Sora wrote:
I found two sets of criteria for AS from the ICD-10. I assume one is wrong and one is right... but whcih one is which?
This one is similar to the DSM-IV-TR criteria:
Quote:
F84.5 Asperger’s Syndrome
A. A lack of any clinically significant general delay in spoken or receptive language or cognitive development. Diagnosis requires that single words should have developed by two years of age or earlier and that communicative phrases be used by three years of age or earlier. Self-help skills, adaptive behaviour and curiosity about the environment during the first three years should be at a level consistent with intellectual development. However, motor milestones may be somewhat delayed and motor clumsiness is usual (although not a necessary diagnostic feature). Isolated special skills, often related to abnormal preoccupations, are common, but are not required for diagnosis.
This study
here about the relationships of Gillberg's AS criteria and the ICD-10 supports this set of criteria:
Quote:
Results showed that the discrepancy in diagnosis was due to the ICD-10 requirement for ‘normal’ development of cognitive skills, language, curiosity and self-help skills.
The other set I found is unlike the DSM-IV-TR in that it allows people like me who were withdrawn as kids just like those with classical autism are said to be. Who did not age appropriate have adaptive behaviours, curiosity and reaction to their environments and who had and have delayed self-help skills.
Quote:
F84.5 Asperger's Syndrome
A disorder of uncertain nosological validity, characterized by the same kind of qualitative abnormalities of reciprocal social interaction that typify autism, together with a restricted, stereotyped, repetitive repertoire of interests and activities. The disorder differs from autism primarily in that there is no general delay or retardation in language or in cognitive development. Most individuals are of normal general intelligence but it is common for them to be markedly clumsy; the condition occurs predominately in boys (in a ratio of about eight boys to one girl). It seems highly likely that at least some cases represent mild varieties of autism, but it is uncertain whether or not that is so for all. There is a strong tendency for the abnormalities to persist into adolescence and adult life and it seems that they represent individual characteristics that are not greatly affected by environmental influences. Psychotic episodes occasionally occur in early adult life.
Can anyone tell me which set of criteria is the right one?
I found the 2nd and thought that I do after all meet official AS criteria, but then I realised that there can't very well be 2 versions of the ICD-10 criteria. So which one is correct?
LET'S COMPARE!
This one is similar to the DSM-IV-TR criteria:
Quote:
F84.5 Asperger’s Syndrome(OTHER F84.5 items bolded)
A. A lack of any clinically significant general delay in spoken or receptive language or cognitive development. Diagnosis requires that single words should have developed by two years of age or earlier and that communicative phrases be used by three years of age or earlier. Self-help skills, adaptive behaviour and curiosity about the environment during the first three years should be at a level consistent with intellectual development.
A lack of any clinically significant general delay in spoken or receptive language or cognitive development. The disorder differs from autism primarily in that there is no general delay or retardation in language or in cognitive development.
However, motor milestones may be somewhat delayed and motor clumsiness is usual (although not a necessary diagnostic feature).
Most individuals are of normal general intelligence but it is common for them to be markedly clumsy
Isolated special skills, often related to abnormal preoccupations, are common, but are not required for diagnosis.
Leftovers(My comments in bold):
F84.5 Asperger's Syndrome
A disorder of uncertain nosological validity, characterized by the same kind of qualitative abnormalities of reciprocal social interaction that typify autism,
NOTE! The above is a GIVEN for PDD!! !! !
together ; the condition occurs predominately in boys (in a ratio of about eight boys to one girl). It seems highly likely that at least some cases represent mild varieties of autism, but it is uncertain whether or not that is so for all.
NOTE! AGAIN, a GIVEN, but belief only. It is really meaningless here!
There is a strong tendency for the abnormalities to persist into adolescence and adult life and it seems that they represent individual characteristics that are not greatly affected by environmental influences.
Does ANYONE doubt the above or believe it belongs here?
Psychotic episodes occasionally occur in early adult life
MEANINGLESS DRECK!
BOILED DOWN TO THE SIMPLEST(I bolded things that I feel are MISSING!):
A disorder of uncertain neurological validity, characterized by the same kind of qualitative abnormalities of reciprocal social interaction that typify autism. A lack of any clinically significant general delay in spoken or receptive language or cognitive development,
OTHER THAN SOCIAL. The disorder differs from autism primarily in that there is no general delay or retardation in language or in cognitive development. Most individuals are of normal general intelligence but it is common for them to be markedly clumsy.
Generally has a tendency to focus on a particular set of facts, talent, or occupation.
That DOES separate it from HFA, is in keeping with the traditional understanding, fits many here, fits me, and is VERY close to the two you presented!
14 Feb 2009, 12:44 pm
