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8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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yb} mbwwfka e{q gv qck Fhnbhq Ckb`qc bha Ak~k`ep$
dkhq _weiwbd #FCA_: 266?&, b meh}ewqf{d en kficq
}fqk} qcbq meha{mqka wbhaedf|ka mehqwe` ka qwfb`}
fh~e`~fhi 2??? fhnbhq} yce ykwk ne``eyka {p bq bik
= vkbw}( _bwqfmfpbhq} deqckw} ykwk pwfdbwf`v Bnwfmbh
Bdkwfmbh bha Mb{mb}fbh, bha cba bqqkhaka }edk
cfic }mcee` ew cba kbwhka b cfic }mcee` afp`edb( ]fs
en qck }k~kh dkqceae`eifmb` k`kdkhq} ykwk ak}mwfgka
fh qck pbpkw: qck `bmj en b ak}mwfpqfeh en flak`fqv
dkb}{wk} wk}{`qka fh qck Qvpk 7 m`b}}fflmbqfeh(
Qck pweiwbd meh}f}qka en pbwkhq qwbfhfhi fh cedk
~f}fq} bmwe}} qck flw}q qcwkk vkbw} en `fnk, yfqc ykkj`v
~f}fq} new qck flw}q vkbw bha gfykkj`v ~f}fq} qckwkbnqkw(
Fhqkw~khqfehf}q} qb{icq pbwkhq} qe {}k qye meihfqf~k
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bha }emfb` ak~k`epdkhq ~fb b pweiwbd en ibdk} bha
bmqf~fqfk}, bha qck eqckw fh~e`~fhi b }v}qkdbqfm
bppwebmc qe ck`p pbwkhq} dbhbik }k`n$fakhqfflkapweg`kd}( Fh qck }kmeha vkbw en `fnk, fhnbhq} gkibh
bqqkhafhi bh ka{mbqfehb` abvmbwk fl~k abv} pkw ykkj,
fh ycfmc qkbmckw} mehqfh{ka qe {qf`f|k qck }qfd{`b$
qfeh m{wwfm{`{d, bha qcf} mehqfh{ka {hqf` => dehqc}
en bik( Mcf`awkh wkmkf~ka 7?* ce{w} fh fhqkw~khqfeh
pkw ykkj, bha gfdehqc`v pbwkhq iwe{p dkkqfhi} gk$
ibh yckh qck fhnbhq} ykwk 27 dehqc} en bik( Fhnbhq}
ykwk b}}k}}ka bq 1? ykkj} bha 1, 3, 27, 23, 71, =?,
bha => dehqc} en bik( Bq bik => dehqc}, qck knnkmq
}f|k} new ]qbhnewaGfhkq }mewk} ykwk (3= new ckb~fkw
pbwqfmfpbhq} bha (12 new `ficqkw pbwqfmfpbhq} #wk}{`q$
fhi fh bh b~kwbik mewwkmqka knnkmq }f|k en (>7&(
Fh qkwd} en fhqkw~khqfeh mcbwbmqkwf}qfm}, qcf}
fhqkw~khqfeh yb} geqc `ehi$`b}qfhi bha fhqkh}f~k(
Qck fhqkw~khqfeh gkibh fh qck cedk a{wfhi fhnbhmv
bha qwbh}nkwwka qe b mkhqkw$gb}ka pweiwbd a{wfhi
qck qeaa`kw pkwfea( Fq fh~e`~ka pbwkhq qwbfhfhi fh
fhnbhmv a{wfhi ykkj`v cedk ~f}fq} bha qcwe{ic
pbwkhq iwe{p} a{wfhi qeaa`kwceea( Qck fhqkw~khqfeh
yb} fhaf~fa{b`f|ka new kbmc mcf`a( _bwkhq} ykwk pwe$
~faka baafqfehb` }{ppewq} fh qkwd} en pbwkhq iwe{p},
mb}k dbhbikdkhq, bha qwbh}pewqbqfeh fn hkkaka(
Bheqckw wkdbwjbg`v knnkmqf~k fhqkw~khqfeh yb}
wkpewqka gv Wb{c, Bmckhgbmc, H{wmedgk, Ceyk``,
bha Qkqf #2633&, fh b Qvpk 2 }q{av fh~e`~fhi 7; pwk$
dbq{wk fhnbhq} #yfqc bh b~kwbik dbqkwhb` ka{mbqfeh
en 21(2 vkbw}&, 76 wbhaedf|ka medpbwf}eh}, bha 73
hewdb` gfwqcykficq medpbwf}eh fhnbhq} ne``eyka {p
bq bik 9 vkbw} gv Bmckhgbmc, _cbwk}, Ceyk``, Wb{c,bha H{wmedgk #266?& bha bibfh bq bik 6 vkbw} gv
Bmckhgbmc, Ceyk` , Bejf, bha Wb{c #266=&( Qck
fhqkw~khqfeh, nem{}ka eh }{ppewqfhi dbqkwhb` mbwk,
yb} fdp`kdkhqka gv bh HFM[ h{w}k bha meh}f}qka
en 22 ehk$ce{w }k}}feh} e~kw b =$dehqc pkwfea(
Fhqkw~khqfeh gkibh a{wfhi qck flhb` ykkj en fhnbhq
ce}pfqb`f|bqfeh bha ksqkhaka fhqe qck cedk( ]k~kh
}k}}feh} emm{wwka fh qck ce}pfqb`, bha ne{w emm{wwka
fh qck nbdf`fk} cedk}( H{w}k} qbwikqka qepfm} wk`bqka
qe dbqkwhb` }kh}fqf~fqv bha fhnbhq af}qwk}} bha ne`$
= 7 2 ? 2 7 =
Wb{c kq b ( #2633:13d&
Dk`hvj kq b`( #7??2: > d&
Jbbwk}kh kq b`( #7??9: 71 d&
FCA_ #266?: => d: ckb~fkw pbwq(&
FCA_ #266?: => d: `ficqkw pbwq(&
B~eh #abqk< 71 d(ak~ ka iwp&
B~eh #abqk: 71d, pbwkhq ba~&
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Lech}eh kq b`( #2663:>? d, pbwkhq ba~&
J`kgkwi kq b`( #7??7: 27 d&
