Gillberg's Criteria For Asperger's (AS) - General Autism Discussion

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Gillberg's Criteria For Asperger's (AS)
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buryuntime
oh comely
Phoenix

Joined: Dec 07, 2008
Posts: 1254

Posted: Sun Nov 01, 2009 3:42 am Post subject: Gillberg's Criteria For Asperger's (AS)

so another thread made me look up the criteria again and now I'm curious about this criteria.

1. Why does it put more emphasis on Speech and Language rather than social interaction?
2. How do you fit in with it and do you do you agree with most of it?

To me it seems the speech and language category should be marked down to two instead of three, perhaps even one. I'm also wondering why there isn't a point on difficulty expressing speech or something similar. Is this implying that if you don't speak formally, oddly, yet perfectly you probably won't fit the criteria for AS?

Quote:

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers
(b) lack of desire to interact with peers
(c) lack of appreciation of social cues
(d) socially and emotionally inappropriate behavior

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities
(b) repetitive adherence
(c) more rote than meaning

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life
(b) on others

4.Speech and language problems
(at least three of the following)
(a) delayed development
(b) superficially perfect expressive language
(c) formal, pedantic language
(d) odd prosody, peculiar voice characteristics
(e) impairment of comprehension including misinterpretations of literal/implied meanings

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures
(b) clumsy/gauche body language
(c) limited facial expression
(d) inappropriate expression
(e) peculiar, stiff gaze

6.Motor clumsiness: poor performance on neurodevelopmental examination

(All six criteria must be met for confirmation of diagnosis.)

Spokane_Girl
There's no crying in baseball
Phoenix

Joined: Jul 17, 2007
Age: 24
Posts: 8641
Location: Rockford (hometown Oregon)

Posted: Sun Nov 01, 2009 4:19 am Post subject: Re: Gillberg's Criteria For Asperger's (AS)

buryuntime wrote:

Quote:

I was indeed developmentally delayed and speech delayed. This just tells me how crietrias are based on doctors opinions and they are used as guidelines for a diagnoses. Not all doctors follow them. Mine sure didn't follow the Anorexia criteria and diagnosed me with it anyway. My psychiatrist used the DSM and diagnosed me with AS anyway and my mom says I do meet it and then she says I don't. Confusing, then she finally said I slip on and off of it. I don't see how I meet it if I had a speech delay. I swear I have also read I was severely developmentally delayed but I disagree there. I would say I was mild delayed.

I don't even understand lot of the stuff in this criteria so I have no idea if I meet it or not.

I was delayed but that was due to my ear infections so it messed up my development. My voice is odd but that is also due to my hearing loss but I do talk loud which I think is inherited because my dad also talks loud so no doubt my hearing loss didn't cause it. But I have been literal and missed double meanings and missed reading between the lines. I have no idea what formal, pedantic language means. I didn't use fancy words and all because I talked late and was slow. My verbal IQ was low and it went up every year

I assume "impairment of comprehension including misinterpretations of literal/implied meanings" means taking things literal and missing double meanings and all because aren't aspies literal? I don't see why it would say they don't have that problem understanding things that are literal because they are literal so they do take things literally.

So yeah I would say I met that part in the criteria.
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JohnnyD017
Raven
Raven

Joined: Oct 06, 2009
Age: 25
Posts: 118

Posted: Sun Nov 01, 2009 4:57 am Post subject:

I for one dont fit gillberg's criteria. Mainly cos of the lack of narrow interest 1. b? (only sometimes) d? (dont remember) 2. none 3. a? (not really but maybe at times) 4. c (possible but unlikely) d (could be, but never heard myself and no one ever mentioned it) 5. c maybe 6. ehh... i wasnt great at sports but i dont think it was at a clinical level. well at least mr gillberg doesnt think im too weird

Blindspot149
Phoenix
Phoenix

Joined: Oct 08, 2009
Posts: 530
Location: Aspergers

Posted: Sun Nov 01, 2009 5:28 am Post subject:

I score 100% with Gillberg _________________ Now then, tell me. What did Miggs say to you? Multiple Miggs in the next cell. He hissed at you. What did he say?

hush6
Snowy Owl

Joined: Oct 16, 2009
Posts: 140

Posted: Sun Nov 01, 2009 6:05 am Post subject:

Not one category relating to emotional development or a delay in emotional maturity. Until this becomes a part of the AS criteria (as it is a major reason we are 'impaired' socially - we are emotionally younger than our peers in spite of intelligence), I'll never fully relate to a list like that.

