When I say I am "Autistic":
I use "autistic" as a general term for the entire autism spectrum. I think Asperger's and other types of autism are too similar, with too much overlap between them and no clear dividing line, with too many cases on the borderline between them, to be truly separate entities. Certainly you can pick examples of other types
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Autism is only the extent to which a category of diversity and humanity does not fit within prevailing paradigms and norms.
I don't care what anyone wants to call it, because for all there ADOS and "gold standard" diagnostic schedules they have effectively invented something to keep themselves in a job and a position of perpetual uncertainly and questioning.
The last thing the professionals actually want is an answer because there are effectively on a boojum hunt.
Larry
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I do have a problem with people who are diagnosed with Asperger's saying, "Well, I COULD be diagnosed with Autistic Disorder according to the criteria, but I'm not. I COULD be though."
According to the DSM, Autistic Disorder "trumps" Asperger's. If you meet the criteria for Autistic Disorder than you can't be diagnosed with Asperger's; it says it in the DSM.
So, if a doctor actually follows the DSM and you are diagnosed with Asperger's that means you don't meet the criteria for Autistic Disorder.
But, to solve this, let's just use ASD.
So, people with Asperger's have a "mild ASD" and people like my couisn, who is profoundly LFA, have a "profound ASD."
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I really think doctors need to go by the book; it's THERE for a reason.
I guess they must not follow this, then:
"Asperger's Disorder is not diagnosed if criteria are met for another Pervasive Developmental Disorder or for Schizophrenia."
I definitely think that a person with severe autism as a youth can grow up to be much more successful than someone with Asperger's, which is why I, personally, think they are different types of ASDs. I've noticed many differences between myself (and other people diagnosed with autism) and people diagnosed with Asperger's. There seem to be different cognitive "things" going on in the brains of people with AS vs. HFA. I know most people think the only difference is a speech delay but, from my experience, I REALLY disagree with that.
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(Also, with the diagnostic-category overlap, you also have to factor in at what point in time the person is diagnosed. I was evaluated before the DSM-IV came out, and thus was tagged with PDD-NOS rather than Asperger's, which didn't exist yet).
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Apart from all the stuff you mention, I don't think to volunteer information. I have to be asked directly, and usually in very specific terms, before I'll think to tell somebody something. And, especially if it's something I have trouble perceiving or understanding, like a feeling or a bodily sensation, I won't even be able to describe it if asked. Usually, I just assume that whatever I am feeling --- even something like pain, dizziness or severe nausea --- is perfectly normal and everybody gets it. (Or, alternately, I'll know something is *wrong*, but won't think to articulate it. Or be able to articulate it even if the notion to do so should occur to me).
I also cannot always talk back to someone, though. And sometimes my speech is quite halting and broken --- my verbal abilities are really uneven.
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