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naturalplastic
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22 Jan 2017, 5:27 pm

Ganondox wrote:
This post was inspired by a passage in my abnormal psychology textbook about the removal of aspergers from the DSM and the controversy it causes, especially in the autistic community. Of course the controversy is much more complicated than they explained (in addition to the loss of services thing they mentioned aspie be used as a badge of pride), but I appreciate they bring some representation of that perspective into the book.

An aspie is someone with aspergers. Since aspergers is no longer in the DSM, aspies no longer exist...well, not really, because the term aspie never actually referred to someone with aspergers. In some circles, the term aspie has come to use to be used an insult against socially awkward people, but it's still popular in the autistic community, and it originated from the neurodiversity movement, which defines autism in a fundamentally different way the the psychiatric community does. It's not even just that it's not viewed as a disorder, the entire paradigm is different. See, despite what you may have heard, autism is NOT a neurological disorder. It's a neurodevelopemental disorder, which is really just a developmental disorder, which is really just a mental disorder that is present in childhood rather that developing as an adolescent or adult. The reason the neuro- prefix was added is because of the earlier onset neurology is viewed as being a more important contributor in developmental disorders than other mental disorders, but it really works on the same dynamic system paradigm as all mental disorders: a psychological disorder is a pattern of abnormal behavior that results from the complex and evolving interplay of biological and psychosocial factors (the nature versus nurture argument is a myth, it's pretty obviously both in almost every circumstance). Part of the reason the biological factors are especially stressed in autism is political, not medical, because parents didn't want to be blamed for the disorder, but that doesn't change the reality. Psychosocial factors are important to development of autism, and it's not a neurology, it's a pattern of behavior. From the psychiatric standpoint, it doesn't MATTER that autism is disabling as a result of society rather than being inherent to the neurology, all that matters is that it's disabling. This reflects the purpose of the psychiatry, to assist mentally disabled people.

The neurodiversity model meanwhile views autism as a neurology, as the name of the movement implies. Really I think the neurodiversity movement should be renamed the psychodiversity movement as it's the psych, not neurology, which really matters, but for many that's just a matter of semantics. It needs to be remembered that the neurodiversity movement is largely shaped by the interactions of autistic people with the psychiatric community and popular perceptions of the psychiatric community, and despite being an abuse of the meteorological fallacy, equating the brain with the individual is very common in popular psychology. The other key thing that needs to be realized about the neurodiversity movement is that aspies are fundamentally social creatures, and it's the social nature of aspies which shaped the community and it's terminology. If aspies weren't social, the neurodiversity movement simply wouldn't exist, or in the very least it wouldn't have emerged from the autistic community as there wouldn't be an autistic community. The atypical way in which autistic people socialize is probably why it emerged from the autistic community, as while it divided aspies from mainstream society, it sustained the autistic community as it's own entity. As such, autistic ideas of society shaped the paradigm of the neurodiversity movement, which in turns shaped the way then neurodiversity views and even defines autism. It's still ultimately determined the medical definition of autism though because of it's history, and I think that is where the neurodiversity needs to break free in order to reach it's full potential. As the term aspie originated from the community, they should take control of it.

So, what is an aspie? I think it's someone is neurologically (and by that I really mean psychologically, as that's where it actually manifests in practice) predisposed to autism. They may or may not actually be diagnosable with autism, but the thing that the neurodiversity movement cares about which forms a part of someone's identity is there. Frankly, defining one's identity by the impairment would be kinda stupid and self-limiting, but that's not how the neurodiversity community defines it at all. Here I'm not redefining aspie, I'm just clarifying how the community actually uses it in practice. For example, with the acceptance of self-diagnosis. In psychiatry, a self-diagnosis has absolutely no value because one is not capable of diagnosing oneself with a mental disorder as it violates the diagnostic procedure, but it's valuable in the autistic community because autistic people ARE capable of introspection, and we are social, and we can relate with each other. For the ability to relate, the capacity for introspection is infinitely more important than some external analysis of behavior. It should be noted though that due to the dependence on the medical definition of autism, there is no one type of aspies; there are as many different types of aspies as there are ways for people to predisposed to autism, and there is a LOT. When someone is talking about finding a cause for autism, it's clear they have not only no understanding of autism, but no understanding of psychiatry in general, because etiology simply doesn't work like that. What we are left with is an extremely inclusive definition of aspie, but it may be inclusive to the point it lacks any value as aspies are so diverse. At that point, the definition of aspie becomes somewhat existential: as an aspie, what is the important aspect of it to YOU?