]blbhfkdf kq b`( #7??2:13 d&
Qkqf kq b`( #7??6: =$> d&
\bcw kq b`( #2667: 3 d: ckb~fkw pbwq(&
\bcw kq b`( #2667: 3 d: `ficqkw pbwq(&
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fhqkw~khqfeh} new pwkdbq{wk fhnbhq}
Fhqkw~khfhi fh fhnbhmv 2=22
7?2? Qck B{qcew}
Le{whb` en Mcf`a _}vmce`eiv bha _}vmcfbqwv 7?2? B}}emfbqfeh new Mcf`a bha Bae`k}mkhq Dkhqb` Ckb`qc(
8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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`eyka qck deqckw} `kba} fh qkwd} en kdpcb}f} bha
pbmk(
Fhqkw~khqfeh e{qmedk} ykwk b}}k}}ka yfqc b d{`$
qfq{ak en dkb}{wk} badfhf}qkwka qe fhnbhq} bha qe qck
deqckwfhnbhq avba} k~kwv > dehqc} bmwe}} b 1$vkbw
pkwfea( Deqckw} fh qck qwkbqdkhq iwe{p wkpewqka
}fihfflmbhq`v cfickw }k`n$mehflakhmk bha }bqf}nbmqfeh
yfqc deqckwfhi, b} yk`` b} dewk nb~ewbg`k ~fky} en
fhnbhq qkdpkwbdkhq qcbh afa qck medpbwf}eh iwe{p(
Gkifhhfhi bq bik = vkbw}, mcf`awkh fh qck qwkbqdkhq
iwe{p pweiwk}}f~k`v mb{icq {p qe qck hewdb` gfwqc$
ykficq medpbwf}eh iwe{p eh meihfqf~k }mewk} #Wb{ckq b (, 2633&( N{wqckw ne``ey${p bq bik 9 vkbw}
#Bmckhgbmc kq b`(, 266?& bha bq bik 6 vkbw} #Bmckh$
gbmc kq b`(, 266=& mehqfh{ka qe flha qck qwkbqdkhq
iwe{p} meihfqf~k }mewk} }fdf`bw qe qce}k en hewdb`
gfwqcykficq mcf`awkh bha }fihfflmbhq`v cfickw qcbh
qck pwkdbq{wk mehqwe` iwe{p( Knnkmq }f|k} new meihfqf~k
}mewk} bq bik 1 vkbw} yb} (96 #mewwkmqka knnkmq }f|k&, bq
bik 9 vkbw} yb} (9?, bha bq bik 6 vkbw} yb} (>;(
Qcf} fhqkw~khqfeh emm{wwka e~kw b }cewq pkwfea en
= dehqc} bha fh~e`~ka mehqbmq} geqc fh qck
medd{hfqv bha bq cedk( _bwkhq} ykwk mebmcka fh
qkmchfr{k} bfdka qe ge`}qkw qck ak~k`epdkhq en qckfwfhnbhq}( Qck fhqkw~khqfeh yb} gweba$gb}ka, fhaf~fa$
{b`f|ka, bha pwe~faka ehk$eh$ehk fh cedk} gv
pbwkhq}( _bwkhq} ykwk heq pwe~faka yfqc baafqfehb`
}{ppewq gkveha qck fhqkw~khqfeh(
Qck}k qye wbhaedf|ka mehqwe``ka }q{afk} akdeh$
}qwbqk qck `bwik}q knnkmq }f|k} fh qcf} }bdp`k qcbq ykwk
}{}qbfhka yk` fhqe kbw`v mcf aceea bha gkveha(
Qckv }qbha e{q new qye wkb}eh}< qck FAC_ #266?&
}q{av gkmb{}k en qck khewde{} }bdp`k }f|k bha
`khiqcv ne``ey${p pkwfea, bha qck Wb{c kq b`( #2633&
}q{av gkmb{}k en qck }{}qbfhka knnkmq} e~kw b ~kwv
`ehi ne``ey${p pkwfea( Ceyk~kw, qck fhqkw~khqfeh} bwk
r{fqk afnnkwkhq, yfqc qck newdkw b ~kwv `ehi$`b}qfhi
bha fhqkh}f~k fhqkw~khqfeh mbwwfka e{q new => dehqc}
bha qck }kmeha b ~kwv gwfkn fhqkw~khqfeh `b}qfhi eh`v
= dehqc} bha mbwwfka e{q gv b ~f}fqfhi h{w}k( Med$deh k`kdkhq} fhm`{ak bh fhaf~fa{b`f|ka ak~k`ep$
dkhqb` m{wwfm{`{d new mcf awkh, b }qwehi nem{} eh
pbwkhq qwbfhfhi bha pbwkhq ak`f~kwv en qck fhqkw~kh$
qfeh, bha kdpcb}f} eh }{ppewqfhi pbwkhq}(
Qckwk yb} b`}e b }q{av qcbq afa heq flha bhv pe}fqf~k
mcbhik a{k qe fhqkw~khqfeh #\bcw, 7???&( Qcf} }q{av
nem{}ka eh `ey$fhmedk fhnbhq} nwed dfhewfqv nbdf`fk}
bha fh~e`~ka b `ey$fhqkh}fqv fhqkw~khqfeh nem{}ka
eh ikhkwb` mbwkqbjfhi }jf``} bha }kh}fqf~fqv qe fhnbhq
m{k}( Qck fhqkw~khqfeh yb} ak f~kwka kfqckw new 26
~f}fq} bmwe}} 27 dehqc}, ew 22 ~f}fq} bmwe}} 1 dehqc}(
Mewwkmqka knnkmq }f|k} ykwk&
(>; new qck ksqkhakapkwfea iwe{p bha &(1= new qck }cewqkw pkwfea iwe{p(
Fh wk~fkyfhi qck}k }q{afk} b} b iwe{p, bha b}
akdeh}qwbqka fh Nfi{wk 2, qckwk bwk e~kwb`` deakwbqk
knnkmq} en qck}k fhqkw~khqfeh }qwbqkifk} new pwkdbq{wk
= 7 2 ? 2 7 =
B`` Qvpk 7Fhnbhq} yfqc ak~k`epdkhqb` ak`bv}
Mehhe``v kq b`( #263?& h49=
Mehhe``v kq b`( #266=& h47?
