Questions if we DSM should bring back PDD once again

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I think that every developmental disorder characterised by social inadequacy and peculiarity should be classified in one subgroup of developmental disorders with "classic autism". I think that developmental disorders can be pervasive and severely problematic in life when they are only about socio-emotional area, without RRBIs (repetitive, restricted behaviors or interests) and sensory issues (especially asscoiated with idiosyncratic, other that usual, sensory processing). So I would say that marked schizoid tendencies since childhood (not starting in adolescence or adulthood) are enough to be classified as a pervasive developmental disorder.

Being classified as having PERVASIVE developmental disorder might help me a lot in my life since 2008. Without it I might be without adequate support, also in financial area. I have no "narrow mind", I am poor in managing with sensory discomfort (I HATE physical suffering) but I do not have unusual sensory processing - I just "not tolerate" physical pain or discomfort (for example during shower or after it).

I think that ASD, SCD and social NVLD are among conditions which should be grouped in one subcategory of developmental disorders in future editions of ICD or DSM (that subcategory should exclude developmental disorders which do not cause social inadequacy (ineptitude and, especially, diiminished social interest or motivation) and peculiarity ("quirkiness", "oddness") like dyslexia or dyscalculia).

I don't think learning disabilities should be grouped together with autism and as far as SCD why have a subcategory for two disorders. And secondly wouldn't having a developmental disability in an of itself cause you to be peculiar?
Ok so Intellectual disability. Could potentially cause social inadequecy. Global developmental delay would surely cause it. dyspraxia might depending on what definition of it we are using. there's developmental verbal dyspraxia which surely would, as it causes you to have difficulties talking and making sounds. I don't think we can include adhd, However. NVLD would cause social difficulties althought has never been included in the DSM or ICD. might be able to include tourrete's but i wouldnt' really say it would cause social inadequecy. Communication and language disorders would be included in this category. Scizophrenia would also be in it. So like 2 out of those wouldn't be added into this? A Category that includes the vast majority of developmental disorders is a pointless category.

I think the diagnostic criteria of ICD, DSM or any other diagnostic criteria should call it 'Communication Spectrum Disorder' or 'Autism Spectrum and Other Pervasive Developmental Disorders'.


the diagnostic criteria for Autism is a little too restrictive

Autism Spectrum Disorder
Diagnostic Criteria 299.00 (F84.0)
A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the
following, currently or by history (examples are illustrative, not exhaustive; see text):
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.
2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly
integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits
in understanding and use of gestures: to a total lack of facial expressions and nonverbal communication.
3. Deficits in developing, maintaining, and understanding relationships, ranging, for example, from difficulties
adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making
friends; to absence of interest in peers.
Specify current severity: Severity is based on social communication impairments and restricted, repetitive
patterns of behavior.
B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following,
currently or by history (examples are illustrative, not exhaustive; see text):
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies,
lining up toys or flipping objects, echolalia, idiosyncratic phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal
behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting
rituals, need to take same route or eat same food every day).
3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment to or
preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g.,
apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling
or touching of objects, visual fascination with lights or movement).
Specify current severity: Severity is based on social communication impairments and restricted, repetitive
patterns of behavior (see Table 2).
C. Symptoms must be present in the early developmental period (but may not become fully manifest until social
demands exceed limited capacities, or may be masked by learned strategies in later life).
D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.
E. These disturbances are not better explained by intellectual disability (intellectual developmental disorder) or
global developmental delay. Intellectual disability and autism spectrum disorder frequently co-occur; to make
comorbid diagnoses of autism spectrum disorder and intellectual disability, social communication should be below
that expected for general developmental level.
Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s disorder, or pervasive developmental disorder not otherwise specified should be given the diagnosis of autism spectrum disorder. Individuals who have marked deficits in social communication, but whose symptoms do not otherwise meet criteria for autism spectrum disorder, should be evaluated for social (pragmatic) communication disorder. Specify if; With or without accompanying inteliectual impairment With or without accompanying language impairment Associated with a known medical or genetic condition or environmental factor

I think it is because of this


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"The diagnostic category of pervasive developmental disorders (PDD) refers to a group of disorders characterized by delays in the development of socialization and communication skills. Parents may note symptoms as early as infancy, although the typical age of onset is before 3 years of age."


It was written by National Institutes of Health ( a government website that studies in medical fields ).



https://www.ninds.nih.gov/disorders/all ... 20of%20age.

That is makes sense, but what if the medical professionals think that you have history of developmental delay, even though you think it does not effect your daily life?



What should you in this situation?


What if it effects or causes or caused you distress from early childhood, but you think you don't have distress?


I have so many questions.

For example, my friend D said he was diagnosed with Autism, but he thinks that it's stupid, because from his mind, it does not effect his daily life, but the doctors thought otherwise

He could have been diagnosed with Asperger's Syndrome before 2013, because of how he thinks of himself

I personally think that definitely I have to disagree with your opinion. Not every developmental disability made a person "oddball" or "weirdo". People with ASD are often "named" as "weirdos" and "oddballs" by "normal" people. I think that there is the same with ones with SCD or "social" subtypes of NVLD. BUT someone who has just dyslexia or dyscalculia is (generally) not labelled "oddball" or "weirdo". Not every neurodevelopmental disorder has to make you eccentric or "bizarre".

Social NVLD and SCD definitely have to be grouped in one category with ASD IMO. The same with developmental, childhood-onset schizoid or schizotypal disorders or maybe any childhood-onset cluster A (odd-eccentric) personality disorder. For me the key features of PDDs and different sorts of autism are oddness and eccentricity since childhood, pre-adolescence.