• FiniteBanjo@lemmy.today
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    7 months ago

    You probably don’t want to hear this but maybe self-diagnosis among youth is getting out of hand. Maybe in your desire to feel special and explain your limitations has lead you to the conclusion that no normal person could possibly be as neuro-atypical as you.

    • Skkorm@lemmy.world
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      7 months ago

      It’s a byproduct of our lack of a mental health care system. While I do agree that it can be dangerous, self-diagnosis is necessary because there is no mental health system in place. Be it America or Canada, mental health is not considered Healthcare. Therefore, the only way for a person to explore mental health related issues is for them to diagnose themselves first, and then go exploring for professional perspective afterwards.

      Claiming that self diagnosis is “seeking special treatment” is incredibly cynical. Never attribute to malice what can be attributed to incompetence. People aren’t wrong for taking part in self-analysis. Examining your behavior and seeking to understand why you act the way you act is how you learn to reflect on your behavior and become a better person as you age. If your initial reaction to this post is to assume a malicious motive, then you could do with some self analysis as well. Why do you think you automatically assumed the worst of reasonings behind self diagnosis? That’s something that may be with exploring about yourself.

      Self-Diagnosis is the first step in that process. Until mental health care is considered Healthcare, something our General health practitioners prioritize just as much as physical health, self-diagnosis is necessary.

      • FiniteBanjo@lemmy.today
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        7 months ago

        For some reason you’re the second person to misconstrue my statement as “seeking special treatment.” That’s not what I said. You’re arguing against a fictional person.

        • Skkorm@lemmy.world
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          7 months ago

          Maybe it was unintentional, but there was a condescending and belittling tone to the phrasing you chose. You don’t get to hide behind the literal wording of your statement when there was condescension within your phrasing.

          • FiniteBanjo@lemmy.today
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            7 months ago

            Being accused of making a mistake absolutely can be seen as belittling. That doesn’t mean it’s not a logical statement with weight to it.

            • Zacryon@feddit.de
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              7 months ago

              You literally said:

              Maybe in your desire to feel special

              That is condescending.

              • FiniteBanjo@lemmy.today
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                7 months ago

                It was very accurate and I stand by it. Everybody wants to see themselves as an individual and not a part of the crowd, that applies to every living person on earth.

                • Zacryon@feddit.de
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                  7 months ago

                  It seems to me that you are approaching this complex topic from an oversimplified view. Human behaviour isn’t as simple as you put it.

            • cheesepotatoes@lemmy.world
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              7 months ago

              Who are you even putting on this performance for? We all read your comment. You’re condescending, judgemental and not at all subtle.

    • MehBlah@lemmy.world
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      7 months ago

      I guess it could be that way for the young. I’m 53 and I had months of anxiety attacks when I started considering the reason why I’ve always had trouble with certain types of people was that I was autistic and they the worst kind of neurotypical.

      The last thing I felt was ‘special’.

      • intensely_human@lemm.ee
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        7 months ago

        What was it specifically about this notion that gave you anxiety attacks?

        When I learned I was autistic at age 30, it didn’t really affect me much because I knew my overall life game hadn’t changed. I was still the same person with the same skills, facing the same reality, just with a new label.

        Were you afraid people would see you differently and give you less respect? Or did you think you were going to psych yourself out, or that you had a hidden disadvantage? Or something else?

        • MehBlah@lemmy.world
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          7 months ago

          The anxiety came from the idea of what others would think. This goes with the abuse that I went through with my parents. They were always worried about what others would think. Turns out several people over the years tried to get them to have me checked out. They let the shame of what I might be prevent them from helping me.
          I was 39 when I started considering it. My son had been diagnosed and I was reading a huge amounts of information on autism. So many things in the books perfectly described the problems I had always had. I had already been diagnosed with ADHD and unfortunately nothing I could take for it worked. My parents who I stupidly still trusted were completely against me getting any help. They didn’t like my son taking Adderall. The more I questioned it the more belligerent they became with me. I finally cut contact with them and started getting help. Turns out they were always aware of my difficulties and somehow my getting help would hurt them. They were/are narcissists. Now I use them as a example of what not to be. These days I don’t care what others think of me. I’m just thankful I didn’t become them. I broke the cycle for myself and most of all for my kids. I would rather my son be happy than spend every day masked up and hurting inside.

