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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Diagnoses should be specific otherwise they are useless.

As I said earlier, there are kids in my circle diagnosed with "autism" even though they really have genetic conditions like CDLs.  The truth is if you are severely disabled enough you will tick the boxes for an ASD diagnosis.

Previous versions of the DSM had something like the phrase "if not explained by other conditions like intellectual disability or other conditions."

This DSM is a massive failure.

[/quote]

I always thought this was interesting. I have a friend whose child suffered a significant birth injury (essentially a large part of his brain is dead). He was diagnosed with CP and ASD. But why isn't it the brain injury creating the ASD. Do we know this for sure? Other people with ASD don't have a brain injury. It just seems really different than my nephew who had a typical birth, brain scans are normal but is also unable to speak (and has clear characteristics of autism level 3) [/quote]

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