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mega-hugs to you as you try to untangle all of this. I think the temperament/diagnosis issue may be one of the most interesting questions in psychology right now - at what point is an active kid someone with ADD, at what point is a shy, quiet kid someone with AS? On the one hand, I work in this field and see the benefits of diagnosis. OTOH, I also see kids for whom no diagnosis really fits, and whose parents are struggling as you are.
FWIW, the labels/diagnoses are mostly just behavioral descriptions - behaviors that professionals have grouped together. The grouping of behaviors into a diagnosis helps alot with treatment or education, but it's not the full answer. Richard Roy Grinker's "Unstrange Minds" does a great job of teasing this part out.
Two things you said struck me, though. First off, I think gender was revealed somewhere in the thread. There's no question that girls with AS present much differently than boys. There was a great "Primetime" show on ABC that focussed on this - many women didn't get diagnosed until adulthood, and still don't look "typically" autistic. ((FWIW, I tried to find a link to this story for you, but I only found it as a DVD on Amazon. Maybe it will re-run on TV at some point))
Also, the genetic underpinnings of autism mean that traits of autism and aspergers run in families. If you have a brother with autism, it does mean that other people in the family may have some milder traits - language issues, social discomfort, etc. These may not rise to the level of diagnosis, but they are still there. One coworker, whose son has Aspergers, told me about a recent family reunion where "everyone looks and sounds like John!"
Don't know if any of this helps with your particular DC, but I think either way (temperament or diagnosable) the approach would be similar - teaching skills that make DC's life easier and happier, and adapting to traits that don't change.
by Sue in Queens on Sun May 04, 2008 at 04:34:38 AM PDT
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I think the temperament/diagnosis issue may be one of the most interesting questions in psychology right now
that was very helpful to read, to give me some peace as to why it's such a tricky thing to untangle.
yes... dd is a she... i will definitely get the book and look for the dvd too, i didn't know about the gender difference with aspergers, so that may help me think through this.
and although we are not genetically related, that certainly doesn't rule out a genetic trait in her birthfamily. her birthmom (who i met briefly once) is reserved, but smart and kind and smiley too. no reported autism spectrum issues in her birthfamily.
and this...
adapting to traits that don't change.
is definitely a bit part of my work. two things are at play... 1. dd turned five recently, so things i had been "tracking" since she was about 2 and 1/2... i realized they hadn't changed much and probably won't. and 2. my two year old is about the most social and verbal kid on the planet, so having him ask and say things that dd has never considered, makes the issue more striking. thankfully, my oldest is a moderated version of his little brother, because the middle two can each be exhausting in different ways.
by slackermom on Sun May 04, 2008 at 08:41:39 PM PDT
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