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DSM-IV is set to be revised in 2012.

Today’s post is by Erica Pitman, LMSW, social worker at the YAI Autism Center.

The diagnosis of autism spectrum disorder currently encompasses the diagnoses of autism, Asperger’s syndrome and pervasive developmental disability-not otherwise specified (PDD-NOS). But this may not always be the case.

Many people in the autism community are currently discussing the proposed removal of the diagnosis of Asperger’s, as well as PDD-NOS, from the Diagnostic and Statistical Manual-V — the go-to guidebook for mental health professionals — to be published by the American Psychiatric Association in 2012. Many autism professionals have commented on this issue and offer distinct perspectives on the implications of the change.

According to some professionals, one of the biggest challenges in maintaining the diagnosis is the lack of consistency among professionals about what the diagnosis means. Dr. Catherine Lord, YAI Autism Center Advisory Council member, commented in the New York Times (“A Powerful Identity, a Vanishing Diagnosis,” 11/3/2009) that there has been an inability “to show consistent differences between what clinicians diagnose as Asperger’s syndrome and what they diagnose as mild autistic disorder.” As a result of this phenomenon, consistency across diagnosis has become increasingly difficult.

While this is a compelling reason to omit the diagnosis from the diagnostic manual, it is tremendously important to consider what role diagnoses play from a humanistic and individualistic perspective. In response to the New York Times article, many personal letters were published that reflect concerns about removing this label for individuals currently diagnosed with Asperger’s. World-renowned autism expert Simon Baron-Cohen aptly summarized this in his piece: (“The Short Life of a Diagnosis,” 11/10/09) “what happens to those people and their families who waited so long for a diagnostic label that does a good job of describing their profile? Will they have to go back to the clinics to get their diagnoses changed? The likelihood of causing them confusion and upset seems high.”

Dr. Peter Della Bella, a YAI Network autism expert, offered another unique view. “Collapsing the diagnoses will now allow several hundred thousand children, who were previously shut out because they did not meet strict criteria for autistic disorder, to get access to special educational and medical services,” Dr. Della Bella said. “This is a special day for parents who previously could not get help because they were denied access due to arbitrary cut-offs based on diagnosis and not severity by health insurers, state education departments and state healthcare agencies.”

The YAI Autism Center wants to hear your reactions to the proposed changes in the DSM-V for 2012. What kind of impact would this have on your family, loved ones and friends on the spectrum? Will a change of this kind move us closer to a shared practical understanding of autism spectrum disorder or further muddle an already complex diagnosis? What do you think? Weigh in by leaving a comment on our blog!