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TPE2
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08 Jul 2009, 11:08 am

But the DSM also says (I think)

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Asperger's Disorder must be distinguished from normal social awkwardness and normal age-appropriate interests and hobbies. In Asperger's Disorder, the social deficits are quite severe and the preoccupations are all-encompassing and interfere with the acquisition of basic skills.


[bold mine]



Maggiedoll
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08 Jul 2009, 11:15 am

It seems to contradict itself.. it says that children with AS do develop age-appropriate self-help skills, just not in social areas.



poopylungstuffing
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08 Jul 2009, 11:41 am

i had difficulty with age-appropriate self-help skills.
i drank out of a bottle (on preference) till I was about 7
I had trouble with personal hygiene and dressing myself up through High School...albiet it gradually got easier.

I was ridiculously bad at tying my shoes...so I wound up with the velcro kind...I was very bad at dressing myself...so I got teased...I wore shirts backwards...or way too large...boys clothes...boys eyeglass frames...My hair was always ragged....

I was a mess....If all this counts as age-appropriate self-help skills that I lacked...then according to the DSM-V i might be pushed into the PDD-NOS category.



SabbraCadabra
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08 Jul 2009, 12:01 pm

Weird...

I didn't have any verbal delays that I know of, but the self-help thing...DEFINITELY lacking there for an embarrassingly long time :x

So I wonder where exactly that puts me... :?


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08 Jul 2009, 12:29 pm

Maggiedoll wrote:
Sora wrote:
Social skills are for example having completed potty training, feeding oneself, dressing oneself, washing up.

Adaptive skills is all beyond that but also got to do with personal independence.


You meant self-help where you said social skills there, right? If so, that makes sense..

When I read that I realized I didn't really know what they meant by that, I thought maybe it was more like emotional regulation kind of stuff.. in which case I might not have met that criterion, but most methods of regulating emotions seem to have social involvement. .. if that makes sense


Yes, I did mean self-help.

2ukenkerl wrote:
Sora wrote:
Social skills are for example having completed potty training, feeding oneself, dressing oneself, washing up.

Adaptive skills is all beyond that but also got to do with personal independence.


You think THOSE are social skills!?!?!? WOW! I would have pegged "potty training, feeding oneself, dressing oneself, washing up." as self help skills!! !! !! !!


Well if you know, then you should also be able to guess that I just made a typo.


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buryuntime
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08 Jul 2009, 1:58 pm

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The ability to tie one's shoelaces or getting ready for school in the mornings most likely isn't severe enough to warrant a diagnosis of AD, and nor is it life threatening in most cases, whereas being unable to understand the consequences of running across roads is quite dangerous, and this is something people with AD have as young children (where their peers don't have this), and many times well into adulthood.

It's probably the whole severity thingy; the inability to get dressed in the mornings for school is fairly minor compared to swallowing sharp objects--I had the problem with getting dressed for school, but I just slept in my school clothes (it was a very minor thing to rectify with a little thought. Wearing shoes that don't have laces is something if you can't tie your shoes). It includes motor problems in the DSM-IV-TR in AS, and it even states that bullying can be a problem due to being poor at sport, but it then goes on to say that it's a relatively minor thing (I'm assuming they mean in comparison to disorders that involve primary motor functioning, and also in comparison to the core areas of AS).

I agree with this. I dressed, took my own showers, etc. very late and I still can't tie my shoes. But my little sister with AD is a lot more severe and just "unaware" of these things.



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08 Jul 2009, 4:46 pm

Maggiedoll wrote:
Kajjie wrote:
As for shoelaces, I could never learn the normal way to tie shoelaces, so my dad taught me to make two loops and tie them together. I still tie my shoes like that, and my dad laughs sometimes because I tie my shoes like a small child does, but he didn't teach me any different way when I'd got the hang of the one I use now. I don't remember ever being told anything like 'put the bunny in the hole' - if I was I would have got very confused as I can't imagine how a shoelace can resemble a rabbit.


