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Verdandi
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31 Jul 2011, 9:19 pm

Oh, I understand. I've read a lot about diagnostic practices, which is why I know how particular criteria are typically ignored. It really comes down to judgment calls, as diagnostic methods have been refined over the years.



FireBird
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31 Jul 2011, 9:19 pm

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers-no
(b) lack of desire to interact with peers-no
(c) lack of appreciation of social cues-yes
(d) socially and emotionally inappropriate behavior-Yes

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities-yes
(b) repetitive adherence-Yes
(c) more rote than meaning- yes

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life-Yes
(b) on others-No

4.Speech and language problems
(at least three of the following)
(a) delayed development- yes
(b) superficially perfect expressive language- sometimes
(c) formal, pedantic language-no
(d) odd prosody, peculiar voice characteristics yes (sometimes)
(e) impairment of comprehension including misinterpretations of literal/implied meanings-Yes

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures-No
(b) clumsy/gauche body language-Yes
(c) limited facial expression-No
(d) inappropriate expression-yes
(e) peculiar, stiff gaze-No

6.Motor clumsiness: poor performance on neurodevelopmental examination-Yes

I don't have Asperger's Syndrome but classic high functioning autism but I meet the criteria here anyways



Who_Am_I
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31 Jul 2011, 9:28 pm

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers
(b) lack of desire to interact with peers
(c) lack of appreciation of social cues
(d) socially and emotionally inappropriate behavior - I can usually manage to be seen as nice when I socialise, but I don't say much because of not having anything to say.

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities
(b) repetitive adherence
(c) more rote than meaning- It has meaning!

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life
(b) on others- No; who cares what they do?

4.Speech and language problems
(at least three of the following)
(a) delayed development- I didn't have a delay, but I did lose speech
(b) superficially perfect expressive language
(c) formal, pedantic language
(d) odd prosody, peculiar voice characteristics

(e) impairment of comprehension including misinterpretations of literal/implied meanings- I am good with metaphors and sayings though.

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures
(b) clumsy/gauche body language
(c) limited facial expression
(d) inappropriate expression
(e) peculiar, stiff gaze

6.Motor clumsiness: poor performance on neurodevelopmental examination - never had a neurodevelopmental examination done, but my clumsiness is pretty evident

(All six criteria must be met for confirmation of diagnosis.)




DSM-IV DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER

A.Qualitative impairment in social interaction, as manifested by at least two of the following:

(1) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze facial expression, body postures, and gestures to regulate social interaction
(2) failure to develop peer relationships appropriate to developmental level

(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people- This can be interpreted in 2 ways- as a lack of showing people things that interest me, which I don't really have, or as a lack of showing people things which might interest them, which I do have.
(4) lack of social or emotional reciprocity


B.Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals- They are functional! Having a routine means I can do stuff instead of being overtaken by inertia and becoming a shut-in.
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)
(4) persistent preoccupation with parts of objects

C.The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.

D.There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years).

E.There is no clinically significant delay in cognitive development
or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood. - I'm pretty sure that the difficulties I have now in being able to manage life, which are severe enough to make me worry about living independently even if I was financially able to, and the fact of having trouble remembering to have showers in high school, would count as delays in age-appropriate self-help skills.

[b]F.Criteria are not met for
another specific Pervasive Developmental Disorder or Schizophrenia.- I don't have schizophrenia, but the "other PDD" bit depends on how the language portion of the criteria for Autistic Disorder are interpreted.


Quote:
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others


I literally could not initiate a conversation with others until after the age of 18. It still gives me trouble now, and I have what I would consider to be marked difficulties in sustaining a conversation, unless it is about my special interests, and even then my ability is unreliable. On the other hand, though, there are occasions when once I get warmed up I can converse quite well, although the other person usually has to direct the exchange. I'm not sure what is officially considered "marked impairment".


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MakaylaTheAspie
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31 Jul 2011, 9:38 pm

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers-Sort of
(b) lack of desire to interact with peers-Yes
(c) lack of appreciation of social cues-Definately
(d) socially and emotionally inappropriate behavior-Yes

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities-Not until recently
(b) repetitive adherence-Yes
(c) more rote than meaning-nope

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life-Yes
(b) on others-No

4.Speech and language problems
(at least three of the following)
(a) delayed development-No
(b) superficially perfect expressive language-Yep
(c) formal, pedantic language-Yep (when I do speak, of course)
(d) odd prosody, peculiar voice characteristics-Yes
(e) impairment of comprehension including misinterpretations of literal/implied meanings-Sometimes

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures-Yes
(b) clumsy/gauche body language-Yes
(c) limited facial expression-As in barely any at all? Yes
(d) inappropriate expression-No
(e) peculiar, stiff gaze-No

6.Motor clumsiness: poor performance on neurodevelopmental examination-Yes

(All six criteria must be met for confirmation of diagnosis.)


DSM-IV DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER

A.Qualitative impairment in social interaction, as manifested by at least two of the following:

(1) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze facial expression, body postures, and gestures to regulate social interaction-almost... I do have good eye contact.
(2) failure to develop peer relationships appropriate to developmental level-Yes
(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)-Yep
(4) lack of social or emotional reciprocity-Yes



B.Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus-Yes
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals-Not so much now.
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)-YES 8O(4) persistent preoccupation with parts of objects-Sometimes.

C.The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning. YES, OH GOD YES!! !! !

D.There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years). Mhmm. I talked quite early. Biggest mistake of my childhood.

E.There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood. Nope.

F.Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia. Mhmmm.


