This paper addresses the hypothesis that autism spectrum disorder features follow multiple long-term developmental trajectories, including an absence of symptoms that were present in childhood, by the time of adolescence. In early work on this topic, this circumstance was called an ‘optimal outcome’. To better reflect the reality of multiple excellent outcomes regardless of whether autism spectrum disorder features are present or absent, including autonomy, daily living skills, communication skills, and relationships and employment/activities outside the home, the terminology ‘loss of autism diagnosis’ (LAD) has been proposed as a substitute. The paper also contextualizes an LAD outcome within research, practice and advocacy.

中文翻译：

---

编辑视角：重新审视自闭症谱系障碍的“最佳结果”

本文提出了这样一种假设，即自闭症谱系障碍的特征遵循多种长期发展轨迹，包括到青春期时不存在童年时期出现的症状。在该主题的早期研究中，这种情况被称为“最佳结果”。为了更好地反映多种优异结果的现实，无论自闭症谱系障碍特征是否存在，包括自主性、日常生活技能、沟通技巧以及家庭外的关系和就业/活动，术语“自闭症诊断丧失”（ LAD）已被提议作为替代品。本文还将 LAD 成果纳入研究、实践和宣传的背景之中。