      • FiniteBanjo@lemmy.today
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        7 months ago

        Yeahp, I was explicitly referring to the young.

        I think these problems do go underdiagnosed at large scale, but when half a classroom “thinks” that they “might be” autistic, then clearly it’s an issue of mentality.

        • Liz@midwest.social
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          7 months ago

          It is half the classroom, or is it more like 5%? Because the autistic rate is somewhere around 2%, so you would probably expect a slightly higher rate of people to guess they’re autistic when you’re dealing with a population known for struggling to understand themselves.

          • FiniteBanjo@lemmy.today
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            7 months ago

            That’s the core of my statement, if it’s only 5% then that’s good and we can work with that. If it’s half then something is wrong with what the class thinks.

            • NoSpiritAnimal@lemmy.world
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              7 months ago

              You’re not making any sort of factual statement, you’re making a series of suppositions about people you’ve not met without any underlying evidence or even a firm idea on what problem you say you’re identifying.

              You’re sharing your (uninformed) opinion and expecting others to give it weight.

              • intensely_human@lemm.ee
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                7 months ago

                They’re neither factual statements, nor suppositions. They’re conditional statements.

                This person is stating a fact about the overall landscape of the possible realities.

                IF we ever find ourselves in a situation where 50% of people think they might be autistic, THEN we have a problem with the mentality.

                The word IF removes a clause from the role of assertion.

                The opinion is the entire IF-THEN connection, not any of the clauses inside it.

    • Cethin@lemmy.zip
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      7 months ago

      Yeah, I agree. This isn’t to say that everyone who self-diagnosis is wrong, but it feels like everyone today needs to have some mental illness or disorder. I don’t think it’s healthy. Every person is different. Being different doesn’t mean you have an actual disorder that would need treatment or special care. It really only serves to diminish the response to real disorders.

      • braxy29@lemmy.world
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        7 months ago

        as someone in a position to offer professional diagnoses, here’s my perspective - diagnostic labels can be useful, and i view them mostly as tools. their utility to me might be to communicate to another professional a cluster of traits, behaviors, indicators i’m seeing in short-hand. it might be helpful in determining which approaches could bring relief.

        it can also be helpful in validating an individual’s subjective experiences, like “oh, everything is hard right now because i am dealing with depression, i’m not actually a worthless piece of shit.'” it’s also helpful to me when someone shares a self-diagnosis - i can explore what they think that means, and sometimes they’re right on the money. sometimes it means “i don’t feel i am coping effectively.”

        sometimes they’re not right, but the label they have adopted can offer hints as to what’s not working. a word like autism can mean “i have a hard time connecting to others or communicating,” and maybe a another label is more appropriate or maybe the issue is their social environment.

        some diagnostic labels can be verified objectively and scientifically, but in practice many are based on self-report/informant-report/observation and best fit. the fact is that diagnosis is often as much art as science when it comes to mental health, and the best diagnosis is the one that leads to improved well-being.

        of course, some folks don’t like labels at all. “i’m just myself.” if they are generally happy, healthy, and functioning well, i don’t mind that either.

        tldr - diagnostic labels are helpful tools that can be useful in a variety of ways.

        caveat - diagnostic labels can be dangerous when they interfere with well-being or efforts toward well-being, or when they are used to harm, control, or oppress.

        • carbon_based@sh.itjust.works
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          7 months ago

          Thanks for this statement. I read it as “diagnostic labels are a tool supposed to be used in professional communication but it may be harmful when used otherwise”.
          IMO, much of that harm could be avoided by just not pathologizing and labeling personal caracteristics as “disorders”, though, which are characteristics certain societies could greatly benefit from if such people would just be given the right respect and task.

