The Difference Between Asperger's and Autism

"What is the real difference between Asperger's Syndrome and Autism? When I tell people that my daughter has Asperger's, they usually ask me, 'What is Asperger's exactly?' And I say, 'It's a form of Autism.' But that doesn't really help them to understand Asperger's since there is supposedly a big difference between the two disorders."

There is a great deal of confusion when it comes to the differences between Aspergers (high functioning autism) and Autistic Disorder. It seems that even medical professionals have difficulty determining a clear line between the two disorders. Often, it boils down to simply categorizing children according to the specific traits they exhibit, such as how they use language. However, there are some professionals who assert that Aspergers and Autism are actually the same disorder and should both fall under the heading of Autism.

Click here for more information on the new criteria for Autism as described in the DSM 5.

It's important to understand Pervasive Developmental Disorders (PDDs) when trying to determine the differences (or lack thereof) between Aspergers and Autism. PDDs are neurobiological disorders that include a wide spectrum of conditions, including Aspergers and Autism. PDDS are marked by much delayed or significantly lacking social and language skills. A child with a PDD will usually have problems communicating with others and understanding language. Often, children with these conditions ignore or fail to understand facial expressions, and they may not make eye contact as most people expect in social situations.

Autism is the most well known of the disorders classified as PDDs. Autistic kids look just like everyone else. It is their behavior that is different, and they appear withdrawn and often resist to change. They tend to throw tantrums, shake, flap or move their bodies in odd ways, and laugh or cry for what seems like no reason.

Kids with Autism may play in a way that it considered odd and exhibit obsessive attachments to certain objects. They may act as if they are deaf, ignore verbal cues, repeat certain words over and over again, or be entirely non-verbal. In those who are verbal, a lack of ability to start a conversation is often evident.

Aspergers is often considered within the spectrum of Autism. A child with Aspergers may exhibit odd or abnormal verbal communication skills. He may also avoid peer relationships, lack interest in others, fail to return emotional feelings, form obsessive attachments to subjects of interest, and have repetitive behaviors. He may exhibit repetitive movements, such as flapping or twisting. Interestingly, children with Aspergers generally do not experience delays in language or cognitive development, and they are often very curious about their environment.

It is important to note that not all children with Aspergers and Autism lack the ability to function normally. Some are considered highly-functioning and are capable of caring for themselves and interacting socially. However, these young people are usually seen as odd or eccentric because they still have behaviors that don't mesh with what most people consider normal.

Since Aspergers and Autism are seen as so similar, some people draw a line between the two at language development and social awareness. It seems that those with Aspergers typically have more normal language development, though many still have disordered language and communication skills. Kids and teens with Aspergers also tend to be more interested in - and aware of - social interactions than those with Autism. However, social skills must be taught and even practiced, as they generally don't come naturally to young people with this disorder.

My Aspergers Child: How to Prevent Meltdowns and Tantrums


 COMMENTS:

•    Anonymous said... According to the DSMV, there is no difference. It's now High Functioning Autism at level 1 -2.
•    Anonymous said... Going thru the same situation with my 16 year old son and his school. They wont acknowledge his aspergers diagnisis.
•    Anonymous said... I don't bother getting into a lot of details, I just say "In her case, her main struggles are _______, but others may have different difficulties" With the school, teachers etc I go into more detail.
•    Anonymous said... i think its hard for people to understand autism and talking... they hear autistic and think oh well how cause she can talk and look at me and has friends... i just tell people she has high functioning and still struggles with a lot of the same things as a severe autistic child but in a less severe form... most people tend to understand that.
•    Anonymous said... It is on the Autism spectrum and is high functioning autism.
•    Anonymous said... It's a social delay. The way in which they relate to others. That's what I tell my son about himself. Then I give him examples of his behavior and he understands it. He can't control it yet, but, I'm giving him awareness of it so he can be mindful of his actions.
•    Anonymous said... It's not hfa. Hfa usually involves speech issues, meaning not talking. Not unable to talk just introverted in a way. Aspies generally talk, and quite well. From my experience anyway:)
•    Anonymous said... People seem to get Autism for the most part. I just tell them my son has high functioning Autism and it affects things like his social skills, eye contact and coordination.
•    Anonymous said... That's a good question. I have a 9 year old with Asperger's and go through the same thing. It's hard to explain to someone who doesn't understand Autism at all.
•    Anonymous said... The individual is their own unique self, and their needs are their needs, just like anyone else. It really doesn't matter what anyone wants to call it. The only real usefulness for either label is as an indicator that says, "we need to keep looking".
•    Anonymous said... With the dx coding changes I just say he's HFA now. It's easier for most to understand that and the school works with it easier

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Aspergers in Females

From A Woman's Perspective:

A young lady who has participated for several years in a social group for adults with high functioning autism and Asperger’s Syndrome sponsored at our TEACCH Center in Asheville, recently remarked, “There aren’t a heck of a lot of ladies who have Asperger’s Syndrome or autism. The majority are males, and although we get along with the guys, there are some issues that they are never going to understand. I wish there was more information specifically for ladies who have autism.” Her comment prompted the initiation of the first ladies’ group at the Asheville TEACCH Center. 

