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Developmental Disabilities > Autism Information Center > Overview > Changes

 Changes in Autism Diagnostic Criteria

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  • Kanner criteria (1956)[1]
    • Lack of affective contact; desire for sameness; fascination with objects; mutism or non-communicative language before 30 months of age
  • Rutter criteria (1978)[2]
    • Emphasized delayed and unusual social and language development and early onset and unusual behaviors
  • DSM-III (1980)[3]
    • Differentiated autism from schizophrenia (not a psychiatric disorder, but developmental)
    • Concept of “PDD” introduced: infantile autism; childhood onset PDD; atypical PDD
  • DSM-III -R (1987)[4]
    • Concept of PDD continued; autism and PDD-NOS defined
  • ICD-10 (1992)[5]
    • Greatly expanded PDD concept – autism; atypical autism; Rett syndrome; other childhood disintegrative disorder; overactive disorder associated with MR and stereotyped movements; Asperger’s syndrome; other PDDs; PDD, unspecified
  • DSM-IV (1994)[6] and DSM-IV-TR (2000)[7]
    • Also expanded PDD concept – autistic disorder; Asperger syndrome; Rett syndrome; CDD; PDD-NOS

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[1] Eisenberg L., Kanner L. Childhood schizophrenia. Am J Orthopsychiatry 1956: 26:556-566.

[2] Rutter, M. Diagnosis and definition. In Autism. A reappraisal of concepts and treatment, (ed. M. Rutter and E. Schopler). Plenum Press New York, 1978.

[3] American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. Washington, DC: American Psychiatric Publishing, Inc., 1980.

[4] American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders. 3rd ed. Revised. Washington, DC: American Psychiatric Publishing, Inc., 1987.

[5] International Statistical Classification of Diseases and Related Health Problems. 10th ed. Geneva, Switzerland: World Health Organization, 1992.

[6] American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Publishing, Inc., 1994.

[7] American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text revision. Washington, DC: American Psychiatric Publishing, Inc., 2000.

Date: February 02, 2007
Content source: National Center on Birth Defects and Developmental Disabilities

 

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