Proposed DSMV Changes May Negatively Affect Females

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Danielismyname
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19 Feb 2010, 6:27 am

"Mimicking" is just utilizing a script from someone else, it still doesn't change how one's social reciprocity actually is.

You learn to say this in response to that, you learn to make this face in response to that event, but it's going to break at the slightest bit of unexpected change, and you'll then fumble. This doesn't change that you'll most likely talk on and on about your interest to those you do interact with in a one sided and verbose manner.



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19 Feb 2010, 8:48 am

Danielismyname wrote:
"Mimicking" is just utilizing a script from someone else, it still doesn't change how one's social reciprocity actually is.

You learn to say this in response to that, you learn to make this face in response to that event, but it's going to break at the slightest bit of unexpected change, and you'll then fumble. This doesn't change that you'll most likely talk on and on about your interest to those you do interact with in a one sided and verbose manner.


Yep, that is pretty much my experience. If I have the time to prepare for an interaction by seeing the prevailing interaction I do ok until I get a hook on an interest (and associative thinking make that likely with the most flimsy link) and I just keep going...

I think the concern is that an inexperienced person could be fooled and diagnose incorrectly though.



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19 Feb 2010, 8:56 am

Yes, that's what I'm worried about--clinicians being tricked. I learned to speak from my mom. I learned how to say, "Really? That's terrible!" and "Tell me more!" with feeling, etc. Later, I took a counseling methods class and learned to fake listening with a caring look on my face. As I've grown older, I do care more and more, but there are still times when I use my rote method of faking it. That's what I'm talking about.

I've worn out my copy of that book, as I use it constantly for videos and workshops. I loaned it to a friend though. The person you want to read is Catherine Faherty though. There's another one who talks about how to help girls (esp teens) adapt to social environments (basically through learning scripts, etc.) but I can't remember her name, sadly.


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19 Feb 2010, 2:27 pm

Actually, I think the changes may be benificial. Largely because of this line:

Quote:
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)


This accounts for the fact that young girls may be able to "fake it" early in childhood, but fall apart once peer relationships evolve and communications become more complex. Basically this single line was added because of the fact that the way ASD manifest in women is usually does not become apparent until they are a tween or teen. This line does account for the fact in female manifestation it may seem like there is reciprocity at first, but later in life when social relationships become more complex, it becomes clear that the reciprocity may actually be lacking and that "adaptation" may be limited. Number 3 was added specifically for women, it basically says not all symptoms will fully manifest at once, and that the limited capacities that help ASD girls "fake it" may fall apart in adolescence or pre-adolescense.

I know this may sound weird, but the changes are likely to benefit girls with ASD. Yes the reciprocity line seems troublesome AT first, if you do not take into account number 3. But number 3 does address the primary concerns with the lack of social reciprocity and how it manifests in girls. (Basically later).



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19 Feb 2010, 2:40 pm

Danielismyname wrote:
I can tell you now what they mean by a lack of social reciprocity (they're also going to explain each criterion in-depth in the new book, as per their words), and none of which are related to mimicking other people (mimicking is no different to using rote memory to remember the "right" thing to say).

There's,

aloof (totally ignoring others)
passive (accepting approaches by others but not initiating them)
active but odd (talking in the one-sided way and not "giving and taking" of normal social interaction)

Quote:
3.2 Impairments of social interaction

3.2.1 The aloof group

This is the most common type of social impairment. Behavior may include:

* Behaving as if other people do not exist;
* Little or no eye contact made;
* No response when spoken to;
* Faces empty of expression except with extreme joy, anger or distress;
* No response to cuddling;
* If something is wanted, carers' hands may be pulled towards the object;
* May respond to rough and tumble play well, but when this stops return to aloof pattern;
* Seem to 'be in a world of their own'.

3.2.2 The passive group

Least common group, features include:

* The child accepts social approaches;
* May meet the gaze of others;
* May become involved as a passive part of a game.

3.2.3 The active but odd group

Children of this group make active approaches to others but make that contact in strange ways, including:

* Paying no attention to the other party;
* Poor eye contact although sometimes may stare too long;
* May hug or shake hands too hard.

3.2.4 The over-formal, stilted group

Seen in later life, this behavior is common in the most able person with autism. The following characteristics tend to be displayed:

* Excessively polite and formal;
* Have a good level of language;
* Try very hard to stick to the rules of social interaction without really understanding them.


thanks daniel, that helped alot. now idk where i fall haha cuz im completely aloof except i will shake hands and do it hard or pull u in or try to bite u, and i may climb on u or try to wrestle with u, but thats it, other then that im extremely aloof. actually though if im in a settin and everybody uses sign language im more passive i wont ever initiate anything but will interact via sign which i found so interesting idk i think cuz its more visual so its easier to understand idk. its so confusing, i also think autism manifests itself differently in females too. very itneresting video whitetiger liked it hehe.


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whitetiger
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20 Feb 2010, 10:15 am

Thanks for posting this. I still see ways that the criteria can be used against girls and women though. I like that they put this in. I've known for a long time that under extreme stress, I act more and more autistic. But, let's say we're interviewing a female who isn't stressed in order to see if she is autistic. Well, we would interview the family, which would be able to point out at least a few situations in which she had what appeared to be reciprocal communication. Depending on the clinician, she is "screwed."


starygrrl wrote:
Actually, I think the changes may be benificial. Largely because of this line:

Quote:
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)


This accounts for the fact that young girls may be able to "fake it" early in childhood, but fall apart once peer relationships evolve and communications become more complex. Basically this single line was added because of the fact that the way ASD manifest in women is usually does not become apparent until they are a tween or teen. This line does account for the fact in female manifestation it may seem like there is reciprocity at first, but later in life when social relationships become more complex, it becomes clear that the reciprocity may actually be lacking and that "adaptation" may be limited. Number 3 was added specifically for women, it basically says not all symptoms will fully manifest at once, and that the limited capacities that help ASD girls "fake it" may fall apart in adolescence or pre-adolescense.

