[QUOTE=KGS]
Umm…yes it does. It needs to be observed, documented, or at least mentioned by somebody in your social network.
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Well, of course. But it doesn’t need to be diagnosed by a doctor officially during that age range, which is what I was referring to. It would of course be noticed, provided it was not considered normal by those people. (There are families where speech delays, for instance, of up to 4 years or so, are considered normal because so many family members have had them.) If it was considered normal it would have technically been noticed but not as anything to be alarmed at.
This is why, as I said, doctors who diagnose such things interview family members and others who knew the person in early childhood, as they did (multiple family members) in my case. But the doctor doesn’t have to notice everything in early childhood, and if they do they don’t have to have noticed that it could mean autism (particularly for someone born the year autism entered the DSM in a manner that would not apply to them).
The main difference between the official diagnoses of autism and Asperger’s is not the extent of overall traits, it is the extent of specific delays or unusualness in a particular area (speech). There are many people who would meet the Asperger criteria if it were not for the fact that they had a speech delay, which puts them into the autism category. This is why with the diagnosis of older children, teens, and adults they have to check on early development if they are going to follow the official guidelines on diagnosis.
I didn’t by the way say that I personally wasn’t noticed in earlier childhood. I was, people had all kinds of concerns. But none of them went to a doctor who knew about autism. (There were many many counselors, including one who decided I was weird because I fell into a duck pond as a kid, but no doctors.) Which is the case for many people I know who were later diagnosed with autism. Yeah, we might have been good enough at some things to get by for awhile, but that actually does not make a person non-autistic. (Unless, again, you’re going to say anyone not noticed specifically as autistic in childhood is not autistic, which excludes most autistic people born before relatively recently. I would not have met autism criteria until I was 6 or 7.)
And, it should be noted again, the range of severity in two of the three areas for autism and Asperger’s are identical. The third area, regarding communication, is only supposed to be present in autism, but can also range from mild (say, a speech delay followed by a total or near-total catch-up) to severe.