Quote:
Nordic Journal of Psychiatry, "Sukhareva — Prior to Asperger and Kanner," by IRINA MANOUILENKO and SUSANNE BEJEROT, March 2015.
https://www.researchgate.net/publicatio ... and_KannerPDF file --> click on blue "Download" in middle of page.
--------------------------------------------------------------------------------
An autistic attitude: Tendency toward solitude and avoidance of other
people from early childhood onwards; avoids company with other
children• Impulsive, odd behavior
• Clowning, rhyming
• Some were speaking endlessly or asking absurd questions of the people
around them
• Affective life flattened
• Seems odd
• A tendency toward abstraction and schematization (the introduction of
concrete concepts does not improve but rather impedes thought
processes)
• Lack of facial expressiveness and expressive movements
• Mannerism; decreased postural tone; oddities and lack of modulation of
speech
• Superfluous movements and synkinesis
• Nasal, hoarse or high pitched whining voice or lacking in modulation
Keep apart from their peers, avoid communal games and prefer
fantastic stories and fairy tales
• Find it hard to adapt to other children
• Ridiculed by their peers and have low status
Tendency towards automatism: Sticking to tasks which had been started and
psychic inflexibility with difficulty in adaptation to novelty• Tic-like behaviors
• Grimacing
• Stereotypic neologisms
• Repetitive questioning; talking in stereotypic ways
• Rapid or circumscribed speech
• A tendency for obsessive-compulsive behavior
• Lengthy preparation and difficulty stopping
• Pedantic, follows principles
• Emotional outbursts
• If interrupted becomes agitated and starts the story all over again
• Strong interests pursued exclusively
• Preservative interests, e.g. conversion marked by repetitive obsessional
themes; clings to certain themes
• Tendency to rationalization and absurd rumination
• Musically gifted — enhanced perception of pitch
• Sensitivity to noise, seeks quietness
• Sensitivity to smell
Onset in early childhood
Inability to attend normal school due to their odd behaviors
Intelligence normal or above normal Some I agree with. For example, I like the fact that Dr. Sukhareva includes "sensitivity to noise" and "sensitivity to smell." I think this is more straightforward, more matter-of-fact, and more plain English than DSM-5 (although DSM does include the "hypo" reaction, as in too little reaction to sensory environment).
Some I don't agree with. For example, I don't think everyone on the autism spectrum is musically gifted (as nice as that might be!

)
And some are just weird and wondrous such as "tendency toward abstraction and schematization (the introduction of
concrete concepts does not improve but rather impedes thought processes)." That one, I'm just going to have to think about.
The part where Dr. Sukhareva writes "Find it hard to adapt to other children" and "Ridiculed by their peers and have low status," well, it's poignant and it's a chicken-and-the-egg question of which comes first. Most probably, the two feed into each other. And add to it that "school" is a conformist, high stakes environment. A professional outside of school seemingly can do the most good or the only good by changing the child. A professional inside of school, at least in theory, could start to change and improve the school environment.
For example, schools put so much emphasis on the smooth function of the classroom that the teacher themselves sometimes begins and models the ostracizing, exclusion, labelling of low-status, etc, of the student who is different, for any reason. It is overall not a healthy environment, and we shouldn't elevate it to the skies.
Last edited by AardvarkGoodSwimmer on 24 Apr 2018, 1:08 pm, edited 2 times in total.