I know this may sound weird, but the changes are likely to benefit girls with ASD. Yes the reciprocity line seems troublesome AT first, if you do not take into account number 3. But number 3 does address the primary concerns with the lack of social reciprocity and how it manifests in girls. (Basically later).


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22 Feb 2010, 6:15 pm

Attwood needs be careful not to create new sterotypes with these gender observations. In a radio interview he talked as if mimicking, and being overwhelmed "empathically" (he called it "6th sense," but whatever) were exclusively female phenomena. Not all autistic women are great mimicks, with the "super-sensitive antenna" thing, and not all autistic males are tuned-out robots.

It's important to note these differences, especially if they preferentially lead to more missed female diagnoses -- but if the end result is two stereotypes which don't help the autistic women and men who don't fit them, then that will be an incomplete resolution, missing the big picture (that autistic presentations are over-stereotyped and incompletly understood, in general, in too many professional minds).



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22 Feb 2010, 6:27 pm

It's not as though he hasn't already shown himself to be fairly ignorant of gender issues, with his implicit support of the Cassandra loonies. I wouldn't trust Tony Attwood to know anything about the issues involving the differences and similarities between women and men--whether or not there was autism in the picture.


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22 Feb 2010, 6:38 pm

Yeah good point. I've also heard him make comments about gender identity that show that he hasn't done his homework on that subject before theorizing about it.



mechanicalgirl39
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22 Feb 2010, 7:43 pm

starygrrl wrote:
Actually, I think the changes may be benificial. Largely because of this line:

Quote:
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)


This accounts for the fact that young girls may be able to "fake it" early in childhood, but fall apart once peer relationships evolve and communications become more complex. Basically this single line was added because of the fact that the way ASD manifest in women is usually does not become apparent until they are a tween or teen. This line does account for the fact in female manifestation it may seem like there is reciprocity at first, but later in life when social relationships become more complex, it becomes clear that the reciprocity may actually be lacking and that "adaptation" may be limited. Number 3 was added specifically for women, it basically says not all symptoms will fully manifest at once, and that the limited capacities that help ASD girls "fake it" may fall apart in adolescence or pre-adolescense.

I know this may sound weird, but the changes are likely to benefit girls with ASD. Yes the reciprocity line seems troublesome AT first, if you do not take into account number 3. But number 3 does address the primary concerns with the lack of social reciprocity and how it manifests in girls. (Basically later).


Wow, I didn't know this was commonplace.

I was ostensibly just an Extreme Type S. I tested as intellectually gifted as a kid, and my mother was sent some information including some about how giftedness overlaps with the autism spectrum by some 2/3. It wasn't until I was a bit older that it became apparent that I had a bit more than just the 2-of-3 syndrome often found in gifted people.


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22 Feb 2010, 7:51 pm

I must have been one of the few girls that had autism traits present in early childhood. And I don't mimic, I'm really horrible at speaking unless I'm quoting a full scene from The Simpsons or Monty Pyhton's Flying Circus.


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22 Feb 2010, 9:07 pm

I think it's more like, autistic girls have symptoms in early childhood; they're just not as apparent as they are with boys because of the smaller contrast between autistic traits and socially accepted female characteristics.


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22 Feb 2010, 11:16 pm

Callista wrote:
I think it's more like, autistic girls have symptoms in early childhood; they're just not as apparent as they are with boys because of the smaller contrast between autistic traits and socially accepted female characteristics.

Oh that's what I meant. They were very noticeable.


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22 Feb 2010, 11:16 pm

Callista wrote:
I think it's more like, autistic girls have symptoms in early childhood; they're just not as apparent as they are with boys because of the smaller contrast between autistic traits and socially accepted female characteristics.
That is odd.
I thought there would be more difference because I thought women (in general) tend to be more outgoing.
I could be wrong about this.
Please elaborate.



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23 Feb 2010, 5:49 am

ursaminor wrote:
Callista wrote:
I think it's more like, autistic girls have symptoms in early childhood; they're just not as apparent as they are with boys because of the smaller contrast between autistic traits and socially accepted female characteristics.
That is odd.
I thought there would be more difference because I thought women (in general) tend to be more outgoing.
I could be wrong about this.
Please elaborate.


Opinion form a man - In most societies, women and girls are supposed to be quit, shy, not atletic, focused, etc, while boys are suposed to be playing in the street with the friends; probably because that an autistic girls appears less atypical than an autistic boy.



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23 Feb 2010, 8:30 am

Yeah, that's exactly what I meant. An odd girl is much less likely to cause concern than an odd boy. Even just plain eccentricity, without impairment, is likely to merely label the girl a ditz or a bit flighty, whereas the eccentric boy will have people wondering whether he's insane or antisocial. When there's actual impairment, it is less likely to show up as obviously in a girl because a girl who is a loner, forms relationships with no one outside her family, and doesn't speak much (the usual presentation of mild-to-moderate autism in an introvert) will be considered "shy", whereas a boy with the same behavior will generally be targeted much earlier and much more vigorously by peers who see "weakness" and teachers who see the "dangerous loner" stereotype.


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