Individuals with Asperger’s Syndrome are not Sociopaths. Sociopaths are Sociopaths.


How many of us shudder each and every time there’s “breaking news” of some lone teenager somewhere, (almost always a male), reported to have gone on a shooting rampage, just knowing that sooner or later the initial shock of the rampage will turn to the tried, but oh so rarely true speculation, that the lone teenage gunman in question, has Asperger’s Syndrome?

I know that I sit and cringe, firstly for the harm inflicted, and secondly for the offensive accusations that cause the fear and mistrust of all individuals with Asperger’s which inevitably accompany each and every report of this kind.

And frankly, I’m baffled by the media’s constantly misaligned assertions as there seems to be  no genuine link between Asperger’s Syndrome, in either men or women, and a propensity towards violence.

There is however a genuine link to be made between those individuals who experience sociopathy and a propensity towards acts of violence.

Clinically, individuals who experience Asperger’s Syndrome are purported to share some of the same challenges as those who experience sociopathy, however, sharing the same challenge is in no way the equivalent of sharing the same underlying traits.

So what are the challenges that both individuals with Asperger’s and sociopaths are said to share?

Well, according to a jaw droppingly chilling autobiography titled “Confessions or a Sociopath” written by female author M.E. Thomas, who is herself a clinically diagnosed sociopath, they are, an inability to read people’s facial expressions and body language, difficulty with understanding social rules and most importantly an overwhelming lack of empathy for others.

Um…..well…. yes, to the first shared challenge, yes to the second shared challenge and an enormous NO to the last one.

I’ll admit that there were some parts of Thomas’s book that I could relate to, and dare I say it, even empathize with.

Take for instance the high levels of confusions she describes feeling as her early awareness that she felt as if she were running on an entirely different operating system to other children her own age blossomed , and how these self-identified differences within her were ignored by the adults around her, purely because she had been born female.

Such feelings and challenges are common to many adults with Asperger’s, particularly those diagnosed later in life, and especially women.

So too are Thomas’s descriptions of both being initially unaware of and confused by her inability to automatically read social cues, body language and the facial expressions of others.

Yet this is where any and all similarities end for me as Thomas then goes on to describe how her inability to feel any form of empathy towards the suffering of others empowered her life for the better and made her feel like a superhero.

Thomas openly states that she felt as if her differences, far from lowering her self-esteem, and making her feel vulnerable, actually served to build up her self-esteem to the point where, from a young age, she believed herself to be far superior to those around her.

She felt that she was mentally and physically stronger than other girls because she was not weakened by emotions.

She also states that, despite her claimed lack of ability to read other people’s expressions and body language, she nevertheless became extremely good at “reading people”.

So good in fact, that whilst still in primary school, she was able to pit girls against each other simply by befriending those she viewed as being overly emotional, hence overly trusting, and learning their secrets, only in order to tear them apart by sharing those secrets with others when it either most suited her for personal reasons or at times in which the unleashing of those secrets would cause the most possible harm.

She describes in great detail her relish, both as a child and an adult, in applying her skill set to the ruination of other people’s relationships, careers and basically their lives, for little more than amusement.

As far as I can tell from her descriptions,  for Thomas, unlike those of us with Asperger’s Syndrome, she either learned the social rules extremely quickly with little or no trial and error needed or, she never really genuinely lacked an understanding of those unspoken, but oh so ardently adhered to social rules that so often throw us off-balance.

It seems to me as if she must have understood the rules, how else would she have been able to use them well enough against those she chose too, even as far back as primary school if she didn’t at least have some idea what they where.

Hence, the rational conclusion is that she knew them but just didn’t care enough to obey any social or moral rules, that did not in some way amuse her or benefit her own ends.

For me, this raises the question of whether or not individuals with sociopathy are actually lying about being unaware of body language and social cues in order to down play or “mask” the true level of deceit behind their manipulation of others and in this way garner sympathy rather than condemnation for engaging in their chosen sport of destruction.

As many individuals with Asperger’s Syndrome can attest, we don’t “ignore” social rules simply because we figure we’ll get more out of life if we blunder around annoying, using or offending everyone else.

Far from it.

Our social blunders are never calculated manoeuvres designed to get us what we want as quickly as possible, because if that’s what they’re meant to achieve for us then clearly, we’re doing it all wrong as they often have the opposite effect of seeing us shut out of conversations, friendship groups and even family units.

No, individuals with Asperger’s do not play at being unaware of social rules simply to garner attention or bring about another person’s destruction.

We are not willingly choosing to “ignore” them in order to get what we want; we genuinely do not understand them.