...So, what do you think an aspie is?


Back to the original question.

An "aspie" is a person who is officially diagnosed as having "autism level one, with no speech delay".

Period.

Not much too it :lol:

Next question.



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22 Jan 2017, 5:55 pm

naturalplastic wrote:
Ganondox wrote:
This post was inspired by a passage in my abnormal psychology textbook about the removal of aspergers from the DSM and the controversy it causes, especially in the autistic community. Of course the controversy is much more complicated than they explained (in addition to the loss of services thing they mentioned aspie be used as a badge of pride), but I appreciate they bring some representation of that perspective into the book.

An aspie is someone with aspergers. Since aspergers is no longer in the DSM, aspies no longer exist...well, not really, because the term aspie never actually referred to someone with aspergers. In some circles, the term aspie has come to use to be used an insult against socially awkward people, but it's still popular in the autistic community, and it originated from the neurodiversity movement, which defines autism in a fundamentally different way the the psychiatric community does. It's not even just that it's not viewed as a disorder, the entire paradigm is different. See, despite what you may have heard, autism is NOT a neurological disorder. It's a neurodevelopemental disorder, which is really just a developmental disorder, which is really just a mental disorder that is present in childhood rather that developing as an adolescent or adult. The reason the neuro- prefix was added is because of the earlier onset neurology is viewed as being a more important contributor in developmental disorders than other mental disorders, but it really works on the same dynamic system paradigm as all mental disorders: a psychological disorder is a pattern of abnormal behavior that results from the complex and evolving interplay of biological and psychosocial factors (the nature versus nurture argument is a myth, it's pretty obviously both in almost every circumstance). Part of the reason the biological factors are especially stressed in autism is political, not medical, because parents didn't want to be blamed for the disorder, but that doesn't change the reality. Psychosocial factors are important to development of autism, and it's not a neurology, it's a pattern of behavior. From the psychiatric standpoint, it doesn't MATTER that autism is disabling as a result of society rather than being inherent to the neurology, all that matters is that it's disabling. This reflects the purpose of the psychiatry, to assist mentally disabled people.

The neurodiversity model meanwhile views autism as a neurology, as the name of the movement implies. Really I think the neurodiversity movement should be renamed the psychodiversity movement as it's the psych, not neurology, which really matters, but for many that's just a matter of semantics. It needs to be remembered that the neurodiversity movement is largely shaped by the interactions of autistic people with the psychiatric community and popular perceptions of the psychiatric community, and despite being an abuse of the meteorological fallacy, equating the brain with the individual is very common in popular psychology. The other key thing that needs to be realized about the neurodiversity movement is that aspies are fundamentally social creatures, and it's the social nature of aspies which shaped the community and it's terminology. If aspies weren't social, the neurodiversity movement simply wouldn't exist, or in the very least it wouldn't have emerged from the autistic community as there wouldn't be an autistic community. The atypical way in which autistic people socialize is probably why it emerged from the autistic community, as while it divided aspies from mainstream society, it sustained the autistic community as it's own entity. As such, autistic ideas of society shaped the paradigm of the neurodiversity movement, which in turns shaped the way then neurodiversity views and even defines autism. It's still ultimately determined the medical definition of autism though because of it's history, and I think that is where the neurodiversity needs to break free in order to reach it's full potential. As the term aspie originated from the community, they should take control of it.

So, what is an aspie? I think it's someone is neurologically (and by that I really mean psychologically, as that's where it actually manifests in practice) predisposed to autism. They may or may not actually be diagnosable with autism, but the thing that the neurodiversity movement cares about which forms a part of someone's identity is there. Frankly, defining one's identity by the impairment would be kinda stupid and self-limiting, but that's not how the neurodiversity community defines it at all. Here I'm not redefining aspie, I'm just clarifying how the community actually uses it in practice. For example, with the acceptance of self-diagnosis. In psychiatry, a self-diagnosis has absolutely no value because one is not capable of diagnosing oneself with a mental disorder as it violates the diagnostic procedure, but it's valuable in the autistic community because autistic people ARE capable of introspection, and we are social, and we can relate with each other. For the ability to relate, the capacity for introspection is infinitely more important than some external analysis of behavior. It should be noted though that due to the dependence on the medical definition of autism, there is no one type of aspies; there are as many different types of aspies as there are ways for people to predisposed to autism, and there is a LOT. When someone is talking about finding a cause for autism, it's clear they have not only no understanding of autism, but no understanding of psychiatry in general, because etiology simply doesn't work like that. What we are left with is an extremely inclusive definition of aspie, but it may be inclusive to the point it lacks any value as aspies are so diverse. At that point, the definition of aspie becomes somewhat existential: as an aspie, what is the important aspect of it to YOU?

