ICD 11

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What do you think of the Autism Spectrum Diagnosis in the ICD 11.
For the ones that dont know how the icd 11 currently looks, this is how:
6A20 Autism spectrum disorder

6A20.1 Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language

6A20.2 Autism spectrum disorder with disorder of intellectual development and with mild or no impairment of functional language

6A20.3 Autism spectrum disorder without disorder of intellectual development and with impaired functional language

6A20.4 Autism spectrum disorder with disorder of intellectual development and with impaired functional language

6A20.5 Autism spectrum disorder without disorder of intellectual development and with absence of functional language

6A20.6 Autism spectrum disorder with disorder of intellectual development and with absence of functional language

6A20.Y Other specified autism spectrum disorder

6A20.Z Autism spectrum disorder, unspecified

Just call me eccentric, accept me for who I am, and be done with it.

Looks good to me.

I've wondered if this means that Asperger's, PDD-NOS will no longer be considered diagnoses to be given in future- is this true? Is this wise?

Last edited by Feanor on 01 Jan 2017, 1:53 pm, edited 1 time in total.

Yes. There is little consistency - the same person could be diagnosed with autism, Asperger's, or PDD-NOS by different doctors, and there was barely any difference between the AS and autism criteria anyway, and the PDD-NOS criteria was very vague I think.

Where I live, PDD was a place marker diagnosis. It was given to kids (almost never adults) from 2-6 years to qualify for services. The child wasn't out right autistic, but lagging developmentally in some areas.

When the child turned around 5, then the diagnosis might change to Aspergers, or PDD might just drop away because whatever issues there were resolved. It was used to not saddle a kid with a life long diagnosis they may never need.

I don't have problems with Aspergers going away. My own school district used that as a separate diagnosis to save money. Because Aspergers was considered "not as bad" as autism, the children received much less services.

My husband would probably be this...

6A20.3 Autism spectrum disorder without disorder of intellectual development and with impaired functional language.

I guess I'm fuzzy on "impaired functional language". Yes my husband can obvious communicate "I want water", but all the more subtle stuff of human communication he sucks at. Pragmatic speech issues. Face blindness. Can't read body language...
I guess that would be considered "mild" to a child who can't speak at all, but the above is crippling to my husband. His symptoms are not mild (I hate that word). They impact his life daily.

The thing about Aspergers, people always considered it either too mild to bother with, or one word to describe a quirky personality. My husband has horrible anxiety because he can't figure out what people want. He is a beyond literal person. Someone may say, "We'll have to meet for lunch." I know without a firm time or date, this is "I really don't want to meet up again." My husband doesn't see that, and has had his feelings hurt over and over again.

If a change in diagnosis means he could get some speech/language therapy, I'm all over that.

I truly believe Asperger's is a fairly well-defined, discrete entity within the autistic spectrum. Usually a form of high-functioning autism. They tend to be relatively stronger in the verbal realm, relatively weak in a visual-spatial sense.

This demands more specialized interventions than those found within other forms of HFA.

If this ends up as the final version it means Aspergers is out as an official diagnosis. Clinicions may still use it as not following the DSM or ICD does not in most cases if at all means losing your license. It still will remain a colloquial term meaning anybody can and will continue to define it as they please. This has already resulted Aspergers meaning any socially ackward bright person who is "different" . The "average" intellegence part of the diagnostic criteria is pretty much faded into history.

Aspergers was a very broad diagnosis not consistently applied. So instead of reforming it, they are ending it, the cowardly approach to the problem. The ICD is appearently following the DSM which is written by the American Psychiatric Association. Doing it for consistanty or selling out to American influence depending how you want to look at it. Now it is all or becoming part of a much broader Autism Spectrum diagnosis just as inconsistantly applied. They have made an existing problem worse

The narrowing of autism into three broad severity sub catagories is the opposite of how we approach most everything else in life.

Last edited by ASPartOfMe on 01 Jan 2017, 12:08 pm, edited 2 times in total.

My diagnosis is AS and that's not the case for me - I'd say I'm the opposite, actually. There may be different conditions within what we currently know as the "autism spectrum", but there is little evidence that the current (or past, in countries using the DSM 5) different ASD diagnoses are actually different disorders. I guess they've combined them until they find meaningful subtypes.

I still really like the ICD-11 Beta Draft Autism Spectrum Disorder Definition ( http://apps.who.int/classifications/icd ... f437815624 ):

"Autism spectrum disorder is characterized by persistent deficits in the ability to initiate and to sustain reciprocal social interaction and social communication, and by a range of restricted, repetitive, and inflexible patterns of behaviour and interests. The onset of the disorder occurs during the developmental period, typically in early childhood, but symptoms may not become fully manifest until later, when social demands exceed limited capacities. Deficits are sufficiently severe to cause impairment in personal, family, social, educational, occupational or other important areas of functioning and are usually a pervasive feature of the individual’s functioning observable in all settings, although they may vary according to social, educational, or other context."

It is much more descriptive and better written than the current DSM-5.

It doesn't make sense, at least to me, why anyone would say, "We'll have to meet for lunch" and mean the exact opposite ("I really don't want to meet up again").

Actually, if that is what the intent of the message is, it sounds like this other person is being rude. Isn't it better (and more polite) to say nothing at all?

I find the above phrase to mean: "We'll, perhaps, meet for lunch should it not be inconvenient for me, and I have no other plans at the moment."

^ This I understand.

I dislike strong the term "disorder"! Instead it should be phrased as a condition! Pure neurologically it is a condition without any positive or negativ prejudgement and stigmatism!

If someone with autism has a handycap by being an autist and how severe and in which way it is a handycap, depends uppon the cultral social surounding and the individual situation.

It is, in my mind, just a normal neurological mutation variation. Without, we would all not use the internet and computers today!

Asperger's is a well-defined autism profile, as is "classic" autism. There are many autism presentations but currently the APA thinks they are all the same thing. I wonder how that will influence autism research.