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Autistic Disorder
A total of six (or more) items from (1), (2), and (3), with at least
two from (1), and one each from (2) and (3):
1. Qualitative impairment in social interaction, as manifested by at
least two of the following:
- marked impairment in the use of multiple nonverbal behaviors such as
eye-to-eye gaze, facial expression, body postures, and gestures to
regulate social interaction
- failure to develop peer relationships appropriate to developmental
level
- a lack of spontaneous seeking to share enjoyment, interests, or
achievements with other people (e.g., by a lack of showing, bringing,
or pointing out objects of interest)
- lack of social or emotional reciprocity
2. Qualitative impairments in communication as manifested by at least
one of the following:
- delay in, or total lack of, the development of spoken language (not
accompanied by an attempt to compensate through alternative modes of
communication such as gesture or mime)
- in individuals with adequate speech, marked impairment in the
ability to initiate or sustain a conversation with others
- stereotyped and repetitive use of language or idiosyncratic language
- lack of varied, spontaneous make-believe play or social imitative
play appropriate to developmental level.
3. Restricted repetitive and stereotyped patterns of behavior,
interests, and activities, as manifested by at least one of the following:
- encompassing preoccupation with one or more stereotyped and
restricted patterns of interest that is abnormal either in intensity
or focus
- apparently inflexible adherence to specific, nonfunctional routines
or rituals stereotyped and repetitive motor mannerisms (e.g., hand or
finger flapping or twisting, or complex whole-body movements)
- persistent preoccupation with parts of objects
Delays or abnormal functioning in at least one of the following areas,
with onset prior to age 3 years: (1) social interaction, (2) language as
used in social communication, or (3) symbolic or imaginative play.
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Symptoms List
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