I was not really planning on writing anything about any of these research questions now. But I think I wanted to look at this one piece of information that I did receive over the last few hours.
I received this photograph of a page from one of the MindFreedom Nelson members.
DSM-IV – Asperger’s Disorder – Diagnostic Criteria
I received the above photograph and am going to look at these criteria from the DSM-IV. Due to the large price differential between DSM volumes prior to DSM-5 we most likely will be using texts earlier than that for now. There is an intention to buy the DSM-5 in the near future if there is support on the site to continue this kind of research.
- Qualitative impairment in social interaction, as manifested by at least two of the following:
- marked impairment in the use of multiple nonverbal behaviours such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction
- failure to develop peer relationships appropriate to developmental level
- a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
- lack of social or emotional reciprocity
- Restricted repetitive and stereotyped patterns of behaviour, interests, and activities as manifested by at least one of the following:
- encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
- apparently inflexible adherence to specific, nonfunctional routines or rituals
- stereotyped and repetitive motor mannerisms (e.g. hand or finger flapping or twisting, or complex whole-body movements)
- persistent preoccupation with parts of objects
- The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.
- There is no clinically significant general delay in language (e.g., single words used by 2 years, communicative phrases used by age 3 years).
- There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, adaptive behaviour (other than in social interaction), and curiosity about the environment in childhood.
- Criteria are not met for another specific Pervasive Developmental Disorder or Schizophrenia.
This points to a number of traits that would need to be looked at for terms of assessment, simply for these criteria. The way this is displayed (I hope to fix this, but quick fix didn’t work), is the opposite of what I have in the image, so I will refer to “top” and “second level” tags so hopefully they can be understood despite different formatting.
The first two top categories (and the second level elements contained in them) are relatively straight forward. This may in the future lead to further looking at this, but for now, those are easy to understand.
The third top-level item, about “presence of clinically significant impairment” will require further understanding.
The fourth top-level item, about “lack of clinically significant delay in language” will also require further investigation.
The fifth top-level item really needs very much exploration in the future.
The sixth top-level item, will require looking at the other pervasive developmental disorders, and schizophrenia diagnoses.
This appears to lead to the following questions needing to be answered:
- What is a clinically significant impairment in social, occupational, or other important area of functioning?
- What is a clinically significant general delay in language?
- What is a clinically significant delay in cognitive development or the development of age-appropriate self-help skills, adaptive behaviour, and curiosity about the environment?
- What are the specific Pervasive Developmental Disorders?
- What are the diagnostic criteria for Schizophrenia?