The reconstruction will allow me to show that the NFO’s argument depends on the ideal of value-free science that I will criticize. Second, I offer a reconstruction of the “Natural Function Approach” argument to make explicit an unsound assumption underlying this approach. My argument is threefold: I first sketch the history of the debate opposing objectivists and constructivists and focus on the criticisms that (. I import conceptual tools from the account of procedural objectivity defended by Helen Longino to resolve the controversy over the definition of mental disorder. In this paper, I argue for a new way to understand the integration of facts and values in the concept of mental disorder that has the potential to avoid the flaws of previous hybrid approaches. In the conclusion, we evaluate whether SPCD could play any role in contemporary psychiatry other than that of an independent mental disorder and discuss the role that non-epistemic factors could play in the delineation of the future psychiatry nosography. Then, we turn to reliability issues connected with the introduction of the grandfather clause and the use of the concepts of spectrum and threshold in the definition of ASD. First, we analyze literature on three potential validators of SPCD, i.e., etiology, response to treatment, and measurability. In the second part, we focus on the validity and reliability of SPCD. In the first part, we outline the major aspects of the DSM-5 nosological revision involving ASD and SPCD. The aim of this paper is to review recent debates on SPCD, particularly as regards its independence from ASD.
) opens up the possibility that individuals with very similar symptoms can be diagnosed differently and receive different clinical treatments and social support.
For instance, the symptomatology of SPCD is notably close to that of Autism Spectrum Disorder. Although the introduction of SPCD in the psychiatry nosography depended on a variety of reasons-including bridging a nosological gap in the macro-category of Communication Disorders-in the last few years researchers have identified major issues in such revision.
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