Asperger's Syndrome is
characterised by impairments in social interaction and
restricted interest and behaviors as witnessed in Autisim.
However unlike Autisim, there is no clinically significant
general delay in receptive or spoken language, cognitive
development, self-help skills and curiosity about the
All absorbing and
intense circumscribed interests as well as motor clumsiness are
typical, but not essential for diagnosis.
Diagnosis requires that single word should have developed by 2
years of age or earlier and that communicative phrases be used
by 3 years or earlier. Inspite of normal early
speech-communication skills, certain aspects become more deviant
over time. Their conversation is often described as being
stilted, gauche, thought disordered, and centering on
idiosyncratic interests that preoccupy them. Prosody may be
poor, rate of speech may also be unusual. They are often noted
to talk too little or too much. Frequent abnormalities in
inflection (either flat or monotonous or exaggerated) along with
out of context repitition of phrases can be seen. Nonverbal
communication is also impaired as seen in limited use of facial
expressions and gestures.
They exhibit somewhat eccentric social styles with over-reliance
on rigid rules for social interaction. They may fail to 'see the
forest for the trees' in social matters (e.g. appreciation of
when exactly the usual rules do not apply is as important as
when they do). They may approach others to have their needs met,
engage in one sided social interactions and have difficulty
sensing or are detached from the feelings of others.
They may amass considerable factual information about their
subject of interest which they pursue with great intensity, to
the extent that their family life may revolve around the topic.
The one sided conversations that they engage in are often on the
Motor milestones may be delayed - for instance, the child may
talk before he walks, have troboule catching a ball, or riding a
bicycle and so on.
Diagnosis | Treatment
Psychiatry copyright © (www.azpsychiatry.info)
by Dr. Manaan Kar Ray