• En aucun cas on ne peut parler de « définition » de l’autisme, hormis quand il s’agit du mot seulement (e.g. « substantif masculin », historique du mot, sémantique). La notion de « définition » ne peut en aucun cas porter sur la biologie, que l’on peut observer et dénommer mais par nature même, jamais définir. — Plus largement, on ne peut parler de « définition » que s’agissant des « unités de mesure » : strictement rien d’autre ne peut faire l’objet de « définition » en science : pour toutes autres notions que les unités de mesure, on parle de « description ». Parler de « définition » pour autre chose que les unités de mesure (le mètre, le litre, le degré centigrade ou le Kelvin, etc.), c’est tomber directement dans la mystification, et s’agissant d’autisme, encore plus directement dans la malfaisance.

[2016]

• ^{advancepreview2018} ⊳ Aussi en français ⊲ WHO releases new International Classification of Diseases (ICD 11) · 18 June 2018 News release Geneva : The World Health Organization (WHO) is today releasing its new ^{advancepreview2018} International Classification of Diseases (ICD-11). · WHO.int/news/item/18-06-2018-who-releases-new-international-classification-of-diseases-(icd-11)

• ^adopted2019 ⊳ Aussi en français ⊲ World Health Assembly Update · 25 May 2019 · News release Geneva · International Statistical Classification of Diseases and Related Health Problems (ICD-11) · Member states agreed today to adopt the eleventh revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11), to come into effect on 1 January 2022. (…) · WHO.int/news/item/25-05-2019-world-health-assembly-update

[2021-07-20]

Aucune date de « vigueur » n’étant tolérable s’agissant de l’état des connaissances médicales disponibles, compatible avec l’état des connaissances scientifiques à tout moment, le tout selon en l’occurrence les capacités des rédacteurs de l’ICD·CIM, la date officielle d’entrée en vigueur de l’ICD-11·CIM-11 concerne exclusivement le but statistique par la « codification » des items, e.g. « 6A02 ». Ainsi que le délai pour mise à jour des moyens de recueil et transmission de la codification nouvelle de la situation diagnostique des patients. Voir les extraits ci-dessous : le Reference Guide indique même que la situation fréquente ou la plus fréquente parmi les pays membres de la WHO·OMS est celle dans laquelle ce ne sont pas les auteurs des diagnostics, les médecins, qui effectuent la codification, mais des personnels spécialisés dans le codage des diagnostics. Et en effet et respectivement, par essence même de la médecine, il est inconcevable dans le principe que les capacités diagnostiques de médecins puissent être limitées par l’état sémantique descriptif des items d’une classification.

Il est (donc) ignare, obscurantiste, illettré, d’arriération mentale, d’imaginer que la teneur sémantique descriptive des items de l’ICD·CIM puisse faire l’objet d’une quelconque date d’entrée en vigueur, y compris celle d’adoption et ses modalités par l’assemblée générale de la WHO·OMS : ceci ne peut concerner que la codification des diagnostics. La teneur sémantique descriptive des items n’a en rien pour « décideur » la WHO·OMS ni d’ailleurs aucun « décideur » imaginable. La WHO·OMS ne fait que reconnaître l’état des connaissances, qu’elle n’a elle-même ni produites ni établies, mais dont elle a seulement établi une formulation de la teneur, dans une perspective statistique. Celle-ci se manifeste par codification attribuée aux items répertoriés de diagnostic, pour qu’à la suite cette codification soit attribuée à des diagnostics individuels, qui quant à eux ne peuvent par essence de la médecine être en rien contraints par un état des connaissances tel que formulé dans un but statistique. Ceci, lorsque cela se produit, ne peut être attribué qu’à de la « technocratie administrative » détruisant la notion même de médecine. — Science is the belief in the ignorance of experts. – Richard P. Feynman.

