The reason the notion of autism spectrum should be offensive

Page 7 of 8 [ 121 posts ]  Go to page Previous  1 ... 4, 5, 6, 7, 8  Next

kraftiekortie
Veteran
Veteran

Joined: 4 Feb 2014
Gender: Male
Posts: 87,510
Location: Queens, NYC

19 Jul 2018, 11:01 am

Under the DSM-V, it's already "split up."

Into Levels One, Two, and Three.

With/without intellectual disability.

With/without speech delay.



It's all Autism Spectrum Disorder, though.



EzraS
Veteran
Veteran

User avatar

Joined: 24 Sep 2013
Gender: Male
Posts: 27,828
Location: Twin Peaks

19 Jul 2018, 11:03 am

kraftiekortie wrote:
KOR stated that she was, at one time, diagnosed with "severe learning disability" (the same as the US's "intellectual disability," but that she was reassessed and diagnosed with "mild learning disability."


That's what I thought too but I am seeing, "mild level" "from baby age-was rediagnosed from severe ID to mild ID".
viewtopic.php?p=6259719#6259719 So I don't know.

kraftiekortie wrote:
This happened with Ezra, too. He was "Severe" when younger, but is now "moderate-severe," Level 2.


That is true of Dylanperr and LivingWithAutism too. I did a lot of PMing with LivingWithAutism and we have a great deal of similarities in how we are both affected by autism. I wish she was in this thread because she explains things well.



Trogluddite
Veteran
Veteran

User avatar

Joined: 2 Feb 2016
Age: 55
Gender: Male
Posts: 3,075
Location: Yorkshire, UK

19 Jul 2018, 11:05 am

MalchikBrodyaga wrote:
In UK they use ICD 10, no?

In principle, yes, but in practice, the criteria used are very variable. My formal diagnosis is "Autism Spectrum Condition, Level 1, without intellectual impairment or functional language delay"; so essentially DSM-V, except that the word "condition" is deemed more sensitive than "disorder". However, a friend of mine with broadly comparable traits was formally diagnosed "Asperger's Syndrome". Our diagnoses were separated by only a few months, and were performed by two different assessment providers, but in the same town and referred by the same GP practice. My assessment took several hours over multiple appointments; involved family, a psychologist and an occupational therapist; and also examined non-diagnostic features of autism and the possibility of AD(H)D. My friend's assessment was done in a single appointment lasting little over one hour with only a psychologist. As far as I know, the consequences of this inconsistency have not been researched, but from what I see on UK autism forums, is very common.


_________________
When you are fighting an invisible monster, first throw a bucket of paint over it.


kraftiekortie
Veteran
Veteran

Joined: 4 Feb 2014
Gender: Male
Posts: 87,510
Location: Queens, NYC

19 Jul 2018, 11:09 am

The US uses both the ICD-10 and DSM-V, though probably more DSM-V.

I worked in a place that uses the ICD-10.



League_Girl
Veteran
Veteran

User avatar

Joined: 4 Feb 2010
Gender: Female
Posts: 27,317
Location: Pacific Northwest

19 Jul 2018, 11:11 am

MalchikBrodyaga wrote:
League_Girl wrote:
MalchikBrodyaga wrote:
League_Girl wrote:
MalchikBrodyaga wrote:

I haven't heard of that research, but the relation between autism and OCD sounds quite likely just from pure behaviorist point of view. I would associate OCD with Asperger specifically rather than autism spectrum at large, since it doesn't have speech delays. I would also suspect the same might be true with OCPD (not to be confused with OCD: OCPD is a personality disorder -- which is what letter P stands for -- while OCD is an anxiety disorder).



Not anymore. They made OCD its own category now. It's no longer an anxiety disorder is why because they found out their anxiety is caused by OCD, not the other way around. Like how autism can cause anxiety but it's not an anxiety disorder.


Thats quite interesting. Is there a general tendency in DSM 5 to prefer single-entity categories? It seems the case with autism and OCD, but I don't know about the rest of the DSM 5: I only studied DSM back in the 90-s when it was DSM 4.



I read it in a book about OCD called "The Man Who Couldn't Stop" and David Ward said it was changed in the DSM-5. I haven't looked at it. Plus I recall reading about it somewhere online too. They have discovered different forms of OCD like hoarding disorder.


