Disclaimer: The information provided here is for educational purposes only. Consult a qualified medical professional for advice and clarification.
The table below provides a simplified version of the DSM-IV definition, used by professionals to diagnose disorders. To make a rough assessment of whether a person has Autistic Disorder or not, tick the box under “ANS” if your client matches the description.
If you are diagnosing adults, please refer to their behavior as a young child. They may learned to cope through experience and may not fulfill the diagnostic criteria any more.
DSM-IV definition on Autistic Disorder (299.00)
(I) A total of six (or more) items from (A), (B), & (C), with at least two from (A), & one each from (B) & (C)
(A) 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, & gestures to regulate social interaction
- Failure to develop peer relationships appropriate to developmental level
- A lack of spontaneous seeking to share enjoyment, interests, or achievements with other people, (e.g., by a lack of showing, bringing, or pointing out objects of interest to other people)
- Lack of social or emotional reciprocity (note: in the description, it gives the following as example: not actively participating in simple social play or games, preferring solitary activities, or involving others in activities only as tools or “mechanical” aids)
(B) qualitative impairments in communication as manifested by at least one of the following:
- Delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)
- In individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
- Stereotyped & repetitive use of language or idiosyncratic language
- Lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level
(C) restricted repetitive & stereotyped patterns of behavior, interests & activities, as manifested by at least two of the following:
- Encompassing preoccupation with one or more stereotyped & restricted patterns of interest that is abnormal either in intensity or focus
- Apparently inflexible adherence to specific, nonfunctional routines or rituals
- Stereotyped & repetitive motor mannerisms (e.g. hand or finger flapping or twisting, or complex whole-body movements)
- Persistent preoccupation with parts of objects
(II) Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years:
- (A) social interaction
- (B) language as used in social communication
- (C) symbolic or imaginative play
(III) The disturbance is not better accounted for by Rett’s Disorder or Childhood Disintegrative Disorder