Hypothesis: Asperger's VS HFA
Recently I have been denied participating in a surwey designed specifically for those with either an AS or HFA dx. My dx is the always-left-out PDD-NOS, and I could have written the same as Rocket123 almost word by word. On the WAIS I had similar pattern to those dx'd with autistic disorder but obviously I'm higher functioning and have less severe traits than a typical HFA person would have.
I guess here the most obvious misunderstanding is that physical clumsiness goes away with better visual thinking (or perceptual reasoning). Not true. All autistic spectrum disorders share the same fundamental impairing features, you can always make distinctions like putting people in different categories based on skin color. Not only it wouldn't be correct but you'd miss the point they are esentially the same and require the same treatment. Of course there are individual differences, the degree of clumsiness is one of them.
KingdomOfRats
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clumsiness and motor issues are not a way of seperating aspergers from classic autism,
those of us with classic autism struggle greatly with proprioception;being aware of other peoples bodies in relation to where our own stops and begins,this makes us clumsy.
had personaly ripped half the nail and layers of nail bed off big toe when was inpatient for four months in an ID hospital,by walking into a table and didnt realise had done it as am not able to feel outer pain-am always bashing feet and stubbing toes so dont take any notice of the bang,only noticed when sock was starting to feel feel very wet so looked down and it was soaked with blood.
many of us struggle greatly with motor skills issues;have probably known more classic autistic people than anyone on WP and have never known any to not have significant motor difficulties ranging from oral-to fine-to gross etc, unfortunately its an area that isnt well researched as people focus on our functioning,communication and language defecits more than anything.
am changing to the belief that aspergers and classic autism is the same beast,and its purely an autistic spectrum that gradualy blends from one end to another,will find to many people with classic autism and aspergers who simply contradict the stereotypes that people think are specific to the conditions.
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[quote="kraftiekortie"
There have been studies which state that people thought to be HFA (or Autistic in general) score better on the Performance Scale; and people with Aspergers score better on the Verbal Scale.[/quote]
This was definitely true for me. I took the WAIS-IV recently so I don't have my results back yet, but I know just from the experience that my verbal skills are far better than my performance skills: I only got two of the block-patterns right (I know because I only did four of them, and their "discontinue" cutoff occurs after two mistakes), but I went for ages on the similarities and vocabulary part. I'm interested to see what the numbers wind up being.
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This was definitely true for me. I took the WAIS-IV recently so I don't have my results back yet, but I know just from the experience that my verbal skills are far better than my performance skills: I only got two of the block-patterns right (I know because I only did four of them, and their "discontinue" cutoff occurs after two mistakes), but I went for ages on the similarities and vocabulary part. I'm interested to see what the numbers wind up being.
You know, I think it may also been interesting on how one arrives at the answers for any of these tests. I had difficulty with the speech portion of the verbal test, but because it was untimed, it didn't hold me back. My performance IQ was still higher than my verbal IQ, but I did very well on the vocabulary portion because I unconsciously notice patterns in language. I admitted to the tester that I had never heard several of the words I was able to define correctly. That was a skill that arose later in life, but for me, it relies on patterns.
IQ tests in general seem too reliant on language. As a child entering school, I scored a 60 on an IQ test. It was a Stanford Binet, which I've read is (or was) more reliant on language than Weschler tests. While I am certain maturity played a role in my score at the time, I think also language did as well. Consider also that while I may be naturally good at block design or other pattern recognition tasks, the words used to introduce the activity may be confusing.
Asperger's: Problems with visually-oriented learning--"nonverbal learning disability"--tendency toward relative strengths in the verbal realm. Tendency to be "clumsy" and be uncoordinated in a physical sense. Mechanically inept. Right-brain dysfunction.
High-Functioning Autism: Problems with verbally-derived learning--tendency toward strength in the visual-learning realm (i.e., as exhibited by "visual learners" such as Temple Grandin). not clumsy, more ability in the physical realm. Very mechanically adept. Left-brain dysfunction.
