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Diagnosis and Classification

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Encyclopedia of Autism Spectrum Disorders
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Definition

As used in medicine (including psychiatry), a diagnosis is determined as part of a diagnostic process in the attempt to identify a specific disorder. Diagnoses are used in many ways and for different purposes. As both a term and a process, the issue of diagnosis is very much related to issues of classification. Indeed, the word diagnosis comes through Latin and Greek sources which have to do with understanding/distinguishing things. In clinical medicine, the assignment of a diagnosis often involves various tests, examinations, and so forth; the diagnosis typically guides treatment. In addition, diagnoses have other uses, e.g., in public health, in establishing eligibility for services, and so on. Some special issues arise with respect to psychiatric diagnosis and are discussed subsequently (see also “DSM-IV” entry).

Historical Background

Although diagnoses have been used since antiquity, it was only as the causes of various medical illness began to be identified in the 1800s...

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References and Reading

  • American Psychiatric Association. (1980). Diagnostic and statistical manual (3rd ed.). Washington, DC: APA Press.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual (4th ed., Text Rev.). Washington, DC: APA Press.

    Google Scholar 

  • First, M. B., & Pincus, H. A. (2002). The DSM-IV text revision: Rationale and potential impact on clinical practice. Psychiatric Services, 53(3), 288–292.

    Article  PubMed  Google Scholar 

  • Hobbs, N. (Ed.). (1975). Issues in the classification of children. San Francisco: Jossey-Bass.

    Google Scholar 

  • Klin, A., Lang, J., Cicchetti, D. V., & Volkmar, F. R. (2000). Brief report: Interrater reliability of clinical diagnosis and DSM-IV criteria for autistic disorder: Results of the DSM-IV autism field trial. Journal of Autism and Developmental Disorders, 30(2), 163–167.

    Article  PubMed  Google Scholar 

  • Kupfer, D. A., First, M. B., & Regier, D. A. (2002). A research agenda for DSM-V. Washington, DC: American Psychiatric Publishing.

    Google Scholar 

  • Ritvo, E. R., & Freeman, B. J. (1977). National society for autistic children definition of the syndrome of autism. Journal of Pediatric Psychology, 2(4), 142–145.

    Article  Google Scholar 

  • Rutter, M. (1978). Diagnosis and definition of childhood autism. Journal of Autism and Childhood Schizophrenia, 8(2), 139–161.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1989). Annotation: Child psychiatric disorders in ICD-10. Journal of Child Psychology and Psychiatry, 30, 499–513.

    Article  PubMed  Google Scholar 

  • Rutter, M., & Schopler, E. (1993). Diagnosis by DSM-III-R versus ICD-10 criteria: Response. Journal of Autism and Developmental Disorders, 23(3), 573–574.

    Google Scholar 

  • Rutter, M., Shaffer, D., & Shepherd, M. (1975). A multi-axial classification of child psychiatric disorders: An evaluation of a proposal. Albany: World Health Organization.

    Google Scholar 

  • Smith, I. C., Reichow, B., & Volkmar, F. R. (2015). The effects of DSM-5 criteria on number of individuals diagnosed with autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 45(8), 2541–2552.

    Article  PubMed  Google Scholar 

  • Volkmar, F. R., & Klin, A. (2005). Issues in the classification of autism and related conditions. In F. R. Volkmar, A. Klin, R. Paul, & D. J. Cohen (Eds.), Handbook of autism and pervasive developmental disorders (Vol. 1, pp. 5–41). Hoboken: Wiley.

    Chapter  Google Scholar 

  • Volkmar, F. R., Cicchetti, D. V., Bregman, J., & Cohen, D. J. (1992a). Three diagnostic systems for autism: DSM-III, DSM-III-R, and ICD-10. Special issue: Classification and diagnosis. Journal of Autism and Developmental Disorders, 22(4), 483–492.

    Article  PubMed  Google Scholar 

  • Volkmar, F. R., Cicchetti, D. V., Bregman, J., & Cohen, D. J. (1992b). Brief report: Developmental aspects of DSM-III-R criteria for autism. Special issue: Classification and diagnosis. Journal of Autism and Developmental Disorders, 22(4), 657–662.

    Article  PubMed  Google Scholar 

  • Volkmar, F. R., Schwab-Stone, M., & First, M. (2007). Classification. In A. Martin & F. Volkmar (Eds.), Lewis’s child and adolescent psychiatry: A comprehensive textbook (4th ed., pp. 302–309). Philadelphia: Wolters Kluwer.

    Google Scholar 

  • Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities. Journal of Autism and Developmental Disorders, 9(1), 11–29.

    Article  PubMed  Google Scholar 

  • World Health Organization. (1992). Mental and behavioral disorders, clinical descriptions and diagnostic guidelines. In International classification of diseases (10th ed.). Geneva: Author.

    Google Scholar 

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Correspondence to Fred R. Volkmar .

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Volkmar, F.R. (2020). Diagnosis and Classification. In: Volkmar, F. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6435-8_1432-3

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