Asbergers
Syndrom
WHAT IS
Asbergers Disease?
Asperger syndrome also called Asperger's syndrome, Asperger's
disorder, Asperger's or AS is one of several autism spectrum disorders
(ASD) characterized by difficulties in social interaction and by
restricted, stereotyped interests and activities.
AS is distinguished from the other ASDs
in having no general delay in language or cognitive development.
Although not mentioned in standard diagnostic criteria, motor
clumsiness and atypical use of language are frequently reported.
|
Asbergers Symptoms
Individuals with Asperger syndrome
may have signs or symptoms that are independent of the diagnosis, but
can affect the individual or the family. These include differences in
perception and problems with motor skills, sleep, and emotions.
Individuals with AS often have excellent auditory and visual
perception. Children with ASD often demonstrate enhanced perception of
small changes in patterns such as arrangements of objects or
well-known images; typically this is domain-specific and involves
processing of fine-grained features. Conversely, compared to
individuals with HFA, individuals with AS have deficits in some tasks
involving visual-spatial perception, auditory perception, or visual
memory.
Many accounts of individuals with AS
and ASD report other unusual sensory and perceptual skills and
experiences. They may be unusually sensitive or insensitive to sound,
light, touch, texture, taste, smell, pain, temperature, and other
stimuli, and they may exhibit synesthesia, for example, a smell may
trigger perception of color; these sensory responses are found in
other developmental disorders and are not specific to AS or to ASD.
There is little support for increased fight-or-flight response or
failure of habituation in autism; there is more evidence of decreased
responsiveness to sensory stimuli, although several studies show no
differences.
Asperger syndrome was named after Hans Asperger who, in 1944,
described children in his practice who lacked nonverbal communication
skills, failed to demonstrate empathy with their peers, and were
physically clumsy. Fifty years later, AS was recognized in the
International Statistical Classification of Diseases and Related
Health Problems (ICD-10), and in the Diagnostic and Statistical Manual
of Mental Disorders (DSM-IV) as Asperger's Disorder.
Questions about many aspects of AS
remain: for example, there is lingering doubt about the distinction
between AS and high-functioning autism (HFA); partly due to this, the
prevalence of AS is not firmly established. The exact cause of AS is
unknown, although research supports the likelihood of a genetic
contribution, and brain imaging techniques have identified structural
and functional differences in specific regions of the brain.
There is no single treatment for Asperger syndrome, and the
effectiveness of particular interventions is supported by only limited
data. Intervention is aimed at improving symptoms and function. The
mainstay of treatment is behavioral therapy, focusing on specific
deficits to address poor communication skills, obsessive or repetitive
routines, and clumsiness.
Most individuals with AS can learn to
cope with their differences, but may continue to need moral support
and encouragement to maintain an independent life. Researchers and
people with AS have contributed to a shift in attitudes away from the
notion that AS is a deviation from the norm that must be treated or
cured, and towards the view that AS is a difference rather than a
disability.
|