Its interesting you mentioned hoarding is a form of OCD. Back in the DSM 4, hoarding was one of the symptoms of OCPD. So its kind of interesting you say its OCD rather than OCPD, I was always intrigued by the relation between those two disorders.

But, in any case, the correlation between hoarding and OCPD under DSM 4 wasn't great. The DSM 4 criteria for OCPD had total of 8 symptoms and hoarding was just one of them. You need to have 4 out of 8 for a diagnosis of OCPD. So its easily possible for the hoarder not to have OCPD diagnosis if hoarding is the only thing they do, and its also possible to get OCPD diagnosis without hoarding by having the other symptoms.

I was kind of wondering why people kept talking about hoarding being a disorder if it wasn't actually found in DSM 4. I was sort of thinking: were they really thinking about OCPD, or were they talking about a disorder they were thinking of inventing that wasn't invented yet? Interesting to know that in DSM 5 its actually is there.

By the way, I am a hoarder.


If you watch TV shows about hoarding, you will find what they hoard; outdated food, trash, other junk and their house is a health hazard. They have no much stuff, you can't even get in each room. It's always very emotional for these people to see their stuff being tossed out when the people come to clean up their place. I have heard of animal hoarding too and it also wrecks their house and makes their home not safe for the animals and the person because of animal urine and feces.

If you just collect stuff and keep it all organized, it's not a disorder and they wouldn't diagnose you as having a mental illness for it. It has to impact your life and others around you for it to become a disorder. I don't know if hoarding disorder has been recognized as a disorder in the DSM yet.


_________________
Son: Diagnosed w/anxiety and ADHD. Also academic delayed and ASD lv 1.

Daughter: NT, no diagnoses. Possibly OCD. Is very private about herself.


MalchikBrodyaga
Deinonychus
Deinonychus

Joined: 20 Apr 2018
Age: 46
Gender: Male
Posts: 348

19 Jul 2018, 11:14 am

Trogluddite wrote:
MalchikBrodyaga wrote:
What is the meaning of the term "executive function"? If I were to just look at the words, it seems like it basically means an ability to carry out what you decided to do. But, if so, there is a lot of room for NT-s deciding that an aspie lacks executive function simply because an aspie does whatever they do in their own way, but NT doesn't get it so NT thinks they don't know how to do it. So why would you take the way NT-s judge you and believe them instead of trying to correct their misperception?

Your interpretation of "executive function" is essentially correct; the link between conscious decision making and executing an action. However, my rationale for believing that I have such an impairment has nothing to do with anyone else's perception of my behaviour (aside from the fact that the theoretical construct is not of my own devising.) In fact, quite the opposite, the most frustrating aspect of it is the mismatch between my intent and the resulting action or inaction, even for behaviours which no-one else would observe or be affected by. Prior to my diagnosis, it was the aspect of my condition which most frightened me, as it can feel as if I don't possess free will at times; it definitely doesn't feel like the same thing as avoidance or procrastination, and can affect tasks which I desire to do, give me pleasure, and am perfectly capable of doing.


Okay, the only aspect of it I can relate to *is* avoidance/procrastination, but you say its different than that. If so, then what is stopping you from doing what you decided to do? Especially since you mention that it happens also with the things you enjoy doing?

Trogluddite wrote:
I can overcome it sometimes by telling myself out loud what course of action I want to take, as if there is a broken connection somewhere which I can bypass using the medium of spoken language.


Thats interesting. So why is thining it any less effective than saying it out loud?

Trogluddite wrote:
In my case, and maybe for others, I think that this is the source of some "repetitive behaviours" - they're like an "auto pilot" by which I can get a task done without having to rely on constant conscious intervention and explicit decision making.


The "repetitive behavior" in my case is only a disraction. Such as, I need to do something, but because of my internet addiction it gets postponed. If anything, the repetitive behavior is the cause of my procrastination, not a cure.

Trogluddite wrote:
MalchikBrodyaga wrote:
So what triggers your meltdowns and how come you don't remember them? I read that some autistics have seizures, do you think your meltdowns are triggered by a seizure?

For the most part, my meltdowns are triggered by extreme sensory or emotional overload, which after a certain amount of exposure seem to "trip a fuse" somewhere which brings out the fight-or-flight response and the shutting down of various brain functions (mostly higher cognitive functions, which I assume is why I don't remember these events.)


