Confusion and inconsistency in diagnosis of Asperger syndrome: a review of studies from 1981 to 2010

Sharma, Shilpi; Woolfson, Lisa; Hunter, Simon C.

doi:10.1177/1362361311411935

Cited by 40 publications

(32 citation statements)

References 85 publications

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“…On the contrary, Sharma et al [17 ■■ ] reviewed 69 studies published over two decades on Asperger’s syndrome and concluded that, because of the overlapping signs and symptoms relative to autistic disorder, the DSM-IV criteria were insufficient and invalid. A multisite study including over 2000 individuals all carefully diagnosed with gold standard diagnostic instruments by Lord et al [18 ■■ ,19] suggested that the diagnosis of Asperger’s disorder was more significantly influenced by where one was evaluated than by the symptoms with which one presented.…”

Section: Dsm-5mentioning

confidence: 99%

Update on diagnostic classification in autism

King

Navot

Bernier

2014

Current Opinion in Psychiatry

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Purpose of review In the lead up to and following the recent publication of the DSM-5, the diagnostic construct of autism has received intense scrutiny. Recent findings This article briefly reviews the history of the diagnosis of autism, the changes that have occurred in the diagnosis over time, and the rationale for change. The most significant changes being introduced with the DSM-5 are highlighted, as well as some of the concerns that will be a focus of attention with respect to the potential impacts going forward. Summary The categorical divisions that characterized the pervasive developmental disorders are now collapsed into a single entity, autism spectrum disorder. The final DSM-5 criteria have yet to be formally compared prospectively against prior criteria, but early indications suggest that the boundaries around the pervasive developmental disorders have not been substantially altered.

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Section: Dsm-5mentioning

confidence: 99%

Update on diagnostic classification in autism

King

Navot

Bernier

2014

Current Opinion in Psychiatry

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“…However, more subtle characteristics in the nature of social interaction, motor skills and speech patterns that since Asperger's first description have differentiated AD from autism, are not acknowledged in the new DSM-5 ASD criteria [35]. Positive aspects of autism, such as savant skills, are neglected as well [36].…”

Section: Introductionmentioning

confidence: 99%

From Asperger's Autistischen Psychopathen to DSM-5 Autism Spectrum Disorder and Beyond: A Subthreshold Autism Spectrum Model

Dell’Osso¹,

Luche²,

Gesi³

et al. 2016

CPEMH

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Growing interest has recently been devoted to partial forms of autism, lying at the diagnostic boundaries of those conditions previously diagnosed as Asperger’s Disorder. This latter includes an important retrieval of the European classical psychopathological concepts of adult autism to which Hans Asperger referred in his work. Based on the review of Asperger's Autistische Psychopathie, from first descriptions through the DSM-IV Asperger’s Disorder and up to the recent DSM-5 Autism Spectrum Disorder, the paper aims to propose a Subthreshold Autism Spectrum Model that encompasses not only threshold-level manifestations but also mild/atypical symptoms, gender-specific features, behavioral manifestations and personality traits associated with Autism Spectrum Disorder. This model includes, but is not limited to, the so-called broad autism phenotype spanning across the general population that does not fully meet Autism Spectrum Disorder criteria. From this perspective, we propose a subthreshold autism as a unique psychological/behavioral model for research that could help to understand the neurodevelopmental trajectories leading from autistic traits to a broad range of mental disorders.

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“…For some this created confusion as it did not allow clear demarcation of AS, while for others it marked the need for additional discriminators such as motor function and neuropsychological profiling. Individuals with AS are said to have a higher probability of presenting with motor difficulties (clumsiness), and some groups, though not all, have also reported that they are more likely to show a non-verbal learning disability profile in contrast to those with an HFA diagnosis of similar overall cognitive ability [17]. AS is therefore often diagnosed later than other ASDs, (after age three or so) [18].…”

Section: Distinction From Other Asdsmentioning

confidence: 99%

Treating clients with Asperger’s syndrome and autism

Woods

Mahdavi

Ryan

2013

Child and Adolescent Psychiatry and Mental Health

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Asperger’s syndrome (AS) is a form of autism spectrum disorder (ASD) affecting many individuals today. Although neurobiological correlates for AS have been identified, like many ASDs, AS is not completely understood. AS as a distinct disorder is also not universally accepted and in the DSM-5 AS is not considered a separate nosological entity. In contrast to some other ASDs, individuals with AS are commonly characterized by having standard or higher than average intelligence, yet difficulties in social skills and communication can present challenges for these individuals in everyday functioning. Counseling a person with AS or autism presents a unique challenge for the mental health care provider. We have compiled this review consisting of some recent ideas regarding counseling the client with AS with the goal of providing some clinical insights and practical clues. Although the focus of the present paper is largely on AS, many of these strategies could also apply to individuals with high-functioning autism (HFA).

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Confusion and inconsistency in diagnosis of Asperger syndrome: a review of studies from 1981 to 2010

Cited by 40 publications

References 85 publications

Update on diagnostic classification in autism

Update on diagnostic classification in autism

From Asperger's Autistischen Psychopathen to DSM-5 Autism Spectrum Disorder and Beyond: A Subthreshold Autism Spectrum Model

Treating clients with Asperger’s syndrome and autism

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