How a Diagnosis is Made
DSM-IV Criteria |
DIAGNOSTIC
AND STATISTICAL MANUAL OF MENTAL DISORDERS
DSM-IV Criteria
Official Category in DSM-IV: Pervasive Developmental Disorder
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Autistic Disorder
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Asperger’s
Disorder
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Pervasive
Developmental Disorder Not Otherwise Specified (PDD-NOS)
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Childhood
Disintegrative Disorder (4-12 yrs onset) (CDD)
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Rett’s Disorder
Informal Category Not in DSM-IV: Autism
Spectrum Disorders
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Autistic Disorder
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Asperger’s
Disorder
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Pervasive
Developmental Disorder Not Otherwise Specified
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Accurate
distinctions between these outside a research setting unlikely. Need
a functional definition in social, language, adaptive and problem
behavior domains instead Childhood Disintegrative
Diagnostic criteria for 299.00 Autistic Disorder
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A total of six (or more) items from 1, 2, and 3, with at least two
from 1, and one each from 2 and 3.
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Delays or abnormal functioning in at least one of the following
areas, with onset prior to age 3 years:
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Social interaction
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Language as used in social
communication, or
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Symbolic or imaginative play
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Qualitative
impairment in social interaction:
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Marked
impairment in the use of multiple nonverbal behaviors such as
eye-to-eye gaze, facial expression, body postures, and gestures
to regulate social interaction
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Failure to develop peer relationships appropriate to
developmental level
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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)
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Lack of social or emotional
reciprocity
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Qualitative
impairment in communication:
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Delay in, or total lack of, the development of spoken language
(not accompanied by an attempt to compensate through alternative
modes of communication such as gesture or mime)
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In individuals with adequate speech, marked impairment in the
ability to initiate or sustain a conversation with others
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Stereotyped and repetitive use of language or idiosyncratic
language
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Lack of varied, spontaneous make-believe play or social
imitative play appropriate to developmental level
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Restricted repetitive and stereotyped patterns of behavior,
interests, and activities:
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Encompassing preoccupation with one or more stereotyped and
restricted patterns of interest that is abnormal either in
intensity or focus
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Apparent inflexible adherence to specific, nonfunctional
routines or rituals.
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Stereotyped and repetitive motor mannerism (e.g., hand or finger
flapping or twisting, or complex whole-body movements).
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Persistent preoccupation with parts of objects
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