GoonSquad
Phoenix
Phoenix

Joined: May 12, 2007
Age: 39
Posts: 528
Location: The City of Townsville

Posted: Sun Nov 01, 2009 6:21 am Post subject:

Well, I have to say, for me the social impairment has more to do with lack of proper meta-communication than emotional immaturity. For example, it's very difficult for me to distinguish between amusement and anger, especially on female faces. As you might imagine, this did not help me relate to my future ex-wife. _________________ Come on monsters, you don't have to cry... we can be HAPPY !!! http://www.youtube.com/watch?v=ZwfMstI3bpA

Danielismyname
Zombies ate my NT
Phoenix

Joined: Apr 03, 2007
Posts: 8272

Posted: Sun Nov 01, 2009 6:22 am Post subject:

There's "socially and emotionally inappropriate behaviour", though. The speech section is picking up the odd way that people with AS talk; delayed development is just there for people who had such (there's four more points). There's enough social ones to get the correct hits when they're next to the rest of the criteria. They use this at Attwood's, and many say it's far closer to Hans' original account.

JohnnyD017
Raven
Raven

Joined: Oct 06, 2009
Age: 25
Posts: 118

Posted: Sun Nov 01, 2009 10:25 am Post subject:

hush6 wrote:

Not one category relating to emotional development or a delay in emotional maturity. Until this becomes a part of the AS criteria (as it is a major reason we are 'impaired' socially - we are emotionally younger than our peers in spite of intelligence), I'll never fully relate to a list like that.

An interesting view. Could be something to do with it, or maybe its a byproduct of everything else. Such as lack of empathy leading to lack of caring of others. That'll cause emotional immaturity.

Other things that could have caused emotional immaturity in my case (may help others too):
- Diagnosis/Conditional
- Giving up as a result of diagnosis
- Missing a lot of social interaction in my youth, which snowballed into a lack of experience with certain things
- Listening to bad advice from people who i thought were smarter than me
- Hanging out with the wrong people at school and onwards. Like I hung out with the most immature person or people in my class every year of school and then again at tertiary level. Not that there was much choice at my school... Rolling Eyes

- Maybe its all in my heeeaaad

Typically males are more immature than females too. Obviously. Smile

ChangelingGirl
Brazilian Wandering Spider
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Age: 23
Posts: 1281
Location: Netherlands

Posted: Sun Nov 01, 2009 1:25 pm Post subject: Re: Gillberg's Criteria For Asperger's (AS)

I would meet these criteria if the speech/language thing wasn't there. Not cause I don't have problems, but because they're not always there. My score would be: 1. All four, but A and B only a little. 2. All three, but C applies only sometimes (some of my special interests, like bus routes, are "rote", but others are not) 3. B if it's meant that you can't handle others making changes to plans, but I don't have rigid routines in my own life. 4. D and E maybe, but just a little. 5. Not sure since I'm blind. 6. Yes, I'm very clumsy.

Sati
Velociraptor

Joined: Sep 03, 2009
Age: 23
Posts: 466

Posted: Sun Nov 01, 2009 4:44 pm Post subject:

Of category 4, only (e) applies to me. I'm not sure about 6 - I'm rather clumsy walking around and I tend to trip a lot, but I'm very good with delicate tasks using my hands.

hush6
Snowy Owl

Joined: Oct 16, 2009
Posts: 140

Posted: Sun Nov 01, 2009 6:11 pm Post subject:

JohnnyD017 wrote:

hush6 wrote:

- Maybe its all in my heeeaaad

Typically males are more immature than females too. Obviously. Smile

I have considered this before (or tried to as best I can). I wondered if it was bad experiences leading to emotional immaturity or emotional immaturity leading to bad experiences.

It seems to me as if it is the latter. I feel that it is the emotional immaturity that leads us to have bad experiences and fail socially. This might be was alot of people with AS seem to be doing alright until they hit school. Up until then they may not be required by their parents to hit emotional landmarks or they may just not notice it not happening, but once they entered the school system, they are immediately forced into a specific level of emotional maturity, but they aren't there yet and so can not relate to peers from day one.

I've also noticed something that alot of people with AS seem to feel and mention sometimes, which is, they wish they could back and re-do highschool knowing what they know now. I believe when they say this they have reached the emotional maturity of a teenager and would be well suited to interact with people of that age (but still not really, because they are chronologically "too old", this makes alot of AS people feel jipped and jaded).

For me it also showed in my tastes in TV and movies. I always likes movies and tv clearly deigned for people younger than I was. And finally in my 20s I have realised what people at school saw in sitcoms like 'Friends' and ones like that. Back when I tried to watch it when it was popular (I would be in my early teens) it went right over my head, I did not understand it.....but I finally do.

I am still waiting to talk to someone in the field about this, what I have read on it is always very short and limited. But I think it is a much more important part of having AS than anything else listed in that criteria.

Odin
Supreme Genius
Phoenix

Joined: Oct 13, 2006
Age: 23
Posts: 2084
Location: Moorhead, Minnesota, USA

Posted: Sun Nov 01, 2009 6:21 pm Post subject: Re: Gillberg's Criteria For Asperger's (AS)

Hmmm...

