touretts, a form of autism

Post Reply New Topic

I think there's been a push to have that piece of the criteria removed, since Tourette's is Tourette's regardless of how happy the person is with it or whether they are in a situation where it doesn't interfere with these things. May even have been removed already in the DSM-IV-TR.

Edit: Yes. That's no longer part of the criteria:

http://www.tourettes-disorder.com/dsm.html

It would in most cases. But the criteria are meant to apply to all people with Tourette's, not just people with the most severe forms.

There are also situations in which even people with severe Tourette's don't have any social problems, and some are lucky enough to live in those situations.

I can't tell what ignorance you're talking about. There is a lot of ignorance in the DSM, though.

I can't understand that sentence. Can you rephrase it?

I didn't understand that part of the site either. I just know that that particular part of the criteria was removed, and that the reason was that Tourette's is still Tourette's whether or not it causes those things, just like seizures are still seizures whether or not they cause any major harm to a person.

Actually Neathumain the only flaw with that criteria is their is a quite reliable information I found that adds Social impairment and disturbances to the criteria.

So why isn't social, occupational, academic, and other areas of life functioning just in the criteron for tourette?!

Removal of clinical significance criterion from the criteria sets for Tic Disorders

A "clinical significance criterion" (i.e., “the disturbance causes clinically significant distress or impairment”) was added to the criteria sets of a majority of disorders in DSM-IV (Tic Disorders among them) in order to emphasize that a mental disorder should not be diagnosed in trivial cases (i.e., when the disturbance is so mild that it has little impact on the patient), an addition that has been the focus of some criticism. Thus, according to the criteria in DSM-IV, a diagnosis of Tic Disorder can be made only after it is established that the tic causes clinically significant distress or impairment in the child. After the publication of DSM-IV, concerns were raised about the appropriateness of this criterion for tic disorders by clinicians, researchers, and patient advocacy groups (i.e., Tourette Syndrome Association [TSA]). For example, clinicians have expressed concerns about what to do in relation to children who come for evaluation, whose presentations clearly meet the tic symptomatology criteria for Tourette's Disorder, but who do not have significant impairment or distress from their tics, a situation quite common in clinical experience. Furthermore, in June 1999, the TSA with the support of NIH held the third international symposium on TS and Associated Disorders. At the symposium, there was general agreement that the impairment criterion was confusing and a burden to research, and as a result was largely ignored. Thus, this criterion has been eliminated from the criteria sets for Tourette's Disorder, Chronic Vocal or Motor Tic Disorder, and Transient Tic Disorder.

It's not in the criteria for Tourette, because someone made it clear that it didn't belong there, since it's not always present in Tourette. It's not in the criteria for some other things, either. Including autism. Including all the other tic disorders besides Tourette's.

Here's the absolutely most official version of why it's in none of the tic disorders:



It's still incredibly hard to understand what you're asking, but I hope that answered it.