Okay in my case I don't shut down, I overanalyze. If anything, it seems like NT-s are the ones shutting down. Like when a girl is upset by something I did, she can't be bothered to talk about it. But then again, maybe she only pretends to shut down. If girls truly don't have time to talk about it, why do they have time to gossip with their friends?

Trogluddite wrote:
The question of seizures is a very interesting one to me. I have never had "grand mal" type epileptic seizures, but the shutting down of cognitive functions does seem to have similarities to the "petit mal" kind of seizure, and it is more common for me to have "shut downs" (essentially going catatonic) than to have "melt downs" where I "fight or fly". As epilepsy is such a common co-morbidity for autistic people, it does make me wonder to what extent epilepsy might be related to this kind of shutting down, though I don't know of any research suggesting a link.


Did you ever get a brain scan for seizure activity?

Trogluddite wrote:
MalchikBrodyaga wrote:
But what I am trying to say is that, in case of intellectual disability, the latter becomes more serious problem than all of the symptoms of autism put together

Serious problem according to who's judgement? I think that this is an important question, because what an external observer might assume to be the more serious problem may not be the same as what the autistic person perceives to have the most impact upon their quality of life.


I thought autistics don't regard their autism as serious because they say they are happy being who they are and don't want a cure. They would, however, agree that mental retardation is a bad thing (I am yet to find an autistic that would try to challenge that). If so, then their opinion would be even more shifted in the direction of thinking that mental retardation is more serious than autism.



EzraS
Veteran
Veteran

User avatar

Joined: 24 Sep 2013
Gender: Male
Posts: 27,828
Location: Twin Peaks

19 Jul 2018, 11:15 am

MalchikBrodyaga wrote:
EzraS wrote:
MalchikBrodyaga wrote:
Okay, I watched that video. I never had that kind of experience, which brings back the issue of splitting up a diagnosis: why should I have the same diagnosis as her if I never had the same experience she has?


As far as I'm concerned you probably shouldn't.


So then you agree with me that autism spectrum should be split up into several entries?


I think offhand the idea has pros and cons. For instance I was in a private special ed school for those with ASD. How would having entirely different categories affect a diverse student body like the school had? I don't know. Or WP for that matter. Should there be like 5 separate forums instead of one big one?

MalchikBrodyaga wrote:
EzraS wrote:
But my intention in showing the video was that when it comes to severe autism, the outside doesn't necessarily match the inner mind at work. Think of Stephen Hawking. In all respects he was a complete vegetable, except for his brilliant inner mind.


That might also imply that when others are telling you that you can't manage on your own they are wrong because they judge you by your outside appearance which doesn't match your actual skills.


I've been pretty thoroughly routinely tested with all kinds of tests since I was 3 by all kinds of specialists. And my parents have always pushed for me to be as independent as possible. Which I am thankful for.



League_Girl
Veteran
Veteran

User avatar

Joined: 4 Feb 2010
Gender: Female
Posts: 27,317
Location: Pacific Northwest

19 Jul 2018, 11:22 am

EzraS wrote:
KoC also wrote: "have been diagnosed with learning disability [UK definition of intelectual disability]". So in that case intellectual disability used in that way may not have meant IQ under 70 the way it does in the US I guess. I would probably have a similar diagnosis in the UK if that's how it works. Academically I range from above average to below average depending on what I'm being tested on. In math especially I test below average. Reading and writing is above average. Or was as I've probably caught up to that level age wise.



Because people with severe autism are often misdiagnosed as having a intellectual impairment, I can see why someone on here would be skeptical about that diagnoses and she took it personal. I guess that diagnoses means so much to her she felt attacked and called a liar when it got questioned. Even people with learning disabilities get misdiagnosed as being slow so people would also question their IQ as well if they seemed too intelligent. My mom even had a student who had a MR diagnoses but my mom didn't believe it because he was too smart by how he thought and processed things and how he talked so she taught him to read. The problem was he was just illiterate and because he was so smart, he was reading at the 3rd grade level by the end of the year and thanked my mother for helping him. He was in 6th grade. His mom actually cried when she found out he was just illiterate. Can you imagine how many years was wasted because of that diagnoses? I hope he turned out well despite the lack of education he was given over the years. Hopefully after that he was finally given the right to a normal education like his peers and he still did special ed to catch up on his education that was lost like I did. It would be all thanks to my mother.

My mom was the only one who looked at him as a person than the label and believed in him.

