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Revision as of 17:07, 18 December 2002 editWesley (talk | contribs)7,326 edits clarification regarding just how confusing the DSM is.← Previous edit Latest revision as of 06:06, 22 December 2024 edit undoAutisticattitudes (talk | contribs)31 edits The full spectrum of Asperger syndrome is not included in the diagnostic criteria for Autism spectrum disorder, but is exempted from the diagnostic criteria by a “grandfather clause”: new sectionTag: New topic 
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I'm deleting a large chunk of text - however, since I wrote the text originally, no one should be concerned. :) I asked a friend knowelegeable about such matters to contribute some text, which I consider far superior to my initial entry and am thus putting in wholesale. ]
{{American English}}
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Quick question about the following sentence from near the end of the article: ''The Diagnostic and Statistical Manual's diagnostic criteria have been roundly criticized for being far too vague and subjective. '' Is it the DSM's Asperger's diagnostic criteria that have been criticized, or *all* of the DSM's diagnostic criteria for all the disorders it tries to cover? I don't know, but I think the sentence or paragraph could be reworded a little to remove that confusion; as it is, I could read it either way. ] 17:07 Dec 18, 2002 (UTC)
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== Better discussion why it is contradicting that asperger do not have normal level of empathy ==

Aspergers may get lack of empathy, due to conflicts or traume; this is what Hans Asperger and other resarcher observed. People with bad
general cognitive development or bad emotional development through childhood, may have problem processing emotions and thoughts in a proper way; aspergers that do not have emphatic skill, may have been wrongly diagnosed - due to lack of proper general cognitive development. If one look at csikszentmihalyi's flow model, apathy arises when skill level is low; and slides over to anxiety (social anxiety), when challenge becomes bigger. Such anxiety, that is evident through lack of empathy, is a pinpointer to problems related to general cognitive development.

] (]) 05:26, 28 June 2024 (UTC)

:This is contradicted by evidence for what is often known as the ]. Theorisation of that concept and evidence for it have both cast into doubt past evidence of autistic people being low in empathy, by pointing out that what was actually found was autistic people struggling to empathise with allistic (non-autistic) people. There is also evidence that allistic people struggle to empathise with autistic people, but that autistic people empathise well with other autistic people and allistic people empathise well with other allistic people. ] (]) 17:22, 22 November 2024 (UTC)

== short description ==

I don't have a dog in this race. The two most recent short descriptions for this article are:
*Formerly recognized neurodevelopmental condition
*Formerly recognized subtype of autism; considered milder due to intact intelligence and language
Shouldn't the short description say what Asperger syndrome {{em|is}} rather than say what it {{em|is not}}?

—] (]) 14:29, 4 November 2024 (UTC)

== Semi-protected edit request: Sukhareva's Syndrome ==

{{Edit semi-protected|answered=yes}}

The statement (under History) "leading some of those diagnosed with Asperger syndrome to instead refer to their condition as 'Sukhareva's Syndrome', in opposition to Hans Asperger's association with Nazism" is unsupported by the reference given, whether with regards to Asperger's alleged association with Nazism, the proposal to use a different name, or the reasons for the proposal. I suggest the entire statement be removed. The preceding statement about Sukhareva is supported by the reference. ] (]) 21:45, 19 November 2024 (UTC)
:{{Done}} I verified the request and removed the statement.--] (]) 13:09, 20 November 2024 (UTC)

== Uta is NOT "he" but "she" ==

Can someone please correct this typo? Thanks! ] (]) 03:08, 30 November 2024 (UTC)

:{{Done}}. Thanks for spotting the error. ] (]) 04:06, 30 November 2024 (UTC)
::While it's correct that Uta Frith is a woman, she translated Asperger's paper to English, not her own or Wing's papers. The source given is a digital version of this translation.--] (]) 15:54, 30 November 2024 (UTC)

== The full spectrum of Asperger syndrome is not included in the diagnostic criteria for Autism spectrum disorder, but is exempted from the diagnostic criteria by a “grandfather clause” ==

