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3 characterized  impaired reciprocal
ocial interaction aerrant language
development and retricted
ehavioral repertoire.
3 Autim in eneral term
3 parent often ecome concerned aout a child   month a
language development doe not occur a expected.

3 ome language develop and i uequentl lot.

3 Some children ith pervaive developmental diorder are not


identified ith prolem until chool age.
3 ^     
3 idioncratic intene interet in a narro range of activitie
3 reit change and
3 inappropriatel reponive to the ocial environment.

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3 £anguage evelopment
mpairment
3 Social ehavior
mpairment
3 reative or
maginative
mpairment
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3 the et non diorder
3 i characterized  utained impairment in comprehending and
reponding to ocial cue aerrant language development and
uage and retricted tereotpical ehavioral pattern.

ëearl infantile autim childhood autim or anner' autim


‰ ATUR S:
3 extreme autitic alonene
3 failure to aume an anticipator poture
3 delaed or deviant language development ith echolalia and
pronominal reveral uing ou for
 monotonou repetition of
noie or veral utterance
3 excellent rote memor
3 limited range of pontaneou activitie
3 tereotpie and mannerim
3 anxioul oeive deire for the maintenance of amene and
dread of change
3 poor ee contact anormal relationhip ith peron
3 preference for picture and inanimate oect
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3 enetic
3 iological
3
mmunological
3 Perinatal
3 Neuroanatomical
3 iochemical
3 Pchoocial and ‰amil ‰actor
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3 A total of ix or more item from   and  ith at leat
to from  and one each from  and :
3 qualitative impairment in ocial interaction a manifeted  at leat
to of the folloing:
3 mar ed impairment in the ue of multiple nonveral ehavior uch a ee-to-
ee gaze facial expreion od poture and geture to regulate ocial
interaction
3 failure to develop peer relationhip appropriate to developmental level
3 a lac of pontaneou ee ing to hare enoment interet or achievement
ith other people e.g.  a lac of hoing ringing or pointing out oect
of interet
3 lac of ocial or emotional reciprocit
3 qualitative impairment in communication a manifeted  at leat
one of the folloing:
3 dela in or total lac of the development of po en language not
accompanied  an attempt to compenate through alternative mode of
communication uch a geture or mime
3 in individual ith adequate peech mar ed impairment in the ailit to
initiate or utain a converation ith other
3 tereotped and repetitive ue of language or idioncratic language
3 lac of varied pontaneou ma e-elieve pla or ocial imitative pla
appropriate to developmental level
3 retricted repetitive and tereotped pattern of ehavior interet
and activitie a manifeted  at leat one of the folloing:
3 encompaing preoccupation ith one or more tereotped and retricted
pattern of interet that i anormal either in intenit or focu
3 apparentl inflexile adherence to pecific nonfunctional routine or ritual
3 tereotped and repetitive motor mannerim e.g. hand or finger flapping or
titing or complex hole-od movement
3 peritent preoccupation ith part of oect
3 ela or anormal functioning in at leat one of the folloing
area ith onet prior to age  ear:  ocial interaction 
language a ued in ocial communication or  molic or
imaginative pla.
3 The diturance i not etter accounted for  Rett' diorder or
childhood diintegrative diorder.
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-No phical ign indicating the diorder
Minor detail:
3 minor phical anomalie uch a ear malformation
3 remain amidextrou at an age hen cereral dominance i
etalihed
3 anormal dermatoglphic e.g. fingerprint
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]MOONOR£
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Ú do not exhiit the expected level of utle reciprocal ocial  ill
that demontrate relatedne to parent and peer
Ú poor ee contact i common
Ú
mpaired attachment ehavior
Ú ocial ehavior i a ard and ma e inappropriate
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eficit in language development and difficult uing language to
communicate idea are among the principal criteria for
diagnoing autitic diorder

£anguage deviance/ language dela


-hallmar of Autitic diorder
3 $ 

Ú
n the firt ear of an autitic child' life much of the expected
pontaneou explorator pla i aent
Ú The activitie and pla of thee children are often rigid
repetitive and monotonou
Ú Ritualitic and compulive phenomena are common in earl and
middle childhood
   
 

3  
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3      $  
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per inei i a common ehavior prolem
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- a higher-than-expected incidence of upper repirator infection
and other minor infection
- Some autitic children do not ho temperature elevation ith
minor infectiou illnee and ma not ho the tpical malaie of ill
children
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3 ˜ to ˜ percent of children ith
autitic diorder function in the
mentall retarded range of
intellectual function

3 Aout  percent of children


function in the mild to moderate
range and aout  to  percent are
everel to profoundl mentall
retarded
    
SM-
-TR iagnotic riteria for Rett' iorder:
3 All of the folloing:
3 apparentl normal prenatal and perinatal development
3 apparentl normal pchomotor development through the firt  month after
irth
3 normal head circumference at irth
3 Onet of all of the folloing after the period of normal development:
3 deceleration of head groth eteen age  and  month
3 lo of previoul acquired purpoeful hand  ill eteen age  and 
month ith the uequent development of tereotped hand movement
e.g. hand ringing or hand ahing
3 lo of ocial engagement earl in the coure although often ocial interaction
develop later
3 appearance of poorl coordinated gait or trun movement
3 everel impaired expreive and receptive language development ith evere
pchomotor retardation
%& '% Appear to have developed
normall for at leat -month
folloed  devatating
developmental deterioration
uring the firt  month after
irth infant have age-
appropriate motor  ill
normal head circumference and
normal groth

