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Aspergers: Diagnosis and Clinical Features

The diagnosis of Aspergers requires the demonstration of qualitative impairments in social interaction and restricted patterns of interest, criteria which are identical to autism. In contrast to autism, there are no criteria in the cluster of language and communication symptoms, and onset criteria differ in that there should be no clinically significant delay in language acquisition, cognitive and self-help skills. Those symptoms result in significant impairment in social and occupational functioning. In some contrast to the social presentation in autism, children with Aspergers find themselves socially isolated, but are not usually withdrawn in the presence of others. Typically, they approach others but in an inappropriate or eccentric fashion. For example, they may engage the interlocutor, usually an adult, in one-sided conversation characterized by long-winded, pedantic speech, about a favorite and often unusual and narrow topic. They may express interest in friendships and in

Asperger Syndrome: Epidemiology

Given the lack of consensual definitions of diagnosis until recently, it is not surprising that the prevalence of Aspergers is unknown, although a rate of 2 to 4 in 10,000 has been reported. There is little doubt that the condition is more prevalent in boys than girls, with a reported ratio of 9 to 1. In the past few years, there have been a proliferation of parent support groups organized around the concept of Aspergers, and there are indications that this diagnosis is being given by clinicians much more frequently than even just a few years ago; there are also indications that Aspergers is currently functioning as a residual diagnosis given to normal-intelligence young people with a degree of social disabilities who do not fulfill criteria for autism, overlapping in this way, with the DSM-IV term PDD-NOS. Possibly the most common usage of the term Aspergers is as synonymous or a replacement to autism in children with normative or superior IQs. This pattern has diluted t

The History Behind "Aspergers"

Aspergers  is characterized by impairments in social interaction and restricted interests and behaviors as seen in autism, but its early developmental course is marked by a lack of any clinically significant delay in spoken or receptive language, cognitive development, self-help skills, and curiosity about the environment. All-absorbing and intense circumscribed interests and one-sided verbosity as well motor clumsiness are typical of the condition, but are not required for diagnosis. In 1944, Hans Asperger, an Austrian pediatrician with interest in special education, described four kids who had difficulty integrating socially into groups. Unaware of Kanner's description of early infantile autism published just the year before, Asperger called the condition he described "autistic psychopathy", indicating a stable personality disorder marked by social isolation. Despite preserved intellectual skills, the kids showed marked paucity of nonverbal communication invol

Aspergers Children and Social Skills Interventions

In this post, we will look at the ingredients that are critical to making “social skills interventions” successful for kids with Aspergers. Here you will find basic principles for teaching social skills that capitalize on the strengths of such kids, while specifically addressing their deficits: Make the abstract concrete— Relative to some academic skills, teaching social competence involves abstract skills and concepts. Because kids with Aspergers tend to be concrete and literal, the abstract nature of these interpersonal skills such as kindness, reciprocity, friendships, thoughts, and feelings makes them especially difficult to master. A first critical step is to define the abstract social skill or problem in clear and concrete terms. The behavior must be explicitly operationalized and the youngster taught to identify it and differentiate it from other behaviors (Is this a friend or not a friend? Is this a quiet or a loud voice? Were you being teased or not? Are you followin

Aspergers Tantrums, Rage, and Meltdowns

At the moment if the situations are not done exactly his way he has a meltdown. Symptoms are: Extreme ear piercing screaming, intense crying, to falling down on the floor saying he is going to die. I have tried to tell him to breathe but his meltdown is so intense that his body just can't listen to words.  ==> Continue to full article ...

Anxiety and Sleep Problems

Question My 11 yr old daughter was diagnosed with Asperger's just about a year ago. She is very very high functioning, well we though until about 6 months ago, when her anxiety took over and she had a mental and physical breakdown. Her anxiety continues to plague her, although, she is better than she was. Sleeping is a huge issue for her, always has been since she was 18 months old. The hard thing is, is that no calming techniques seem to help or better yet, she is not willing to even try some. Not to mention the fact that nothing is consistent, yet it’s all consistent. That something is always the matter, here or there. She is very smart, very stubborn, and very very pre pubescent. She was always quirky, and pretentious, but this anxiety is very difficult to maintain daily life without know what she can handle and what she can’t. No rhythm or reason. She is on anti anxiety meds, only at night... but sometimes do the opposite. They make her cranky and anxious, frustrated

Aspergers Kids and Public School Problems

Question Recently I have been in a battle with the Public School System. The main issue was my 8year old was being bullied beyond belief! They now think my son has Aspergers… I carried him to a Therapist and he said my son had been emotionally and physically abused by the school and has a couple of Aspergers Symptoms... Where to go from here? Answer Before the landmark Supreme Court case of Brown v. Board of Education in 1954, school districts frequently did not allow handicapped kids to enroll. Today legislation such as the Education for All Handicapped Kids Act of 1975, amended in 1990 in 2004 to become the Individuals with Disabilities Education Act, protects the right of handicapped kids to a free and appropriate education in the public schools. The "spirit" of laws that apply to handicapped kids is that each youngster should be educated as an individual. This is a good thing for kids with Aspergers (high-functioning autism) in particular. They need ind

Challenges Faced by Teens and Adults with Aspergers

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