What is everyone's problem with the ASD Level System?

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FleaOfTheChill
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16 Feb 2022, 7:00 am

Dandansson wrote:
Is Aperger's syndrome level 1 or level 2 or both?


Yes? No? Yes? :lol:

If I understand correctly, a lot (most likely the majority) of people who had a previous dx of Aspergers ended up being dx'd as asd level 1 in the last dsm change. But that doesn't mean everyone who had the Aspergers dx ended up there. I don't know the data on how many ended up being level 2, but there would be some who did.

The levels really just give you an idea on how much support a person needs and even under the Aspergers umbrella, there will be a lot of differences in what each individual needs by way of support. But again, I think the majority of Aspergers folks are now asd level one. I'm no expert though, that's for sure. Just a casual observation here.



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16 Feb 2022, 7:11 am

Quote:
What Is Everyone's Problem With The ASD Level System?

Because when we get more functional we don't level up! :lol: :lmao:



1986
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16 Feb 2022, 7:59 am

jimmy m wrote:
I haven't really thought about this before because I do not use this leveling system. If I have a problem with it, I would say that it left a few levels out.

Level 0 ("Someone who can manage living their lives without any additional support.")
Level -1 ("Someone who accepts their flaws, learned to live with their flaws, understands their unique strengths, and learns to utilize these strengths to go where no man has gone before.)

I guess I qualify for Level 0, then. Mainly because there practically isn't any support for autistic adults in this country, as long as you can prove thy worth by holding a job.

I don't think I'd ever want to "reach" Level -1. I do have strengths but I'm also quite cynical about the whole concept of using them since in the past I traded them for social acceptance. Working on self-acceptance, setting personal life goals and pursuing them regardless of them being of use to society or not has proven far more healthy to me. But maybe that's part of your point, I dunno.



ASPartOfMe
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16 Feb 2022, 8:00 am

Opinion=mine:
We need many more subcategories. These subcategories should be descriptive of the person's most impairing traits.

Levels of support needed could be caused by the autistic's environment, can change over time based on maturity, or varies because the autistic is having a bad day. So it is a best an inaccurate description of the individual's Autism.

I don't get the meaningful difference between "support needs" and "functioning labels" which really offends people. How much support one needs is based on how well one is able to function in society. Am I missing something?


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theprisoner
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16 Feb 2022, 8:22 am

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SharonB
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16 Feb 2022, 8:59 am

Dial1194 wrote:
Level 1 (“Ignore their needs”)
Level 2 (“Provide inconstant and unreliable support”)
Level 3 (“Remove their agency and never listen to them”)

BINGO

I think regardless of level (which varies by area and circumstances), many people are underestimated due to visible weaknesses or invisible strengths and overestimated due to visible strengths and invisible weaknesses. :|

My evaluator said I was "mild to moderate"; I appear as Asperger's. I find Levels change based on circumstances. I have periods of time where I am outwardly a "1", but recently I am more of a "2" and there are occasions I have been a "3". With my outwardly "3" friends, I experience them as "2" and "1" on different occasions.

To me the problem is the identification of needs, availability and quality of support. I have a friend who is outwardly Level 1 (moves and talks "normally") and is fighting to have her support dog on campus b/c she has severe sensory shutdowns (mute, frozen), sometimes on the bus (she doesn't drive), and she was told "but you have a PhD" implying she didn't need support (not so!). Similarly, I have a friend who is outwardly 3 (mostly mute with "erratic" movements) who is ignored when he is capable of -and wants to- interact with people and could do higher level intellectual activities and is not told anything b/c apparently too many people think "mute" means insignificant (not so!).



naturalplastic
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18 Feb 2022, 5:35 pm

FleaOfTheChill wrote:
Dandansson wrote:
Is Aperger's syndrome level 1 or level 2 or both?


Yes? No? Yes? :lol:

If I understand correctly, a lot (most likely the majority) of people who had a previous dx of Aspergers ended up being dx'd as asd level 1 in the last dsm change. But that doesn't mean everyone who had the Aspergers dx ended up there. I don't know the data on how many ended up being level 2, but there would be some who did.

The levels really just give you an idea on how much support a person needs and even under the Aspergers umbrella, there will be a lot of differences in what each individual needs by way of support. But again, I think the majority of Aspergers folks are now asd level one. I'm no expert though, that's for sure. Just a casual observation here.


Some folks nowadays get dx'd as having "Level One autism, with no speech delay". Meaning that "you need some support, but back when you were a tot you learned to speak at the normal time tots learn to speak". That amounts to the same thing as the old "aspergers" diagnosis". Whereas "level one with speech delay" amounts to the same thing as "high functioning autism".



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19 Feb 2022, 7:28 am

I just need a mother or a receptionist, are celebrities autistic because they have a team around them?

if I have one of these things im completely functional.



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19 Feb 2022, 1:43 pm

Technic1 wrote:
I just need a mother or a receptionist, are celebrities autistic because they have a team around them?

if I have one of these things im completely functional.

Ha, an Executive Function Assistant. I need one of those. I want to be the idea person with resources who/to implement. On a day to day basis "Get the kids ready and have them to the vehicle in 6 min" Done! Find and fill out the forms for... Done! Brush my teeth... Done?



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19 Feb 2022, 2:18 pm

ASPartOfMe wrote:
Opinion=mine:
How much support one needs is based on how well one is able to function in society. Am I missing something?



