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What is Asperger Syndrome?

10/17/2013

 
Asperger Syndrome (AS) was first observed by Austrian pediatrician Hans Asperger in 1944. He described several children who lacked nonverbal communication skills, failed to demonstrate empathy with their peers, and were physically awkward.  Their speech was either disjointed or overly formal, and their all-absorbing interest in a single topic dominated their conversations. He labelled these patterns as "autistic psychopathy" and his writings gathered little attention until 1981 when English doctor Lorna Wing published similar case studies and credited Dr. Asperger by using his name to describe the syndrome. AS became an official diagnosis in 1992 with the World Health Organization listing it in their official manual (ICD-10). The official diagnostic manual of the psychological field (DSM) first recognized AS in 1994.
AS is an autism spectrum disorder (ASD), one of a distinct group of complex neurodevelopment disorders characterized by social impairment, communication difficulties, and restrictive, repetitive, and stereotyped patterns of behavior.  Other ASDs include autistic disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (usually referred to as PDD-NOS).  ASDs are considered neurodevelopmental disorders and are present from infancy or early childhood.

Children with AS may have speech marked by a lack of rhythm, an odd inflection, or a monotone pitch.  They often lack the ability to modulate the volume of their voice to match their surroundings.  For example, they may have to be reminded to talk softly every time they enter a library or a movie theatre. Unlike the severe withdrawal from the rest of the world that is characteristic of autism, children with AS are isolated because of their poor social skills and narrow interests.  Children with the disorder will gather enormous amounts of factual information about their favorite subject and will talk incessantly about it, but the conversation may seem like a random collection of facts or statistics, with no point or conclusion.   They may approach other people, but make normal conversation difficult by eccentric behaviors or by wanting only to talk about their singular interest. 

Many children with AS are highly active in early childhood, but some may not reach milestones as early as other children regarding motor skills such as pedaling a bike, catching a ball, or climbing outdoor play equipment.   They are often awkward and poorly coordinated with a walk that can appear either stilted or bouncy.
- www.ninds.nih.gov -

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