As an update to a previous BLOG that was written (pre-ICD-11), we have updated the info on the diagnostic criteria for autism as follows –
Despite some training providers, resource materials, clinicians and families at the time of writing STILL referring to the OLD methodology of using the autism functionality labels: ‘severe’, ‘high functioning,’ and ‘Asperger’s Syndrome’, these terms NO LONGER fall within current diagnostic guidelines.
The OLD ICD-10, (ICD being short for: ‘International Statistical Classification of Diseases and Health Related Problems’, the most commonly-used diagnostic manual in the UK), listed Childhood Autism, Autistic Disorder, Atypical Autism, Asperger Syndrome & ‘Pervasive developmental disorder, not otherwise specified’, as the main autistic categories. However this too is now out of date.
With the launch of the latest ICD-11 in summer 2018 (draft), only ‘Autism’ is stated, with varying sub-descriptions – see graphic. These are the terms that diagnosing clinicians should use.
(It’s possible that some may continue to use the older terms, until their own continued professional development has caught up with the new guidelines).
Within the DSM-5 diagnostic manual, clinicians are also advised to also use the broad term Autism, but with a numerical note of so-called severity, and / or the additions of ‘With or without accompanying intellectual / language impairment’.
So WHY do resources like this one sometimes mention the phrase ‘Autism Spectrum Disorder’? It is because the diagnostic guidelines use ‘Disorder’ and it really has to be mentioned in the context of diagnosis.
And what if you were diagnosed with an older term, e.g. Asperger’s – do you still keep that diagnosis? The answer is yes, if you want to. (See below.)
Finally, what about Hans Asperger’s links with the Nazis? Briefly, we advise reading author Steve Silberman’s ‘Neurotribes‘ book, for a well-written piece of autism back-history. (You can read an article here summarising the recent ‘Asperger’ revelations. “Asperger it seems was playing a very complicated game of appearing to be anti-Nazi, but meanwhile signing… death warrants,” Silberman has said.)
A little disclaimer – here at Spectra.blog we don’t claim to be experts about Autism; the information we post here is based purely on our own exposure and experiences.
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Also published on Medium.