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Clinical and Research News
DSM-IV Diagnostic Criteria for Asperger's Disorder
Psychiatric News
Volume 41 Number 19 page 21-21

  • Qualitative impairment in social interaction, as manifested by at least two of the following:

    • Marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and 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

  • Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

    • Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

    • Apparently inflexible adherence to specific, nonfunctional routines or rituals

    • Stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting or complex whole-body movements)

    • Persistent preoccupation with parts of objects

  • The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.

  • There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years).

  • There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, or adaptive behavior (other than social interaction and curiosity about the environment in childhood).

  • Criteria are not met for another specific pervasive developmental disorder or schizophrenia.

    +
  • Qualitative impairment in social interaction, as manifested by at least two of the following:

    • Marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and 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

    • +
  • Marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and 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

  • Restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

    • Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

    • Apparently inflexible adherence to specific, nonfunctional routines or rituals

    • Stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting or complex whole-body movements)

    • Persistent preoccupation with parts of objects

    • +
  • Encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

  • Apparently inflexible adherence to specific, nonfunctional routines or rituals

  • Stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting or complex whole-body movements)

  • Persistent preoccupation with parts of objects

  • The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning.

  • There is no clinically significant general delay in language (e.g., single words used by age 2 years, communicative phrases used by age 3 years).

  • There is no clinically significant delay in cognitive development or in the development of age-appropriate self-help skills, or adaptive behavior (other than social interaction and curiosity about the environment in childhood).

  • Criteria are not met for another specific pervasive developmental disorder or schizophrenia.

  • These are the three “bell-ringer traits” that clinicians should look for when considering a diagnosis of Asperger's disorder, according to Daniel Hoover, Ph.D., of Baylor College of Medicine:

    • Impaired social interactions, especially difficulty with social reciprocity.

    • Idiosyncratic interests or activities.

    • Odd, mechanical, or socially inappropriate speech patterns.

      +
  • Impaired social interactions, especially difficulty with social reciprocity.

  • Idiosyncratic interests or activities.

  • Odd, mechanical, or socially inappropriate speech patterns.

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