      • Zacryon@feddit.de
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        7 months ago

        but it feels like everyone today needs to have some mental illness or disorder

        What causes this impression?

        • Cethin@lemmy.zip
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          7 months ago

          Many things. I’m not on TikTok, but my impression go that is there’s a lot of self-diagnosis things on there. I know on YouTube I’ve been recommended self-diagnosis related things for ADHD and ASD. ime pretty confident I don’t have ASD and I don’t think I have ADHD, but I do have many symptoms of both because most people do.

          I know Tumblr had it’s own massive mental disorder as a personality trait thing. I never used it, but it always seemed potentially harmful to me. No one should want a mental disorder. They should just have one if they do and handle things as best a possible for them, whatever they have or don’t have. It shouldn’t really be a point of identification to fit into some in-group.

          • Zink@programming.dev
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            7 months ago

            I think there are a few factors that could create that impression even without the numbers being that high.

            On the Internet there are lots of people. Something that affects 20% of the population or even 2% is going to have tons of people available to talk about it.

            There has been a push for mental health awareness and understanding for many years now. People are open about it and about relating to others with similar experiences.

            The world has been insane lately, especially for young people, and folks are used to complaining online and collectively blowing off steam about all the bullshit.

            Plus between everything from income inequality to Covid, mental health issues could actually be on the rise recently.

            • intensely_human@lemm.ee
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              7 months ago

              Also just the culture of lying which can grow or shink in any society, if it grows, will lead to everyone having more anxiety as a result of not being able to trust the information they’re getting. People being unreliable, breaking promises, it can all feed on itself. Other’s mental illness makes them less predictable, less conducive to support and healthy interaction. So it can spread. There can be epidemics of mental illness too.

              Any kind of stress increase can degrade and eventually break a person’s mental health. Complexity is a source of stress, and as our own mental health breaks down, and our own ability to be there for others consistently breaks down, we add complexity to their lives.

              When others can trust us, we save them mental energy. They can make one plan instead of having to make two – one for if we fulfill our promises and one for if we don’t. And when we can trust others, they save us mental energy in the same way.

              So culture and even overall levels of mental illness themselves are inputs into the question “how stressful is it to live in X society?”

              I think the inequality feeds into this with a lack of respect. When you have to big groups of people who aren’t mixed socially, ie distinct social classes, it can lead to contempt and distrust. That contempt and distrust means we’re all surrounded daily by people we can’t count on. Situations we can’t count on. Jobs that we don’t know will be there next month, because what if they break their promise not to lay people off, or they break their promise that “These are your duties: X, Y, Z” and try to add “A, B, and C” to our duties.

              Poverty itself is bearable, if the systems one is interacting with are reliable enough that one can know exactly what the relationship between effort and output is going to be. But when those systems change all the time, and the same paycheck could require more and more work to the point we can’t keep up, or whole divisions are being shut down or bought out or whatever, or the value of the dollar keeps dropping so the same grocery budget suddenly isn’t enough, or the electricity goes off and you can’t get your work done, or they suddenly don’t have hours for you, those kinds of things are the real source of stress in poverty.

              The level of disrespect, manifested in a constantly-changing environment one has to adapt to when poor, in order to keep from getting drastically more poor, the constant changing of thee rules, these are poison for people living on little.

              • Zink@programming.dev
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                7 months ago

                Very well put!

                Your conclusion of respect being so central is exactly the conclusion I reached when traveling to Scandinavia as an American. The little differences all over the place have this feel to them - a feeling like “this would never work at home, but why?” But then I realized it was respect. They respect the people & world around them, and in the process respect themselves more as well.

      • Taleya
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        7 months ago

        I think we’re going to find that neurodivergence is a lot more prevalent than we ever assumed.

        Traditionally ND numbers are based on those who are dysfunctional. The ones that get ‘seen’. Those of us who are just ‘a bit odd’ and skate by? Yeah there’s a reason why so many of my generation are getting diagnosed in their 30’s, 40’s, 50’s. Because when we were kids if you weren’t in a soft helmet and nonverbal you were classified NT. Millenials and genz are paying a lot more attention to their mental health and trashing the stigmas around it and it’s a good thing.