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dougn
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01 Aug 2011, 12:04 am

matt wrote:
I think it makes sense to include the PROPOSED DSM-V CRITERIA FOR AUTISM SPECTRUM DISORDER, too.

I agree.

Quote:
Autism Spectrum Disorder
Must meet criteria A, B, C, and D:

A. Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays, and manifest by all 3 of the following:

1. Deficits in social-emotional reciprocity; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction,
2. Deficits in nonverbal communicative behaviors used for social interaction; ranging from poorly integrated- verbal and nonverbal communication, through abnormalities in eye contact and body-language, or deficits in understanding and use of nonverbal communication, to total lack of facial expression or gestures.
3. Deficits in developing and maintaining relationships, appropriate to developmental level (beyond those with caregivers); ranging from difficulties adjusting behavior to suit different social contexts through difficulties in sharing imaginative play and in making friends to an apparent absence of interest in people

B. Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least two of the following:

1. Stereotyped or repetitive speech, motor movements, or use of objects; (such as simple motor stereotypies, echolalia, repetitive use of objects, or idiosyncratic phrases).

2. Excessive adherence to routines, ritualized patterns of verbal or nonverbal behavior, or excessive resistance to change; (such as motoric rituals, insistence on same route or food, repetitive questioning or extreme distress at small changes).
3. Highly restricted, fixated interests that are abnormal in intensity or focus; (such as strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper-or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment; (such as apparent indifference to pain/heat/cold, adverse response to specific sounds or textures, excessive smelling or touching of objects, fascination with lights or spinning objects).

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

D. Symptoms together limit and impair everyday functioning.

The one criterion (B-2) that doesn't apply to me now, did to some extent when I was a child.



Dessie
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01 Aug 2011, 2:13 am

My answers:

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers-Yes
(b) lack of desire to interact with peers-Yeppers. Only lately I'm wanting some interaction. Mostly because I haven't gone anywhere or done anything with a "friend" at all in the last four months. I get bored. Sue me.
(c) lack of appreciation of social cues-Somewhat
(d) socially and emotionally inappropriate behavior-Yes

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities-Kinda. When I'm writing, yes. I will not leave the computer until I'm done. Whenever "done" is.
(b) repetitive adherence-Not really. I can be kinda spontaneous about these things. I can ignore my paintbrushes for 3 months and then spend five hours straight painting. Other times I am. I got this necklace once a few years ago and the first thing I'd do every morning when I got up was put the necklace on. And then I lost the necklace. :cry:
(c) more rote than meaning-Nope, I like the things I do to have meaning...except for the necklace thingy I suppose. :?

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life-Yes. I like order. I like routines. I like knowing what to do and when.
(b) on others-When I can. I can't help mysef...it makes my life easier and usually makes the people who love me not love me so much. :D

4.Speech and language problems
(at least three of the following)
(a) delayed development-No
(b) superficially perfect expressive language-Kinda. When I write, I'm the grammer police. When I speak, it sounds good, but I sometimes don't know what I'm saying. :lol:
(c) formal, pedantic language-Yea.
(d) odd prosody, peculiar voice characteristics-Yes
(e) impairment of comprehension including misinterpretations of literal/implied meanings-Yes, sometimes. Not so bad as I used to be about it. Being a good writer and an avid reader has helped me learn what metaphors are.

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures-Somewhat. I have a few shoulder shrugs I do really good. And some nice hand gestures. I'm really good at "flying the bird" when someone ticks me off. 8)
(b) clumsy/gauche body language-Yes
(c) limited facial expression-Somewhat
(d) inappropriate expression-Yes
(e) peculiar, stiff gaze-Absolutely Yes

6.Motor clumsiness: poor performance on neurodevelopmental examination-I'm a total klutz. My bruises have bruises. Does that count?

(All six criteria must be met for confirmation of diagnosis.)

Am I somewhat lacking in the special interests area? I think so. I'm not as obsessed with ideas and knowledge are some people I've met are. I do become very attached to objects though.

DSM-IV DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER

A.Qualitative impairment in social interaction, as manifested by at least two of the following:

(1) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze facial expression, body postures, and gestures to regulate social interaction-Yes
(2) failure to develop peer relationships appropriate to developmental level-Yes
(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)-I like to talk. A lot. No one wants to be around me long enough to listen.
(4) lack of social or emotional reciprocity-Kinda


B.Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus-Somewhat
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals-Yes...but I like my routines to be functional and I can be more flexible if changes are planned in advance.
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)-Hell to yes...everyone always wants to know why I can't stop twitching around. :?
(4) persistent preoccupation with parts of objects-Yes! And no, I WILL NOT stop clicking my pen!! !! ! :evil:

C.The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning. Almost 19 years old. Can't drive. No job. No dating/social life. I think the answer to this one is yes.
D.There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years). No delays whatsoever.
E.There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood. Again no delays.

F.Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia. I don't think so.

That was fun. :)



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01 Aug 2011, 12:30 pm

Verdandi wrote:
ocdgirl123 wrote:
Buck-oh wrote:
ocdgirl123 wrote:
(c) more rote than meaning-I don't know that this means


You do it because you feel you "have to" or "need to" do something, not because you get any particular payoff from doing it.

It means you tend to ritualize the entertainment value out of your hobbies. You don't do it because it's fun or offers any other benefit, you do it because it's become a ritual.


OK, then I wouldn't have that.


I suspect this is one of those things that is a matter of professional observation - they deem it as more rote than meaning, and I suspect that to any of us, we perceive it much differently, with far more meaning.


At the time of being diagnosed, I did not have a special interest.


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