My ASD Child

Despite the rapid growth of interest in Asperger disorder in kids, there continues to be a lack of awareness of the diagnosis and its implications for teens and grown-ups. The reasons for this lack of awareness lie in the history of the disorder and in the historical development of mental health services. Because, as Santayana wrote, “Those who cannot remember the past are condemned to repeat it,” this article reprises some of the history given elsewhere in this volume, but in a highly partial way, to bring out what the author believes to be the historically grounded prejudices that are the first challenge to anyone wanting to help teens and adults with Aspergers. The diagnosis of Aspergers (AS) is more than 50 years old, nearly as old as autistic disorder. The year of 1943 saw the publication of Kanner's description of autistic disturbances in kids [1], and 1944, Aspergers paper on autistic personality disorder [2]. Asperger, like Kanner, worked with kids, and his paper, lik

The diagnostic criteria for Aspergers as outlined in DSM IV TR [1] includes in “criterion A” a description of some of the qualitative impairments in social interaction. The list of characteristics includes: • Failure to develop peer relationships appropriate to developmental level • Lack of social or emotional reciprocity • Marked impairment in the use of multiple nonverbal behaviors, such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction Clinical experience and autobiographies confirm that such people have considerable difficulty with the understanding and expression of nonverbal behaviors and social reciprocity. Regarding peer relationships, when we observe and assess the social play and friendship skills of kids with Aspergers, we recognize a delay in the conceptualization of friendship. The youngster may have an overall intellectual ability within the normal range, but their understanding of friendship skills resembles a