        What’s the worst thing that’s gonna happen if we have a higher rate of perceived NDs anyway? Society becomes more accomodating? Oh noooooo

        • Cethin@lemmy.zip
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          7 months ago

          What’s the worst thing that’s gonna happen if we have a higher rate of perceived NDs anyway? Society becomes more accomodating? Oh noooooo

          The worst thing that can happen is people who need assistance don’t get it, because everyone claims they need it. I don’t think that’s the most likely outcome, but it is possible.

          Everyone is different to some extent, so just being “atypical” doesn’t mean you’re neuro divergent. I don’t have an issue with it in general, but I do have an issue when it starts becoming a personality trait. I saw that happening on Tumblr at least. Teenagers in particular have a hard time fitting in, and they can see this as a way to have an identity that makes them feel like a member of a group. It’s a similar appeal to smoking or anything else teenagers tend to do just for the social appeal. Is it unhealthy? Only time will tell.

          • Taleya
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            7 months ago

            Extremely unlikely. Assistance isn’t handed out like candy, it’s notoriously hard to gain.

      • intensely_human@lemm.ee
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        7 months ago

        I mean, everyone gets the flu. Autism is more permanent, but the term “mental disorder” refers to one of many differe disease states, some of which are temporary.

        Autism, psychopathy, cluster B personality disorders, these are sort of permanent things.

        Depression, anxiety disorders, obsessive-compulsive disorder, addiction these sorts of things can be induced by life conditions crossed with mental resources, and later cured completely by changing those two inputs.

        (I may sound drawing a very binary line here; my intention is less of a clean division between “permanent” and “temporary” mental illness. I think for example autism can decrease in severity over time, making some of its aspects temporary while other aspects are lifelong)

    • intensely_human@lemm.ee
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      7 months ago

      The only problem with self-diagnosis would be if we give autistics an easier time. If a diagnosis or label of autism leads to less responsibility, that’s a problem because it will attract those people who don’t want to take responsibility, which is most of us at least at one time or another.

      On the other hand, there are things autistic people can really use to help them out. Just like neurotypicals need things autistics don’t need, autistics need things neurotypicals don’t need.

      So it’s about correctly identifying what you need in life.

      The key dividing line between the important categories is: things an autistic truly needs and truly benefits from, and things that are nice to have but which autistics don’t actually need, or actually benefit from.

      Clear articulation and someone willing to answer questions without knowing how the question connects to the context, I think is helpful for an autistic person.

      An easier ladder to climb, less responsibility, and treatment as if they’re a child might be attractive in some cases, but it’s not something autistics really benefit from or need.

      So if we properly respond to a label of autism with only the things that actually help, there will be no incentive to convince oneself of being autistic.

      Sort of like how insulin isn’t really that helpful for non-diabetics. And we don’t give diabetic people special social status. We give them insulin. Because our set of appropriations to a diabetic person is well-organized and contains only the things that truly help with the things unique to diabetes, and not more than that, we don’t really have to worry about people self-diagnosing as diabetic.

      Now, the thing is, something like “attention” or “acceptance into the group” is something that we tend to give people who have a label like autistic, these days. Does that mean we should take these things away from autistics, other neuro-atypicals, etc? No. It means that those things are useful to everybody, so we should give them to everybody. Even the really normal people who aren’t in any marginal group.

      The problem is that we have a mismatch between what is needed and helpful, and what we provide to people. That creates an incentive to report or perceive things differently than reality.

      • FiniteBanjo@lemmy.today
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        7 months ago

        In an Idealistic Utopia I expect psychotherapeutic drugs to only be assigned as needed, but for the world we live in they hand out Ritalin and Stimulants like Amphetamine to the point of shortages.

