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They're at it again...this time with the DSM-V criteria :(
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heterodox
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RE: They're at it again...this time with the DSM-V criteria :(
I don't disagree with you, but I think for the most part it will help increase access. I'm likely to lose my support and services as I am nearly normally functioning now, at least from the outside. Having said that, I've just been reassessed and reapproved, so with any luck...
And I'm not your Sire. No crown. Was noble, family lost it during the French Revolution.
Ah-ha. That last bit might just explain it.
You see, you offended me with your first statement on this thread. You informed a member of another organisation that
I will point out that we actively support the removal of Aspergers Syndrome from the DSM-V.
Now, I understand that you might have been using the royal "we", a throwback to the good old days. 
I know that there have been some discussions on various threads about the DSM V but I am unaware of any decisions or proclamations on this. The front page still states that it is opposed to the grading of people with autism. The DSM V is simply changing grade names for grade numbers. (with a bit of tinkering at the parameters)
The SS (social services hisssssssss) already have and use such a grading system. Autistics are all labelled 1 to 4 according to need; mild, moderate, severe and critical.
Those numbers are used to stop people getting the support they need and as barriers to prevent people getting the opportunities they deserve.
Now you might be happy to swop your name for a number or whatever that number might one day be labelled but I believe you went beyond your remit if that offending "we" was representing the view of AFF.
At the time my finger was itching to press that report button but I'm pleased that we have had this chance to discuss this and for you to make clear your (IMO) naively optimist views and make clear what the stance of AFF is.
No. 1's For Freedom
Hmmmm
‘Just off the coast of Autonomy, across the Bay of Good Intentions, lies the fog shrouded Isle of Best Interests’.
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| 05-14-2012 05:18 PM |
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heterodox
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RE: They're at it again...this time with the DSM-V criteria :(
I will always stick with the label people that know me have given. Different.
Ahh but you must be graded.
So is that a hint of difference, a smudge of difference or a dollop?
I am a shade indifferent myself.
‘Just off the coast of Autonomy, across the Bay of Good Intentions, lies the fog shrouded Isle of Best Interests’.
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| 05-14-2012 05:39 PM |
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windy
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RE: They're at it again...this time with the DSM-V criteria :(
This is the most recent proposed revision to DMS V I can find, but it was posted over a year ago.
Release date is May 18th of 2013
and
DSM-5 Draft Criteria Open for Final Public Comment
May 2nd through June 15th, 2012
http://www.dsm5.org/Pages/Default.aspx will lead you to a page that has stuff like this:
"...For the next 6 weeks we are pleased to once again offer the opportunity to submit comments on the draft fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This commenting period marks the third and final time DSM-5 draft criteria will be available for your feedback. Following this period the site will remain viewable with the draft proposals until DSM-5’s publication..."
Did not read the thread additions yet so sorry if redundant.
oh the recent updates page - http://www.dsm5.org/Pages/RecentUpdates.aspx
This post was last modified: 05-14-2012 06:17 PM by windy.
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| 05-14-2012 06:16 PM |
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windy
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RE: They're at it again...this time with the DSM-V criteria :(
Free buses throughout the UK. If you're in London, it's a bit trickier to obtain but it's free travel on EVERYTHING (bar River Services
That's very nice, ῦ! In the US, the only thing I ever got with an official dx is ...a dx.
In the US, aspergers is not a "qualifying disorder". I didn't even have health insurance until I got a job in a corporate setting. Its really difficult for me to work in this type of setting, but I can cover myself, and thanks to Obama getting a kinder health plan passed, my two youngest until their 26th birthday. They both work, but not a places that offer health insurance.
Had to post - thankfully - the pre-existing health condition clause is in effect (and will make it through the supreme court)... so "we" cannot be uninsurable due to a diagnosis - catch 22 /meanwhile nothing related was provided by insurance to begin with - dumb insurance system) in other words I agree with your post.
Lol reading thread in reverse now...
This post was last modified: 05-14-2012 06:29 PM by windy.
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| 05-14-2012 06:29 PM |
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windy
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RE: They're at it again...this time with the DSM-V criteria :(
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| 05-14-2012 06:36 PM |
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LNB1771
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RE: They're at it again...this time with the DSM-V criteria :(
I have psychiatric literature floating around here somewhere, with a study from back in 1995 or '96 trying to find a significant difference between people diagnosed with HFA and Aspergers. They found very, very little. I keep meaning to dig it out, but I don't know where to start.
