They want to abolish Aspergers diagnosis!
Ok so maybe I missed something, so I am going to give some blunt questions here.
What is it about the new criteria vs the old that you don't like?
What is it about the old criteria that you prefer over the new?
Is there a specific section you take issue with?
What do YOU feel sets Aspergers apart from Autism and other spectrum disorders?
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That is a stereotype, not reality.
AS has nothing to do with being self-important. Plenty of NTs are self-important, too.
Are you talking about low-functioning autism? Of course LFA is different from AS - it's just as different from HFA, too.
If you restrict your analysis to people with a normal IQ and no current language delays (either not delayed or outgrew their delays), no research has suggested a consistent way of subdividing that group. Indeed, if you look at the highest functioning of Kanner's cases, they'd have fit in with Asperger's cases. Meanwhile, most HFA/AS nowadays would not have been considered autistic by Kanner or Asperger. (I chuckle when people claim, for example, that Asperger Syndrome people are sociable while HFA are aloof, because Asperger only described aloof kids.)
Maybe DSM6 will subdivide autism again, on a basis that actually does have research support. In the meantime, I see no reason to label people with Asperger Syndrome if they don't actually fit Asperger's description. (I have a similar beef with the term 'Kanner Syndrome', but at least it's not an official diagnosis.)
I don't like some of the things DSM5 is doing. I think they goofed with the adult ADHD criteria by assuming all people have a decrease in ADHD symptoms to a similar degree. (I meet the adult criteria but would not have met the child criteria.) I'm glad they added a callous-unemotional specifier for conduct disorder, but annoyed that ODD doesn't have a similar specifier despite exactly the same findings about ODD with CU as CD with CU. (The net effect is that, even though we can identify psychopathy in preschoolers, we can't give them a diagnosis reflecting that until they've already started breaking the law.) I also think they goofed in not having an expert on non-autistic language disabled kids informing their criteria for language disorders (the closest they had was someone who specializes in language development of autistic kids). And I'm cautious about their new autism criteria, because I'm not sure if it'll be tightening or loosening criteria (it depends on what the patterns of traits are out there, and how they criteria get interpreted).
But lumping in AS with autism is one of the things they're doing right. (Oh, and so is adding diagnosis of bereavement and the diagnosis for periodic severe anger outbursts.)
http://www.usautism.org/USAAA_Newslette ... 061512.htm
Who cares if its normal? .........people should get help for it. Well here is the motivation in play - workloads. How did we get on before DSM classified basic human experience as a "disorder"? lol
Yes it does.
Why engage in debate when these people dont even understand what they work with - feels like taking your car to a cobbler - pointless.
Asperger's is not that different from HFA. People have researched this many times over and have not found any significant difference. Some experts such as Tony Attwood and Simon Baron-Cohen have opposed the changes in the DSM V for different reasons but everyone agrees that Asperger's is part of a spectrum of autism. AS may be a mild form of autism but it is still a form of autism nonetheless.
Sure there is a material difference. Autism is the preamble, while Asperger is the subconcept. So I dont know what diagnosis you have, but if you have been scientific diagnosed with asperger, then you have been scientific confirmed to have a form of autism. And if you dont agree with the doctors that diagnosed you its ok, but to say: "Oh yes, I have been diagnosed with asperger, which is according to the medicinal knowledge, the scientific experts and the doctor that diagnosed me an form of autism. But I dont like the autism part, so I only accept the part of my diagnosis I like." is strange. Yeah, and I am short sighted, but I am not viusally impaired. Oh, and as a child , I broke my leg, but I disagree with the part of the doctors report, where the doctor tells me, that this would be an bone fracture.
And to say, that it was surely in the family or in the spectrum, but there would be material differences is if you would say: "So sure a Ford Escort is part of the "Car"-family. But there are material differences."
I am whondering if you ever read your own diagnosis criteria? In europe its the ICD so I thought the problem may be an misunderstanding because of an inaccurate part in the DSM diagnosis criteria. But no, after reading it, where is the material difference?
(I) A total of six (or more) items from (A), (B), and (C), with at least two from (A), and one each from (B) and (C)
(A) qualitative impairment in social interaction, as manifested by at least two of the following:
1. marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction
2. failure to develop peer relationships appropriate to developmental level
3. a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people, (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
4. lack of social or emotional reciprocity ( note: in the description, it gives the following as examples: not actively participating in simple social play or games, preferring solitary activities, or involving others in activities only as tools or "mechanical" aids )
(B) qualitative impairments in communication as manifested by at least one of the following:
1. delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
2. in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
3. stereotyped and repetitive use of language or idiosyncratic language
4. lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
(C) restricted repetitive and stereotyped patterns of behavior, interests and activities, as manifested by at least two of the following:
1. encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
2. apparently inflexible adherence to specific, nonfunctional routines or rituals
3. stereotyped and repetitive motor mannerisms (e.g hand or finger flapping or twisting, or complex whole-body movements)
4. persistent preoccupation with parts of objects
(II) Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years:
(A) social interaction
(B) language as used in social communication
(C) symbolic or imaginative play
(III) The disturbance is not better accounted for by Rett's Disorder or Childhood Disintegrative Disorder
I´d subscribe easily I: A1, A2, A3, A4, B1, B2, B3, B4, C1, C2; II: A, B, C, so please tell me, where should be the great difference?
