On the Garbage that is the DSM-V
May, 2013, actually. http://www.dsm5.org/Pages/Default.aspx
DSM-IV is still in effect. Some professionals however, are already (kind of) adopting the new criteria. Some are looking to both and DX'ing according to both sets of criteria, but still using the current DX terminology.
EDIT: You may be right though. Since they must all know Rett's is going away, it probably is a lame duck at this point, since it doesn't look like that proposal won't go through.
_________________
I'm not likely to be around much longer. As before when I first signed up here years ago, I'm finding that after a long hiatus, and after only a few days back on here, I'm spending way too much time here again already. So I'm requesting my account be locked, banned or whatever. It's just time. Until then, well, I dunno...
Context: http://www.wrongplanet.net/postp3822248 ... t=#3822248
Wrong. You've got the whole concept backwards. ToM is not about imprinting one's psyche on others. It's about guessing how others think, and what they might be thinking, by imagining their thoughts, feelings, experiences and motivations. It's about putting oneself in OTHER people's shoes, and attempting to make educated guesses as to what they are thinking.
Of course I know what people say it is. I was turning it around however sarcastically, and exposing it for what I think it was.
NONE of us? Really? You are obviously not paying attention. Speak for yourself. Your Autism, if you actually have it, is not identical to everyone else's. You NEED to get that through your head.
And what do you call what you've been doing right here in this thread?
No, actually I was saying that people who bully Christian Chandler can't justify their bullying so they lie to themselves.
I thought I was actually going to talk sensibly on this subject, but all you did was attack me head on and condemn me whilst twisting what I say and do to mean what you want.
Look, Gedrene, talking to you is like trying to have a conversation with an endless tape loop that does nothing but repeat the same things over and over, ending each time with "What did I do?"
I've not only explained what you've done, but posted examples, which you asked for (evidence and proof), yet every time you reply, you remove the evidence from the reply and deny it was ever there to begin with.
You start this crap, then complain when you get the crap back at you, removing what you said that started it all, and denying you ever did what your posts clearly show you did.
It's pointless to argue with you, because you just do the same thing every single time, then deny you did anything at all, or said anything that could be taken as an insult, even when it's been SHOWN to you.
You ask to see what we see, we show it to you, you erase it and deny what we said you did, then whine that we're being unfair.
It's pointless. Utterly pointless to continue attempting to hold a sensible conversation with you.
Why do your threads degenerate into this kind of thing instead of staying on the topic you want them to be about? Take a look in the mirror. It's YOU who causes it.
That's all I have to say. I'm NOT giving you any more evidence or proof just to have you erase and deny it's existence.
From now on, I am firmly requesting that you refrain from replying to ANY of my posts, or quoting me. If you do, I will consider it harassment, and treat it appropriately as such.
I, in turn, will no longer reply to or quote you. It's not worth the time or the aggravation.
Peace.
_________________
I'm not likely to be around much longer. As before when I first signed up here years ago, I'm finding that after a long hiatus, and after only a few days back on here, I'm spending way too much time here again already. So I'm requesting my account be locked, banned or whatever. It's just time. Until then, well, I dunno...
Thanks, MrXxx. I agree with all you say.
Gedrene, you are like someone who has the occasional headache and thus feels qualified to participate in a forum for migraine sufferers, telling them that what they experience can't truly be migraines because you don't share their symptoms and decrying the criteria by which they are diagnosed because those criteria would exclude you.
Even more terrifying is the idea that there will be no support provided until the problem becomes very great, meaning that thousands will suffer and their condition get worse and worse until they at last fit the criteria.
The DSM-IV asperger's syndrome takes account of mildness that occurs by having options that are more specific and tailored to the person.
No, it does not. In any case where autism and Asperger's Syndrome appear to be the diagnosis, the more severe form of autism wins out. There are flaws in DSM-IV concerning the speech delay. Tony Attwood himself says this in this book. Even the WHO criteria is flawed. This is a man who has countless years of experience in this field. He cites the Gillberg criteria among others as being used instead for some cases.
