Síndrome de asperger

Aquí hay gente que no tiene ni idea de lo que habla y se autodiagnostica sin ningún fundamento. Lo siento, pero es lo q pienso.

Puede ser, no lo sientas. Además de decir lo que piensas, ayuda un poco y explícanos el por qué ^_^

Hay gente que se obsesiona con tener rasgos de un trastorno u otro, forma parte de la hipocondría psicológica tan frecuente en personas con algún problema social. Se sienten marginados, diferentes... y a toda costa quieren encontrar una explicación, el asperger tiene cierto glamour, como la esquizoidia entre ciertos individuos q van de inteligentes y diferentes, que se sientn identificados con personajes como Kafka, en fin, es ridículo.

Y compararse con personajes como el Dr House para ver si se es asperger, o dar por hecho que House lo es, me parece de risa.

Bueno está claro que es algo que sólo un buen profesional puede diagnosticar con fiabilidad.

"y a toda costa quieren encontrar una explicación"

Eso no me parece tan malo. Siempre habrá alguna causa, aunque a veces no sea la que imaginamos.

"Hay gente que se obsesiona con tener rasgos de un trastorno u otro"

Tú dices abiertamente que tienes timidez. Será porque te sientes identificado con los rasgos típicos del tímido, que por cierto, muy frecuentemente están impregnados de concepciones un tanto románticas.

Estoy de acuerdo contigo en cierto modo, pero vanidoso puede serlo cualquiera, independientemente de que se tengan problemas psicológicos o no. No sé si ves a dónde quiero llegar, Solaris. Tu argumento no invalida que algunos de este hilo puedan sufrir tal trastorno. En el tutube podrás comprobar que algunos de los clínicamente diagnosticados no dejan pasar la ocasión de recordar que se puede dejar una huella visible en la sociedad siendo un inútil social.

Que hay comparaciones ridículas, pues en eso estoy de acuerdo

Sí, claro q puede haber aspis aquí, pero creo q otros andan bastante confundidos. Incluso en foros supuestamente de aspis y esquizos se ve gente q no está diagnosticada, q sólo se meten ahí pq se sienten diferentes, asociales, y por eso ya piensan q son esquizos.

Creo q muchos tienen una idea romántica del tema, q por cierto, se alienta en medios como la wikipedia: la idea del genio asperger, o el genio esquizoide, nada q ver con la realidad. Yo sé que podré ofender a más de uno, lo siento, no es mi intención. Pero sé de buena tinta q en no pocos casos, uno fácilmente puede llegar a obcecarse con ciertas hipótesis y darlas por ciertas sin mucho o ningún fundamento. Yo sólo digo q tengan cuidado con eso, tampoco quiero q nade me lo tome como ataque personal.

ya ya, eso es cierto. De hecho, se dan casos de diagnósticos Asperger erróneos, y la propia psiquiatría es una ciencia en evolución. De todos modos, el que se tenga por aspi y tenga una concepción romántica del tema, será que no ha sufrido lo suficiente. En este hilo no lo he comentado, pero cuando me enteré hace poquito de la existencia de este transtorno, pensé: "tu biopic ya está escrito en un capítulo de la psiquiatría". Harry haller nos recordaba las hipocondrías de los mismos estudiantes de medicina al estudiar las sintomatologías. Yo tengo la necesidad de conocer a gente que haya pasado por la vida como yo lo he hecho. Si soy o no soy aspi me tiene sin cuidado, de verdad lo digo.

Es una pena que la wikipedia se haya convertido en un hervidero de opiniones, ¿llegará el día en que la wikipedia y la frikipedia sean una?

Bien Solaris, dijiste lo que siempre quise escribir.

Quizas esto les sirva, son mis reflexiones...

http://www.forofs.com/general-f1/alguno-con-personalidad-esquizoide-por-ahi-t3702-10.htm#99990

Para los fans del autodiagnosis y los trastornos idealizados, ¡que sois muchos, malditos!

Lo siento por el inglés. Si alguien estuviera muy interesado en que sea traducido...

Differential Diagnostic Issues (Adult Asperger Syndrome - V.L.Gaus)

First I focus on differentiating AS from other conditions, specifically autistic disorder, psychotic disorders, ADHD, anxiety disorders, mood disorders, and personality disorders.

Psychotic Disorders

They may have a suspicious and untrusting attitude
toward people that can be mistaken as paranoia but which has actually emerged in
response to lifelong histories of being bullied, ridiculed, and rejected by others, as
well as their processing deficits, which cause social misperceptions. Likewise, there is
a lack of spontaneous seeking to share enjoyment, lack of social reciprocity, and flat or inappropriate affect, all mimicking negative symptoms. In addition, when facing extreme
stress, individuals with AS may show a marked deterioration in functioning that is
not clearly linked to an episode of another Axis I disorder. Professionals working
with individuals with autism spectrum disorders have nicknamed these incidents as
“meltdowns,” and they are often extreme anxiety reactions to “sensory overload.”
Dramatic, bizarre, and destructive behaviors may emerge during these episodes,
such as sudden withdrawal (“shut down”), incoherent speech, screaming, destroying
property or self-injury (banging head on wall, punching, scratching, or cutting self).
However, these signs of distress tend to disappear once the stressful factors are
removed or resolved, and the individual can quickly return to his or her previous
level of functioning. This “bounce back” effect is not usually observed in persons
experiencing a true psychotic episode.
Age of onset for AS is early childhood, but usually late adolescence
or later for schizophrenia. Hallucinations and delusions are absent in AS.