]kfnkw kq b`( #2662& h4=6
]`epkw kq b`( #263>& h471
_fpkw kq b`( #263?& h4=9
Fhnbhq} bq wf}j new fhqk``kmq{b` af}bgf`fqv
Wbdkv kq b`( #269>& h419
Wbdkv kq b`( #2631& h42?9
Gwkfqdbvkw kq b`( #263>& hehepqfdb`Bpibw h4=2
Gwkfqdbvkw kq b`( #263>& epqfdb` Bpibwh416
(6=
(16
(>6
(23
(22
2(=3
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2(72
Dkbh ]K 42(7>
Dkbh ]K 4(11
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Nfi{wk 7 Mewwkmqka knnkmq }f|k}, bik} fh dehqc} bq e{qmedk, bha 6;+ mehflakhmk fhqkw~b`} en Qvpk 2 bha Qvpk 7
fhqkw~khqfeh} new fhnbhq} yfqc ak~k`epdkhqb` ak`bv} bha qce}k bq wf}j new fhqk``kmq{b` af}bgf`fqv
2=27 Jbqckwfhk Yb``bmk bha ]b``v Weikw}
7?2? Qck B{qcew}
Le{whb` en Mcf`a _}vmce`eiv bha _}vmcfbqwv 7?2? B}}emfbqfeh new Mcf`a bha Bae`k}mkhq Dkhqb` Ckb`qc(
8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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fhnbhq}, qce{ic qckwk f} d{mc ~bwfbgf`fqv( Qck dkbh
knnkmq }f|k en qcf} iwe{p en }q{afk} f} (11, akdeh$
}qwbqfhi qcbq qck}k fhqkw~khqfeh }qwbqkifk}, nem{}ka
eh pbwkhq mebmcfhi, bwk knnkmqf~k fh fdpwe~fhi
ak~k`epdkhqb` e{qmedk} en qck fhnbhq} wkmkf~fhi qck
kspkwfdkhqb` qwkbqdkhq}, bq `kb}q yfqcfh qck qfdk
pkwfea b}}k}}ka(
Fhnbhq} yfqc ak~k`epdkhqb` ak`bv}( Mehhe``v,
Dewibh, W{}}k` , bha Wfmcbwa}eh #263?& ksbdfhka
qck knnkmq} en qwkbqdkhq eh mcf`awkh afbihe}ka yfqc
Aeyh }vhawedk yce cba pbwqfmfpbqka fh qck Kbw`v
Fhqkw~khqfeh _weiwbd bq qck Mcf`a Ak~k`epdkhq
Mkhqkw en qck [hf~kw}fqv en Qkhhk}}kk Mkhqkw new qck
Ckb`qc ]mfkhmk} yckh {hakw qck bik en = vkbw}( Qcf}
pweiwbd} ieb`} fh~e`~ka fdpwe~fhi qck pbwkhqmcf`a
wk`bqfeh}cfp bha dbsfdf|fhi qck e~kwb`` ak~k`epdkhq
en kbmc mcf`a( New 2? ykkj}, nbdf`fk} pbwqfmfpbqka fh
ykkj`v, 7(;$ce{w iwe{p }k}}feh} bq qck Mkhqkw(A{wfhi qck flw}q ce{w en kbmc }k}}feh, pbwkhq} bha
mcf`awkh pbwqfmfpbqka qeikqckw ycf`k pwenk}}fehb`}
qb{icq bha akdeh}qwbqka qe pbwkhq} ~bwfe{} ak~k`$
epdkhqb` fhqkw~khqfeh}( A{wfhi qck }kmeha ce{w,
pbwkhq} pbwqfmfpbqka fh b iwe{p qckwbpv }k}}feh,
af}m{}}fhi qckfw nkk fhi} bha mehmkwh}, ycf k qck
mcf`awkh ykwk qwkbqka fhaf~fa{b` v( Nfhb``v, b
cb`n$ce{w yb} }pkhq akb`fhi yfqc nkkafhi$}jf``
ak~k`epdkhq( Fh qck yfhqkw bha }{ddkw ne` eyfhi
qcf} 2?$ykkj pweiwbd, pbwkhq} mehqfh{ka fhaf~fa{$
b`f|ka cedk pweiwbd}, bha cba emmb}fehb` ~f}fq} gv
}qbnn en pcv}fmb` qckwbpv bha h{w}fhi akpbwqdkhq}(
Bq bik => vkbw}, 7? mcf`awkh yce medp`kqka qcf}
fhqkw~khqfeh ykwk medpbwka qe ;= mcf`awkh yce cba
heq wkmkf~ka fq( Qckwk yb} b }fihfflmbhq iwe{p afnnkw$
khmk eh qck ]qbhnewaGfhkq nb~ewfhi qck mcf awkh
yce wkmkf~ka qck fhqkw~khqfeh, yfqc b mewwkmqka knnkmq
}f|k en (16( Bq bik 2> vkbw}, qkh mcf`awkh yce cba
wkmkf~ka qck fhqkw~khqfeh ykwk bibfh medpbwka eh
qck ]qbhnewa$Gfhkq qe qkh yce cba heq, yfqc b mew$
wkmqka knnkmq }f|k en (6= nb~ewfhi qck fhqkw~khqfeh
iwe{p( Ceyk~kw, qcf} }q{av cba b ~bwfkqv en dkqce$
ae`eifmb` ykbjhk}}k}, fhm`{afhi `bmj en wbhaedf|ka
b}}fihdkhq, `bmj en wbqkw} g`fha qe fhqkw~khqfeh
}qbq{}, bha `bmj en qwkbqdkhq dbh{b`} ew flak`fqvdkb}{wk}( Qckwk yb} b`}e meh}fakwbg`k bqqwfqfeh fh
geqc iwe{p} bq qck bik 2> b}}k}}dkhq(
Fh qkwd} en fhqkw~khqfeh mcbwbmqkwf}qfm}, akh}fqv
bha a{wbqfeh ykwk deakwbqk bha dfska bmwe}} pbw$
qfmfpbhq}( Qck fhqkw~khqfeh yb} ak f~kwka fh qck
medd{hfqv bha bq cedk bha fh~e`~ka pbwkhq}
ckb~f`v fh qkwd} en mebmcfhi bha wk`vfhi eh qckd qe
pwbmqfmk ak~k`epdkhqb` bmqf~fqfk} yfqc qckfw mcf`awkh(
Fq yb} gweba$gb}ka bha fhaf~fa{b`f|ka, bha pwe~faka
fh b dfska ehk$qe$ehk bha iwe{p }kqqfhi( Nbdf`fk}
ykwk pwe~faka yfqc baafqfehb` }{ppewq fh qck newd en
pbwkhq iwe{p} bha qckwbpv(Fh wk~fkyfhi qck}k }q{afk} b} b iwe{p, bha b}
akdeh}qwbqka fh Nfi{wk 7, qckwk bwk e~kwb`` deakwbqk
knnkmq} en qck}k fhqkw~khqfeh }qwbqkifk} new fhnbhq}
yfqc b ~bwfkqv en }fihfflmbhq ak~k`epdkhqb` af}ewakw},
qce{ic, b} bge~k, qckwk f} d{mc ~bwfbgf fqv( Qck
dkbh knnkmq }f|k en qcf} iwe{p en }q{afk} f} (11,
akdeh}qwbqfhi qcbq qck}k fhqkw~khqfeh }qwbqkifk},
de}q en qckd nem{}ka eh pbwkhq mebmcfhi, bwk knnkm$
qf~k fh fdpwe~fhi ak~k`epdkhqb` e{qmedk} en qck
fhnbhq} wkmkf~fhi qck kspkwfdkhqb` qwkbqdkhq}, bq
`kb}q yfqcfh qck qfdk pkwfea b}}k}}ka(
Mcf awkh bq wf}j new fhqk``kmq{b` af}bgf fqv( Qck
Mbwe`fhb Bgkmkabwfbh _welkmq #Wbdkv . Mbdpgk``,
2631: Wbdkv . ]dfqc, 269>& yb} ehk en }k~kwb` yk``$
p{g`fmf|ka }q{afk} qcbq bqqkdpqka qe pwk~khq fhqk`$
`kmq{b` af}bgf`fqv fh fhnbhq} bq wf}j a{k qe pe~kwqv bha
fhqk``kmq{b` fdpbfwdkhq} en qckfw deqckw}( Nfnqv
fhnbhq} ykwk wbhaedf|ka fhqe fhqkw~khqfeh bha med$
pbwf}eh iwe{p}( Qck n{``$abv fhqkw~khqfeh yb} ak`f~$
kwka fh }pkmfb`f|ka abvmbwk mkhqkw} gkifhhfhi yckh
qck fhnbhq} ykwk >27 ykkj} en bik bha mehqfh{ka
{hqf` bik ; vkbw}( Qck fhnbhq m{wwfm{`{d meh}f}qka enbmqf~fqfk} ak}fihka qe }qfd{`bqk `bhi{bik, deqew,
}emfb`, bha meihfqf~k }jf``} bha yb} ak`f~kwka gv qck
abvmbwk }qbnn( Bnqkw qck qcfwa gfwqcabv, qck fhqkw~kh$
qfeh gkmbdk bh ksmk``khq pwk}mcee` m{wwfm{`{d yfqc
b pbwqfm{`bw kdpcb}f} eh `bhi{bik ak~k`epdkhq(
Nbdf`fk} ykwk pwe~faka yfqc baafqfehb` }{ppewq fh
qck newd en mb}k dbhbikdkhq, h{qwfqfeh, dkafmb`
b}}f}qbhmk, bha qwbh}pewqbqfeh fn hkkaka(
Wbdkv bha Mbdpgk`` #2631& medpbwka qck }mewk}
en qck}k mcf`awkh qe ;= mehqwe` mcf`awkh eh qck Gbv`kv
]mb k} en Fhnbhq Ak~k`epdkhq, qck ]qbhnewaGfhkq
Fhqk``fikhmk ]mb`k, bha%ew qck DmMbwqcv ]mb`k} bq >,
27, 23, 71, =?, 17, 13, bha ;1 dehqc} en bik(
Gkifhhfhi bq 23 dehqc} bha eh k~kwv qk}q qckwkbnqkw,
qce}k fh qck qwkbqdkhq iwe{p e{q}mewka mehqwe`
mcf`awkh( Qck mewwkmqka knnkmq }f|k new Gbv`kv }mewk}
bq 23 dehqc} yb} 2(=3, bha new ]qbhnewaGfhkq
}mewk} bq ;1 dehqc} en bik yb} 2(72(
Fh qkwd} en fhqkw~khqfeh mcbwbmqkwf}qfm}, geqc
akh}fqv bha a{wbqfeh ykwk cfic, yfqc 1? ce{w} pkw
ykkj en fhqkw~khqfeh new b pkwfea en >? dehqc}(
Wbqfe} ykwk qce}k en ksmk``khq abvmbwk mkhqkw}( Qck
m{wwfm{`{d yb} gweba$gb}ka bha fhaf~fa{b`f|ka,
yfqc }pkmfb` kdpcb}f} eh `bhi{bik ak~k`epdkhq(
Dkqceae`eifmb` ykbjhk}}k} fhm`{aka bg}khmk eng`fha b}}k}}ew} bha qwkbqdkhq flak`fqv mckmj}(
Fh wk~fkyfhi qck}k }q{afk} b} b iwe{p, bha b}
akdeh}qwbqka fh Nfi{wk 7, qckwk bwk e~kwb`` `bwik
knnkmq} en qck}k fhqkw~khqfeh }qwbqkifk} new fhnbhq} bq
wf}j new fhqk``kmq{b` af}bgf`fqv a{k qe pbwkhqb` `eykw
FR} bha pe~kwqv, qce{ic qckwk f} d{mc ~bwfbgf`fqv(
Qck dkbh knnkmq }f|k en qcf} iwe{p en }q{afk} f} 2(7>,
akdeh}qwbqfhi qcbq qck}k fhqkw~khqfeh }qwbqkifk},
de}q en qckd ak f~kwka fh cfic$r{b`fqv mcf a mbwk
}kqqfhi} medgfhka yfqc pbwkhq mebmcfhi bha }{p$
pewq, bwk knnkmqf~k fh dbwjka`v fdpwe~fhi ak~k`ep$
dkhqb` e{qmedk} en qck fhnbhq} wkmkf~fhi qckkspkwfdkhqb` qwkbqdkhq}, bq `kb}q yfqcfh qck qfdk
pkwfea b}}k}}ka(
New qck p{wpe}k} en medpbwf}eh, yk cb~k b`}e
fhm`{aka b }fdf`bw fli{wk nwed Wkfmcey bha Ye`kwv
Fhqkw~khfhi fh fhnbhmv 2=2=
7?2? Qck B{qcew}
Le{whb` en Mcf`a _}vmce`eiv bha _}vmcfbqwv 7?2? B}}emfbqfeh new Mcf`a bha Bae`k}mkhq Dkhqb` Ckb`qc(
8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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#Nfi{wk =: 7??6&, akdeh}qwbqfhi knnkmq }f|k} new
ve{hi mcf`awkh yfqc b{qf}d wkmkf~fhi fhqkh}f~k
bpp`fka gkcb~few bhb`v}f} ne``eyfhi @e~bb}} #2632,
2639, 7??=& deak ( New qck mcf`awkh fh qck}k }q{afk},
fhqkw~khqfeh} ykwk mbwwfka e{q new =?1? ce{w} pkw
ykkj, fh 2BAKR[BQK
@e~bb}b 2639
]dfqc kq b`(m 2669
K`ak~fj kq b`(m 7??>
Kfjk}kqc kq b`(g 7??9
Dbifbqf kq b`(m 7??9
YKBJBhakw}eh kq b`(
m 2639Gfwhgwb{kw kq b`(
m 266=]ckfhjepn kq b`(
m 2663Gfggv kq b`(
b 7??2Geva . Mew`kv
m 7??2
(3=
(33
2(;3
2(?6
(6?
(97
(;?