Many people used to think that the full spectrum of ] was encompassed by ], and I used to think so too. But I learned something new from the official DSM-5 guide, or from resources such as the American Psychological Association; Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders; Board on the Health of Select Populations; Board on Children, Youth, and Families; Institute of Medicine; Division of Behavioral and Social Sciences and Education; and The National Academies of Sciences, Engineering, and Medicine.The diagnostic criteria for autism spectrum disorder in DSM-5 and DSM-5-TR are subject to a “],” which is the concept of an exemption from the diagnostic criteria. And the full spectrum of Asperger's Syndrome in DSM-IV is not included in the Autism Spectrum Disorder in DSM-5! However, there was an exemption called the “]” for political and social reasons, as people with Asperger's Syndrome would lose social services if they lost their diagnosis, so the exemption included the full spectrum of Asperger's Syndrome.

First,

](2023), Understanding Mental Disorders: '''Your Guide to DSM-5-TR'''®, American Psychiatric Association Publishing, 22-23. https://psychiatryonline.org/doi/book/10.1176/appi.books.9781615375370

"Social (Pragmatic) Communication Disorder

Social (pragmatic) communication disorder involves problems in the social use of verbal and nonverbal communication. . . .Because of the problems in social communication, this disorder might look like autism spectrum disorder, but those with this disorder do not have fixed interests or repeating behaviors. <u>Those who in the past had a diagnosis of Asperger's disorder or pervasive developmental disorder not otherwise specified based on their problems in social communication might better fit this new diagnosis of social communication disorder.</u>"

second,

Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders; Board on the Health of Select Populations; Board on Children, Youth, and Families; Institute of Medicine; Division of Behavioral and Social Sciences and Education; ]; Boat TF, Wu JT, editors. Mental Disorders and Disabilities Among Low-Income Children. Washington (DC): National Academies Press (US); 2015 Oct 28. 8, Clinical Characteristics of Autism Spectrum Disorder. Available from: https://www.ncbi.nlm.nih.gov/books/NBK332891/

"The diagnosis of ASD is typically made during childhood, based on comprehensive behavioral evaluations by specialists in child psychiatry or psychology or by those in behavioral and developmental pediatrics. ASD was not officially recognized until DSM-III, the third edition of the Diagnostic and Statistical Manual of Mental Disorders, in 1980 (APA, 1980; Kanner, 1943). The current version of the DSM introduced in 2013, DSM-5, is the first edition of the DSM to use the term “autism spectrum disorder.” This version does not distinguish subtypes such as “autistic disorder” or “Asperger syndrome,” and the diagnostic criteria specified in <u>the DSM-5 for ASD are somewhat narrower than used previously</u>. DSM-5 criteria require that a child has persistent impairment in social communications and interactions across multiple contexts as well as restricted or repetitive patterns of behavior, interests, or activities; that symptoms should present in early childhood and cause significant functional impairments; and that the impairments are not better explained by intellectual disability (APA, 2013).

<u>DSM-5 introduced major change by eliminating subcategories and providing an overall approach to the diagnosis of ASD (Volkmar et al., 2014a). Concerns about individuals losing services prompted the addition of a “grandfather clause” in DSM-5 granting continued diagnostic assignment to cases previously diagnosed under DSM-IV.</u>"


third,

] (2018), APA Handbook of Psychopathology Volume 1: Psychopathology: Understanding, Assessing, and Treating Adult Mental Disorders, American Psychiatric Association Publishing, 44-45. https://www.apa.org/pubs/books/4311535

"What constitutes  a mental disorder is not a trivial decision because it  can have quite an important impact on significant  social and political issues (e.g., see Bayer & Spitzer,  1982, for a discussion of the controversy surrounding the inclusion of homosexuality in previous editions of the diagnostic manual).

<u>For example, proposed for DSM–5 was a revision  to the criterion set for autism disorder that arguably  increased the threshold for diagnosis, leaving many  persons diagnosed with DSM–IV Asperger’s disorder  no longer qualifying for the special benefits, services, and support that had been available to them  before DSM–5 (Volkmar & McPartland, 2014). The  authors of DSM–5 therefore made an essentially  sociopolitical decision to allow persons who had  been diagnosed with autism using DSM–IV to continue to receive the diagnosis (American Psychiatric  Association, 2013, p. 51), even though they had  concluded that the DSM–IV threshold was wrong.  At some point, this grandfather clause will expire,  but presumably, the parents of the children who no  longer qualify for special services will not protest in  large part because they had never experienced the benefits of receiving the DSM–IV diagnosis</u>."

