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Asperger’s syndrome

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

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  1. Asperger’s syndrome Real or not? Dr. Marguerite Dalton March 2012

  2. ASD / Asperger’s syndrome Spectrum of disorders ? Disorder for life?

  3. 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

  4. Differences

  5. Motor development • Autistic ( Kanner) – good fine motor but poor gross motor • Asperger – poor gross and fine motor – diagnostic?

  6. Speech • Autistic – delayed or non-verbal • Asperger’s - may appear normal initially – “talk like little adults”

  7. Age of presentation • Autistic – early childhood / infancy • Asperger’s – early/late childhood

  8. Severity of impairment • Autistic - more severe • Asperger’s - less severe

  9. Intelligence • Initial descriptions suggest Autistic lower but not necessarily accepted now.

  10. Similarities

  11. 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

  12. 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.

  13. Does it matter? • Labelling - what is in a name? • Funding • Coding • Research

  14. Associations • Learning difficulties • Epilepsy • Sleep disturbance • Gut problems • Fragile X • Prematurity • Trisomy 21 • Tuberous Sclerosis

  15. Life long diagnosis? • Personality or condition?

  16. Genetics • Will this be the answer?

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