em_tsuj wrote:
I am a rule follower. The DSM 5 talks about autistic spectrum disorders, so I say that I am autistic. That is what the psychiatrist has to use and that is what the insurance companies and government recognizes, so I want to be clear in my communication.
Professionals are under no obligation to use the DSM 5 or any DSM. They are guides.
My psychologist was in on the meetings where this decision was made and she said it was done basically for insurance purposes. She diagnosed me as moderately severe aspergers under the DSM IV and Autism Spectrum Disorder under the DSM 5.
Interestingly they went from IV to 5. Some have speculated that it gives them more room correct/modify things ie having a DSM 5.1 instead of waiting 15 years to redo everything at once for the DSM VI.
I don't know if this is true and I do not know about government requirements.
I believe the widespread misperception that professionals have to abide by the DSM 5 will be one of the reasons only die hards will be using Aspergers in 15 years time. Anecdotally people for the elimination of Aspergers are more enthusiastic then it's defenders. Defenders were much enthusiastic for the Aspergers diagnosis at one time.
All of the below is my feeling/opinion etc
Reasons for declining enthusiasm among "Asperger"diagnosis supporters.
A. The DSM 5 book is out. After having lost the fight to prevent Aspergers from being subsumed into Autism Spectrum Disorders supportrs now face the tougher task of reverting the decision.
B. As noted above the widespread misperception that clinicians must go by the DSM 5.
C. Repeated pronouncements that "Aspergers doesn't exist anymore"
D. The perception that the NT world sees Aspergers negatively (ASS-BURGERS, fad, fake, scam to rid taxpayers of their hard earned money etc) . This is a reason that some former enthusiastic defenders of the Aspergers diagnoses actually reluctantly agree with the change now.
5. The perception that Aspergers was over diagnosed which was shared by the people who actually subsumed Aspergers into Autism Spectrum Disorder
To me reasons A - D are the wrong reasons and reason D is ableism but that is what I see it happening.
_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”
Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.
Last edited by ASPartOfMe on 05 Dec 2013, 3:11 pm, edited 8 times in total.