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High-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy psychopathological presentation, clinical relevance and therapeutic concepts/ Ludger Tebartz van Elst ,Marion Pick,Monica Biscaldi ,Thomas Fangmeier,Andreas Riedel

Creator: Tebartz van Elst L.
Creators: Pick M | Riedel A | Fangmeier T | Biscaldi M.
Material type: ArticleArticle Media type: Article Subject(s): Adults | Autisme | Comorbiditat | Psicoteràpia | Psiquiatria | Síndrome d'Asperger In: Eur Arch Psychiatry Clin Neurosci 2013 SET; 263(Supl2): 189-196Summary: Abstract Autism spectrum disorder (ASD) is characterized by deficits in social cognition and competence, communication, highly circumscribed interests and a strong desire for routines. Besides, there are specific abnormalities in perception and language. Typical symptoms are already present in early childhood. Traditionally autism has been regarded as a severe form of neurodevelopmental disorder which goes along with overtly abnormal language, learning difficulties and low IQ in themajority of cases.However, over the last decades, it has become clear that there are also many patients with high-functioning variants of ASD. These are patients with normal language at a superficial level of description and normal and sometimes above average intelligence. In high-functioning variants of the disease, they may run unrecognized until late in adult life. High-functioning ASD is associated with a very high prevalence of comorbid classical psychiatric disorders such as depression, anxiety, ADHD, tics, psychotic symptoms or emotionally unstable syndromes. In many such cases, there is a causal relationship between ASDand the comorbid psychiatric conditions in that the specific ASD symptoms result in chronic conflicts, misunderstandings and failure in private and vocational relationships. These problems in turn often lead to depression, anxiety and sometimes psychosis-like stress reactions. In this constellation, ASDhas to be regarded as a basic disorder with causal relevance for secondary psychiatric syndromes. In this paper, we summarize the classical presentation of highfunctioning ASD in adult psychiatry and psychotherapy and suggest a nosological model to classify different ASD conditions instead. To conclude, we outline first treatment concepts in out- and in-patient settings.
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Item type Current library Collection Call number Status Date due Barcode
Journal article Journal article Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Biblioteca Fitxer informàtic ART-25 (Browse shelf(Opens below)) Exclòs de préstec (Accés restringit) 0000003369494

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