How Does The Asperger Syndrome In America Compare To Other Nations?

Asperger syndrome (AS), also known as Asperger's, is a neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests. It is an autism spectrum disorder (ASD), but differs from other ASDs by relatively unimpaired language and intelligence. Although not required for diagnosis, physical clumsiness and unusual use of language are common. Signs usually begin before two years of age and in many cases never resolve.The exact cause of Asperger's is poorly understood. While it is largely inherited, the underlying genetics have not been determined conclusively. Environmental factors are also believed to play a role. Brain imaging has not identified a common underlying condition. In 1994, the diagnosis of Asperger's was included in the fourth edition (DSM-IV) of the Diagnostic and Statistical Manual of Mental Disorders; with the publication of DSM-5 in 2013 the diagnosis was removed, and the symptoms are now included within the autism spectrum disorder along with autism and pervasive developmental disorder not otherwise specified (PDD-NOS). It remains within the International Classification of Diseases (ICD-11) as of 2021 as a subtype of autism spectrum disorder.There is no single treatment, and the effectiveness of particular interventions is supported by only limited data. Treatment is aimed at lowering obsessive or repetitive routines and improving communication skills and physical clumsiness. Interventions may include social skills training, cognitive behavioral therapy, physical therapy, speech therapy, parent training, and medications for associated problems, such as mood or anxiety. Most children improve as they grow up, but social and communication difficulties usually persist. Some researchers and people on the autism spectrum have advocated a shift in attitudes toward the view that autism spectrum disorder is a difference rather than a disease that must be treated or cured.In 2015, Asperger's was estimated to affect 37.2 million people globally (about 0.5% of people). Autism spectrum disorder is diagnosed in males more often than females, and females are typically diagnosed at a later age. The syndrome is named after the Austrian pediatrician Hans Asperger, who, in 1944, described children in his care who struggled to form friendships, did not understand others' gestures or feelings, engaged in one-sided conversations about their favorite interests, and were clumsy. The modern conception of Asperger syndrome came into existence in 1981 and went through a period of popularization. It became a standardized diagnosis in the early 1990s. Many questions and controversies about the condition remain. The percentage of people affected is not firmly established.A syndrome is a set of medical signs and symptoms which are correlated with each other and often associated with a particular disease or disorder. The word derives from the Greek σύνδρομον, meaning "concurrence".: 1818  When a syndrome is paired with a definite cause this becomes a disease. The discipline that deals with the diagnosis of syndromes is also referred to as syndromology or dysmorphology. In some instances, a syndrome is so closely linked with a pathogenesis or cause that the words syndrome, disease, and disorder end up being used interchangeably for them. This substitution of terminology often confuses the reality and meaning of medical diagnoses. This is especially true of inherited syndromes. About one third of all phenotypes that are listed in OMIM are described as dysmorphic, which usually refers to the facial gestalt. For example, Down syndrome, Wolf–Hirschhorn syndrome, and Andersen–Tawil syndrome are disorders with known pathogeneses, so each is more than just a set of signs and symptoms, despite the syndrome nomenclature. In other instances, a syndrome is not specific to only one disease. For example, toxic shock syndrome can be caused by various toxins; premotor syndrome can be caused by various brain lesions; and premenstrual syndrome is not a disease but simply a set of symptoms. If an underlying genetic cause is suspected but not known, a condition may be referred to as a genetic association (often just "association" in context). By definition, an association indicates that the collection of signs and symptoms occurs in combination more frequently than would be likely by chance alone.: 167 Syndromes are often named after the physician or group of physicians that discovered them or initially described the full clinical picture. Such eponymous syndrome names are examples of medical eponyms. Recently, there has been a shift towards naming conditions descriptively (by symptoms or underlying cause) rather than eponymously, but the eponymous syndrome names often persist in common usage.The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territories, 326 Indian reservations, and some minor possessions. At 3.8 million square miles (9.8 million square kilometers), it is the world's third- or fourth-largest country by total area. The United States shares significant land borders with Canada to the north and Mexico to the south, as well as limited maritime borders with the Bahamas, Cuba, and Russia. With a population of more than 331 million people, it is the third most populous country in the world. The national capital is Washington, D.C., and the most populous city is New York City. Paleo-Indians migrated from Siberia to the North American