000			02949 ab a2200313 4500
001			46410
005			20191024102412.0
008			950727s2013 SET sp bc s001 0 eng
041			_aeng
093			_a27/02/2015
100			_aTebartz van Elst L. _953987
245			_aHigh-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy _bpsychopathological presentation, clinical relevance and therapeutic concepts/ _cLudger Tebartz van Elst ,Marion Pick,Monica Biscaldi ,Thomas Fangmeier,Andreas Riedel
337			_aArticle
340			_aDocument electrònic
520			_aAbstract Autism spectrum disorder (ASD) is characterized by deficits in social cognition and competence, communication, highly circumscribed interests and a strong desire for routines. Besides, there are specific abnormalities in perception and language. Typical symptoms are already present in early childhood. Traditionally autism has been regarded as a severe form of neurodevelopmental disorder which goes along with overtly abnormal language, learning difficulties and low IQ in themajority of cases.However, over the last decades, it has become clear that there are also many patients with high-functioning variants of ASD. These are patients with normal language at a superficial level of description and normal and sometimes above average intelligence. In high-functioning variants of the disease, they may run unrecognized until late in adult life. High-functioning ASD is associated with a very high prevalence of comorbid classical psychiatric disorders such as depression, anxiety, ADHD, tics, psychotic symptoms or emotionally unstable syndromes. In many such cases, there is a causal relationship between ASDand the comorbid psychiatric conditions in that the specific ASD symptoms result in chronic conflicts, misunderstandings and failure in private and vocational relationships. These problems in turn often lead to depression, anxiety and sometimes psychosis-like stress reactions. In this constellation, ASDhas to be regarded as a basic disorder with causal relevance for secondary psychiatric syndromes. In this paper, we summarize the classical presentation of highfunctioning ASD in adult psychiatry and psychotherapy and suggest a nosological model to classify different ASD conditions instead. To conclude, we outline first treatment concepts in out- and in-patient settings.
650			_aAdults _959053
650			_959249 _aAutisme
650			_aComorbiditat _964013
650			_aPsicoteràpia _960999
650			_aPsiquiatria _961002
650			_aSíndrome d'Asperger _963965
700			_aPick M. _973864
700			_aRiedel A. _973865
700			_aFangmeier T. _973866
700			_aBiscaldi M. _973867
773			_tEur Arch Psychiatry Clin Neurosci _g2013 SET; 263(Supl2): 189-196
990			_\Articles_pdf\ART-25.pdf
992			_a\\nassrv\z_doc6 _\Articles_pdf\ART-25.pdf
999			_c43350 _d43350