In europe Asperger is diagnosed in centres specialised on autism. I dont want to say, that this was better or whatever, but because of that you normally have people with all kinds of autism in the self-help groups and forums. So I am really whondering when it comes that some of you mention that "...it can be clearly told, which people have autism...." Sorry, but these are worst prejudices and it really bothers me, that they come from people who should know themselfs how wrong prejudices are. And what massive sort of nonsense people, who are not willing to inform themselfs, think about Asperger. It seems to me, that "Autism" means to you: "Sitting drooling in a corner, throwing a ball against the wall the whole day and unable to think." Thats complete nonsense because its the worst case scenario. Its as if I would only count blind people as visually impaired. And between this there are lots of people, starting with the ones who are physically diabled but because of their organisation, and material helps dont really stand out as long as they can continue their routines. And when it comes to forums, they dont stand out at all, so nearly 90% of the peopöe of an autism specialised forum could start to write here for fun, and you wouldnt even notice it. And the problems they mention are the same, its just harder for them. While i freak out after the 15th unnecessary change of the day, some quit at the second. While I am only disturbed if something is not as it should be, for others its a catastrophe and so on... But the problems are the same, just the amount is different.
And what I am really whondering: If there is nothing on you, that would match into the autism diagnosis criteria: What sort of problems DO you have? (No its not ment offending, but I was really interested what people with "american" Asperger diagnosis, that reject to have any problems that are usually related to autism, do have for problems or symptoms instead. When it comes to "material differences" to the above listed autism diagnostic criteria according to DSM, what symptoms or problems do you have instead? And where is the border to "normally" shy or introverted NTs?
Yeah, I pretty much gave up.
I'm getting tired of people blubbering over being identified as "autistic" as opposed the ever-so-superior "Aspergers." I originally went to a doctor because I was in a dark place and needed help, not because I wanted a fancy label that told the world I was an "eccentric genius." They could call it "Wuzzle-Woozle Disease" for all I care as long as I get the support I need. Who knew people were so terribly proud of a friggen mental disorder.
Sheesh.
So far, the only valid concern I've heard is Rascal77's.
This, I agree completely. He obviously has an emotional attachment to the term Asperger's.
His baseless argument confirms this.
Let me just confirm real real quick... you are saying I have an emotional attachment to the term Asperger's and my argument is baseless?
from caregivers because of their severe AS-symptoms.
I can't live without the social care I recieve, because I can't do the shopping, driving to town or establish relationships on my own.
I can't live at all without support from caregivers, this has been tested and examined to pieces and been documented.
Now they want to abolish the Aspergers diagnosis and erase all my papers, saying that since it no longer exists, the documentation is worthless.
I am sure that this whole Anti-Aspergers (DSM V) thing is an evil conspiracy against me, personally, to make me live on the street and eventually commit suicide!
My impairments don't disappear just because I lose my diagnosis. But they know that already, and THAT is why they want to deprive me of my diagnosis by
abolishing it altogether in the DSM V so that WHO's ICD 11 will be reviewed without Aspergers.
If you have a diagnosis of aspergers already, you aren't going to lose your support. They're just going to call it "autism" instead. This has been stated over and over again. If you rely on support, they cannot take those services from you. They cannot erase your history nor can they erase what you currently live with. If your health care provider does try to remove services because of this, then you can take legal action against them.
No, that was directed at Answeraspergers, but I give up as he just blindly refutes everything.
Thanks for clarifying. I found the conversation chain a bit confusing.
This, I agree completely. He obviously has an emotional attachment to the term Asperger's.
His baseless argument confirms this.
If there's one positive aspect to reclassifying "Aspergers" as "Autism Spectrum Disorder," it may help cut down on the people wanting to be known as "Aspergers" because "Aspergers" is "cool."
It's unfortunate that "autism" carries the negative stereotypes that it does, but the silver lining is that it may keep the "special snowflakes" away, and let those of us with an actual ASD get back to figuring out how to live our lives with this disorder.
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I don't really get it either. I am autistic, whether someone chooses to tell me it's autism, PDD-NOS, or Asperger's Syndrome, I'm still autistic. While I do dislike that autism tends to carry negative connotations as a label, my problem isn't whether or not I am labeled with it, but the way anyone with that label is treated because of that label.
Personally, I'm a pragmatist before I'm anything.
I'm more interested in what a "label" can do for me as opposed to being "labeled" for the sake of having a "label."
They can re-diagnose me as NVLD, "social anxiety," or whatever, and I will be happy as a clam providing I still can get accommodations and my Shrink keeps up a steady supply of happy pills. If people are worried about getting treated badly because "autism" isn't as "cool" as "Aspergers" then we need to do something about how society views "autism."
Setting ourselves apart as an "elite clique" isn't going to help ourselves, or anybody else struggling with disabilities.
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"If we fail to anticipate the unforeseen or expect the unexpected in a universe of infinite possibilities, we may find ourselves at the mercy of anyone or anything that cannot be programmed, categorized or easily referenced."
-XFG (no longer a moderator)
