Criticism of the diagnostic criteria for ASD

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Joined: 10 Jun 2019
Gender: Male
Posts: 2,288

29 Jul 2022, 5:35 pm

What if there are some people that are well developed enough to have social skills, but meet only the diagnostic criteria B, C and and D for Autism Spectrum Disorder? I think such people exist and the diagnostic criteria for Autism Spectrum Disorder is a bit too restrictive, even my psychiatrist explained that there are some people with ASD that are well developed to have social skills.

To have milder form of Autism Spectrum Disorder, you need at least: (Note: Not everyone with ASD will have the same symptoms)

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

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).

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.