Volkmar Fred R, Reichow Brian, McPartland James
Child Study Center, Yale University School of Medicine, PO Box 207900 (230 South Frontage Rd), New Haven, CT 06520-7900, USA.
Dialogues Clin Neurosci. 2012 Sep;14(3):229-37. doi: 10.31887/DCNS.2012.14.3/fvolkmar.
Since Kanner's classic description of the syndrome of early infantile autism in 1943, conceptions of the disorder have evolved while retaining important continuity with what Kanner viewed as the hallmarks of the condition-social impairment (autism) and difficulties in dealing with change in the nonsocial world (insistence on sameness). This paper reviews the history of this evolution and the important potential advantages and disadvantages of changes being contemplated for DSM-5. The convergence of diagnostic approach in DSM-IV and ICD-10 provided a shared system that fostered a tremendous body of research. The changes proposed in DSM-5 may impact both research comparability and service eligibility.
自1943年卡纳对早期婴儿孤独症综合征进行经典描述以来，对该疾病的认识不断演变，同时与卡纳所认为的该病症的标志——社交障碍（孤独症）以及在非社交世界中应对变化的困难（坚持同一性）保持着重要的连续性。本文回顾了这一演变的历史，以及《精神疾病诊断与统计手册》第5版（DSM-5）中正在考虑的变化所具有的重要潜在利弊。《精神疾病诊断与统计手册》第4版（DSM-IV）和《国际疾病分类》第10版（ICD-10）诊断方法的趋同提供了一个共享系统，促进了大量研究。DSM-5中提出的变化可能会影响研究的可比性和服务资格。