mainland at least 12,000 years ago, and European colonization began in the 16th century. The United States emerged from the thirteen British colonies established along the East Coast. Disputes over taxation and political representation with Great Britain led to the American Revolutionary War (1775–1783), which established independence. In the late 18th century, the U.S. began expanding across North America, gradually obtaining new territories, sometimes through war, frequently displacing Native Americans, and admitting new states; by 1848, the United States spanned the continent. Slavery was legal in the southern United States until the second half of the 19th century when the American Civil War led to its abolition. The Spanish–American War and World War I established the U.S. as a world power, a status confirmed by the outcome of World War II. During the Cold War, the United States fought the Korean War and the Vietnam War but avoided direct military conflict with the Soviet Union. The two superpowers competed in the Space Race, culminating in the 1969 spaceflight that first landed humans on the Moon. The Soviet Union's dissolution in 1991 ended the Cold War, leaving the United States as the world's sole superpower. The United States is a federal republic and a representative democracy with three separate branches of government, including a bicameral legislature. It is a founding member of the United Nations, World Bank, International Monetary Fund, Organization of American States, NATO, and other international organizations. It is a permanent member of the United Nations Security Council. Considered a melting pot of cultures and ethnicities, its population has been profoundly shaped by centuries of immigration. The U.S. ranks high in international measures of economic freedom, quality of life, education, and human rights, and has low levels of perceived corruption. However, the country has received criticism concerning inequality related to race, wealth and income, the use of capital punishment, high incarceration rates, and lack of universal health care. The United States is a highly developed country, accounts for approximately a quarter of global GDP, and is the world's largest economy by GDP at market exchange rates. By value, the United States is the world's largest importer and the second-largest exporter of goods. Although its population is only 4.2% of the world's total, it holds 29.4% of the total wealth in the world, the largest share held by any country. Making up more than a third of global military spending, it is the foremost military power in the world; and it is a leading political, cultural, and scientific force internationally.Comparison or comparing is the act of evaluating two or more things by determining the relevant, comparable characteristics of each thing, and then determining which characteristics of each are similar to the other, which are different, and to what degree. Where characteristics are different, the differences may then be evaluated to determine which thing is best suited for a particular purpose. The description of similarities and differences found between the two things is also called a comparison. Comparison can take many distinct forms, varying by field: To compare is to bring two or more things together (physically or in contemplation) and to examine them systematically, identifying similarities and differences among them. Comparison has a different meaning within each framework of study. Any exploration of the similarities or differences of two or more units is a comparison. In the most limited sense, it consists of comparing two units isolated from each other. To compare things, they must have characteristics that are similar enough in relevant ways to merit comparison. If two things are too different to compare in a useful way, an attempt to compare them is colloquially referred to in English as "comparing apples and oranges." Comparison is widely used in society, in science and in the arts.A nation is a community of people formed on the basis of a combination of shared features such as language, history, ethnicity, culture and/or territory. A nation is thus the collective identity of a group of people understood as defined by those features. A nation is generally more overtly political than an ethnic group; it has been described as "a fully mobilized or institutionalized ethnic group". Some nations are equated with ethnic groups (see ethnic nationalism and nation state) and some are equated with an affiliation with a social and political constitution [citizenship (see civic nationalism and multiculturalism)], also some of them don't change its definition and keep it as culture (see cultural nationalism). A nation has also been defined as a cultural-political community that has become conscious of its autonomy, unity and particular interests.Benedict Anderson characterised a nation as an "imagined community", and Paul James sees it as an "abstract community". A nation is an imagined community in the sense that the material conditions exist for imagining extended and shared connections and that it is objectively impersonal, even if each individual in the nation experiences themselves as subjectively part of an embodied unity with others. For the most part, members of a nation remain strangers to each other and will likely never meet. Hence the phrase, "a nation of strangers" used by such writers as American journalist Vance Packard.