Asperger’s Syndrome: A Comparison of Clinical Diagnoses and Those Made According to the ICD-10 and DSM-IV (original) (raw)
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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- Yale Child Study Center, Yale University School of Medicine, New Haven, CT 06520, USA
Marc Woodbury-Smith, Ami Klin & Fred Volkmar - Yale Child Study Center, Yale University School of Medicine, 230 South Frontage Road, P.O. Box 207900, New Haven, CT 06520, USA
Marc Woodbury-Smith
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Woodbury-Smith, M., Klin, A. & Volkmar, F. Asperger’s Syndrome: A Comparison of Clinical Diagnoses and Those Made According to the ICD-10 and DSM-IV.J Autism Dev Disord 35, 235–240 (2005). https://doi.org/10.1007/s10803-004-2002-x
- Issue Date: April 2005
- DOI: https://doi.org/10.1007/s10803-004-2002-x