MrXxx wrote:
I disagree. If the new criteria are applied correctly, if you are considered Autistic now, you should still be considered Autistic when DSM V comes into play.
The new criteria actually encompasses all AS traits. The only problems that may occur is with doctors who misread or misunderstand some of the newer criteria. That is probably going to happen occasionally, but that is a problem with proper training, not a problem with the criteria.
The fact is, the way the criteria are set up now, a LOT of diagnoses that should be happening, are not, for the exact same reason. Poorly trained professionals, and too much debate due to the complexity of how they are now set up.
If anything, the new criteria are much simpler, all in one place, and over time should help prevent the amount of misunderstanding and debate that is happening now.
The bottom line is, if you aren't Autistic with the DSM-V, you probably aren't Autistic under DSM-IV anyway.
Don't get me wrong, I think in many ways the criteria are written better. However, you'll notice that it is technically more difficult to get an ASD diagnosis on the Asperger's end in that you now have to fulfill all three criteria, whereas before under the AS diagnosis, only two needed to be fulfilled.
To be honest, I think the criteria list is somewhat bollocks anyways. I'm in autism research studying neurobiology, and from what I've seen, socialization and communication are not reliable criteria and can be produced in numerous ways (or deficits covered up in numerous ways too). The repetitiveness and sensory issues, however, are another story. Were the list up to me (which of course it's not!
), I would define the behavioral syndrome as comprising aspects of neural repetition as exhibited by traits of obsessive-compulsiveness, higher rates of anxiety, sensory issues, etc., while I would look for evidence of larger neural network discoordination, of which social ineptitude and communication deficits are
examples but not 100% reliable behavioral markers, largely because these symptoms can be produced through other means of disruption that aren't inherently "autistic". I would instead look across many areas of information processing to assess entire trends, within which socialization and communication would be included yet not wholly deciding factors.