Ainsi, rigoureusement aucune « date de valeur », et encore moins de « vigueur », de la teneur sémantique descriptive d’items diagnostiques dans l’ICD·CIM, ne peut être reconnue, seul l’état individuel de mise à jour de leurs connaissances par les intéressés ayant à tout moment la moindre valeur possible. Ceci est signifié en redondances extrêmes par le Reference Guide, sans le dire expressément puisqu’il s’agirait alors d’une insulte à l’intelligence, aux capacités, du « public concerné » par l’ICD·CIM. Cependant ici… on n’hésite pas à le mentionner… ; y comprenne qui pourra… en ignore qui l’ose.

[2021-07-21]

• ^{referenceguide} ICD-11 Reference Guide
  1. — Part 1 - An Introduction to ICD-11
  • 1.1. — Purpose and multiple uses of ICD
    The International Classification of Diseases and Related Health Problems (ICD) is a tool for recording, reporting and grouping conditions and factors that influence health. It contains categories for diseases, health related conditions, and external causes of illness or death. The purpose of the ICD is to allow the systematic recording, analysis, interpretation and comparison of mortality and morbidity data collected in different countries or areas and at different times. (…)
    The ICD is primarily designed for the classification of diseases and injuries. However, not every problem or reason for coming into contact with health services can be categorized in this way. Consequently, the ICD includes a wide variety of signs, symptoms, abnormal findings, complaints and social factors that represent the content from health-related records (see section on morbidity). The ICD can therefore be used to classify data recorded under headings such as ‘Diagnosis’, ‘Reason for admission’, ‘Conditions treated’ and ‘Reason for consultation’, which appear on a wide variety of health records from which statistics are derived, for treatment, prevention, or patient safety.
    11-04-2019 » · ICD.who.int/icd11refguide/en/index.html#1.1.0Part1purposeandmultipleusesofICD
    • N.b. The passage in bold is the only such one in the original text. Italics are added here.
  • « 1.4  Main Uses of the ICD : Morbidity
    Morbidity data are used for statistical reporting mostly at national or local levels. While some of this statistical reporting is conducted within an academic research context, it is commonly conducted in applied settings to inform health system and public health agency decision- making. (…)
    • 1.4.1  What is coded : Conditions of patient
      The health care practitioner responsible for the patient’s treatment is also responsible for documenting the patient’s health conditions. This information should be organised systematically by using standard recording methods. A properly completed record is essential for good patient management. It is also an essential prerequisite to the creation of a valid coded record of patient diagnoses, derived through a coding process from written information describing a patient’s medical condition. When a sound written record of patient conditions is available, successful coding of this information in ICD and associated classifications produces a valuable source of epidemiological and other statistical data on morbidity and other health care problems. The person transforming the information on the stated condition to codes (the ‘coder’) may be the health care practitioner or a clinical coder (who is not responsible for the patient’s treatment). In the latter situation, which is quite common among member countries, the coder depends on the adequacy of clinical documentation of patient conditions by health care practitioners in the medical record. The primary importance of clinical documentation by health care practitioners as the starting point for coded health data cannot be overstated, and needs to be underlined as being a matter of key importance within countries and internationally – with implications for health information and clinical documentation teaching within health care practitioner training programs.
      11/04/2019 » · ICD.who.int/icd11refguide/en/index.html#1.4Mainusesmorbidity
    • N.b. Italics are added here.