...So, what do you think an aspie is?


Back to the original question.

An "aspie" is a person who is officially diagnosed as having "autism level one, with no speech delay".

Period.

Not much too it :lol:

Next question.


So if a person is diagnosable with "autism level one, with no speech delay", but have no actually gone through the process of being diagnosed, does that mean they are not an aspie?


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22 Jan 2017, 5:58 pm

They would be a "possible aspie", or a "self dxd aspie".



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22 Jan 2017, 7:13 pm

naturalplastic wrote:
They would be a "possible aspie", or a "self dxd aspie".


But is a possible aspie an aspie, or is it something else? Are you saying they might be an aspie, it's just unknown (in which case it contradicts the definition you gave), or are they like in some sort of superimposition of states and they collapse into an aspie or not an aspie at diagnosis?


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28 Jan 2017, 4:35 am

Maybe this will make things more clear:

https://en.wikipedia.org/wiki/Diathesis ... ress_model

Autism follows the same model. Under the neurodiversity paradigm, autism is the diathesis, not the disorder. Otherwise you're simply doing neurodiversity wrong because a disorder is a disorder.


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28 Jan 2017, 5:04 am

Ganondox wrote:
Maybe this will make things more clear:

https://en.wikipedia.org/wiki/Diathesis ... ress_model

Autism follows the same model. Under the neurodiversity paradigm, autism is the diathesis, not the disorder. Otherwise you're simply doing neurodiversity wrong because a disorder is a disorder.

But autism is something you're born with or not, not something that can develop at a later stage.



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28 Jan 2017, 8:01 pm

iliketrees wrote:
Ganondox wrote:
Maybe this will make things more clear:

https://en.wikipedia.org/wiki/Diathesis ... ress_model

Autism follows the same model. Under the neurodiversity paradigm, autism is the diathesis, not the disorder. Otherwise you're simply doing neurodiversity wrong because a disorder is a disorder.

But autism is something you're born with or not, not something that can develop at a later stage.


Not actually true. It's an early onset developmental disorder, but it still has a time of onset. While someone is born with the diathesis for autism, they aren't actually born autistic, because autism as the medical community defines it is a mental disorder, and that can't diagnosed until the period of time in which the normal behavior manifests so that it may be deviated from. This is the thing people don't understand, and it's largely due to the dominance of the biological narrative of autism, which formed in reaction to the earlier social narrative of autism (eg. fridge mothers). This concept is important because many people are on the borderline for an autism diagnosis, and it's just functioning level thing which makes the difference. That last aspect is EXTREMELY susceptible to social influence. You might have heard that one in ten people grow out of an autism diagnosis. The neurodiversity community rejects this because as they define autism the person is still fundamentally autistic, but as far as the medical community is concerned this is correct because their functioning level has improved enough for them to no longer be considered disordered. The difference between diathesis and disorder is also important for researching sex and cultural differences in autism. Because autism is early onset, the neurological basis for autism can be traced back to birth in a given context, but if you change the context, the stress is different, so there then needs to be a higher level of diathesis, and with different stresses a different disorder could emerge from the same neurology.

Also, brain damage to the temporal lobes CAN cause autism latter in life. Oliver Sacks article "The Autist Artist" is about such a case. The neurodiversity movement just isn't concerned with that sort of autism because it's NOT present from birth, and it's strictly disabling. Granted, the understanding of what autism is has progressed A LOT since that article was published back in 1985, but it's still important to know about cases like this. It should be also noted that the neurodiversity movement HAS made an impact on the medical community.


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28 Jan 2017, 9:48 pm

Reminds me of semantic disaster I got into once when talking to another WP person (who left the site years ago).

