I think we need to remove ASD Level 1,2 and 3, because the support we need for ASD can fluctuate and also Eikonabridge Autism diagnostic criteria | Asperger's & Autism Community - Wrong Planet and I made an argument that you only need diagnostic criteria B to have Autism Spectrum Disorder, as there are some people with Autism Spectrum Disorder that are well developed to have social skills, but I think that the diagnostic criteria A for Autism Spectrum Disorder should still stay as it is but needs to be changed.
All you need is to meet during developmental stages are:
(Not everyone with ASD will have the same symptoms)
B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive; see text):
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat same food every day).
3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g.,
strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects,
visual fascination with lights or movement).
Criteria A should be reserved when symptoms of ASD is more severe:
A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive; see text):
1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.
2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.
3. Deficits in developing, maintaining, and understanding relationships, ranging, for ex-ample, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
There should be some changes in the diagnostic criteria for Autism Spectrum Disorder.
For diagnostic criteria A and 3, you don't need to meet "Deficits in developing, maintaining, and understanding relationships"
Criteria A and 3 should be: Deficits in developing, maintaining, and understanding relationships and/ or ranging, for ex-ample, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
I think you should meet at least 2 of the diagnostic criteria A for Autism Spectrum Disorder, as not everyone with Autism Spectrum Disorder will have all the symptoms of the diagnostic criteria A, B and/ or both.
All you need is to meet during developmental stages are:
(Not everyone with ASD will have the same symptoms)
B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least two of the following, currently or by history (examples are illustrative, not exhaustive; see text):
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g., simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking patterns, greeting rituals, need to take same route or eat same food every day).
3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g.,
strong attachment to or preoccupation with unusual objects, excessively circumscribed or perseverative interests).
4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment (e.g., apparent indifference to pain/temperature, adverse response to specific sounds or textures, excessive smelling or touching of objects,
visual fascination with lights or movement).
Criteria A should be reserved when symptoms of ASD is more severe:
A. Persistent deficits in social communication and social interaction across multiple contexts, as manifested by the following, currently or by history (examples are illustrative, not exhaustive; see text):
1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach and failure of normal back-and-forth conversation; to reduced sharing of interests, emotions, or affect; to failure to initiate or respond to social interactions.
2. Deficits in nonverbal communicative behaviors used for social interaction, ranging, for example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye contact and body language or deficits in understanding and use of gestures; to a total lack of facial expressions and nonverbal communication.
3. Deficits in developing, maintaining, and understanding relationships, ranging, for ex-ample, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
There should be some changes in the diagnostic criteria for Autism Spectrum Disorder.
For diagnostic criteria A and 3, you don't need to meet "Deficits in developing, maintaining, and understanding relationships"
Criteria A and 3 should be: Deficits in developing, maintaining, and understanding relationships and/ or ranging, for ex-ample, from difficulties adjusting behavior to suit various social contexts; to difficulties in sharing imaginative play or in making friends; to absence of interest in peers.
I think you should meet at least 2 of the diagnostic criteria A for Autism Spectrum Disorder, as not everyone with Autism Spectrum Disorder will have all the symptoms of the diagnostic criteria A, B and/ or both.
