Commentary: Best practices and processes for assessment of autism spectrum disorder - the intended role of standardized diagnostic instruments.

Somer L Bishop, Catherine Lord

May 2023

Synopsis of Social media discussions

Many posts highlight the risks of over-relying on standardized diagnostic tools, as seen in discussions suggesting that tools like the ADI and ADOS can lead to misdiagnosis if not applied carefully. Phrases like 'imperative that diagnosticians be trained' and 'the danger of reliance' emphasize the need for critical evaluation and deeper training in diagnosis, reflecting a tone of seriousness and urgency about the implications of the article.

A
Agreement
 Moderate agreement

The majority of discussions indicate support for the article's call for cautious use of standardized diagnostic tools, acknowledging their limitations.

I
Interest
 High level of interest

High interest is reflected in the frequent sharing and commenting on the publication, indicating its relevance to current discussions in the field.

E
Engagement
 Moderate level of engagement

Many participants engage with the content by referencing specific points made in the publication, indicating thoughtful consideration rather than surface-level interactions.

I
Impact
 High level of impact

The discussions suggest that the publication is perceived to have substantial implications for clinical practice and the understanding of autism diagnosis.

Social Mentions

YouTube

2 Videos

Twitter

68 Posts

News

2 Articles

Metrics

Video Views

692

Total Likes

217

Extended Reach

263,865

Social Features

72

Timeline: Posts about article

Top Social Media Posts

Posts referencing the article

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March 11, 2025

332 views

  • Prof Marios Adamou OBE
    @DrMariosAdamou (Twitter)

    Commentary: Best practices and processes for assessment of autism spectrum disorder – the intended role of standardized diagnostic instruments https://t.co/8LSkZlkKDZ
    view full post

    August 8, 2025

  • Carolyn Brown
    @cbbroony (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    March 1, 2024

    22

  • UCSF Psychiatry and Behavioral Sciences
    @UCSFPsychiatry (Twitter)

    #Research reading: Commentary: Best practices and processes for assessment of #autism spectrum disorder - the intended role of standardized diagnostic instruments https://t.co/r41HKkqf5T
    view full post

    June 16, 2023

  • Wiley Psychology
    @WileyPsychology (Twitter)

    Don't rely solely on standardized diagnostic tools for autism! They aid in gathering info, but understanding limitations is key.
    view full post

    June 6, 2023

    4

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  • Lainey Keane
    @LaineyKeane (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    May 4, 2023

    22

  • Jackie Ames38%
    @JacquelineAme14 (Twitter)

    RT @FuanFundacion: Compartimos artículo "Mejores prácticas y procesos para la evaluación del espectro autista: el papel previsto de los ins…
    view full post

    April 25, 2023

    4

  • Mel.sar
    @esquejito1 (Twitter)

    RT @FuanFundacion: Compartimos artículo "Mejores prácticas y procesos para la evaluación del espectro autista: el papel previsto de los ins…
    view full post

    April 23, 2023

    4

  • gabverdugoweinberger
    @gabverwein (Twitter)

    RT @FuanFundacion: Compartimos artículo "Mejores prácticas y procesos para la evaluación del espectro autista: el papel previsto de los ins…
    view full post

    April 21, 2023

    4

  • Fundacion_FUAN
    @FuanFundacion (Twitter)

    Compartimos artículo "Mejores prácticas y procesos para la evaluación del espectro autista: el papel previsto de los instrumentos de diagnóstico estandarizados", publicado en Revista de Psicol y Psiquiatr de Assoc for Child and Adolescent Mental Health. https://t.co/dY9NosMozd https://t.co/1N9r3FYjoS
    view full post

    April 21, 2023

    4

    4

  • Clara Vergés i Torra
    @FOCconsultoria (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 14, 2023

    21

  • Amador Priede
    @amadorpriede (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 14, 2023

    21

  • Andrew Morris
    @andrewmorrisuk (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 14, 2023

    22

  • Dr Phoebe Olivia Morris
    @po_morris (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 14, 2023

    22

  • Francisco Dominguez
    @Franciscodr (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 14, 2023

    21

  • Andrea A secas
    @Estrella_8877 (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Gloria Garcia
    @gloriagarciai (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • DoñaKty brisa de primavera
    @Cathita_chiloe (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • María Leticia Rodas
    @Marileeh7 (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • YuliChips
    @Rushislifebb (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Elaine Hack
    @ElaineHack3 (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Ruth Connolly
    @ruthieconnolly (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Prof Francesca Happé
    @HappeLab (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Abigail Huertas
    @AbiHuertas (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • J. C Rubio Jiménez
    @rubiojimenez (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Ishe
    @ishefate (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • yomismaCEA
    @tea_yomisma (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • ViryinYangΨ۞
    @VirginiaMLO (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Ada
    @AdabbyQn (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Gemma M.
    @gemimarc (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • diana osnayo
    @direynoso (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Yuli
    @LilDerpPotatoe (Twitter)

    RT @dmillanlopez: Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lor…
    view full post

    April 13, 2023

    21

  • Mila Vulchanova
    @MilaVulchanova (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • isabel gonzalez
    @isabel30202 (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Daniel Millán López
    @dmillanlopez (Twitter)

