[HN Gopher] Autism's Four Core Subtypes
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Autism's Four Core Subtypes
Author : domofutu
Score : 40 points
Date : 2024-10-19 19:19 UTC (3 hours ago)
(HTM) web link (www.thetransmitter.org)
(TXT) w3m dump (www.thetransmitter.org)
| greesil wrote:
| As someone with a close family member who is autistic, I am
| always bothered by the phrase "if you have met one person with
| autism, you have met one person with autism". Autism as a
| diagnostic classification is so broad that the non verbal are
| lumped in with those with rigidity behavior, when at least to me
| they seem like they should just have a different diagnosis. This
| is not just playing semantics if they're able to correlate
| against specific sets of genes. This work seems highly relevant,
| IMO
| Jensson wrote:
| Merging autism with asperger went the exact opposite direction
| of where it needed to.
| SpicyLemonZest wrote:
| The reasons why the change was made
| (https://www.thetransmitter.org/spectrum/why-fold-asperger-
| sy...) still make sense to me. The autism spectrum is quite
| wide, and I'd 100% believe something meaningful coming from
| the source study, but the specific category of Asperger's was
| based on factors that don't seem to matter much and weren't
| being reliably evaluated.
| NeuroCoder wrote:
| The problem was that a diagnosis of Asperger's was unreliable
| and therefore useless. We definitely need to identify
| individuals within the diagnosis of autism spectrum disorder
| that can reliably be identified and benefit from specific
| interventions. However, Asperger's did not provide that.
| jtsiskin wrote:
| The expression you quoted is completely agreeing with you! It's
| a play on the expected idiomatic ending "then you have met
| everyone with autism", pointing out that the diagnosis is broad
| and everyone is different
| greesil wrote:
| Why even have the word autism? It's almost meaningless.
| Spivak wrote:
| "hot" is still a meaningful word even though 100 Fdeg, 1000
| Fdeg, and 1,000,000 Fdeg aren't comparable at all. They're
| nonetheless still all experiencing heat.
| blargey wrote:
| Yes, if we could pin it to a linear scale of Degrees
| Autistic (Farenheit), that could be estimated with
| reasonable precision for all day-to-day relevant values
| by feeling the nearby air on your skin, nobody would
| complain about "Austism" being too broad.
| Spivak wrote:
| Am I missing something you can though. That's actually
| kinda how it is. I detest the phrase "high functioning"
| but that group is roughly your outside temperatures.
| You'll notice the difference between 30deg and 80deg and
| the same temperature 72deg can feel different in the
| summer, winter, before it rains, when it's humid/dry but
| is still the same intensity. Then there's 1000deg degrees
| where (and this is someone I know) he stripped naked, ran
| through downtown, and yelled at random restaurant workers
| calling them fascists for not lettting him in and then
| got into a fight with the cops.
|
| I think broadly that's what the "spectrum"
| characterization is meant to convey. And you should
| expect this, in code there's one happy path and a million
| different ways to err, some more catastrophic than
| others.
| bbarnett wrote:
| It seems to me that something could be hot enough, that
| you could vaporize before your nerves signal your brain.
| cogman10 wrote:
| The symptoms cluster together and are related. Someone with
| sensory issues is also likely to have food aversions, for
| example.
|
| It's also useful for diagnostics and treatment. It means
| you don't have to fight insurance as much or need
| rediagnostics to get needed therapies. I don't need to get
| my child with food aversions, speech delay, and sensory
| issues a new diagnosis for each just because some people
| with autism don't have those issues.
| saghm wrote:
| > Autism as a diagnostic classification is so broad that the
| non verbal are lumped in with those with rigidity behavior,
| when at least to me they seem like they should just have a
| different diagnosis.
|
| As someone with a diagnosis, I've gotten into the habit of
| referring to myself as "on the spectrum" when discussing with
| people rather than using a specific term. It helps emphasize
| the fact that there's a range of potential manifestations, and
| (hopefully) helps remind people that their expectations based
| on past experience might not fit my behavior exactly.
| 93po wrote:
| sort of off topic, but does anyone else have the experience of
| consistently having bad interactions in real life any time autism
| is discussed? like the reasons are so varied but it's so
| consistently not great. i feel like it's rooted in a "i know
| autism better than you and i feel threatened anytime something is
| expressed that differs from my own opinion/experience with it".
