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EstherJ
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06 May 2013, 4:39 pm

http://mindhacks.com/2013/05/03/nationa ... g-the-dsm/

I mean, if they're abandoning it, then that's a pretty telling sign.

Aspies, autistics, people with Asperger's/autism. It's starting to look all the same to me.



AgentPalpatine
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06 May 2013, 4:44 pm

EstherJ wrote:
http://mindhacks.com/2013/05/03/national-institute-of-mental-health-abandoning-the-dsm/

I mean, if they're abandoning it, then that's a pretty telling sign.

Aspies, autistics, people with Asperger's/autism. It's starting to look all the same to me.


http://www.wrongplanet.net/postt230149.html

It is interesting. It's also interesting that Asperger's got mentioned in the blog post/announcement.


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Dillogic
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06 May 2013, 4:47 pm

Then all that's left is Gillberg's Criteria for AS, which is harder to meet than the DSM-V for Autism. Ha.



Verdandi
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06 May 2013, 4:49 pm

NIMH's abandonment has to do with research, which means it is unlikely to filter down to clinical practice anytime soon.



EstherJ
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06 May 2013, 5:25 pm

Verdandi wrote:
NIMH's abandonment has to do with research, which means it is unlikely to filter down to clinical practice anytime soon.


True. Haha, I realized that after I posted it. But still, it's significant. I do agree with a lot of the DSM's definition of autism though.



Verdandi
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06 May 2013, 5:29 pm

EstherJ wrote:
Verdandi wrote:
NIMH's abandonment has to do with research, which means it is unlikely to filter down to clinical practice anytime soon.


True. Haha, I realized that after I posted it. But still, it's significant. I do agree with a lot of the DSM's definition of autism though.


I forgot to add that no one has to stop being an Aspie. :) But you know that too.

It is an interesting step. It will be interesting to see what impact it has.



eric76
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06 May 2013, 6:54 pm

EstherJ wrote:
http://mindhacks.com/2013/05/03/national-institute-of-mental-health-abandoning-the-dsm/

I mean, if they're abandoning it, then that's a pretty telling sign.

Aspies, autistics, people with Asperger's/autism. It's starting to look all the same to me.


When posting a link, it is helpful to others if you provide an executive summary about what is at the link. Or quote some representative text so people can decide whether or not is is worth their time to click on the link.

From my point of view, if someone doesn't care enough to provide some kind of executive summary or quotes from the site, then whatever is there is not worth reading.



AgentPalpatine
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06 May 2013, 6:57 pm

eric76 wrote:
EstherJ wrote:
http://mindhacks.com/2013/05/03/national-institute-of-mental-health-abandoning-the-dsm/

I mean, if they're abandoning it, then that's a pretty telling sign.

Aspies, autistics, people with Asperger's/autism. It's starting to look all the same to me.


When posting a link, it is helpful to others if you provide an executive summary about what is at the link. Or quote some representative text so people can decide whether or not is is worth their time to click on the link.

From my point of view, if someone doesn't care enough to provide some kind of executive summary or quotes from the site, then whatever is there is not worth reading.


The National Instute of Health (US Government)'s director put out a statement last week that, among other things, indicates that the DSM-5 will not be controlling for grant reviews. It's hard to make any executive summary past that become the post is written in formal language and can be read different ways.


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06 May 2013, 9:19 pm

It's also possible that if NIMH gets good results with this approach, the DSM-6 may end up borrowing from it.



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06 May 2013, 9:28 pm

Ettina wrote:
It's also possible that if NIMH gets good results with this approach, the DSM-6 may end up borrowing from it.


They might as well pick a new name at the same time. NIMH appears to be refering to measurable phyiscal differences in an individual. If I understand correctly, to reach a description of Aspergers, you would have to presumably indentify processing differences in the Brain.


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06 May 2013, 9:37 pm

HFa and AS are basicly the same to me after all I was diagnosed with bot and share both traits but have more AS traits than AS the only thing HFA is slight speech delay as a child! but once I talked my vocabulary really expanded beyond that of my Neurotypical peers and as a result I was shunned as an outcast and labled as a freak!


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briankelley
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06 May 2013, 9:39 pm

I think amongst ourselves here Aspie is a favored term. In real life, as I step up to the plate more regarding my autism, for the sake of autism awareness, I'm going to refer to it as high functioning autism. The reason for that being is, that if I say "Aspergers", Aspergers then has to be explained i.e. "Asperger's, which is a form of autism,..." In those instances I'd rather cut out what seems superfluous and just say "autism".



