With the drastically increased prevalence (which improved or over diagnosis cannot account for) we must look for environmental triggers or factors. Gene changes simply do not happen this quickly. To be clear, I am not dismissing looking for genes, but there are many diseases which are environmental in cause but can be exasperated by a wide variety of genes, i.e. for which we would not attribute the cause to genes/a s…
> which improved or over diagnosis cannot account for It is often cited as exactly the reason, and appears to be the scientific consensus. In fact you can see large swings in diagnosis numbers based on socioeconomic factors[0], which definitely hints at diagnostic bias. > The reported increase is largely attributable to changes in diagnostic practices, referral patterns, availability of services, age at diagnosis, an…
A counterthesis based on personal observations: let us assume that there exists a genetic reason for ASD (plausible), assume that ASD people tend to work in specific jobs in specific branch of the economy (think software development and/or research) - also very plausible. Now, additionally, assume (again very plausibly) that people look for potential partners in their social milieu and finally assume that people with similar (also slightly autistic) traits fit better together in a relationship.
This, in my opinion, explains quite well why there is a lot of inbreeding between people with a slight Asperger bias which, by genetics, leads to an increase of autism presence (and thus diagnoses) in specific socioeconomic milieus without any diagnosis bias.