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\u201cAutism or Autistic

Disorder is a pervasive
developmental disorder
that affects all of mental

development.\u201d
What is Autism?
Definition

Autism or Autistic Disorder is a pervasive developmental disorder that affects all of mental
development. It looks very different at different ages and certain features do not become
apparent until later. Autism is probably present at birth but is often not identified until the child
fails to develop communicative language at about 2 years of age. 70% of children with Autism
have IQ's below 70; and 11% have IQ's above 85. Those individuals who are most
developmentally delayed are usually also most autistic. As with normally developing children
no two children with Autism are alike and the differential diagnosis of such disorders as
Autism, Asperger's Syndrome, Nonverbal Learning Disability (NLD), Pervasive
Developmental Disorder (PDD), and severe communication disorder can be difficult. It is
believed by many researchers that the fundamental deficit that is seen in autistic children
is a "mind blindness" or a lack of a theory of mind or the capacity to understand that
other people think and feel the same way as they do. This deficit is believed to
contribute to the difficulty that autistic children have in imitating another person's
reactions, particularly their body movements, and particularly if the content of the
actions is affective. Several studies have also found specific deficits in autistic children's
perception and understanding of emotions.

Children with Autism have three primary distinguishing features:
\u00b7
Impairments in social interaction(are not interested in peer interactions and
may show little eye-to-eye contact and lack of sharing with others).
\u00b7
Impairments in communication(delays in or lack of spoken language).
\u00b7
Repetitive and stereotypic behaviours, interests and activities(may show
behaviours such as hand flapping, spinning objects, and rituals).
Incidence
10 - 15 per 10,000 children are autistic and an additional 12 - 20 per 10,000 have autistic-like
features. Three boys to one girl have the disorder.
Diagnosis

The DSM-IV-TR (2000) has identified Autistic Disorder as one disorder under the wider category of Pervasive Developmental Disorders. Under the broader category there are other disorders included such as Asperger's Syndrome, Rett's Disorder, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder (Not Otherwise Specified). DSM-IV-TR has identified the following diagnostic criteria for the Autistic Disorder.

AUTISM
SYMPTOMS, CAUSES, ASSESSMENT, AND TREATMENT
1
A.
A total of six or more items from (1), (2), and (3) with at least two from (1), and one each from (2)
and (3).
(1)
qualitative impairment in social interactions, as manifested by at least two of
the following:
(a)

marked impairment in the use of multiple nonverbal behaviours
such as eye-to-eye gaze, facialexpression, body postures, and
gestures to regulate social interaction

(b)
failure to develop peer relationships appropriate to develop
mental level
(c)

a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g. by lack of showing, bringing, or pointing out objects of interest)

(d)
lack of social or emotional reciprocity
(2)
qualitative impairment in communication as manifested by at least
one of the following:
(a)

delay in, or total lack of, the development of spoken lan guage (not accompanied by an attempt to compensate through alter native modes of communication such as gestures and mime)

(b)
in individuals with adequate speech, marked impairment in
the ability to initiate or sustain a conversation with others
(c)
stereotyped and repetitive use of language or idiosyncratic
language
(d)
lack of varied, spontaneous make-believe play or social
imitative play appropriate to developmental level
(3)
restricted repetitive and stereotyped patterns of behaviour, interests, and
activities as manifested by at least one of the following:
(a)

encompassing preoccupation with one or more stereotyped and restricted patterns of interest that isabnormal either in intensity or focus

(b)
apparently inflexible adherence to specific, nonfunctional routines or
rituals
(c)
stereotyped and repetitive motor mannerisms (e.g. hand or finger flap
ping or twisting, or complex whole-body movements)
(d)
persistent preoccupation with parts of objects
B.

Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years: (1) social interaction, (2) language as used in social communication, or (3) symbolic or imaginative play

C.
The disturbance is not better accounted for by Rett's Disorder or Childhood Distintegrative
Disorder.
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental
Disorders, 4th Edition, Text Revision (DSM-IV-TR) (p. 79).Washington, D.C.: American Psychiatric
Association.
AUTISM
Diagnostic Criteria
\u201c10 - 15 per 10,000
children are autistic...\u201d
2
\u201cIt is still not clear
what precise deficits
underlie Autistic
Disorders but
researchers have got

much closer to
understanding them in
the last five years.\u201d

It is still not clear what precise deficits underlie Autistic Disorders but researchers have got much closer to understanding them in the last five years. This has mainly occurred because the latest research has compared autistic children to other children with the same IQ and chronological age. Deficits appear to be very selective and are not the same in all children with Autism.

Other Symptoms That may Be Present For Some Children
\u00b7
Gross and sustained impairment of emotional relationships with people, aloofness
and/or empty symbiotic clinging.
\u00b7
Apparent unawareness of their own personal identity (e.g. posturing, self-mutilation,
and failure to use "I").
\u00b7
Obsessive use of and preoccupation with objects without regard to their functions.
\u00b7
Resistance to change in the environment and a striving to maintain sameness.
\u00b7
Excessive, diminished, or unpredictable responses to sensory stimuli.
\u00b7
Acute, excessive, and illogical anxiety especially precipitated by change.
\u00b7
Speech may have been lost or never acquired.
\u00b7
May use echolalia and certain idiosyncratic words.
\u00b7
Distortion in mobility patterns such as bizarre postures or ritualistic manner
isms, strange gestures and toe walking.
\u00b7
Serious retardation with possible islets of normal or near normal intelligence
and sometimes exceptional functioning in very isolated areas.
\u00b7
Poor concentration, short attention span and distractibility.
\u00b7
Minimal social and self help behaviours.
\u00b7
May place him/herself in danger by, for example, not watching while crossing
the road.
\u00b7
Does not show mutual sharing of interests, activities, and emotions with others,
particularly other children.
\u00b7
Does not understand the perspective of others.
\u00b7
May be aggressive if frustrated or if a child comes too close to their space.
\u00b7
May line up toys and not be interested in their function.
\u00b7
May seem unaware of what is going on around them.
\u00b7
May wander off in shopping malls and in parking lots seemingly without a sense that
they are alone.
\u00b7
Mainly engages in interaction in order to get what they want.
\u00b7
May "use" a person's arm in order to get what they want or to do something they cannot
do. This has been called "hand leading" and is used instead of pointing.
\u00b7
Does not use the emotions of others or "social referencing" in order to decide how to act.
\u00b7
Does not follow through on the requests of others because they are really not understood and
the child is doing what he wants to do.
\u00b7
May enjoy physical contact with parents and other caregivers if it is when they want it.
\u00b7
May not seek out comfort when upset or hurt.
\u00b7
Show little desire to imitate or copy another person's behaviour.
\u00b7
May show self-injurious behaviour.
AUTISM
Diagnostic Criteria
3
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Autism is a disorder of the neural development characterized by impaired social interaction and communication. Treatments for autism include behavior therapy and medication. Therapy during the childhood that involves the parents and caregiver for best result. http://www.disorderscentral.com/autis...

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