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Actually, I've heard about that system from several sources, so I don't think it's unique, and yes, it's a very long shot. I wouldn't go about describing people as autistic just because they do something a bit odd. Honestly, whom do you know that's never a bit odd?

flardox Wrote:

Simen Wrote:
How can you be so certain about a man you've never met?


she is certain because he has displayed enough autistic traits to probably be autistic


How do you know? I maintain that this amateur distance-diagnosing of famous people is both (1) unprofessional, (2) unfounded, (3) unhelpful and (4) unjustified. We are not qualified to diagnose anyone, let alone someone we have never even met and observed in person. This useless "claiming" of people as "our own" has got to stop.

flardox Wrote:
i could say the smae about your delibrate attempts to annoy people

I never attempt to deliberately annoy people. This is bullshit. Keep on topic; criticize my ideas, not my person.

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but it is only an assumption and it doesn't have to stop if they are only saying that they are quite sure of someone having a form of aspergers is that harming anyone?


As everyone here is fond of reminding us, it can be a burden to carry in today's society. And would you be happy to find a website full of amateurs speculating that you were schizophrenic, psychotic, had Down's, dyslexia, or whatever?

Of course, the same doesn't apply to dead people. But in any case, it's mostly amateurs that have no qualifications to diagnose anyone, doing it on the basis of third-hand information, without ever observing the person or even speaking to someone who did, without ever going through the various methods used to assess whether someone really has AS. It's unprofessional, the claims are unjustified, and it's misleading.

Lili Marlene Wrote:
Simen, I've got a few points to make.

Firstly, every single professional diagnosis of any condition medical disease or whatever, starts with the decision, on the part of the "patient" or that "patient's" parents or carers, to seek a diagnosis of some kind. Very often the "patient" approaches the professional already with a good idea of what the diagnosis will eventually be. I'm sure if you have had any experience of getting a rare or uncommon medical condition properly diagnosed, you will know that you just about need to diagnose yourself to get beyond all the fobbing-off and idiotic misdiagnosis by our friends in the medical profession, to finally find a spcialist who knows their job. I'm sure that a great many adults (especially females) who have been professionally diagnosed in adulthood with AS, have only obtained a correct AS diagnosis as the result of their own tentative self-diagnosis combined with good luck and persistence.

I don't know if you have read much about schizophrenia and the so-called schiziod personality disorders. It's quite clear from what I've read, that people who meet some of the central criteria for AS, and who display no evidence of psychosis, are still, in this day and age, diagnosed as "schiziod" or "schizophrenic", and may even be medicated as such. Have a look at Grinker's book and you'll see what a total F-up the diagnosis of high-functioning autists has been in the past (and probably still is in many places). You might also like to check out this list that I've compiled:
http://incorrectpleasures.blogspot.com/2...ative.html

As you can probably tell, I have no sense of awe at all for the supposed superiority of professional opinion compared to the opinions of well-read, objective, and educated amateurs.


Some points. You shouldn't go by DSM-IV alone, it's far from the only diagnostic criteria in use throughout the world.

So, fuckups happen. Doesn't mean unqualified amateurs are any better at diagnosis. You shouldn't presume so.

As for schizophrenia, there is a type of schizophrenia not too different from AS that doesn't require split personality, psychosis and so on.

[quot]Regarding your protests that we are diagnosing people that we cannot observe, well in the age of almost limitless electronic media access, this is not true. I think someone on this thread wrote that they had observed Tim Burton, I assume in some mass media programme. I'm sure that most famous people have some footage of them that can be viewed in the internet, TV, video-hire, DVD-hire, public libraries (that loan all kinds of stuff) or through purchase of media products. Look at the references section of my list and you can find links to moving images that you can view over the net of Bill Gates rocking and also some of Glenn Gould being Glenn Gould. I've recently realized that a hugely well-known female Australian journalist appears to be AS. I've seen her body language innumerable times on TV over a span of decades, and it's plainly obvious that she has hypertelorism and a monotone voice. A while back I was watching a documentary in which my favourite Australian musician was interviewed, and I couldn't help but notice his utterly deadpan voice and body language (that he has always had) and they way he rocked his way through the interview. Knowing that he has a BIG reputation for behaving in an Aspergian manner, what am I supposed to think?[/quote]
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.

Seeing someone on TV isn't enough to diagnose anyone. ALL the traits you've mentioned are non-essential; one cna have them (yes, all of them at the same time) without having AS and vice versa.

