they changed it again
A. Persistent deficits in social communication and social interaction across contexts, not accounted for by general developmental delays, and manifest by all 3 of the following:
1. Deficits in social-emotional reciprocity; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction,
2. Deficits in nonverbal communicative behaviors used for social interaction; ranging from poorly integrated- verbal and nonverbal communication, through abnormalities in eye contact and body-language, or deficits in understanding and use of nonverbal communication, to total lack of facial expression or gestures.
3. Deficits in developing and maintaining relationships, appropriate to developmental level (beyond those with caregivers); ranging from difficulties adjusting behavior to suit different social contexts through difficulties in sharing imaginative play and in making friends to an apparent absence of interest in people
B. Restricted, repetitive patterns of behavior, interests, or activities as manifested by at least two of the following:
1. Stereotyped or repetitive speech, motor movements, or use of objects; (such as simple motor stereotypies, echolalia, repetitive use of objects, or idiosyncratic phrases).
2. Excessive adherence to routines, ritualized patterns of verbal or nonverbal behavior, or excessive resistance to change; (such as motoric rituals, insistence on same route or food, repetitive questioning or extreme distress at small changes).
3. Highly restricted, fixated interests that are abnormal in intensity or focus; (such as strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper-or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment; (such as apparent indifference to pain/heat/cold, adverse response to specific sounds or textures, excessive smelling or touching of objects, fascination with lights or spinning objects).
C. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)
D. Symptoms together limit and impair everyday functioning.
somehow this seems slightly better but I don't like the severity scale
richardbenson
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I like it. Sensory issues and dislike of change are finally in there.
To be diagnosed with anything it has to be affecting your life.
This is for Autistic Disorder, yes?
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As of right now there is no differentiation in DSMV between autistic disorder, AS, etc. They're all one condition here.
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What happens when some aspies and PDD-NOS people don't meet the new autistic criteria when it comes out? Does that mean they aren't autistic anymore and congratulations they just have the traits?
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If they meet the old criteria they should meet the new critieria, maybe? I am not sure about that on account of needing all three social criteria filled.
I suspect people who are already diagnosed won't need to be rediagnosed. They'll just be switched over from whichever they already have to "autistic spectrum disorder."
NO! NO! NO! NO! NO!
Those are the PROPOSED changes to be POSSIBLY incorporated into DSM-V! They are NOT yet adopted.
DSM-IV is still in effect. Latest projections are that DSM-V will be adopted sometime in 2013. There is still yet no 100% guarantee the proposed changes will be adopted.
This has NOT yet been changed!
It is likely this will be adopted when the time comes. These proposed changes have been on the books for quite some time. This is not news.
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maybe I am cynical but I just see these diagnostic criteria as a way for government agencies and health organizations to limit the amount of resources being expended. We know there was a huge explosion of people diagnosed in the spectrum after the changes in the DSM last time around. Then there was an even greater demand for resources and now these criteria seem to me to be more restrictive again if you have to have all the category A features, etc. It seems to me it will exclude a lot of folks from getting help they could benefit from if they no longer meet all the criteria. Kind of like what League Girl said- "Congratulations you don't have autism anymore". But it doesn't change the person or their experience or disability. Its just a bunch of academics getting together and trying to describe millions of different people under one label.
No it doesn't, it just talks about how social you are and how intense your special interests/stimming are. Actual support you need to function in general isn't described anywhere in the current criteria.
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"In my world it's a place of patterns and feel. In my world it's a haven for what is real. It's my world, nobody can steal it, but people like me, we live in the shadows." -Donna Williams
No it doesn't, it just talks about how social you are and how intense your special interests/stimming are. Actual support you need to function in general isn't described anywhere in the current criteria.
Actually, yes it does. It's under the severity tab for DSM-V at dsm5.org. The link below will bring you to the proposed revision page. Click the severity tab to see what kate123A is talking about.
http://www.dsm5.org/ProposedRevisions/P ... px?rid=94#
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Regarding concern of what will happen to existing diagnoses of Aspergers Syndrome, when the DSM V goes into effect, at this time, the rationale tab under the Aspergers section, addresses the question per quote below:
The aim of the draft criteria is that every person who has significant impairment in social-communication and RRBI should meet appropriate diagnostic criteria. Language impairment/delay is not a necessary criterion for diagnosis of ASD, and thus anyone who shows the Asperger type pattern of good language and IQ but significantly impaired social-communication and repetitive/restricted behavior and interests, who might previously have been given the Asperger disorder diagnosis, should now meet criteria for ASD, and be described dimensionally. The workgroup aims to provide detailed symptom examples suitable for all ages and language levels, so that ASD will not be missed by clinicians in adults of average or superior IQ who are experiencing clinical levels of difficulty.
Social communication level 1 looks like it's noticeable impairments without supports.
Social communication level 2 looks like it's noticeable impairments with supports.
Level 3 doesn't mention support, says severe.
Are you misreading the chart?
Level 3: "Requiring very substantial support"
Level 2: "Requiring substantial support"
Level 1: "Requiring support"
It's spelled out in the first column of the matrix.
The levels apply to both social communication and restricted interests and repetitive behaviors.
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It could be something in their life that isn't an actual disorder, more like a way of existing. I would like to call it something of a "personality," people might object, though. Personality, not personality disorder.
For something to be a disorder, it has to impede you in some way.
Should you be diagnosed with something if you honestly believe you are doing fine, even better than that, just because you have a set of specific "traits?"
MrXxx
Level 3: "Requiring very substantial support"
Level 2: "Requiring substantial support"
Level 1: "Requiring support"
It's spelled out in the first column of the matrix.
The levels apply to both social communication and restricted interests and repetitive behaviors.
No, I read the actual chart just fine. I may have trouble with how things are written at times though.
What I was actually saying was what was written inside of the charts under "social communication", as I specifically said.
I asked what exactly do they mean by support. Meaning, a description of said support. Which I emboldened in my question.
Last edited by Jediscraps on 29 Jan 2011, 6:22 pm, edited 3 times in total.