So in some cases, some people do truly have a low IQ and they may take it as an attack when anyone questions it. But it's the same as when anyone questions your autism and your level because of how well you write here and how articulate you sound. But it's all based on stereotypes when people make these assumptions and question your (the general your) diagnoses.


_________________
Son: Diagnosed w/anxiety and ADHD. Also academic delayed and ASD lv 1.

Daughter: NT, no diagnoses. Possibly OCD. Is very private about herself.


EzraS
Veteran
Veteran

User avatar

Joined: 24 Sep 2013
Gender: Male
Posts: 27,828
Location: Twin Peaks

19 Jul 2018, 11:28 am

MalchikBrodyaga wrote:
I thought autistics don't regard their autism as serious because they say they are happy being who they are and don't want a cure.


WP has had threads about that and many do not feel that way. I am one of them. One was something like if you could push a button to take away your autism would you? I remember one guy said "I would hit that button so f*****g hard".


MalchikBrodyaga wrote:
They would, however, agree that mental retardation is a bad thing (I am yet to find an autistic that would try to challenge that). If so, then their opinion would be even more shifted in the direction of thinking that mental retardation is more serious than autism.


Mental retardation is a comorbid of severe autism as far as I know. Some have it and some do not. Of all the kids I have been in school with who were severe, I can only think of a few who might have also been mentally ret*d.



Last edited by EzraS on 19 Jul 2018, 11:39 am, edited 1 time in total.

League_Girl
Veteran
Veteran

User avatar

Joined: 4 Feb 2010
Gender: Female
Posts: 27,317
Location: Pacific Northwest

19 Jul 2018, 11:29 am

MalchikBrodyaga wrote:
EzraS wrote:
KoC also wrote: "have been diagnosed with learning disability [UK definition of intelectual disability]".


Under the DSM 4, "mental retardation" and "learning disorder" are two separate entities and, in fact, in order to be diagnosed with learning disorder the mental retardation has to be ruled out. I haven't seen DSM 5, but I do know that "intellectual disability" is an equivalent to "mental retardation", so if DSM 5 retained learning disability then "intellectual disability" and "learning disability" would be two separate entities.

In UK they use ICD 10, no? So are you saying ICD 10 lumps those two things together?



The UK uses different terms. They call intellectual impairment a learning disability. It does not mean the same thing in our country. I don't know what they call a learning disability in the UK. Here we just called a intellectual impairment, no longer mental retardation.


_________________
Son: Diagnosed w/anxiety and ADHD. Also academic delayed and ASD lv 1.

Daughter: NT, no diagnoses. Possibly OCD. Is very private about herself.


EzraS
Veteran
Veteran

User avatar

Joined: 24 Sep 2013
Gender: Male
Posts: 27,828
Location: Twin Peaks

19 Jul 2018, 11:41 am

League_Girl wrote:
MalchikBrodyaga wrote:
EzraS wrote:
KoC also wrote: "have been diagnosed with learning disability [UK definition of intelectual disability]".


Under the DSM 4, "mental retardation" and "learning disorder" are two separate entities and, in fact, in order to be diagnosed with learning disorder the mental retardation has to be ruled out. I haven't seen DSM 5, but I do know that "intellectual disability" is an equivalent to "mental retardation", so if DSM 5 retained learning disability then "intellectual disability" and "learning disability" would be two separate entities.

In UK they use ICD 10, no? So are you saying ICD 10 lumps those two things together?



The UK uses different terms. They call intellectual impairment a learning disability. It does not mean the same thing in our country. I don't know what they call a learning disability in the UK. Here we just called a intellectual impairment, no longer mental retardation.


KoC said intellectual disability or intellectually disabled is what they call learning disability or learning disabled in the UK.



rowan_nichol
Veteran
Veteran

Joined: 28 Jul 2016
Age: 62
Gender: Non-binary
Posts: 777
Location: England

19 Jul 2018, 11:55 am

Thank you to the OP for starting this discussion.

I would like to submit a very different perspective.
I find the notion of Autism Spectrum anything but offensive.

The notion of a spectrum appears to be the best approximation to what is observed and experienced, very many differences in degree, severity, but still coming down to the sensory, social, deep rather than wide, one thing at a time rather than multitasking, very different communication profiles compared to the population as a whole.

However, I do find the notion of writing off, or distancing self from peoples whose presentations of Autism, or for who the severity of the difficulties it presents or the needs for support are very different from ones own is rather offensive.

