Multiple times throughout this blog, I have referenced the three levels of autism, but what exactly do the levels of autism mean? And what's the difference between them? Let's get into that right now. Each person who received an autism diagnosis after May 2013 (when the DSM-5 was published) was diagnosed with level 1, level 2, or level 3 autism. The difference between the levels is simply the level of support that a person needs in his or her daily life, with level 1 autistics needing the least amount of support & the level 3 autistics needing the most amount of support. I am a level 2 autistic, so that means that I fall right in the middle. Level 1 Autism Spectrum Disorder:
Level 1 autism was formerly known as Asperger’s syndrome, high-functioning autism, or the mildest form of autism. It is very important to remember that these terms are no longer used & using these terms are actually harmful to the autistic community. You can read more about that in my prior blog post about the harm of autism function labels. Although there isn’t just one set of characteristics that level 1 autistic children AND adults have (remember autism is a spectrum with a very wide array of characteristics), there are some traits & experiences that level 1 autistics tend to have in common:
Level 1 autistic people might also experience depression or anxiety that is the direct result of social difficulties. They also tend to get bullied or left out of social situations, which can lead to mental health issues & difficulties later in life. I personally experienced very severe bullying from early childhood all the way through college, with the worst of it being in my mid-teens & beyond. I will get more into this in a future blog post. Level 2 Autism Spectrum Disorder: Level 2 autism is where I fall on the autism spectrum. This level is in the middle of the spectrum & usually requires substantial support for independent & successful daily living. Level 2 autistics tend to experience all of the level 1 characteristics, but to a greater degree. They also might have more noticeable stimming behaviors (sometimes called restricted or repetitive behaviors). Stimming isn't something to get rid of unless it causes harm to the autistic person or to the people around them. Hair pulling, biting, slapping, & banging the head against something are all examples of harmful or dangerous stims that should be gotten rid of or exchanged for another stim that isn't harmful or dangerous. Level 3 Autism Spectrum Disorder: Level 3 autism was formerly known as low-functioning autism or severe autism. However, it is very important to remember that these terms are no longer used & using these terms are actually harmful to the autistic community. You can read more about that in my prior blog post about the harm of autism function labels. Level 3 autistics require very substantial support for daily living. This means that they would benefit from more assistance & more accommodations at home, at school, at work, in the community, in relationships, etc. in order to live as independently & as successfully as possible. Level 3 autistic people may also need a lot more supervision, even in adolescence & adulthood than level 1 & level 2 autistic people do. Level 3 autistic children AND adults tend to experience all of the level 1 & level 2 characteristics, but to a much greater degree. Some other common characteristics of level 3 autistics are:
Final Thoughts: The levels of autism are the medical community's way to help clarify the needs & abilities of autistic individuals. It is also important to remember that individuals across all areas of the autism spectrum have amazingly unique strengths & abilities that neurotypicals often do not have. We need to remember to recognize & support these strengths & abilities as well. Regardless if someone is a level 1, a level 2, or a level 3 autistic person, all autistic people experience this world very differently from each other. We all may struggle with daily living, but in very different ways.
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What Is Asperger's Syndrome?: No longer an official diagnosis, Asperger's syndrome is an autism spectrum disorder where a person has normal language & cognitive abilities, but has difficulties with social interactions & repetitive patterns of behavior & interests. Aspies, as individuals diagnosed with this syndrome call themselves, may struggle with conversational skills & nonverbal communication (e.g. eye contact, facial expression, body language, etc.). They also tend to have a narrow or intense focus on particular interests. The History of Asperger's Syndrome: Dr. Hans Asperger was an Austrian pediatrician who during World War II, sent nearly eight hundred children to Spiegelgrund, a special children's clinic in Vienna where children who were mentally ill or physically disabled were incarcerated, tortured, starved, & often murdered due to being deemed inferior or worthless by the Nazis. Asperger kept four highly intelligent, but socially awkward & physically clumsy children alive because they were higher functioning. These children were deemed worthy of survival, so that they could be studied. This is also why autism function labels (e.g. high-functioning autism, low-functioning autism, mild autism, severe autism, less autistic, more autistic, etc.) are harmful & should no longer be used. I will get more into autism function labeling in a future blog post. The term Asperger's syndrome was not coined by Asperger himself, however, but was coined by British psychiatrist Lorna Wing in 1981. It was added to the DSM-IV in 1994. "The Geek Syndrome":
In 2001, Asperger's syndrome gained some notoriety due to an article in Wired magazine entitled "The Geek Syndrome," where it was described as the "milder cousin" of autism. The article describes people with Asperger's as being quirky, creative, anxious, & socially challenged. The Retirement Of Asperger's Syndrome: The term "Asperger's Syndrome" was retired in May 2013 when the American Psychiatric Association (APA) published the 5th edition of the Diagnostic & Statistical Manual of Mental Disorders (DSM-5). Now, Asperger's syndrome is no longer a diagnosis, but is known as autism spectrum disorder, level 1. This is the lowest out of the three levels of autism spectrum disorder. Even so, lots of people still use the term Asperger's. Reasons For Reclassification:
Personal Thoughts: During my autism diagnosis journey, as I began learning more & more about autism spectrum disorder, one of the things that quickly came to light was that Asperger's syndrome is no longer a term that is used. When I learned the reasoning behind this & the history behind the syndrome, I was horrified, deeply disturbed, & sick to my stomach. I was raised in a culturally & religiously-blended household, celebrating both Christian & [some] Jewish holidays, growing up. Due to having a partial Jewish background & having family members who do still practice the religion, the history behind Asperger's syndrome affects me on a deeply personal level. In fact, my parents & I don't purchase German car or appliance brands due to the Holocaust! If I were ever in a situation where someone told me that they were an Aspie, it would take some serious tongue-biting for me to not tell them that they aren't! |
AuthorHello! My name is Kim, I didn't know I was autistic until I was in my thirties, & this is my story. Categories
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