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TPE2
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13 Dec 2008, 2:52 pm

Katie_WPG wrote:
Hell, I would wager that a significant portion of adults with AS don't even suspect that anything is 'wrong' with them


But, in these case, this not mean that, indeed, there is nothing 'wrong' with them?

After all, if a person doesn't have relevant symptons and he considers himself being "well", this not mean that he is... "well"?

One case is a person who appears "normal" to others but has problems and feels these problems. But a person who appears "normal" and don't feel any relevant problem? What is the point of considering these person as having AS (or any other thing)?



LifeOfTheSpectrum
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13 Dec 2008, 2:58 pm

I would imagine it as a Verbal Low-Functioning Autistic.


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Callista
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13 Dec 2008, 3:37 pm

But then you'd have to define "low-functioing autistic", wouldn't you? :P You can't use the "nonverbal" or "low IQ" criteria because Asperger's eliminates both of them!

You can define "low functioning" by the amount of assistance the person needs, but only if you remember that somebody can need an awful lot of assistance and still be very capable in other areas... in which case, "low functioning" only defines the amount of people you have to hire, not the prognosis or the person's abilities or really anything else. Which makes it, like I said, nearly useless.


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Katie_WPG
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13 Dec 2008, 6:43 pm

TPE2 wrote:
Katie_WPG wrote:
Hell, I would wager that a significant portion of adults with AS don't even suspect that anything is 'wrong' with them


But, in these case, this not mean that, indeed, there is nothing 'wrong' with them?

After all, if a person doesn't have relevant symptons and he considers himself being "well", this not mean that he is... "well"?

One case is a person who appears "normal" to others but has problems and feels these problems. But a person who appears "normal" and don't feel any relevant problem? What is the point of considering these person as having AS (or any other thing)?


What I said could be taken three different ways:

A) They aren't happy with who they are, but they don't believe that they have a disorder, because they've been raised to believe that they are just a variation of 'normal'.
B) They are happy with not having many friends, or being tied down in a relationship.
C) They have adapted and coped to the point where social interactions are no longer a major problem for them.



earthmonkey
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15 Dec 2008, 11:06 pm

Katie_WPG wrote:
TPE2 wrote:
Katie_WPG wrote:
Hell, I would wager that a significant portion of adults with AS don't even suspect that anything is 'wrong' with them


But, in these case, this not mean that, indeed, there is nothing 'wrong' with them?

After all, if a person doesn't have relevant symptons and he considers himself being "well", this not mean that he is... "well"?

One case is a person who appears "normal" to others but has problems and feels these problems. But a person who appears "normal" and don't feel any relevant problem? What is the point of considering these person as having AS (or any other thing)?


What I said could be taken three different ways:

A) They aren't happy with who they are, but they don't believe that they have a disorder, because they've been raised to believe that they are just a variation of 'normal'.
B) They are happy with not having many friends, or being tied down in a relationship.
C) They have adapted and coped to the point where social interactions are no longer a major problem for them.


Yeah, and what if somebody who meets the criteria for disorganized schizophrenia didn't know that you could have schizophrenia without being paranoid? Does that mean they meet the criteria any less?


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earthmonkey
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15 Dec 2008, 11:11 pm

Callista wrote:
I don't agree on basing severity on social function. What if, for example, you have special interests that are so absolutely consuming that you forget to eat for a week if not pulled away and told to do it? What if your planning ability is so bad that you take four hours to get ready in the morning? What if you're so easily overloaded that the wrong sound or touch can send you into insta-meltdown? There are many problems that you can have that are unrelated to socializing ability.

I don't get why we have to categorize Asperger's by severity anyway, because there's more to how you're functioning than just whether you have Asperger's; and the same functioning level at some point in time and in some environment could mean different things for different people, and require different accommodations.

IMO it seems that if you want to categorize functioning level, you would probably have to do it for a specific place and a specific time and a specific stress level, and then calculate it by something concrete, like "How much help does this person need to survive here?"--a full-time aide? Occasional help? Extra education? Minor environmental changes? Nothing at all?

I don't like global functioning labels; they're inaccurate half the time and almost always useless. They're just an invitation to pigeonhole somebody. The most you can do is ask, "Overall, at this time, in this environment, how well has this person adapted?"



QFT. :hail:


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24 Dec 2008, 5:02 pm

I would like to take a shot at this one, in terms of myself as a child:

I think it would present itself as ~classic autism with a "little professor" component and good verbal skills.

-Any minute alteration in my environment (such as hanging a picture in a different place on the wall) or routine led almost instantly to a severe melt-down

-Simultaneous spinning, flapping and vocal stims

-Basically regarded other people as loud, stinky objects.

-Painful (sometimes resulting in vomiting) sensativities, especially to smell and sound.

-Inability to sleep, due to sensativities to the texture of my sheets.

-Always drew the same picture, built the same thing out of blocks, etc.

-Could ONLY communicate through 'lecturing others'

-Used the third person/proper names exclusively when referring to my self and others (as a teen-ager)

-Could recite (verbatim) entire documentaries and adult-level books on special interrests by the time I was five.

-Speaking with a college-level vocabulary by the time I was five, albeit with a speech impediment that required therepy.

-Severe GI problems.

-Severely restricted diet, down to the way that my food was cut and placed on the plate.

-COMPLETELY detached from other individuals in virtually every way imaginable.

-Zero interrest in age-appropriate activities.

-Would not respond to hearing my name.

-Very pronounced echolochia



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25 Dec 2008, 8:15 am

I second, third... whatever, that it's impossible to base severity on social function!

Or compare severity on a grand and objective scale at all.

You could be functioning okay to well socially but be so impaired in your non-verbal communication that you just can't learn to read even basic real facial expressions. Have a job, have a private social life... While at the same time one who can read some basic expressions of others totally fails at exactly this basic social interaction.

Who's more 'lf' or 'hf', who's more impaired. And who's more miserable? Who's to be the lower functioning aspie between these 2?

The one who could do lots of things but fails anyway for non-AS reasons or the one who can only do a few things due to his AS but manages to fare well anbd develop coping mechanisms despite the original limitations?

It's not only how impaired you are that determines how well you function and how much you can do. There's a huge potion of coping mechanism in that while helping you to appear very able and unimpaired don't change your actual impairment.


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