I'm just putting this hypothesis "out there." I don't have an all-abiding belief in it, though I believe there is something to it. Rather, I want to introduce an amiable debate.
I am undiagnosed (I don't want to spend the money to get diagnosed). My parents were encouraged by doctors to institutionalize me at a young age--owing to the fact that I was going to end up a being a "vegetable" (i.e., someone who will be fully dependent for the remainder of his life). I am fortunate that my mother "saw something in me."
I did not develop oral speech until age 5. Otherwise, I exhibit more the Asperger's phenotype than the HFA phenotype. I am a poor visual learner and memorizer. I respond solely to the written word. I am somewhat clumsy (though I've overcome this somewhat). I have been able to keep a job and to get married. I learned to drive 15 years ago, at age 37. I'm still "clumsy" in social situations--I've developed a "court-jester who cannot be messed with" persona to overcome this. I still become overwhelmed by stimuli, especially when it involves many people within an enclosed space. I can't "do 2 things at once."
Thank you for any input.
Your description of HFA fits me to a T, and apart from the fact that I struggle with hand-to-eye coordination, I'm quite physically fit--with excellent visual-spatial skills. Yet, my diagnosis is Asperger's syndrome. I have problems with verbal language, and I'm a very visual thinker.
The truth is, people on the autistic spectrum are very different; as a whole, it's next to impossible to give a black-and-white difference between HFA and AS--apart from a speech delay.
We're doing really good! We're almost at the top in Thread priority!
Keep it coming, especially the personal accounts (for they prove any hypothesis, at times, better than any double-blind, peer-reviewed study).
Originally, I had a pretty strong belief in the truth of the hypothesis; however, through reading the personal accounts, I have come to believe that: while there is at least some basis to the hypothesis, that there are many exceptions to it, owing to the fact that Autism is a vast, Efflorescent Spectrum rather than merely one condition.
Thanks, all, for educating me.
Asperger's: Problems with visually-oriented learning--"nonverbal learning disability"--tendency toward relative strengths in the verbal realm. Tendency to be "clumsy" and be uncoordinated in a physical sense. Mechanically inept. Right-brain dysfunction.
High-Functioning Autism: Problems with verbally-derived learning--tendency toward strength in the visual-learning realm (i.e., as exhibited by "visual learners" such as Temple Grandin). not clumsy, more ability in the physical realm. Very mechanically adept. Left-brain dysfunction.
I'm just putting this hypothesis "out there." I don't have an all-abiding belief in it, though I believe there is something to it. Rather, I want to introduce an amiable debate.
I am undiagnosed (I don't want to spend the money to get diagnosed). My parents were encouraged by doctors to institutionalize me at a young age--owing to the fact that I was going to end up a being a "vegetable" (i.e., someone who will be fully dependent for the remainder of his life). I am fortunate that my mother "saw something in me."
I did not develop oral speech until age 5. Otherwise, I exhibit more the Asperger's phenotype than the HFA phenotype. I am a poor visual learner and memorizer. I respond solely to the written word. I am somewhat clumsy (though I've overcome this somewhat). I have been able to keep a job and to get married. I learned to drive 15 years ago, at age 37. I'm still "clumsy" in social situations--I've developed a "court-jester who cannot be messed with" persona to overcome this. I still become overwhelmed by stimuli, especially when it involves many people within an enclosed space. I can't "do 2 things at once."
Thank you for any input.
Your description of HFA fits me to a T, and apart from the fact that I struggle with hand-to-eye coordination, I'm quite physically fit--with excellent visual-spatial skills. Yet, my diagnosis is Asperger's syndrome. I have problems with verbal language, and I'm a very visual thinker.
The truth is, people on the autistic spectrum are very different; as a whole, it's next to impossible to give a black-and-white difference between HFA and AS--apart from a speech delay.
...but...diagnoses are imprecise and tend to change over time anyway...
It seems like there are 3 groups of people:
-those that identify with the Aspergers definition
-those that identify with the HFA definition
-those that identify with aspects of both
For those in the 3rd group, I'd really like to hear which aspects you do identify with.