I just joined Misplaced Pages today to make this known, but I can't edit this article due to access restrictions. ] (]) 06:06, 22 December 2024 (UTC)

Latest revision as of 06:06, 22 December 2024

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Better discussion why it is contradicting that asperger do not have normal level of empathy

Aspergers may get lack of empathy, due to conflicts or traume; this is what Hans Asperger and other resarcher observed. People with bad general cognitive development or bad emotional development through childhood, may have problem processing emotions and thoughts in a proper way; aspergers that do not have emphatic skill, may have been wrongly diagnosed - due to lack of proper general cognitive development. If one look at csikszentmihalyi's flow model, apathy arises when skill level is low; and slides over to anxiety (social anxiety), when challenge becomes bigger. Such anxiety, that is evident through lack of empathy, is a pinpointer to problems related to general cognitive development.

2001:2020:31D:BB94:50A6:F6AE:3ACF:8F4B (talk) 05:26, 28 June 2024 (UTC)

This is contradicted by evidence for what is often known as the double empathy problem. Theorisation of that concept and evidence for it have both cast into doubt past evidence of autistic people being low in empathy, by pointing out that what was actually found was autistic people struggling to empathise with allistic (non-autistic) people. There is also evidence that allistic people struggle to empathise with autistic people, but that autistic people empathise well with other autistic people and allistic people empathise well with other allistic people. Elcalebo (talk) 17:22, 22 November 2024 (UTC)

short description

I don't have a dog in this race. The two most recent short descriptions for this article are:

  • Formerly recognized neurodevelopmental condition
  • Formerly recognized subtype of autism; considered milder due to intact intelligence and language

Shouldn't the short description say what Asperger syndrome is rather than say what it is not?

Trappist the monk (talk) 14:29, 4 November 2024 (UTC)

Semi-protected edit request: Sukhareva's Syndrome

This edit request has been answered. Set the |answered= or |ans= parameter to no to reactivate your request.

The statement (under History) "leading some of those diagnosed with Asperger syndrome to instead refer to their condition as 'Sukhareva's Syndrome', in opposition to Hans Asperger's association with Nazism" is unsupported by the reference given, whether with regards to Asperger's alleged association with Nazism, the proposal to use a different name, or the reasons for the proposal. I suggest the entire statement be removed. The preceding statement about Sukhareva is supported by the reference. 216.106.104.39 (talk) 21:45, 19 November 2024 (UTC)

 Done I verified the request and removed the statement.--TempusTacet (talk) 13:09, 20 November 2024 (UTC)

Uta is NOT "he" but "she"

Can someone please correct this typo? Thanks! 50.4.132.185 (talk) 03:08, 30 November 2024 (UTC)

 Done. Thanks for spotting the error. A. Randomdude0000 (talk) 04:06, 30 November 2024 (UTC)
While it's correct that Uta Frith is a woman, she translated Asperger's paper to English, not her own or Wing's papers. The source given is a digital version of this translation.--TempusTacet (talk) 15:54, 30 November 2024 (UTC)

The full spectrum of Asperger syndrome is not included in the diagnostic criteria for Autism spectrum disorder, but is exempted from the diagnostic criteria by a “grandfather clause”

Many people used to think that the full spectrum of Asperger's Syndrome was encompassed by Autism Spectrum Disorder, and I used to think so too. But I learned something new from the official DSM-5 guide, or from resources such as the American Psychological Association; Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders; Board on the Health of Select Populations; Board on Children, Youth, and Families; Institute of Medicine; Division of Behavioral and Social Sciences and Education; and The National Academies of Sciences, Engineering, and Medicine.The diagnostic criteria for autism spectrum disorder in DSM-5 and DSM-5-TR are subject to a “grandfather clause,” which is the concept of an exemption from the diagnostic criteria. And the full spectrum of Asperger's Syndrome in DSM-IV is not included in the Autism Spectrum Disorder in DSM-5! However, there was an exemption called the “grandfather clause” for political and social reasons, as people with Asperger's Syndrome would lose social services if they lost their diagnosis, so the exemption included the full spectrum of Asperger's Syndrome.