[2021-07-20]

Conformément aux données acquises depuis des décennies de la recherche portant sur l’autisme, le cas des « désordres/troubles intellectuels, désordres/troubles du développement intellectuel » (« déficit intellectuel ») ne concerne plus que ceux qui croient de façon fantasmagorique que l’autisme en comporte. Ce sont ceux qui croient comme des croyants que l’autisme comporte des désordres/troubles intellectuels… qui souffrent eux-mêmes de désordres/troubles intellectuels ; ceci est réglé, ainsi :

[2016]

ICD-11·CIM-11 · ^{onlinebeta2016forpubliccomments adopted2019current2022 ongoingmaintenance} (& ^{whoficfoundation})

• ^{onlinebeta2016forpubliccomments} ICD-11 · « 6A02 Autism spectrum disorder »
  (dead 2016 link Apps.WHO.INT/classifications/icd11/browse/l-m/en#/http://id.who.int/icd/entity/437815624)
  • D’“Intellectual disability/deficit”, il n’est pas question comme composante [de la gamme des] « troubles (du spectre de) de l’autisme » (… et dès lors encore moins comme composante de l’autisme…)  :
    ⊳  Of ‘Intellectual disability/deficit’, there is no mention as a component of the [array of the] ‘disorder of autism’ [spectrum] (… and therefore even less as a component of autism…): ⊲
  • ^{onlinebeta2016forpubliccomments} “Individuals along the spectrum exhibit a full range of intellectual functioning and language abilities.”
    • ^{adopted2019current2022} : Idem.
    • ^{ongoingmaintenance} (& ^{whoficfoundation}) : Idem.
  • ^{onlinebeta2016forpubliccomments} “The co-occurring Disorder of intellectual development should be classified separately, using the appropriate category to designate severity (i.e., mild, moderate, severe, profound, provisional).”  : le désordre mal traduit « trouble », du « développement intellectuel », quant à lui devant être coté séparément, ne fait pas partie non plus de la notion de « désordre (“trouble”) de l’autisme ». Il en est de même s’agissant de « impairment of functional language », qui est ou n’est pas présent.
    ⊳  The disorder of ‘intellectual development’, which has by itself to be scored separately, is also not part of the notion of ‘autism disorder’. The same applies to the impairment of functional language, which may or may not be present. ⊲
    • ^{ongoingmaintenance} (& ^{whoficfoundation}) :
      “Qualifiers for characterizing features within the Autism Spectrum :
      These qualifiers enable the identification of co-occurring limitations in intellectual and functional language abilities, which are important factors in the appropriate individualization of support, selection of interventions, and treatment planning for individuals with Autism Spectrum Disorder. A qualifier is also provided for loss of previously acquired skills, which is a feature of the developmental history of a small proportion of individuals with Autism Spectrum Disorder.
      (i.)  Co-occurring Disorder of Intellectual Development
      Individuals with Autism Spectrum Disorder may exhibit limitations in intellectual abilities. If present, a separate diagnosis of Disorder of Intellectual Development should be assigned, using the appropriate category to designate severity (i.e., Mild, Moderate, Severe, Profound, Provisional). Because social deficits are a core feature of Autism Spectrum Disorder, the assessment of adaptive behaviour as a part of the diagnosis of a co-occurring Disorder of Intellectual Development should place greater emphasis on the intellectual, conceptual, and practical domains of adaptive functioning than on social skills.
      (i.i.)  If no co-occurring diagnosis of Disorder of Intellectual Development is present, the following qualifier for the Autism Spectrum Disorder diagnosis should be applied :
      · without Disorder of Intellectual Development
      (i.ii.)  If there is a co-occurring diagnosis of Disorder of Intellectual Development, the following qualifier for the Autism Spectrum Disorder diagnosis should be applied, in addition to the appropriate diagnostic code for the co-occurring Disorder of Intellectual Development :
      · with Disorder of Intellectual Development
      (ii.)  Degree of Functional Language Impairment
      The degree of impairment in functional language (spoken or signed) should be designated with a second qualifier. Functional language refers to the capacity of the individual to use language for instrumental purposes (e.g., to express personal needs and desires). This qualifier is intended to reflect primarily the verbal and non-verbal expressive language deficits present in some individuals with Autism Spectrum Disorder and not the pragmatic language deficits that are a core feature of Autism Spectrum Disorder.
      The following qualifier should be applied to indicate the extent of functional language impairment (spoken or signed) relative to the individual’s age :
      · with mild or no impairment of functional language
      · with impaired functional language (i.e., not able to use more than single words or simple phrases)
      · with complete, or almost complete, absence of functional language” “(…)”.