We were talking about sexual orientation.

I was gonna write "most people are born heterosexual", but then I realized that that sounded like I was saying that you come out of the womb horny, and already ready to fornicate with hot nurse in the obstetrics ward.

So I modified it by saying "most humans are born programed to become heterosexual (later at puberty, or whenever)". But the person I was talking to for some reason just couldnt process what I said, and freaked out and said "Programmed?? Like a computer? what are you saying?". Other folks jumped in, and defended my choice of words. But this person still just couldnt grasp it.

But autism is not like what you're saying which is that its like sexuality. Autism exists in you from your birth, but it just isnt obvious until later in childhood. An aspie might not be noticeably different from other kids in behavior until first grade in school. A lower functioning autistic might be distinguishable farther back into infancy.



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29 Jan 2017, 2:37 am

They keep finding ways to detect it younger and younger. It's only diagnosed, what 18 months, because before then they can't be sure because the further you go back, the less signs. As a baby I cried less and would like watching things move above me apparently - but that's not enough to distinguish me from any baby. It's only in toddlers where they're actually doing things they can spot it - for example I was repeatedly lining stuff up, not sharing interest with parents, and not interacting with other kids. I was always autistic, just before then you can't tell because babies don't do much to begin with. I think they can spot babies at risk of having it but that's about it. Just because they can't diagnose it the second you come into the world doesn't mean babies don't have it and instead develop it later.



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31 Jan 2017, 3:38 am

naturalplastic wrote:
Reminds me of semantic disaster I got into once when talking to another WP person (who left the site years ago).

We were talking about sexual orientation.

I was gonna write "most people are born heterosexual", but then I realized that that sounded like I was saying that you come out of the womb horny, and already ready to fornicate with hot nurse in the obstetrics ward.

So I modified it by saying "most humans are born programed to become heterosexual (later at puberty, or whenever)". But the person I was talking to for some reason just couldnt process what I said, and freaked out and said "Programmed?? Like a computer? what are you saying?". Other folks jumped in, and defended my choice of words. But this person still just couldnt grasp it.

But autism is not like what you're saying which is that its like sexuality. Autism exists in you from your birth, but it just isnt obvious until later in childhood. An aspie might not be noticeably different from other kids in behavior until first grade in school. A lower functioning autistic might be distinguishable farther back into infancy.


That's what your idea of autism is, but it doesn't actually match the medical communities definition of autism. That's what I've been trying to explain. People here consistently use autism in the way I'm describing here, not the actual medical view of autism. I know this because I'm studying this right now at university.


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31 Jan 2017, 3:56 am

Ganondox wrote:
That's what your idea of autism is, but it doesn't actually match the medical communities definition of autism. That's what I've been trying to explain. People here consistently use autism in the way I'm describing here, not the actual medical view of autism. I know this because I'm studying this right now at university.

If you're studying it right now at university, won't you have sources on what the current medical view of autism is? It'd add a lot more weight to what you are saying if you can back it up with evidence.



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01 Feb 2017, 12:31 am

iliketrees wrote:
Ganondox wrote:
That's what your idea of autism is, but it doesn't actually match the medical communities definition of autism. That's what I've been trying to explain. People here consistently use autism in the way I'm describing here, not the actual medical view of autism. I know this because I'm studying this right now at university.

If you're studying it right now at university, won't you have sources on what the current medical view of autism is? It'd add a lot more weight to what you are saying if you can back it up with evidence.


The current medical view of autism is that it's an umbrella term for a collection of mental disorders which cannot be easily differentiated, and it's defined as a developmental disorder and a spectrum disorder. You can go look up the current definition in the DSM-V yourself. The book I'm referencing is Abnormal Psychology: An Integrative Approach, Seventh Addition by David H. Barlow, and it's the most current text on the subject.


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01 Feb 2017, 12:53 am

Ganondox wrote:
iliketrees wrote:
Ganondox wrote:
That's what your idea of autism is, but it doesn't actually match the medical communities definition of autism. That's what I've been trying to explain. People here consistently use autism in the way I'm describing here, not the actual medical view of autism. I know this because I'm studying this right now at university.

If you're studying it right now at university, won't you have sources on what the current medical view of autism is? It'd add a lot more weight to what you are saying if you can back it up with evidence.


