Does DSMIVs Aspergers Syndrome exsist?

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Does DSMIV Aspergers exsist?
Yes 83%  83%  [ 10 ]
No 17%  17%  [ 2 ]
Total votes : 12

GoldTails95
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22 May 2015, 12:43 pm

Adamantium wrote:
iliketrees wrote:
but lack of imaginary play rules out Asperger's and instead is classic autism?


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:
GoldTails95 wrote:
Some sources say that if Aspergers is based on DSMIV/ICD10 criteria, Aspergers would be a very rare disease. A study concluded that those diagnosed as Aspergers fit the criteria for Autistic Disorder, none met the criteria for Aspergers, the reason is problems with communication.

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....

Quote:
The main reason is because the symptons were detected after the age of 3 since many Aspies do not get diagnosed with Aspergers until they are older children, even as teenager, or adults.
The age at diagnosis doesn't impact the issue of early language delay.


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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iliketrees
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22 May 2015, 12:53 pm

GoldTails95 wrote:
Adamantium wrote:
iliketrees wrote:
but lack of imaginary play rules out Asperger's and instead is classic autism?


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:
GoldTails95 wrote:
Some sources say that if Aspergers is based on DSMIV/ICD10 criteria, Aspergers would be a very rare disease. A study concluded that those diagnosed as Aspergers fit the criteria for Autistic Disorder, none met the criteria for Aspergers, the reason is problems with communication.

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....

Quote:
The main reason is because the symptons were detected after the age of 3 since many Aspies do not get diagnosed with Aspergers until they are older children, even as teenager, or adults.
The age at diagnosis doesn't impact the issue of early language delay.


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.



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22 May 2015, 1:01 pm

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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22 May 2015, 1:08 pm

GoldTails95 wrote:
animalcrackers wrote:
People can/could be diagnosed with classic autism at older ages (including adulthood), based on their developmental history.

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.

GoldTails95 wrote:
"Resembles Classic Autism but had A LATER AGE AT RECOGNITION or who are too young or too low functioning to rate diagnostic criteria"


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).

Adamantium wrote:
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 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:

Quote:
(B) qualitative impairments in communication as manifested by at least one of the following:

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:

Quote:
C. Qualitative abnormalities in communication, manifest in at least two of the following areas:
(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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22 May 2015, 1:33 pm

League_Girl wrote:
. . . kids were labeled with other things like learning disability and developmental delays or language delays, tactile defense issues, and so on. . .
And as far as I can see that is the only place in this entire discussion we even mention sensory issues. It seems to me that we are deferring to the so-called professionals much too much.



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22 May 2015, 1:44 pm

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.



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22 May 2015, 2:46 pm

I'm confused by the original poster's wording. The DSM V took out Asperger's Syndrome as a separate diagnosis, and now it's just autism spectrum disorder (ASD).


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22 May 2015, 2:47 pm

I voted no, because I think DSMIV AS is just autism.


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GoldTails95
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22 May 2015, 3:14 pm

animalcrackers wrote:

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.

GoldTails95 wrote:
"Resembles Classic Autism but had A LATER AGE AT RECOGNITION or who are too young or too low functioning to rate diagnostic criteria"


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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22 May 2015, 3:23 pm

GoldTails95 wrote:
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"[/quote]

Ah, okay -- thanks!


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