2(7;
(26
(23
heq wkpewqka
2(22
(26
heq wkpewqka
DkbhK]4 (;>
Nfi{wk = Mewwkmqka knnkmq }f|k}, bik} fh dehqc} bq e{qmedk, bha 6;+ mehflakhmk fhqkw~b`} en fhqkw~khqfeh} new ve{hi
mcf`awkh yfqc B]A qeaa`kw}( _wfhqka yfqc pkwdf}}feh en ]pwfhikw
2=21 Jbqckwfhk Yb``bmk bha ]b``v Weikw}
7?2? Qck B{qcew}
Le{whb` en Mcf`a _}vmce`eiv bha _}vmcfbqwv 7?2? B}}emfbqfeh new Mcf`a bha Bae`k}mkhq Dkhqb` Ckb`qc(
8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
16/21
qfdk 1 dehqc} ~kw}{} 27 dehqc} bnqkw ce}pfqb`
af}mcbwik new fdpe~kwf}cka @bqfhe deqckw} bha
qckfw pwkdbq{wk fhnbhq}( Qckwk ykwk he ibfh} fh mcf`a
ak~k`epdkhqb` wbqk} wk`bqka qe qcf} fhqkw~khqfeh,
qce{ic pwk~fe{} }q{afk} en qck }bdk fhqkw~khqfeh
deak` gv qck }bdk b{qcew} yfqc eqckw pbwqfmfpbhq
iwe{p} akdeh}qwbqka pe}fqf~k fhqkw~khqfeh knnkmq}(
Qck b{qcew} heqk qcbq qck mbwkqbjfhi kh~fwehdkhq fh
qck}k nbdf`fk}, b} b iwe{p, afnnkwka nwed pwk~fe{}
}q{av iwe{p}, bha qcbq m{`q{wb` afnnkwkhmk} fh fhnbhq
wkbwfhi pbqqkwh}, medgfhka yfqc b`wkbav ksf}qfhi
}emfb` }{ppewq} fh qck}k @bqfhe medd{hfqfk}, dbv
}{ppewq fhnbhq ak~k`epdkhq fh qck}k nbdf`fk} dewk
}qwehi`v qcbh eqckw iwe{p} }q{afka, wk}{`qfhi fh `k}}
weed new fdpwe~kdkhq} a{k qe qck fhqkw~khqfeh( Qck
}q{afk} gv \bcw bha me``kbi{k} bwk ieea ksbdp`k} en
qck pweiwbd en }q{afk} qcbq bwk hkkaka eh b }pkmfflm
fhqkw~khqfeh bppwebmc fh ewakw qe akqkwdfhk yce yf``
gkhkflq bha ycbq fhqkh}fqv en fhqkw~khqfeh f} hkkaka( Qck meddeh k`kdkhq} `f}qka bge~k bwk ksmk` khq
mbhafabqk} new dbhfp{`bqfeh yfqcfh kspkwfdkhqb`
ak}fih} fh n{q{wk }q{afk} qe akqkwdfhk deakwbqew}
bha dkafbqew} en fdpwe~ka e{qmedk} new mcf awkh
yfqc ak~k`epdkhqb` wf}j}(
Ceyk~kw, qye yewa} en mb{qfeh bwk hkmk}}bwv(
Nfw}q, qck wk}{`q} en qck B~eh _wkdbq{wk Fhnbhq _we$
lkmq #2663& pefhq e{q qck mw{mfb` fdpewqbhmk en `ehi$
qkwd ne` ey${p( Qcf} ~kwv yk`` aehk, wbhaedf|ka
}q{av ak f~kwka b ak~k`epdkhqb` m{wwfm{`{d qe b
`bwik iwe{p en pbwkhq} bha fhnbhq} ~fb h{w}k ~f}fq}
#h 4 22>& ew ~fb pbwkhq iwe{p} #h 4 2?>&( Bq bik
7 vkbw}, mcf awkh wkmkf~fhi qck wki{`bw cedk ~f}fq}
bha ak~k`epdkhqb` m{wwfm{`{d }ceyka d{mc `bwikw
knnkmq} en qck fhqkw~khqfeh #K] 4 (;6& qcbh afa qck
pbwkhq iwe{p fhqkw~khqfeh #K] 4 (79&( Ceyk~kw, ne`$
`ey${p en qye$qcfwa} en qck }bdp`k gv Lech}eh, Wfhi,
Bhakw}eh, bha Dbw ey #7??;& bq bik ; vkbw} wk~kb`ka
he iwe{p afnnkwkhmk} #cedk ~f}fq iwe{p K] 4 &(27:
pbwkhq iwe{p K] 4 &(?;& medpbwka qe qck mehqwe`}(
]kmeha, fq f} fdpewqbhq qe heqk qcbq qckwk bwk }edk
ksmkpqfeh} qe jkv fhiwkafkhq} p{``ka nwed qck `fqkwb$
q{wk wk~fky #k(i(, qcbq qce}k fhqkw~khqfeh} ycfmc
pwe~fak `ehi$qkwd, fhqkh}f~k, bha medpwkckh}f~k
fhqkw~khqfeh bwk dewk knflmbmfe{} qcbh qfdk$`fdfqka,nemb` fhqkw~khqfeh}&( New ksbdp`k, Qkqf kq b`( #7??6&
af}m{}} b }cewq$qkwd nemb` fhqkw~khqfeh yfqc
fdpwk}}f~k wk}{`q}( Hk~kwqck`k}}, qck `bwik}q qwfb`}
#k(i(, FCA_, 266?: Wk}hfmj, Kv`kw, Hk`}eh, Kfq|dbh,
. G{mmfbwk` f, 2639& }{ppewq qck mehm`{}feh qcbq
`ehi$qkwd, fhqkh}f~k, bha medpwkckh}f~k fhqkw~kh$
qfeh} bwk cfic`v knflmbmfe{}( N{q{wk wk}kbwmc dbv
ck`p qe n{wqckw pbwmk` e{q qck fdpewqbhmk en fhqkw$
~khqfeh fhqkh}fqv, a{wbqfeh, bha medpwkckh}f~khk}}(
Qe ycbq ksqkhq fhnbhq} bha qeaa`kw} wkmkf~fhi qck}k
kbw`v fhqkw~khqfeh} }cey `ehi$`b}qfhi gkhkflq f} b
}k`aed }q{afka r{k}qfeh( Ceyk~kw, qck r{k}qfeh{hakw}mewk} b mwfqfmb``v hkkaka nkbq{wk en n{q{wk
fhqkw~khqfeh }q{afk} new b`` iwe{p} en fhnbhq} bha
qeaa`kw}< `ehi$qkwd ne` ey${p( Aem{dkhqbqfeh en
`ehi$qkwd knnkmq} en kbw`v fhqkw~khqfeh yf`` b}}f}q qck
p{g fm fh dbjfhi fdpewqbhq akmf}feh} wkibwafhi
n{hafhi new qck}k }kw~fmk} bha fh b}}k}}fhi qck me}q}
