>Spend lots of time explaining the blidingly obvious in terms of social skills.
This is going to be interesting, especially for my wife. As I suspect I'm a bit of an Aspie myself, I can see social rules from an outsider's perspective. She'll have more trouble explaining why, for example, one (at least in America) can not mention an obese person's size in his/her presence. He knows he's fat, he knows that we know he's fat, and he we know that he knows that we know, etc/ Sp. whats the issue? That's a hard one. How do you explain the irrationality of allowing the fat person to suspend disbelief that we're thinking, "Oh mah gawd, you're really f'ing fat!"
Basically it's a class of generic "something is wrong" but not with the severity of autism. Since the physiological pathways for these diseases are not well understood the diagnoses by definition are going to be a bit mushy.
That said, my son was diagnosed with autism to great degree because of a speech delay. His speech is improved so I'm not sure if he would qualify now, but he does still have physical symptoms. For example he flaps his arms a lot when he gets excited, he loves rough play, he has a hard time finding objects using verbal instructions "grab your shoes buddy" and some other random things.
Does he need a label? I think so. I think he benefited some from his therapy and special education in the public schools and a diagnosis helps determine which therapies might help and which won't. Is he going to be socially slower than he would have been if he'd just been treated like a normal kid. I don't think so; especially since a huge chuck of the kids in special ed in Arizona are just native Spanish speakers.
I think you're right to worry that parents will change their behavior based on a label, there just seems to be some worthwhile things that come out of formal diagnosis and whether or not to get one for a child is a serious parenting decision that has lots of consequences, good and bad.
EDIT: parent was worried about negative consequences of an Asperger's diagnosis on the child.
Our son is attending our public school's early intervention pre-school program (fantastic, btw), and we're sending him to private speech therapy and are considering other interventions.
Diagnosis wise, I agree with your view. Why not HFA or PDD-Nos? There's definitely something wrong though -- he shows little interest in playing with other children, physically cringes when there's lots of noise/confusion, and does a bunch of other stuff that strongly suggests an autism spectrum disorder.
Our three year-old recently was diagnosed with Asperger's, so we're learning. Is anyone here an Aspie who could offer some advice?