Journal of Autism and Developmental Disorders

, Volume 35, Issue 2, pp 235–240

Asperger’s Syndrome: A Comparison of Clinical Diagnoses and Those Made According to the ICD-10 and DSM-IV


DOI: 10.1007/s10803-004-2002-x

Cite this article as:
Woodbury-Smith, M., Klin, A. & Volkmar, F. J Autism Dev Disord (2005) 35: 235. doi:10.1007/s10803-004-2002-x

The diagnostic criteria for Asperger Syndrome (AS) according to ICD-10 and DSM-IV have been criticized as being too narrow in view of the rules of onset and precedence, whereby autism takes precedence over AS in a diagnostic hierarchy. In order to investigate this further, cases from the DSM-IV multicenter study who had been diagnosed clinically with AS were assigned to appropriate DSM-IV/ICD-10 diagnostic categories. The analysis indicated that 11(23%) cases would be reassigned a diagnosis of autism by either ICD-10 or DSM-IV according to their onset and precedence rules, and 33(68%) would be diagnosed with AS. These results contrast with those of others who have stated that the diagnosis of AS using ICD-10/DSM-IV criteria is ‘virtually impossible’. It is suggested that this is due to limitations inherent in these criteria, and alternative conceptualizations are discussed.


Asperger syndrome diagnosis autism 

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Yale Child Study CenterYale University School of MedicineNew HavenUSA
  2. 2.Yale Child Study CenterYale University School of MedicineNew HavenUSA

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