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by sctb
258 days ago
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You're right that sensory issues make up a small (optional) part of the diagnostic criteria for ASD under the DSM-5. And I agree that "autism" in popular discourse seems to be very flexible and inclusive, but the medical diagnostic criteria are much more specific. When someone does meet these criteria, there's something going on that isn't just a collection of unrelated peculiarities. This seems to be supported by the very high heritability of diagnosed ASD. I would agree with you that there are issues caused by the wide range of presentations. It seems as though there's a tension between differentiation and unification at the various levels of scientific research, social understanding, social accommodation, etc. I expect things will get teased out over time. DSM summary: https://www.cdc.gov/autism/hcp/diagnosis/index.html DSM and ICD summary: https://www.autism.org.uk/advice-and-guidance/topics/diagnos... ICD-11 direct: https://icd.who.int/browse/2024-01/mms/en#437815624 |
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> To meet diagnostic criteria for ASD according to DSM-5, a child must have persistent deficits in each of three areas of social communication and interaction (see A.1. through A.3. below) plus at least two of four types of restricted, repetitive behaviors (see B.1. through B.4. below).
Example (A.1):
> Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions
The medical diagnostic criteria, despite using technical language, are still vague: "deficits in..." has a wide interpretation. Furthermore, "at least two of the four" permits two people diagnosed with autism to have different symptoms: one child may only have limited interests and insistence on sameness, while another may only have "stereotyped" motor movements and hypersensitivity (and the specific interests, "stereotyped" behaviors, and hypersensitive stimuli can vary).