bha gkhkflq} qe fhaf~fa{b`} bha qe medd{hfqfk} qcbq
medk nwed cfic$r{b`fqv fhnbhq fhqkw~khqfeh pwe$
iwbd}(
Fdp`fmbqfeh} new wk}kbwmc fh fhnbhq%qeaa`kwfhqkw~khqfeh} new B]A
Qck bik en kbw`v wkmeihfqfeh en B]A ew B]A wf}j f} nb}q
bppwebmcfhi 27 dehqc} bha wk}kbwmc iwe{p} bwk
yewjfhi cbwa qe fakhqfnv wf}j }fih} k~kh kbw`fkw, new
qck kspwk}} p{wpe}k en khbg`fhi qwkbqdkhq qe gkifh
b} }eeh b} pe}}fg`k fh ewakw qe wka{mk ew wk~kw}k
}fih} bha }vdpqed} en b{qf}d( Qck `bwik geav en
wk}kbwmc fh fhnbhq fhqkw~khqfeh new eqckw m`fhfmb`
fhnbhq iwe{p} bha qckfw nbdf`fk} }{iik}q} }qbwqfhi
pefhq} new wk}kbwmc eh fhnbhq fhqkw~khqfeh} new B]A(
If~kh qck bde{hq en }mfkhmk qcbq b`wkbav ksf}q} fhkbw`v fhqkw~khqfeh new B]A, fq ye{`a gk ksqwkdk`v
ck`pn{` new B]A wk}kbwmckw} qe ak}fih medpbwbqf~k
}q{afk} qcbq b``ey new f}e`bqfeh en qck bmqf~k fhiwk$
afkhq} new gk}q e{qmedk} new fhnbhq} yfqc B]A( ]pk$
mfflm fhqkw~khqfeh ~bwfbg`k} qe gk ksbdfhka yckh
meh}fakwfhi fhqkw~khqfeh new fhnbhq} bq wf}j new B]A
fhm`{ak qck ne``eyfhi(
B]A$}pkmfflm ~kw}{} ikhkwb` ak~k`epdkhqb` fhqkw$
~khqfeh( ]edk bppwebmck} qe kbw`v B]A fhqkw~kh$
qfeh, geqc nwed bpp`fka gkcb~few bhb`v}f} bha nwed
ak~k`epdkhqb` bppwebmck}, qbwikq b gweba wbhik en
`kbwhfhi qbwikq} #Db{wfmk, Iwkkh, . @{mk, 266>:
Weikw} . Aby}eh, 7??6&, }fdf`bw qe ycbq cb} gkkh
ak}mwfgka bge~k fh qck fhnbhq `fqkwbq{wk nwed eqckw
iwe{p}( Ceyk~kw, fh qck `fqkwbq{wk eh B]A qckwk cb}
b`}e gkkh qck nem{} eh pwfdbwv akflmfq}, ew mewk nkb$
q{wk} qcbq bwk fdpbfwka fh B]A bha qcbq bppkbw qe
pwk~khq eqckw bwkb} en ak~k`epdkhq nwed e{wf}cfhi,
wk}{`qfhi fh }kmehabwv akflmfq}( Mewk akflmfq} }{i$
ik}qka kbw`v fh B]A cb~k fhm`{aka lefhq bqqkhqfeh
#Ycb`kh, ]mcwkfgdbh, . Fhikw}e``, 7??>&, fdfqbqfeh
#Weikw} . Yf``fbd}, 7??>&, `bhi{bik, bha }vdge`fm
p`bv #Ve{hi, Gwkykw, . _bqqf}eh, 7??=&( Ycf`k qckwk
f} m{wwkhq v meh}fakwbg`k mehqwe~kw}v bge{q yckqckwqckwk bwk }{mc pwfdbwv akflmfq} #Cbppk . Wehb`a,
7??3&, qckwk f} wkpkbqka k~fakhmk qcbq qbwikqfhi ehk
ew dewk en qck}k mewk nkbq{wk} aek} wk}{`q fh pe}fqf~k
mcbhik} fh eqckw bwkb} me``bqkwb` knnkmq} f} qck qkwd
de}q enqkh {}ka( N{wqckwdewk, qck}k me` bqkwb`
knnkmq} qvpfmb``v emm{w bdehi qck ~bwfe{} mewk nkb$
q{wk} en B]A `f}qka bge~k, }{iik}qfhi qcbq qckv bwk
heq fhakpkhakhq en kbmc eqckw #Ycb`kh kq b`(, 7??>&(
Fhqkw~khqfeh bppwebmck} new pwk}mcee`kw} yfqc B]A
qcbq cb~k nem{}ka eh mewk }jf``} wbqckw qcbh b gweba
bwwbv en }jf `} fhm`{ak _f~eqb` Wk}peh}k Qwbfhfhi,
nem{}ka eh medd{hfmbqfeh #k(i(, Jekik`, Jekik`,Cbwweykw, . Mbwqkw, 2666&, qck yewj gv Jb}bwf bha
me``kbi{k} nem{}ka eh lefhq bqqkhqfeh bha }vdge fm
p`bv #k(i(, Jb}bwf, Nwkkdbh, . _bpbwk` b, 7??>:
Jb}bwf, _bpbwk` b, Nwkkdbh, . Lbcwedf, 7??3&,
Fhqkw~khfhi fh fhnbhmv 2=2;
7?2? Qck B{qcew}
Le{whb` en Mcf`a _}vmce`eiv bha _}vmcfbqwv 7?2? B}}emfbqfeh new Mcf`a bha Bae`k}mkhq Dkhqb` Ckb`qc(
8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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fdfqbqfeh #k(i(, Ycb`kh kq b`(, 7??>&, bha }emfb`
ak~k`epdkhq #Eaed . DmMehhk` , 266>&( Qck fakb
qcbq qbwikqfhi mewk ak~k`epdkhqb` nkbq{wk} wk}{`q} fh
aeyh}qwkbd ibfh} fh eqckw fdpewqbhq ak~k`epdkhqb`
bwkb} f} bh fdpewqbhq qkhkq en ak~k`epdkhqb` p}v$
mce`eiv(
Qbwikqfhi fhqkw~khqfeh eh mewk nkbq{wk} dbv gk b
dewk kmehedfmb` bppwebmc qe fhqkw~khqfeh, fh qkwd}
en qfdk, nbdf`v fh~e`~kdkhq, bha me}q, qcbh ak`f~kwfhi
i`egb` qkbmcfhi gb}ka eh k~kwv b}pkmq} en b mcf`a}
ak~k`epdkhq( Akqkwdfhfhi yckqckw b qbwikqka
bppwebmc qe b `fdfqka }kq en }jf``} f} b} knflmbmfe{} b}
b i`egb` bppwebmc qe ak~k`epdkhq fh fhqkw~khqfeh f} b
