| |
|
Asperger Syndrome |
| |
|
|
 |
|
Dr. Meher Pocha |
|
This is a syndrome first described by
Asperger, an Austrian doctor, who looked after boys in a children’s home.
He found a small number, over the years, who had certain characteristics
in common. They had some odd mannerisms, poor social skills, advanced
vocabulary, a little “old-fashioned” or pedantic, but their language was
over-literal. Intelligent and sometimes gifted, they lacked common sense,
were not “street-wise” and often under-achieved. He called them “little
professors”. The incidence is 11:1 boys to girls, and some people describe
it as an exaggeration of typically “male” characteristics.
Some
people feel that Asperger Syndrome is an extreme end of the normal
personality spectrum and should not be regarded as a syndrome. I think a
problem is a problem if it is a problem! So, if the characteristics are
causing a problem of any sort, it needs a “label” but if a child or person
has developed strategies for coping and do not have significant problems,
it can be regarded as a part of the normal personality spectrum. |
|
One of the characteristics is a tendency
to develop strong interests, about which they will talk endlessly,
bringing a conversation round to their special interest whatever it was
about to start with. |
|
a |
|
There is
impairment of imagination – usually too little, but sometimes too much.
There is an inability to put themselves in another’s place, appreciate how
another person may see things or how they might feel. This leads to
inappropriate personal comments such as “Mummy why does that man talk
funny?” in the person’s hearing or saying to a teacher, “You don’t know
what you are talking about” These disorders have been called disorders of
empathy. |
|
a |
|
People
with Asperger Syndrome like lists, order, logic and predictability. They
are rigid about wanting things done the same way – their way! They find
changes of routine very difficult to cope with. Socially, they are
regarded as “odd”, misfits, and making and keeping friends is difficult
because of lack of insight, talking endlessly of their special subject and
not being able to adapt their behaviour to the circumstances. Unlike the
person with able autism, they have insight into their problems,
desperately want to make friends and fit in, and therefore there is a high
incidence of depression. |
|
a |
|
The purpose of making the DVD is
to give the child ideas about social skills, how to make conversation, how
to read another person’s response and intent etc. It may be often
perceived that Asperger children have a “blue print” in their minds of how a social
situation or contact will go and as it usually does not, they feel
disconcerted and disappointed. Hence the idea that we play a situation in
different ways. |
|
a |
|
On the
positive side, these children are honest, often brutally so, not devious
and try to follow rules, often to the letter. They can be very loyal and,
contrary to popular belief, can be very affectionate. |
|
a |
|
Dustin
Hoffman in “Rainman” was able autistic, but had many characteristics seen
in people with the severe end of Asperger Syndrome. |
|
a |
|
Dr. Meher Pocha
FRCPCH, FRCP, MD, DCH |
|
Top |
| |
|