tag:blogger.com,1999:blog-5548560205914833324.post2469768226719932016..comments2023-04-23T00:16:48.148+01:00Comments on Questioning Answers: Starring autism in DSM-5Paul Whiteleyhttp://www.blogger.com/profile/14288851488012254897noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-5548560205914833324.post-29512432433503355562011-11-17T22:40:48.750+00:002011-11-17T22:40:48.750+00:00Thanks Jon. The Gupta paper listed at the foot of ...Thanks Jon. The Gupta paper listed at the foot of the post is in agreement with you on this one in that ADOS (and ADI) are put forward as 'gold-standards' but the standard is relative to the fact that autism as a label/description is still very much a diagnostic maze (not even getting me started on the confounders like comorbidity, etc). MJ @ Autism Jabberwocky did a nice post not so long ago which covered ADI and some of the issues there: http://autismjabberwocky.blogspot.com/2011/05/screening-for-autism-with-assq.htmlPaul Whiteleyhttps://www.blogger.com/profile/14288851488012254897noreply@blogger.comtag:blogger.com,1999:blog-5548560205914833324.post-77543929462355542902011-11-17T22:17:09.513+00:002011-11-17T22:17:09.513+00:00Some great points raised.
The new Lord et al. pa...Some great points raised. <br /><br />The new Lord et al. paper is certainly interesting - and quite sobering I think. However, the way it's been presented in the media gives the impression that the same kids were assessed by different physicians, when in fact what they showed was that different kids with similar scores on standardized tests (particularly the ADOS) ended up with different diagnoses depending on which centre was giving the diagnosis. But the clinical diagnoses are made on much more than the number of boxes ticked on the ADOS algorithm. So to conclude that physicians get it wrong (or are at least in strong disagreement with one another), the authors have to assume that the ADOS is a perfect instrument - which it very clearly isn't.drbrocktagonhttps://www.blogger.com/profile/15225859145004971487noreply@blogger.com