While talking with this lady, who is in her 20’s, I was reminded of my own early adulthood. I remember the strong support of “ladies’ consciousness-raising groups” that sprouted up on college campuses and in living rooms in the 60’s and 70’s. While struggling for and demanding equality between the sexes in the society at large, we discovered that there were important distinctions that needed to be honored. Together we explored and defined what “being a lady” was about, in the company of other young ladies searching for self-awareness. Being a member of a ladies’ “CR” (Consciousness-Raising) group was educational, exciting, exhilarating, emotional, relevant…and never boring.

According to Tony Attwood and other professionals in the field, ladies with high functioning autism and Asperger’s Syndrome may be an under diagnosed population. If this is true, some of the reasons may be attributed to gender differences.

Are there behaviors that are seen in females with Asperger’s Syndrome, but not in males, that we haven’t yet identified as part of the profile… or certain gender-related behavior that might fool us into ruling out the diagnosis? What about the “pretend play” that has been observed in many young females at our center, which on the surface appears to be quite creative and imaginative? There seem to be many females (on the spectrum) who are enamored with princesses, fantasy kingdoms, unicorns, and animals¬¬. How many diagnosticians observe these interests and skills as imagination, and rule out a diagnosis based on these behaviors? Might this interest in imaginary kingdoms and talking animals be more common among females than males, yet still exist alongside other autistic/Aspergers traits?

And what about one typical response to confusion or frustration--hitting or other such outward expressions of frustration? Does this type of acting out occur more often in males with autism than in females? Is confusion or frustration simply easier to identify in males than females because we already look for it? Among the general population, it is commonly thought that males do “act out” more than females. (You sometimes hear teachers complain there are too many males in his or her class, and its impact on the class’ personality!) Is it easier to identify males as having autism because these behaviors are more obvious, than females who may experience inward or passive signs of aggression?

Professionals whose task it is to diagnose individuals with autism or Asperger’s Syndrome need to learn more about the full range of qualities and personality differences unique to females and ladies on the spectrum.

And what about the females’ and ladies’ route to self-understanding? Indeed, several ladies I have worked with who have Asperger’s Syndrome have talked about the unique challenges they experience because they constitute a “minority” within this special group of society.

I believe that in order to gain self understanding, each person with - or without - autism needs to see his or her own reflection in the world. I call this ‘seeing one’s place.’ For people with autism or AS, who already are challenged in this area, it becomes imperative that they meet, listen to, talk with, read about, and learn from others with autism. What happens as a result of this coming together is that they are able to see their ‘reflection’ and better understand their own unique styles of thinking and being. Ladies with autism, although benefiting greatly from getting to know other people with autism, often find that they might be the only female (or one of a very few ladies) in the group.

When I asked the ladies we see at our center if they would be interested in being in a ladies’ group, I had hoped that the group could fill a gap in our services. I also hoped that I would learn more about what it means to be a lady with autism. The more I meet with these ladies, the more I realize we have far to go in understanding the unique challenges that ladies with autism or Aspergers face.

One lady explained that, from her perspective there is subtle interaction between two sets of issues. “Problems related to the [autism] spectrum are combined with problems of society’s expectations of ladies. How one looks, what one wears, how one is supposed to relate socially, that a lady is supposed to have a natural empathy towards others, expectations about dating and marriage…” Ladies are affected by autism in the same ways as are their male counterparts; however, they are doubly challenged by the added assumptions that society places on the female gender.

At the risk of stereotyping, any man who is a rational thinker, and not emotionally in tune with others, is often thought of as having “typical male behavior” (think of the TV show “Tool Time”). A female exhibiting these same personality traits might be regarded as odd, annoying, cold, or depending on the situation, even mean-spirited. Autism, with its particular effects on personality, causes one to appear more rational and less emotionally responsive or empathetic to others. Ladies with autism note that these expectations indeed may weigh more heavily on them, just because they are ladies.

At the first meeting, the group members requested specific topics for discussion, topics that they encounter in daily life or ones which they are currently pondering. These topics included issues that are relevant to ladies at large such as personal safety; dating and sex; or being taken advantage of when your car needs repair. Other issues they raised were felt by group members to possibly be more significant for ladies with autism, but common to all--being pressured to conform by getting married; to “act like a lady”; and issues about one’s appearance--to have to “look a certain way”.

