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Diagnostic Criteria for Autistic Disorder
A - 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 followin)(a)
marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye of gaze, facial
expression, body postures, and gestures to regulate social interaction
(b)
failure to develop peer relationships appropriate to developmental level
(c)
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
(d)
lack of social or emotional reciprocity
(2)qualitative impairments incommunication, as manifested by at least one of the followin)
a ) delay in or lack of , the development of spoken language ( not accompanied by an attempt to
compensate through alternative modes of communication such as gesture or mime)
b ) in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others
( d ) lack of varied spontaneous make-believe play or social imitative play appropriate to developmental level
restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least of the following (3
( a ) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus
b ) apparently inflexible adherence to specific , nonfunctional routines or rituals
c ) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting or complex whole-body movements
d ) persistent preoccpation with parts of objects
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