versus
Tufted Titmouse
Joined: Dec 09, 2009
Age: 20
Posts: 32
|
 Posted: Thu Feb 11, 2010 3:25 am Post subject: Asperger's and the DMS |
 |
|
| As far as i know,and i tend to have correct information on this matter,the DSM is currently in it's fourth edition,under which Asperger's Syndrome is categorized under the Autism Spectrum Disorder which is under Pervasive Developmental Disorders.How is it out of the DSM? |
|
| Back to top |
|
Ambivalence
The Obvious Factor
Joined: Nov 09, 2008
Posts: 3638
Location: Peterlee (for Industry)
|
| Posted: Thu Feb 11, 2010 3:33 am Post subject: |
|
|
| pensieve wrote: | | It is like Pluto being taken off the Solar System. People always whine about it but it makes sense to me. It is not a gas giant, hell, the moons orbiting it are bigger than it. |
Total tangent, but Charon (Pluto's major companion) is considerably smaller than Pluto; Pluto is, however, smaller than Earth's Moon and many of the moons of the gas giants. Titan (the biggest of the moons) is larger than Mercury, though less massive. The whole what is or isn't a moon debate is certainly silly.  /nitpicking
_________________
No one has gone missing or died.
The year is still young. |
|
| Back to top |
|
pensieve
President of Gallifrey
Joined: Nov 19, 2008
Age: 27
Posts: 7452
Location: Sydney, Australia
|
| Posted: Thu Feb 11, 2010 3:45 am Post subject: |
|
|
| Ambivalence wrote: | | pensieve wrote: | | It is like Pluto being taken off the Solar System. People always whine about it but it makes sense to me. It is not a gas giant, hell, the moons orbiting it are bigger than it. |
Total tangent, but Charon (Pluto's major companion) is considerably smaller than Pluto; Pluto is, however, smaller than Earth's Moon and many of the moons of the gas giants. Titan (the biggest of the moons) is larger than Mercury, though less massive. The whole what is or isn't a moon debate is certainly silly. /nitpicking |
The whole point was I don't care that pluto isn't a planet in our solar system anymore just like I don't care if Asperger's is dropped off the DSM V.
| versus wrote: | | As far as i know,and i tend to have correct information on this matter,the DSM is currently in it's fourth edition,under which Asperger's Syndrome is categorized under the Autism Spectrum Disorder which is under Pervasive Developmental Disorders.How is it out of the DSM? |
DSM V will be released in 2012/2013 and Asperger's as a clinical disorder will be known as Autistic Disorder.
If you read through the thread there is a link explaining it more.
_________________
My autism blog - http://latedx.wordpress.com
My completely random though usually about Doctor Who blog - http://alonsy.tumblr.com/
Last edited by pensieve on Thu Feb 11, 2010 3:49 am; edited 1 time in total |
|
| Back to top |
|
Tim_Tex
Professor Hineybottom
Joined: Jul 03, 2004
Age: 33
Posts: 41865
Location: Houston, Texas
|
| Posted: Thu Feb 11, 2010 3:48 am Post subject: |
|
|
How does this affect those with extremely mild AS?
_________________
<<<=== This is not the devil, this is the Red Guy from Cow and Chicken. |
|
| Back to top |
|
Callista
Phoenix
Joined: Feb 04, 2006
Age: 30
Posts: 9829
Location: Central USA
|
| Posted: Thu Feb 11, 2010 4:04 am Post subject: Re: Asperger's and the DMS |
|
|
| versus wrote: | | As far as i know,and i tend to have correct information on this matter,the DSM is currently in it's fourth edition,under which Asperger's Syndrome is categorized under the Autism Spectrum Disorder which is under Pervasive Developmental Disorders.How is it out of the DSM? |
The next edition.
_________________
Engineering & Psychology student. Gamer. Christian. Asexual. Information Addict. Deal with it!
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com |
|
| Back to top |
|
bdhkhsfgk
Phoenix
![]()
Joined: May 23, 2009
Age: 20
Posts: 3450
|
| Posted: Thu Feb 11, 2010 4:31 am Post subject: |
|
|
| I have Hans Aspergers syndrome, my mom will protect me from the mean pshychiatrists. |
|
| Back to top |
|
League_Girl
Proud mamma
Joined: Feb 05, 2010
Posts: 13498
Location: My house
|
| Posted: Thu Feb 11, 2010 4:32 am Post subject: |
|
|
| Tim_Tex wrote: | | How does this affect those with extremely mild AS? |
I think they'd still meet it. Even mild aspies meet the criteria. They had for the new DSM that symptoms must be present in early childhood so of course it make us meet it. |
|
| Back to top |
|
TPE2
Phoenix
Joined: Oct 21, 2008
Posts: 1451
|
| Posted: Thu Feb 11, 2010 4:58 am Post subject: |
|
|
| League_Girl wrote: | | Tim_Tex wrote: | | How does this affect those with extremely mild AS? |
I think they'd still meet it. Even mild aspies meet the criteria. They had for the new DSM that symptoms must be present in early childhood so of course it make us meet it. |
Not necessarly, I think.
