自闭症谱系障碍
Autism spectrum disorders (ASDs) are serious neurodevelopmental disorders affecting approximately one in 160 Australians.1 In 1943, Kanner used the word ‘autism’ to describe children who were unable to relate to others, had delayed and disordered language, repetitive behaviours and a drive for sameness.2 These three core symptoms have remained central to the diagnosis of a group of disorders referred to as ‘pervasive developmental disorders’ (PDDs) described in both the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revised (DSM-IV-TR)3 and the International Classification of Diseases (ICD-10).4 In 1997,Wing introduced the term ‘autism spectrum disorders’ describing a continuum of conditions from aloof children through to ‘active but odd’ children who share an autistic ‘triad of impairments’.5 The term has since been used to describe symptoms of severity, changes that occur with development and the associated range of intellectual ability.6 In line with emerging international practice, in this article the term ‘autism spectrum disorders’ will refer to autistic disorder, Asperger disorder and pervasive developmental disorder not otherwise specified (PDDNOS) (atypical autism).
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The Royal Australian College of General Practitioners (RACGP) is Australia’s largest professional general practice organisation and represents urban and rural general practitioners. We represent over 20 000 members working in or towards a career in general practice and are proud that in the 2010–2011 financial year over 18 000 GPs in Australia chose to be a member of the College. The College’s mission is to improve the health and wellbeing of all people in Australia by supporting GPs, general practice registrars and medical students through its principal activities of education, training and research and by assessing doctors’ skills and knowledge, supplying ongoing professional development activities, developing resources and guidelines, helping GPs with issues that affect their practice, and developing standards that general practices use to ensure high quality healthcare.