期刊
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
卷 35, 期 2, 页码 235-240出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-004-2002-x
关键词
Asperger syndrome; diagnosis; autism
The diagnostic criteria for Asperger Syndrome (AS) according to ICD-10 and DSM-IV have been criticized as being too narrow in view of the rules of onset and precedence, whereby autism takes precedence over AS in a diagnostic hierarchy. In order to investigate this further, cases from the DSM-IV multicenter study who had been diagnosed clinically with AS were assigned to appropriate DSM-IV/ICD-10 diagnostic categories. The analysis indicated that 11(23%) cases would be reassigned a diagnosis of autism by either ICD-10 or DSM-IV according to their onset and precedence rules, and 33(68%) would be diagnosed with AS. These results contrast with those of others who have stated that the diagnosis of AS using ICD-10/DSM-IV criteria is `virtually impossible'. It is suggested that this is due to limitations inherent in these criteria, and alternative conceptualizations are discussed.
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