4 ms·
Lumping autism and Asperger's into a single spectrum disorder was a mistake imho. I'll be using the old terminology here, for clarity. The two share some sympt
by samatman 3y ago
Lumping autism and Asperger's into a single spectrum disorder was a mistake imho. I'll be using the old terminology here, for clarity.
The two share some symptoms, but largely in the "all psychiatric disorders are comorbid" way. Asperger's is best modeled as a personality disorder[0][1] whereas autism proper is a neurodevelopmental disorder, associated with significant developmental disability and delay in mastering basic human skills, some of which, sometimes, never manifest.
Most of the flak in "treatment of autism" comes from adults with Aspergers, and usually milder cases of it. This is what happens when you lump such people in with non-verbal twelve-year-olds who wear helmets, especially if misguided physicians and parents attempt to "treat" them using protocols designed for the latter sort of person.
People with Asperger's can benefit, sometimes, from guidance and therapy. They, and those close to them, often suffer from their condition, to some degree. But like any personality disorder, there's a spectrum from mild to severe, and on the mild side of the line, at the limit, it's not a personality disorder, it's a personality.
None of which has anything to do with autism proper, which is, even in the mildest forms, a severe and lifelong disability. Many who suffer from it will require lifelong personal care, they pose a physical threat to themselves and others, and/or will never be able to master basic life skills (along the lines of wiping your bum or tying shoelaces) which preclude independent living.
[0]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717043/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717043/
[1]: having a personality disorder isn't a shameful thing, it isn't an insult, and if this characterization upset you, I apologize for that.
- squigz 3y agoWell I can wipe my own bum, so I guess I'm doing alright
- giantg2 3y agoAsperger's may result in a personality or personality disorder, but is much more than that. The disability to recognize and learn various social cues, consistently grasp context, and prioritize emotion in parallel with logic results in the personality or the personality disorder. There are many other types or subtypes of autism aside from Asperger's and "autism proper". We could separate them out, or lump them together. It's largely unimportant so long as the best diagnosis and intervention can still be made.
- AndrewDucker 3y agoIf it helps, think of the old "Aspergers" as "Autism" and the old "Autism" as "Autism with a developmental comorbidity". I think the idea being that "autism" is the "Has problems with social skills" part of it, and the developmental issues being something that frequently come along with it. But as nobody knows exactly what autism is, and it's defined as an intersecting cluster of symptoms, I suspect that this conversation won't be a useful one until we get to the bottom of it.