Does DSMIVs Aspergers Syndrome exsist?
This is not how the diagnostic criteria are used. You should consult with a diagnostician if you are interested in this. Some diagnosticians may be willing to briefly discuss this with you on the phone.
I am also having a hard time parsing the OP, but something in the first few sentences seems off to me:
I was diagnosed with Aspergers under DSM IV criteria, as were many who have discussed their diagnoses on WP. I don't understand how problems with communication are supposed to invalidate an Aspergers diagnosis. The general idea was that autistic behaviors with no delay in language developement was Aspergers, but the same behaviors with a language delay was High Functioning Autism....
I understand the age at recognition is different from age at diagnosis. What I meant in that main reason quote is that the signs and symptoms of Aspergers are NOT recognized until they are older children, teens, and adults, diagnosis then, can happen years after recognition. If Aspergers did not exist in DSMIV, they would of been labeled as PDD(NOS)/Atypical Autism in the subgroup of pddnos: "Resembles Classic Autism but had A LATER AGE AT RECOGNITION or who are too young or too low functioning to rate diagnostic criteria".
In most people with Aspergers who have no speech delay, something unusual is not detected on these people until after age 3.
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RAADS-14 score is 23.
This is not how the diagnostic criteria are used. You should consult with a diagnostician if you are interested in this. Some diagnosticians may be willing to briefly discuss this with you on the phone.
I am also having a hard time parsing the OP, but something in the first few sentences seems off to me:
I was diagnosed with Aspergers under DSM IV criteria, as were many who have discussed their diagnoses on WP. I don't understand how problems with communication are supposed to invalidate an Aspergers diagnosis. The general idea was that autistic behaviors with no delay in language developement was Aspergers, but the same behaviors with a language delay was High Functioning Autism....
I understand the age at recognition is different from age at diagnosis. What I meant in that main reason quote is that the signs and symptoms of Aspergers are NOT recognized until they are older children, teens, and adults, diagnosis then, can happen years after recognition. If Aspergers did not exist in DSMIV, they would of been labeled as PDD(NOS)/Atypical Autism in the subgroup of pddnos: "Resembles Classic Autism but had A LATER AGE AT RECOGNITION or who are too young or too low functioning to rate diagnostic criteria".
In most people with Aspergers who have no speech delay, something unusual is not detected on these people until after age 3.
It does seem there isn't much difference between high functioning PDD NOS and Asperger's. I think maybe Asperger's is a type of PDD NOS, a specific type.
Back before AS was recognized and the whole autism spectrum, kids were labeled with other things like learning disability and developmental delays or language delays, tactile defense issues, and so on. I was skimming though a book once on learning disabilities and it was published in 1984 and some stories I read in there about kids, I wondered how many of them would be diagnosed with an ASD today and in the 90's?
I suspect this is what happened with aspies before it was known. I had a bunch of labels too growing up and then I was diagnosed with AS in 6th grade. For a while no one knew what was wrong with me. AS was new then so I don't think many doctors knew about it. It takes a while for them to catch up, especially with the DSM.
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Son: Diagnosed w/anxiety and ADHD. Also academic delayed and ASD lv 1.
Daughter: NT, no diagnoses. Possibly OCD. Is very private about herself.
The only reason why many other people diagnosed with Aspergers fit DSMIV's Aspergers is explained up in my first post above in the discussion. Just because they had a speech delay doesn't mean they have no problems with communication.
I'm sorry, I'm having trouble understanding your explanation (both in your first post and the one that I've partly quoted above -- in particular the bolded sentence.)
It seemed like in your first post you were saying that people who are diagnosed at later ages are/were always diagnosed with either Asperger's or PDD-NOS/Atypical Autism -- that, according to official criteria, you can't be diagnosed with Autistic Disorder/Childhood Autism if your symptoms are only recognized in retrospect. My post was just to say that's not true. I was diagnosed with HFAutistic Disorder at the age of 24, and others have also been diagnosed with Autistic Disorder/Childhood Autism as adults or teenagers.
