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Diagnosing
Asperger's - Changing Our Focus from Symptoms to People
Did
Einstein have Asperger's?
Recently, I found myself
miffed at yet another conference on Autism. In this case, it
was a day long seminar lead by an M.D. from the child study
center of a major Connecticut medical university. What angered
me most were his ever present, patronizing remarks which
implied that only M.D.'s can correctly diagnose Asperger's;
moreover, that diagnosing anyone in less than four days was
simply people out to scam money out of the poor families.
That this man was an ass is
clear. What stayed with me, though, was a comment he made
about people like Einstein and Bill Gates not having
Asperger's. Why not? Because, he said, they do not need
medical assistance.
What is important to see here
is why they did not need this medical assistance. Why didn't
they? Because their "special interest" generalized to an
interest in which the general population is also interested.
According to Dr. Iknowbest, though, people who achieve public
success cannot possibly suffer from Asperger's.
Here again, we see a case
wherein symptoms, rather than personal suffering, drives the
diagnosis. However, before I address this misnomer further, I
need to first make a disclaimer. I want you to know that I, in
no way, mean to imply that all medically minded folks are
asses. In truth, I relish reading medical studies such as
those Harvard recently did, wherein they used brain imaging to
explore the physical identity of Asperger's.
In truth then, I am only
railing against people who use these kinds of studies to
depersonalize human suffering. Moreover, saying Einstein did
not suffer socially ignores everything we know about him as a
person. To me, this is profoundly sad, and ignorant,
especially in light of that his social ineptitude is a matter
of record. As is that of people like Thomas Jefferson,
Socrates, Lincoln and Newton, and so many others just like
them.
That these men had a hard
time socially connecting to others is simply fact. Newton, for
instance, spent most of his life shut away in his apartment.
Doing what? Thinking and writing about his "special interest";
physics. In a way, then, it's a miracle we even know of his
work, given his aversion toward social shallowness and people
in general.
Whatever the case, we do know
him. Asperger's and all.
What
is Asperger's?
So how do I define,
Asperger's? Let me first define the spectrum to which it
belongs; autism. I define autism as, "a social impairment
wherein a person suffers from a pervasive category of socially
disconnecting distractions." Moreover, what I mean by
"socially disconnecting distractions" is that the person has
the very tendency to which I have been referring; a
personality sized "special interest."
What, then, is the principle
symptom of this suffering?
The profound inability to
connect to socially normal people. Especially to social peers.
The principle behavior which
drives this behavior?
Compulsively focusing on
things other than personal relationships at the expense of
personal relationships. Here again, the tendency to have
"special interests."
So where does Asperger's fit
into this spectrum? Asperger's is an autism. Thus Asperger's
is "a personality sized, minority life focus wherein the
person suffers from a significant inability to connect with
socially normal peers. This is autism. And it certainly
applies to people with Asperger's.
What qualifies someone as
having Asperger's then? The focus of the person's "special
interests." Here, I would describe this tendency; the person's
special focus, as stemming almost entirely from the
personal tendency to make information more important than
people. This means the principle thing which distracts
people with Asperger's is information and learning. Especially
in and around their special interests. Moreover, without ever
realizing it, they do this at the expense of their social
relationships.
Okay. So I admit it. This way
of defining Asperger's is a lot to digest. And requires a lot
of letting go of old ways of thinking. Beginning with the idea
that my focus here is not on some medical way in which to
measure personal non conformity. Rather, my way of defining
Asperger's focuses on how the person suffers personally. As a
human being, and not as a lab rat.
Here then is step one in the
journey toward treating people with Asperger's as human
beings. Focus on their suffering. Not on their medical
symptoms.
Click for part 3
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