DSM-IV DIAGNOSTIC CRITERIA FOR ASPERGER'S DISORDER

A.Qualitative impairment in social interaction, as manifested by at least

two of the following:

(1) marked impairment in the use of multiple nonverbal behaviors such as

eye-to-eye gaze, facial expression, body postures, and gestures to
regulate social interaction
(2) failure to develop peer relationships appropriate to developmental
level
(3) 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 to other people)
(4) lack of social or emotional reciprocity

B.Restricted repetitive and stereotyped patterns of behavior, interests,

and activities, as manifested by at least one of the following:

(1) encompassing preoccupation with one or more stereotyped and

restricted patterns of interest that is abnormal either in intensity or focus
(2) apparently inflexible adherence to specific, nonfunctional routines or
rituals
(3) stereotyped and repetitive motor mannerisms (e.g., hand or finger
flapping or twisting, or complex whole-body movements)
(4) persistent preoccupation with parts of objects

C.The disturbance causes clinically significant impairment in social,

occupational, or other important areas of functioning.

D.There is no clinically significant general delay in language (e.g., single

words used by age 2 years, communicative phrases used by age 3 years).

E.There is no clinically significant delay in cognitive development or in the

development of age-appropriate self-help skills, adaptive behavior (other
than in social interaction), and curiosity about the environment in
childhood.

F.Criteria are not met for another specific Pervasive Developmental

Disorder or Schizophrenia.

GILLBERG'S CRITERIA FOR ASPERGER'S DISORDER (SYNDROME)

6.Motor clumsiness: poor performance on neurodevelopmental examination

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SCHIZOFRENIA DSM IV

These criteria are obsolete.

A. Characteristic symptoms: Two (or more) of the following, each present for a significant

portion of time during a 1-month period (or less if successfully treated): 

(1) delusions
(2) hallucinations
(3) disorganized speech (e.g., frequent derailment or incoherence) 
(4) grossly disorganized or catatonic behavior
(5) negative symptoms, i.e., affective flattening, alogia, or avolition

Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations

consist of a voice keeping up a running commentary on the person's behavior or thoughts, or
two or more voices conversing with each other. 

B. Social/occupational dysfunction: For a significant portion of the time since the onset of the
disturbance, one or more major areas of functioning such as work, interpersonal relations, or
self-care are markedly below the level achieved prior to the onset (or when the onset is in
childhood or adolescence, failure to achieve expected level of interpersonal, academic, or
occupational achievement). 

C. Duration: Continuous signs of the disturbance persist for at least 6 months. This 6-month
period must include at least 1 month of symptoms (or less if successfully treated) that meet
Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual
symptoms. During these prodromal or residual periods, the signs of the disturbance may be
manifested by only negative symptoms or two or more symptoms listed in Criterion A present
in an attenuated form (e.g., odd beliefs, unusual perceptual experiences). 

D. Schizoaffective and  Mood Disorder exclusion: Schizoaffective Disorder and Mood

Disorder With Psychotic Features have been ruled out because either (1) no Major
Depressive, Manic, or Mixed Episodes have occurred concurrently with the active-phase
symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total
duration has been brief relative to the duration of the active and residual periods. 

E. Substance/general medical condition exclusion: The disturbance is not due to the direct

physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical
condition. 

F. Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic

Disorder or another Pervasive Developmental Disorder, the additional diagnosis of
Schizophrenia is made only if prominent delusions or hallucinations are also present for at
least a month (or less if successfully treated). 

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 SCHIZOFRENIA in DSM V
Two changes were made to the primary symptom criteria for
schizophrenia.

According to the APA, “the first change is the elimination of the

special attribution of bizarre delusions and Schneiderian first-rank
auditory hallucinations (e.g., two or more voices conversing). In
DSM-IV, only one such symptom was needed to meet the diagnostic
requirement for Criterion A, instead of two of the other listed
symptoms. This special attribution was removed due to the
nonspecificity of Schneiderian symptoms and the poor reliability in
distinguishing bizarre from nonbizarre delusions.

“Therefore, in DSM-5, two Criterion A symptoms are required for any

diagnosis of schizophrenia.”

The second change was the requirement for a person to now have at
least one of three “positive” symptoms of schizophrenia:

 Hallucinations

 Delusions

 Disorganized speech

The APA believes this helps increase the reliability of a

schizophrenia diagnosis.

Schizophrenia subtypes
Schizophrenia subtypes have been dumped in the DSM-5 because of
their “limited diagnostic stability, low reliability, and poor validity,”
according to the APA. (The old DSM-IV had specified the following
schizophrenia subtypes: paranoid, disorganized, catatonic,
undifferentiated, and residual type.)

The APA also justified the removal of schizophrenia subtypes from

the DSM-5 because they didn’t appear to help with providing better
targeted treatment, or predicting treatment response.

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 Diagnostic Criteria for SCHIZOTYPAL Personality Disorder

A. A pervasive pattern of social and interpersonal deficits marked by acute

discomfort with, and reduced capacity for, close relationships as well as by cognitive
or perceptual distortions and eccentricities of behavior, beginning by early
adulthood and present in a variety of contexts, as indicated by five (or more) of the
following:

 ideas of reference (excluding delusions of reference)

 odd beliefs or magical thinking that influences behavior and is
 inconsistent with subcultural norms (e.g., superstitiousness, belief in
clairvoyance, telepathy, or “sixth sense”; in children and adolescents, bizarre
fantasies or preoccupations)
 unusual perceptual experiences, including bodily illusions
 odd thinking and speech (e.g., vague, circumstantial, metaphorical,
overelaborate, or stereotyped)
 suspiciousness or paranoid ideation
 inappropriate or constricted affect
 behavior or appearance that is odd, eccentric, or peculiar
 lack of close friends or confidants other than first-degree relatives
 excessive social anxiety that does not diminish with familiarity and tends to
be associated with paranoid fears rather than negative judgments about self

B. Does not occur exclusively during the course of Schizophrenia, a Mood Disorder
With Psychotic Features, another Psychotic Disorder, or a Pervasive Developmental
Disorder.

C. The disturbance is not due to the direct physiological effects of a substance (e.g.,
a drug of abuse, a medication) or a general medical condition.

Note: If criteria are met prior to the onset of Schizophrenia, add “Premorbid,” e.g.,
“Schizotypal Personality Disorder (Premorbid).”

Associated features

 Depressed Mood
 Odd/Eccentric/Suspicious Personality