A savant, by definition, is somebody who has a disability and, along with that disability, has some remarkable ability. Prodigies and geniuses have the remarkable abilities that the savant shows, but they do not have a disability. So, by definition, a savant includes someone with a disability, and a prodigy or genius are people who have these remarkable skills but they do not have a disability.
Savant syndrome is not a disorder in the same way as autism is a disorder or dementia is a disorder. Savant syndrome are some conditions that are superimposed and grafted on to some underlying disability. So savant syndrome is not a disease or disorder in and of itself. It is a collection of characteristics, or symptoms, or behaviors that have grafted on to the underlying disability.
There are some cases that have come to my attention where there's been a head injury, or getting struck by lightning and surviving, with really no disability or residual. So there are cases that I'm aware of where there's been some incident which triggered the acquired savant ability, but is not associated with long term disability, so that can occur. But I think that's probably the exception rather than the rule in that I think many of the acquired savants do end up with some residual disability.
When I met my first savant in 1962, I was impressed by the abilities in these youngsters who had severe disabilities. They appeared to me to be islands of genius in the sea of disability. So I've maintained that word picture since that time, of these islands of genius that are so striking and so jarring when you see them, especially in people who have severe disability.
There is such a thing as genius, and these are people who do not have a formal disability, DSM-IV-type. They may have liberal eccentricities or quirks in their personality, but they don't rise to the level of a disability.
The term syndrome generally appears to be a constellation, or collection, of similar traits or behaviors within an individual. So, savants do have sort of a constellation of symptoms, which is characterized by some spectacular skill, or skills, coupled with this massive memory which is grafted on to some underlying disability. So those three conditions quantify, in my mind, the term syndrome.
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