mwfqfmb` wk}kbwmc hkka, if~kh qck h{dgkw en mcf`awkh
yce hkka fhqkw~khqfeh bha qck `fdfqka wk}e{wmk} qcbq
medd{hfqfk} cb~k qe pwe~fak fq( B }q{av ak}fih qcbq
ye{`a ck`p qe bh}ykw qcf} r{k}qfeh ye{`a fh~e`~k
b}}fihfhi fhnbhq} bha qeaa`kw} yfqc B]A wbhaed`v qe
kfqckw b medpwkckh}f~k ew b qbwikqka }kq en qwkbqdkhqeglkmqf~k} yfqcfh b if~kh qkbmcfhi bppwebmc, ce`afhi
b`` eqckw ~bwfbg`k} meh}qbhq, bha ne``eyfhi qck
fhnbhq} b`ehi yfqc mbwkn{` bha nwkr{khq b}}k}}dkhq
en b`` ak~k`epdkhqb` bwkb}( Qcf} qvpk en }q{av ye{`a
ck`p {} `kbwh yckqckw qck bppwebmc qcbq cb} gkkh }e
knnkmqf~k fh qck eqckw fhnbhq fhqkw~khqfeh} {}k en b
gweba ak~k`epdkhqb` m{wwfm{`{d f} b`}e epqfdb` new
B]A(
Fhqkh}fqv bha ak`f~kwv }v}qkd new fhqkw~kh$
qfeh( Qck ksbdfhbqfeh en knnkmq }f|k} wk~fkyka fh
qcf} pbpkw }{iik}q qcbq qwkbqdkhq fhqkh}fqv, fhm`{a$
fhi gkifhhfhi qwkbqdkhq b} kbw`v b} pe}}fg`k bha
pwe~fafhi qcbq qwkbqdkhq new `ehi a{wbqfeh}, meh$
qwfg{qk} qe dewk knflmbmfe{} fhqkw~khqfeh}( Qc{}, b
}kmeha r{k}qfeh qcbq bwf}k} fh af}m{}}fhi b{qf}d
kbw`v fhqkw~khqfeh f} qck fhqkh}fqv en qwkbqdkhq( Qck
m{wwkhq hbqfehb` }qbhabwa }{iik}q} 7; ce{w} pkw
ykkj en fhqkw~khqfeh new ve{hi mcf awkh yfqc B]A
#Hbqfehb` Wk}kbwmc Me{hmf , 7??2&( Ceyk~kw, qck
eh`v fhnbhq qwkbqdkhq} new eqckw m`fhfmb` mehafqfeh}
ak`f~kwfhi qcf} dbhv ce{w} en fhqkw~khqfeh pkw ykkj
bwk qck mkhqkw$gb}ka bppwebmck} qcbq nem{}ka eh
fhnbhq} bq }emfe$m{`q{wb` wf}j new fhqk``kmq{b` af}bgf`$
fqv #k(i(, Wbdkv . Mbdpgk``, 2631&( If~kh qck }{m$mk}} en cedk ~f}fq newdbq} new fhnbhq} yfqc eqckw
mehafqfeh} bha if~kh qck kspkh}k en b``$abv }pkmfb`qv
mkhqkw$gb}ka mbwk new mcf`awkh, qck {}k en b cedk
~f}fqbqfeh deak` yfqc ehiefhi pbwkhq qwbfhfhi bha
}{ppewq f} `fjk`v b ~fbg`k deak` new fhnbhq bha qeaa`kw
B]A fhqkw~khqfeh( Yckh pbwkhq} fhmewpewbqk }pkmfflm
qkmchfr{k} fhqe qckfw ehiefhi fhqkwbmqfeh} yfqc qckfw
mcf`awkh, bha yckh qckv dbfhqbfh b cfic wbqk en
fhqkwbmqfeh} yfqc qckfw mcf`awkh qcwe{ice{q qck abv,
qckh mcf a }emfb` `kbwhfhi f} emm{wwfhi qcwe{ice{q
qck fhnbhq} ybjfhi ce{w}(
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`kbwhka }jf` } fhqe qckfw ehiefhi mbwkqbjfhi yfqc qckfw
mcf`awkh nwed bhv en qck fhnbhq fhqkw~khqfeh }q{afk}(
N{wqckwdewk, nky en qck b{qf}d qwkbqdkhq dbh{b`}
qcbq me{`a gk {}ka new qeaa`kw} bha pbwkhq} pwe~fak
qk}qka dkqcea} new ksbdfhfhi pbwkhq fdp`kdkhqb$
qfeh en fhqkw~khqfeh qkmchfr{k} a{wfhi awk}}fhi,
nkkafhi, gbqcfhi, bha eqckw ce{}kce`a we{qfhk}
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mbwkqbjfhi bha p`bv bmqf~fqfk}, #7& ak~k`epdkhq en
`ey$me}q dkqcea} new dkb}{wfhi pbwkhqb` flak`fqv en
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mehmkwhfhi pbwkhqb` fhqkh}fqv en fdp`kdkhqbqfeh(
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`fjk @KHB #@KHB Ne{habqfeh, 7?2?&, b}}f}q
wk}kbwmckw} qe ksbdfhk flak`fqv bha fhqkh}fqv en pbw$khq$ak f~kwka fhqkw~khqfeh}5 [hqf` qck}k dkqcea} bwk
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fh qck >23$dehqc bik wbhik(
Qwbh}nkwwfhi fhqkw~khqfeh }jf``} nwed qckwbpf}q} qe
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qck }e{wmk} en fhqkw~khqfeh( Ycbq bwk qck gk}q ybv}
en qwbh}nkwwfhi fhqkw~khqfeh }jf``} nwed qckwbpf}q} qe
pbwkhq}5 ]k~kwb` afnnkwkhq deak`} new qkbmcfhi pbw$
khq} qe mbwwv e{q fhqkw~khqfeh} ksf}q( ]edk deak`}
{}k afabmqfm pbwkhq fh}qw{mqfeh bha qwbfhfhi #k(i(,
Hknaq, Jekik`, ]fhikw, . Ikwgkw, 7?2?&: eqckw} bwi{k
new qck fdpewqbhmk en b mebmcfhi ~kw}{} b afabmqfm
wk`bqfeh}cfp #k(i(, ^f}dbwb . Weikw}, 7??3&( ]edk
bppwebmck} qkbmc pbwkhq} fh iwe{p} #Me{`qkw .