Quote:

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER

1.Severe impairment in reciprocal social interaction
(at least two of the following)
(a) inability to interact with peers N
(b) lack of desire to interact with peers Y&N
(c) lack of appreciation of social cues Y
(d) socially and emotionally inappropriate behavior Y

2.All-absorbing narrow interest
(at least one of the following)
(a) exclusion of other activities Y&N
(b) repetitive adherence Y
(c) more rote than meaning N

3.Imposition of routines and interests
(at least one of the following)
(a) on self, in aspects of life Y
(b) on others Y

4.Speech and language problems
(at least three of the following)
(a) delayed development Y&N
(b) superficially perfect expressive language Y
(c) formal, pedantic language Y
(d) odd prosody, peculiar voice characteristics Y
(e) impairment of comprehension including misinterpretations of literal/implied meanings Y

5.Non-verbal communication problems
(at least one of the following)
(a) limited use of gestures Y
(b) clumsy/gauche body language Y
(c) limited facial expression N
(d) inappropriate expression Y&N
(e) peculiar, stiff gaze Y

6.Motor clumsiness: poor performance on neurodevelopmental examination Y

(All six criteria must be met for confirmation of diagnosis.)

Meet the criteria.
_________________
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hush6
Snowy Owl

Joined: Oct 16, 2009
Posts: 140

Posted: Sun Nov 01, 2009 6:26 pm Post subject:

Isn't this thread supposed to be about discussing certain aspects of the crieteria and not just people clambering to tell everyone how many traits they have??? And who cares anyways, this criteria a joke imo.

AmberEyes
Not a label
Phoenix

Joined: Sep 27, 2008
Posts: 1427
Location: The Lands where the Jumblies live

Posted: Sun Nov 01, 2009 6:59 pm Post subject:

I've never really liked the criteria because they don't account for variations in an individual's perception. The question that should be being asked is: "What's the first thing you see?" A person could be asked to describe what s/he sees in a room for example. My guess is that an NT person would notice the people first because the NT would automatically key into other people's eyes first. I think that the NT would give an detailed description of people's of what they thought the other people's state's of minds/emotions were. The AS person would probably give a detailed description of the background elements, or non-people, before any description of people was given e.g. the decor of the room, what colour clothing people had on, what music was playing, the patterns in the carpet etc. I predict that there would also be some people who'd do both, because they'd be able to switch between perceiving the physical environment and looking at people easily. I think that obsessions come from what a person focusses on in his/her environment first. An NT person would obsess about people in that environment, because that's his/her default setting: to key into the eyes first. Whereas, an AS person would obsess more about the non-people in the surrounding physical environment (objects, animals, plants etc), because that's what the AS person would focus on first. By taking into account how each individual perceives his/her environment, help could be tailored specifically to that person depending on their world view. The unfortunate bi-product of focussing on the non-people is decreased social interaction. It's very hard to give your full attention to two things at the same time. So, if you're focussing intensely on a physical object, you're more likely to miss social cues because you're not looking that way.

Spokane_Girl
There's no crying in baseball
Phoenix

Joined: Jul 17, 2007
Age: 24
Posts: 8641
Location: Rockford (hometown Oregon)

Posted: Sun Nov 01, 2009 7:07 pm Post subject:

AmberEyes wrote:

I've never really liked the criteria because they don't account for variations in an individual's perception.

The question that should be being asked is:
"What's the first thing you see?"

A person could be asked to describe what s/he sees in a room for example.

My guess is that an NT person would notice the people first because the NT would automatically key into other people's eyes first. I think that the NT would give an detailed description of people's of what they thought the other people's state's of minds/emotions were.

The AS person would probably give a detailed description of the background elements, or non-people, before any description of people was given e.g. the decor of the room, what colour clothing people had on, what music was playing, the patterns in the carpet etc.

I predict that there would also be some people who'd do both, because they'd be able to switch between perceiving the physical environment and looking at people easily.

I think that obsessions come from what a person focusses on in his/her environment first.

An NT person would obsess about people in that environment, because that's his/her default setting: to key into the eyes first.

Whereas, an AS person would obsess more about the non-people in the surrounding physical environment (objects, animals, plants etc), because that's what the AS person would focus on first.

By taking into account how each individual perceives his/her environment, help could be tailored specifically to that person depending on their world view.

The unfortunate bi-product of focussing on the non-people is decreased social interaction. It's very hard to give your full attention to two things at the same time. So, if you're focussing intensely on a physical object, you're more likely to miss social cues because you're not looking that way.

I would probably say "everything" to what is the first thing you see question or "the room" because he did say "first thing" not "what do you see."
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