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Asperger's Disorder is perhaps better called Asperger's Syndrome.

Asperger's Syndrome is characterized by special (while at the same time very peculiar) gifts; one person might be obsessed with 1950s professional wrestling, another with national anthems of African dictatorships, another with toilet brushes. When these special interests coincide with a materially or socially useful task, the individual with Asperger's can often lead a profitable life - the child obsessed with naval architecture may grow up to be an accomplished shipwright, for instance. In pursuit of these interests, the individual with Asperger's often manifests extremely sophisticated reasoning, an almost obsessive focus, and eidetic memory. Hans Asperger called his young patients "little professors", based on the fact that his thirteen-year-old patients had as comprehensive and nuanced an understanding, within their area of expertise, as university professors.

Autists have emotional responses as strong as, or perhaps stronger than, most "neurotypicals". What they lack is the inborn ability to express their emotional state via body language, facial expression and nuance. Many people with Asperger's report a feeling of being unwillingly divorced from the world around them; they lack the natural ability to see the subtexts of social interaction, and equally lack the ability to broadcast their own emotional state to the world.

This leads to no end of troubles both in childhood and adulthood. When a teacher asks a child with Asperger's, "And did the dog eat your homework?", the child with Asperger's will look the teacher coldly in the eye and not say a word. The child doesn't understand what the teacher is asking, cannot infer the teacher's meaning from the tone of voice, posture or facial expression, and is faced with a question which made as much sense to him as "why is purple and who is mathematics?" The teacher walks away from the experience frustrated and thinking the child is arrogant, spiteful and insubordinate. The child sits there mutely, feeling frustrated and wronged.

In adulthood, the person with Aperger's may find it difficult to differentiate between the smiles of a waitress waiting on his table and the woman at the next table who's interested in him. He may well wind up asking the waitress out for a cup of coffee and ignoring the woman at the next table.

There are many comorbid disorders associated with Asperger's Syndrome. (A comorbid disorder is a disorder which is often found in conjunction with another disorder, although neither may cause the other.) The major comorbid disorders associated with Asperger's include post-traumatic stress disorder, anxiety disorder, panic disorder, social anxiety disorder, obsessive-compulsive disorder and depression. If a comorbid disorder is present with Asperger's, it often cannot be treated in the same manner as when it is present in neurotypicals.

Clinical depression is by far the most common comorbid disorder, affecting over half of all people with Asperger's. People with AS attempt suicide at a staggeringly high rate in comparison to the general population, although whether this is due to AS or depression comorbid to AS is a matter of debate.

Asperger's Syndrome is not a death sentence, however - very far from it. Despite their difficulty with social interaction, many possess a rare gift for humor (especially puns, wordplay and doggerel) and written expression. In fact, their fluency with language is such that most of them also qualify as hyperlexic. While they face enormous obstacles, some manage to overcome them and prosper in society.

Asperger's is defined in section 299.80 of the Diagnostic and Statistical Manual of Mental Disorders as:

=

1. Qualitative impairment in social interaction, as manifested by at least two of the following:
   1. Marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction
   2. Failure to develop peer relationships appropriate to developmental level
   3. A lack of spontaneous seeking to share enjoyment, interest or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
   4. A lack of social or emotional reciprocity
2. Restricted repetitive and stereotyped patterns of behavior,

interests and activities, as manifested by at least one of the following:

1. 1. Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

##Apparently inflexible adherence to specific, nonfunctional routines or rituals

1. 1. Stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)
   2. Persistent preoccupation with parts of objects.
2. The disturbance causes clinically significant impairments in social, occupational, or other important areas of functioning.
3. There is no clinically significant general delay in language (e.g., single words used by age two years, communicative phrases used by age three years)
4. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills or adaptive behavior (other than in social interaction) and curiosity about the environment in chidhood
5. Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia.

The Diagnostic and Statistical Manual's diagnostic criteria have been roundly criticized for being far too vague and subjective. A broken bone is clear to diagnose; either the X-ray shows a break or it does not. It is difficult to diagnose Asperger's with such clarity, because what one psychologist calls a "significant impairment" another psychologist may call insignificant.

See also: autism