Mr. Hoshino is hard to please.

Hoshino also wrote critically of the term's use in insulting contexts

Japanese netizens in their 20s to 30s are using the term asupe to refer to a mentally disabled person or those who behave differently from the majority. The Korea Times article quotes from a Japanese language column by Japanese psychiatrist Hoshino Geinan.

Writing in the Japan based weekly magazine Bunshun in late April, Hoshino wrote about the use of the term asupe, seemingly in response to Yamada Simply put, you should never say you're an asupe to anyone. This is because, even clinicians with specialist training in psychology must be absolutely certain themselves before making a diagnosis of Asperger syndrome.