Worried about changes in how people see autism

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Callista
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23 Apr 2013, 9:52 am

They're saying 1:50 now for autism, or something of the sort... I keep thinking to myself, "If it's going to be so common now, does that mean it'll be considered unremarkable? Does it mean that I won't get the help I need because people will assume that I'm "just a little quirky" instead of truly disabled?

And yet I'm ashamed of thinking this way because as far as I can tell most of those new diagnoses are going to people who really need it--maybe people who aren't obviously and severely autistic, but if you're falling short of what's expected of the average person, does it matter that much whether you're falling short by an inch or by a mile? I don't think so.

Maybe I'm just scared of the unknown, scared of autism changing in the public viewpoint from something obvious and severe (which it mostly isn't) to something common and mild (which it often isn't)... It's like, I know how to deal with the old stereotype; I know how to get people to see me as an individual despite that; now I'm going to have to relearn it all under the new paradigm.

Just autistic transition anxiety? Maybe I'll look back on this and go, "Boy, you were silly to be worried about this." It's long overdue to recognize those milder cases as autism. It's a good thing. And yet I'm still scared of change.


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23 Apr 2013, 9:58 am

The problem is that autism was ignored and now it is being ignored even more so. The diagnostic criteria are not well defind. Many people with autism do not need help. Many others need specific type of help. Also it depends on how the research on autism continues as to what exactly can help autistic people and what is just useless.



rapidroy
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23 Apr 2013, 10:33 am

Wait until the new manuel comes out, that will be the end to the ASD Dx giveaway spree. Still its only 2% at best of the population.



AgentPalpatine
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23 Apr 2013, 11:07 am

rapidroy wrote:
Wait until the new manuel comes out, that will be the end to the ASD Dx giveaway spree. Still its only 2% at best of the population.


What about the current critera do you term a "giveaway spree"?


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23 Apr 2013, 11:28 am

The criteria for diagnosis in the UK are stricter than even the old DSM, let alone the new one.
Here in Britain we're at least a decade behind the USA in terms of general understanding and recognition of ASDs.



rapidroy
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23 Apr 2013, 12:01 pm

AgentPalpatine wrote:
rapidroy wrote:
Wait until the new manuel comes out, that will be the end to the ASD Dx giveaway spree. Still its only 2% at best of the population.


What about the current critera do you term a "giveaway spree"?


Can't you get an ASD Dx as PDD-NOS missing some of the ASD criteria? thats going away isn't it? I'm not calling all of these people out as not autistic as meny certinly are however meny are likely just shy introverted kids getting a label. All depends were you draw the line.



VisInsita
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23 Apr 2013, 12:40 pm

Callista wrote:
They're saying 1:50 now for autism, or something of the sort... I keep thinking to myself, "If it's going to be so common now, does that mean it'll be considered unremarkable? Does it mean that I won't get the help I need because people will assume that I'm "just a little quirky" instead of truly disabled?

And yet I'm ashamed of thinking this way because as far as I can tell most of those new diagnoses are going to people who really need it--maybe people who aren't obviously and severely autistic, but if you're falling short of what's expected of the average person, does it matter that much whether you're falling short by an inch or by a mile? I don't think so.

Maybe I'm just scared of the unknown, scared of autism changing in the public viewpoint from something obvious and severe (which it mostly isn't) to something common and mild (which it often isn't)... It's like, I know how to deal with the old stereotype; I know how to get people to see me as an individual despite that; now I'm going to have to relearn it all under the new paradigm.

Just autistic transition anxiety? Maybe I'll look back on this and go, "Boy, you were silly to be worried about this." It's long overdue to recognize those milder cases as autism. It's a good thing. And yet I'm still scared of change.


Isn’t it funny how, when we get something we’ve hoped for, suddenly those who waited with us for the same things become a threat? Why would the ones diagnosed after you automatically be less severe when in fact their autism has no relation to yours?

Could it be that deep down more than any diagnostic criteria you are bothered by something else, like being forever trapped somewhere in between being not “severe” enough to be truly who you are and still never being “normal” enough. I certainly feel this way. At the end there is no autism. There is nothing but the friction between me and the imagined or true expectations of the rest of the world.

From early on you are unconsciously taught to be ashamed of yourself. The world wanted to root out a lot, though meant no harm. To learn to let that loose and to find a balance between what you are and what the rest want you to be, is more important than any label of severity. I remember a mother of a severely autistic boy in a documentary saying that she eagerly waits for heaven, for in heaven there is no autism. But if there’s no autism in heaven, in the waiting line she isn’t to meet her son, but someone else.



