That AS & PDD-NOS individuals fear losing their identities.The removal of Asperger’s Syndrome and Pervasive Development Disorder – Not Otherwise Specified (PDD-NOS) from the DSM-5 will mean for some: In addition, there is the belief among many that a single spectrum disorder will provide a better reflection of the clinical presentation and pathology. Some clinicians have found that distinctions among the spectrum disorders to be inconsistent over time, variable across sites and have tended to be associated with severity, language, and intelligence rather than features of the disorder. Professor Franscesa Happé, a member of the DSM-5 Neurodevelopmental Disorders Workgroup said that one of the reasons for the change was ‘to date there is not a robust, replicated body of evidence to support the diagnostic distinction’ (between the various categories). What is set to change in the new DSM-5 is that the various sub-types of autism will be amalgamated into the omnibus diagnostic category of Autism Spectrum Disorder (ASD) and the triad becomes a dyad, with impaired social communication and impaired interaction being classified as one conjoined problem and restricted behaviour. The DSM-IV refers to the basic triad of problems: impaired social communication, impaired social interaction and restricted behaviour patterns. The DSM-IV is specific as to specifying the more severe and milder sub-types of autism such as Asperger’s Syndrome and Savant Syndrome. The DSM-IV is 886 pages large, and is a document that has been peer-reviewed by the American Psychiatric Association, also a governing body. The process of checklisting a patient against the DSM criteria creates a significant clinical marker for autism and is especially important in the absence of a biological test to determine autism. The DSM was created by clinicians for clinicians, and is referred to regularly by psychiatrists and clinical psychologists alike who seek to reference patients against a checklist of behaviours it is a book not intended for any other professions, although other professions may be able to access it for reference purposes. 1994) also commonly referred to as ‘the bible of psychiatry’. Improved sense of ‘self’ as individual seeks to understand his/herself better.ĭiagnosis involves ‘tick-boxing’ the criteria for diagnosis that is in the DSM, (presently the DSM-IV est.Improved employment conditions as diagnosis leads to support/protection under The Autism Act 2009.Educational statementing and Individual Education Plans (IEPs). Improved conditions in an educational setting eg.Better access to disabled services by registering with the Department of Work and Pensions (DWP) as disabled.An official (clinical) diagnosis is deemed necessary for a number of reasons, some of which include: One of my pet hates is that there exist people working in the autism field who purport to ‘diagnose’ when all they can do legitimately is ‘assess‘ and this, to my mind, is mis-selling to vulnerable people in society: caveat emptor ‘let the buyer beware’ is my earnest advice to any person thinking in this direction presently. Whether this is right or wrong is a matter perhaps for debate, but it is commonly accepted in the UK that a clinician’s diagnosis is of legitimate value…Ĭonsider the recent positive outcome of the Gary McKinnon case…would Gary have had such a favourable outcome without the likes of Professor Simon Baron-Cohen and other equally outstanding qualified clinical professionals proffered clinical opinions stating categorically his Asperger’s Syndrome status? I doubt it. As a non-clinician I can only ‘assess’ a person to see if I think autism is a distinct feature of their atypical neurology. The most controversial proposal is to amalgamate the various sub-types of autism into the omnibus diagnostic category of Autism Spectrum Disorder (ASD), removing Asperger’s Syndrome (AS) and PDD-NOS from the scientific lexicon but what will this mean to the lay-person, the Mother/Father of a un-yet diagnosed child, and furthermore, what will it mean to an already diagnosed autistic individual? As a mother (son with Asperger’s) and as a professional (CEO of Action for Asperger’s charity), I wanted to find out.Īs the holder of a Master’s in Autism and PGC in Asperger’s Syndrome, one might think that I would be qualified enough to diagnose a person with autism, but as my qualifications are non-clinical, technically I cannot diagnose. Much has been written for the attention of the clinical community about the forthcoming (May, 2013) Diagnostic and Statistical Manual of Mental Disorders, version five (DSM-5) and the changes to the way in which autism per se will be classified for diagnostic purposes.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |