Sections
Asperger's Disorder | Pervasive Developmental Disorder Not Otherwise Specified | Rett's Disorder | Childhood Disintegrative Disorder
Excerpt
The criteria for Asperger's disorder are identical
to those for autistic disorder (including the requirement that the
symptoms be severe and pervasive) with the exception that there
is no clinically significant delay in cognitive development or in
the development of age-appropriate self-help skills, and no significant
delay in language development. The former is often interpreted as
having an IQ score above 70, and the latter is specified as having
single word use by 2 years of age and communicative phrases by 3
years of age. There has been considerable controversy whether Asperger's
disorder is justified as a separate diagnosis or whether it simply
represents high-functioning autism (Macintosh and Dissanayake 2004). Also, of persons who meet the criteria for Asperger's
at the time they are evaluated, often at age 5 years or later, few
have a history of normal cognitive function and language early in
life, as is required in DSM-IV (Mayes et al. 2001).
Since Asperger's does exist as an official diagnosis, we
suggest that the criteria of normal language and normal intelligence
be judged at the time of evaluation rather than based on information
about the child's first years of life.