Attention-Deficit/Hyperactivity Disorder

Problems with attention and motor control are commonly associated features of AS.
Some studies have shown high rates of overlap in the symptom pictures of ASDs and
attention-deficit/hyperactivity disorder (ADHD). In a sample of children with ADHD
Gillberg and Gillberg (1989) found that 21% met criteria for AS and another 36% had
some “autistic traits.” Conversely, in a series of 35 clinic patients who met criteria for
AS, 28% also met criteria for ADHD (Ghaziuddin, Weidmer-Mikhail, & Ghaziuddin,
1998). Many adults with AS with whom I have worked had previously been diagnosed
with ADHD before it was determined that they instead had a PDD (pervasive developmental disorder).
DSM-IV-TR (American Psychiatric Association, 2000) specifies that a diagnosis of
ADD or ADHD should not be made if the symptoms are better accounted for by a
PDD.

Anxiety Disorders

Every adult patient with AS I have met has struggled with anxiety in one form or
another. The high rate of anxiety disorders comorbid with AS makes differential diagnosis
a complex task (Tsai, 2006). However, some crude guidelines can be followed for
at least the two disorders that appear to overlap with AS in the most obvious ways:
obsessive–compulsive disorder (OCD) and social phobia.

Ghaziuddin (2005) suggests that in patients with OCD, the obsessions and compulsions are “egodystonic”—that is, perceived as intrusive and unwanted by the sufferer. In ASDs the ritualistic behavior does not seem to cause distress and the preoccupation with a narrow interest can actually be a source of pleasure for these individuals.
With little data to guide practitioners, a reliance on clinical judgment is necessary.
If obssessional interests and ritualistic behavior are present along with the social deficits
described for AS, and the symptoms have been present since early childhood, then
they are likely to be part of that syndrome.

Social phobia is the other disorder that can be hard to differentiate from AS. Avoidance
of social situations is not necessarily seen in all cases of AS. Some adults with AS are
quite gregarious and seek to engage people on a regular basis, because they enjoy the
company of others and seem oblivious to the consequences of their social mistakes.
However, for those who do engage in avoidance behavior, their clinical presentation
can mimic social phobia. There have been no systematic studies of the incidence or phenomenology of social phobia in the autism spectrum population.
The adults I have treated with AS rarely meet criteria for social phobia. The primary
reason is that criterion C for social phobia in DSM-IV-TR (American Psychiatric
Defining AS in Adulthood 31 Association, 2000) states that “the person recognizes that the fear is excessive or unreasonable” (p. 456). For adults with AS, some measure of fear about social encounters is arguably reasonable. Any adult who meets criteria for AS, by definition, lacks the skills necessary to have successful social interactions. DSM-IV-TR notes in criterion A that for “children, there must be evidence of the capacity for age-appropriate social relationship with familiar people” (p. 456) in order for a diagnosis of social phobia to be considered. In other words, if the child lacks social skills, then he or she should not be considered phobic if he or she is fearful or avoidant. It is my opinion that this requirement should also be applied to adults. It is not excessive or unreasonable for someone to fear social situations if the individual is not skilled enough to handle them. Most of the adults who present for therapy with this problem are painfully aware of their lack of skill and have learned avoidance as an adaptive strategy. These individuals are more likely to be depressed (discussed in later sections of the book), but less likely than their gregarious counterparts to offend people or have repeated conflicts and unpleasant encounters because of social mistakes. A social phobia diagnosis can be made along with AS only when the anxiety is out of proportion to the skill deficit; for example, in cases where the social skill deficits are mild and the anxiety is affecting the individual’s ability to perform the skills he or she does possess.


Personality Disorders

Adults with AS who have previously sought mental health treatment commonly have
received a diagnosis of a personality disorder at some point in the past. I have most
often encountered the diagnoses of schizoid personality disorder, schizotypal personality disorder, and borderline personality disorder (especially in females) in patient histories. For practical purposes one could argue that AS is a personality disorder, even though it is not classified as such in DSM-IV-TR.
Table 1.3 presents an abbreviated list of the general diagnostic criteria for personality
disorder from DSM-IV-TR (American Psychiatric Association, 2000). Every
patient I have treated with AS has met all four criteria.


Table 1.3 A personality disorder is an enduring pattern of inner experience and behavior
that . . .
1. Deviates significantly from the expectations of the individual’s culture in terms
of at least two of the following:
• Cognition
• Affectivity
• Interpersonal functioning
• Impulse control
2. Is inflexible and pervasive across a broad range of personal and social situations.
3. Leads to distress or impairment in social, occupational, or other areas of
functioning.
4. Is stable and with a long history that can be traced back to adolescence or early
childhood.


The issue is complicated when assessing adults, however. For example, take a
hypothetical “snapshot” of two 45-year-old men, one with schizotypal personality dis-
order and the other with AS. Their presenting problems and current patterns of behavior
could be identical. Both will have odd beliefs and mannerisms, both will have few or no
friendships, both will have social anxiety. So how can a clinician tell the difference?
Unfortunately, there is little data to guide us on this issue.
[...]
I rely heavily on developmental histories when making a diagnosis. Even in
older adults, gaining access to a family member who can give details about early childhood
development is invaluable. I lean toward PDD as opposed to schizotypal or schizoid
personality if there is strong evidence for very early (preschool age) problems with
social development.