Page 2 of 3 [ 40 posts ]  Go to page Previous  1, 2, 3  Next

wtfid2
Veteran
Veteran

User avatar

Joined: 9 Aug 2012
Age: 37
Gender: Male
Posts: 1,712
Location: usa

03 Jan 2013, 3:20 pm

wow maybe this is why i dont tolerate the cold so well..it is a sensory issue! From this criteria i dont think i'd be diagnosed with an ASD disorder.
Good thing I am on ssi for my bad back and headaches.


_________________
AQ 25

Your Aspie score: 101 of 200
Your neurotypical (non-autistic) score: 111 of 200
You seem to have both Aspie and neurotypical traits


wtfid2
Veteran
Veteran

User avatar

Joined: 9 Aug 2012
Age: 37
Gender: Male
Posts: 1,712
Location: usa

03 Jan 2013, 3:21 pm

League_Girl wrote:
Vectorspace wrote:
Quote:
failure to have a back and forth conversation.

I'm not really sure if I'm understanding this right, but isn't a diagnosis interview already a back-and-forth conversation?
That would mean: "You can talk to me, so you're not autistic." :?



I see people at my autism groups having back and forth conversations. They must not be autistic either. :?
last week i was told by a girl that i have great conversationalist skills unlike the guys she usually talks with who give one word answers


_________________
AQ 25

Your Aspie score: 101 of 200
Your neurotypical (non-autistic) score: 111 of 200
You seem to have both Aspie and neurotypical traits


answeraspergers
Veteran
Veteran

User avatar

Joined: 11 Nov 2012
Age: 46
Gender: Male
Posts: 811
Location: uk

03 Jan 2013, 7:43 pm

"While it is true that brain scans and Neuroscience will be at the foundations of study moving forward, these tools are not useful without being combined and compared with clinical observation. What good is it know your brain lights up differently than a NT if you are unaware of what this means for your behavior? Furthermore I have yet to see the results of any study suggesting Autistic and Asperger brain scans are "considerably different"..

I have seen quite a few, but many of the studies had flaws as some studies do. And many I can only see an abstract of. The scans are currently inadequate and likewise is our understanding of the brain. Thats changing fast.

"I think there has been a considerable amount of raising voices without and concrete evidence suggesting a statistically significant reduction in diagnosis rate as a result of the updating of the DSM".

You disagree with the APA themselves? Its estimated at 10% but realistically what evidence do you require and who funds it?

"I believe the result is a simplified criteria for ASD. This would support a more individualized care instead of treating for a category. Perhaps more importantly it allows for Neuroscience to find any differences within the spectrum instead of depending on clinical study. All in all I think it is a positive step

The "simplified criteria" is oversimplified and a huge step backwards in general understanding and social treatment. It will be largely irrelevant soon as neuroscience kicks on imo. It makes it simple for people who use DSM and its those interests behind the change.

With regards your last sentence. speak to this guy................http://www.psychologytoday.com/blog/dsm5-in-distress

Last Plea to DSM 5: Save Grief From the Drug Companies

DSM-5 wil confuse bereavement with depression, reducing the dignity of grief and subjecting grievers to unnecessary medication. Read More
2 Weeks Post Newtown- Gun Control, Mental Health, and Grief
There are three lessons from the latest in our epidemic of mass murders: 1) it is long past time to have a sane gun control policy that protects us from military-style firearms; 2) we need to provide better mental health care for the seriously ill; and, 3) grief is completely normal and should not be confused with clinical depression. Read More

One Last Chance For APA To Make DSM 5 Safer
The vigorous opposition to the American Psychiatric Association's approval of DSM-5 suggests that it will lack credibility and will not gain widespread approval. I suggest four ways that DSM-5 can be revised to make it less risky and more usable in clinical practice. Read More

Mislabeling Medical Illness As Mental Disorder
DSM-5 will add to the woes for the medically ill in two ways: 1) by encouraging a quick jump to the erroneous conclusion that someone's physical symptoms are 'all in the head'; and 2) by mislabeling as mental disorders what are really just the normal emotional reactions that people have in response to medical illness. Read More

DSM 5 Is Guide Not Bible—Ignore Its Ten Worst Changes
The ten worst suggestions that were recently approved for DSM-5 are summarized and the recommendation made that clinicians and the public not to use them at all or use them with great caution. Read More