The loops-around-each-other thing is exactly the same as the bunny-in-the-hole thing, except the former acknowledges that it's shoelaces/string, rather than a stupid rabbit! The loop being a bunny going around and into the hole is the same as the way you twist the two loops together, which is what I do too... apparently it's easier for normal children to think of their shoelaces as a rabbit and a hole. I think it's stupid, but that's probably because I don't get it. and I loop the loops around an extra time so it doesn't slip. (not a double knot, that's tying it and tying it again. this is just looping around a second time when you're looping the loops.)


So the bunny and the hole are identical? This fails as an analogy!

danielismyname - thanks for clarifying.


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millie
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08 Jul 2009, 5:20 pm

Quote:
Maggiedoll wrote:
Callista wrote:
So where do you fall if you know how to do it, but don't because something else gets in the way? Being technically capable of making your bed is all well and good, but if you have to be reminded to do it and even then take half an hour, you're not really capable of making the bed, are you?


I think that's called "adolescence." Whether or not you're actually an adolescent. :-P


Well...then I am 47 in august and a perpetual adolescent (although I thought "child" was more appropriate.) I can make my bed - i can do all those things - the problem is the executive functioning and the organisation required to do them. If i have anything more than the usual daily routine that i have carved out for myself intrude on my life, the WHOLE THING and ALL THE INCLUDED TASKS crumble down and fall around me. My life has to be pared back to absolute simplcity and regulaed routine wtih hardly ANY face to face interaction with others, so that I can do what I need to do in the day. And there is no way i could hold down a 9 to 5 pm job and then come home and get through household tasks. One day with people and i am a wreck for 2 to 3 days afterwards.

callista makes a very good point,



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08 Jul 2009, 5:28 pm

I was a late delevoper and I walked slightly late (16 months) and talked a bit later too. I've caught up now on alot of things though like getting ready to go out myself and I go out on my own or with friends. When it comes to tying my shoe laces I was about 7/8-ish when I learned, which is sort of average I think. Even now I'm still not as mature or independant as my peers, not by many years but it's still apparent, so no I don't think I fit criterion E.


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08 Jul 2009, 5:53 pm

poopylungstuffing wrote:
i had difficulty with age-appropriate self-help skills.
i drank out of a bottle (on preference) till I was about 7
I had trouble with personal hygiene and dressing myself up through High School...albiet it gradually got easier.

I was ridiculously bad at tying my shoes...so I wound up with the velcro kind...I was very bad at dressing myself...so I got teased...I wore shirts backwards...or way too large...boys clothes...boys eyeglass frames...My hair was always ragged....

I was a mess....If all this counts as age-appropriate self-help skills that I lacked...then according to the DSM-V i might be pushed into the PDD-NOS category.
Yup, same here, and you would probably be pushed into the Autistic Disorder category if you had unusual speech--stuff like canned sentences instead of using your own, or not being able to respond to questions properly. It doesn't take an outright speech delay; just atypical speech.

This is why the current criteria really suck. A lot of the people who are today diagnosed Asperger's would be in the PDD-NOS or Autistic Disorder categories if they took the criteria word-for-word instead of just getting an aspie or autie feel for somebody and putting them in that particular category.


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08 Jul 2009, 6:25 pm

Slight delays don't count as delays, I think.. it's only if it gets significant. But I think that if there's a delay, that dosn't make it PDD-NOS, it makes it Kanner's.. or maybe HFA? (is HFA considered Kanner's? I know there's debate as to whether Asperger's is actually different from HFA or not.. maybe it's HFA if someone doesn't have mental retardation, but does have developmental delays that aren't social, as well as having the social ones? Does that make sense?)



Kajjie wrote:
So the bunny and the hole are identical? This fails as an analogy!


I think so. If you do what I do, you do the bottom part of a knot, then make two loops, and do the top part of a knot, except with the loops instead of with straight laces. I think what they do with the bunny in the hole thing is hold one of the loops upright, and then turn the other one around it.. so it actually ties it in the same way as we do, they just don't admit it. (I hadda just now grab a shoe and fiddle with it to check) But if you do it that way you can't do it my grandfather's way with making a surgeon's knot (looping the loops a second time in the top part of the bow) to make it not slip but still easy to undo.



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08 Jul 2009, 9:26 pm

I had delays in walking and talking, longer delays in tying a tie or shoe, never completely learned to swim or ride a bike. According to my mum I just didn't give a smeg. Does this mean I fail criterion E? (I have an actual diagnosis.)