A possible example:
Old criteria:
| Quote: |
A. Qualitative impairment in social interaction, as manifested by at least two of the following:
(1) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction - Yes
(2) failure to develop peer relationships appropriate to developmental level - Yes
(3) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people) - No
(4) lack of social or emotional reciprocity - Yes
B. Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
(1) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus - Yes
(2) apparently inflexible adherence to specific, nonfunctional routines or rituals - No
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements) - No
(4) persistent preoccupation with parts of objects - No
C. The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning. - Yes
D. There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years). - Yes
E. There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behavior (other than in social interaction), and curiosity about the environment in childhood. - Yes
F. Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia. - Yes
|
New criteria:
| Quote: |
1. Clinically significant, persistent deficits in social communication and interactions, as manifest by all of the following:
a. Marked deficits in nonverbal and verbal communication used for social interaction: - Yes
b. Lack of social reciprocity; - Yes
c. Failure to develop and maintain peer relationships appropriate to developmental level - Yes
2. Restricted, repetitive patterns of behavior, interests, and activities, as manifested by at least TWO of the following:
a. Stereotyped motor or verbal behaviors, or unusual sensory behaviors - No
b. Excessive adherence to routines and ritualized patterns of behavior - No
c. Restricted, fixated interests - Yes
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities) - Yes
|
This person (if he exists in reality) could be diagnosed according to the old criteria, but not according to the new. |
|
| Back to top |
|
Callista
Phoenix
Joined: Feb 04, 2006
Age: 30
Posts: 9829
Location: Central USA
|
| Posted: Thu Feb 11, 2010 5:27 am Post subject: |
|
|
Yeah, but only if he had absolutely no stims, sensory problems, or routines. For the milder levels, even non-disabling traits count, as long as there is overall impairment in some other area. So, if your example case included even the tendency to tap one's foot repetitively, he'd be diagnosed.
Besides, we all know that the psychiatrists have always, and probably will quite a ways into the foreseeable future, use the DSM as a guide, not as a set-in-stone rulebook. It's why I'm diagnosed Asperger's instead of classic autism (not unusual for an Aspie, and part of why they're changing things)--because I "felt" more like an Aspie to the psychiatrist who diagnosed me, even though I fit Kanner's criteria. They're going to keep doing that. If you've got an obvious case of autism that's all there except for the tendency to stim, you can bet they're going to diagnose autism.
When a psychiatrist is faced with a child (or an adult) who's struggling in life because of autistic-like impairments, the psychiatrist doesn't think, "Well, he doesn't strictly meet Criterion X..." He thinks, "Okay, this looks like autism to me; would this person benefit from the help we can offer autistic people? Yes? Okay. Autism it is." Psychologists, especially, but also psychiatrists and counselors, are very much big-picture people. Psychology is still considered an art, even though it's becoming more and more of a science. While research psychologists will grab anything they can find to quantify their results and turn things black-and-white, clinical psychologists still depend very much on their own impressions when making a diagnosis.
_________________
Engineering & Psychology student. Gamer. Christian. Asexual. Information Addict. Deal with it!
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com |
|
| Back to top |
|
BrooxBroox
Blue Jay
Joined: Feb 07, 2010
Posts: 87
|
| Posted: Thu Feb 11, 2010 1:45 pm Post subject: |
|
|
I've really been giving this whole "spectrum" thing some thought. Duh, undeniably autism is a spectrum. If anyone denies that, they're ignorant!
But I was thinking... OK.. it started out Asperger's was a "mild" form of autism which is a developmental disorder. Now it's seeming like it's branching out to "mild form of Asperger's" where it's basically just the person's personality and not a developmental disorder at all. Especially not a pervasive (which means in ALL areas) developmental disorder. And of course, Asperger's can be mild or severe or in between, but for people who just have "Aspie" personalities and "mild" Asperger's, where they're are not truly developmentally delayed, but rather quirky or odd, and meet the new criteria, saying those people have the same disorder as even moderately autistic people is quite far-fetched. I am very pro-Asperger and of course I know it is a very REAL disorder, but unless it is interfering with your functioning on a daily basis, what need is there for a "diagnosis of autism" but to understand yourself better? I mean, for me personally, I couldn't get diagnosed with the old criteria, but with this new criteria I certainly could, and understanding Aspergers does help me understand myself more deeply, but I can function on a day-to-day basis. People who can function fine, just with a little quirk here and there, regardless of whether or not they've learned to "compensate" don't have a need for diagnosis other than "self-understanding", to be honest. The term "autism" is seeming to start defining people's personality rather than a true, pervasive (delayed in all areas) developmental disorder.