That ideally should be the case. However that's not my experience. The previous MH team I was under just saw me in situations where verbal skills were to the fore. Verbal skills that are far better than average They then presumed that would be the case when other skills such as manual/practical skills were required.
An example of that is being kicked off a cookery course during my last inpatient stay. The reason? Taking too long to peel and cut potatoes. Something I genuinely struggle with. It was seen as my being bolshy and uncooperative.

Hence I never got the help and support needed. Thankfully I have a s/dau who is far more aware of my strengths and weaknesses. She talked to the MH team here and explained things before I moved.



naturalplastic
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19 Feb 2022, 3:43 pm

firemonkey wrote:
ASPartOfMe wrote:
Opinion=mine:
How much support one needs is based on how well one is able to function in society. Am I missing something?



That ideally should be the case. However that's not my experience. The previous MH team I was under just saw me in situations where verbal skills were to the fore. Verbal skills that are far better than average They then presumed that would be the case when other skills such as manual/practical skills were required.
An example of that is being kicked off a cookery course during my last inpatient stay. The reason? Taking too long to peel and cut potatoes. Something I genuinely struggle with. It was seen as my being bolshy and uncooperative.

Hence I never got the help and support needed. Thankfully I have a s/dau who is far more aware of my strengths and weaknesses. She talked to the MH team here and explained things before I moved.


8O

"Bolshy"?

Must be a Brit expression. Does it come from the word "Bolshevik"?

You are clumsy. So it took you so long to peel a potato that they thought that you were giving them attitude? So MUCH attitude that they thought you were a Commie Pinko making a political statement?

Sorry, but I find that story rather amusing.

Ive seen and heard the word "Bolshie" used as a noun in British TV dramas set in the 1920s. "He's a Bolshie" meaning he sympathizes with the then recent Russian Revolution. But Ive never seen it as an adjective before. To "be bolshy".



Double Retired
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19 Feb 2022, 4:00 pm

Technic1 wrote:
I just need a mother or a receptionist, are celebrities autistic because they have a team around them?

if I have one of these things im completely functional.
I suspect at Level 1 you might get by without any official support. But you'd be considered strange and those around you would have to tolerate your quirks. (I think that is a reasonable explanation of my Level 1 assessment.)

In my experience a supportive bride can be a great help. :heart:

And let's not forget Musk. I suspect having billions of dollars is also very useful for coping with having mild Autism. With that kind of money people will tolerate you a lot.


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19 Feb 2022, 4:05 pm

Pieplup wrote:
I don't understand whta peoples' probelm with the leveling system is.
The leveling system for those of you who don't know is
Level 1 (“Requiring support”)
Level 2 (“Requiring substantial support”)
Level 3 (“Requiring very substantial support”
I don't understand why everyone get's so offended by it considering it's A. Useful. B. The idea comes from autistic.
All it says is what level of support you require. I don't understand why people hate it. It seems it's mostly Level 1s who hate it. I find it useful because it gives people and idea of the severity of your autism instead of just saying EVERYONE who has this disorder that varies wildly in terms of presentation and severity just is the same level and severity. Which makes no sense. What is your opinion on them?


I'm diagnosed Level 2. I'm not offended by levels even though I understand Level 1 is often trivialised, when they shouldn't be. The frustration for me is because there aren't enough personnel to provide the services we "require", regardless of which level we're given.

My individual test results are more helpful in securing support than the overall level number. (Example - Getting Occupational Therapy for SPD, or a Psychologist who understands non-verbal learning disorder).


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19 Feb 2022, 4:12 pm

naturalplastic wrote:
firemonkey wrote:
ASPartOfMe wrote:
Opinion=mine:
How much support one needs is based on how well one is able to function in society. Am I missing something?



That ideally should be the case. However that's not my experience. The previous MH team I was under just saw me in situations where verbal skills were to the fore. Verbal skills that are far better than average They then presumed that would be the case when other skills such as manual/practical skills were required.
An example of that is being kicked off a cookery course during my last inpatient stay. The reason? Taking too long to peel and cut potatoes. Something I genuinely struggle with. It was seen as my being bolshy and uncooperative.

Hence I never got the help and support needed. Thankfully I have a s/dau who is far more aware of my strengths and weaknesses. She talked to the MH team here and explained things before I moved.


8O

"Bolshy"?

Must be a Brit expression. Does it come from the word "Bolshevik"?

You are clumsy. So it took you so long to peel a potato that they thought that you were giving them attitude? So MUCH attitude that they thought you were a Commie Pinko making a political statement?

Sorry, but I find that story rather amusing.

Ive seen and heard the word "Bolshie" used as a noun in British TV dramas set in the 1920s. "He's a Bolshie" meaning he sympathizes with the then recent Russian Revolution. But Ive never seen it as an adjective before. To "be bolshy".


https://dictionary.cambridge.org/dictio ... ish/bolshy



naturalplastic
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19 Feb 2022, 4:45 pm

Just means "argumentative", or pushy. Doesnt seem to have anything to do with Bolshevism.



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19 Feb 2022, 6:41 pm

naturalplastic wrote:
. . Level one basically means the same thing as "high functioning", two (middle functioning), and three (low functioning). .

Which is an improvement over “high” and “low” only.