There are rather too many people who want to write off or worse people whose neurology is rather different to the population as a whole. There are some, for example, who use their position as the parent of such a person to reveal most inappropriately very personal information about their child in book. I take some grim satisfaction that the book in question has received many negative reviews from people across the whole wide spectrum of Autism. That parent recieved an important lesson all bullies need to receive. They picked on someone powerless only to find lots of people wading in and calling them to account.



Trogluddite
Veteran
Veteran

User avatar

Joined: 2 Feb 2016
Age: 55
Gender: Male
Posts: 3,075
Location: Yorkshire, UK

19 Jul 2018, 12:11 pm

MalchikBrodyaga wrote:
If so, then what is stopping you from doing what you decided to do?

MalchikBrodyaga wrote:
So why is thinking it any less effective than saying it out loud?

In both cases, all I can say for sure is that whatever the reasons, they are not apparent to my conscious mind and the behaviours are essentially empirical observations based on self-reflection. However, neither have responded to multiple attempts at various psychological interventions, and no investigation has ever indicated psychosis or amnesia, which leads me to infer that they are somehow related to interconnections between different neurological "processing units".

MalchikBrodyaga wrote:
If anything, it seems like NT-s are the ones shutting down. Like when a girl is upset by something I did, she can't be bothered to talk about it. But then again, maybe she only pretends to shut down.

Naturally, we can never know for sure what the cause of the "silent treatment" is, but I would say that the distinction can be made between "shutting down" (involuntary loss of mental faculties) and "shutting out" (a conscious decision to avoid interaction.)

MalchikBrodyaga wrote:
Did you ever get a brain scan for seizure activity?

No; though it is something (along with my persistent insomnia) which I wish would be investigated further, both personally and regarding autism in general. Unfortunately, of the interventions indicated at my assessment, none has happened yet after over three years for lack of resources (except for joining self-help communities like this one.) Thankfully, I can manage it to a large degree by "rationing" my exposure to triggering stimuli - and since it took until I was 45 to be referred for an autism assessment, and there are so few resources available for autistic adults, I have learned to be a very patient patient! I have, however, joined an organisation which arranges study cohorts for autism research, so it's possible that I might discover some answers that way.

MalchikBrodyaga wrote:
I thought autistics don't regard their autism as serious because they say they are happy being who they are and don't want a cure.

I have seen a wide variety of opinions regarding this, from "I'd give anything to not be autistic" to "autistics are the highest point in human evolution", including intermediate positions of acceptance or wishing for treatment of specific traits rather than autism as a whole (which is closest to my own wishes.) We also shouldn't forget that forums, blogs and many surveys present a strong self-selection bias, which may be more likely to exclude autistic people with particular combinations or categories of traits, who's opinions we might never hear.

rowan_nichol wrote:
Thank you to the OP for starting this discussion.

Indeed, I am finding it fascinating too; and I'm glad to see a debate about such a potentially controversial subject being conducted in such a spirit of good faith and acceptance of differing opinions.


_________________
When you are fighting an invisible monster, first throw a bucket of paint over it.


League_Girl
Veteran
Veteran

User avatar

Joined: 4 Feb 2010
Gender: Female
Posts: 27,317
Location: Pacific Northwest

19 Jul 2018, 12:24 pm

I say this has to be the calmest discussion ever on this topic I have seen. I like it. Also the OP seems to be open minded with his questions. I sense no questioning or judgment in them. The OP didn't start this topic to argue and be right.


_________________
Son: Diagnosed w/anxiety and ADHD. Also academic delayed and ASD lv 1.

Daughter: NT, no diagnoses. Possibly OCD. Is very private about herself.


kraftiekortie
Veteran
Veteran

Joined: 4 Feb 2014
Gender: Male
Posts: 87,510
Location: Queens, NYC

19 Jul 2018, 12:50 pm

I think we've been getting more of these sorts of good, calm threads more often than previously.



BTDT
Veteran
Veteran

User avatar

Joined: 26 Jul 2010
Age: 63
Gender: Non-binary
Posts: 8,491

19 Jul 2018, 1:41 pm

What NTs typically do is embellish the description.

Baseball player. Professional baseball player. Major League Baseball Player. Gold Glove baseball player. MVP Baseball player for a team that won the World Series.

While I'm on the Spectrum, I'm one of the few that saved for the down payment on a mortgage, bought a single family house, and paid it off before I was 50!