Unexpected subthreshold autism spectrum in a 25-year-old male stalker hospitalized for delusional disorder: a case report

Dell’Osso, Liliana; Luche, Riccardo Dalle; Cerliani, Corrado; Bertelloni, Carlo Antonio; Gesi, Camilla; Carmassi, Claudia

doi:10.1016/j.comppsych.2015.04.003

Cited by 19 publications

(15 citation statements)

References 27 publications

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“…Growing literature, in fact, indicates ASD subjects to show higher rates of comorbidity with anxiety, mood, psychotic, trauma, and stress-related disorders, as well as with suicidal behaviors. Consistently, increasing attention has been devoted to these milder forms that may be undetected or misdiagnosed [ 7 , 8 ]. Current Diagnostic and Statistical Manual of Mental Disorder (DSM-5) ASD encompasses mild forms of autism, with normal or above average intelligence that may reach high levels of functioning, developing in some cases excellent abilities in restricted areas.…”

Section: Introductionmentioning

confidence: 99%

Polysubstance and Behavioral Addictions in a Patient with Bipolar Disorder: Role of Lifetime Subthreshold Autism Spectrum

Dell’Osso

Conversano

Corsi

et al. 2018

Case Reports in Psychiatry

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This case report draws attention to the potential relevance of undetected autism spectrum symptoms in a bipolar patient with high work functioning showing a peculiar addictive profile with impulsive and antisocial behaviors. A 23-year-old man with a diagnosis of Bipolar Disorder (BD) and Substance Use Disorder (SUD) was hospitalized at the Psychiatric Clinic of the University of Pisa for diuretics and β-2 adrenergic agonist abuse in a remission phase of benzodiazepines and substance abuse. He reported a history of behavioral addictions in the framework of a global high work functioning with particular skills in computer science. When assessed for adult autism spectrum symptoms, despite not fulfilling a DSM-5 diagnosis of Autism Spectrum Disorder (ASD), he reported a score of 93/240 at the Ritvo Autism and Asperger Diagnostic Scale (RAADS-r) and of 88/160 at the Adult Autism Subthreshold Spectrum (AdAS Spectrum), both indicative of ASD. We argue the possible role of adult subthreshold autism spectrum features, generally disregarded in adult psychiatry, in the peculiar addictive profile developed by this patient with BD that may deserve appropriate treatment.

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Section: Introductionmentioning

confidence: 99%

Polysubstance and Behavioral Addictions in a Patient with Bipolar Disorder: Role of Lifetime Subthreshold Autism Spectrum

Dell’Osso

Conversano

Corsi

et al. 2018

Case Reports in Psychiatry

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“…They may have no friends who can provide advice on dating and on social and sexual codes and they may use television programs and films as source material to learn about relationships, despite often being unable to translate these latter into every day life in order to start or maintain relationships. Such misunderstandings could make them avoidant of intimate relationships or, conversely vulnerable to promiscuity or being charged of sexually inappropriate behaviors [92-94]. …”

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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“…A total of five relevant articles were identified in the present review (Stokes & Newton, 2004;Stokes, Newton, & Kaur, 2007;Post, Haymes, Storey, Loughrey, & Campbell, 2014a;Post, Storey, Haymes, Campbell, & Loughrey, 2014b;Dell'Osso, Dalle Luche, Cerliani, Bertelloni, Gesi, & Carmassi, 2015). A narrative summary of each paper will be given in turn.…”

Section: Resultsmentioning

confidence: 99%

Autism spectrum disorders and stalking

Mercer

Allely

2020

JCP

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Purpose Despite an increasing number of studies that examine sexual offending behaviour in autism spectrum disorder (ASD) individuals, there has been a lack of research investigating stalking and ASD. This study aims to carry out a scoping review following PRISMA guidelines to identify studies which have been carried out exploring stalking behaviour in individuals with threshold or subthreshold ASD. Design/methodology/approach A total of five bibliographic databases were searched to identify studies which explored ASD in relation to stalking and harassment (including case studies as well as empirical studies). Findings A total of five relevant articles were identified in the present review. One article contained a case study. In a short report, the authors discussed stalking and ASD. One paper explored ASD and stalking behaviour in employment settings and specific interventions that could be used in such environments. Another paper focused on stalking behaviour in those with ASD in school settings. The final paper examined stalking and social and romantic functioning in individuals with ASD. This final paper contained only the empirical study identified in this search. Practical implications The studies identified in this review clearly highlight the need for intensive socio-sexual interventions to improve social interaction skills and romantic functioning in individuals with ASD. There is also a need for schools to provide sex education programs for individuals with ASD. Originality/value To the best of the authors’ knowledge, this is the first review looking at ASD and stalking.

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Unexpected subthreshold autism spectrum in a 25-year-old male stalker hospitalized for delusional disorder: a case report

Cited by 19 publications

References 27 publications

Polysubstance and Behavioral Addictions in a Patient with Bipolar Disorder: Role of Lifetime Subthreshold Autism Spectrum

Polysubstance and Behavioral Addictions in a Patient with Bipolar Disorder: Role of Lifetime Subthreshold Autism Spectrum

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

Autism spectrum disorders and stalking

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