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The DSM does not list all autistic traits, in fact it specifically leaves the neurological and physical aspects of autism out of the diagnostic criteria for AS. Motor clumsiness and sensory oddities are not mentioned in the DSM criteria. I'm sure this is because the DSM is written by psychiatrists, who do not wish to cede any diagnostic territory to neurologists. I believe that it is some of the "neurological" and physical aspects of autism that are the hardest to concoct or misjudge and are the most specific to autism; the sensory hypersensitivity, the odd-sounding voices, the very pedantic or very sloppy verbal pronounciation, the weird body language, the odd posture (which is unchanging), the minor birth defects that are often found, etc. Most of this stuff can clearly be seen or heard through a TV broadcast. Only a professional actor in the same league as Dustin Hoffman could simulate all of this stuff at the same time.

Look at some other diagnostic criteria. Also, note that none of these traits are ones you have if, and only if you have AS or some kind of autism.

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I'm not sure if you have had a look at my big list. Every name on it has been included because some other writer has stated or speculated that the famous person is or was on the spectrum, and quite a few living people who have been reported in the mass media to have been formally diagnosed are also in that list. The big list does not reflect my own personal opinions or speculations. I have another separate list for that stuff, in which I give (most of) my reasons.


I haven't attacked you personally. You're free to make a list of people speculated to be autistic. I'm not out to get you, but I disagree that the people you presumably link to (havn't seen the list) are qualified or justified in their speculation.

Nevermind the last part about not having seen the list, I see it's your list that's in this thread.

Lucie1 Wrote:

Simen Wrote:
and it's plainly obvious that she has hypertelorism and a monotone voice.


hypertelorism - is this a trait common in aspergers/autism?


I have no idea what hypertelorism is, but I'd like to point out that I didn't write that. Perhaps it's an error in formatting Sad

Lili Marlene Wrote:
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".

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"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:

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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.      

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"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?

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"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.

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"...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.

Batman55 Wrote:
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.

Well, as I said, I don't question that these people are excellent autism researchers, I don't question their ability to diagnose people, but I do question this far diagnosis. I don't think it's sufficient to look at written accounts or even video to diagnose someone. And, Archimedes and Newton?! They lived over 2000 years ago and four hundred years ago respectively! How in the flying F are you going to make an informed diagnosis based on that?!
Not intending to pick on you personally Smile

Paddy Wrote:
Hi All, I'm new to this forum. Do other Aspies, I wonder, ever dream of becoming Nobel Laureates by making great scientific discoveries, or is it just me?


Yes, I do. I'm constantly battling internally between the view that this makes me a sellout confirmist snob who wants to be great so as to achieve the benefits of greatness, and the view that this makes me noble for wanting to achieve good results or for enjoying the process of making or breaking good ideas. Probably, the answer is in between.

Paddy Wrote:
Jeeez, You're spot on, Simen. My first post and I come across as transparently shallow and boastful. Why am I such a prick?


You're not, and it wasn't my intention to portray you as such. Welcome to AFF. Your work sounds interesting, too Smile

Lili Marlene Wrote:
Simen, with regards the argument about whether schizophrenia could be mistaken for or AS or has some subtype similar to AS; I was rather surprised that the DSM criteria for schizophrenia are so liberal, but I still think any person who meets the FULL requirements for the diagnosis in the DSM should have something seriously wrong with them and should be insane or psychotic, in the strictest sense of the word.

So you think that a person, in order to fit the criteria, must also fit a criterion not in the official criteria? This reeks of special pleading. What I presented is the important part, nearly the full criteria; the other criteria do not state anything about being insane, psychosis, or anything like that, they simply restrict the number of additional/co-morbid diagnoses.

Go look it up if you like: the full criteria do not require insanity or psychosis.

Another thing is that you jumped all over me when I happened to mention mental health and autism in the same sentence, but you have no trouble saying that people with schizophrenia have something seriously wrong with them and are insane.

Just seems a bit inconsistent, being that schizophrenia, too, has a strong genetic component, and the neurotype that is predisposed to schizophrenia is very much integral to that person, just as much so as with autism.

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You keep complaining about amateurs diagnosing famous people with mental ailments. Does this really happen often? People love to gossip, but I don't know of any famous people who have been demonstrably incorrectly diagnosed in any well-publicized speculation.

What you need to look for is famous people who have demonstrably been correctly diagnosed in any well-publicized publication.

But anyway, I don't get your point. I see speculations about the mental health of celebrities everywhere. Online, in weekly gossip magazines, everywhere, and often with references to purported experts.

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I think you are deliberately ignoring the realities of public life when you complain about amateurs speculating about the minds of the famous. My big list is largely based on the writings of professors, some of them world-class AS experts, and other academics. It is also largely based on the writings of journalists. Journalism is not the same thing as the idle speculation of members of the general public (such as bored housewives etc). Journalism has some claim to represent the truth, and to seek the truth, and it's role is to probe and be nosy and to ask questions, directly to those concerned, and to other sources and witnesses. Journalism is regarded as a some kind of profession, and it has codes of conduct and standards. Journalists pry, and sometimes the famous are happy to reveal interesting things to journalists.


