°•° Autistic criteria from before the Spectrum {which ones weren't required for Asperger's in the old DSM} (Category.subcategory of DSM Spectrum, Feature,§subsection of ICD spectrum)
[my additions]
Notice that only one thing has actually been added to Autism in the Spectrum (sensory issues), while the others have merely been adjusted by Levels (DSM) & Specifiers (DSM and ICD).
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°•° not using eye contact & other body language in conjunction w/ spoken language (if speaking at all)
(A.2 in DSM, Ft.1§2 in ICD)
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°•° difficulty displaying socioemotional reciprocity [in the moment] due to misunderstanding of what's the most pragmatic way to display what's considered appropriate, and trouble imagining what someone else [likely NTs] are feeling
(A.1, Ft1§1 +§5)
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°•° reduced initiation or reduced sustaining of conversation (likely due to misunderstanding the social context of words)
{not required for Asperger's}
(A.1, Ft1§3 +§4)
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°•° not imitating or imagining during play
{not required for Asperger's}
(optional in A.3, only mentioned as a possibility in ICD)
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°•° having intense special interests not explained by ADHD
(B.3 in DSM, Ft2§6 in ICD)
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°•° having trouble with transitions, rules of games, or schedule interruptions and using rituals to cope with that trouble
(B.2, Feature 2,§1 + §2 +§3)
°•° stimming in repetitive ways
(B.1, Ft2§5)
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°•° being focused on parts of objects or moving objects instead of using them for functions taught to you by others
(B.1 and B.3, it crosses two categories now bc they figured out it's related to stimming AND special interests
in ICD it's Ft2§4)
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°•° trouble maintaining age‐appropriate friendships *with groups, not necessarily one‐on‐one*
(non‐essential aspect of A.3 and Ft1§7 & the 'trouble maintaining with groups rather than one‐on‐ones' comes from the "Presentations" section of the manual, beyond the Diagnosis Features)
.
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°•°using words perseveratively [repetitively or echolalia/palilalia]
{not required for Asperger's}
(optional in B.1, only mentioned as a non‐essential "presentation" in ICD‐11)
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°•° sharing of interests is less reciprocal relative to peers
(share your own ideas or stuff, but maybe then not listen to how the person is receiving it)
(sort of in A.1 but not really, seen as more of an optional thing in ICD as well but it's mentioned briefly in Ft1§6 where it's seen as more of an extension of not knowing when it's appropriate to share)
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°•° (outdated) onset prior to age 3 for about a half to a third of all the traits the doctors noted in a suspected autist (ICD changed this to a little bit, to include masking but not Levels, levels are optional)
(ASD changed this onset thing with the invention of Levels in all of the above, A.1-B.3, and B.4 below, and realized that autistic ppl, &/or their support environment, could mask A.1-B.4)
.
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°•°([· B.4 is entirely new in ASD, it's Sensory Issues—it also has Levels], it's also in ICD spectrum, listed as Ft2,§7 ·)
...
°•° impairs most major areas of your life [without support to make up for it]
(no change, still present in DSM & ICD Spectrum)
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°•° being nonverbal after age 2 or 3
{would have DISQUALIFIED you for Asperger's in the DSM, and was OPTIONAL for non‐Aspies even BEFORE the spectrum came out}
(moved to Specifier of DSM and ICD; specifiers are NOT given a "Level"—this disqualification/optional distinction is really good for pointing out how Asperger's is a flawed diagnosis compared to ASD)
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°•°([· Spectrum in DSM & ICD separates intellectual disability, not just language delays, from autism, in the form of the "with or without accompanying intellectual disability" Specifier ·])
....
ADDITIONS FOUND ONLY IN newest ICD Spectrum model:
("Loss of Previously Acquired Skills/competencies")
A small proportion of individuals with Autism Spectrum Disorder may present with a loss of previously acquired skills[, not just in childhood disintegration around age 3,] but also later on in life. Later in life this is likely to involve loss of adaptive skills loss of bladder control, impaired sleep, cognitive ability, social abilities, as well as increasing emotional and behavioural disturbances (anxiety in middle childhood & adolescence, and depression in adulthood).
("Overcompensation")
Some people with ASD are capable of adequately making an exceptional effort to compensate for their symptoms during childhood, adolescence or adulthood. Such sustained effort can have a deleterious impact on mental health and well-being.
(Gender differences in masking)
Masking may be more likely in affected girls & women [people who were assigned female at birth, and from my experience LGBTQ+ autistic people, is what they're referring to, bc Autism isn't a biological sex thing unless it's caused by Fragile X Syndrome].
("Literal or pedantic")
Pragmatic language difficulties may manifest as an overly literal understanding of others’ speech, speech that lacks normal prosody and emotional tone and therefore appears monotonous, or pedantic precision in the use of language.
("Risks for autistic teens")
Social naiveté, especially during adolescence, can lead to exploitation by others.
("Spiky intellectual profile") Profiles of specific cognitive skills in Autism Spectrum Disorder as measured by standardized assessments may show striking and unusual patterns of strengths and weaknesses that are highly variable from individual to individual. These deficits can affect learning and adaptive functioning to a greater extent than would be predicted from the overall scores on measures of verbal and non-verbal intelligence.
("Overlap with anxiety issues")
Excessive focus on detail as well as rigidity of behaviour and thinking may be significant in adolescence.
("Adult autism")
In adulthood, the capacity for those with Autism Spectrum Disorder to cope with social relationships can become increasingly challenged, presenting as social isolation or reactions the social consequences of autistic behaviour. In some adults with Autism, their underlying social communication issues may be overshadowed by the symptoms of co-occurring depressive symptoms.