The current medical view of autism is that it's an umbrella term for a collection of disorders which cannot be easily differentiated, and it's a spectrum disorder. You can go look up the current definition in the DSM-V yourself. The book I'm referencing is Abnormal Psychology: An Integrative Approach, Seventh Addition by David H. Barlow, and it's the most current text on the subject.

I know what it looks like in the DSM 5 criteria. I mean something that contradicts what naturalplastic is saying - what exactly does it say and where? Cite and reference like you would academically so we can read it and learn, because that's my current understanding too.



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02 Feb 2017, 1:01 am

iliketrees wrote:
Ganondox wrote:
iliketrees wrote:
Ganondox wrote:
That's what your idea of autism is, but it doesn't actually match the medical communities definition of autism. That's what I've been trying to explain. People here consistently use autism in the way I'm describing here, not the actual medical view of autism. I know this because I'm studying this right now at university.

If you're studying it right now at university, won't you have sources on what the current medical view of autism is? It'd add a lot more weight to what you are saying if you can back it up with evidence.


The current medical view of autism is that it's an umbrella term for a collection of disorders which cannot be easily differentiated, and it's a spectrum disorder. You can go look up the current definition in the DSM-V yourself. The book I'm referencing is Abnormal Psychology: An Integrative Approach, Seventh Addition by David H. Barlow, and it's the most current text on the subject.

I know what it looks like in the DSM 5 criteria. I mean something that contradicts what naturalplastic is saying - what exactly does it say and where? Cite and reference like you would academically so we can read it and learn, because that's my current understanding too.


It's all implied, you just need to understand what it means. Being in the DSM means it's a mental disorder. Next, it's important to note a few things, which may or may not be in the statistics section of the DSM. Like most mental disorders, the early it can be diagnosed, the more severe it is. That's because it signifies a stronger neurological basis, and then has more impact across a life time if treatment is late. Autism is not entirely genetic, and that opens up the possibility for social influences in the development of the disorder, of which many theories have been made. For example, one contemporary theory of autism is that it's kick started by overactive empathy, which results in behavior causing deattachement which shapes the social enviroment of the autistic person, causing social skills to become underdeveloped. Autistic people can be taught social skills, so it's pretty obvious social influences are important. This leads to the most important part for why the medical definition of autism is different from the neurodiverse one. That is criteria D, which is that in order to be diagnosed by the symptoms must be clinically impairing. Approximately one in ten people with autism grow out of the diagnosis because after therapy, which is primarily socialization, they no longer are impaired enough to merit diagnosis. If socialization can cause someone to no longer merit diagnosis, then it can certainly cause someone to not merit diagnosis before they even have the chance to be diagnosed. So according to the medical definition, people aren't born autistic, but rather, they are born with the diathesis for autism which causes them to become autistic at a later age. The neurodiversity model meanwhile argues the person is born autism because they define autism as the diathesis, not as the disorder.


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02 Feb 2017, 1:34 am

Quote:
It's all implied, you just need to understand what it means.

Quote:
may or may not be in the statistics section

You can't write that academically, lol.

Quote:
Like most mental disorders, the early it can be diagnosed, the more severe it is

Source?

Quote:
has more impact across a life time if treatment is late

Source?

Quote:
because after therapy, which is primarily socialization, they no longer are impaired enough to merit diagnosis. If socialization can cause someone to no longer merit diagnosis

Source that it's due to socialisation?



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02 Feb 2017, 3:38 pm

iliketrees wrote:
Quote:
It's all implied, you just need to understand what it means.

Quote:
may or may not be in the statistics section

You can't write that academically, lol.

Quote:
Like most mental disorders, the early it can be diagnosed, the more severe it is

Source?

Quote:
has more impact across a life time if treatment is late

Source?

Quote:
because after therapy, which is primarily socialization, they no longer are impaired enough to merit diagnosis. If socialization can cause someone to no longer merit diagnosis

Source that it's due to socialisation?


1. Source is my professor, I can't just give her to you, but it's probably in the DSM in the statistical section and if not that then in the textbook. Look up stats about onset and prognosis.
2. I don't need to source a trivial calculation. I'm saying they've had more years of the course of the disorder without treatment, that is all.
3. The problem isn't that I don't have a source, it's that you fundamentally don't understand what socialization is, as it's implicit.


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