Guys, I couldn't really get my thoughts clear on this, so don't beat me up. I'm very critical of those who say there is no spectrum, but I feel that the spectrum might become too broad and I feel like in 20 years, autism won't really be "autism" anymore. It will be a personality thing...or it seems to be running in that direction. |
|
| Back to top |
|
bdhkhsfgk
Phoenix
![]()
Joined: May 23, 2009
Age: 20
Posts: 3450
|
| Posted: Thu Feb 11, 2010 1:53 pm Post subject: |
|
|
| BrooxBroox wrote: | | Asperger's was a "mild" form of autism which is a developmental disorder. |
Can you explain that? |
|
| Back to top |
|
BrooxBroox
Blue Jay
Joined: Feb 07, 2010
Posts: 87
|
| Posted: Thu Feb 11, 2010 2:03 pm Post subject: |
|
|
| bdhkhsfgk wrote: | | BrooxBroox wrote: | | Asperger's was a "mild" form of autism which is a developmental disorder. |
Can you explain that? |
Yeah
All the ASDs (Autism, Asperger's, CDD, PDD-NOS, etc) were under the "Pervasive Developmental Disorder" umbrella. And Autism was for the longest time a "developmental disorder". Then when the DSM-IV included Aspergers and it started being described as "mild high functioning autism", that meant, that if it's a form of Autism, then it is a pervasive developmental disorder. Now, Asperger's seems to be expanding so wildly and rapidly that people with no pervasive developmental issues, but just awkward personality traits are being called "Asperger's", which means "autism. Make sense? |
|
| Back to top |
|
bdhkhsfgk
Phoenix
![]()
Joined: May 23, 2009
Age: 20
Posts: 3450
|
| Posted: Thu Feb 11, 2010 2:10 pm Post subject: |
|
|
| BrooxBroox wrote: | | bdhkhsfgk wrote: | | BrooxBroox wrote: | | Asperger's was a "mild" form of autism which is a developmental disorder. |
Can you explain that? |
Yeah
All the ASDs (Autism, Asperger's, CDD, PDD-NOS, etc) were under the "Pervasive Developmental Disorder" umbrella. And Autism was for the longest time a "developmental disorder". Then when the DSM-IV included Aspergers and it started being described as "mild high functioning autism", that meant, that if it's a form of Autism, then it is a pervasive developmental disorder. Now, Asperger's seems to be expanding so wildly and rapidly that people with no pervasive developmental issues, but just awkward personality traits are being called "Asperger's", which means "autism. Make sense? |
What's pervasive developmental disorders? |
|
| Back to top |
|
BrooxBroox
Blue Jay
Joined: Feb 07, 2010
Posts: 87
|
| Posted: Thu Feb 11, 2010 2:18 pm Post subject: |
|
|
| bdhkhsfgk wrote: | | BrooxBroox wrote: | | bdhkhsfgk wrote: | | BrooxBroox wrote: | | Asperger's was a "mild" form of autism which is a developmental disorder. |
Can you explain that? |
Yeah
All the ASDs (Autism, Asperger's, CDD, PDD-NOS, etc) were under the "Pervasive Developmental Disorder" umbrella. And Autism was for the longest time a "developmental disorder". Then when the DSM-IV included Aspergers and it started being described as "mild high functioning autism", that meant, that if it's a form of Autism, then it is a pervasive developmental disorder. Now, Asperger's seems to be expanding so wildly and rapidly that people with no pervasive developmental issues, but just awkward personality traits are being called "Asperger's", which means "autism. Make sense? |
What's pervasive developmental disorders? |
Pervasive literally means "all parts". So a pervasive developmental disorder is technically a disorder in which a person shows *significant* impairment throughout ALL parts of their overall development. And many Asperger's people do. It's just that the Asperger's end of the spectrum is expanding SO MUCH that people without pervasive developmental delay and just odd personality traits are being labeled "autistic".... it's getting away from the whole picture when it goes to that extreme. |
|
| Back to top |
|
Callista
Phoenix
Joined: Feb 04, 2006
Age: 30
Posts: 9829
Location: Central USA
|
| Posted: Thu Feb 11, 2010 5:31 pm Post subject: |
|
|
Actually, if you have developmental delay, you can't be labeled Asperger's under current criteria at all.
_________________
Engineering & Psychology student. Gamer. Christian. Asexual. Information Addict. Deal with it!
Reports from a Resident Alien:
http://chaoticidealism.livejournal.com |
|
| Back to top |
|
|
|