Seems like a majority identify with the "clumsiness". (I do too, and while I identify with the HFA group, I would consider myself clumsy as well.)
My diagnosis was Aspergers. I also have lifelong speech/language issues. But, I feel strongly that the year I was diagnosed and other circumstantial things (such as the diagnostician's feelings about diagnosing me) affected my diagnosis. I spoke before age 3. I spoke at age 2.5, with echolalia. If my parents had taken me to the same diagnostician at 2.5 in the year 2000, I probably would have been diagnosed with autism and put in early intervention which they would have credited for my speech. Who knows, maybe it would have improved my speech considerably. I don't know what else it would have changed about me.
I sense that I am more Aspergers than HFA. I am pretty clumsy and think verbally. However, I had no speech until age 5 and, according to my mother, did lots of "autistic" things as a very young child. Institutionalization was a possibility. I still have problems expressing myself properly, and I stutter a bit. My computer skills are barely average. I might hit myself slightly when I m stressed, even bang my head slightly. Perhaps my "autism" was sublimated under duress?
The commonly believed difference between AS and HFA has been the speech/reading delays. I was diagnosed HFA when I was in high school, and did have some delays in learning to read and talking (though I think I was talking normally in kindergarten and school) and and extra assistance outside of school helped me to catch up in reading, but there might be some substance behind the idea
Problems with verbally-derived learning - I could say I've had (and still have to some extent) that. I learn better by doing something than hearing it, though when I hear or read something, I do immediately render images in my head.
Not clumsy - Maybe. I was pretty lousy at sports, but that may be more related to vision trouble. I do have a tendency to misplace items though
Ability in physical realm - I do have a good sense of space, direction, etc. I loved to play with Lego and building blocks growing up and impressed my kindergarten teacher with what I could do.
Mechanically adept - Absolutely. I like to take stuff apart, put stuff together, repair things, work with tools, etc.
Other things-
-Good long term memory. Short term memory a little flaky, especially faces/names
-Strong with mathematics, not so much in literature classes
-Able to live independently, hold a job, drive a car (and fly a plane). No girlfriend, but am working on it
-Very logic oriented
-Attention to detail rather than the big picture
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Asperger's: Problems with visually-oriented learning--"nonverbal learning disability"--tendency toward relative strengths in the verbal realm. Tendency to be "clumsy" and be uncoordinated in a physical sense. Mechanically inept. Right-brain dysfunction.
High-Functioning Autism: Problems with verbally-derived learning--tendency toward strength in the visual-learning realm (i.e., as exhibited by "visual learners" such as Temple Grandin). not clumsy, more ability in the physical realm. Very mechanically adept. Left-brain dysfunction.
I'm just putting this hypothesis "out there." I don't have an all-abiding belief in it, though I believe there is something to it. Rather, I want to introduce an amiable debate.
I am undiagnosed (I don't want to spend the money to get diagnosed). My parents were encouraged by doctors to institutionalize me at a young age--owing to the fact that I was going to end up a being a "vegetable" (i.e., someone who will be fully dependent for the remainder of his life). I am fortunate that my mother "saw something in me."
I did not develop oral speech until age 5. Otherwise, I exhibit more the Asperger's phenotype than the HFA phenotype. I am a poor visual learner and memorizer. I respond solely to the written word. I am somewhat clumsy (though I've overcome this somewhat). I have been able to keep a job and to get married. I learned to drive 15 years ago, at age 37. I'm still "clumsy" in social situations--I've developed a "court-jester who cannot be messed with" persona to overcome this. I still become overwhelmed by stimuli, especially when it involves many people within an enclosed space. I can't "do 2 things at once."
Thank you for any input.
Your description of HFA fits me to a T, and apart from the fact that I struggle with hand-to-eye coordination, I'm quite physically fit--with excellent visual-spatial skills. Yet, my diagnosis is Asperger's syndrome. I have problems with verbal language, and I'm a very visual thinker.
The truth is, people on the autistic spectrum are very different; as a whole, it's next to impossible to give a black-and-white difference between HFA and AS--apart from a speech delay.