First,

American Psychiatric Association(2023), Understanding Mental Disorders: Your Guide to DSM-5-TR®, American Psychiatric Association Publishing, 22-23. https://psychiatryonline.org/doi/book/10.1176/appi.books.9781615375370

"Social (Pragmatic) Communication Disorder

Social (pragmatic) communication disorder involves problems in the social use of verbal and nonverbal communication. . . .Because of the problems in social communication, this disorder might look like autism spectrum disorder, but those with this disorder do not have fixed interests or repeating behaviors. Those who in the past had a diagnosis of Asperger's disorder or pervasive developmental disorder not otherwise specified based on their problems in social communication might better fit this new diagnosis of social communication disorder."

second,

Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders; Board on the Health of Select Populations; Board on Children, Youth, and Families; Institute of Medicine; Division of Behavioral and Social Sciences and Education; The National Academies of Sciences, Engineering, and Medicine; Boat TF, Wu JT, editors. Mental Disorders and Disabilities Among Low-Income Children. Washington (DC): National Academies Press (US); 2015 Oct 28. 8, Clinical Characteristics of Autism Spectrum Disorder. Available from: https://www.ncbi.nlm.nih.gov/books/NBK332891/

"The diagnosis of ASD is typically made during childhood, based on comprehensive behavioral evaluations by specialists in child psychiatry or psychology or by those in behavioral and developmental pediatrics. ASD was not officially recognized until DSM-III, the third edition of the Diagnostic and Statistical Manual of Mental Disorders, in 1980 (APA, 1980; Kanner, 1943). The current version of the DSM introduced in 2013, DSM-5, is the first edition of the DSM to use the term “autism spectrum disorder.” This version does not distinguish subtypes such as “autistic disorder” or “Asperger syndrome,” and the diagnostic criteria specified in the DSM-5 for ASD are somewhat narrower than used previously. DSM-5 criteria require that a child has persistent impairment in social communications and interactions across multiple contexts as well as restricted or repetitive patterns of behavior, interests, or activities; that symptoms should present in early childhood and cause significant functional impairments; and that the impairments are not better explained by intellectual disability (APA, 2013).

DSM-5 introduced major change by eliminating subcategories and providing an overall approach to the diagnosis of ASD (Volkmar et al., 2014a). Concerns about individuals losing services prompted the addition of a “grandfather clause” in DSM-5 granting continued diagnostic assignment to cases previously diagnosed under DSM-IV."


third,

American Psychiatric Association (2018), APA Handbook of Psychopathology Volume 1: Psychopathology: Understanding, Assessing, and Treating Adult Mental Disorders, American Psychiatric Association Publishing, 44-45. https://www.apa.org/pubs/books/4311535

"What constitutes  a mental disorder is not a trivial decision because it  can have quite an important impact on significant  social and political issues (e.g., see Bayer & Spitzer,  1982, for a discussion of the controversy surrounding the inclusion of homosexuality in previous editions of the diagnostic manual).

For example, proposed for DSM–5 was a revision  to the criterion set for autism disorder that arguably  increased the threshold for diagnosis, leaving many  persons diagnosed with DSM–IV Asperger’s disorder  no longer qualifying for the special benefits, services, and support that had been available to them  before DSM–5 (Volkmar & McPartland, 2014). The  authors of DSM–5 therefore made an essentially  sociopolitical decision to allow persons who had  been diagnosed with autism using DSM–IV to continue to receive the diagnosis (American Psychiatric  Association, 2013, p. 51), even though they had  concluded that the DSM–IV threshold was wrong.  At some point, this grandfather clause will expire,  but presumably, the parents of the children who no  longer qualify for special services will not protest in  large part because they had never experienced the benefits of receiving the DSM–IV diagnosis."

I just joined Misplaced Pages today to make this known, but I can't edit this article due to access restrictions. Autisticattitudes (talk) 06:06, 22 December 2024 (UTC)

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