Subtyping the HFA: Asperger's vs. (?)

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mdea
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09 Oct 2023, 7:30 pm

I've studied tons of the professional materials and I have to tell you that the so-called high-functioning autism (HFA) is probably not the Asperger's syndrome only (according to the current classification) but there is also another subtype of HFA that takes place accurately between the Kanner's syndrome and the AS.

HFA is not a term used in the DSM, but it is commonly used to identify patients diagnosed with Autistic Disorder or PDD-Not Other Specified, with average or above average intellectual abilities (IQ higher than 70). HFA differs from low-functioning autism (IQ lower than 70) in terms of clinical presentation, prognosis and need of support and assistance in daily life.

Why is this important?
1) I'm just confused and disoriented with my actual diagnosis (AS) cuz I do not really fit in. I have much more severe autistic symptoms like severe sensory overload etc., dyslexia, very high dependency on auto-stimulation (sensory and motor-sensory), I have the huge problems with empathizing and the 'theory of mind' thing.
2) i'm so bad at communication and social interactions that I completely can't work with people, I don't have any friends and I do not communicate with my relatives.
3) I need more support than AS 1 level, and during the regress of my state I sometimes need even the 3 level. I mean, literally, im very helpless in my daily life although I am an adult age of 25+ and have all the skills and even some professional talents.

Take a look at this research: Subtyping the Autism Spectrum Disorder: Comparison of Children with High Functioning Autism and Asperger Syndrome doi: 10.1007/s10803-018-3689-4

All in all, I find it valid and extremely accurate. It completely explains my situation.

tl dr:
- HFA are worse in unawareness of the unwritten rules of social play
- HFA tend to avoid social contact more than AS
- more excessive amount of reassurance
- less eye contact when in a conversation than AS
- HFA are more uninterested in other side of the conversation
- HFA demonstrate the exceptional long-term memory for events/facts but poorer working memory
- lower performance in school learning abilities: reading, writing, mathematics etc.
- HFA are often comorbid with ADHD but not the depression and anxiety, compared to AS

Other studies underlined qualitative differences in the grey matter distribution between AS and HFA; these findings not only support the hypothesis that the two disorders might have different neurobiological basis, but also the evidence that mixing individuals with autism and AS may sometimes obscure important characteristics of one or the other condition alone

So what do you think about this problem? Have you identified with HFA?
also, I really think that 'HFA' needs another label as the Asperger's is definitely high-functioning subtype too.

Quote:
Applying DSM-5 severity levels, 95% of AS subjects were classified as Level 1; 55.7% of HFA subjects were classified as Level 1 and 44.3% as Level 2.



Last edited by mdea on 09 Oct 2023, 8:43 pm, edited 1 time in total.

blitzkrieg
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09 Oct 2023, 8:15 pm

In the latest edition of the DSM, the DSM V, neither the term HFA of Asperger's Syndrome is used and instead, an umbrella term Autistic Spectrum Disorder is used.

HFA & Asperger's Syndrome were most recently included in the DSM IV, which has been replaced by the DSM V.

So I wouldn't worry about either of those labels, as they are going to be increasingly irrelevant over time.



mdea
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09 Oct 2023, 8:44 pm

blitzkrieg wrote:
In the latest edition of the DSM, the DSM V, neither the term HFA of Asperger's Syndrome is used and instead, an umbrella term Autistic Spectrum Disorder is used.

HFA & Asperger's Syndrome were most recently included in the DSM IV, which has been replaced by the DSM V.

So I wouldn't worry about either of those labels, as they are going to be increasingly irrelevant over time.


yeah I know but the problem is still
Quote:
Other studies underlined qualitative differences in the grey matter distribution between AS and HFA; these findings not only support the hypothesis that the two disorders might have different neurobiological basis, but also the evidence that mixing individuals with autism and AS may sometimes obscure important characteristics of one or the other condition alone.



Last edited by mdea on 09 Oct 2023, 8:47 pm, edited 1 time in total.