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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


JORDAN CRISTOBAL, Carlos M.. Autism spectrum disorder: clinical implications of a deficit-based conceptualization. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.128, pp.775-787. ISSN 2340-2733.

With the appearance of DSM-5 a vision of autism based on the concepts of spectrum and disability has been consolidated. From this vision emerge a kind of interventions that try to compensate deficits by means of educational adaptations and behaviour therapy, an approach inherited from that applied to intellectual disability In this work we discuss the development of the concept of infantile autism (from his origins tied to schizophrenia and infantile psychoses up to the current consolidation of the idea of autistic spectrum) as a starting point to understand in which way the detachment from classic psychopathology is changing our comprehension of these clinical pictures and, as a consequence, the way we trait them. By means of a small incursion into the clinic with two vignettes, we also intend to take up the idea of autism as something more than a deficit, a positive construction, a harsh defence against some sort of suffering, without thereby having to abandon compensatory interventions.

Keywords : Autistic disorder; Pervasive Child Development Disorders; psychotic disorders; Asperger Syndrome.

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