Saturday, April 26, 2008

With A Little Help From My Friends

I've been asking two good friends of mine if they have observed any traits of Aspergers. I first asked my friend (and former boyfriend) Erik. Using the symptoms on WebMD he saw these things in me (in bold):


  • Not pick up on social cues and lack inborn social skills, such as being able to read others' body language, start or maintain a conversation, and take turns talking.
  • Dislike any changes in routines.
  • Appear to lack empathy.
  • Be unable to recognize subtle differences in speech tone, pitch, and accent that alter the meaning of others' speech. Thus, your child may not understand a joke or may take a sarcastic comment literally. Likewise, his or her speech may be flat and difficult to understand because it lacks tone, pitch, and accent.
  • Have a formal style of speaking that is advanced for his or her age. For example, the child may use the term "beckon" instead of "call," or "return" instead of "come back."
  • Avoid eye contact.
  • Have unusual facial expressions or postures.
  • Be preoccupied with only one or few interests, which he or she may be very knowledgeable about. Many children with Asperger's syndrome are overly interested in parts of a whole or in unusual activities, such as doing intricate jigsaw puzzles, designing houses, drawing highly detailed scenes, or astronomy.2
  • Talk a lot, usually about a favorite subject. One-sided conversations are common. Internal thoughts are often verbalized.
  • Have delayed motor development. Your child may be late in learning to use a fork or spoon, ride a bike, or catch a ball. He or she may have an awkward walk. Handwriting is often poor.
  • Have heightened sensitivity and become overstimulated by loud noises, lights, or strong tastes or textures. For more information about these symptoms, see sensory integration dysfunction.
I then asked his partner Scott. He noticed these (again, using WebMD):
  • Not pick up on social cues and lack inborn social skills, such as being able to read others' body language, start or maintain a conversation, and take turns talking.
  • Dislike any changes in routines.
  • Appear to lack empathy.
  • Be unable to recognize subtle differences in speech tone, pitch, and accent that alter the meaning of others’ speech. Thus, your child may not understand a joke or may take a sarcastic comment literally. Likewise, his or her speech may be flat and difficult to understand because it lacks tone, pitch, and accent.
  • Have a formal style of speaking that is advanced for his or her age. For example, the child may use the term "beckon" instead of "call," or "return" instead of "come back."
  • Avoid eye contact.
  • Have unusual facial expressions or postures.
  • Be preoccupied with only one or few interests, which he or she may be very knowledgeable about. Many children with Asperger's syndrome are overly interested in parts of a whole or in unusual activities, such as doing intricate jigsaw puzzles, designing houses, drawing highly detailed scenes, or astronomy.2
  • Talk a lot, usually about a favorite subject. One-sided conversations are common. Internal thoughts are often verbalized.
  • Have delayed motor development. Your child may be late in learning to use a fork or spoon, ride a bike, or catch a ball. He or she may have an awkward walk. Handwriting is often poor.
  • Have heightened sensitivity and become overstimulated by loud noises, lights, or strong tastes or textures. For more information about these symptoms, see sensory integration dysfunction.
Then I showed Erik the DSM definition. This is what he picked up:
(I) Qualitative impairment in social interaction, as manifested by at least two of the following:
    (A) marked impairments in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body posture, and gestures to regulate social interaction
    (B) failure to develop peer relationships appropriate to developmental level
    (C) a lack of spontaneous seeking to share enjoyment, interest or achievements with other people, (e.g.. by a lack of showing, bringing, or pointing out objects of interest to other people)
    (D) lack of social or emotional reciprocity
(II) Restricted repetitive & stereotyped patterns of behavior, interests and activities, as manifested by at least one of the following:
    (A) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
    (B) apparently inflexible adherence to specific, nonfunctional routines or rituals
    (C) stereotyped and repetitive motor mannerisms (e.g. hand or finger flapping or twisting, or complex whole-body movements)
    (D) persistent preoccupation with parts of objects

(III) The disturbance causes clinically significant impairments in social, occupational, or other important areas of functioning.


So, at least from two people who know me well a picture emerges. There is nothing definitive here, but there is proof it isn't all in my head.

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