Criticism of the diagnostic criteria for Autism Spectrum Disorder

What if there are some people that are well developed enough to have social skills, but meet only the diagnostic criteria B, C and and D for Autism Spectrum Disorder? I think such people exist and the diagnostic criteria for Autism Spectrum Disorder is a bit too restrictive, even my psychiatrist explained that there are some people with ASD that are well developed to have social skills.


To have milder form of Autism Spectrum Disorder, you need at least: (Note: Not everyone with ASD will have the same symptoms)

B. Restricted, repetitive patterns of behavior, interests, or
activities, as manifested by at least two of the following,
currently or by history (examples are illustrative, not
exhaustive; see text):

1. Stereotyped or repetitive motor movements, use of
objects, or speech (e.g., simple motor stereotypies, lining
up toys or flipping objects, echolalia, idiosyncratic
phrases).

2. Insistence on sameness, inflexible adherence to routines,
or ritualized patterns of verbal or nonverbal behavior (e.g.,
extreme distress at small changes, difficulties with
transitions, rigid thinking patterns, greeting rituals, need to
take same route or eat same food every day).

3. Highly restricted, fixated interests that are abnormal in
intensity or focus (e.g., strong attachment to or
preoccupation with unusual objects, excessively
circumscribed or perseverative interests).

4. Hyper- or hyporeactivity to sensory input or unusual
interest in sensory aspects of the environment (e.g.,
apparent indifference to pain/temperature, adverse
response to specific sounds or textures, excessive
smelling or touching of objects, visual fascination with
lights or movement).

C. Symptoms must be present in the early developmental period
(but may not become fully manifest until social demands
exceed limited capacities, or may be masked by learned
strategies in later life).


D. Symptoms cause clinically significant impairment in social,
occupational, or other important areas of current functioning.

Parents
  • I can understand how it’s confusing as the tests create this idea there is a gradience. But it’s just inaccurate. 

    Sometimes the difference between someone who is a well adjusted happy autistic human and navigating a society they are mismatched for with a little more learned skill, and someone who’s not can be due to how much Trauma one has encountered and or been equipped to overcome. Sometimes that can be related to financial sources and sometimes it’s just the personality. 

    It’s time we stop talking of a group of humans as if they’re broken. Autism is a set of qualities and anyone can have added needs or difficulties. NeuroTypical individuals like repetition, just a different kind. Think of the silly ways they prefer to greet each other over and over. 

    Social skills to some degree can be learned. But more importantly we can all learn to be kind, understanding, not presume and create a little bit of better surroundings with the aesthetic of manners. It doesn’t mean I can read your subtext or relate, but I can show compassion and grace. And expect the same in return. It’s important to work out these distinctions and what the secret code for a seemingly plain psychological term really means :)  

Reply
  • I can understand how it’s confusing as the tests create this idea there is a gradience. But it’s just inaccurate. 

    Sometimes the difference between someone who is a well adjusted happy autistic human and navigating a society they are mismatched for with a little more learned skill, and someone who’s not can be due to how much Trauma one has encountered and or been equipped to overcome. Sometimes that can be related to financial sources and sometimes it’s just the personality. 

    It’s time we stop talking of a group of humans as if they’re broken. Autism is a set of qualities and anyone can have added needs or difficulties. NeuroTypical individuals like repetition, just a different kind. Think of the silly ways they prefer to greet each other over and over. 

    Social skills to some degree can be learned. But more importantly we can all learn to be kind, understanding, not presume and create a little bit of better surroundings with the aesthetic of manners. It doesn’t mean I can read your subtext or relate, but I can show compassion and grace. And expect the same in return. It’s important to work out these distinctions and what the secret code for a seemingly plain psychological term really means :)  

Children
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