Is DSMIV rating based on current symptons or by history

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GoldTails95
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09 Jun 2015, 2:35 pm

The DSMIV and ICD10 criterias show the symptons to be checked? Is it based on current functioning, by history, or both?



btbnnyr
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09 Jun 2015, 9:15 pm

It is based on current traits, usually with childhood history as supporting information.


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10 Jun 2015, 10:37 am

I think it's both.


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Adamantium
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10 Jun 2015, 11:21 am

DSM IV Aspergers was very explicit.
Criterion A (Persistent deficits in social communication and social interaction across multiple contexts) was described "as manifested by the following, currently or by history" along with the injunction to "Specify current severity" and the note "Severity is based on social communication impairments and restricted, repetitive patterns of behavior."

Criterion B (Restricted, repetitive patterns of behavior, interests, or activities) was described "as manifested ... currently or by history). The same severity notes that were given for criterion A applied to criterion B.

Criterion C is very specifically about childhood: "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."

Criterion D is very specifically about the present: "Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning."

Criterion E is about differential diagnosis and applicable to both history and current symptoms.



btbnnyr
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10 Jun 2015, 11:38 am

^^^Those are from DSM 5, not DSM IV.
DSM IV was based on current traits, then DSM 5 added the part about current or by history.


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GiantHockeyFan
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10 Jun 2015, 12:00 pm

I am not a mental health expert, but I personally find the DSM IV criteria to be ridiculously subjective and almost pseudoscientific (and the DSM V does nothing to improve it). For example, under criteria "D", I have asked various experts what constitutes a 'clinically significant impairment'. I have heard everything from finding it tough to make friends (not just Aspies!) to not being able to function in normal society or hold down stable or full time employment. Needless to say, there is a monumental difference between those two definitions. As for "C", what about me? I was a late talker but it was due to HEARING PROBLEMS, not developmental delay that precludes a DSM IV Aspergers diagnosis. In my experience, experts can't make up their mind about that one either.

That's not even counting the fact my ex girlfriend pointed out toddlers under 3 who had been diagnosed with Aspergers, even before they started talking. HOW??



Adamantium
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10 Jun 2015, 1:01 pm

btbnnyr wrote:
^^^Those are from DSM 5, not DSM IV.
DSM IV was based on current traits, then DSM 5 added the part about current or by history.


Whoops. You are right, I should have checked online instead of using my word doc!