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By Gary B. Mesibov, Eric Schopler (auth.), Eric Schopler, Gary B. Mesibov (eds.)

Designed to increase knowing of the original wishes of high-functioning people with autism, this quantity info the most recent diagnostic and remedy methods and analyzes the present conceptions of the neurological approaches serious about autism.

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Where Should the DSM-IV Go? The United States is under a treaty obligation with the WHO to maintain a coding and terminological consistency with the ICD. The APA has already appoint- 20 LUKE Y. TSAI ed several committees to develop DSM-IV and to publish it in 1993. It is quite certain that the DSM-IV will continue to adopt the concept that autism/autistic disorder is a subtype of PODs. , "lumpers" or "splitters") the DSM-IV will take to subclassify the PODs. I agree that the DSM-IV should continue the use of pervasive developmental disorders as the major diagnostic category; however, the subclassification of PDDs should follow what is currently being proposed for the ICD-lO.

A lack of socioemotional reciprocity, as shown by an impaired or deviant response to other people's emotions; and/or lack of modulation of behavior according to social context and communicative behaviors C. Qualitative impairments in communication Diagnosis requires demonstrable abnormalities in at least two out of the following five areas: 1. a delay in, or total lack of development of spoken language that is not accompanied by an attempt to compensate through the use of gesture or mime as alternative modes of communication (often preceded by a lack of communicative babbling) DIAGNOSTIC ISSUES 19 2.

Wing (1981), however, modified these observations and described that half her sample of 34 cases had been slow to talk, that careful questioning often elicited a history of a lack of communication behaviors in infancy, and that the apparent originality and special abilities were best explained by reliance on rote memory skills. " She believes that AS is possibly a mild variant of autism in relatively bright children. This view of AS has received support from several prominent researchers in the field of autism research (Gillberg, 1985; Rutter & Schopler, 1987; Schopler, 1985; Szatmari, Bartolucci, & Bremner, 1989a; Szatmari, Bremner, & Nagy, 1989b; Szatmari, Thff, Finlayson, & Bartolucci, 1990).

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