第一就是ASD范围扩大,以前有个PDD-NOS,以前是比典型自闭症轻的诊断,现在已经取消了
PDD-NOS became the diagnosis applied to children or adults who are on the autism spectrum but do not fully meet the criteria for another ASD such as autistic disorder (sometimes called “classic” autism) or Asperger syndrome.
并且阿斯伯格也纳入ASD的范畴
Autism Spectrum Disorder now is a single category that encompasses, Autistic Disorder, Asperger's Disorder and PDD-NOS). The label of PDD-NOS is now no longer a diagnostic label.
为什么扩大范围和降低诊断标准,因为美国的Speech Therapy是医保覆盖的,所以扩大范围实际让更多普通民众受益,以前的PDD-NOS和阿斯伯格因为程度比较轻,所以很多州医保都不覆盖,所以让很多需要帮助的小孩得不到便宜的干预措施,而且PDD-NOS诊断标准也很模糊,所以美国2013年全部划到ASD的范畴,PDD-NOS也就不复存在了
Is PDD-NOS worse than Aspergers?
PDD-NOS “Less Severe” But since Asperger's and PDD-NOS were deemed syndromes “less severe” than autism, 14 states didn't offer access to services for people with these diagnoses
对于国内因为也没有医保这个问题,所以也跟随美国扩大,当然正面就是加大大家干预力度,但也徒增焦虑。。。因为其实PDD-NOS和阿斯伯格可以说是接近nt的,但是国内现在的认知ASD就是以前的典型自闭症
所以如果诊断为高功或者阿斯伯格,在过去标准,其实就是nt。。。所以如果介意帽子的可以这么来看这个问题,也许会淡定点,因为可能很多过去诊断为PDD-NOS的人已经正常融入社会,只是我们不知道,因为过去可能都不是个病
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修改:sdali FROM 27.125.156.*
FROM 27.125.156.*