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Implications of ICD and DSM on Screening, Diagnosis, and Monitoring

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Handbook of Assessment and Diagnosis of Autism Spectrum Disorder

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Abstract

New radical changes in DSM have made this system markedly different from ICD and many normed scales. These changes have implications for assessment going forward. This chapter lays out the current situation as it applies to differential diagnosis. The implications of new changes in diagnostic criteria will be discussed in the context of the assessment process.

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Notes

  1. 1.

    The WHO published a set of clinical descriptions and diagnostic guidelines (1992) and a set of diagnostic criteria for research (1993). The diagnostic criteria for research were derived from the clinical guidelines and were intentionally more restrictive, to allow the identification of groups of individuals with relatively homogeneous symptom profiles. Due to the restrictive nature of the criteria, in clinical practice they were intended to be used alongside the more descriptive clinical guidelines to allow the identification of more atypical, yet still clinically significant cases. The significance of clinical judgement will be considered in the discussion section of this chapter.

  2. 2.

    DSM-IV-TR referred to Asperger’s disorder, while in ICD-10 the term Asperger’s syndrome is used. In this chapter, the term Asperger syndrome will be used to refer to both.

  3. 3.

    For discussion of the overlap between SCD and more traditionally defined pragmatic language impairments, see Norbury (2014) Practitioner Review: social (pragmatic) communication disorder conceptualization, evidence, and clinical implications. Journal of child Psychology and Psychiatry, 55(3), 204–216.

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Correspondence to Sarah J. Carrington .

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Carrington, S.J. (2016). Implications of ICD and DSM on Screening, Diagnosis, and Monitoring. In: Matson, J.L. (eds) Handbook of Assessment and Diagnosis of Autism Spectrum Disorder. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-27171-2_7

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