Yet for a sociopath, or so it would seem, “ignoring” social rules in order to gain an often unfair advantage over another is both a willful choice and a tactic, while for individuals with Asperger’s, it is neither a choice nor a tactic, it is for want of a better word a form of “social blindness.”

Due to this “social blindness” there is often a very clear trajectory of vulnerability that flows through our lives as a result of our difficulties/ inability to accurately discern the actions and intentions of other people.

Time and time again we’ find ourselves falling victim to those who are good at lying and deceiving us with their false sincerity and intentions.

In other words, individuals with Asperger’s are more likely to be the victims of the vicious mind games that sociopath’s like Thomas describe playing rather than being the perpetrators of such games.

After having read all that Thomas has to say in her book about living the life of a sociopath, all be it a high functioning one, I hold no doubt what so ever that I am not one.

I do not fit into any of the clinical markers of sociopathy.

In fact, I’m not even close to it.

I do however fit within the majority of the clinical markers for Asperger’s Syndrome or high functioning Autism if you prefer and have been diagnosed accordingly.

As an individual with Asperger’s I can tell you that I love and care about people, shed tears of sorrow simply watching the nightly news, and do not try to deceive, mislead or harm anyone.

But that’s just me and I accept that everyone on the spectrum is different.

However, I do believe that after reading Thomas’s book there is an argument to be made that perhaps too many sociopaths are being misdiagnosed at an early age as having Asperger’s Syndrome based purely on the erroneous assumption that because individuals with Asperger’ share the challenge of being unable to read body language and social nuances correctly, and do not respond as expected in social situation, they therefore share the same inability to feel empathy in the same way that sociopath do.

Most professionals worth their title now agree that individuals with Asperger’s do not lack empathy, far from it, if anything they are entirely overwhelmed by it.

Yet despite this the myth remains within the public’s mind that every lone gunman must have Asperger’s and here’s why….

There’s been an indelible link carved into the minds of the public regarding any and all persons who are perceived as having a lack of empathy.

Basically as far as most people are concerned having a of lack of empathy, even if it’s only a perceived lack of empathy, thanks to sociopaths like Thomas, means that people will view you as the kind of individual who has the capacity to kill, harm or maim, any living thing, without remorse.

Hence individuals with Asperger’s, who are merely perceived as having a lack of empathy due to their lack of facial expression or lack of socially appropriate responses to highly emotionally charged situations, are viewed as being as dangerous as a real sociopath, a person who genuinely feels no empathy for others and because of this, is indeed prone to acts of violence regardless of whether they be cold and highly calculated or random opportunism.

Sociopaths like Thomas provide example after example of what a life truly devoid of all empathy looks like and it’s not pretty.

From childhood on-wards her life has been filled with manipulating people, lying to them, winning people’s trust purely for the purpose of betraying, wanting to physically kill people for the slightest of perceived infractions, mask wearing, deceit and corruption, and even the wanton killing of a small animal simply because it had the misfortune of falling into her pool on a day that was inconvenient for her.

Given these examples, it’s little wonder that people would rather not mix with Sociopaths, heck I wouldn’t either.

Which is exactly why I don’t  want either my son, my daughter, myself or anyone else to be even remotely thought of as being a potential sociopath simply because our differences for some prehistoric reason place us in line beside those for whom it’s a well proven fact that a lack of empathy is a marker of sociopathy.

The truth is that sociopaths do indeed lack empathy whereas individuals with Asperger’s are often merely perceived as not showing any outward signs of empathy, whilst feeling such emotions just as keenly as almost everybody else.

Perhaps there is also one last, but very salient reason as to why young sociopaths are predisposed to being diagnosed erroneously as having Asperger’s, and that is the rather inconvenient fact that, according to the strictures of the DSM-V Sociopathy, unless it is extreme, cannot be diagnosed in a child under the age of 16.

Herein lies the problem because according to Thomas, not only did her sociopathic tendencies first emerge during childhood, so too, did her blatant mastery of them to bully, cheat, lie, steal and manipulate those around her.

She even instigated and encouraged a group of girls to make a false sexual harassment claim against a male teacher for her own revenge against him for not receiving  an A in his class.

If you combine the existence of such sociopathic childhood behaviors with the inability of Psychologists to actually diagnose sociopathy in children, along with parents for whom it is much easier to be told that their child has high functioning Autism rather than that their child’s a sociopath, for whom there are no treatments, hence no pharmaceutical remedies, then you are in effect creating a breeding ground for misdiagnosis and confusion.