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08 Jul 2009, 9:42 pm

My self help skills are very good. My ex had me thinking I lacked self help skilled and I was an idiot for that. He just had a weird definition of self help skills. I guess I am one of the classics here, I don't lack any self help skills. But I started washing my own hair at age ten and brushing my own hair and teeth when I was eight. I am not sure how old I was when I could dress myself. I was four when I could do it I know because I can remember getting dressed at a young age and I was doing it alone. I was also hard to potty train. I was three when I stopped wearing. Still the normal age to quit and I had accidents up until age five which is also normal because I've read in a parenting magazine to expect accidents in your child up till age six, so that means it was average of me to have accidents till age five. I was 14 months when I started walking. That's average for a kid too.

I don't think swimming is really a self help skill because there are plenty of people out there who still can't swim, autistic or not.
I wonder if cleaning counts as a self help skill? There are sure plenty of people out there who can't clean and I am talking about people who aren't autistic.


I think the criteria is crap. There are lot of people on here diagnosed with AS and have difficulty with self help skills so that means their doctors probably didn't agree what the criteria says or they have something else that causes their lack of self help skills. If someone has poor motor skills, should it disqualify them from meeting the criteria? If someone has incontinence, should that also disqualify them? If someone is lazy, should that disqualify them too?



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08 Jul 2009, 9:43 pm

TPE2 wrote:
But the DSM also says (I think)

Quote:
Asperger's Disorder must be distinguished from normal social awkwardness and normal age-appropriate interests and hobbies. In Asperger's Disorder, the social deficits are quite severe and the preoccupations are all-encompassing and interfere with the acquisition of basic skills.


[bold mine]


It does, but with the other statement taken into consideration, one would assume that these basic skills are things that are noticeable after the first few years of life. The person with AD will most likely stay at that level, I mean how they are the first few years of life in many ways (whilst many improve, it's not the majority), whereas the individual with AS doesn't have such a pronounced delay. Stuff like shoelace tying won't be evident in the first few years of life, but noticing safety and danger will be, as will be asking for help in regards to things that affect safety.

Tying laces and not being able to dress yourself properly are quite minor. I had these two things, and they didn't cause too many problems when looked at objectively, and it wouldn't push me into AD.



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09 Jul 2009, 12:41 am

i still have poor cognitive and self help as i said in my other post, but what i do notice a lot, i do a lot of things young kids with ASD do like echolalia is a lot of my language, i still run out in the street without realzing it, i have actually attemtped to jump out of a moving rollercoaster, i have walked into a huge body of water not realizing i can drown, stuff like this happens alla the time, i need a lot of sueprvision, cant do daily tasks that most ppl jus do without even notcing. The other day i saw a lightening bug and love running after them, it flew into the street so i took off at super speed, and didn't even hear the car screech its breaks stopping from hitting me, jus kept trying to catch the lightening bug, until finally my bfs friend gr4abbed me and put me in the car, didnt even notice. now i can tell myself now watch out for cars, dont jump out of moving anything haha, stuff like that, but no matter what i jus dont understand and at the moment i have virtually no thoughts going through my head its crazy.

my autism specialist today told me what seperates autism and aspergers and is the key component between the two is cognitive skills. People with aspergers dont have any cognitive impairments, but instead may have more social impairments. He said its verry uncommon for a person to be diagnosed with aspergers if they still cant speak a full sentence or if they still cant be able to take care of themselves for instance needing constant direction and assistance with every little thing, but even though its very uncommon, there are kids diagnosed with aspergers who have those problems, even though you dont always hear about it or realize it. I thought that was interesting to know.


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09 Jul 2009, 4:28 am

Sora wrote:
Social skills are for example having completed potty training, feeding oneself, dressing oneself, washing up.


I was diagnosed with AS yet I didn't dress myself until I was 8. I'm not sure whether it was a case of I couldn't or I wouldn't, but I remember teachers at school complaining to my mum about this when it was the season for swimming lessons. I also didn't wash myself without help until I was 9, things like cleaning my face, washing my hair and I also had some 'potty training issues' that I'm not going to post here, but I'm still sure that I have AS.


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