Asperger Syndrome and the Children who Don’t Quite Fit In

Asperger Syndrome and the Children who ‘Don’t Quite Fit In’
SUZY PORTWAY and BARBARA JOHNSON

Health Visitor, West Sussex NHS Primary Care Trust, The Surgery, Torton Hill Road, Arundel, West Sussex BN18 9HF, UK; bSt Bartholomew’s School of Nursing and Midwifery, City University, London, UK

This paper discusses some of the early findings of current Ph.D. work exploring the lives of young adults with Asperger Syndrome and their parents. The focus here is the experience of ‘growing up’ as perceived by people with Asperger Syndrome. The findings relating to the experience for parents and outcomes for families will be the subject of further papers. For the main study, twenty-five families were purposively sampled and informal interviews conducted with young adults with Asperger Syndrome and their parents. Participants with Asperger Syndrome were encouraged to talk about their own life story. Interviews were transcribed and constant comparative analysis used to identify, compare and code common themes across the data. The stories told are powerful accounts of children who from an early age ‘looked normal, talked normal’ but never seemed to ‘quite fit in’. They went through school and moved into adulthood feeling and being treated as ‘different’, with nobody seemingly understanding why. Many were excluded educationally, in that some were expelled from school while others were excluded by their peers within school, thus leaving them feeling ‘outsiders’. All the participants expressed views that likened them to living on the edge of society where they felt extremely isolated and vulnerable to mental health problems. The findings suggest the need for greater knowledge of Asperger Syndrome among preschool workers, teachers and health care professionals. The importance of earlier detection and the appropriate educational, social and emotional support to help prevent a constant catalogue of negative experiences is emphasised. It is argued that such measures will maximise the opportunities for developing a positive self-image as well as intellectual and personal achievement.

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How Far Can Brian Ride the 4449 Express? A Strengths Model of Asperger Syndrome Based on Special Interest Areas

This article presents one of the principal theories to emerge
from a larger exploratory study. The research team conducted
interviews about special interests with 23 participants with Asperger
syndrome (AS), ages 7 to 21, who were eligible for services
under autism and enrolled in an extended school year
program. The authors also obtained written surveys from 18
parents. A strong positive relationship was found between engagement
in special interest areas and individual strengths in
areas typically seen as AS deficits, including communication,
social, emotional, sensory, fine-motor, executive function, and
academic skills. A review of the strength-based model of AS
and special interests is followed by practical ideas for effectively
incorporating special interest areas into school, home, and
community.

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Outcomes in Adults With Asperger Syndrome

This article explores the current research literature on adult outcomes of individuals with Asperger syndrome (AS). Specific areas addressed are the characteristics associated with adulthood AS, including employment issues, comorbid mental and physical health conditions, neurological issues, possible problems with the legal system, mortality rates, and treatment. The article interweaves the author’s experiences as a parent of an adult son with AS and discusses recommendations and future directions.

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Succeeding in College With Asperger Syndrome: A Student Guide

Editors’ Note: Dr. Janet E. Graetz facilitates successful college careers for individuals with Asperger syndrome. We invited her to review
two publications on the topic. She collaborated with Nick Dubin, a doctoral student with Asperger syndrome, to provide the following
reviews.

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