Delcommenne M, Francolini M, Bon O L
C.H.U. Tivoli Service de Pédopsychiatrie, Avenue Max Buset 34, La Louviére, Belgium.
Service de Psychiatrie, C.H.U. Tivoli, La Louviére, Belgium.
Rev Med Brux. 2016;37(5):423-431.
The purpose of this paper is to examine the possible benefits to keep using the diagnosis of Asperger's syndrome. We first describe the evolution of this entity over time and within nomenclature bases such as the ICD- 10, the CFTMEA and the last versions of DSM. Then, we discuss more precisely the impact of the decision made in the DSM-5 to suppress the Asperger syndrome as a differentiated entity within the pervasive developmental disorders (PDD). This disorder chapter by the way also disappears and is replaced by Autism Spectrum Disorder (ASD). We present here three clinical cases encountered in an outpatient general child psychiatry clinic : 1 case was diagnosed as Asperger syndrome, 1 as infantile autism (early infantile autism) and 1 as another pervasive developmental disorder (psychotic disharmony). The objective was to expose the commonali ties and differences between these three entities. We conclude that keeping using the Asperger diagnosis is important for the clinical management of these clinical situations but also for the individual, his or her family and society at large.
本文的目的是探讨继续使用阿斯伯格综合征诊断可能带来的益处。我们首先描述该实体在不同时间以及在诸如国际疾病分类第十版(ICD - 10)、法国医学教育与评估中心分类法(CFTMEA)和《精神疾病诊断与统计手册》(DSM)最新版本等命名体系中的演变。然后,我们更精确地讨论《精神疾病诊断与统计手册》第五版(DSM - 5)中做出的将阿斯伯格综合征作为广泛性发育障碍(PDD)中的一个独立实体予以剔除这一决定的影响。顺便提一下,这一障碍章节也消失了,取而代之的是自闭症谱系障碍(ASD)。我们在此呈现三例在儿童普通门诊精神科遇到的临床病例:1例被诊断为阿斯伯格综合征,1例为婴儿自闭症(早期婴儿自闭症),1例为另一种广泛性发育障碍(精神性不协调)。目的是揭示这三种实体之间的共性与差异。我们得出结论,继续使用阿斯伯格综合征诊断对于这些临床情况的临床管理而言很重要,对个体、其家庭以及整个社会来说也是如此。