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Asperger’s syndrome . Real or not?. Dr. Marguerite Dalton March 2012. ASD / Asperger’s syndrome . Spectrum of disorders ? Disorder for life?. Historical . Kanner 1943 – “early infantile autism” Hans Asperger- Austrian Psychiatrist- 1944
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Asperger’s syndrome Real or not? Dr. Marguerite Dalton March 2012
ASD / Asperger’s syndrome Spectrum of disorders ? Disorder for life?
Historical • Kanner 1943 – “early infantile autism” • Hans Asperger- Austrian Psychiatrist- 1944 “autistic psychopathy” – now termed Asperger’s syndrome- similarities – argument still continues as to whether they are separate entities
Motor development • Autistic ( Kanner) – good fine motor but poor gross motor • Asperger – poor gross and fine motor – diagnostic?
Speech • Autistic – delayed or non-verbal • Asperger’s - may appear normal initially – “talk like little adults”
Age of presentation • Autistic – early childhood / infancy • Asperger’s – early/late childhood
Severity of impairment • Autistic - more severe • Asperger’s - less severe
Intelligence • Initial descriptions suggest Autistic lower but not necessarily accepted now.
Restricted or fixed interests • Repetitive or stereotype behaviour • Repetitive speech or echolalia • Hypo or hyper sensitivity to sensory input • Problems with social – emotional reciprocity • Problems with non-verbal communication • Problems developing and maintaining relationships appropriate to normal developmental level
DSM • IV – Autism and Aspergers separate categories • V - under same category as general consensus is that they are ends of the same spectrum , similar symptomatology , varying in severity.
Does it matter? • Labelling - what is in a name? • Funding • Coding • Research
Associations • Learning difficulties • Epilepsy • Sleep disturbance • Gut problems • Fragile X • Prematurity • Trisomy 21 • Tuberous Sclerosis
Life long diagnosis? • Personality or condition?
Genetics • Will this be the answer?