Aptos, CA psychologist: Big change coming in how autism is defined. Asperger’s merges under autistic spectrum disorder. Are changes in diagnosis helpful?

Saturday, December 4th, 2010

Big changes come in 2013 with publication of a new, updated Diagnostic and Statistical Manual (DSM-V). One category which changes considerably is autism.

One wonders how Aspies view the proposed changes. Aspies by definition are not as severely afflicted. Their special category evaporates under the new diagnosis of autism. Aspies as a diagnosis will cease to be. However, their affliction will still exist.

What defines Aspies? Often they are referred to as “little professors”. They know a great deal about a few subjects. Talking for Aspies is not a conversation but more like a monologue. Aspies often are precocious at language and may appear gifted. Aspies have difficulties reading human social signals. They often have extraordinary gifts. Some people describe Aspies as perfect counterfeit bills. Their social interactions frequently are a disaster.

Whereas in DSM-IV Autistic Disorder is the most severe condition and PDD-NOS less severe followed by Aspergers, in DSM-V there will be one description titled Autistic Spectrum Disorder or Autistic Disorder.

One thing missing from the proposed definition for autism is how to quantify the degree that the person is handicapped. As the number of persons with ASD balloons, more care must occur in determining the degree of impairment.

One defining characteristic of the new definition for autism is “failure to develop.. peer relationships…” Does failure mean zero, zip, no relationships? In contrast, Aspies can and do have one way relationships and they seek relationships. Aspies have substantial difficulties making successful relationships happen.

Another characteristic of DSV-V autism is “lack of social reciprocity…” Lack means zero, zip, no social reciprocity.
Below is the proposed new definition of autism: (more…)

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Aptos psychologist: Even MORE people will be diagnosed “austistic spectrum disorder”

Thursday, February 11th, 2010

The next version of the Diagnostic and Statistical Manual (DSM-V) more than likely will collapse Asperger’s Disorder and PDD-NOS into “Autistic Spectrum Disorder” (ASD). If you want to comment go to the following web site.

I think the new definition of ASD is cleaner and well written. It still needs something in the diagnostic criteria that addresses how substantially handicapped the person is by his/her particular symptoms.

The flip side of diagnosis is treatment. A diangosis of “Autistic Spectrum Disorder” should include the specific deficits — and degree of deficit — so as to suggest appropriate, individual interventions.

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