DSM V diagnostic criteria pasted in full >>>this th

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binaryodes
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01 Dec 2013, 8:45 am

So here it is. I couldnt actually find a version online so thought i'd just post this. Hope it doesnt violate any copyright.

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 (seeTable 2).
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 othenwise 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 icnown medicai or genetic condition or environmental factor
(Coding note: Use additional code to identify the associated medical or genetic condition.)
Associated with another neurodevelopmental, mental, or behavioral disorder
(Coding note: Use additional code[s] to identify the associated neurodevelopmental,
mental, or behavioral disorder[s].)
With catatonia (refer to the criteria for catatonia associated with another mental disorder,
pp. 119-120, for definition) (Coding note: Use additional code 293.89 [F06.1]
catatonia associated with autism spectrum disorder to indicate the presence of the comorbid
catatonia.)



AardvarkGoodSwimmer
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01 Dec 2013, 11:21 am

Quote:
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).

And that's it, that's the best these bureaucratic jackasses can understand stimming??

First off, stimming is functional since it helps to deal with sensory issues and maintain concentration. Plus, stimming helps to add to joy of life.

And so-called 'normal' people stim, too. But just the way they stim is considered socially acceptable. And yes, I'm all in favor of the private-public distinction and teaching and learning more low-key methods for public.



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01 Dec 2013, 11:24 am

Stimming is generally a positive. It's part of the solution, not part of the problem. That's what I'm trying to say.



binaryodes
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01 Dec 2013, 12:08 pm

Agreeed, though I tend to stim to maintain focus - at least I stim constantly while working reading etc. I find. I probably have ADHD comorbidity (scored 37 on that psych central test which is way into the upper percentiles) so that might explain that.



JSBACHlover
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01 Dec 2013, 12:28 pm

Frankly, I don't have much of a problem personally with the DSM-5 diagnostic, because according to their criteria, I still have "Asperger's" (Oh, excuse me, ASD). Where I'm a bit concerned is that I find these criteria vaguer than the previous ones.



AardvarkGoodSwimmer
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01 Dec 2013, 1:37 pm

A 'normal' person will fiddle with a pen while talking on the phone, or link together a whole chain of paper clips.

Baseball players have a variety of stims.

And watching French Open tennis years ago, after a long rally players would stare at their racket and reposition strings. I don't really think the strings needed to he repositioned, rather this acted as a zen type of meditation.

*and no such thing as 'normal' anyway and how boring a place the world would be if there were! :jester:



Acedia
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01 Dec 2013, 1:38 pm

AardvarkGoodSwimmer wrote:
First off, stimming is functional since it helps to deal with sensory issues and maintain concentration. Plus, stimming helps to add to joy of life.


No it isn't functional. Mild stimming probably is, but the severe hand-flapping stereotypy that I do actually affects my concentration. It's largely pointless behaviour that is hard to suppress. Even if it does help to calm you down. It takes up a lot of my time and concentration.



Willard
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01 Dec 2013, 2:53 pm

Don't obsess over the DSM-V. It's so controversial, it's likely to be recalled for strict and comprehensive revisions on every level.



XFilesGeek
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01 Dec 2013, 2:54 pm

Acedia wrote:
AardvarkGoodSwimmer wrote:
First off, stimming is functional since it helps to deal with sensory issues and maintain concentration. Plus, stimming helps to add to joy of life.


No it isn't functional. Mild stimming probably is, but the severe hand-flapping stereotypy that I do actually affects my concentration. It's largely pointless behaviour that is hard to suppress. Even if it does help to calm you down. It takes up a lot of my time and concentration.


This.


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ZombieBrideXD
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01 Dec 2013, 3:42 pm

according to this im still on the spectrum


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02 Dec 2013, 12:44 am

AardvarkGoodSwimmer wrote:
A 'normal' person will fiddle with a pen while talking on the phone, or link together a whole chain of paper clips.



That's fidgeting, not using repetitive movements for self-stimulation. People tend to do it when they are bored.
When NTs are nervous they do tend to stim slightly.

But just because a person can't keep their hands still doesn't mean they are stimming how an autistic person stims.s.

Also, the world is already a boring place.


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bearsandsyrup
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02 Dec 2013, 1:09 am

...so there's no mention of special interests whatsoever??? :(



Ca2MgFe5Si8O22OH2
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02 Dec 2013, 3:52 am

bearsandsyrup wrote:
...so there's no mention of special interests whatsoever??? :(
that was in there. #3 section B.

I honestly would just as soon call myself autistic, NT people don't know what "aspie" means and it's the only adjectival form of "Asperger's Syndrome" that I know of.


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