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Asperger Syndrome » DSM Definition
Asperger's is defined in section 299.80 of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV) as:
- Qualitative impairment in social interaction, as manifested
by at least two of the following:
- Marked impairments
in the use of multiple nonverbal behaviors such as eye-to-eye
gaze, facial expression, body posture, and gestures to regulate
social interaction
- Failure to develop
peer relationships appropriate to developmental level
- A lack of spontaneous
seeking to share enjoyment, interest or achievements with other
people (e.g., by a lack of showing, bringing, or pointing out
objects of interest to other people)
- A lack of social
or emotional reciprocity
- Restricted repetitive and stereotyped patterns of behavior,
interests and activities, as manifested by at least one of the
following:
- Encompassing
preoccupation with one or more stereotyped and restricted patterns
of interest that is abnormal either in intensity or focus
- Apparently inflexible
adherence to specific, nonfunctional routines or rituals
- Stereotyped and
repetitive motor mannerisms (e.g., hand or finger flapping or
twisting, or complex whole-body movements)
- Persistent preoccupation
with parts of objects.
- The disturbance causes clinically significant impairments in
social, occupational, or other important areas of functioning.
- There is no clinically significant general delay in language
(e.g., single words used by age two years, communicative phrases
used by age three years)
- There is no clinically significant delay in cognitive development
or in the development of age-appropriate self-help skills or adaptive
behavior (other than in social interaction) and curiosity about
the environment in childhood
- Criteria are not met for another specific Pervasive Developmental
Disorder or Schizophrenia.
Please read the DSM cautionary statement.
The Diagnostic and Statistical Manual's diagnostic criteria have
been roundly criticized for being vague and subjective: what one
psychologist calls a "significant impairment" another
psychologist may call insignificant.
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