So much snow!

[jrising]

Everyone is calling it Snowmageddon-- a total of some three feet of snow since Friday, in an city with only one snow plow. We've have reports of friends trapped or displaced without heat and electricity, the metro is stopped, the government (which means everything except for Thai food) is closed. Cars can't drive (though many try), so people have taken over the streets. But we're safe, and from our window, Snowmageddon is absolutely beautiful.

From out window	Snowy Street

What do you all think of the DSM-V? And in particular, the proposal to classify all MIT students as having "Autism Spectrum Disorder"?

Comments

[nobody-nowhere.livejournal.com]

Reading through more of the DSM-5 website, are you referencing "The recommended DSM-5 draft criteria for autism spectrum disorders include a new assessment of symptom severity related to the individual’s degree of impairment. The draft criteria also specify deficits in two categories: 1) social interaction and communication (e.g., maintaining eye-to-eye gaze, ability to sustain a conversation and peer-relations) and 2) the presence of repetitive behaviors and fixated interests and behaviors. Additionally, in recognition of the neurodevelopmental nature of the disorder, the criteria require that symptoms begin in early childhood. Clinicians must take into account an individual’s age, stage of development, intellectual abilities and language level in making a diagnosis." when you suggest that it would classify "all MIT students as having (ASD)"?

That's really not such a big or notable change from the preexisting diagnostic criteria, though. In fact, it's not immediately clear how that changes the current diagnostic criteria - that's simply not enough information. I am somewhat disappointed by the failure to include in this description of the diagnostic criteria anything about sensory issues (which was once part of the diagnostic criteria, and was then removed, but has been having renewed research interest in the last couple of years verifying that it is seen pretty much universally in ASD). It is my personal belief that ASD is caused by overgrowth of neurons early on followed by underpruning, leading to unusual strengths at lower level tasks combined with deficits at higher order tasks, and that this underpruning can be best observed at the clinical/diagnostic level through sensory issues. ah well.

[jrising.livejournal.com]

Fascinating! I don't think I have the background you do to talk about this, but here are my thoughts.

The line the piqued my interest was from a NYTimes article (http://www.nytimes.com/2010/02/10/health/10psych.html?hpw) that Asperger's would be folded into ASD. It's discussed more fully here: http://www.dsm5.org/Newsroom/Documents/Autism%20Release%20FINAL%202.05.pdf

From a technical standpoint, I think that's a good move. For a long time, I've thought that AS was a kind of HFA, and I'm glad to see that that view has official recognition.

Socially, though, I'm not at all sure of the fall-out. Culturally, autism is associated with retardation, and equating it (on a spectrum) to AS could seriously stunt the development of a lot of intelligent children who might otherwise end up at high-end tech schools. On the other hand, it could do the opposite, helping people recognize the intelligence of people all along the autism spectrum. Labels are very powerful, and it took a lot of work and luck for MIT students to be able to own AS proudly.

[nobody-nowhere.livejournal.com]

I'm at work, so can't make a longer post now. but have you seen this op-ed?

http://www.nytimes.com/2010/02/10/opinion/10grinker.html?ref=opinion

[jrising.livejournal.com]

Great article. I doubt that the stigma surrounding autism has faded as much as Grinker claims, but I agree with the rest. An in any case, one of autism's greatest strengths is indifference to social opposition.

[nobody-nowhere.livejournal.com]

Ran across this article today.

http://news.yahoo.com/s/ap/20100211/ap_on_he_me/us_med_asperger_s_diagnosis;_ylt=AiBKHKegt1QufQfZG.RKSWis0NUE;_ylu=X3oDMTJvb3B2bWprBGFzc2V0A2FwLzIwMTAwMjExL3VzX21lZF9hc3Blcmdlcl9zX2RpYWdub3NpcwRwb3MDNwRzZWMDeW5fbW9zdF9wb3B1bGFyBHNsawNwcm9wb3NlZGF1dGk-

Apparently there are a bunch of people with AS that are upset about this. Personally (as indicated in other stuff I've written) I tend to feel that we should be going with the 'technical standpoint' in writing a diagnostic manual and not worry so much about a 'social fallout'.

[nobody-nowhere.livejournal.com]

For more on people's reactions to the decision (re: what does changing the labeling scheme mean):

http://www.npr.org/templates/story/story.php?storyId=123527833&sc=fb&cc=fp