Reply to Does anyone feel like the current DSM needs urgent updating?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I feel like a lot of people are also overlooking intellectual disability here.  Like yeah, of course an autistic person with an intellectual disability is going to be very different and have a very different life than one without an intellectual disability.  Not that all non-speaking autistic people have intellectual disabilities-- many have normal or high intelligence too-- but it's just weird to ignore intellectual differences and act ljke it's the fault of the autism diagnosis not to capture it.[/quote]

Of course it’s the “fault” of the diagnosis. The diagnosis is a human-created category that is supposed to be useful. [/quote]

What do you mean?  Do you hold every other diagnosis to this standard too?  Like, if there are huge differences between an intellectualy disabled person with depression or ADHD or whatever, and a person of average or high intelligence with those conditions, do you see that as a problem with the diagnostic criteria for depression or ADHD?  I would hope not.  
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No. As pp had said the diagnostic criteria should be clear - that’s all. 
The diagnostic criteria for asd is not clear. In part in my opinion bc persistent social deficits is subjective. 
[b]For example a pp who said their kid masks and does fine at school then gets aggressive in the car. Is that a ‘persistent social deficit’? Depends on who you ask. Should be much clearer than that [/b]
That is not to say pp kid does not have an important challenge to solve. But we shouldn’t be confused as to whether it is or is not autism. Just feels v random [/quote]

I'm that PP. My dc has a clear ASD dx and that has been confirmed by multiple professionals, in fact no one has ever doubted it.
 I used the example of dc getting aggressive in the car, due to the schedule change during the holidays. So, dc's ridgidity is impacting their life-it's not typical to have multiple, dangerous and aggressive meltdowns because of a schedule change.

My dc works very hard to mask at school (and is mostly but not always successful at this), but they're also in a small, one class per grade school. I don't know how they'd do if they were dealing with the social and sensory issues if they went to a large public school.[/quote]

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