    Sobre el uso (y abuso) del ADI-R y el ADOS-2 en el diagnóstico de autismo. Esta vez no lo digo yo, lo dice Catherine Lord.
    view full post

    April 13, 2023

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  • Javier Tamarit
    @javiertamarit (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Dr Chris Ludlow
    @cnludlow (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • AutismDTgh
    @AutismTgh (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Gilly Forrester
    @ForresterGilly (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 13, 2023

    22

  • Conner Black, PhD
    @ConnerBlack15 (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Tony Charman
    @TonyASDorAFC (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Catarina Furmark - barn & familjepsykolog
    @BarnPsykologen (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Helen Tager-Flusberg
    @HelenTager (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Candice Chi-Hang Cheung, Ph.D.
    @CandiceCheung12 (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Harry Costello
    @Harry_Costello (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • PSI SIG in Autism
    @PSIAutismSIG (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Charlotte Lawlor
    @lottielawlor (Twitter)

    RT @utafrith: Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their…
    view full post

    April 12, 2023

    22

  • Uta Frith
    @utafrith (Twitter)

    Damning commentary by Bishop & Lord about danger of reliance on ADI, ADOS etc for #Autism diagnosis while disregarding their intended use as helpers in the process of gathering information for deeper clinical assessment. https://t.co/8fcNTsdgJK
    view full post

    April 12, 2023

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  • jorgeane oliveira
    @Jorgeanemota (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 9, 2023

    11

  • Gabriela Neuber
    @GabrielaNeuber (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 8, 2023

    11

  • Elias Kounelis
    @eliaskoneli (Twitter)

    RT @UCSFPsychiatry: In a new comment piece, autism expert Somer Bishop, PhD, outlines some benefits of standardized autism diagnostic instr…
    view full post

    April 7, 2023

    1

  • UCSF Psychiatry and Behavioral Sciences
    @UCSFPsychiatry (Twitter)

    In a new comment piece, autism expert Somer Bishop, PhD, outlines some benefits of standardized autism diagnostic instruments and underscores the potential harm of overemphasis on scores. https://t.co/GKHllsX6Cw
    view full post

    April 6, 2023

    1

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  • María
    @cerebrodemaria (Twitter)

    RT @ignacioleyda:
    view full post

    April 5, 2023

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  • schooht
    @schooht (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 4, 2023

    11

  • Dr Jason Lang
    @DrJasonLang (Twitter)

    If you can get over the use of pathologising language in this commentary, Lord et al make some good points about the overuse of assessment tools. #autism #neurodivergence https://t.co/UhxaoG28rA
    view full post

    April 4, 2023

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  • PSI SIG in Autism
    @PSIAutismSIG (Twitter)

    ⬇️ Bishop & Lord (2023) ‘Commentary: Best practices and processes for assessment of autism spectrum disorder – the intended role of standardized diagnostic instruments’. Open access. https://t.co/72HAdUObBc
    view full post

    April 3, 2023

  • schooht
    @schooht (Twitter)

    RT @PaulWhiteleyPhD: "it is imperative that diagnosticians be trained in best practice methods for the assessment of autism" https://t.co/P…
    view full post

    April 3, 2023

    1

  • Andrea A secas
    @Estrella_8877 (Twitter)

    RT @ignacioleyda:
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    April 3, 2023

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  • Sandra Garcia
    @sandritagari5 (Twitter)

    RT @ignacioleyda:
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    April 3, 2023

    3

  • Daniel Espinas
    @daniel_espinas (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Tony Charman
    @TonyASDorAFC (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Ava Gurba (she/her)
    @Ava_Nicole23 (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • José Ignacio Leyda
    @ignacioleyda (Twitter)


    view full post

    April 3, 2023

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  • Thibaud Moulas
    @ThibaudMoulas (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Divergent Perspectives
    @DivergentSLT (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Liam Tjia Melb Paed
    @LiamTjia (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Lauren C.
    @Lau_Cob_ (Twitter)

    RT @autismcrisis: Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use…
    view full post

    April 3, 2023

    11

  • Michelle Dawson
    @autismcrisis (Twitter)

    Catherine Lord on autism diagnosis: "The negative consequences of misdiagnosis, resulting in part from inappropriate use of standardized instruments, have been repeatedly highlighted..." "clinicians make diagnoses, not instruments" https://t.co/pCMj7ubHAx commentary, COIs, free
    view full post

    April 3, 2023

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  • Paul Whiteley
    @PaulWhiteleyPhD (Twitter)

    "it is imperative that diagnosticians be trained in best practice methods for the assessment of autism" https://t.co/Pchg5JrZMi Not too contentious I don't think. Bear in mind also that ICD-11 autism has boundary conditions to consider too... https://t.co/zOs0FkYypK
    view full post

    April 3, 2023

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Abstract Synopsis

  • Standardized diagnostic tools for autism spectrum disorder (ASD) are designed to help clinicians gather information for diagnosis and treatment, rather than provide definitive diagnostic answers.
  • Over-reliance on these scores can lead to misinterpretations, especially since many tools may not be validated for diverse patient populations or specific conditions.
  • Clinicians must be trained to understand the limitations of these instruments and should not be forced to use them in situations where they may not be suitable, ensuring fair access to assessment and treatment.