Autism spectrum disorders in the DSM-5: Better or worse than the DSM-IV?

The NAS Lorna Wing Centre for Autism, Elliot House, 113 Masons Hill, Bromley, Kent BR2 9HT, UK.
Research in developmental disabilities (Impact Factor: 4.41). 03/2011; 32(2):768-73. DOI: 10.1016/j.ridd.2010.11.003
Source: PubMed


The DSM-V-committee has recently published proposed diagnostic criteria for autism spectrum disorders. We examine these criteria in some detail. We believe that the DSM-committee has overlooked a number of important issues, including social imagination, diagnosis in infancy and adulthood, and the possibility that girls and women with autism may continue to go unrecognised or misdiagnosed under the new manual. We conclude that a number of changes need to be made in order that the DSM-V-criteria might be used reliably and validly in clinical practice and research.

313 Reads
  • Source
    • "On one hand, many individuals with Asperger's Disorder and their families might have gone through a long and distressing process to accept their diagnosis but now have to deal with replacing the diagnosis with a new diagnosis of ASD (Hazen et al., 2013). Indeed, some experts have continued to support having Asperger's Disorder as a formal DSM diagnosis (Wing et al., 2011). On the other hand, some individuals in the Asperger community perceive the removal of Asperger's Disorder from the DSM as a positive change, as they see Asperger as a culture that should be supported and appreciated rather than diagnosed and treated (Vivanti et al., 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: The changes in the diagnostic classification of the pervasive developmental disorders from the 4th edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) to DSM-5 are expected to affect patients with autism, their families, as well as clinicians and researchers in the field of autism. This article reviews the new DSM-5 diagnostic criteria for autism spectrum disorder (ASD) and Social Communication Disorder (SCD), and discusses potential consequences in the perspectives of major stakeholders.
    Asian Journal of Psychiatry 09/2014; 11. DOI:10.1016/j.ajp.2014.08.010
  • Source
    • "Autism spectrum conditions (ASC) involve empathy deficits [6-9] and are characterised by communication and social difficulties as well as repetitive behaviours or restricted interests [10]. Empathy dysfunction in autism has been demonstrated via research noting a theory of mind (ToM) impairment in children with ASC [11]; that is, that individuals with autism have difficulty reading the beliefs and intentions of others [11,12]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Empathy is a vital component for social understanding involving the ability to recognise emotion (cognitive empathy) and provide an appropriate affective response (emotional empathy). Autism spectrum conditions have been described as disorders of empathy. First-degree relatives may show some mild traits of the autism spectrum, the broader autism phenotype (BAP). Whether both cognitive and emotional empathy, rather than cognitive empathy alone, are impaired in autism and the BAP is still under debate. Moreover the association between various aspects of empathy is unclear. This study aims to examine the relationship between different components of empathy across individuals with varying levels of genetic vulnerability to autism. Methods Factor analyses utilising questionnaire and performance-based task data were implemented among individuals with autism, parents of a child with autism and controls. The relationship between performance-based tasks and behavioural measures of empathy was also explored. Results A four-factor model including cognitive empathy, emotional empathy, social skills and a performance-based factor fitted the data best irrespective of genetic vulnerability. Individuals with autism displayed impairment on all four factors, with parents showing intermediate difficulties. Performance-based measures of empathy were related in almost equal magnitude to cognitive and emotional empathy latent factors and the social skills factor. Conclusions This study suggests individuals with autism have difficulties with multiple facets of empathy, while parents show intermediate impairments, providing evidence for a quantitative BAP. Impaired scores on performance-based measures of empathy, often thought to be pure measures of cognitive empathy, were also related to much wider empathy difficulties than impairments in cognitive empathy alone.
    Molecular Autism 08/2014; 5(1):42. DOI:10.1186/2040-2392-5-42 · 5.41 Impact Factor
  • Source
    • "Essa junção parte do princípio de que esses quadros apresentam em comum prejuízos no que concerne comunicação, interação social, fi xação de interesses e comportamentos repetitivos, com início na infância (Gibbs , Aldridge, Chandler, Witzlsperger, & Smith, 2012; Regier et al., 2013; Wing et al., 2011). Wing et al. (2011) criticam o fato de os critérios estabelecidos não mencionarem um problema comum a esses pacientes, que é a incapacidade de prever as consequências de suas ações para si mesmo ou para os outros. "

    Temas em Psicologia 01/2014; 22(4):783-793. DOI:10.9788/TP2014.4-09
Show more

Similar Publications