Defining Autism: A Perspective on DSM-5
You may have heard, read or seen the flap on the news. Parents of children on the autism spectrum and adults with high-functioning forms, such as Asperger’s are. Not. Happy. Frankly, it’s all so confusing and I was none to excited to write about this. But, it is extremely important to our community. Truth is we still don’t know how this will all shake down in the very end–as far as how those playing with our lives will draw the lines that determine understanding, perceptions and most importantly, services. We’ve been hearing unpleasant rumblings from the sessions amongst these shirts for quite sometime, serving to increase our collective anxiety. Meantime, here’s a perspective from Spectrum Mom, who guest posted here on “The Journey with Grace” last year:
“When a psychiatrist diagnosed my two year old son with PDD-NOS[*], an autism spectrum disorder, I wanted to deny it, to wish the problem away. So while getting all the services I could for him, I told as few people as possible. One of the people I didn’t tell was his new pediatrician, who then cancelled my son’s occupational therapy without talking with or even informing me. Because he did not know the specific diagnosis, he assumed that I and the Tennessee Early Intervention System were frivolously wasting money on a service my child did not need. My son lost weeks of early intervention, and I learned an important lesson. Even if you hate the idea of labeling your children, a diagnosis is vital to getting the help that will shape their future.
“Now the American Psychiatric Association (APA) wants to severely limit the number of children who will get that diagnosis and that help. The APA plans changes to the definition of autism in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM 5). An analysis by Yale University researchers concludes the new definition will result in far fewer diagnoses of autism.
“Again and again I have read responses to this analysis that the reduction in diagnosed cases of autism will result in more resources for those most severely affected. This suggestion rests on a belief that need generates resources. Unfortunately, need is only the beginning. What generates resources is demand. Any parent with a child with autism knows that resources must be searched for, demanded, and paid for, often by the parents, sometimes by a combination of parents, insurance, and public money.
“Having a child with autism is difficult and costly to the family. Parents must seek out, travel to, and pay for therapy when the child is out of school; and repeatedly request and constantly monitor when the child is in school. There is [little to] no free money for parents of children with autism. [See “The Journey with Grace” post “Autism: The Financial Fiasco“]
“So now, officially, there will be far fewer children diagnosed with autism. How convenient for the insurance companies! How obliging of the creators of the DSM to split up the diagnosis into smaller, divided groups so that parents will now have to compete against one another instead of lobbying together.
“And the worst part is that some parents will get some new diagnosis like Communication and Socialization Disorder and think “Well, at least my child doesn’t have autism,” and not realize that all the research and resources that could help their child are tied to autism.
“The problems that these children have will not go away — rather, families will lose the access to timely and affordable help that can change children’s lives and help them become more successful as adults. If you have concerns about this change, please send an email to [email protected] about the definition of Autism Spectrum Disorders in the DSM-5.”
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I’ll add that by enabling children when they are young, we raise them to be tax payers and not simply tax users. Our culture is extremely short-sighted in terms of recognizing the value of investing in education in the NOW for the benefit for ALL tomorrow. It is an effective cost measure to the benefit of greater society.
While Spectrum Mom addresses PDD-NOS, regarding the criteria, Asperger’s will likely meet a similar fate…just as we were making significant gains in our community in understanding, tolerance and inclusion. Damn!
An additional perspective from Nashville-based Gaynell Payne, The Examiner — “Stopping an Epidemic by Redefining It.”
*PDD-NOS: Pervasive Developmental Delay-Not Otherwise Specified; a form of autism that meets some of the criteria for autism but not all [blah-blah-blah]
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www.GraceGoad.com
Hello I am kind of new to this my child is 4, today she was diagnosed with PDD,NOS. I had her at 19, I was a single parent. I started to notice something wasn’t right .She was a colic baby, to soothe her I had to constantly hold her and or rock her back an forth, around 1 and 2 yrs she stared to bang her head on the wall when upset and scream for like 30 mines sometimes even after I tried all I could to soothe her. At 2 yrs sometimes when she tantrum she would try to pull her hair out, and would tighten up scared me half to death (p.s that stopped at 3 but she did it 2wice this year once in school and once at home). I had spoken to some family members but they would say it’s just terrible two’s or I spoiled her. After they seen her outburst they thought adhd but I wasn’t guided in any direction so we just delt . At 21/2 she started daycare and that’s when they mentioned something isn’t right but still I didn’t know where to begin. When she was turning 3 I signed her up for preschool and that’s when I was guided into the right direction, speech and oct therapy began. Then they too notice at 31/2 to 4 something wasn’t right after they tried different class setting due to behavior outburst i was sent to a neurologist and he said it might be mild autism or adhd, He than sent us to do a test and answer some questionares. The test came back normal,and he diagnosed her with a speech delay,PDD,NOS.So back to today, I read about the possible changes to occur in 2013 and im so worried now. What is going to happen to us if this goes through? I am going back to school in September to peruse a career to better my family. If my Childs services are dropped life will be so difficult for us. I feel lost and hurt.What happens now?
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I so agree.