And people are genuinely confused by all of this and given the circumstances, who can blame them.

There needs to be a much clearer way to discuss and define the intrinsic differences between those who purportedly initially share similar social challenges, yet who have an entirely different etiology and outcome as a result of those challenges.

I’ll end this post with one of the questions that Thomas herself regularly challenges the readers of her book to ponder is over………

“Could you be a sociopath and not know it?”

Perhaps if you are an individual who has been diagnosed with Asperger’s but truly feel you have a complete inability to feel empathy, I challenge you to ask yourself the same question.

You may well wish to consider taking the Sociopath test instead of the Aspie Test.

If you do, be sure and let me know how you go as I’d love to know.

Asperger Syndrome in Females: An Underdiagnosed Population


Asperger syndrome (AS) is an Autism Spectrum Disorder (ASD) characterized by significant impairments in social interaction, and rigid, stereotypical, or repetitive behaviours that exist alongside normal language and cognitive skills (Fitzgerald & Corvin, 2001). Researchers often use the terms Asperger syndrome and high-functioning autism interchangeably (Attwood, 2006), and so for the purposes of this paper, Asperger syndrome will encompass both diagnoses, and assume an IQ in the normal range, i.e., > 70. The ratio of males to females with AS is currently about 10:1, and on average, boys are referred ten times more often for diagnostic assessment (Wagner, 2006). Overall, the lack of knowledge about girls and women with AS is mirrored by a relatively small amount of empirical research dedicated to this population (Thompson, Caruso, & Ellerbeck, 2003). Much of the available literature includes clinical observations, case studies, and anecdotal evidence.

Some feel that the uneven gender ratio is a natural reflection of biological sex differences. Jones, Skinner, Friez, Schwartz, and Stevenson (2008) propose a sex-linked genetic cause, and argue that the single X chromosome in males is inherently vulnerable, creating a lower threshold of susceptibility to AS. Alternatively, Baron-Cohen and Wheelwright (2004) hypothesize that gender differences in brain specialization may explain the male-dominated ratio, and contend that while females are naturally better at empathizing, males tend to think in a systemizing way. They conceptualize Asperger syndrome as an extreme systemizing form of the normal male brain that may develop due to high levels of testosterone exposure in utero. The question arises, however, as to what extent sex differences are biological, or influenced by sociocultural factors.

In contrast to the researchers that find support for the current gender ratio, many believe it is inaccurate (e.g., Attwood, 2006; Rastam, 2008). Thompson et al. (2003) claim that a long-standing sex bias in AS research has resulted in diagnostic criteria too dependent on a male prototype, and point out that 80% of all ASD study samples have been male, on average. They suggest further that our present knowledge about ASD is actually knowledge about males with ASD. Nyden, Hjelmquist, and Gillberg (2000) highlight comparable issues in the diagnostic criteria for Attention Deficit Hyperactivity Disorder (ADHD), while Rastam (2008) parallels the development of criteria for clinical eating disorders, based largely on the signs and symptoms prevalent in females. Hully and Lamar (2006) suggest that overdependence on a male prototype means that traits in females must appear exaggerated for diagnosis. Ironically, researchers are finding it difficult to obtain samples on females that are large enough to allow for comparison by sex (Hartley & Sikora, 2009). This paper will explore how psychiatric disorders may mask AS in females, gender differences in phenotypic expression that can cause diagnostic confusion, and the attitudes and behaviour of others toward females with AS that can contribute to a missed diagnosis.

Several disorders have the potential to overshadow Asperger syndrome in females including depression, ADHD and Anorexia Nervosa (AN) (Hartley & Sikora, 2009; Rastam, 2008; Ryden & Bejolet, 2008). Researchers feel that the risk of misinterpreting signs and symptoms is strong, and could lead to misdiagnosis, or failure to recognize AS as the primary disorder (Cooper & Hanstock, 2009; Ryden & Bejolet, 2008). Hully and Lamar (2006) observed that as girls grow older, the presenting problem is less often associated with a developmental disorder, and stress that clinicians must take a detailed patient history to rule out AS in females. Accordingly, Ryden and Bejolet (2008) found that adult women with AS comprised a large portion of the psychiatric outpatients that they studied (39 females and 44 males), and speculate that many females do not receive an accurate diagnosis until they seek treatment for a comorbid disorder.

