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AS vs HFA DSM-IV criteria

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Sedaka
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10 Nov 2007, 11:02 am

Danielismyname wrote:
siuan,

The paragraph I quoted is from the DSM-IV-TR, page 77 I think.

And just to confuse everyone, check this out (also from the DSM):

Quote:
In contrast to Autistic Disorder, Mental Retardation is not usually observed in Asperger's Disorder, although occasional cases in which Mild Mental Retardation is present have been noted (e.g.,when the Mental Retardation becomes apparent only in the school years, with no apparent cognitive or language delay in the first years of life). Variability of cognitive functioning may be observed, often with strengths in areas of verbal ability (e.g.,vocabulary, rote auditory memory) and weaknesses in non-verbal areas (e.g.,visual-motor and visual-spatial skills). Motor clumsiness and awkwardness may be present but usually are relatively mild, although motor difficulties may contribute to peer rejection and social isolation (e.g.,inability to participate in group sports). Symptoms of overactivity and inattention are frequent in Asperger's Disorder, and indeed many individuals with this condition receive a diagnosis of Attention Deficit/Hyperactivity Disorder prior to the diagnosis of Asperger's Disorder. Asperger's Disorder has been reported to be associated with a number of other mental disorders, including Depressive Disorders.


my advisor has a low functioning nephew that was DXed as asperger's. i havent met this kid, but i think he's like 8-10 yrs old and predominantly has sensory issues but is very prone to tantrums and has an IQ of like 80-90.

haven't discussed his nephew too much cause i know they (the family) are having troubles with him currently (and other family members) but i'm not sure why he wasn't DXed just as ASD vs asperger's... as he sounds more HFA... like my advisor has never mentioned special interests at all, just physical behaviors and such (which are causeing the problems)


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2ukenkerl
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10 Nov 2007, 11:15 am

If ANYONE is mentally ret*d, it is those that wrote and revise the DSM! HOW could anyone that has a normal IQ or higher suffer from any more than the most mild of retardation.

Why is it that those that set public standards for something are almost always those with the least knowledge of it? ANSI once tried to set standards for DIBOL that the original language manufacturer didn't support AT ALL, and that would mean all previous programs written anywhere would FAIL! In short, language variants that followed the new standard would be totally different. I've heard of other things NEARLY as egregious!



militarybrat
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10 Nov 2007, 1:53 pm

I think siuan covered the DSM critera and bolded the main difference in that critera. When I learned about these in my abnormal child pschology class we noted some differences which aren't inherently in the DSM critera but are in the disorders themselves. With reguards to communication issues For Autism the main problems are in verbal communication and in AS there in nonverbal communication. People with Autism have weak left strong right hemespheres in the brain, AS is opposite with strong left weak right hemespheres. Poor cordination, posture, and spatial skills tend to be more prevelant in AS than HFA.



LostInSpace
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10 Nov 2007, 10:52 pm

militarybrat wrote:
I think siuan covered the DSM critera and bolded the main difference in that critera. When I learned about these in my abnormal child pschology class we noted some differences which aren't inherently in the DSM critera but are in the disorders themselves. With reguards to communication issues For Autism the main problems are in verbal communication and in AS there in nonverbal communication. People with Autism have weak left strong right hemespheres in the brain, AS is opposite with strong left weak right hemespheres. Poor cordination, posture, and spatial skills tend to be more prevelant in AS than HFA.


Along those same lines, people with AS often have problems with visual processing, while auties often have strengths in visual processing. Also, Aspies are more likely to have a verbal IQ significantly higher than their performance IQ, while for auties it is the reverse.



Danielismyname
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10 Nov 2007, 11:22 pm

LostInSpace wrote:
Aspies are more likely to have a verbal IQ significantly higher than their performance IQ, while for auties it is the reverse.


Anecdote. I'm below-average/average in verbal; above in spatial/performance.

Sedaka,

Whether you're given the diagnosis of Kanner's versus Asperger's heavily depends on the diagnosing institution; if said institution sees a lot of children who're non-verbal, they usually label people who can speak as AS no matter how "autistic" they are in other facets. It's probably the "right" thing to do if they use ICD-10/DSM-IV-TR; those that use Gilberg's generally throw people who "stim" constantly and are non-verbal in Kanner's.



EvilKimEvil
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11 Nov 2007, 4:14 pm

Now I'm confused about which diagnosis I fit. I think I technically fit the Austic Disorder criteria. I learned to speak at an early age, but I wasn't interested in social interaction. I played by myself and didn't talk to anyone unless they spoke to me first. But based on other characteristics (clumsiness, etc.) I think I'm more AS-like. Are some people somewhere between AS and HFA? Is it possible to have both?

If it really is a spectrum, maybe people should be given a number or letter designating their point on the spectrum instead of one of the diagnostic categories currently in use.



KingdomOfRats
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11 Nov 2007, 8:39 pm

EvilKimEvil wrote:
Now I'm confused about which diagnosis I fit. I think I technically fit the Austic Disorder criteria. I learned to speak at an early age, but I wasn't interested in social interaction. I played by myself and didn't talk to anyone unless they spoke to me first. But based on other characteristics (clumsiness, etc.) I think I'm more AS-like. Are some people somewhere between AS and HFA? Is it possible to have both?

If it really is a spectrum, maybe people should be given a number or letter designating their point on the spectrum instead of one of the diagnostic categories currently in use.

that would be PDDNOS,people who are more autistic than AS,but don't fit kanners for whatever reason,should get the PDDNOS label.

agreed about the diagnosis' stuff,it would make more sense that way because people often automatically see stereotypes in both kanners and aspergers rather than seeing the person first,if it was all just ASD then people would be forced to take account of individual experience of ASD.


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