    • Wild Bill@midwest.social
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      7 months ago

      I agree with you. I was diagnosed a few years ago with autism and I now look back with a feeling of second-hand embarrassment. I found myself in a phase where I needed to explain why I feel so different to others, I spent hours reading up on autism and other disorders, and might have subconsciously “hoped” I had the disorder. I am actively trying to get rid of the diagnosis. I know this isn’t a generalised statement I can make and apply to every single person who suspects they might suffer of something, but the popularised liberal concept of self-diagnosing and using shitty online quizzes to prove so is ridiculous. +I know some people won’t like this comment, but the other side ought to be heard too.

    • Veraxus@lemmy.world
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      7 months ago

      Congratulations, that’s most ableist ignorant boomer garbage I’ve heard all day… and my inlaws are visiting.

      • casual_turtle_stew_enjoyer@sh.itjust.works
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        7 months ago

        Hi. I have ASD, diagnosed proper years ago. I have grown up around more ASD individuals than you have, full stop. I have shadowed ABA clinicians for years.

        I strongly attest that the statement that younger generations self-diagnosing is all-around harmful is 100% factual and indismissable. There is nothing ignorant about the provable truth.

        • Veraxus@lemmy.world
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          7 months ago

          Ah yes, your personal anecdotal “provable truth”. Please do better. For all our sakes.

        • Zacryon@feddit.de
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          7 months ago

          Alright, please link your peer-reviewed study on this as soon as you were able to prove the generality of your personal impressions.

      • FiniteBanjo@lemmy.today
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        7 months ago

        Except for this guy, this guy clearly has Asperger’s or something equally debilitating and socially awkward.

          • FiniteBanjo@lemmy.today
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            7 months ago

            That’s fair. I saw an opportunity for comedy and I was temporarily possessed by the spirit of Norm McDonald, rest in peace.

        • Veraxus@lemmy.world
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          7 months ago

          Asbergers is a nazi term and should not be used. And yes, I’m AuDHD.

          “People just pretend to be autistic so they can get special treatment” is a toxic, ableist stereotype and absolutely unacceptable. I assumed that would be a given in a space about autism. Silly me.

          • LwL@lemmy.world
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            7 months ago

            That’s not even remotely what they said lmao

            It’s pretty clear that there tends to be a lack of differential diagnosis and inability to judge severity of symptoms when it comes to self-diagnosis. People see some matching symptoms and go “I must have this!” when it could be 20 other things.

            Though i also dunno if needing treatment or special care is the best metric to use since it’s very possible to have ASD and just get by with masking (obv not in all cases).

            • Veraxus@lemmy.world
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              7 months ago

              That’s not a thing, though… there is no epidemic of people self-misdiagnosing disorders… which is why I called it ignorant boomer logic.

              But moreso, it’s harmful, because perpetuating this non-existent problem harms those of us fighting for acceptance by encouraging that we be questioned and distrusted (let alone having to deal with the usual stigmas).

              Neurodiversity shouldn’t be seen as a “disorder” at all… we need to accept that different people just work differently, and that’s okay, and one set of expectations/assumptions doesn’t work for everybody.

              If someone is having a hard time, trust them. If they suspect it’s because of an undiagnosed neurodiversity, support them and help them. Calling ANYONE a fake is - again - extremely harmful and must not be left unchallenged.

              Even your use of the word “special” is problematic, and goes right back to the original comment I responded to. ND people don’t want or need special treatment, just different treatment. We have to get past this mentality that something is “wrong” with ND people or that treating people as unique individuals is “special”.

              • LwL@lemmy.world
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                7 months ago

                Oh yea, I’d never question anyone having a hard time. In the context of the meme specifically it doesn’t make much sense to question things, now that I think about it. If only autistic people go “yea sounds about right” there’s a good chance you’re autistic anyway.

                But I’ve seen it personally where ppl match some symptoms and become utterly convinced they must have a specific disorder, and it doesn’t make sense either. There’s no huge harm to it but esp an awareness of differential diagnosis seems to be lacking.