However, there were topics that all agree are a direct result of being a lady with autism, such as common behavioral and social expectations by the society at large. At the top of the list were the expectations of being sensitive to others and displaying empathy.

Ladies with autism have expressed that they feel that more is expected from them than from their male counterparts, simply because of their gender. Members of the group felt these expectations to be sensitive and empathetic, typically attributed to ladies, are unfair and difficult to meet. Discussion centered on how these behaviors require skills like the ability to accurately read and respond to body language, along with the inherent desire to “take care of others, emotionally”. Interestingly, after discussing these issues, the first requested topic to explore was reading body language and how to tell if someone is trying to take advantage of you.

The topic that generated the biggest emotional response from the group was the personal experience of feeling like one was “being treated like a child”. Parents, in general, are often more protective of their daughters than their sons. Daughters with autism talked about feeling overly protected into womanhood. In many cases, this is needed, although without understanding the parent’s perspective, the adult daughter can feel unfairly babied. Some ladies talked about the resentment they felt toward people, who for many years had been trying to teach them “socially appropriate” ways of acting. “Enough already!” was a common response.

The desire to be respected as an individual, and as a lady, was voiced clearly and strongly. Although this desire is probably equally shared among grown men with autism, the ladies voiced these desires clearly, with deep emotion and passion, when talking with other ladies.

What to Do When You Think Your Child May Have an Autism Spectrum Disorder

"What are the first steps parents should begin to take when they believe their child may have autism?"

For many moms and dads, finding out that your youngster has ASD level 1, or High-Functioning Autism (HFA), can be a mixed blessing. On one hand, a positive diagnosis gives rise to the prospect of management and greater certainty as to the factors at play in your youngster's life. On the other, most moms and dads are unprepared for the changes having a son or daughter with the disorder invariably brings.

We've compiled a list of the top 10 steps to take if you think your youngster may have an autism spectrum disorder, or if you've had your youngster diagnosed already:

1. Be honest with yourself. At times, rearing a son or daughter with HFA can cause you anger, sadness, anxiety, frustration and depression. Be open to understanding that you will, at times, feel all these feelings, and allow that authenticity to give rise to the possibility that you will take care of your own needs. In doing so, you can more effectively tend to the needs of others. Don't feel the need to explain or justify your actions to others. However you cope with the situation is exactly the way you are supposed to.

2. Contact community services and inquire as to whether you are eligible for some type of family benefit as a parent of a youngster on the autism spectrum. Your doctor should be able to advise you on this.

3. Contact your local Autism Association and ascertain what services are provided through the service. Make use of private and government resourced services.

4. Permit yourself to take stock of your situation from a place of positivity. With diagnosis comes some certainty, as you and your youngster are now dealing with a known quantity. There's nothing wrong with taking each day at a time, and understanding that you can now make a difference to your youngster's life, which you could not in the absence of a diagnosis. You're youngster has always had the disorder. The day your son or daughter receives a diagnosis is the first step in the right direction.

5. If your son or daughter is in school, contact the Principal and advise him or her of the diagnosis. Many schools are aware of – and, in fact, provide information on – autism. School counseling is designed to assist with the condition. In addition, ask your youngster's school whether they are aware of any parent workshops for autistic children.

If your child is older, home study and tutoring may be an option. It is important to be assertive in ensuring that your school can properly advocate for your youngster's needs, and ideally this can be achieved by working within the school protocols. There is no need for you to underestimate your youngster's potential, and certainly this attitude should be reflected in the educational institution. Involve yourself where possible in your youngster's educational and learning environments.

6. Invest in your own education. There is a vast quantity of information on autism spectrum disorders available, both online and in the form of medical literature. Sign up for information seminars, online e-courses, and if you are looking for immediately available information, give consideration to investing in an ebook written by an expert on autism spectrum disorders. Knowledge is power.

7. Involve your family in the process, and do your best to maintain objectivity. Kids on the spectrum have certain special needs; however, they are (for the most part) high-functioning children who can thrive with appropriate and measured care. Try and maintain a balance between focusing on providing that care, and being a spouse and parent to the rest of your family.

8. Make inquiries with your doctor for a referral to someone who has experience with autism spectrum disorders. Having professional assistance can make an enormous difference to how effectively you can help your youngster cope with the disorder. Permit those professionals you consult to guide you through the process and make the most of their advice.

9. Make inquiries within your local community as to the support groups available for those with HFA and for moms and dads of these children. Sharing your situation with others who are in a position to fully appreciate it can make an enormous difference.

10. Remember to smile. You have a special child. One day, he or she just might be the one looking after you.


Resources for parents of children and teens on the autism spectrum:
 

==> Videos for Parents of Children and Teens with ASD
 
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