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

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[quote=Anonymous]The spectrum is so wide that it feels like different issues completely.

My BIL was diagnosed with aspergers many years ago. He has held down a full time job for over a decade, is married to my sister and able to maintain a functional relationship, has hobbies and friends and overall functions fine and independently in life. He definitely has some issues with social cues and social skills and these do pose challenges for him in life but not to the point that he can't have a full life. Of course my sister helps him out and he often avoids big group social situations and he gets anxious about unintentionally offending people or being rude but that is really the extent of his issues. He is a smart guy and lots of people likely just think he is a little socially awkward until they spend a lot of time with him or get to know him well.

Completely different from someone with 'true' autism.

I think this is where the pathologizing of the ends of the spectrum of normal has come into play. The DSM has narrowed what is normal and quirky and awkward and started to diagnose anything that starts to get more than one standard deviation from the mean - whereas maybe in the past, two standards of deviation were still normal.[/quote]

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