                • Veraxus@lemmy.world
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                  7 months ago

                  Sure. These days, at some point, almost everyone has searched for symptoms on the internet only for WebMD to tell them they have cancer. I’m saying that’s not an actual epidemic… and when I said we need to help and support others, encouraging them to seek a proper diagnosis is part of that. And mind you, pursuing a formal diagnosis can be a REALLY difficult thing for ND people (and especially for adults).

                  It doesn’t help that there are a lot of really ignorant, harmful doctors out there (e.g. those that think ADHD doesn’t exist or that Autism isn’t a “spectrum” and only “severe” cases are “real”). So yeah, if people think they have something, lets support and encourage them, and help them to get what they need. Perpetuating stigmas and spreading distrust doesn’t do that.

                • Zacryon@feddit.de
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                  7 months ago

                  I think it’s best to encourage people to go see professionals if they suspect they might have a disorder or any kind of illness. But I think it’s detrimental to tell them they are just imagining things as this might lead to serious issues flying under the radar.

                  Let the people decide who studied this.

                  • maniclucky@lemmy.world
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                    7 months ago

                    This is a nice, optimal idea, but so many people don’t have access to that. As an adult, getting diagnosed is a pain in the ass at best, and that’s if you have decent insurance (USA here). Ultimately, everyone should get diagnosed by a doctor, but till we have the ability to do so, self-diagnosis has the ability to connect to a community that may be able to support someone who does have such a condition, but no ability to get the diagnosis.

            • FiniteBanjo@lemmy.today
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              7 months ago

              Since you mentioned the need for treatment and special care, I’d like to take a moment to add onto my previous statement a little bit about what I meant. I do think some level of treatment and mental health care should be readily available to everyone unconditionally.

              I just don’t think as many neuro-atypical children are as atypical as our current society is leading them to believe. Especially when you consider some companies are actually marketing corrective medications directly to children and young adults, then there is added pressure for them to be this label they assign to their urges and stresses so that they can obtain the “magic candy that fixes everything and definitely doesn’t cause problems later in life.”

              That should all be in very stark contrast to everyday disabilities and developmental disorders.

          • Kedly@lemm.ee
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            7 months ago

            As an Aspie myself, fuck letting other people take away the term I grew up using that accurately described my life experience and allowed me to access the resources I needed just because the person who coined it had a shady history. Thats prime reclaim territory as that fucker NEVER had anything to do with the term for me, nor I imagen it did for the vast majority of other people with the Asperger Syndrome diagnosis.

            • Veraxus@lemmy.world
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              7 months ago

              Are you familiar with Hans Asperger?

              Hans Asperger was a Nazi “racial purity” scientist who was personally responsible for the “euthanization” (murder) and experimentation (torture) of dozens-to-hundreds of children. Children who were like us. Aspergers name was not attached to the diagnosis until 1994 in the DSM 4 (without the usual due diligence in naming) and then removed in the very next edition (DSM 5). Asperger wasn’t even the first to describe the condition, that honor goes to Grunya Sukhareva (1925).

              Now, if you want to honor a Nazi mass murderer whose specialty was murdering and torturing people like us by carrying his name as part of your personal identity… well, that’s on you. But I really hope to god you don’t casually use that name to refer to others.

              • Kedly@lemm.ee
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                7 months ago

                Aside from him being a Nazi? No I dont, and Im going to stop reading past your first sentence because I have no interest in learning anything further because a shitty nazi has “practically” nothing to do with my diagnosis and never did. You are the one honouring him by tying the diagnosis to him. He has NOTHING to do with my diagnosis to me, and never will, and I imagine this is true for the VAST MAJORITY of Aspies.

          • FiniteBanjo@lemmy.today
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            7 months ago

            My apologies, the term was replaced by ASD in 2013 when Diagnostic and Statistical Manual of Mental Disorders, 5th edition was released. I thank you for your patience as we all transition to the new terminology.

            I didn’t say they wanted special treatment, I said they wanted an excuse to rationalize their human weakness, as do we all. We should not let it interfere with real diagnosis and treatment, as the term’s associated symptoms can expand, it’s use can become muddied and controversies can arise amongst medical researchers.