Although the gender ratio for childhood depression is 1:1 in the general population, by adolescence, females are three times more likely to receive a diagnosis of depression (Cooper & Hanstock, 2009). In fact, Ryden and Bejolet (2008) found a history of depression most often in patients that had not received a diagnosis of AS until adulthood. This could underscore a lack of awareness of how Asperger syndrome looks at different ages, and in females. Symptoms that often cause diagnostic confusion include a flat affect, minimal facial expressions, flat intonation in speech, irritability, and social isolation (Cooper & Hanstock, 2009). Hartley and Sikora (2009) found that girls with ASD, as young as 1.5 years of age, displayed an anxious or depressed affect more often, which lends support to this idea. In addition, Cooper and Hanstock (2009) discovered that Jane, initially referred for confirmation of a mood disorder, had a stable baseline mood over a long period. They concluded that failure to recognize significant social impairments, along with a flat affect and monotone voice, a number of school changes, and normal IQ and language skills, resulted in a misdiagnosis of depression.

Holtmann et al. (2007) found that females, across the entire sample that they studied, had significantly more attention difficulties than males, and similarly, Nyden et al. (2000) established that girls, aged 8 to 12 years, had greater impairment on the Freedom from Distractibility subscale than boys in the same age range. Greater attention difficulties in girls and women suggest that a misdiagnosis of ADHD may occur more often in this population. In accordance with this, Ryden and Bejolet (2008) assert that the lack of common sense and social disinhibition inherent in AS could be mistaken for impulsiveness, further increasing the likelihood of an incorrect ADHD diagnosis.

Ryden and Bejolet (2008) also discovered that adult female patients with Asperger syndrome scored higher on scales measuring borderline and passive aggressive traits, and mood instability, despite presenting with the same core AS features as males. Holtmann et al. (2007) uncovered a similar trend in their analysis of a matched subgroup of males and females.

Although core impairments were also equal in both genders, girls scored higher on scales measuring peer relationship impairments, social immaturity and dependency, as well as compulsive and bizarre behaviour, with older females scoring the highest. Similarly, Cooper and Hanstock (2009) found that Jane’s social impairments and deviance from her peers were more obvious as she grew older.

These findings suggest that if a clinician fails to notice a girl’s severe social difficulties in childhood, the result could be an incorrect diagnosis of BPD later on. Likewise, Ryden and Bejolet (2008) state that undetected AS might exist in a subgroup of older females diagnosed with BPD, which further emphasizes the importance of taking a detailed patient history when considering diagnosis. In addition, they stress that concepts of personality disorder and abnormal personality traits are difficult to separate in Asperger syndrome, and propose that a different model is needed to explain “odd personality” in this population.
Written by A. MacMillan

The Importance of Identifying Asperger’s Syndrome / High Functioning Autism in Adults


“Growing up with undiagnosed Asperger’s Syndrome can be traumatic for many individuals.”

Many adults with undiagnosed Asperger’s Syndrome are usually keenly aware that they do not ‘fit in’, yet are unable to either express or understand exactly what it is that makes them feel differently to others.

For this reason many undiagnosed adults develop negative perceptions of themselves as “weird”, “crazy,” or “broken.”

Despite these negative self-images, many undiagnosed adults are able to hide their difficulties by developing coping mechanisms, such as mirroring or mimicking those around them in social settings.

They are therefore seen as being able to engage in the everyday routines of life such as working, having relationships, getting married and having children.

Yet though they have the ability to apply such coping mechanisms, many individuals with undiagnosed AS, are never able to shake off the underlying awareness of themselves as inherently ‘different’ to those around them.

Ironically, the very skill sets that adults with undiagnosed moderate to mild Asperger’s apply, in order to try and ‘fit in,’ have meant that they have flown “under the diagnostic radar”.

Other individuals with undiagnosed AS, who have not learnt such skill sets, may show greater signs of having social communication difficulties.

This can make them more susceptible to situations such as chronic unemployment and social isolation due to the fact that they may be mistakenly perceived as people who are deliberately anti-social, argumentative, objectionable or aloof loners who crave only their own company.

In reality, these people may be individuals who are displaying the lack of social skills required to communicate and act appropriately, that make up the characteristics or traits commonly described in Asperger’s Syndrome.

It is now well established that individual with AS may display varying degrees of some or all of the following characteristics:

A lack of social skills which manifest in inappropriate social approaches, responses or social awkwardness.

Difficulty recognizing the facial expressions or emotions of others.

Difficulties in considering or understanding others’ viewpoints.

Limited interest in friendships

Difficulties with being able to communicate their ideas, thoughts and emotions.

Difficulties in comprehending and following social reasoning and adhering to the status quo.

Difficulty with transitions and changes.

Hold a strong need for routines.

Narrow range of interests or idiosyncratic special interests.