[2016 complété 2021-07-23]

Ainsi, la ^{onlinebeta2016forpubliccomments} CIM-11 acte l’expulsion du diagnostic de « Troubles (du spectre) de » l’autisme (et a fortiori expulsion de la qualification « autiste, autisme »), de toutes les délétions et variantes génétiques, et autres, impliquant (i.e. systématiquement) un « déficit intellectuel ».

• Ceux qui continuent à vouloir incruster les implications de « déficit intellectuel » dans l’autisme-les troubles de l’autisme sont donc des escrocs et par ^{haine/indignitéenverslesautistes}.

[2016]

2021-12-06/15 :  ⁘    Farcical “PROFOUND VS. SUPERFICIAL” AUTISM: IF YOU ARE NOT PROFOUND, YOU ARE SUPERFICIAL ※ It’s all in the title; or the art of making fun of the world  ❧  ⊳ Grand-Guignol Autisme bien profond, ou superficiel : si vous n’êtes pas profond, vous êtes superficiel ※ Tout est dans le titre ; ou l’art de se moquer du monde  ✻ — Bilingual Article ⁘ ✻✻ & Encore The Lancet…. This is about a bunch of deplorables who feel sick that autism is no longer described in a degrading way in the ICD (ICD-11).

Compléments ❧  ⊳ Complements

• ^obsolete ICD-10 Version : 2019
  • ^obsolete ICD-10 · F70-F79 “Mental retardation · A condition of arrested or incomplete development of the mind, which is especially characterized by impairment of skills manifested during the developmental period, skills which contribute to the overall level of intelligence, i.e. (…)” · ICD.who.int/browse10/2019/en#/F70-F79
• ^{adopted2019current2022} ICD-11 Adopted : 2019
  • ^{adopted2019current2022} ICD-11 · 6A00 “Disorders of intellectual development · Description : (…) significantly below average intellectual functioning (…) · Diagnostic Criteria : Essential (Required) Features : The presence of significant limitations in intellectual functioning across various domains such as (…)” · ICD.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/605267007
  • compare with
  • ^{adopted2019current2022} ICD-11 · 6A02 “Autism spectrum disorder · (…) · “Individuals along the spectrum exhibit a full range of intellectual functioning and language abilities.” · ICD.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/437815624

[2021-07-20]

Pour la version 2021 adoptée OMS 2019, Voir : ^{adopted2019current2022 ongoingmaintenance whoficfoundation}

ICD-11·CIM-11 Beta 2016 Draft « 6A02 Autism spectrum disorder » ^{onlinebeta2016forpubliccomments}

(dead 2016 link : Apps.WHO.INT/classifications/icd11/browse/l-m/en#/http://id.who.int/icd/entity/437815624)

• Parent : Neurodevelopmental disorders
  ICD-10 : F84.0
• Description
  Autism spectrum disorder is characterized by persistent deficits in the ability to initiate and to sustain reciprocal social interaction and social communication, and by a range of restricted, repetitive, and inflexible patterns of behaviour and interests. The onset of the disorder occurs during the developmental period, typically in early childhood, but symptoms may not become fully manifest until later, when social demands exceed limited capacities. Deficits are sufficiently severe to cause impairment in personal, family, social, educational, occupational or other important areas of functioning and are usually a pervasive feature of the individual’s functioning observable in all settings, although they may vary according to social, educational, or other context. Individuals along the spectrum exhibit a full range of intellectual functioning and language abilities.
• Inclusions
  • Autistic disorder
  • Pervasive developmental delay
• Exclusions
  • Developmental language disorder (6A01.2)
  • Schizophrenia or other primary psychotic disorders (6A20-6A4Z)
• All Index Terms
  • There are no index terms associated with this entity

