Kutheni abadali be-DSM5 belahla ukuxilongwa kwe-PDD-NOS?
Ngomhla ka-Meyi 2013, i-American Psychiatric Association (APA) yakhipha iSicatshulwa seNgcaciso kunye neSatisatisithi seMental Disorders (DSM) Version 5. I-DSM yincwadana eququzelela ukuziphatha kunye neempawu kwiindawo zokuxilongwa ngenjongo yokuxilongwa kweklinikhi kunye nenkconywa yonyango.
Kwixesha elide, iDSM ishintshile kakhulu; Ingcamango "ye-autism spectrum" iyingqungquthela, kwaye utshintsho olukhulu kwiinkqubo zokuxilonga nge-autism ziya kutshintsha into esicinga ngayo njengolu "hlabathi le-autism." Iinguqu ezimbini ezibalulekileyo zinguqu ukususwa kwezinto ezimbini ezikhoyo zokuxilongwa kwe-autism- PDD-NOS kunye ne- Asperger syndrome- ukusuka kwincwadi.
Kuthetha ukuthini oku kutshintsha? Ukuze ufumane okungakumbi malunga neenguqu ezicetywayo, ndiqhagamshelana ne-APA kwaye ndacela imibuzo eninzi. Emva kweeveki ezimbalwa, ndafumana iimpendulo, ezona zibhalwa nguDkt. Bryan King weqela le-Neurodevelopmental Disorders.
Ngokutsho kukaDkt. King, le ndlela efanelekileyo yindlela efanelekileyo yokufumana ngakumbi malunga neengxaki ezithile ze-autism. Iikhrayitheriya zenzelwe ukwahlula abantwana abanomngeni ongenakufezekisa imigaqo ye-autism. Ngaphambi kwe-DSM5, abantwana "abangenayo i-autism" bafunyaniswa ukuba babe ne-PDD-NOS-inxalenye yembalo ye-autism.
UDkt. King uthi:
Kwiinguqulelo ezicetywayo kwi-DSM 5, ukugxila ekuziphatheni akutshintshi. Nangona kunjalo, kukho umnqweno wokukwazi ukucacisa ngokucacileyo abantu abaxilongwa ngolu hlobo kunokuba okwangoku kunokwenzeka nge-DSM-IV, kwaye kwezinye iimeko ezi zibandakanya ukusebenzisa i-diagnostic engaphezu kweyodwa. Ngokomzekelo, ngokukrazula ukukhubazeka kweelwimi kwiinkqubo zokuxilonga nge-autism, siya kuba nokuchaza kangcono abantu abane-autism kunye okanye abangenakho ukuphazamiseka kolwimi, ngokuchasene nokubenza bafumane ukuxilongwa okufanayo. Ngokufanayo, i-DSM-IV ivimbela uvavanyo lwe-ADHD kunye ne-autism, okanye i-schizophrenia kunye ne-autism. Kodwa siyazi ukuba le miqathango inokubakho ngokukodwa, kwaye i-DSM 5 iya kuvumela ukuba le nto ikwazi ukubetha kangangoko into ekhoyo kumntu onikezelweyo kunokuba nje "i-disistic disorder"
Ukongezelela, i-PDD-NOS ayifumananga neenkalo zokuxilonga, njengoko kwakusenzelwe okokuqala ukuba isetyenziswe kuphela kubantwana abangazange bahlangabezane neempendulo ze-autism okanye i-Asperger disorder. Ngenxa yokuba i-DSM-IV ayinaso isigaba sokuxilonga kubantwana abanenkathazo yokuxinwa kweentlalo kuphela, aba bantwana bavame ukuxilongwa nge-PDD-NOS. Oku kwakungalingani nokuxilongwa kwe-autistic disorder, kuba bekubandakanya nezinye iingxaki zokuphuhliswa. Inkqubo entsha inokuphinda ihlukanise abantwana abanokungabikho kwintlupheko ekunxibelelweni kwezentlalo (kwaye ke ngoko bangenxalenye ye-autism spectrum), kunye nabanye, ngokwandisa ukufakwa kwi-autism. Inkqubo entsha inokubonelela ngolwazi oluchanekileyo noluthile oluchanekileyo lokuxilongwa kwezentlalo , ezinokubangela ukuba unyango olufanelekileyo.