Asperger's Syndrome: Emotional and Social Implications

Test Your Knowledge About Asperger’s - Answer Key

1. Impairment in Social Interaction
   1. Yes
   2. Yes
   3. No
   4. Yes
      
      
2. Impairment in Communication
   1. Yes
   2. No
   3. No
   4. No. However, this is somewhat of a trick question. The DSM IV indicates there can be no delay in the development of language to qualify for an AS diagnosis. On the other hand, Attwood indicates a significant percentage of AS children do have delayed language, although they are speaking fluently by age 5.
      
      
3. Restricted and/or Repetitive Patterns of Behavior, Interests and Activities
   1. Yes. Inflexibility can occur in AS, but is not required for the diagnosis. Restricted patterns of behavior, interests and activities, however, are quite common.
   2. No. There can sometimes be self-injurious behavior, but severe self-abuse is much more likely to be indicative of autism.
   3. Yes. Stereotyped motor mannerisms can occur in AS, although serious problems in this area occur more often in autism.
   4. No
      
      

Asperger's or Not?

The extent of Nelson’s language difficulties and his cognitive difficulties rule out the diagnosis of AS. A more appropriate diagnosis would be autism, albeit fairly high-functioning.

This case is more complicated. Although Bob may qualify for an AS diagnosis, there is not enough information in the vignette to substantiate this. His feelings of discomfort around people might suggest AS, but they might just as well be indicative of another disorder, such as schizoid personality. Additional information about such issues as his use of language and any problems with perspective taking would help in formulating the diagnosis.

Marty has AS. His refusal to do school work stems from his difficulty recognizing the social rules, i.e., children are in school to work, as well as his inability to recognize the importance of restraint in his remarks. Computers and computer games are his area of special interest.

Back to Test | Course Home Page