[2016]

ICD-11·CIM-11 Adopted 2019 Current 2021 « 6A02 Autism spectrum disorder » ^{adopted2019current2022}

ICD.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/437815624

• Parent : Neurodevelopmental disorders
• Description
  Autism spectrum disorder is characterised by persistent deficits in the ability to initiate and to sustain reciprocal social interaction and social communication, and by a range of restricted, repetitive, and inflexible patterns of behaviour, interests or activities that are clearly atypical or excessive for the individual’s age and sociocultural context ^{(addedsinceonlinebeta2016forpubliccomments)}. The onset of the disorder occurs during the developmental period, typically in early childhood, but symptoms may not become fully manifest until later, when social demands exceed limited capacities. Deficits are sufficiently severe to cause impairment in personal, family, social, educational, occupational or other important areas of functioning and are usually a pervasive feature of the individual’s functioning observable in all settings, although they may vary according to social, educational, or other context. Individuals along the spectrum exhibit a full range of intellectual functioning and language abilities.
• Inclusions
  • Autistic disorder
• Exclusions
  • Rett syndrome (LD90.4)

[2021-07-29]

Pour la version 2021 adoptée OMS 2019, Voir : ^{adopted2019current2022 ongoingmaintenance whoficfoundation}

ICD-11·CIM-11 Beta 2016 Draft ^{onlinebeta2016forpubliccomments}

• 06  Mental, behavioural or neurodevelopmental disorders
  • Neurodevelopmental disorders
    • 6A00  Disorders of intellectual development
    • 6A01  Developmental speech or language disorders
    • 6A02  Autism spectrum disorder
      (dead 2016 link : Apps.WHO.INT/classifications/icd11/browse/l-m/en#/http://id.who.int/icd/entity/437815624)
      • 6A02.1  Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language
      • 6A02.2  Autism spectrum disorder with disorder of intellectual development and with mild or no impairment of functional language
      • 6A02.3  Autism spectrum disorder without disorder of intellectual development and with impaired functional language
      • 6A02.4  Autism spectrum disorder with disorder of intellectual development and with impaired functional language
      • 6A02.5  Autism spectrum disorder without disorder of intellectual development and with absence of functional language
      • 6A02.Y  Other specified autism spectrum disorder
      • 6A02.Z  Autism spectrum disorder, unspecified
    • (…)

[2016]

ICD-11·CIM-11 Adopted 2019 Current 2021 ^{adopted2019current2022}

• 06  Mental, behavioural or neurodevelopmental disorders
  • Neurodevelopmental disorders
    • 6A00  Disorders of intellectual development
    • 6A01  Developmental speech or language disorders
    • 6A02  Autism spectrum disorder
      ICD.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/437815624
      • 6A02.0  Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language
        Rem. ICD-11 Maintenance (& WHOFIC Foundation), 2021 excerpt : « All Index Terms :
        · Autism spectrum disorder without disorder of intellectual development and with mild or no impairment of functional language
        · Autism spectrum disorder without disorder of intellectual development and without impairment of functional language
        · Asperger syndrome ⇒ “This index entry is an entity in the foundation that is not included in this linearization. Therefore the contents have been included as index entries. Click to see the foundation entity”
        ·· Asperger disorder
        ·· Asperger » — ^{ongoingmaintenance}
      • 6A02.1  Autism spectrum disorder with disorder of intellectual development and with mild or no impairment of functional language
      • 6A02.2  Autism spectrum disorder without disorder of intellectual development and with impaired functional language
      • 6A02.3  Autism spectrum disorder with disorder of intellectual development and with impaired functional language
      • 6A02.5  Autism spectrum disorder with disorder of intellectual development and with absence of functional language
      • 6A02.Y  Other specified autism spectrum disorder
      • 6A02.Z  Autism spectrum disorder, unspecified
    • (…)

[2021-07-29]