What is the most common type of autism?

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Raziel
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21 Mar 2013, 11:45 am

Callista wrote:
chlov wrote:
Experts have always told me that most people with autism are low-functioning.
That was true in 1970, when autism criteria were very restrictive and autism was thought to be one in ten thousand. Nowadays--not so much. A lot of those new diagnoses are milder cases in kids who are mainstreamed in school and will be independent adults. Some others are in kids who have developmental delay and would have been diagnosed with intellectual disability only, but now have an autism/ID dual diagnosis--we are effectively "stealing" cases from the intellectual disability category. The upshot of it is that the average autistic in modern times is a good deal more independent than they used to be, even though there are more cases of "low-functioning autism" now than there used to be, too. The milder cases simply increased in number much faster than the ones that are comorbid with ID.

Seems to me that your experts are just falling prey to the availability bias. The people they see are the people who need the most help, because those are the people who see experts much more often. The majority, who need less help, are getting it from social workers and teachers and aides with a two-week training program, rather than going to experts.


What would explain why so many people have dual diagnoses (or even more) nowadays, because nearly every category is widen up in psychiatry so that we have a psychiatrisation of society nowadays.
It is still not totally clear were to make the "cut off".


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21 Mar 2013, 12:10 pm

PDD-NOS is the most common kind, as AS and Classic Autism have rather narrow diagnosis whereas PDD-NOS = Pervasive Development Disorder Not Otherwise Specified, making it a far wider diagnosis. The Wiki page on Autism Spectrum Disorders has these statistics: All ASD:
6/1,000, Classic Autism: 1/1,000, Asperger's: 0.6/1,000, childhood disintegrative disorder: 0.02/1,000, and PDD-NOS: 3.7 per 1,000.


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Raziel
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21 Mar 2013, 12:24 pm

Urist wrote:
PDD-NOS is the most common kind, as AS and Classic Autism have rather narrow diagnosis whereas PDD-NOS = Pervasive Development Disorder Not Otherwise Specified, making it a far wider diagnosis. The Wiki page on Autism Spectrum Disorders has these statistics: All ASD:
6/1,000, Classic Autism: 1/1,000, Asperger's: 0.6/1,000, childhood disintegrative disorder: 0.02/1,000, and PDD-NOS: 3.7 per 1,000.


Nowadays we are already between 1-3% and in my opinion that's overdiagnosed.


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21 Mar 2013, 12:27 pm

SammichEater wrote:
I always thought of it as a J curve, where there are very few people with severe autism, but as the severity decreases, the numbers increase exponentially.


That is exactly what I thought.



Raziel
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21 Mar 2013, 1:17 pm

Mirror21 wrote:
SammichEater wrote:
I always thought of it as a J curve, where there are very few people with severe autism, but as the severity decreases, the numbers increase exponentially.


That is exactly what I thought.


With this system we come more and more into "overinterpretation". Maybe a child is a bit socialy shy or even mutistic with some OCD traits, but today the propability is very high that a child like that just would be diagnosed with PDD-NOS.

The thing is that not everyone who is socially different is in the autistic spectrum.
I agree that there are many people with autistic traits, but I don't know if it makes a lot of sence to diagnose every single difference.


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chlov
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22 Mar 2013, 7:57 am

Callista wrote:
chlov wrote:
Experts have always told me that most people with autism are low-functioning.
That was true in 1970, when autism criteria were very restrictive and autism was thought to be one in ten thousand. Nowadays--not so much. A lot of those new diagnoses are milder cases in kids who are mainstreamed in school and will be independent adults. Some others are in kids who have developmental delay and would have been diagnosed with intellectual disability only, but now have an autism/ID dual diagnosis--we are effectively "stealing" cases from the intellectual disability category. The upshot of it is that the average autistic in modern times is a good deal more independent than they used to be, even though there are more cases of "low-functioning autism" now than there used to be, too. The milder cases simply increased in number much faster than the ones that are comorbid with ID.

Seems to me that your experts are just falling prey to the availability bias. The people they see are the people who need the most help, because those are the people who see experts much more often. The majority, who need less help, are getting it from social workers and teachers and aides with a two-week training program, rather than going to experts.

That wasn't "true in 1970", but it still is.
And it's not "one expert" who told me that, but many of them, at least 10.
And they didn't meet only people with LFA, because those experts were also my therapists, and the therapists of many other autistic people, even with milder forms.
I don't blindly believe in what experts tell me, but I judge whether what they say can be judged as accurate or unaccurate.
I met a lot of people with autism IRL. I can say that the 70% of those I met had LFA. Only 7 of those I met had high-functioning autism, 4 had Asperger's and 3 had HFA.
However, experts actually do researches on that, they don't wake up one morning and suddenly decide what the ratios are, and I prefear believing to scientifically made reasearches.



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22 Mar 2013, 12:13 pm

Autistics traits appear to be on a bell curve in the population, just like IQ is.

Which means the closer you get to the average level of autistic traits (ie, NT-level), the more common it gets.

People who are considered to be on the autistic spectrum are at one 'tail' of the bell curve. So for us, the majority would be the most mildly autistic.

Bear in mind, though, that misdiagnosis or missed diagnosis is more likely at the higher functioning end of the spectrum. Nowadays, most LFAs are identified and accurately diagnosed. HFA is a lot trickier.



Raziel
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22 Mar 2013, 12:39 pm

Ettina wrote:
Autistics traits appear to be on a bell curve in the population, just like IQ is.


Just that autism is on the one side of the curve and the people with high social understanding on the other and in the middle the average person.

Now the problem is that the high social type likes to get shrinks and social workers or other social job, but they are more or less the exact opposite of the autistic type...! That's why they have trouble in many cases to understand us (not all though).


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22 Mar 2013, 2:42 pm

It seems the term 'High-Functioning Aspergers' is one answer.