledge about it.
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English is not my native language, so I will very likely do mistakes in writing or understanding. My edits are due to corrections of mistakes, which I sometimes recognize just after submitting a text.
It doesn't seem to me that there much of a consensus, amongst professionals, as to the precise nature of autism. Especially when it comes to Asperger's/"High-functioning" autism.
There are some psychologists who actually believe that anybody who speaks spontaneously, and who spontaneously interacts with others, is not autistic.
btbnnyr
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Does it mean they lack knowledge about ASD?
Then they should not offer diagnosing autism but saying that the lack knowledge about it and refer people to a specialist who has knowledge about it.
Regarding professional diagnosis, there is subjectivity in assessment.
For eggsample, an assessment may involved a structured interview, in which the person does a task, and psych scores various aspects of their behavior during the task, e.g. 1-3 scale indicating their lack of eye contact with 3 indicating severe lack of eye contact. The subjectivity is which score to give on the scale based on one's observations of the other person's behavior. Usually, 1 vs. 3 difference is clear, but 1 vs. 2 might not be clear, and 1 might indicate normal. The objective version would be direct measurement by eye-tracking machine, then automated data analysis to spit out numbers of where the person is looking and how much they look at the eyes or maintain eye-to-eye gaze with the psych during some social task.
For self-diagnosis, the idea of bias is different from subjectivity during formal assessment. Bias in a direction would be a person believing that they have autism and viewing their traits as autistic traits to support the belief that they have autism even if the traits are normal, that is just one common eggsample.
One thing to keep in mind about people reporting on their psych visits is that those reports are first interpreted through their minds and subject to their biases, and you might have seen something different if you were present at the appointment. This is why I usually don't take sides and support someone when they complain to me or online about someone else in some situation. Because I wasn't there, and the other person isn't around to tell their view.
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Drain and plane and grain and blain your brain, and then again,
Propane and butane out of the gas main, your blain shall sustain!
Last edited by btbnnyr on 12 Jun 2015, 6:37 pm, edited 1 time in total.
I'm 73. I used to post here fairly often... after these "Why do (some posters) Hate Self Diagnosers" threads... not so much.
These snarky threads about self-diagnosers make me FEEL defensive. And any response I write IS defensive. I spent my entire youth being defensive against my father and many of my teachers right through high school... over half a century ago. How life was for Aspies back in those days is inconceivable to most of you.
Psychiatrists make their living selling drugs. It's the rare Aspie, who gets diagnosed by a doctor, who doesn't get drugs, and a future appointment for a little talk in two weeks or a month to see how those drugs are working, and another refill. Being officially diagnosed with ASD in my opinion means to me that you are probably dependent on a doctor's opinion of your situation, AND the drugs he/she gives you to make you feel better.
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Everything is falling.
These snarky threads about self-diagnosers make me FEEL defensive. And any response I write IS defensive. I spent my entire youth being defensive against my father and many of my teachers right through high school... over half a century ago. How life was for Aspies back in those days is inconceivable to most of you.
Psychiatrists make their living selling drugs. It's the rare Aspie, who gets diagnosed by a doctor, who doesn't get drugs, and a future appointment for a little talk in two weeks or a month to see how those drugs are working, and another refill. Being officially diagnosed with ASD in my opinion means to me that you are probably dependent on a doctor's opinion of your situation, AND the drugs he/she gives you to make you feel better.
I would love to hear about your experiences.
I'm running into this a bit, I think. I'd say he's skeptical, though I don't feel he's being unfair with me.
I agree (about lack of consensus).
My therapist (a Clinical Psychologist, who supposedly has a lot of experience working with autistic children, less so with adults and was not the person who diagnosed me) seems a bit skeptical of my diagnosis. She reluctantly agrees that I perhaps might qualify for an Asperger's diagnosis under DSM-IV. She most certainly would not diagnose me with an Autism Spectrum Disorder under DSM-V (and instead would attribute my challenges to anxiety and obsessions).
I don't have any issue with people who are self-diagnosed. If someone thinks they have ASD, that's enough for me.
I only got a professional diagnosis because I wanted something to prove to myself and other people that I wasn't making it up. Medicaid paid for it... somehow. I just sort of stumbled into getting it for free. I couldn't have come up with $2,000 for it. If I would have had to pay, I would be self-diagnosed, too. So even though my diagnosis is 'official,' it isn't any better than anyone else's. I mean, we're all still dealing with the same struggles.
We get enough ASD denial from people in the real world, we don't need to be imposing it on each other. People on WP say all the time, in lots of different threads, "People think I'm faking; WHY would I fake this?" In my opinion, you wouldn't. You're looking for an explanation for real problems you're dealing with. Maybe ASD is the explanation and maybe it isn't, but the problems are no less real, so you're just as welcome as anyone else is as far as I'm concerned.
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You don't need to hide, my friend, for I am just like you.
These snarky threads about self-diagnosers make me FEEL defensive. And any response I write IS defensive. I spent my entire youth being defensive against my father and many of my teachers right through high school... over half a century ago. How life was for Aspies back in those days is inconceivable to most of you.
Psychiatrists make their living selling drugs. It's the rare Aspie, who gets diagnosed by a doctor, who doesn't get drugs, and a future appointment for a little talk in two weeks or a month to see how those drugs are working, and another refill. Being officially diagnosed with ASD in my opinion means to me that you are probably dependent on a doctor's opinion of your situation, AND the drugs he/she gives you to make you feel better.
My psychologist, who diagnosed me, didn't suggest medication or offer me any (nor did I want any). My medical doctor, on the other hand, was quick to push antidepressants on me.
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You don't need to hide, my friend, for I am just like you.
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?"
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Everything is falling.


