Aspergers and Autism two different conditions?

Page 1 of 2 [ 20 posts ]  Go to page 1, 2  Next

sharkattack
Veteran
Veteran

User avatar

Joined: 9 May 2012
Age: 52
Gender: Male
Posts: 1,101

29 Nov 2013, 8:40 pm

Could these be two distinct conditions with similar symptoms.

Among all the difficulties in my life Aspergers carries a normal IQ some times a little more.

I kind of feel guilty using the term Autism for myself when I see how much harder many children with Autism have it.

I have listed my problems and difficulty's here a number of times.

However I work and can enjoy a drink or a nice meal or cinema visit.

I have been on holiday to a number of countries also.

I am just asking the question to open of the topic because in all honesty I have no idea either way two conditions or one condition on a spectrum.



Callista
Veteran
Veteran

User avatar

Joined: 3 Feb 2006
Age: 43
Gender: Female
Posts: 10,775
Location: Ohio, USA

29 Nov 2013, 9:04 pm

The stereotypes of "autism" and "Asperger's" are certainly distinct. But the actual people with those two diagnoses are practically impossible to separate into groups.

Autistics are supposed to be speech-delayed. Well, some speech-delayed people, in adulthood, are highly intelligent and completely independent. They are diagnosed with classic autism, but doing better than the average Aspie.

On the other side of it, you have autistics with intellectual disabilities, whose speech is not delayed when compared to non-autistics with similar IQs. Essentially, these are Aspies with intellectual disabilities.

Childhood tends to be quite difficult for both Aspies and auties. In the very early years, when the speech-delayed group seems so different from the non-speech-delayed group, you might think that they are really very different. But look closely, and you will see that the group without speech delays still has communication delays. They might not understand how to have a conversation. They probably don't understand body language. They may have problems with facial expressions, connotation, and social expectations. It's very possible for a non-verbal child to be able to communicate something that a language-using autistic cannot, if the non-verbal child can grab an adult's hand and lead them there, while the speaking child may not understand how to initiate the conversation.

With autism, we have this huge array of possible traits, but they don't fall into neat little sub-groups. What we have is a single disorder of cognition, social interaction, and information processing, which can be expressed in many ways, with each possible trait ranging from mild to severe. There is nothing that sets Asperger's apart, except for that stereotype of non-severity--a stereotype that often doesn't hold true.

I don't think we need separate categories for Asperger's and Autism just because autism has such a diversity of traits. Autism wouldn't be the first disorder like that. Depression can be mild and require only weekly counseling for two months, or it can be absolutely paralyzing and put you in the hospital for ECT. Cancer can be a scare handled with minor surgery in a doctor's office, or it can be deadly. A broken bone can be so mildly cracked that all it needs is rest, or it can be so shattered that repair is impossible and the limb is lost. Dyslexia can just make reading tiring, or can make learning to read impossible.

Autism can be mild, only an inconvenience--not inconsequential, but needing only minor help and only in childhood. That doesn't mean it's a different thing from autism that requires a lot of help over one's whole lifetime.

It would be nice and neat if everybody with one label had the same set of traits, but that's just not the case. Autism can mean a lot of things.


_________________
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com

Autism Memorial:
http://autism-memorial.livejournal.com


sharkattack
Veteran
Veteran

User avatar

Joined: 9 May 2012
Age: 52
Gender: Male
Posts: 1,101

29 Nov 2013, 9:14 pm

That is a very good answer.

This is indeed a complex issue.



Mr_Nice
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 11 Aug 2013
Gender: Male
Posts: 73

29 Nov 2013, 9:16 pm

What constitutes speech delay?


_________________
The absurd is the essential concept and the first truth - Albert Camus


Willard
Veteran
Veteran

User avatar

Joined: 23 Mar 2008
Age: 67
Gender: Male
Posts: 5,647

rhp
Butterfly
Butterfly

User avatar

Joined: 10 Mar 2013
Gender: Male
Posts: 9

29 Nov 2013, 9:51 pm

For (enormous) detail about this, see this book: Rethinking Autism: Variation and Complexity, by Lynn Waterhouse.

As best I can tell, many researchers currently believe that autism may have "subtypes" - I've seen speculation guessing around 10 subtypes, and other speculation with much higher numbers - nobody knows. There's some research in progress to try to unpack it such as Autism Phenome Project ( http://www.ucdmc.ucdavis.edu/mindinstit ... earch/app/ ).

If all the subtypes were eventually understood, most likely the primary diagnosis would be the subtype (these diagnoses would potentially be syndromes including traits other than the autism diagnostic criteria, and might also narrow down which of the autistic traits are likely to apply).

I hear you about feeling guilty using the word "autism," but I'm not sure distinctions such as "low-/high-functioning" do any favors for anyone either, so it's something of a no-win situation. Often it can work to just be specific about the difficulties or needs you or someone else may have in a particular situation.



cyberdad
Veteran
Veteran

User avatar

Joined: 21 Feb 2011
Age: 58
Gender: Male
Posts: 36,036

29 Nov 2013, 9:52 pm

Mr_Nice wrote:
What constitutes speech delay?


I think they call it a communication deficit these days...many Auties like my daughter were quite capable of speech from 10 months.



btbnnyr
Veteran
Veteran

User avatar

Joined: 18 May 2011
Gender: Female
Posts: 7,359
Location: Lost Angleles Carmen Santiago

29 Nov 2013, 9:57 pm

It is useful and interesting to study autism in terms of subgroups, as I am finding at least two clear subgroups from the asd population in my research data.