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23 Apr 2013, 1:04 pm

I just started reading about Asperger Syndrome/Autism this last year and in that time the count went from 1:100 (1%) to 1:88 (1.13%), and recently at 1:50 (2%) after browsing the net upon reading this post (though 1:54 was already the prevalency in boys, they may have changed it to the same for girls, and all the inclusion of PPD-NOS, etc. in the DSM-V). Part of this is due to changing criteria, more accurate diagnoses, and more people than ever are going to a psychiatrist (it held more stigma in the past). I don't think it is really a change in frequency of people having it, but people that have had it all along are now finding out and more and more children are being diagnosed and worked with rather than being sat aside and ignored because of their problems.

Here is a statement from the Autism Science Foundation:

"How Common is Autism?
In 2012, the Centers for Disease Control and Prevention’s Autism and Developmental Disabilities Monitoring Network reported that approximately 1 in 88 children in the United States has an Autism Spectrum Disorder. This represents an increase in the prevalence of autism spectrum disorders compared to earlier in the decade when prevalence was cited as 1 in 110 and 1 in 166. In the 1980’s autism prevalence was reported as 1 in 10,000. In the nineties, prevalence was 1 in 2500 and later 1 in 1000. It is problematic to compare autism rates over the last three decades, as the diagnostic criteria for autism have changed with each revision of the Diagnostic and Statistical Manual (DSM). In 1983 the DSM did not recognize PDD-NOS or Asperger's syndrome, and the criteria for autistic disorder (AD) were more restrictive.

ASDs are almost 5 times more common among boys (1 in 54) than among girls (1 in 252) and they are reported in all racial, ethnic, and socioeconomic groups. Studies have been conducted in several continents (Asia, Europe, and North America) that report a prevalence rate of approximately 1 percent. A 2011 study reported a 2.6 percent prevalence of autism in South Korea."

In short, some things to keep in mind:

-When it was a rare diagnosis there were less services, now that is more common and better understood there are more services.
-The statistics are from the US, and most likely would also apply to Europe due to a similar ethnic/genetic population. 1% is still considered the worldwide prevalency.
-Services aren't likely to vanish, but could become in more demand. It might be bumpy, but I doubt they're going away anytime soon.
-Bipolar is as common as 1:50 in the US, Schizophrenia is as common as 1:100 in the US, PTSD is as common as 1:14 in the US, GAD is as common as 1:83 in the US (statistics taken from WebMD).

I don't think there is really anything to worry about overall.


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Last edited by xMistrox on 23 Apr 2013, 1:40 pm, edited 1 time in total.

AgentPalpatine
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23 Apr 2013, 1:13 pm

rapidroy wrote:
Can't you get an ASD Dx as PDD-NOS missing some of the ASD criteria? thats going away isn't it? I'm not calling all of these people out as not autistic as meny certinly are however meny are likely just shy introverted kids getting a label. All depends were you draw the line.


Yes, it does depend where you draw the line. There is no "acid test" for ASDs based on neurology, practioners have to base off of observed and/or documented critera.

I'd rather the line be inclusive, because the issues caused by a missing DX are far more extreme than the issues caused by a false positive.

In fact, due to social constraints, the risk of false positives is lower than it would be due to practioner random error. Simply put, individuals who don't appear to have ASDs arn't going to be refered for an ASD DX.


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23 Apr 2013, 1:14 pm

I think I know what you mean ,OP. The 1 in 50 stat makes me cringe. Growing up AS was this odd unheard of severe neurological condition and now it's almost a fad and everyone's researching it and they're slowly revealing it to be more and more common. I was used to people thinking it was more severe than it was (the stereotype of a non-verbal autistic person constantly rocking or something). This new stereotype of a quirky smart person who doesn't really have anything seriously wrong with them is new and equally wrong but more disturbing bcs I'm not used to it. Yep, I understand.



Greb
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23 Apr 2013, 1:28 pm

Well, those data are not really worldwide.

For example, in Spain, 2008, it's reckoned to happen one or two cases every 1000 children. In France, it's about one every 150 children. In Mexico, one very 500 children.

Data inside US are highly variable:

http://www.cdc.gov/ncbddd/autism/docume ... report.pdf

Besides, there's not a clear explanation about how they diagnose a kid. I was looking for the questions that are made. No way:

http://www.cdc.gov/nchs/data/nhsr/nhsr065.pdf

And when you check the symptoms they look in austist children, http://www.cdc.gov/ncbddd/autism/signs.html