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06 May 2013, 9:41 pm

AspieOtaku wrote:
HFa and AS are basicly the same to me after all I was diagnosed with bot and share both traits but have more AS traits than AS the only thing HFA is slight speech delay as a child! but once I talked my vocabulary really expanded beyond that of my Neurotypical peers and as a result I was shunned as an outcast and labled as a freak!


I'm not sure if the NIMH statement/post related to the DX critera issues, so much as it refered to the lack of critera used in some cases. Asperger's was mentioned in passing, but it's not clear if that was one of the examples.


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whirlingmind
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06 May 2013, 9:43 pm

EstherJ wrote:
http://mindhacks.com/2013/05/03/national-institute-of-mental-health-abandoning-the-dsm/

I mean, if they're abandoning it, then that's a pretty telling sign.

Aspies, autistics, people with Asperger's/autism. It's starting to look all the same to me.


And follows on neatly from this which I've posted a few times:

http://www.apa.org/monitor/2009/10/icd-dsm.aspx

Quote:
ICD vs. DSM

October 2009, Vol 40, No. 9
Print version: page 63

What is the difference between the ICD and DSM?


The ICD is a core function of the World Health Organization, spelled out in its constitution and ratified by all 193 WHO member countries. The ICD has existed for more than a century, and became WHO's responsibility when it was founded in 1948 as an agency of the United Nations. Before 1980, psychiatric diagnostic systems reflected the dominant psychoanalytic ideas of the time, emphasizing the role of experience, downplaying biology.

"The American Psychiatric Association can really be credited with a revolution in psychiatric nosology with the publication of DSM-III by introducing a descriptive nosological system based on co-occurring clusters of symptoms," said WHO psychologist Geoffrey Reed, PhD.

There was very little international participation in the DSM-III, but at the time it may have been impossible to make such a big shift at the international level, he explained. As a result, DSM-III and ICD-8 (the version in effect at the time) were quite different from one another but as the descriptive phenomenological approach to diagnose mental disorders became dominant, the DSM and ICD have become very similar, partly because of collaborative agreements between the two organizations.

Still, there is widespread sentiment that it is not helpful to the field to have two separate classification systems for mental disorders. Many important distinctions between the two systems remain, Reed said:

The ICD is produced by a global health agency with a constitutional public health mission, while the DSM is produced by a single national professional association.

WHO's primary focus for the mental and behavioral disorders classification is to help countries to reduce the disease burden of mental disorders. ICD's development is global, multidisciplinary and multilingual; the primary constituency of the DSM is U.S. psychiatrists.

The ICD is approved by the World Health Assembly, composed of the health ministers of all 193 WHO member countries; the DSM is approved by the assembly of the American Psychiatric Association, a group much like APA's Council of Representatives.

The ICD is distributed as broadly as possible at a very low cost, with substantial discounts to low-income countries, and available free on the Internet; the DSM generates a very substantial portion of the American Psychiatric Association's revenue, not only from sales of the book itself, but also from related products and copyright permissions for books and scientific articles.

Will the DSM be superseded by the ICD? There is little justification for maintaining the DSM as a separate diagnostic system from the ICD in the long run, particularly given the U.S. government's substantial engagement with WHO in the area of classification systems. But, said Reed, "there would still be a role for the DSM, because it contains a lot of additional information that will never be part of the ICD. In the future, it may be viewed as an important textbook of psychiatric diagnosis rather than as the diagnostic 'Bible.'"


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Ettina
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06 May 2013, 9:46 pm

Quote:
They might as well pick a new name at the same time. NIMH appears to be refering to measurable phyiscal differences in an individual.


Why would that mean they need to change their name?

Quote:
If I understand correctly, to reach a description of Aspergers, you would have to presumably indentify processing differences in the Brain.


I seriously doubt Asperger's would be a diagnosis under this system. From my reading on the neurological signs of autism, there is no one pattern of brain differences characteristic of the autism spectrum. And the different categories of brain differences won't line up with subtypes such as AS versus HFA, either. Plus many of the exact same abnormalities are seen in other conditions besides autism, too.



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06 May 2013, 9:55 pm

Okay....New York Times (NYT) article on this, published about 30 minutes ago.

http://www.nytimes.com/2013/05/07/healt ... E0EE274687

NYT did an interview with the Director of the NIMH, and he was quoted as indicating that Biology does'nt work in DSM categories. The headline is stronger than the article, but it is interesting as a popular press explanation of what happened with the NIHM statement last week.

There was reference made to ASDs in the article. It is interesting that ASDs keep coming up with this topic.

Edited to add executive summary after reading article.


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