THE DIFFRENCE BETWEEN ASPERGER AND AUTISM TELL ME ALL PLX

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The DSM-IV says:



Notice how there are four possible criteria here, and only one is necessary (although two or more are likely given that six total criteria are required from three separate categories). Notice how "delay in, or total lack of, the development of spoken language" is only one of four possible criteria? The other three involve an inability to initiate or sustain a conversation, stereotyped and repetitive use of language or idiosyncratic language, and lack of varied, spontaneous, make-believe play or social imitative play appropriate to developmental level. Any one of those fulfills the criteria for section B.

What this means is that "classic autism" does not require a speech delay. The fact that AS requires ruling out a speech delay does not mean that autism requires it.

Further, "classic autism" is a misnomer, as Kanner himself documented several cases in which speech was not delayed at all. I suspect there was not a significant difference between Kanner's and Asperger's patients, actually, and that the difference primarily exists because Asperger focused on elements that Kanner did not, which included precocious speech/vocabulary and other things that over time people assumed contraindicated a diagnosis of autism.

If you are talking about DSM-IV which is used in the U.S., then, no, sensory sensitivities are not part of the diagnostic criteria.

Though, that could change in DSM-V.

I was talking about the DSM-V, which is why I wrote that:



But the DSM-IV actually discusses sensory sensitivities in the longer discussion beyond the criteria itself, as features that are often present.

@ verdandi.there is no required speech delay for an autism diagnoses(aspegers is a autism dx) and your right there isnt much diference between aspegers and highly verbal kanner syndrome and next years new autism definations will end all debate on this and i look forwared to the new system because its obvious that behavior traits only superficial indications of autism in people.what i was refering to was die autistischen psychopaten im kindesalter von hans asperger written in vienna 1944 described children with severe body movement and fine motor movement and clumbsyness due to extreme self conciousness.precosious speech more the result of a patchwork tapestry of delayed echolalia or that is ingenius imitation of speech without understanding of emotional content.autistic efective contact disorder written by leo kanner in baltamore 1943 described children who good body control but major or minor problems with speech or no speech at all.although these old papers have no bearing with a moden autistic dx,there definations are still absolute by there original authers.the terms aspergers and kanner autism are probably out dated

Thank you, I got caught up in trying to make my point. Now I understand what you were saying.

All that discussion of the DSM criteria was, first, later in the thread, and, second, in response to the other question in the thread.

And it's not the current diagnostic criteria.

Anyway, thank you for clarifying.

hi all, just wanted to say im new here and that our son who is 11 now was only diagnosed this year and still going to appointments etc. were not sure is he has autism or aspergers but hes peadeotriction agrres with us he most likely has adhd on top of the autism/ aspergers, dyslexia/ hypermobility and visual perceptual disorder.we feel like our heads are going to implode somtimes so who knows what our son feels like cause he never tells us. he goes to secondaryt school in september so a massive change for him there and he has sensory issues as well.how can he have gone the whole of his life and noone of these so called professionals in the educational sector not to have picked up on it. it makes my blood boil.

I know it is not in the current criteria, but I never said it was in the current criteria, but in the proposed criteria. I also believe that the proposed criteria reflects current thinking, while the criteria in the DSM-IV reflects thinking in 1994. Which is to say that in a lot of ways, it may simply be outdated.

there coming out with a new system next year that will be easier to understand.a lot of adhd symptoms are asumed in aspergers and kanner or classic autism diagnoses sometimes.your frustrations are not new it can sometimes take many doctors to get a dx right.try consulting a autism specialist because these grey areas my be beyond a pedeatricians scope

I was under the impression that the language delays in the DSM IV autism criteria were in section II.

I suppose one can have language but not have (A) or (C) though...

These are different delays, I think. You only need one, and a delay in language as used in social communication does not strictly mean a delay in being able to speak at all. A delay in social interaction also does not strictly mean a delay in speaking, but a delay in being able to interact as expected.

also a language delay doesnt have to be lack of sounds coming from ones mouth.ones speech can be echolaliac and without understanding of speeches meaning

Hmmm I think you are over complicating what is already well established. I prefer the current proposal to give coded categories toward autism diagnosis. If a HFA kid who doesn't speak then starts speaking it just means they just go up a notch on the developmental scale rather than move from one convenient pigeon hole (HFA) to another (Aspergers).

My daughter is hyperlexic and typically she learns language rules fastest through echolalia.

Then it's strange that there's a condition called high functioning autism which is pretty much the same thing as AS. Quite what they see as high functioning and what they see as a low functioning, I don't know, but I suppose they're basically talking about IQ.

dx is determined by early childhood development,your dx doesnt change because new skills are aquired.autism means developmental delays,all auistics are continualy gaining new skills