http://www.cdc.gov/ncbddd/autism/signs.html wrote:
Possible "Red Flags"
Not respond to their name by 12 months of age
Not point at objects to show interest (point at an airplane flying over) by 14 months
Not play "pretend" games (pretend to "feed" a doll) by 18 months
Avoid eye contact and want to be alone
Have trouble understanding other people's feelings or talking about their own feelings
Have delayed speech and language skills
Repeat words or phrases over and over (echolalia)
Give unrelated answers to questions
Get upset by minor changes
Have obsessive interests
Flap their hands, rock their body, or spin in circles
Have unusual reactions to the way things sound, smell, taste, look, or feel
Social Skills
Does not respond to name by 12 months of age
Avoids eye-contact
Prefers to play alone
Does not share interests with others
Only interacts to achieve a desired goal
Has flat or inappropriate facial expressions
Does not understand personal space boundaries
Avoids or resists physical contact
Is not comforted by others during distress
Has trouble understanding other people's feelings or talking about own feelings
Communication
Delayed speech and language skills
Repeats words or phrases over and over (echolalia)
Reverses pronouns (e.g., says "you" instead of "I")
Gives unrelated answers to questions
Does not point or respond to pointing
Uses few or no gestures (e.g., does not wave goodbye)
Talks in a flat, robot-like, or sing-song voice
Does not pretend in play (e.g., does not pretend to "feed" a doll)
Does not understand jokes, sarcasm, or teasing
Unusual Interests and Behaviors
Lines up toys or other objects
Plays with toys the same way every time
Likes parts of objects (e.g., wheels)
Is very organized
Gets upset by minor changes
Has obsessive interests
Has to follow certain routines
Flaps hands, rocks body, or spins self in circles
Other Symptoms
Hyperactivity (very active)
Impulsivity (acting without thinking)
Short attention span
Aggression
Causing self injury
Temper tantrums
Unusual eating and sleeping habits
Unusual mood or emotional reactions
Lack of fear or more fear than expected
Unusual reactions to the way things sound, smell, taste, look, or feel


Many of them are about lack of intelligence or lack of social skills. Not to say that the other symptoms look more like ADHD instead of ASD. I don't know if there's a clear idea right now among NT psychologists of what ASD is. It's like they need to see it as a mental dissability no matter what. Not sure if they're classifying as autist just kids with low IQ.


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23 Apr 2013, 1:34 pm

Greb wrote:
Well, those data are not really worldwide.

For example, in Spain, 2008, it's reckoned to happen one or two cases every 1000 children. In France, it's about one every 150 children. In Mexico, one very 500 children.


Given what Alex has been working so hard to change in France, it's probably a blessing that the DX rate is so low.

The CDC has to be vaugue when it comes to ASD issues, look at the inquisition they faced from the House hearing back in November, that was just absurd. Better to say a lot of things could mean ASD, and forget about it, it's safer politically and it's safer on Capital Hill.


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naturalplastic
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23 Apr 2013, 1:35 pm

[quote="xMistrox"]I just started reading about Asperger Syndrome/Autism this last year and in that time the count went from 1:100 (1%) to 1:88 (1.13%), and recently at 1:50 (4%) quote]

1:50 is two percent. Not four percent.



xMistrox
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23 Apr 2013, 1:41 pm

naturalplastic wrote:
xMistrox wrote:
I just started reading about Asperger Syndrome/Autism this last year and in that time the count went from 1:100 (1%) to 1:88 (1.13%), and recently at 1:50 (4%)


1:50 is two percent. Not four percent.


My appologies, math is my weak-point :).


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23 Apr 2013, 2:14 pm

I think psychologically, 1:50 seems a lot more than 1:100, even though it isn't really- get 100 people and you've only got one more, and how often are you around more than 100 people?

I'm glad people are getting diagnosed. I'm optimistic people will come to see autism for what it is- a spectrum almost as varied as the general population.



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23 Apr 2013, 2:22 pm

NIMBY

NIMBY
From Wikipedia, the free encyclopedia
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An airport is a typical example of a development that can cause a NIMBY reaction: developers may claim economic benefits for the city, while locals may benefit from improved transport links and new jobs—but they may oppose it with objections to the noise, pollution and traffic it will generate.
Unfinished tower in Tenleytown, Washington, D.C. that was later removed as a result of complaints from the local neighborhood
Motorists requesting less car traffic in their street

NIMBY (an acronym for the phrase "Not In My Back Yard"), or Nimby, is a pejorative characterization of opposition by residents to a proposal for a new development because it is close to them, often with the connotation that such residents believe that the developments are needed in society but should be further away. Opposing residents themselves are sometimes called Nimbies.

Projects likely to be opposed include but are not limited to tall buildings, chemical plants, industrial parks, military bases, wind turbines, desalination plants, landfills, incinerators, power plants, prisons,[1] mobile telephone network masts, legal abortion clinics,[2] schools, kindergartens, nuclear waste dumps, youth hostels, wind farms, golf courses, sports stadiums, housing developments, and especially transportation improvement schemes (e.g. new roads, bridges, passenger and freight railways, highways, airports, seaports).

The NIMBY concept may also apply more generally to people who advocate some proposal (for example, austerity measures like budget cuts, tax increases, or layoffs), but oppose implementing it in a way that would require sacrifice on their part