...but...diagnoses are imprecise and tend to change over time anyway...
It seems like there are 3 groups of people:
-those that identify with the Aspergers definition
-those that identify with the HFA definition
-those that identify with aspects of both
For those in the 3rd group, I'd really like to hear which aspects you do identify with.
Seems like a majority identify with the "clumsiness". (I do too, and while I identify with the HFA group, I would consider myself clumsy as well.)
My diagnosis was Aspergers. I also have lifelong speech/language issues. But, I feel strongly that the year I was diagnosed and other circumstantial things (such as the diagnostician's feelings about diagnosing me) affected my diagnosis. I spoke before age 3. I spoke at age 2.5, with echolalia. If my parents had taken me to the same diagnostician at 2.5 in the year 2000, I probably would have been diagnosed with autism and put in early intervention which they would have credited for my speech. Who knows, maybe it would have improved my speech considerably. I don't know what else it would have changed about me.
I think the 3. group desribes aspies without NLD (about 20% do not meet the requirements for this) pretty well. I have no problems with written language, which uses a completely different part of the brain than verbal language, though.
Yes. I happen to think there is no difference between Aspergers and autism (as do the folks behind the DSM). The brief existence of separate diagnoses is something future people will find bemusing.
There may be different causes of autism, but I do not think those causes are likely to correlate to one diagnosis or the other.
If we discuss every idea anyone has without evidence, we'll never get anywhere. Evidence first, get taken seriously afterwards.
Anecdotal evidence, I have found, frequently contains more "truth" than data obtained from research studies. Of course, the Scientific Method is paramount--however, we have to take into account subjective input in order to obtain an objective solution. Qualitative vs quantitative, in essence.
The ones that may differentiate me from 'classic' AS:
- Average long-term memory for facts (lexical information like names, technical data, poems, proverbs, etc.). Difficulties with recall, it might take too long to remember and so I may appear dumber than actually I am.
- Problems with speech: stutter, bad articulation, speed (sometimes too fast), sometimes monotonous (not pedantic at all).
- Perceptual Reasoning Index > Verbal Comprehension Index (by 16 points).
- Disorganized, often out of focus (attention-deficit).
- It's equally difficult to me to take in visual and verbal information (slow processing speed).
The ones that may differentiate me from classic autism:
- Limited visual skills: I can easily lose orientation. Higher complexity, 3D objects are too much to me.
- Spoke at the age of 1.5 (according to my parents).
- Generally less severe symptoms (e.g. pretend play, focusing only on details, being aloof).
- Rocking never was my favorite stim.
- Clumsiness (only moderate, the worst of them are ball-games). I also like to take things apart and repair them, I'm not very good at it, but not bad either.
ASPartOfMe
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Me
High-Functioning Autism: Problems with verbally-derived learning--tendency toward strength in the visual-learning realm (i.e., as exhibited by "visual learners" such as Temple Grandin). not clumsy, more ability in the physical realm. Very mechanically adept. Left-brain dysfunction.
Word oriented learner. Give me the manual/book and leave me alone
I did not develop oral speech until age 5.
I had oral speech before age 5 but since this was over 5 decades ago nobody really remembers what happened or did not happen at what age. I have a slight speech impediment to this day and went to a speech therapist at age 16 -17 so it is very likely I had enough problems before age 3 to be technically not Aspie .
My Executive Dysfunction might be bad enough to put me in the classical autism level .
But at age 56 what speech or lack of I had before age 3 has no meaning for me. The Asperger/HFA designation is based on the difference in patients that Kanner and Asperger studied. That is all. People who are Aspergers or HFA are Autism at probably Level 1 (maybe higher part of Level 2?) difficulties functioning in a neuromajority world. I look at what Hans Asperger and Lorna Wing were trying to accomplish. In Aspergers case keep a whole bunch of Autistics alive in Nazi Germany by showing they had usefulness for society. In Wing’s case getting Autistics recognized and diagnosed. They had me and people with a lot of similarities to me in mind.
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DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.