Be overly sensitive to sounds, tastes, smells and sights.

Have motor coordination difficulties.

Experience difficulty managing their own negative feelings, especially anxiety, anger and depression

Adults with undiagnosed AS are susceptible to experiencing high degrees of stress, frustration, confusion and anxiety due to their awareness that they do not ]fit in’.

These additional difficulties have often been misinterpreted, misdiagnosed, misunderstood and mistreated, especially when their underlying AS is undiagnosed or not adequately understood.

Some of the most common additional difficulties include:

Angry outbursts (physical or verbal aggression, verbally threatening behavior)

Agitation and restlessness

Increase in obsessive or repetitive activities, thoughts, or speech

Low mood or depression

Apathy and inactivity

Unfortunately many professionals who are unfamiliar with AS often only focus on the surface symptoms and behaviors that an individual with undiagnosed AS may display.

This leaves individuals with undiagnosed AS at risk of being incorrectly diagnosed with conditions such as:

Personality Disorders


Bipolar Disorder

Obsessive Compulsive Disorder

Mood disorder

It is therefore essential, that in order to prevent individuals with undiagnosed Asperger’s Syndrome from being incorrectly diagnosed with conditions, treatment plans and medications that will not help them, that a thorough Autism assessment must be applied to adults who fall within this criteria.

A proper diagnosis of AS can better help adults put their difficulties into perspective and enable them to understand the underlying reasons for their lifelong struggles.

Correct diagnosis and effective treatment can help improve self-esteem, work performance and skills, educational attainment and social competencies.

More importantly a correct diagnosis can trigger both a journey of self-discovery and a healing process for the individuals concerned. 


Aging and Autism – Insights from the Perspectives of Adults with High Functioning Autism/Asperger Syndrome

Art by Maria Zeldis
Art by Maria Zeldis

Over a year ago I had the privilege of being part of a research team exploring the experiences of adults with High Functioning Autism/Asperger’s Syndrome, within our community. Whilst most of the data generated in the early stages of the research was  considered comparatively raw, I never the less, picked up on some of the less anticipated and therefore more qualitatively unique themes that emerged from within the data.

One of those themes concerned the prospects of aging  for those with High Functioning Autism.

I nominate this as a unique theme because it may very well represent the first time that any research project has stumbled upon the issue of aging as  derived specifically from the perspectives of adults with high functioning autism themselves.

As an Autism parent I am well versed in the realm of potential fears  that we hold for our children’s care as they enter into adulthood.

The ever-present concern of what ‘will happen in the future’  forms not only a salient question for parent carers, but  is also, according to the words of many with High Functioning Autism,  increasingly forming an even more salient and potentially frightening question  for those with high functioning autism themselves.

‘What will happen to me when I can no longer remain independent within my own home?’

The level of concern that adults with high functioning autism express when discussing the issue of their own aging creates  a disturbing picture of  just what the reality of aged care may well represent for them.

A picture that from my perspective, demands that a clearer understanding of how adults with high functioning autism relate to the current structure of the aged care system and its  facilities, be obtained and worked upon as a matter of policy.

For example, could an adult with high functioning autism, who has been independent prior to old age, cope with having to adapt to the routine of a nursing or aged care home?

Would they cope with being told not only when to eat but what to eat?

Would they deal well with a constant intrusion on their privacy by well-meaning staff?

Many of the adults spoken to described the current version of aged care on offer to them as a ‘nightmare’ of epic proportions.

This descriptor was especially strong among those whose ability to lead  an independent life had been premised largely on their ability to remove themselves from the presence of others in order to eliminate stress when necessary.

To me such descriptions pose some serious questions around aging and autism that need to be addressed. For example :

What is on offer for adults with High Functioning  Autism who have extreme sensory sensitivities to noise and/or the presence of others?

What would happen in the event of a meltdown in such an environment?

Are aged care facilities really geared up for handling the multiple sensory issues and sensitivities that adults with High Functioning Autism can experience?

Research is increasingly showing that when it comes to the concerns of those with High Functioning Autism, we are no longer just  talking about the concerns of a small group of people who crave solitude.

Rather, research is beginning to uncover  the legitimate concerns of an increasingly growing number of adults who not only do not want to be placed in aged care facilities, but who doubt their very ability to survive in them.

These are people whose very quality of life can sometimes depend on their capacity to remove themselves from the presence of others. Their concerns are real and they need to be addressed.

Is this something any of you have thought about?

Have you read any articles that tackle the issue of aging and autism?

If so I’d be extremely interested in hearing more about your views on aging.

Thank you for taking the time to  read this post.