Article: Are Aspergers and High Functioning Autism the Same?

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Do you think that AS and HFA are the same?
Yep... the same 67%  67%  [ 31 ]
No... not even close 33%  33%  [ 15 ]
Total votes : 46

gbollard
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01 Mar 2009, 6:28 pm

Have a read of this... (from June 2008).
http://www.articlesbase.com/health-articles/are-aspergers-and-high-functioning-autism-the-same-thing-448862.html

It suggests differences are;

HFA presents at 2 years of age
Aspergers presents at 3 years of age

More importantly, it says this;

Quote:
Children with Asperger's Syndrome often fail to display empathy in their behaviors. It is social interaction where these children face their deepest challenges. Many struggle or fail to develop friendships, don't take pleasure in achievements or spontaneous activities with others, lack in emotional and social reciprocity, and have diminished non-verbal communication behaviors such as facial expressions, postures, eye contact, and overall gestures.

However, children with classic autism (even those who are high functioning), Asperger's Syndrome children will not typically withdraw from other people. In fact, even if they are awkward in their method, they will often approach others and begin a discussion. It is conversation where their struggle may occur, as a discussion for a child with Asperger's Syndrome may simply consist of a long-winded single-sided speech about something the child truly enjoys, without any need for contribution from the other people present.


Compare this with statements made on Tony Attwood's web site... particularly in this document...

http://www.tonyattwood.com.au/articles/pdfs/attwood1.pdf

Tony Attwood wrote:
There has been some criticism from clinicians and research that the criteria do not identify the disorder Hans Asperger originally described. The four cases he described in his original paper would be diagnosed, according to DSM criteria, as having autism not Asperger's syndrome. (Miller and Ozonoff 1997). If one was to use the DSM criteria, Asperger's syndrome would be a very rare condition.


and

Tony Attwood wrote:
Clinical experience and research has confirmed that in terms of the child's behavioural profile, children and adults with High Functioning Autism and Asperger's syndrome have a very similar presentation (Ozonoff, South, and Miller 2000). Both groups benefit from the same behavioural treatment programs.


and

Tony Attwood wrote:
Having reviewed the literature, we may be able to answer the question, is there a difference between Asperger's syndrome and High Functioning Autism? The reply is that the research and clinical experience would suggest that there is no clear evidence that they are different disorders. Their similarities are greater than their differences. We appear to be taking, particularly in Europe and Australia, a dimensional view of autism and Asperger' syndrome rather than a categorical approach.



ooOoOoOAnaOoOoOoo
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01 Mar 2009, 6:34 pm

Asperger's Syndrome may simply consist of a long-winded single-sided speech about something the child truly enjoys, without any need for contribution from the other people present.

Yes, I was like that as a child. Very much so.



whitetiger
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01 Mar 2009, 6:48 pm

They are the same. AS is just one form of HFA. I enjoyed Attwood's quotes, BTW.


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zghost
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01 Mar 2009, 6:51 pm

Pretty much the same to me.



pakled
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01 Mar 2009, 7:06 pm

From what I hear; by DSM (or DSV, or what ever the catelog of symptoms they put out) V, there will no longer be 'AS', just HFA...



Danielismyname
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01 Mar 2009, 7:24 pm

Are AS and LFA the same? One will say yes if they say that HFA and AS are the same; they just differ in severity.

Anyway, Attwood is using Wing's definition of HFA, which is those with delayed speech/cognitive development, but who improve to the social manifestation of "active and odd", rather than staying "aloof" into adulthood. Just read the first paragraph of his paper and you can see this.

You just have to ask people with Asperger's if they think Rain Man has it (the filmed depiction); he's a perfect example of the aloof type of person with HFA; I haven't seen many people say that Rain Man has AS, even though it's an accurate depiction of HFA.



The_Wrong_Child
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01 Mar 2009, 7:25 pm

ooOoOoOAnaOoOoOoo wrote:
Asperger's Syndrome may simply consist of a long-winded single-sided speech about something the child truly enjoys, without any need for contribution from the other people present.

Yes, I was like that as a child. Very much so.


Me too. And I'm HFA.



marshall
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01 Mar 2009, 7:51 pm

Some have the opinion that AS is characterized by higher verbal IQ while HFA is characterized by higher performance IQ. Under this scheme I would classify myself as HFA. However the label of autism didn't apply to me because I didn't have a speech delay and there's no separate diagnosis for HFA (regular autism without speach delay) in the current DSM.



01 Mar 2009, 7:53 pm

I'm either HFA or AS or PDD-NOS but I don't care.



pandabear
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01 Mar 2009, 8:14 pm

As far as I can tell, they're nothing but labels.



sinsboldly
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01 Mar 2009, 11:37 pm

Tony Attwood had it in a great graph in his latest North American Seminar. He said children can start out 'normal' and then degenerate to low functioning autism, and some children start out low functioning and then generate to high functioning autism. He said people that start out with low expectations that improve do better growing up then Asperger's Syndrome kids that start out like normal but never catch up to normal.

AS means we don't have the speach delay that high functioning autism does.
That and an IQ difference.

Merle


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Callista
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01 Mar 2009, 11:47 pm

The article's kind of bogus anyway, with the "regression at two" thing. Most autistic kids are autistic from birth. And another "Aspies are not withdrawn" (many are) "and don't show empathy" (uhh... yeah, that's a misconception, true of a minority if at all). And the article goes suddenly from common-speech to jargon when they start quoting the DSM word-for-word. Plus there's a word left out ("unlike"--first sentence, last paragraph) that changes the meaning altogether.

Really, it sounds like whoever wrote it based their ideas off the DSM and the first page of Google results, with no prior knowledge of what autism even is.

But yeah, they're so close as to be functionally identical. It's not just "many crossover symptoms"--it's almost nothing but crossover. Depending on the doctor, you can get one or the other as you please. In my estimation, about 90% of people diagnosed with AS could also be diagnosed with Autistic Disorder, and the remaining 10% are on the diagnostic borderline between AS and typical.


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Last edited by Callista on 01 Mar 2009, 11:50 pm, edited 2 times in total.

cyberscan
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01 Mar 2009, 11:48 pm

There was not a choice for what I believe. I don't believe that aspergers is the same as high functioning autism, but they do share many of the same characteristics.


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millie
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02 Mar 2009, 12:03 am

i am dx'ed AS through Minds and Hearts (Attwood's clinic.) My nephew is dx'ed HFA from specialists at one of the major kid's hospitals in Sydney. (he had language delay and i did not. His language delay is now fully bridged at 4 and half years of age.)

There are other family members who would be dx'ed AS or HFA if they so chose to present for a diagnosis. the label would probably depend on where the dx occurred.

Interesting to note - they are talking about my nephew's dx as being reinterpreted as AS - which just might indicate there is less rigidity in the classifcations here in Australia (amongst ASD specialists) than there used to be.

I am AS and i am also active and odd, but with no language delay.



buryuntime
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02 Mar 2009, 1:18 am

I still don't see the difference. I'm AS and I don't awkwardly approach people, I avoid and withdraw. No language delay, however.



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02 Mar 2009, 1:59 am

In theory, they are two different things. In practice, however, they start to look like two points in a bubble of autism.