Advances in Autism Spectrum Disorder (ASD) Diagnostics: From Theoretical Frameworks to AI-Driven Innovations

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Abstract

This study provides a comprehensive analysis of the evolution of Autism Spectrum Disorder (ASD) diagnostics, tracing its progression from psychoanalytic origins to the integration of advanced artificial intelligence (AI) technologies. The study explores, through scientific data bases like PubMed, Scopus and Google Scholar, how theoretical frameworks, including psychoanalysis, behavioral psychology, cognitive development, and neurobiological paradigms have shaped diagnostic methodologies over time. Each paradigm's associated assessment tools, such as the Autism Diagnostic Observation Schedule (ADOS) and the Vineland Adaptive Behavior Scales, are discussed in relation to their scientific advancements and limitations. Emerging technologies, particularly AI, are highlighted for their transformative impact on ASD diagnostics. The application of AI in areas such as video analysis, natural language processing, and biodata integration demonstrates significant progress in precision, accessibility, and inclusivity. Ethical considerations, including algorithmic transparency, data security and inclusivity for underrepresented populations, are critically examined alongside the challenges of scalability and equitable implementation. Additionally, neurodiversity-informed approaches are emphasized for their role in reframing autism as a natural variation of human cognition and behavior, advocating for strength-based, inclusive diagnostic frameworks. This synthesis underscores the interplay between evolving theoretical models, technological advancements, and the growing focus on compassionate, equitable diagnostic practices. It concludes by advocating for continued innovation, interdisciplinary collaboration, and ethical oversight to further refine ASD diagnostics and improve outcomes for individuals across the autism spectrum.

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