Search the Community
Showing results for tags 'psychiatry'.
Found 3 results
Dr-David-Banner posted a topic in Symptoms & DiagnosisYes, this is an astounding paradox. One I suspected for a long time now. It is something I am already working on addressing in a book on Asperger and his reputation (which I plan to defend). Here, I will reference the report by Judith Miller and add a few quotes: "This paper examines the four cases Asperger originally presented in his seminal paper (1991/1944), using DSM‐IV criteria to determine whether a diagnosis of Autistic or Asperger Disorder is most appropriate." Here the author plans on studying the case histories of Hans Asperger's patients and then attempting to diagnose them by using the DSM-IV. "We found that all four cases met DSM‐IV criteria for Autistic Disorder, rather than Asperger Disorder. This suggests that the syndrome Asperger originally described may not be captured by present diagnostic criteria." Well, this is what I found out my own roundabout way. What Hans Asperger researched appears mostly misunderstood, plain ignored or misinterpreted. Even if we accept the "Autistic Disorder" as opposed to one based on Asperger's studies, the children described by Hans are clearly not simply "autistic". The other day I made a careful list of "all" of Fritz's symptoms (the boy used in the study here). These simply don't fit a general "autism" diagosis. To quote the summary of the study: "Thus, although the boys (Asperger's child patients) demonstrate many characteristics of Asperger Disorder, such as well‐developed, precocious language and unusual intense interests, all demonstrate more symptoms of autism than is currently allowed for an Asperger Disorder diagnosis in the DSM‐IV. An examination of these cases according to ICD‐10 criteria (International classification of diseases and disorders, Tenth Edition; World Health Organization, 1992) yielded the same results, since ICD‐10 and DSM‐IV criteria are highly similar and both specify that a diagnosis of autism precludes that of Asperger Disorder." Now the most obvious question anyone can ask: How can these people who outlined the DSM-IV apply a diagnosis reflecting Asperger's research to anyone else if it doesn't apply to Asperger's own patients? "The central thesis of this paper is that current DSM‐IV diagnostic criteria do not identify the types of individuals originally described by Hans Asperger. Indeed, application of DSM‐IV criteria has resulted in lower estimates of prevalence than those originally predicted." Judith Miller. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1469-7610.1997.tb02354.x Oh, to add a very weird touch Judith (below) is from the exact same location where Carnival Of Souls was filmed, Salt Lake City.
Not many people are aware Asperger extensively dealt with psychopathy, which I will now explain. It is a highly complex state of mind I often think is best explained by someone with the condition. Psychopathy is tied in with apparent low emotional responsiveness. Emotional response or ability to share emotions of others is very offset. My belief is the emotions do exist but don't trigger in synch with responses of others. Sometimes the emotions don't seem to work because the mind is more inwardly focused. It was noticed babies who soon developed autism didn't react to external stimulae or cling to their mother. The reason psychopathy has such a bad name is pretty much everyone fears those of us who lack emotional empathy. All normal people will register concern or sorrow when someone else has had bad news or whatever. With psychopathy you often don't react emotionally at all. You tend to try and solve the problem. Likewise you don't tend to feel a part of anything or included in either family or surroundings. Likewise, difficulty recognising faces is part of psychopathy because people are remote from your own inner universe. My estimation is that those of us who have deep psychopathy aren't generally accepted by normal people. I now understand why that is because humans evolved to share their feelings and form deep bonds. In crisis situations they huddle together to survive.
I am getting my teeth into a new angle, so to speak I notice there is a large generational gap in understanding old (scary) terms like psychopathy. The original term for "Asperger's Syndrome" was Autisic Psychopathy. We can first drop the adjective "autistic" and look at "psychopathy" in isolation. Is it as scary as it sounds? Out of interest I've looked at a few criminal cases of psychopathy which have traumatic childhood as a common denominator. It all boils down in simple terms to very low empathy. There is a major breakdown of emotional responsiveness or correct interaction with the emotions of others. In my own view, this can create childhood issues in understanding right and wrong because initially morals arrive instinctively. However also in my view you can learn morals and ethics later in life in other ways which is why generally autistics have a "moral compass". What most people don't know is that when Hans Asperger researched psychopathy, it was exactly the same concept. His patients had low empathy and could have antisocial behavioural problems. Today they tend to favour just saying "low empathy" as part of an autism spectrum issue. I have been surprised to see though in criminal psychology they will use psychopathy in its less positive aspect. Back as far as the 1920s, Jewish clinician Grunya Sukhareva first described psychopathy as requiring some social factor. Put simply, her patients had experienced strict and possibly uncaring childhood plus authoritarianism. They showed very low empathy and lack of emotion. If you observe emotionally normal people you will see social bonding interaction such as eye contact, smiling, hugging, crying if someone else is upset and "feeling" their pain. This is all very healthy and necessary although my only gripe is neurotypicals so often fail to emphasise with animals. This I view as selfish. Thus psychopathy is a huge aspect of Asperger's research and there are times when he was disturbed by it. If we now take Leo Kanner's Early Childhood Autism diagnosis and add it to Psychopathy we get Autistic Psychopathy. Final point: Having suffered psychopathy from early childhood I concluded 50 per cent of the condition was negative and creating insurmountable barriers to friendships. I have tried to mellow out or at least be more aware.