The probable revovel of the diagnostic of As form DSM-V as been presented as a merger of AS and Autism (plus PDD/NOS and CDD).
But it is reaaly a merge or is more a pure deletion?
After all, I have the impression that it is almost impossibel someone who currently matches de DSM-IV criteria for AS (including the point "Criteria are not met for another specific Pervasive Developmental Disorder...") matching the proposed criteria for ASD.
Why? Because I think that it is almost impossible matching
Quote:
Must meet criteria 1, 2, and 3:
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:
b. Lack of social reciprocity;
c. Failure to develop and maintain peer relationships appropriate to developmental level
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
b. Excessive adherence to routines and ritualized patterns of behavior
c. Restricted, fixated interests
3. Symptoms must be present in early childhood (but may not become fully manifest until social demands exceed limited capacities)
(propose criteria for ASD)
without matching
Quote:
A. A total of six (or more) items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3):
(1) qualitative impairment in social interaction, as manifested by at least two of the following:
(a) 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
(b) failure to develop peer relationships appropriate to developmental level
(c) 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)
(d) lack of social or emotional reciprocity
(2) qualitative impairments in communication as manifested by at least one of the following:
(a) delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
(b) in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
(c) stereotyped and repetitive use of language or idiosyncratic language
(d) lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
(3) restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:
(a) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
(b) apparently inflexible adherence to specific, nonfunctional routines or rituals
(c) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole body movements)
(d) persistent preoccupation with parts of objects
B. Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years: (1) social interaction, (2) language as used in social communication, or (3) symbolic or imaginative play.
C. The disturbance is not better accounted for by Rett’s Disorder or Childhood Disintegrative Disorder.
(current criteria for Autistic Disorder)
After all, if you have the 5 in 6 symptoms, probably you will also have the 6 in 12 symptoms, then , if you will match the new criteria for ASD, you will match the old criteria for AD (unless, perhaps, by the "onset prior to age 3 years" thing); but, if you match the criteria for AD, you, by definition. don't match the old criteria for AS
Then , if there is someone in the world who realy match DSM-IV criteria for AS, he/she will not match the DSM-V criteria for ASD.
Of course, what can be argued is that, even today, perhaps nobody matches the present criteria for AS...
21 Jul 2010, 6:54 am