I found something relevant from the APA (American Psychiatric Association) website http://www.dsm5.org/Research/Pages/Autis...08%29.aspx
"The fifth panel addressed the question Asperger’s Disorder – is it Autism? In her introduction, Francesca G. Happé, Ph.D., (London, UK) raised some of the key questions that have arisen regarding the diagnosis of Asperger’s Disorder, which was introduced into DSM-IV in 1994. These questions include: is there an ‘Asperger’ subgroup of autism with distinct cause, course, cognitive profile, and intervention needs, and if so, what is its relation to other ASDs? Asperger’s disorder is essentially defined as meeting criteria for autism without the language impairment. Lorna Wing introduced the term in 1981 to aid recognition of the part of the autism spectrum with good IQ and language [italics added]"
Apparently, Happé makes a very clear distinction between Asperger's and Autism (of which HFA is a subset), namely the language component with Aspergers having no language delay but Autism having language deficits as one of its core characteristics. For example, when I was three I was echolalic therefore I would not meet the Dx criteria for Aspergers (if that Dx had existed in the DSM back in 1974 when I was Dx'd). However, I can see how someone who might have been like me in many ways but had no language delay might not get Dx'd until later (retrospectively?) when Asperger's became official in the DSM-IV.
Lydia
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| 05-14-2012 08:34 PM |
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windy
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RE: They're at it again...this time with the DSM-V criteria :(
WHy is it ONLY a language delay - that "papers" use as the criteria? and Yet, due to the constraints of the diagnostic criteria of the last decade or tw0 - for example, my dx'd aspie son DID have language delay, and yet since by the time I allowed him to be dx'd (needed it at arounf age 10/11) the delay was then gone. is he wrongly dx'd then? (I say the distinction is of no use)
So why did they decide ASsergers, even with delay in his history ?(Who knows why I think it may have been because of his IQ) Yes there were bills from speech and language pathologist (ages 3, 4 and 5) and CPD amd SID (occupational therapists ...) and all that so WHY did they come up with aspergers? Just because. THEREFORE, dx's do not matter. HFA and ASpergers AND average autism ASD is almost exactly like PDD-NOS depending on the doctor/s involved in dxing. ALso, we went to a nuerologist specializing in ADD and guess what he was dx'd ADD (only recently hjave I seen this may be true). My son HAD** language issues/delay - he had a bunch of words by age 1 1/2 and then stopped speaking altogether - just babbling for YEARS. Yet, he is "officially" aspergers (and other dx's depending on when he is seen.... )
My point? Short version: Language delay< so what? Some people "catch up" Just becasue Kanner did not see it does not mean it didn;t happen with his study group, Asperger, same thing... I think autism is autism. It is a spectrum. The whole LOW/High thing is highly subjective anyway. Yes, some kids have "severe" issues, are autistic with multiple co-morbids, food allergies, digestive issues, etc., "Clear distinctions" ther aren't any. There must be thousands of stories like this.
LNB1771 - great post - Your last sentances make my point exactly.
This post was last modified: 05-14-2012 08:53 PM by windy.
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| 05-14-2012 08:50 PM |
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heterodox
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RE: They're at it again...this time with the DSM-V criteria :(
Hi Windy, nice to see you and a nice summary.
A diagnosis of autism is all that is needed.
Autism is a neurotype, a way of thinking, people and their needs change, their neurotype doesn't.
Somebody with a dx of autism no. 1 could rapidly turn into a no.3 in the wrong circumstances and wrong environment.
Equally, treat a no.3's comorbids and in the right circumstances and right environment they could appear to be a no.1
As we travel on the rollercoaster of life our needs change. Tucked away in our ill-fitting neat little compartments we have to derail and come crashing down to earth before we can begin the battle to change to a more comfortable compartment where we can get the support we need. This is often a humiliating, stressful and lengthy process.
We don't need no catagorisation
We don't need no thought control
ῦ might well be keen to embrace this new metric autism but there are other more powerful forces keen to utilize it too.
The evil empire spewing out mountains of negative propaganda about our kind would love to give names to these new catagory numbers.
How about Full Blown Autism for our no.3's, that should scare the public into donating millions more dollars to keep their laboratories busy fighting the war against this epidemic.
We don't need no catagorisation
We don't need no thought control
‘Just off the coast of Autonomy, across the Bay of Good Intentions, lies the fog shrouded Isle of Best Interests’.
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| 05-14-2012 10:51 PM |
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sg1008
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RE: They're at it again...this time with the DSM-V criteria :(
The Work Group has proposed that autism, Asperger‘s disorder, pervasive developmental
disorder (not otherwise specified) and childhood disintegrative disorder be consolidated within
the overarching category of ASD. The change signals how symptoms of these disorders represent
a continuum from mild to severe, rather than being distinct disorders. The new category is
expected to help clinicians more accurately diagnose people with relevant symptoms and
behaviors by recognizing the differences from person to person, instead of providing general
labels that tend not to be consistently applied across different clinics and centers.
