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《国际疾病分类第11版在自闭症谱系障碍领域的创新:一种心理学方法》

Innovations of the ICD-11 in the Field of Autism Spectrum Disorder: A Psychological Approach.

作者信息

Greaves-Lord Kirstin, Skuse David, Mandy William

机构信息

Department of Psychology, Clinical Psychology and Experimental Psychopathology unit, University of Groningen, Groningen, The Netherlands.

Autism Team North-Netherlands, Jonx, Lentis Psychiatric Institute, Groningen, The Netherlands.

出版信息

Clin Psychol Eur. 2022 Dec 15;4(Spec Issue):e10005. doi: 10.32872/cpe.10005. eCollection 2022 Dec.

Abstract

BACKGROUND

This article aims to explain and elaborate upon the recently released ICD-11 criteria for Autism Spectrum Disorder (ASD, World Health Organization), which endorse a medical model.

METHOD

We integrate insights from several disciplines (e.g., psychology, linguistics, sociology and lived experiences) to reflect the scientific and ethical insights derived from the biopsychosocial, neurodiversity perspective on autism.

RESULTS

First, we describe the core domains of ASD's behavioural characteristics and then the lifetime, developmental perspective on the manifestations of these behaviours. Subsequently, we discuss potential underlying neuropsychology, related behaviours (i.e. associated features/conditions) and we consider some similarities and differences with the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM 5, American Psychological Association).

CONCLUSIONS

Recommendations for clinical application are provided. For instance, diagnostic classification in clinical practise should be a means to provide proper, suitable care, and therefore all diagnostic assessments should be used to tailor interventions and/or care to the capacities and genuine needs of the people that ask for professional help.

摘要

背景

本文旨在解释和阐述世界卫生组织最近发布的自闭症谱系障碍(ASD)的国际疾病分类第11版标准,该标准支持医学模式。

方法

我们整合了多个学科(如心理学、语言学、社会学和生活经历)的见解,以反映从生物心理社会、神经多样性视角对自闭症的科学和伦理见解。

结果

首先,我们描述了ASD行为特征的核心领域,然后从终生、发展的角度阐述了这些行为的表现。随后,我们讨论了潜在的神经心理学、相关行为(即相关特征/状况),并考虑了与《精神疾病诊断与统计手册》第五版(美国心理协会)的一些异同。

结论

提供了临床应用建议。例如,临床实践中的诊断分类应是提供适当、合适护理的一种手段,因此所有诊断评估都应用于根据寻求专业帮助者的能力和实际需求来调整干预措施和/或护理。

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