Will the DSM-5 Reduce Rates of Autism?
The DSM-5 radical redefinition of autism will dramatically reduce the number of people who will qualify for the diagnosis. Read More

Sound positive?



wornlight
Deinonychus
Deinonychus

Joined: 9 Sep 2010
Gender: Male
Posts: 396

03 Jan 2013, 9:08 pm

Quote:
how will the DSM-5 affect me?

if you lift it you may experience a feeling of coolness and pressure on your palms and fingers.
if it is dropped onto your head from a great height, it may cause injury and/or loss of consciousness.
if you stand on it your elevation will be temporarily augmented.
i hope that answers your question.



drewski56
Blue Jay
Blue Jay

User avatar

Joined: 13 Dec 2012
Age: 39
Gender: Male
Posts: 79
Location: Cascadia

03 Jan 2013, 11:25 pm

answeraspergers wrote:
"While it is true that brain scans and Neuroscience will be at the foundations of study moving forward, these tools are not useful without being combined and compared with clinical observation. What good is it know your brain lights up differently than a NT if you are unaware of what this means for your behavior? Furthermore I have yet to see the results of any study suggesting Autistic and Asperger brain scans are "considerably different"..

I have seen quite a few, but many of the studies had flaws as some studies do. And many I can only see an abstract of. The scans are currently inadequate and likewise is our understanding of the brain. Thats changing fast.

"I believe the result is a simplified criteria for ASD. This would support a more individualized care instead of treating for a category. Perhaps more importantly it allows for Neuroscience to find any differences within the spectrum instead of depending on clinical study. All in all I think it is a positive step

The "simplified criteria" is oversimplified and a huge step backwards in general understanding and social treatment. It will be largely irrelevant soon as neuroscience kicks on imo. It makes it simple for people who use DSM and its those interests behind the change.


I think we agree on value and potential of neuroscience, brain scans, and other technologies which can provide an empirical evidence based understanding. I believe, however, that like all areas of medicine you need to balance this with standardized clinical criteria. Manuals such as the DSM will evolve but not be made irrelevant.

I think excessive categories based individual variations are detrimental to this evolution. I think a single more broad ASD is a better foundation to work from in regards to the study of underlying neurophysiological differences which lead to ASD. If neuroscience finds empirical evidence to establish distinct disorders than so be it; It is currently not the case however.

answeraspergers wrote:
"I think there has been a considerable amount of raising voices without and concrete evidence suggesting a statistically significant reduction in diagnosis rate as a result of the updating of the DSM".

You disagree with the APA themselves? Its estimated at 10% but realistically what evidence do you require and who funds it?


On this point you are correct, I did a poor job of expressing my thoughts and wrote something inaccurate. I believe that there is currently a problem with over-diagnosis and I meant my statement in regards valid diagnoses. I clearly did not write that before and as such definitely made and incorrect statement.



aghogday
Veteran
Veteran

User avatar

Joined: 25 Nov 2010
Age: 66
Gender: Male
Posts: 12,367

04 Jan 2013, 12:21 am

Callista wrote:
I don't see that as a problem. Adults often do lose the overt fidgety behavior of their childhood years, replaced by a sort of restlessness that they can keep under control but that's still distracting. If the adult with ADHD still has as many symptoms as they did when they were a child, they can still be diagnosed. It prevents adults from having to be given the "inattentive" subtype even though they were Combined type in childhood, because people don't usually switch types like that--they just learn to stay in their seats.

Back on topic, though: Tim_Tex, if your autistic traits are entirely composed of sensory issues, you may either remain in the "autism spectrum disorder" category by history, or else you could be switched over to "sensory processing disorder". Either way, you could get whatever sensory accommodations you need with the diagnosis, so I wouldn't worry about it. SPD isn't technically an autism spectrum disorder, but in cases where there are sub-clinical autistic traits too, it might as well be. In the worst case, you might need to explain to new doctors that your SPD label is what remains of an autism diagnosis, rather than something that's existed by itself all along.

Not the end of the world, really. If a diagnostic system gets us the therapy and accommodations we need, I'm cool with it.


