naturalplastic wrote:
In the current DSM there is a category called "level one autism with no delay in acquiring speech" ( ie you are a high functioning autistic who learned to talk at the normal time babies learn to talk). That category amounts to the exact same thing that was formerly called "aspergers". So...why not just keep on calling it "aspergers"? It's shorter.
Actually it's only a
subset of what was formerly called "Asperger's." "Level two autism with no delay in acquiring speech" would
also have been "Asperger's" according to the DSM IV.
I agree with the DSM 5 decision that the age at which someone acquires speech is not a sufficient basis to differentiate a completely separate diagnostic category -- and in practice it was often ignored in DSM IV-era diagnoses, at least when diagnosing adults.
For example, my boyfriend's adult diagnosis of "Asperger's syndrome" was technically a misdiagnosis because he didn't start talking until age 4, and then only with the help of speech therapy -- and he still has a speech impairment. So his DSM IV diagnosis really should have been either "autistic disorder" (albeit "high-functioning") or PDD-NOS.
The age at which you learned to talk doesn't really make a huge difference once you are long past that age. Among adults, there are no significant categorical differences between Aspies and HFAs.
A categorical distinction based on when you learned to talk is also not very useful if you want to define a condition that can be diagnosed in infancy - before even an Aspie has learned to talk - to enable early interventions.
So if you want to define a lifelong condition that can be diagnosed in infancy and still be meaningfully defined throughout the lifespan, the DSM 5 concept of ASD makes a lot more sense than the DSM IV categorization.
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