Traduction : G.M.
J Child Psychol Psychiatry. 2017 Jun;58(6):744-747. doi: 10.1111/jcpp.12703.
Editorial Perspective: Neurodiversity - a revolutionary concept for autism and psychiatry
Author information
- 1
- Department of Psychiatry, Autism Research Centre, University of Cambridge, Cambridge, UK.
Abstract
Devons-nous
continuer à désigner l'autisme comme une «maladie» ou un «trouble», ou
est-ce que le cadre de la «neurodiversité» est une lentille plus
humaine et plus précise pour voir les personnes avec un diagnostic d'autisme? La
preuve aux niveaux génétique, néonatal, comportemental et cognitif
révèle que les personnes avec un diagnostic d'autisme montrent à la fois des
différences et des signes de handicap, mais pas de trouble. L'invalidité
nécessite un soutien sociétal, l'acceptation de la différence et de la
diversité, et un «ajustement raisonnable» sociétal, alors que le
trouble est généralement utilisé pour exiger un remède ou un
traitement. Ce sont des cadres très différents.
Il sera important de voir comment le concept de neurodiversité est appliqué aux 300 diagnostics dans le DSM-5 et s'il révolutionne à la fois la science et la pratique de la psychiatrie.
Should we continue to refer to autism as a 'disease' or 'disorder', or is the framework of 'neurodiversity' a more humane and accurate lens through which to view people with autism? Evidence at the genetic, neural, behavioural and cognitive levels reveals people with autism show both differences, and signs of disability, but not disorder. Disability requires societal support, acceptance of difference and diversity, and societal "reasonable adjustment", whilst disorder is usually taken to require cure or treatment. These are very different frameworks. It will be important to see how the concept of neurodiversity is applied to the 300 diagnoses in DSM-5, and if it revolutionizes both the science and the practice of psychiatry.
Il sera important de voir comment le concept de neurodiversité est appliqué aux 300 diagnostics dans le DSM-5 et s'il révolutionne à la fois la science et la pratique de la psychiatrie.
Should we continue to refer to autism as a 'disease' or 'disorder', or is the framework of 'neurodiversity' a more humane and accurate lens through which to view people with autism? Evidence at the genetic, neural, behavioural and cognitive levels reveals people with autism show both differences, and signs of disability, but not disorder. Disability requires societal support, acceptance of difference and diversity, and societal "reasonable adjustment", whilst disorder is usually taken to require cure or treatment. These are very different frameworks. It will be important to see how the concept of neurodiversity is applied to the 300 diagnoses in DSM-5, and if it revolutionizes both the science and the practice of psychiatry.
© 2017 Association for Child and Adolescent Mental Health.
- PMID: 28524462
- DOI: 10.1111/jcpp.12703
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