SOurce: APA News Release, March 27, 2012
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| 05-24-2012 12:10 AM |
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awiddershinlife
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RE: They're at it again...this time with the DSM-V criteria :(
WHy is it ONLY a language delay - that "papers" use as the criteria? and Yet, due to the constraints of the diagnostic criteria of the last decade or tw0 - for example, my dx'd aspie son DID have language delay, and yet since by the time I allowed him to be dx'd (needed it at arounf age 10/11) the delay was then gone. is he wrongly dx'd then? (I say the distinction is of no use)
I agree that demonstrating a language delay before age 3 is an unnecessary distinction in the HF/Aspie who is 12 through young adult, speaking well, but not getting the jokes, sarcasm, perspective-taking, and social flexibility needed for daily interactions at school/work. Pragmatics is one of the area of language in which we need to gain proficiency to succeed, but is not easily discernible in <3-year-olds.
It would be lovely to describe ASDs by the level of support needed to interface with the world and allowing movement up and down the levels as needed. Not assign someone a label to carry around their whole life whether it is valid or not.
But people always find a way to muck things up.
~
We sour green apples live our own inscrutable, carefree lives... (Max Frei)
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| 05-24-2012 04:04 AM |
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Lang
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RE: They're at it again...this time with the DSM-V criteria :(
or even autism hint, smudge, dollop
I like this one!!
seconded.
Chris Christie is so fat, I was giving a presentation and he ate my pie charts.

All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood.
PROUD DISRUPTIVE DINGBAT
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| 05-24-2012 04:54 AM |
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awiddershinlife
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RE: They're at it again...this time with the DSM-V criteria :(
Suggested talking points for DMS V public comments (full list at https://app.e2ma.net/app/view:CampaignPu...96ccd54098)
What do you think?
Earlier this year, the Autistic Self Advocacy Network and the Autism Society of America issued a joint statement discussing the proposed changes. Concerns arose from suggestions that not all those currently diagnosed would retain a diagnosis once the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual was released.
Now that the final public comment period has opened, you can comment on the proposed changes that will combine several diagnoses into one unified autism spectrum category. We view community involvement and representation as a vital part of developing meaningful criteria that reflect our needs. The deadline for submissions is June 15 leaving little time to delay.
To comment, you must register then navigate to the ASD draft criteria page to submit. Here are our suggestions when you consider what to include in your public comment:
APA should revise the requirement in the ASD draft criteria’s social communication domain (A) that an individual meet 3 of 3 listed criteria. This sets an overly restrictive standard and will likely lead to greater challenges in accessing diagnosis for adults, racial and ethnic minorities, women and girls and other under-represented groups. Independent analysis of the draft criteria have confirmed the overly restrictive nature of this requirement. APA should revise this requirement to require only 2 of 3 criteria to be met, either shifting this requirement across the lifespan or introducing the greater flexibility specifically for adults in recognition of the greater difficulties in identification which exist for the Autistic adult community.
APA should clearly communicate that individuals should be assessed for diagnosis without regards to any mitigating measures, such as learned behavior or other adaptive coping mechanisms, they may have developed to help navigate the world. This is consistent with the way in which the Americans with Disabilities Act is interpreted according to the recent ADA Amendments Act of 2008, which worked to ensure that people with less visible disabilities could retain coverage under the ADA. APA should consider revising part © of the draft criteria to reflect this. Currently, © acknowledges that characteristics of ASD may not be noticeable until later in life due to greater social demands in adolescence, but does not yet take note of the fact that many Autistic adults utilize adaptive coping mechanisms which may make it more difficult for them to access diagnosis, even as we are still substantially impacted by being on the autism spectrum and would benefit from the services, self-understanding and accommodations diagnosis provides.
APA should consider linking the diagnosis of Social Communication Disorder under ASD, helping to address both concerns that individuals on the autism spectrum may be inappropriately placed within the SCD diagnosis and the benefits of greater linkages of diagnoses in research and practice. There are multiple structures which could accomplish this goal, ranging from classifying SCD as a type of ASD-Not Otherwise Specified to describing SCD as a sub-type of ASD utilizing a similar structure to that which has been applied within the ADHD diagnosis.
APA should proceed with the development of a unified, single ASD diagnosis, reflecting the reality that the application of the various ASD diagnosis (Autistic Disorder, PDD-NOS and Asperger’s) is inconsistent and often utilized as a means of denying access to appropriate services. However, in doing so, APA should act with caution to ensure that all individuals covered under the DSM-IV diagnoses will retain coverage in the revised unified diagnosis.