As a note Sensory Processing Disorder, was not approved for inclusion in the DSM5. It is still considered a co-morbid condition in several DSM5 disorders and/or medical conditions such as ADHD, Schizophrenia, Autism Spectrum Disorders, Fetal Alcohol Syndrome, etc. But unfortunately it will still not be covered under insurance plans as a standalone diagnosis in the DSM5.

http://www.spdfoundation.net/dsmv1.html



answeraspergers
Veteran
Veteran

User avatar

Joined: 11 Nov 2012
Age: 46
Gender: Male
Posts: 811
Location: uk

04 Jan 2013, 12:46 am

I disagree. There is massive under diagnosis but also a total misunderstanding of what it means anyway.

There is nothing wrong with criteria but there is a lot wrong with DSM definitions and many of the beliefs that underpin them and what follows its use. DSM is not authoritative and in fact very dangerous and self-interested publication seeking to label any and every aspect of human behavior as a "disorder". The changes are highly questionable and bias towards drug intervention for rather obvious reasons. The changes suit the APA, its members and associates.

I do not believe having AS and Autism proper separate is excessive. Two is very low number. Lumping together is just broad brush simplification of the most complex object in the universe.



Vectorspace
Veteran
Veteran

User avatar

Joined: 3 Oct 2012
Age: 37
Gender: Male
Posts: 903
Location: Germany

04 Jan 2013, 2:10 am

answeraspergers wrote:
With regards your last sentence. speak to this guy................http://www.psychologytoday.com/blog/dsm5-in-distress

I'm very disappointed that everybody is still primarily talking about diagnosis in children.
Having "inability" or "failure" to do something in the criteria is stupid because it excludes adults who have learned this specific thing.



drewski56
Blue Jay
Blue Jay

User avatar

Joined: 13 Dec 2012
Age: 39
Gender: Male
Posts: 79
Location: Cascadia

04 Jan 2013, 4:20 am

answeraspergers wrote:
I disagree. There is massive under diagnosis but also a total misunderstanding of what it means anyway...

...I do not believe having AS and Autism proper separate is excessive. Two is very low number. Lumping together is just broad brush simplification of the most complex object in the universe.


There are four Autism Spectrum Disorders which will be integrated into ASD in the DSM-V. Asperger's is closer to classical Autism than these other disorders and the truth is that if a person would be diagnosed with AS under the DSM-IV then they will most probably be diagnosed with ASD under the DSM-V. The ~10% which will no longer be classified as ASD will be coming from diagnoses of PDD-NOS, CDD, and Rett Syndrome. Furthermore these individuals will be accommodated under SCD and other diagnoses, not left out to dry. The DSM is about behavior and the DSM-V more accurately categorizes these individuals in this regard. The fact is that Asperger's could be "massively" under-diagnosed however Autism Spectrum Disorders as a whole are over-diagnosed. I am not suggesting these individuals are in fact Neurotypical, I am agreeing with the writers of the DSM-5 that the categorization of these characteristics did not reflect the realities of the behaviors.

answeraspergers wrote:
DSM is... seeking to label any and every aspect of human behavior as a "disorder".


And yet the DSM-V will exclude more individuals from an already under-diagnosed disorder? No it is not perfect but I think your arguments are irrational.

To the OP, I think the DSM-V will not likely affect you nor most individuals who currently have an Asperger's diagnosis in any substantial way other than name.



Vectorspace
Veteran
Veteran

User avatar

Joined: 3 Oct 2012
Age: 37
Gender: Male
Posts: 903
Location: Germany

04 Jan 2013, 4:45 am

aghogday
Veteran
Veteran

User avatar

Joined: 25 Nov 2010
Age: 66
Gender: Male
Posts: 12,367

04 Jan 2013, 5:00 am

Vectorspace wrote:


Also of note is that the revision on the DSM5.org site, is not the final revision, it is from January of 2012. It has already been identified by Catherine Lord of the DSM5 working group that there were some changes in the final revision, per history of diagnosis, that have yet to be published, and likely will not be, until May of 2013. That aspect of the final revision may make a big difference on how the DSM5 impacts the OP. But, I haven't seen reference to that actual text in the final revision or a clear explanation by the APA.



answeraspergers
Veteran
Veteran

User avatar

Joined: 11 Nov 2012
Age: 46
Gender: Male
Posts: 811
Location: uk

04 Jan 2013, 6:20 am

Is our society BETTER now that we have pretty much every aspect of the human behaviour as a "disorder"?