Social interaction ho the


expected reciprocal qualit
3 At  month to  ear of age
hoever thee children develop
progreive encephalopath ith a
numer of characteritic feature.
The ign often include the lo of
purpoeful hand movement
hich are replaced  tereotpic
motion uch a hand-ringing
the lo of previoul acquired
peech pchomotor retardation
and ataxia
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3 Apparentl normal development for at leat the firt  ear after
irth a manifeted  the preence of age-appropriate veral and
nonveral communication ocial relationhip pla and adaptive
ehavior.
3 linicall ignificant lo of previoul acquired  ill efore age
 ear in at leat to of the folloing area:
3 expreive or receptive language
3 ocial  ill or adaptive ehavior
3 oel or ladder control
3 pla
3 motor  ill
3 Anormalitie of functioning in at leat to of the folloing
area:
3 qualitative impairment in ocial interaction e.g. impairment in
nonveral ehavior failure to develop peer relationhip lac of
ocial or emotional reciprocit
3 qualitative impairment in communication e.g. dela or lac of
po en language inailit to initiate or utain a converation
tereotped and repetitive ue of language lac of varied ma e-
elieve pla
3 retricted repetitive and tereotped pattern of ehavior
interet and activitie including motor tereotpie and
mannerim
3 The diturance i not etter accounted for  another pecific
pervaive developmental diorder or  chizophrenia
^     
   
3 hildhood diintegrative diorder i characterized  mar ed
regreion in everal area of functioning after at leat  ear of
apparentl normal development
3 eller' ndrome and diintegrative pchoi
3 deterioration over everal month of intellectual ocial and
language function occurring in - and -ear-old ith
previoul normal function.
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3 §ualitative impairment in ocial interaction a manifeted  at
leat to of the folloing:
3 mar ed impairment in the ue of multiple nonveral ehavior uch
a ee-to-ee gaze facial expreion od poture and geture to
regulate ocial interaction
3 failure to develop peer relationhip appropriate to developmental
level
3 a lac of pontaneou ee ing to hare enoment interet or
achievement ith other people e.g.  a lac of hoing
ringing or pointing out oect of interet to other people
3 lac of ocial or emotional reciprocit
3 Retricted repetitive and tereotped pattern of ehavior
interet and activitie a manifeted  at leat one of the
folloing:
3 encompaing preoccupation ith one or more tereotped and
retricted pattern of interet that i anormal either in intenit or
focu
3 apparentl inflexile adherence to pecific nonfunctional routine
or ritual
3 tereotped and repetitive motor mannerim e.g. hand or finger
flapping or titing or complex hole-od movement
3 peritent preoccupation ith part of oect
3 The diturance caue clinicall ignificant impairment in ocial
occupational or other important area of functioning.
3 There i no clinicall ignificant general dela in language e.g.
ingle ord ued  age  ear communicative phrae ued 
age  ear.
3 There i no clinicall ignificant dela in cognitive development
or in the development of age-appropriate elf-help  ill
adaptive ehavior other than in ocial interaction and curioit
aout the environment in childhood.
3 riteria are not met for another pecific pervaive
developmental diorder or chizophrenia
V    
3 characterized  impairment and
oddit of ocial interaction and
retricted interet and ehavior
reminicent of thoe een in autitic
diorder.
3 ut no ignificant dela occur in
language cognitive development or
age-appropriate elf-help  ill
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3 Thi categor hould e ued hen there i a evere and


pervaive impairment in the development of reciprocal ocial
interaction aociated ith impairment in either veral or
nonveral communication  ill or ith the preence of
tereotped ehavior interet and activitie
3 ut the criteria are not met for a
pecific pervaive developmental
diorder chizophrenia chizotpal
peronalit diorder or avoidant
peronalit diorder
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3
t differ from autim in term:
either of age of onet or of failure to
fulfill all et of diagnotic criteria.

3
nclude:
atpical childhood pchoi
mental retardation ith autitic
feature
  %   $ 
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V      cae per   qualitative impairment er earl onet pchopharmacotherap et if the learn
more frequent in o in ocial interaction ‰acilitated com. communicative
than in girl communication Antipchotic language
ehavior and interet S A
. ear- age of
diagnoi

&   primaril in girl progreive tereotped hand Smptomatic Adult life remain at a
deteriorating coure movement a lo of Phiotherap cognitive  ocial level
after an initial normal purpoeful motion anticonvulant equal to t r.
period diminihing ocial
engagement poor
coordination and
decreaing language ue

^   / th of autitic development progree lo of previoul Same for autitic ariale
  
  diorder normall for the firt  acquired  ill in to or diorder Rarel deteriorating
  - ratioë -:  ear more of the folloing
area: language ue
ocial reponivene
pla motor  ill and
ladder or oel
control

V  &   ˜. ear  age of mar edl impaired in cognitive ailitie and epend on patient· ood for normal
§
diagnoi ocial relatedne and adaptive  ill are adaptive function and high level ocial
ho repetitive and normal  ill.
tereotped pattern of
ehavior ithout a
dela in language
development
    
3 aplan· Snopi of Pchiatr  th edition 
enamin ame Sadoc  M andirginia Alcott Sadoc  M
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