Diagnostic substitution: Difference between revisions

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'''Diagnostic substitution''' is a phenomenon in which one label for a condition becomes replaced with another, causing an apparent decrease in the rate of the first condition and increase in the rate of the second. The best-known example is that of the increasing rates of autism in developed countries such as the United States, which some studies suggest is a result of people substituting diagnoses of autism for mental retardation and learning disabilities.<ref>{{cite doi|10.1542/peds.2005-1516}}</ref> With regard to the role of diagnostic substitution in the increase in reported cases of autism, [[Dorothy Bishop]] has said, "This could be in part because of new conceptualisations of autism, but may also be fuelled by strategic considerations: resources for children with ASD tend to be much better than those for children with other related conditions, such as language impairment or intellectual handicaps, so this diagnosis may be preferred.<ref>{{cite web | url=http://deevybee.blogspot.co.uk/2012/06/autism-epidemic-and-diagnostic.html | title=The ‘autism epidemic’ and diagnostic substitution | work=Deevybee.blogspot.co.uk | date=4 June 2012 | accessdate=9 October 2013 | author=Bishop, Dorothy}}</ref><ref>{{cite web | url=http://www.theatlantic.com/health/archive/2012/06/you-say-semantic-pragmatic-disorder-i-say-autism/258077/ | title=You say 'Semantic-Pragmatic Disorder,' I Say 'Autism' | work=[[The Atlantic]] | date=4 June 2012 | accessdate=9 October 2013 | author=Fung, Brian}}</ref>
'''Diagnostic substitution''' is a phenomenon in which one label for a condition becomes replaced with another, causing an apparent decrease in the rate of the first condition and increase in the rate of the second. The best-known example is that of the increasing rates of autism in developed countries such as the United States, which some studies suggest is a result of people substituting diagnoses of autism for mental retardation and learning disabilities.<ref>{{cite doi|10.1542/peds.2005-1516}}</ref><ref>{{cite pmid|17975721}}</ref> With regard to the role of diagnostic substitution in the increase in reported cases of autism, [[Dorothy Bishop]] has said, "This could be in part because of new conceptualisations of autism, but may also be fuelled by strategic considerations: resources for children with ASD tend to be much better than those for children with other related conditions, such as language impairment or intellectual handicaps, so this diagnosis may be preferred.<ref>{{cite web | url=http://deevybee.blogspot.co.uk/2012/06/autism-epidemic-and-diagnostic.html | title=The ‘autism epidemic’ and diagnostic substitution | work=Deevybee.blogspot.co.uk | date=4 June 2012 | accessdate=9 October 2013 | author=Bishop, Dorothy}}</ref><ref>{{cite web | url=http://www.theatlantic.com/health/archive/2012/06/you-say-semantic-pragmatic-disorder-i-say-autism/258077/ | title=You say 'Semantic-Pragmatic Disorder,' I Say 'Autism' | work=[[The Atlantic]] | date=4 June 2012 | accessdate=9 October 2013 | author=Fung, Brian}}</ref>
==References==
==References==
{{Reflist}}
{{Reflist}}

Revision as of 19:18, 9 October 2013

Diagnostic substitution is a phenomenon in which one label for a condition becomes replaced with another, causing an apparent decrease in the rate of the first condition and increase in the rate of the second. The best-known example is that of the increasing rates of autism in developed countries such as the United States, which some studies suggest is a result of people substituting diagnoses of autism for mental retardation and learning disabilities.[1][2] With regard to the role of diagnostic substitution in the increase in reported cases of autism, Dorothy Bishop has said, "This could be in part because of new conceptualisations of autism, but may also be fuelled by strategic considerations: resources for children with ASD tend to be much better than those for children with other related conditions, such as language impairment or intellectual handicaps, so this diagnosis may be preferred.[3][4]

References

  1. ^ Attention: This template ({{cite doi}}) is deprecated. To cite the publication identified by doi:10.1542/peds.2005-1516, please use {{cite journal}} (if it was published in a bona fide academic journal, otherwise {{cite report}} with |doi=10.1542/peds.2005-1516 instead.
  2. ^ Attention: This template ({{cite pmid}}) is deprecated. To cite the publication identified by PMID 17975721, please use {{cite journal}} with |pmid=17975721 instead.
  3. ^ Bishop, Dorothy (4 June 2012). "The 'autism epidemic' and diagnostic substitution". Deevybee.blogspot.co.uk. Retrieved 9 October 2013.
  4. ^ Fung, Brian (4 June 2012). "You say 'Semantic-Pragmatic Disorder,' I Say 'Autism'". The Atlantic. Retrieved 9 October 2013.