APA should consider incorporating motor and movement issues within domain (B) in recognition of the growing body of research which finds these issues as common across ASD.
APA should clarify and expand upon its use of examples, while making clear that such lists of examples are non-exhaustive and that an individual not possessing the examples APA utilizes should not disqualify them from access to diagnosis. APA should consider providing examples specific to adults and adolescents, to better acknowledge that the characteristics of ASD differ across the lifespan. APA should also consider providing more specific examples on varying presentations for women and girls and racial and ethnic minorities.
~
We sour green apples live our own inscrutable, carefree lives... (Max Frei)
~
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| 05-25-2012 03:15 AM |
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sg1008
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RE: They're at it again...this time with the DSM-V criteria :(
Suggested talking points for DMS V public comments (full list at https://app.e2ma.net/app/view:CampaignPu...96ccd54098)
What do you think?
Earlier this year, the Autistic Self Advocacy Network and the Autism Society of America issued a joint statement discussing the proposed changes. Concerns arose from suggestions that not all those currently diagnosed would retain a diagnosis once the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual was released.
Now that the final public comment period has opened, you can comment on the proposed changes that will combine several diagnoses into one unified autism spectrum category. We view community involvement and representation as a vital part of developing meaningful criteria that reflect our needs. The deadline for submissions is June 15 leaving little time to delay.
To comment, you must register then navigate to the ASD draft criteria page to submit. Here are our suggestions when you consider what to include in your public comment:
APA should revise the requirement in the ASD draft criteria’s social communication domain (A) that an individual meet 3 of 3 listed criteria. This sets an overly restrictive standard and will likely lead to greater challenges in accessing diagnosis for adults, racial and ethnic minorities, women and girls and other under-represented groups. Independent analysis of the draft criteria have confirmed the overly restrictive nature of this requirement. APA should revise this requirement to require only 2 of 3 criteria to be met, either shifting this requirement across the lifespan or introducing the greater flexibility specifically for adults in recognition of the greater difficulties in identification which exist for the Autistic adult community.
APA should clearly communicate that individuals should be assessed for diagnosis without regards to any mitigating measures, such as learned behavior or other adaptive coping mechanisms, they may have developed to help navigate the world. This is consistent with the way in which the Americans with Disabilities Act is interpreted according to the recent ADA Amendments Act of 2008, which worked to ensure that people with less visible disabilities could retain coverage under the ADA. APA should consider revising part © of the draft criteria to reflect this. Currently, © acknowledges that characteristics of ASD may not be noticeable until later in life due to greater social demands in adolescence, but does not yet take note of the fact that many Autistic adults utilize adaptive coping mechanisms which may make it more difficult for them to access diagnosis, even as we are still substantially impacted by being on the autism spectrum and would benefit from the services, self-understanding and accommodations diagnosis provides.
APA should consider linking the diagnosis of Social Communication Disorder under ASD, helping to address both concerns that individuals on the autism spectrum may be inappropriately placed within the SCD diagnosis and the benefits of greater linkages of diagnoses in research and practice. There are multiple structures which could accomplish this goal, ranging from classifying SCD as a type of ASD-Not Otherwise Specified to describing SCD as a sub-type of ASD utilizing a similar structure to that which has been applied within the ADHD diagnosis.
APA should proceed with the development of a unified, single ASD diagnosis, reflecting the reality that the application of the various ASD diagnosis (Autistic Disorder, PDD-NOS and Asperger’s) is inconsistent and often utilized as a means of denying access to appropriate services. However, in doing so, APA should act with caution to ensure that all individuals covered under the DSM-IV diagnoses will retain coverage in the revised unified diagnosis.
APA should consider incorporating motor and movement issues within domain (B) in recognition of the growing body of research which finds these issues as common across ASD.
APA should clarify and expand upon its use of examples, while making clear that such lists of examples are non-exhaustive and that an individual not possessing the examples APA utilizes should not disqualify them from access to diagnosis. APA should consider providing examples specific to adults and adolescents, to better acknowledge that the characteristics of ASD differ across the lifespan. APA should also consider providing more specific examples on varying presentations for women and girls and racial and ethnic minorities.
i think skyblue1 created a thread about that ^
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| 05-25-2012 03:23 AM |
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awiddershinlife
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RE: They're at it again...this time with the DSM-V criteria :(
So its in two places. Its on topic here, too.
~
We sour green apples live our own inscrutable, carefree lives... (Max Frei)
~
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| 05-25-2012 03:42 AM |
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