Question
This week, you reviewed the DSM-5 criteria. You connected the deficits-based language to a certain model of disability. While you as the SLP won't diagnose
This week, you reviewed the DSM-5 criteria. You connected the deficits-based language to a certain model of disability. While you as the SLP won't "diagnose" autism, you might be the first person to identify characteristics and share them with a parent or client. You will always be a member of an interdisciplinary team supporting autistic children and adults. Since the DSM-5 contains an array of deficits-based language, and jargon, I'm asking you to rephrase the criteria so that you'll be prepared to share it with a parent or client.
DSM-5 definition | Explain to a parent | Explain to an autistic adult | |
A. | "Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history" | ||
A.1. | "Deficits in social-emotional reciprocity" | ||
A.2. | "Deficits in nonverbal communicative behaviour used for social interactions" | ||
A.3. | "Deficits in developing, maintaining, and understanding relationships" | ||
B. | "Restricted, repetitive patterns of behaviour, interests, or activities, as manifested by at least two of the following" | ||
B.1. | "Stereotyped or repetitive motor movements, use of objects, or speech" | ||
B.2. | "Insistence on sameness inflexible adherence to routines or ritualised patterns of verbal or nonverbal behaviour" | ||
B.3. | "Highly restricted, fixated interests that are abnormal in intensity or focus" | ||
B.4. | "Hyper- or hypo- reactivity to sensory input or unusual interest in sensory aspects of the environment" | ||
C. | "Symptoms must be present in the early developmental period" | ||
D. | "Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning" | ||
E. | "Not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay" | ||
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