Simen wrote
"So, fuckups happen. Doesn't mean unqualified amateurs are any better at diagnosis. You shouldn't presume so."
I'll presume all I like Simen. I've been through a number of pregnancies and as well I've had plenty of dealings with the medical profession, and medical diagnostic errors happen more often than correct decisions. This is because many doctors work on the principle that the patient will just keep coming back if their first diagnosis and treatment is incorrect, and they are happy to keep bumbling on with trial and error till the patient stops complaining, either through death or healing. There is also plain sloppiness and blindness to details. One of our kids would very likely have been stillborn if not for the medical errors that my husband and I noticed.
You cannot generalize in this way. There's a huge logical gap in there, between "doctors and medical professionals aren't omniscient" to "they aren't qualified to make diagnoses".
"As for schizophrenia, there is a type of schizophrenia not too different from AS that doesn't require split personality, psychosis and so on."
I find that very, very hard to believe. Psychosis is the defining feature of modern, mainstream medical definitions of schizophrenia, and genuine psychosis is not a feature of the autistic spectrum. There is even a campaign underway to have the term "schizophrenia" changed to a number of different psychiatric labels that are different types of psychosis. If you wish to read more about this see this New Scientist article:
http://www.newscientist.com/channel/heal...renia.html
No, psychosis is most definitely not the defining feature of modern, mainstream medical definitions of schizophrenia. Here's one modern, mainstream medical definition, from DSM IV:
A. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):
(1) delusions
(2) hallucinations
(3) disorganized speech (e.g., frequent derailment or incoherence)
(4) grossly disorganized or catatonic behavior
(5) negative symptoms, i.e., affective flattening, alogia, or avolition
Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person's behavior or thoughts, or two or more voices conversing with each other.
B. Social/occupational dysfunction: For a significant portion of the time since the onset of the disturbance, one or more major areas of functioning such as work, interpersonal relations, or self-care are markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, failure to achieve expected level of interpersonal, academic, or occupational achievement).
C. Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).
As you can see, it suffices to have "(4) grossly disorganized or catatonic behavior,
(5) negative symptoms, i.e., affective flattening, alogia, or avolition" and social/occupational dysfunction.
"How would you like it if someone made a website where they speculated in YOUR mental health? Oh, she looks so schizophrenic, or, hmm, maybe narcissistic. In fact, this is what happens to a lot of celebrities and guess what, most of the amateur-diagnosed illnesses are wrong."
I don't speculate about the mental health of famous people. I speculate about whether or not famous people are on the autistic spectrum. Being on the autistic spectrum is not being mentally ill. Autism is not a mental illness. I would have thought it was obvious to anyone that this is how we regard autism in this forum. It is also the medically and scientifically accepted way of thinking about autism.
Well, excuse me for not applying a word filter to remove the offending language. You understood well what I wrote, even though I may have had to write "YOUR neurological variation" to please you. Oh, and I don't care about "how we view autism in this forum". There is no collective brain here, there's a spectrum (haha) of views and beliefs. Last I checked, members didn't have to agree with any opinions to join here.
Your nitpicking about language completely ignores the point of that section. Also, I have never said or implied that autism is an illness. Just because I'm not always politically correct here doesn't mean I necessarily disagree with you.
Perhaps you'd like to make a substantive response to the point of that section, which was that amateurs constantly speculate about the mental health and neurological variety and everything that's got to do with the minds of celebrities, and that they are wrong as often or more often than they're right?
What makes you think amateurs are qualified to diagnose autism?
"Also, note that none of these traits are ones you have if, and only if you have AS or some kind of autism."
Oh really? Would you like to tell me what other scientifically recognized medical or psychological condition has generalized sensory hypersensitivity, of exactly the same type as seen in autism/AS, as a symptom or feature? Could you list a scientifically recognized condition besides autism that can have pedantic pronounciation and oddly formal language as a feature? What other condition besides autism could cause successive generations in a family to have noticeably stiff posture with very straight backs?
Would you please provide a reference that says these things are sufficient to diagnose someone with autism, or that rule out that these traits could be caused by anything else? Until then, I suggest at least sticking with the official diagnostic criteria.
"...I disagree that the people you presumably link to (havn't seen the list) are qualified or justified in their speculation."
Oh, of course you haven't bothered to look at my list. If you had, you would have seen this bit at the end of the list:
Details of some authors and sources of references
Professor Simon Baron-Cohen
Professor of Developmental Psychopathology in the departments of Psychiatry and Experimental Psychology
University of Cambridge
Co-director of the Autism Research Centre
University of Cambridge
Professor Arthur Caplan
Emanuel and Robert Hart Professor of Bioethics
University of Pennsylvania
Director of the Center for Bioethics
University of Pennsylvania
Professor Michael Fitzgerald
Henry Marsh Professor of Child and Adolescent Psychiatry
Trinity College, Dublin
and also a psychoanalyst with the
International Psychoanalytic Association
[information about his books can be found here:
http://www.professormichaelfitzgerald.eu/books.html]
Professor Morton Ann Gernsbacher
Vilas Research Professor
Sir Frederic Bartlett Professor of Psychology
University of Wisconsin-Madison
President of the Association for Psychological Science
and mother of a son diagnosed as autistic
Professor Christopher Gillberg
Professor of Child and Adolescent Psychiatry
Gothenburg University, Gothenburg, Sweden
St George’s Medical College, University of London
Visiting Professor
Universities of Bergen, Odense, New York and San Francisco
Professor Ioan James
Savilian Professor of Geometry
Oxford University
Professor Oliver Sacks MD, FRCP
Professor of Clinical Neurology and Clinical Psychiatry
Columbia University College of Physicians and Surgeons
Columbia Artist
Columbia University
Neurologist and popular science book author
Do you think these humble folks are adequately qualified to write about the autistic spectrum, Simen?
We were not talking about writing about the autistic spectrum. I never denied that anyone had any right or qualifications to write about the autistic spectrum.
We were discussing the far-diagnosis of people. The diagnosis of people whom the person doing the diagnosis hasn't met. The diagnosis of people long dead. Do I think that anyone is qualified to do that? Let's say I still hold my reservations about such far diagnosis, regardless of who makes them.
I must admit that all the scientific skepticism, and self-righteous character (often you see both together), of so many of us on this forum sometimes gets a bit irritating.
I must admit that the total disdain for science and evidence, as well as the staggering naivete and the uncritical embracing of information gets a bit irritating too.
But you know what is even more irritating? That people aren't supposed to disagree. People aren't supposed to be skeptical or question established truths.
I do not hold any holier-than-thou attitude. You're welcome to be skeptical of any claims I make; unlike some, I welcome criticism and disagreement so long as it's constructive. What pisses me off is this constant focus on people and their attitudes and ways of expressing themselves instead of what they express. I thought aspies were supposed to be non-prejudiced, taking things literally instead of focusing on the person making a claim. I'm starting to realize that was only prejudice from reading too much and meeting too few aspies on my part.