You also need to change your tone when you talk to people. It is bad enough you remind me of ____ when I see your words, but even worse when you remind me of _____ concerning what you think the diagnostic criteria should be seen as and what you think it is. Both members are banned and I cannot mention them by name.
EDIT: It says my post was edited without anyone below it for some reason.
Last edited by HerrGrimm on 22 Nov 2011, 7:29 pm, edited 1 time in total.
Verdandi
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I think the criteria are being misunderstood by some.
1. Deficits in social-emotional reciprocity; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction,
This says "deficits in social-emotional reciprocity ranging from" and gives a range of examples. Failure of normal back and forth conversation is an example that fits this - so does reduced affect and response. Even if I didn't qualify for this under reciprocal conversation, my affect is pretty minimal and is one of the traits that's been described to me repeatedly.
Each of the criteria lists possible ways in which the criteria can be met, and it seems to me that it is easier to meet any given criterion than it is in the DSM-IV. Just counting the number of symptoms required and comparing them doesn't really provide a full picture.
I'm glad it's harder to get diagnosed. Back in the mid-90s, kids were getting diagnosed left and right for stupid reasons. If a kid would rather sit in his room and play video games instead of go out and play soccer, he was diagnosed. If a kid constantly acted up in class, he was diagnosed. If a kid only had a few friends and didn't go to parties every weekend, he was diagnosed.
1. Deficits in social-emotional reciprocity; ranging from abnormal social approach and failure of normal back and forth conversation through reduced sharing of interests, emotions, and affect and response to total lack of initiation of social interaction,
This says "deficits in social-emotional reciprocity ranging from" and gives a range of examples. Failure of normal back and forth conversation is an example that fits this - so does reduced affect and response. Even if I didn't qualify for this under reciprocal conversation, my affect is pretty minimal and is one of the traits that's been described to me repeatedly.
Each of the criteria lists possible ways in which the criteria can be met, and it seems to me that it is easier to meet any given criterion than it is in the DSM-IV. Just counting the number of symptoms required and comparing them doesn't really provide a full picture.
So we were taking it literal.
Verdandi
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True, I think part of it was an editorial mistake in the DSMIV in 1994 that allowed an individual to be diagnosed with PDD NOS, with only one of the core triad of diagnostic criteria. An individual could have only the RSBI criteria, like you say here, an abnormal obsessive interest in playing video games and other RSBI behaviors and receive a diagnosis of PDD NOS.
My understanding is they determined that a significant number of cases were getting diagnosed incorrectly because of the editorial mistake, (75%) and they changed it back in the year 2000, where two out of three of the core triad of criteria were required as they were in the DSMIII.
To assess the impact of the DSM-IV wording, Volkmar and colleagues performed a series of reanalyses of the DSM-IV autism/PDD field trial data (Volkmar FR, Shaffer D, First M. PDD-NOS in DSM-IV. J Autism Dev Disord 2000 Feb;30(1):74-75). A series of comparisons were conducted to evaluate sensitivity/specificity. Using clinicians' judgment of the presence or absence of PDDNOS as the standard, the DSM-IV wording had an excellent sensitivity of .98. However, the specificity was only .26, i.e., about 75% of cases identified by the clinician as not having PDDNOS (true negatives), were incorrectly identified as having PDDNOS according to the DSM-IV. These results lend support to the concern that the DSM-IV wording inappropriately broadened the PDDNOS construct. If problems are required in the social area and either communication or restricted interest (i.e., at least 2 criteria present one of which must be from the social area) the sensitivity was .89 and specificity .56.
These results supported a change in the wording of PDDNOS to revert to the original construct.
This an obscure fact but an extremely significant one considering the DSMIV is used on an international basis, and the majority of cases of ASD's are PDD NOS.
It is amazing to me that this mistake went uncorrected for 6 years, the period of time that the massive reported increase of diagnoses of ASD's was reported. The diagnoses were supposed to have been corrected in 2000, but whether or not they ever were in clinical practice is questionable.