I'm in the 10% and less precise categorization does not more accurately categorize anything. Under DSM 5 im no longer autistic.

Where is the over-diagnosis evidence? What are the "realities of the behaviors"? Its far too multifactoral for DSM models and DSM covers a wide RANGE of "disorders" and widens the bracket for many marketable drugs.

It does not make my argument "irrational" the manual is wider than AS and ASD. The criticisms of DSM 5 are vast and being ignored.

"excluding more individuals from an already under-diagnosed disorder?" Im confused regarding your view of under or over diagnosis. If it excludes more people from an under diagnosed disorder then this is making detection worse.

To the OP - http://autisticadvocacy.org/wp-content/ ... _final.pdf

DSM may influence your insurance, diagnosis for like peers and lead to being called Autistic when you are in reality an Aspie.

Hopefully many of the changes will be ignored in practice - but it will have a negative effect for many. Allen Frances, M.D., was chair of the DSM-IV Task Force writes............ "This is the saddest moment in my 45 year career of studying, practicing, and teaching psychiatry. The Board of Trustees of the American Psychiatric Association has given its final approval to a deeply flawed DSM 5 containing many changes that seem clearly unsafe and scientifically unsound. My best advice to clinicians, to the press, and to the general public - be skeptical and don't follow DSM 5 blindly down a road likely to lead to massive over-diagnosis and harmful over-medication. Just ignore the ten changes that make no sense"

http://www.psychologytoday.com/blog/dsm ... st-changes



Grimdalus
Raven
Raven

User avatar

Joined: 3 Jan 2013
Age: 33
Gender: Male
Posts: 104

04 Jan 2013, 9:32 am

I do not meet DSM V criteria. If I am forced into general autism category. I will kill myself.



Vectorspace
Veteran
Veteran

User avatar

Joined: 3 Oct 2012
Age: 37
Gender: Male
Posts: 903
Location: Germany

04 Jan 2013, 9:40 am

What's the best thing that can happen?
Diagnosticians will realize that autism can show up in different ways, with symptoms varying in quality and intensity.

What's the worst thing that can happen?
The diffuse wording will result in utter chaos. Less obvious cases will be declined a diagnosis, and patients will be stigmatized and receive the wrong kind of support.

I believe in Murphy's law, so I always consider the worst case.



Grimdalus
Raven
Raven

User avatar

Joined: 3 Jan 2013
Age: 33
Gender: Male
Posts: 104

04 Jan 2013, 9:46 am

Vectorspace wrote:
What's the best thing that can happen?
Diagnosticians will realize that autism can show up in different ways, with symptoms varying in quality and intensity.

What's the worst thing that can happen?
The diffuse wording will result in utter chaos. Less obvious cases will be declined a diagnosis, and patients will be stigmatized and receive the wrong kind of support.

I believe in Murphy's law, so I always consider the worst case.
I agree. We are only human so I believe the system will f**k up plus if an employer finds out I have "General Autism" I would be fired or not given a job because I would be classed the sane as the severely autistic.



rapidroy
Veteran
Veteran

User avatar

Joined: 28 Dec 2012
Age: 36
Gender: Female
Posts: 1,411
Location: Ontario Canada

04 Jan 2013, 10:00 am

Grimdalus wrote:
Vectorspace wrote:
What's the best thing that can happen?
Diagnosticians will realize that autism can show up in different ways, with symptoms varying in quality and intensity.

What's the worst thing that can happen?
The diffuse wording will result in utter chaos. Less obvious cases will be declined a diagnosis, and patients will be stigmatized and receive the wrong kind of support.

I believe in Murphy's law, so I always consider the worst case.
I agree. We are only human so I believe the system will f**k up plus if an employer finds out I have "General Autism" I would be fired or not given a job because I would be classed the sane as the severely autistic.


So we will have to come up with a name to divide the spectrim between high and low function, insurence and goverment sure will to avoid paying extra benifits so what will it be? oh yeah what already have one its Asperger's Syndrome! Even if it has more to do with historical thinking then anything else, our designation can't die its needed and all the other books still use it anyway. So tough luck it looks like were stuck being Aspies for life, lol.