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THE DIFFRENCE BETWEEN ASPERGER AND AUTISM TELL ME ALL PLX

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vermontsavant
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19 Jun 2011, 7:42 am

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


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19 Jun 2011, 11:17 am

vermontsavant wrote:
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


I know of instances where doctors changed a child's DX based on acquired skills. I strongly disagree with that practice for a lot of reasons (such as, what happens to the child if they lose ground?), but it is done. :(



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19 Jun 2011, 3:29 pm

I have read an article written by Donna Wilson about differences between AS and HFA. It was in italian and i'm bad to translate things in english.


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vermontsavant
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19 Jun 2011, 5:01 pm

Verdandi wrote:
vermontsavant wrote:
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


I know of instances where doctors changed a child's DX based on acquired skills. I strongly disagree with that practice for a lot of reasons (such as, what happens to the child if they lose ground?), but it is done. :(
abolutely,if the aquired skills point to a wrong dx but working harder to overcome a delay in skills doesnt negate a dx.im not sure if i explained that right


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Benjamin2006
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19 Jun 2011, 5:53 pm

I have to say I'm confused by some of this particularly the issue of speech delay. Here's a comment from one of Tony Attwoods's papers
"Three studies have cast considerable
doubt over the use of early language delay as a differential criterion between autism and
Asperger's syndrome (Eisenmajer, Prior, Leekam, Wing, Ong, Gould and Welham 1998,
Dickerson Mayes and Calhoun 2001 Manjiviona and Prior 1999). Any differences in
language ability that are apparent in the pre-school years between children with autism
and Asperger's syndrome has largely disappeared by early adolescence (Eisenmajer,
Prior, Leekam, Wing, Ong, Gould and Welham 1998, Ozonoff, South and Miller 2000)."

I'm interested because my son is down to be assessed for being on the spectrum....and he had slight speech delay, he was a late talker.

But then again that's the whole problem with the label aspect....does it matter? You are looking at an individual and surely each person's position stands on it's own merits in terms of the issues they face.

That's the problem with a disorder that is a spectrum...in terms of assessments what happens to those on the border line of passing/failing a diagnostic test?
If they remain with issues despite not being diagnosed as being on the spectrum...does it matter? I know in some countries health care is an issue but I hope you get my main drift.

I've often wondered if anyone could actually be described as being on the spectrum despite the fact they might be very good socially as surely there are people who have very strong and consistent AS traits yet can function " normally" in social terms?

I find these types of discussions very confusing both in terms of the historical/factual basis and in a wider sense as to the complexities of a disorder versus the average set of problems any person faces growing up be it personality quirks, relationship and social issues.

I understand fully that certain people with an ASD have really defined and prominent issues but what about those veering towards or very very close to NT behaviours?



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19 Jun 2011, 7:53 pm

vermontsavant wrote:
Verdandi wrote:
vermontsavant wrote:
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


I know of instances where doctors changed a child's DX based on acquired skills. I strongly disagree with that practice for a lot of reasons (such as, what happens to the child if they lose ground?), but it is done. :(
abolutely,if the aquired skills point to a wrong dx but working harder to overcome a delay in skills doesnt negate a dx.im not sure if i explained that right


I agree with you, but some people have odd clinical practices, that's all I am saying.



Verdandi
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19 Jun 2011, 7:53 pm

Nordlys wrote:
I have read an article written by Donna Wilson about differences between AS and HFA. It was in italian and i'm bad to translate things in english.


Do you have a link to it?



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19 Jun 2011, 8:09 pm

Benjamin2006 wrote:
I have to say I'm confused by some of this particularly the issue of speech delay. Here's a comment from one of Tony Attwoods's papers
"Three studies have cast considerable
doubt over the use of early language delay as a differential criterion between autism and
Asperger's syndrome (Eisenmajer, Prior, Leekam, Wing, Ong, Gould and Welham 1998,
Dickerson Mayes and Calhoun 2001 Manjiviona and Prior 1999). Any differences in
language ability that are apparent in the pre-school years between children with autism
and Asperger's syndrome has largely disappeared by early adolescence (Eisenmajer,
Prior, Leekam, Wing, Ong, Gould and Welham 1998, Ozonoff, South and Miller 2000)."

