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DSM IV - V (Another way to look at it)

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XFilesGeek
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11 Sep 2010, 11:01 am

Mdyar wrote:
TPE2 wrote:
There are some passages in the documents of DSM-5 that gives me the suspicion that they (the APA) suspect that AS is being over-diagnosed:




Quote:
The current clinical and research consensus appears to be that Asperger disorder is part of the autism spectrum, although with possible over-use of the term it is quite likely that other (non-ASD) types of individuals have received this label.


Quote:
There may be some individuals with sub clinical features of Asperger/ASD who seek out a diagnosis of ‘Asperger Disorder’ ...


As in one of Attwoods books, Gillberg's criteria allows for more to be diagnosed than the DSM-IV as of now. It states that these individuals( via Gillberg) fit the original description of Hans Asperger more so than the more restrictive "DSM."

Why is there confusion over this in the medical community? Is it a "philosophy" to re- hone this to current thinking, arbitralily, due to a current consensus of : "What I think it should entail?" Is it an effort to keep more folks off of disability? Is money part of this issue?


There's always that possibility.

Also, seeing as the "experts" appear to be still debating as to what exactly autism IS, I don't see petty squabbles over diagnostic criteria as particularly relevant. And, when you come right down to it, it's all arbitrarily defined anyway.

It's going to be interesting to see how and if this criteria will change when/if they discover "girl autism" really does present differently than "boy autism," or they decide "autism" is actually several different conditions under the same lable. BTW, what is this obsession with "over-diagnosis?" Do bipolar people and OCD people have to stand around and debate over who's "special enough" to be let into their "club," or is it just autism????

--XFG



Mdyar
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11 Sep 2010, 12:30 pm

Meow101 wrote:
The other area where money is an issue is in education. Kids with AS require some accomodations and those cost money. If the schools can manage to force the square pegs into the NT round holes, even at the expense of the aspie kids, then they stand to save beaucoup bucks. This is one thing that concerns me greatly. It's one thing that I was disciplined over sensory issues rather than accomodated 35-40 years ago, when nobody knew SQUAT about AS, but quite another (inexcusable, in fact) in the 21st century. Education is an area where politicians have traditionally tried to scrimp, so it does concern me.

~Kate


How very myopic here, as in bubble gumming the dikes hole to fix the leak . People are an investment , and to acquire the ability to me more productive means more productivity in the long term.

AS unrelated, but as per your discipline, and even more ignorant; my dad was hit in school for being left handed, as he was told it is defective and to do it the right way. Interestingly, probably due to that young age, he is completely ambidextrous now.... off an a tangent now.



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11 Sep 2010, 2:46 pm

Meow101 wrote:
Mdyar wrote:
TPE2 wrote:
There are some passages in the documents of DSM-5 that gives me the suspicion that they (the APA) suspect that AS is being over-diagnosed:




Quote:
The current clinical and research consensus appears to be that Asperger disorder is part of the autism spectrum, although with possible over-use of the term it is quite likely that other (non-ASD) types of individuals have received this label.


Quote:
There may be some individuals with sub clinical features of Asperger/ASD who seek out a diagnosis of ‘Asperger Disorder’ ...


As in one of Attwoods books, Gillberg's criteria allows for more to be diagnosed than the DSM-IV as of now. It states that these individuals( via Gillberg) fit the original description of Hans Asperger more so than the more restrictive "DSM."

Why is there confusion over this in the medical community? Is it a "philosophy" to re- hone this to current thinking, arbitralily, due to a current consensus of : "What I think it should entail?" Is it an effort to keep more folks off of disability? Is money part of this issue?


I think money is part of the issue, and not just in terms of keeping folks off disability. Many AS people, including myself, do work and contribute to taxes....and I for one have no problem with my all-too-high taxes helping out other Aspies who haven't been as fortunate as I have in the area of employment.

The other area where money is an issue is in education. Kids with AS require some accomodations and those cost money. If the schools can manage to force the square pegs into the NT round holes, even at the expense of the aspie kids, then they stand to save beaucoup bucks. This is one thing that concerns me greatly. It's one thing that I was disciplined over sensory issues rather than accomodated 35-40 years ago, when nobody knew SQUAT about AS, but quite another (inexcusable, in fact) in the 21st century. Education is an area where politicians have traditionally tried to scrimp, so it does concern me.

~Kate


Perhaps the reason is the several Aspies who claim "It is not a disease nor a disability, it is a difference". If it is "a difference", there is no place in a book about diseases.



MrXxx
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11 Sep 2010, 3:02 pm

TPE2 wrote:
Perhaps the reason is the several Aspies who claim "It is not a disease nor a disability, it is a difference". If it is "a difference", there is no place in a book about diseases.


Good point, but what about those who do not agree that it's just a difference, and who do feel it is a genuine disorder, that do currently qualify as AS, and would not qualify as Autistic under DSM V?

Not everyone DX'd AS feels it is just a difference in personality.

If they are correct, and AS as currently defined IS debilitating, then it does belong there.


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