Where does this sentence come from? I have never read "later age at recognition" in the DSM-IV nor the ICD-10 (which could just mean I've never noticed them).
I think that delays in pragmatic/social language are still technically language delays from a speech and language pathology perspective. Given that most (if not all) people diagnosed with Asperger's have problems with the pragmatic/social use of language it could then be argued that most (if not all) people diagnosed with Asperger's meet the criteria for classic autism. It all depends on how you interpret "language delays".
And if you want to get technical, the communication criteria for classic autism in the DSM IV were:
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
.....delay/lack of spoken langauge development was only 1/4 possible symptoms a person had to display, and they only had to display 1/4 to meet the communication criterion.
And in the ICD-10, the criteria are:
(1) a delay in, or total lack of development of spoken language that is not accompanied by an attempt to
compensate through the use of gesture or mime as alternative modes of communication (often preceded by
a lack of communicative babbling);
(2) relative failure to initiate or sustain conversational interchange (at whatever level of language skills are
present) in which there is reciprocal to and from responsiveness to the communications of the other person;
(3) stereotyped and repetitive use of language or idiosyncratic use of words or phrases;
(4) abnormalities in pitch, stress, rate, rhythm and intonation of speech;
...... so again, a person could meet the communication criterion for classic autism without a delay or total lack of development of spoken langauge.
It's a little less clear for me in terms of the ICD-10 but at least In the DSM-IV if someone went strictly by the book, it could be argued that most (if not all) people with Asperger's diagnoses should be diagnosed with Autistic Disorder -- particularly since the DSM-IV had a precedence rules where Asperger's was not supposed to be diagnosed if a person met criteria for Autistic Disorder.
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AardvarkGoodSwimmer
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AardvarkGoodSwimmer
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Joined: 26 Apr 2009
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Location: Houston, Texas
So, what do I hope for the future? I want us to have our own organizations run by and for adults on the Spectrum. And some of the volunteer work can be as readily accessible as what we do right here. And you don't have to volunteer at all. The organization is still happy to help you as a client.
For example, 'Spectrum Networking and Resources' (imaginary name) might be happy to send over a vetted volunteer to my house to help me with my taxes. And/or they might be happy to send another volunteer to help me get a better job. And I don't mean merely preaching advice to me. I mean, helping with much of the leg work.
To the best of my knowledge, no organization like this currently exists. Well, it should. We should have several organizations like this so you can pick which one best gels with you. Maybe the UK has a couple of organizations kind of approaching this model, but I don't really know.
btbnnyr
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It seemed like in your first post you were saying that people who are diagnosed at later ages are/were always diagnosed with either Asperger's or PDD-NOS/Atypical Autism -- that, according to official criteria, you can't be diagnosed with Autistic Disorder/Childhood Autism if your symptoms are only recognized in retrospect. My post was just to say that's not true. I was diagnosed with HFAutistic Disorder at the age of 24, and others have also been diagnosed with Autistic Disorder/Childhood Autism as adults or teenagers.
Where does this sentence come from? I have never read "later age at recognition" in the DSM-IV nor the ICD-10 (which could just mean I've never noticed them).
The sentence came from the Handbook of Autism Spectrum Disorders. It describes all PDDS: Aspergers, Classic Autism, PDD(NOS), Rett Syndrome, and CDD. Similar things can be found in subgroups of PDD(NOS) if you Google, "PDD-NOS subgroups"
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RAADS-14 score is 23.
The sentence came from the Handbook of Autism Spectrum Disorders. It describes all PDDS: Aspergers, Classic Autism, PDD(NOS), Rett Syndrome, and CDD. Similar things can be found in subgroups of PDD(NOS) if you Google, "PDD-NOS subgroups"[/quote]
Ah, okay -- thanks!
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"Coming back to where you started is not the same as never leaving." -- Terry Pratchett, A Hat Full of Sky
Love transcends all.