skibum wrote:
You are right Soyer. That is why Asperger's was removed from the DSM V in 2013. In Asperger's children did not have a delay in learning language and they felt that that was not enough of a difference for Asperger's to merit it's own diagnosis. So in the US it is all Autism Spectrum Disorder now and it just varies in degrees.
It was removed because it was felt Aspergers was over diagnosed and parents were using the label to get underserved benifits costing school districts and insurance companies money. It is not me saying that, it is the people who removed it that said it.
Why Claim Asperger's is Overdiagnosed? - Psychology TodayQuote:
Susan Swedo, chair of the DSM-5 neurodevelopmental disorders workgroup, said (link is external) in May that many people who identify with Asperger’s Syndrome “don't actually have Asperger's disorder, much less an autism spectrum disorder.”
David Kupfer, chair of the task force charged with the DSM revisions, blurted (link is external) to the New York Times in January: “We have to make sure not everybody who is a little odd gets a diagnosis of autism or Asperger Disorder. It involves a use of treatment resources. It becomes a cost issue.” (This was startling to those who’d missed the memo that declared costs and treatment resources the responsibility of the APA. Which was everyone.)
Catherine Lord, the director of the Institute for Brain Development at New York-Presbyterian Hospital, and another member of the workgroup, told (link is external) Scientific American in January, “If the DSM-IV criteria are taken too literally, anybody in the world could qualify for Asperger's or PDD-NOS... We need to make sure the criteria are not pulling in kids who do not have these disorders.”
Paul Steinberg, a D.C. psychiatrist, declared in a New York Times op-ed (link is external) in January that “with the loosening of the diagnosis of Asperger, children and adults who are shy and timid, who have quirky interests like train schedules and baseball statistics, and who have trouble relating to their peers” are erroneously and harmfully labeled autistic. He blamed a 1992 Department of Education directive that “called for enhanced services" for children diagnosed with autism spectrum disorders: “The diagnosis of Asperger syndrome went through the roof."
Dr. Bryna Siegel, a developmental psychologist at the University of California, San Francisco, told a Daily Beast reporter (link is external) in February that she “undiagnoses” nine of out ten students with so-called Asperger’s. Siegel was a member of the panel responsible for the inclusion of Asperger’s in the DSM-IV, which the reporter cited to me in a phone call as evidence of Seigel's objectivity: implicitly, Seigel is critiquing her own work. But that same journalist made no mention in the piece of Dr. Seigel’s history as an expert witness for school districts fending off families’ claims for those “enhanced services,” and the obvious conflict of interest (as well as the selection bias in her client pool) this represents. In October, she told New York magazine (link is external) that she undiagnoses six out of ten. That's quite a shift in eight months. Hope it was evidence-based.
The conventional wisdom that the Aspergers diagnosis was removed in the DSM 5 for legitimate scientific reasons needs to die.