| and sometimes people are offended with any opinion or anecdote or
| experience expressed on it at all in a "don't mansplain autism to
| me" sort of way (i'm not a man, just to be clear, and obv
| mansplaining isnt unique to men).
|
| not saying this to be unkind or mean to anyone. it just feels
| like such a super touchy topic. i started completely not engaging
| in conversation around it at all and pretending like i don't know
| anything about it.
| uncletaco wrote:
| No. The greatest interaction I had was when a kid didn't hold a
| door for me and his mom said "I'm sorry he has Asperger's and
| it's a little heavy on the ass."
|
| Then we ended up in the same waiting room for a while and she
| talked about accommodating her son and how they managed it.
| What was really interesting is the kid looked like it was the
| first time he heard his mom talk to someone else about it and
| him and I could tell he was embarrassed but really loving her
| that moment.
| cuttysnark wrote:
| > it's a little heavy on the ass
|
| I hadn't heard this idiom before so I looked it up and I
| couldn't find anything relevant. What does this phrase mean
| in this context?
| umanwizard wrote:
| The first syllable of Asperger sounds like "ass", and the
| mom was making a pun based on that fact (pointing out that
| her son's Asperger's made him an ass).
| cuttysnark wrote:
| Saying it out loud made it click. Thank you.
| tapland wrote:
| I see this but usually only when someone who has never saught a
| diagnosis or have any shared experiences keeps referring to
| their supposed autism in a community with a lot of autistic
| people who will backlash.
|
| Never seen a discussion go bad _about_ it.
| kayo_20211030 wrote:
| I spend _no_ time considering genetic variations, or genetic
| correlations, I deal with what 's in front of me. This study is
| _almost_ backcasting; it might improve the model, but, not the
| outcome.
|
| Maybe the study is fine and valuable, and maybe it'll lead to
| something. Maybe? But, it does nothing in the present. Not in the
| here and now.
| tapland wrote:
| If we can find specific subtypes it would be extremely helpful.
| You can't expect everything to be presented only with a
| complete solution.
| elcritch wrote:
| Exactly, lumping in all autism into the same overall category
| when there could be very different underlying biological
| mechanisms would potentially block progress.
|
| For example, a medication that could work wonders on one
| subtype by affecting a biological mechanism unique to that
| subtype could be found not to meet clinical standards because
| it didn't work on the other subtypes or even make them worse.
|
| In other words, it's a confounding variable which needs to be
| discovered and characterized after which it could play
| significant role in advancing treatments and understanding.
| geor9e wrote:
| Reminds me a bit of the MBTI personality test, where they make up
| 4 types of question to arbitrarily split the population, so
| 2x2x2x2 = 16 subtypes. It's true by it's own definition. Which is
| fine, but are these particular arbitrary boundaries useful?
| Perhaps. Could the splitting lines have been just as useful in
| different arbitrary place. Perhaps. A lot of people who take the
| MBTI find they're on the boundaries flip-flopping into a few
| different pigeonholes depending on different times they take the
| test. So it's important to let people know they can be in
| multiple buckets (are a bit in all of them), and take a little
| advice from each community.
|
| For this one they split autism into 3 groups
| (core,social,developmental) then split core into (mild,severe),
| to make 4 total.
| w23b07d28 wrote:
| It's not true by its own definition, it's just that if you soak
| it in, you will actually start to see the patterns behind it
| among people. It's still going to be pseudoscience because
| there are a lot of variables, but it often works and even more
| often people don't know what to look at or what to put
| together, because you'll find really A LOT of articles on the
| Internet that try to run mechanics on certain types without
| understanding what or why. I assume that if you want to put
| this together more precisely, there is a lot of scope here.
|
| And lest it be said that I'm talking out of turn myself, I only
| became interested in this whole MBTI thing because an ENFP once
| told me I was an INTP after a few hours of talking about silly
| things. That's exactly what these tests once told me. Of
| course, these are still anecdotes, but we are sciency.
|
| So what the problem is that someone has catalogued autism in
| this way (I will not be able to comment)?
| h0l0cube wrote:
| They also posit correlations with epigenetic differences. If
| there's distinct biological mechanisms at play, this gives some
| credence to splitting autism into separate conditions
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