Amongst HFASD, there is probably spectrum of language delay from verry merry berry early speaking and language use for one-sided communication to quite late speaking that eventually develops into fluent speech in later childhood and even teenage years and eberrything in between, and there are probably measurable brain and behavioral differences between these groups persisting into adulthood.


_________________
Drain and plane and grain and blain your brain, and then again,
Propane and butane out of the gas main, your blain shall sustain!


pete1061
Veteran
Veteran

User avatar

Joined: 12 Nov 2011
Age: 56
Gender: Male
Posts: 1,766
Location: Portland, OR

29 Nov 2013, 10:05 pm

Considering that Aspergers has now been grouped into the autism spectrum in the DSM-V, there really isn't that much of a difference.
I'm kinda glad for that because of all the snickering and teasing that came around the word "aspergers". Heck, South Park made an episode making fun of the word.
People tend to take you more seriously when you say "high functioning autistic" rather than "aspergers".


_________________
Your Aspie score: 172 of 200
Your neurotypical (non-autistic) score: 35 of 200
You are very likely an Aspie
Diagnosed in 2005


cberg
Veteran
Veteran

User avatar

Joined: 31 Dec 2011
Gender: Male
Posts: 12,183
Location: A swiftly tilting planet

29 Nov 2013, 10:34 pm

My diagnosis was Asperger's, and regardless of what it sounds like, it's more informative for me telling people I have HFA or giving them a quick definition of AS. There's no reason the conditions should carry the name of the one researcher, just as much credit is due to... us...


_________________
"Standing on a well-chilled cinder, we see the fading of the suns, and try to recall the vanished brilliance of the origin of the worlds."
-Georges Lemaitre
"I fly through hyperspace, in my green computer interface"
-Gem Tos :mrgreen:


aaronzx
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 21 Nov 2013
Age: 34
Gender: Male
Posts: 66
Location: Australia

29 Nov 2013, 11:13 pm

Mr_Nice wrote:
What constitutes speech delay?


I am interested in this too.

I didn't speak until I was 3 years old, though after I started speaking I rapidly became fluent. Is this speech delay?



FluttercordAspie93
Veteran
Veteran

User avatar

Joined: 29 Sep 2013
Gender: Female
Posts: 1,374
Location: San Antonio, TX

29 Nov 2013, 11:21 pm

I always kind of thought that Asperger's and Autism were linked together, but I'm no expert.

BTW sharkattack, I like your avi.



Waterfalls
Veteran
Veteran

User avatar

Joined: 21 Jun 2013
Gender: Female
Posts: 3,075

29 Nov 2013, 11:41 pm

I agree with Cberg, for communicating, HFA is understood, Aspergers is not a familiar term to many people.

And when it comes to those having frequent contact, a description of the concern or problem is much more valuable than a label.



ASPartOfMe
Veteran
Veteran

User avatar

Joined: 25 Aug 2013
Age: 68
Gender: Male
Posts: 39,637
Location: Long Island, New York

30 Nov 2013, 1:01 am

Willard wrote:


It is one study that is interesting and is suggestive of a possible future change in the consensus. Right now the professional consensus is that Aspergers is a part of the autism spectrum.


_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


ASPartOfMe
Veteran
Veteran

User avatar

Joined: 25 Aug 2013
Age: 68
Gender: Male
Posts: 39,637
Location: Long Island, New York

30 Nov 2013, 1:06 am

pete1061 wrote:
I'm kinda glad for that because of all the snickering and teasing that came around the word "aspergers". Heck, South Park made an episode making fun of the word.
People tend to take you more seriously when you say "high functioning autistic" rather than "aspergers".


That is creating definitions at least partly on the basis of ableism.


_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


mouthyb
Deinonychus
Deinonychus

User avatar

Joined: 5 Aug 2013
Age: 48
Gender: Female
Posts: 323
Location: Somewhar dusty and hot.

30 Nov 2013, 1:35 am

On the speech or communications delays front, here's two examples from my life:

My son didn't start using words (instead of making up his own sounds and patterns) until after three. Before that he'd make noises that sounded like words (and were repeated so that you could get a sense for what he meant, accompanied with gestures or staring, etc.) He was obviously trying to communicate, but not in the language we share. He's 6 now and he still makes up words, sprinkling regular English with idiosyncratic word combinations and sounds that he's happy to try to define for you. If he's reaching for a word for something (because he either doesn't find a word that fits or because he's upset at someone), you're likely to get what is considered babble out of him.

I mostly understand him, because we talk so much, but to anyone observing, he ceases to speak English. It's a continuing theme on his progress reports, and something the specialists seeing him would very much like not to hear, but it bothers me very little (since he accompanies it with explanations and gestures.)

I was hyperlexic and read everything in sight, so I talked early (and talked like a 'little professor'), but I also didn't make full sense out of everything I heard and read, so sometimes I combined words eccentrically--for instance, my relatives fish a lot, and I didn't know it was just 'fishing', so I asked if we were going to go 'fish-killing' during a visit. Seems small, but that sort of thing was a pattern in my speech. Sometimes, when people talked to me, they'd run into a 'blank' spot, where I'd lose speech and sit there and stare at them, because they'd asked a question in an area in which I didn't have special knowledge.

Both are a kind of communication delay. In my son's case, it's more a general speech delay, and in mine it was a delay in expressive/receptive language (which he also has.)


_________________
RAADS-R: 181
Eye Expression Test: 19
Alexithymic: Please explain conclusions if asked

The feels are shipped in by train once a week--Friday, I'm in love.