I'm interested because my son is down to be assessed for being on the spectrum....and he had slight speech delay, he was a late talker.

But then again that's the whole problem with the label aspect....does it matter? You are looking at an individual and surely each person's position stands on it's own merits in terms of the issues they face.

That's the problem with a disorder that is a spectrum...in terms of assessments what happens to those on the border line of passing/failing a diagnostic test?
If they remain with issues despite not being diagnosed as being on the spectrum...does it matter? I know in some countries health care is an issue but I hope you get my main drift.

I've often wondered if anyone could actually be described as being on the spectrum despite the fact they might be very good socially as surely there are people who have very strong and consistent AS traits yet can function " normally" in social terms?

I find these types of discussions very confusing both in terms of the historical/factual basis and in a wider sense as to the complexities of a disorder versus the average set of problems any person faces growing up be it personality quirks, relationship and social issues.

I understand fully that certain people with an ASD have really defined and prominent issues but what about those veering towards or very very close to NT behaviours?


Pretty soon they'll all be merged so this issue will soon be moot. If you have a child currently being assessed I can see where the questions come from.

I agree 100% that the actual diagnosis doesn't matter that much. It's the individual challenges the person faces that needs to be addressed. Any diagnosis serves only to match patients with treatments. Comparing Autism with Asperger's the treatment is going to be effectively the same. (If we're talking about misdiagnosis with something like schizophrenia then the diagnosis becomes more important but there is still only a limited amount of treatment options out there and most of it is done by trial and error... As long as the psych profession relies on subjective testing involving self disclosure it will remain an imprecise science...) ...Where was I?

I would suggest that people on the spectrum who "veer toward" NT behaviour don't have ASD but instead have the style. Autistic Spectrum Disorder implies a certain level of impairment. If one isn't really impaired I can't say they are disordered. If one is impaired from living life the way they would like to live it then they are disordered. There may be better ways of saying this.


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21 Jun 2011, 1:42 pm

Verdandi wrote:
Nordlys wrote:
I have read an article written by Donna Wilson about differences between AS and HFA. It was in italian and i'm bad to translate things in english.


Do you have a link to it?


http://incazzatautismo.wordpress.com/20 ... les-donna/


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22 Jun 2011, 1:42 am

Nordlys wrote:
Verdandi wrote:
Nordlys wrote:
I have read an article written by Donna Wilson about differences between AS and HFA. It was in italian and i'm bad to translate things in english.


Do you have a link to it?


http://incazzatautismo.wordpress.com/20 ... les-donna/


Grazie mille, Potete tradurre questo per me?



Verdandi
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22 Jun 2011, 1:57 am

Nordlys wrote:
Verdandi wrote:
Nordlys wrote:
I have read an article written by Donna Wilson about differences between AS and HFA. It was in italian and i'm bad to translate things in english.


Do you have a link to it?


http://incazzatautismo.wordpress.com/20 ... les-donna/


Thank you.

Google Chrome translates. It's awkward, but doable.

I suspect this is online in English somewhere, but working out the title is a bit of work.

I think this is the English version from Autism: An Inside-Out Approach. It is missing a page, although I'm not sure how critical that page is.

I am pretty sure I disagree with her conclusion (that Asperger's Syndrome and autism are two separate things defined by the traits she describes). I think it is more likely that given that autism is not a single syndrome but a collection of overlapping syndromes that she is identifying these overlaps. I also think that someone with any of these syndromes who is perceived as "high functioning" enough, who did not have a speech delay or missed milestones (or was unable to report whether there were any) could be diagnosed with AS, or in another context, PDD-NOS or autism.

Specifically, she describes her experiences as autism and a certain set of other experiences as AS, and I think this is needlessly reductive. I could be mistaken and she's allowed for more breadth of experience under the "autism" label, but what I saw looked somewhat limited.



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22 Jun 2011, 3:15 pm

Both are Autism but Aspies talk about it a lot more.