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What is Asperger's Syndrome? What is an ASD?



The terminology surrounding this area is confusing, partly for historical reasons.

Where does the word autism come from?

The term 'autism' was first introduced by Swiss psychiatrist Eugen Bleuler in 1911. Bleuler was attempting to define another new concept schizophrenia and noted the "autistic withdrawal of the patient to his fantasies, against which any influence from outside becomes an intolerable disturbance.

Why Asperger's Syndrome?

In 1938 the Austrian Dr Hans Asperger (1906-1980) took the term 'autism' in  a different direction when he described an 'autistic psychopath' in a lecture on child psychology. The term 'psychopath' did not imply moral judgement here -   Asperger was describing a child whose self-absorption created problems in social interaction.

Five years later another specialist in this area, Leo Kanner, wrote a breakthrough paper on 'early infantile autism'. Crucially he described cognitive impairment as a defining characteristic of the condition.

But in 1943 Asperger identified a  group of high achieving children who appeared to contradict Kanner's thesis. Though intellectually advanced, these young people appeared to have key autistic traits: a lack of empathy, little ability to form friendships, one-sided conversation, intense absorption in a special interest, and clumsy movements.


Asperger later noted that these 'odd' characteristics were sometimes combined with exceptional gifts, particularly in the ability to process and analyse information.  

Why do we talk about Autistic Spectrum disorders?

The consensus has been that there is a continuum of Autistic Spectrum Disorders (ASDs). At one end is what might be termed 'fully blown' autism. This is associated with moderate to severe learning difficulties. 


Asperger's Syndrome is at the other end of the spectrum and is sometimes called 'high functioning' autism. The Diagnostic and Statistical Manual of Mental Disorders (DSM) recognised Asperger's Syndrome in 1981.

But what the DSM gives ...

In 2013 the revised fifth edition (DSM-5) decided to remove Asperger's syndrome as a separate diagnosis and replace it within the term ‘autism spectrum disorder’.


In the terminology of the DSM-5, what was formerly know known as Asperger's syndrome would now be described as the ‘upper end’ of the autistic spectrum disorder (ASD). This form of ASD involves unaffected intelligence and language development, and milder symptoms affecting social interaction, behaviour and language comprehension.


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Comments

  1. Update: the new DSM introduces a major change in the terminology used in this areas - see below

    Asperger's syndrome is to be dropped from the psychiatrists' Diagnostic and Statistical Manual (DSM) of Mental Disorders, the American publication that is one of the most influential references for the profession around the world.

    The term "Asperger's disorder" will not appear in the DSM-5, the latest revision of the manual, and instead its symptoms will come under the newly added "autism spectrum disorder", which is already used widely. That umbrella diagnosis will include children with severe autism, who often do not talk or interact, as well as those with milder forms.


    The DSM is used in a number of countries to varying degrees. Psychiatrists in some countries including Britain use the International Classification of Diseases (ICD) published by the World Health Organisation or a combination of both handbooks.

    From http://www.guardian.co.uk/society/2012/dec/02/aspergers-syndrome-dropped-psychiatric-dsm

    ReplyDelete
  2. This is true, but the use of the term Aspergers is still professionally acceptable and appropriate is referring to these clients as it accurately identifies the symptoms. R.W. LPC, NCC

    ReplyDelete

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