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ksqkh}f~k`v eh qckwbpf}q deak`fhi #k(i(, Mcbha`kw,
Mcwf}qfk, Hky}eh, . _wk~k|kw, 7??7&: ceyk~kw, qckw$
bpf}q deak`fhi wbf}k} mehmkwh} bge{q mehqwfg{qfhi qe
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kwbq{wk eh ba{`q ~kw}{} mcf`a `kbwhfhi }qv`k} bha eh
fhaf~fa{b` afnnkwkhmk} bdehi ba{`q} fh `kbwhfhi}qv`k}( L{}q b} yk hkka medpbwbqf~k }q{afk} en qck
knnkmq} en afnnkwkhq fhqkw~khqfeh bppwebmck} eh mcf`$
awkh bha nbdf`fk} yce afnnkw nwed kbmc eqckw #qwkbq$
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}q{afk} qe akqkwdfhk qck gk}q ybv} qe ck`p bha
}{ppewq pbwkhq} qe pwe~fak `kbwhfhi eppewq{hfqfk} new
qckfw mcf`awkh yfqc bppwepwfbqk nwkr{khmv bha cfic
flak`fqv(
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epdkhqb` af}ewakw}, pbwkhq} en fhnbhq} bha qeaa`kw}
yfqc B]A bwk heq medd{hfqv fhqkw~khqfeh pwe~fakw}:
qckv bwk pbwkhq} en bh fhnbhq ew qeaa`kw l{}q afbi$he}ka yfqc b }kwfe{} mcwehfm ak~k`epdkhqb` af}ew$
akw( Qckv bwk kspkwfkhmfhi b qwbifm bha `fnk$b`qkwfhi
k~khq, ehk yfqc `ehi$qkwd knnkmq} eh k~kwvehk fh qck
nbdf`v( Qckv hkka fhnewdbqfeh, }{ppewq, bha }kw~fmk}
2=2> Jbqckwfhk Yb``bmk bha ]b``v Weikw}
7?2? Qck B{qcew}
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8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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new qckfw mcf`a( Cey ae yk }{ppewq qckd fh qcf} pbwq
en qckfw `f~k}, bha b`}e pb}} eh fhqkw~khqfeh }jf``}5
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}feh en pbwkhqfhi en bh fhnbhq ew qeaa`kw yfqc B]A, b}
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qck nbdf`v b} b yce`k, f} bh fdpewqbhq b}pkmq qe gk
dkb}{wka fh fhnbhqqeaa`kw fhqkw~khqfeh }q{afk}(
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qck hkka} en b`` nbdf`fk}( Cey qe fhaf~fa{b`f|k, bha
ycbq qe fhaf~fa{b`f|k, new kbmc nbdf`v, yfqcfh qck
}qw{mq{wk en b dbh{b f|ka, kdpfwfmb` v }{ppewqka
qwkbqdkhq, f} b mw{mfb` wk}kbwmc r{k}qfeh, fh ewakw qe
dkkq qck hkka} en af~kw}k nbdf`fk} bha mcf awkh(
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bh kdpfwfmb` r{k}qfeh, bha fq f} bh fdpewqbhq ehk qe
}q{av b} yk ak}fih bha mbwwv e{q fhqkw~khqfeh} new
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Mehm`{}feh
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dfhk yckqckw wk}kbwmckw} ak}fihfhi fhqkw~khqfeh
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ne` ey} b pvwbdfa en ak}fih}, gkifhhfhi yfqc mb}k
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medpbwbqf~k ak}fih} #@ewa kq b`(, 7??>: ]dfqc kq b`(,
7??9: [|ifwf}, 269=&, qcf} bppwebmc qbjk} dbhv
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g{f`afhi nwed qcf} ksf}qfhi geav en yewj fh}qkba en
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qcbh medpwkckh}f~k fhqkw~khqfeh}, }e qcbq knflmb$
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qe pbwkhq} hkka} qe medk nwed b wk}kbwmc bikhab(
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hfmbqfeh ak~k`epdkhq, new fhnbhq} bha qeaa`kw} yfqc
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7??3&( Fq dbv gk qcbq qckwk bwk b nky eqckw ikhkwb`
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bha qeaa`kw} bq wf}j en B]A( Fn }q{afk} mbh {}k mbwkn{`
kdpfwfmb` dkqcea} qe f}e`bqk, qk}q, bha fakhqfnv qce}k
mewk pbwkhqmcf`a fhqkwbmqfeh }jf` } qcbq `kba qe
dbsfdb` mcf`a pweiwk}}, qckh yk dbv gk bg`k qe de~k
r{fmj`v qe ak~k`ep, pbmjbik, bha qwbh}dfq knnkmqf~k
B]A m{wwfm{`b qe pbwkhq}(
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nkwkhq pbqqkwh} en ak~k`epdkhq bha gkcb~few, bha
pbwkhq} yfqc afnnkwkhq mcf`a$wkbwfhi }qv`k}, gk`fkn},
bha ~b`{k}, yf`` gkhkflq nwed afnnkwkhq bppwebmck}(
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deakwbqew} en e{qmedk, fh~e`~fhi geqc mcf a bha
nbdf`v mcbwbmqkwf}qfm}( Ak}fihfhi }q{afk} yfqc }{nfl$
mfkhq iwe{p }f|k} qe b` ey new }{mc bhb`v}k}, bha
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}{mc bhb`v}k}, yf`` de~k {} bckba nbwqckw qcbh }db``
mehqwe``ka }q{afk} nem{}ka eh ehk fhqkw~khqfeh bha
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bgf`fqv qe fakhqfnv bmqf~k fhiwkafkhq} bha dkafbqew}
bha deakwbqew} en qwkbqdkhq knnkmq}( Ceyk~kw, qck
fhnbhq fhqkw~khqfeh wk}kbwmc b`wkbav bmmedp f}cka
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cedk, yfqc nbdf`fk}, nem{}ka eh qck mcf`a} ak~k`ep$
dkhqb` hkka}, }kh}fqf~k, wk}peh}f~k pbwkhqmcf a
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pewq ak~k`epdkhq ~kwv yk` ( Yk b`}e cb~k b nky
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7??3&( Yk hkka qe {hakw}qbha qck bmqf~k fhiwkafkhq}
bha dkafbqew} bha deakwbqew} en e{qmedk} en
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qe Weikw}(
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MB 6;329, []B: Kdbf`< j}yb``bmkO{mab~f}(ka{
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7?2? Qck B{qcew}
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8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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qwe``ka qwfb` en bh kbw`v fhqkw~khqfeh pweiwbd fh `ey gfwqc
ykficq mcf awkh< E{qmedk bq 7 vkbw}( Kbw v C{dbhAk~k`epdkhq, 31, 7?27?6( aef< 2?(2?2>%l(kbw`c{d$
ak~(7??9(?9(??=
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8/2/2019 AUTISMO-Tratamiento_ Intervening in infancy: implications for autismspectrum disorders
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