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Practice for Psychotherapy & Counseling
Dr. Phil Stöckli , ph.D.
Gemeindestr. 26 | 8032 Zürich
Tel. 076 282 8885
Practice for Psychotherapy
Dr. Phil Stöckli, PhD
Autism spectrum / Asperger’s Syndrome
The
Asperger’s
Syndrome
is
named
after
Hans
Asperger,
an
Austrian
Psychiatrist,
who
first
described
children
with
the
characteristic
in
1944.
The
name
recently
has
been
replaced by the term “autism spectrum disorder” (ASD).
What is Asperger’s Syndrome?
Asperger’s
syndrom
is
a
form
of
Autism
spectrum
disorder
(ASD)
in
which
the
affected
person
is
highly
functioning
and
typically
can
be
characterized
by
the
following symptoms:
•
Difficulties with social communication (difficulties
understanding nonverbal expression and missing
socio-emotional intuition)
•
Autistic thinking (theory of mind, deficits in
executive functioning)
•
Autistic perception (often highly sensitive in specific
sensual modalities, weak central coherence =
tendency to perceive details over wholeness)
•
Tendency for routines and stereotypical, repetitive
behavior
•
Different perception and processing of emotions
(difficulties to identify, name and regulate one’s own
emotions)
The
term
‘Autism
spectrum’
captures
the
fact
that
each
affected
person
shows
a
unique
set
of
symptoms.
This
accounts
for
the
big
differences
between
affected
people
despite the same diagnosis.
Assessment / Diagnostics
To
date,
there
are
no
clear
biological
markers
or
medicinal
tests
to
diagnose
Autism
spectrum
disorder,
like
most
other
mental
illnesses.
Therefore,
the
diagnosis
is
based
on
a
clinical
assessment.
Questionnaires
can
provide
valuable
information
and
can
be
used
as
screening
tools.
In
addition
to
a
detailed
anamnestic
exploration,
the
diagnosis
also
includes
careful
differential
diagnosis.
Asperger's
Syndrome
can
show
multiple
overlaps
with
other
mental
illnesses,
such
as
depression,
anxiety,
trauma,
obsessive-compulsive
disorder,
highly
giftedness,
AD(H)D,
schizoid,
dissocial
or
narcissistic
personality
disorder.
It
is
also
important
to
distinguish
automated
coping
strategies
from
true
symptoms.
For
example,
an
affected
individual
may
very
well
have
learned
to
make
eye
contact
and
smile.
This
does
not
yet
mean
that
this
behavior
is
based
on
an
intuitive need.
I
also
offer
assessments.
Visit
the
assessments
page
for
further information.
What are the advantages of getting diagnosed?
In
my
opinion,
a
diagnosis
is
only
as
good
as
many
phenomena
in
the
person's
life
it
can
explain.
Knowing
about
the
diagnosis
can
therefore
provide
meaning
and
thus
orientation.
Knowing
where
you
stand
and
that
you
are
not
alone
with
your
perception
of
the
world
may
have
a
relieving
or
connecting
effect.
Unifying
insofar
as
you
no
longer
feel
like
a
sole
“weird
one”,
but
rather
belong to a group, namely that of all Asperger's.
Having
a
clear
diagnosis
also
opens
up
opportunities
to
obtain
specialist
information
or
seek
support.
Furthermore,
the
diagnosis
can
be
an
official
legitimation
to
be
and
feel
different,
not
to
be
misused
as
an
excuse
for
any
abnormal
behavior,
but
as
a
first
step
on
the
way
to self-acceptance and self-esteem.
Therapy
Asperger's
Syndrome
is
a
congenital
constitution
and
cannot
be
"cured"
by
therapy
or
medication.
Therapy
is
based
on
the
needs
of
the
affected
person
and
can
include such topics as:
•
Training of social skills
•
Training
of
self
perception
(emotions,
body
sensations, all senses, thoughts, impulses)
•
How to better deal with stress
•
Improving self-worth and self-acceptance
•
Acquiring
information
about
the
difference
between
Asperger’s
syndrom
and
„Neurotypicals“
(=everyone
without Autism)
•
Dealing
with
procrastination
and
attention
problems
•
Dealing
with
obsessive
thoughts
or
behavioral
patterns and rigid routines
•
Getting
your
questions
about
all
kinds
of
topics
answered
(household,
sports,
relationships,
sex,
wor, hobbies, etc.).
Any
comorbid
disorders
can
also
be
treated,
e.g.
depression
/
chronic
exhaustion,
anxiety,
ADHD
(even
if
there
is
no
full
diagnsis).
Medication
may
be
helpful
for
these
diseases
and
could
be
administred
by
a
Psychiatrist
if needed.
Why I like to work with patients with Asperger’s
syndrome
I
have
experienced
people
with
Asperger's
Syndrome
to
be
reliable,
unobtrusive,
interested,
humble,
grateful,
honest
and
direct.
I
appreciate
all
these
features,
maybe
because
I
feel
they
describe
me
as
well.
However,
I
am
not affected by Asperger's Syndrome.
Links
•
Online alexithymia test
•
Short online self-test
•
Good blog with lots of topics
•
tonyattwood.com.au
•
autismspeaks.org/what-asperger-syndrome
•
autism.org.uk/about/what-is/asperger.aspx
•
webmd.com/brain/autism/mental-health-aspergers-
syndrome#1
•
autism-society.org/what-is/aspergers-syndrome/
•
autastic.com
•
autismus.ch/adressen.html
Book recommendations
•
Tony Attwood: "The Complete Guide to Asperger
Syndrome” Order book
or any other book by Tony Attwood about the topic
•
Rudy Simone: “Asperger’s on the job: Must-Have
Advice for People with Asperger's or High
Functioning Autism, and Their Employers,
Educators, and Advocates” Order book
•
Susan Moreno: “The Partner's Guide to Asperger
Syndrome” Order book
•
Philip Wylie: “Very late diagnosis of Asperger
Syndrome” Order book
•
Good list with books about Asperger’s