Difference between Asperger's and high functioning autism?
I gather some experts maintain there's no difference.
But I did read something about a pair of twins,. one of whom had AS and the other HFA. It said that one difference was the way they tackled difficult reading material.....the HFA one would have a go but found it easy to give up if it wasn't proving productive.....the AS one would continue to the bitter end, although he might complain a lot about how hard the work was.
It seems that diagnistically the main difference between AS and HFA is speech delay. However, I was told another qualitative difference is that most people with AS have a want and a need for friends and have difficulty obtaining them, while people with HFA prefer to be alone and solitary.
From what I have seen this can be true. It is for me and for my cousin with Aspergers. I very much would rather to entertain myself, while my cousin on the other hand would like to be with other people and just has a hard time.
But what do you guys think?
Bos
The importance of speech delay is overstated. Speech disorder, lack of pretend play and a number of other things also can differentiate the two, but in reality there is no clear boundary in the form of a solid differential diagnosis for autism / AS (and PDD-NOS, for that matter). I'd guess HFAs would have more issues with speech and/or reading in general. I'd also mention PDD-NOS because it also includes many HF people on the autism spectrum. So, how would you call them? PDD-NOS-ee people (like in Autie)? Ridiculous. I refer myself as HFA or super-HFA or simply mildly autistic (HFA is written in my dx actually, while it's officially PDD-NOS).
_________________
Another non-English speaking - DX'd at age 38
"Aut viam inveniam aut faciam." (Hannibal) - Latin for "I'll either find a way or make one."
How about atypically autistic people? (Referring to atypical autism of the ICD)
Not at all a cute term such as Aspie or Autie but I feel that it beats PDD-NOS-ee people by a bit.
It's so much longer though... what about atypical Autie? Atypical Aspie? These might sound a little strange however.
_________________
Autism + ADHD
______
The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett
You know, on the road toward getting my official diagnosis according to the DSM-IV (after I had lived with a diagnosis of 'a certain autistiform disorder' ever since early elementary school), I kept thinking, having read about autism in books and here on Wrongplanet, that I had Asperger's syndrome. However, the psychiatrist diagnosed me with 'autistic disorder' (299.00).
Yet, I:
- never had speech delay.
- never had a lack of imaginative play in my childhood.
- taught myself how to rad at the age of 3 years old
However, the following does fit me to a tee:
HFA usually has aloof or passive social behavior
AS usually has active but odd or overly formal and stilted social behavior
(Those four behaviors are clinical terms.)
So maybe I'm just a misdiagnosed Aspie.
Or maybe I'm an HFA with tinges of Asperger's.
Or maybe the guys behind the DSM-V are right, and the distinction between the two is unnecessary, and in need of streamlining. If they push the DSM-V through, no distinction will be made between HFA and Asperger's.
I should have asked the psychiatrist how she came to the diagnosis, but I neglected to.
_________________
clarity of thought before rashness of action
How about atypically autistic people? (Referring to atypical autism of the ICD)
Not at all a cute term such as Aspie or Autie but I feel that it beats PDD-NOS-ee people by a bit.
It's so much longer though... what about atypical Autie? Atypical Aspie? These might sound a little strange however.
Thanks Sora, but I don't see real atypicality there, and all the terms seem a bit too clumsy. I don't feel I differ that much or have atypical traits like the label would suggest. Everyone is different to a degree and there's no consistent diagnostic category today.
HFA usually has aloof or passive social behavior
AS usually has active but odd or overly formal and stilted social behavior
(Those four behaviors are clinical terms.)
I'm not sure how these terms transform into guidelines when it comes to using them in diagnosing practices without much subjectivity. Depending on how you look at it I may appear one or the other. At what age? In what situation? As an adult I can handle social interactions much better and there were stages in my life when I was quite aloof and didn't seek interactions with my peers with only a few exceptions. There were more active periods too. I never was formal or "stilted", though. My communication was (is) simply clumsy.
According to my research, I have Asperger's Syndrome. I had no speech delay, quickly came to read way above grade level, and always engaged in imaginative play. I don't stim as obviously as others do. I do sometimes twirl utensil, pens, etc, I bounce a knee much of the time when sitting, and sometimes lift one or both feet, slowly, and repeatedly while sitting, but these are not so in people's faces, and can be taken as nerves or physical doodling--like absentmindedly making scribbled drawings, only using your body to vent feelings instead of a pen or pencil. I did often speak with a monotone voice as a child, and often had an expressionless face, but I was usually trying to be expressionless, to keep others from knowing how much I hurt, so they couldn't use that as a sign of weakness. They would have hurt me even worse then. I also wanted to socialize with other kids, but was preyed upon by them instead. I also have found contact with adults unsatisfactory, so I grew out of wanting to socialize, and now prefer to be alone. Why would I want to keep doing something that keeps biting me? Like the doctor said, "If it hurts when you do that, then don't do that." So I am now a hermit type person, by choice, and find my life a lot less stressful and more peaceful now.
The line between HFA and Asperger's does seem kind of blurry in some areas, though, so I don't think we should be making a big deal out of it.
_________________
If a man does not keep pace with his companions, perhaps it is because he hears a different drummer.
Let him step to the music which he hears, however measured, or far away.--Henry David Thoreau
Most of the time speech delay is not considered. As has been said, speech delay does not make or break the diagnosis of aspergers.
Similar Topics | |
---|---|
high functioning vs classic autism |
23 Mar 2024, 2:38 pm |
Many Asperger's cases unrelated to Kanner's autism IMO |
10 Feb 2024, 10:56 am |
Question about Asperger Syndrome and tem "Severe Asperger" |
29 Jan 2024, 11:37 pm |
Harder to teach Low vs High IQ ??? |
21 Jan 2024, 7:45 pm |