So, would you trust a proposal for a unified theory of physics from a journalist, on the grounds that "Journalists pry"?

If not, what is it that makes journalists qualified to be doctors and diagnosticians but not physicists? Do they not both require a long, extensive education?

When you mention that sometimes the famous are happy to reveal interesting things to journalists, of course, if they revealed a diagnosis I wouldn't have any trouble with it.

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You ask why one should respect the diagnosis of amateurs. There are two very good reasons why I respect amateur opinions about AS. Firstly, I repsect self-diagnosis, which is generally unqualified diagnosis. There is simply no person in the world who knows more about a person's mind and life history than the person who's mind it is. Parents can know about a person's history in early childhood, but parents can be biased and mistaken as well.


You're ignoring that there is also no one more biased than yourself. Self-diagnoses are notoriously unreliable in general. Not saying they're never right, just saying that they are unreliable. Often, they're wrong. Studies have shown time and again that people suck at evaluating themselves. Do you dispute this?

Further, I would have no trouble with the famous "coming out" about a self-diagnosis; or rather, I would urge people to be cautious as self-diagnoses can be unreliable, but I wouldn't mind anyone publicizing it.

But you're not talking about self-diagnoses. You're talking about the "expert diagnoses", from those very same experts you earlier sought to drag down from their pedestals, those same people you were so skeptical about earlier. And then there's the amateurs. They have every flaw the experts have, and the additional flaw that they aren't experts.

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Secondly, nothing can replace the insight and the amount and nuance of the observations of a person who has lived with another person for years. I will always know more about my spouse or child or parent than any clinician, who only gets to meet patients for minutes at a time in a clinical environment, could ever know. There is no way to compare those two different types of knowledge, they are completely different. You are so spectical about the idea of diagnosing the dead, while you are presumably happy to trust the decisions of the medical  profession, which is known (in Australia) for practicing what is called "5 minute medicine".


Exactly! Far-off diagnoses cannot possibly have this insight. Therefore, your own arguments show them to be unreliable.

You build a straw man when you bring up 5 minute medicine. Of course I don't trust that! Five minutes isn't enough for a correct diagnosis. But five minutes by an expert is often much better than hours with an amateur unqualified for the task. And it's a bit ironic that you bring up intimacy when you're trying to defend diagnosing people with whom it's impossible to have intimacy--long dead people, people on the other side of the planet whom you've never met!

Simen Wrote:
But five minutes by an expert is often much better than hours with an amateur unqualified for the task.


To expand/clarify on this. Let's return to the physics analogy. Who's more likely to get the right answer when asked to calculate, say, what would happen when two atoms interacted in a certain manner: an expert well-versed in the mathematics of quantum mechanics, or an amateur (journalist or not) who's only read pop-sci explanations?

And with regards to experts: who's more likely to get a correct answer when asked to diagnose someone: a practicing diagnostician with intimate knowledge of the person's health and having met and observed the person several times, having been able to run any questionnaires and tests he'd like, or an expert who had access to none of these things?

EvilZakkie Wrote:

False analogy - the true analogy would be this:

Who's more likely to get the right answer when asked to calculate, say, what would happen when two atoms interacted in a certain manner: an expert well-versed in the mathematics of quantum mechanics, or a person that has observed video footage, images, and other subtle associated effects of these particular two atoms for their entire life?

The analogy wasn't meant to apply for self-diagnosis, but for far-diagnosis of celebrities. I see your point, though.

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It's entirely possible for a person to see the statments written in the DSM, read the expanded and explained versions of these statements listed all over the internet, and apply them to their own life. It is much harder for a professional to do this, as they must make assumptions about the persons life based on very limited experience with the person (not to mention most professionals limited experience with aspergers - if I hadn't lived so near to Tony Attwoods specialist clinic, who knows what might have happened?). Also, there would be no real gain in a person pretending that they fit the DSM - thus, I usually trust a self-dxing person.


I don't think anyone is pretending to fit any criteria. I just think they are often mistaken. I, too, trust self-diagnosing people, insofar as I believe their self-diagnoses are honest, and that they are absolutely convinced that they have the diagnose they self-dxed.

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As to the diagnosing famous people, that I agree isn't usually very accurate. However, I don't really care - it's a fun parlor game, and should be considered as such.


I get the feeling people are taking it more seriously than they should. If it's just a game and you acknowledge it, I have no trouble with that.

More likely to be famous? So far, I don't think anyone has said that, so there's no one for you to agree with. I'm having trouble seeing just why you might believe that. Care to elaborate?
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