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So if autism is a broader term that includes multiple conditions shouldn't we stop using it and start using the names of the actual conditions? Isn't it basically like hysteria which was split into epilepsy, dissociative disorders, personality disorders and so on?
When they're understood well enough to have individual names, yes.
In most cases the diagnosis is observational. Blood tests and brain scans aren't used for this kind of thing, although that could change someday.
The DSM hasn't even been updated with the differences in how women present ASD.
Having been born female, it’s amazing how I was diagnosed with everything from paranoid fucking schizophrenia to bipolar rather than acknowledge ASD/ADHD.
I remember cleaning out my locker once at the end of school and having a ton of crap just fall out on me. Absolutely no recognition of my lack of organizational/executive function skills because girls couldn’t possibly be ADHD/ASD.
My wife's ex therapist literally pulled out the DSM and said since she could make eye contact she couldn't be autistic. Crazy shit
IMO, as a 'high-functioning autist':
Yes.
The field of psychology is constantly redefining things based on ever shifting subjective analysis of behavioral patterns, and uh, being someone who very much prefers concrete, consistent, definable rules and categories, logically followable mechanistic processes...
Fucking yes, please, be more accurate and precise in a more objective way, based on far superior methodology, fucking please.
I feel like at minimum we should have it broken up by different favors, kinda like how Asperger's was a sub diagnosis under the umbrella of autism for awhile.
We refer to a spectrum of diseases as cancer even though they have a variety of causes. Given that autism has been described as a spectrum of various behaviors, I wouldn't be surprised as variations of autism become understood.
They do for many, but sometimes I think they don’t know exactly what or it could be multiple things which is why it’s the Autism Spectrum and it’s easier to say they are “on the spectrum” or “autistic” if you can’t pinpoint exactly what.
Or we can take the process-based approach, where we stop caring about defining boxes perfectly and we start caring about patterns of thoughts and behaviors. This may sound woowoo or without empirical basis, but some of the most successful programs for verbal autism are based on these ideas, the AIM and PEAK programs.
I can understand why some would think that, as I once did.
Physical therapy is similar in that it matters very little why you have pain. You can improve or eliminate the symptom by appropriately exercising the affected areas.
Similarly, the behavioral treatments can take advantage of all humans' natural adaptability to teach them to model and normalize more socially healthy behaviors.
I'm totally out of my depth in these fields but I have been convinced through firsthand experience via physical therapy. I'm sure it is not a catch all solution to just attack the symptoms, but it does have positive observable results and it therefore seems at least noteworthy.
I'm glad you've seen positive results with physical therapy.
I'd argue that a good physical therapist will understand the cause of the injury, so that they make a good treatment plan. Similarly, a good (contextual) behavior analyst will understand the causes for their patients' difficulties, so that they can make a good treatment plan. When you know where you're standing, it's easier to move forward. That is why evaluation is crucial in both physical therapy and programs like AIM and PEAK.