Adult autism spectrum as a transnosographic dimension

Dell’Osso, Liliana; Luche, Riccardo Dalle; Maj, Mario

doi:10.1017/s1092852915000450

Cited by 64 publications

(77 citation statements)

References 32 publications

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“…These manifestations may, or may not, have a significant impact on subject’s functioning [99], also encompassing some positive aspects of neuroatypicality , such as divergent and creative thinking [6, 25, 106]. …”

Section: Discussionmentioning

confidence: 99%

“…In fact, it may allow to sketch individual profiles, helping to unravel which autistic dimensions predispose to the high comorbidity between ASD and those psychiatric conditions emerging to be associated with it and enabling clinicians to more accurately define the physiopathology, course and treatment response of such mental disorders [6]. …”

Section: Discussionmentioning

confidence: 99%

“…Further, accounting most recent literature focusing on autistic like features and traits and broader autism phenotype, we highlight the limits of current DSM-5 diagnostic approach proposing the potential usefulness of a Subthreshold Autism Spectrum Model, which explores autistic features by using a dimensional approach that also takes into account sub-threshold, atypical and gender-specific features, as well as personality traits, and which may more accurately describe the above mentioned cases [6]. This model has been developed in line with the work of an international Italy-USA research project (termed Spectrum Project and started in 1995), that has developed a Spectrum Model approach to mental disorders [7, 8] evaluating criterion and non-criterion symptoms and signs, behavioral manifestations, subthreshold or atypical features, or temperamental traits associated with a specific mental disorder and that has been shown to be particularly appropriate for understanding the clinical features, course and comorbidity of most mental disorders, as well as the continuity between the general and the clinical population.…”

Section: Introductionmentioning

confidence: 99%

“…This model has been developed in line with the work of an international Italy-USA research project (termed Spectrum Project and started in 1995), that has developed a Spectrum Model approach to mental disorders [7, 8] evaluating criterion and non-criterion symptoms and signs, behavioral manifestations, subthreshold or atypical features, or temperamental traits associated with a specific mental disorder and that has been shown to be particularly appropriate for understanding the clinical features, course and comorbidity of most mental disorders, as well as the continuity between the general and the clinical population. Eventually, upon the neurodevelopmental perspective recently suggested [9, 10], we argue that such autistic dimension may underlie and favor most mental disorders and be the expression of a psychopathological liability [6]. …”

Section: Introductionmentioning

confidence: 99%

“…Asperger himself pointed out that the features that characterize the Autistischen Psychopathen can be found in varying degrees in the general population [14]. Accordingly, we propose a subthreshold Autism Spectrum that explores autistic features by using a dimensional approach focusing on subthreshold, atypical and gender-specific features, as well as personality traits [6]. From this perspective, we developed the AdAS Spectrum questionnaire that explores the whole spectrum of manifestations of autism, including, but not limited to, the former DSM-IV diagnosis of AD, as well as some intermediate phenotypes lying at the boundaries of ASD and characterized by subthreshold to mild autism spectrum symptoms [91].…”

Section: Introductionmentioning

confidence: 99%

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From Asperger's Autistischen Psychopathen to DSM-5 Autism Spectrum Disorder and Beyond: A Subthreshold Autism Spectrum Model

Dell’Osso¹,

Luche²,

Gesi³

et al. 2016

CPEMH

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Growing interest has recently been devoted to partial forms of autism, lying at the diagnostic boundaries of those conditions previously diagnosed as Asperger’s Disorder. This latter includes an important retrieval of the European classical psychopathological concepts of adult autism to which Hans Asperger referred in his work. Based on the review of Asperger's Autistische Psychopathie, from first descriptions through the DSM-IV Asperger’s Disorder and up to the recent DSM-5 Autism Spectrum Disorder, the paper aims to propose a Subthreshold Autism Spectrum Model that encompasses not only threshold-level manifestations but also mild/atypical symptoms, gender-specific features, behavioral manifestations and personality traits associated with Autism Spectrum Disorder. This model includes, but is not limited to, the so-called broad autism phenotype spanning across the general population that does not fully meet Autism Spectrum Disorder criteria. From this perspective, we propose a subthreshold autism as a unique psychological/behavioral model for research that could help to understand the neurodevelopmental trajectories leading from autistic traits to a broad range of mental disorders.

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