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AUTISM
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OverviewWhat is Autism?
Is there more than one type of Autism?
What causes Autism?
How is Autism diagnosed?
What are the characteristics of Autism?
What are the most eective approachesto treating Autism? Is there a cure?
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WHAT IS AUTISM?ery comp!e"# often $a%ingdeve!opmenta! disa$i!ity
&irst descri$ed $y 'eo(anner in )*+, as earlyinfantile autism
-Auto. / chi!dren are -!oc0ed
within themse!ves1.&or ne"t ,2 years#considered to $e anemotional disturbance
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WHAT IS AUTISM?, categories for autism in I34A?
Today# autism is a severe form of
a broader group of disorders
These are referred to as pervasivedevelopmental disorders 5!ater6
Typica!!y appears during the 7rst ,years of !ife
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WHAT IS AUTISM?ery !i0e!y neurological in origin /not emotiona!# not the refrigerator
mom8reva!ence is 9:;o re!ation to fami!y income# !ifesty!e
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WHAT IS AUTISM?Autism impacts norma! deve!opmentof the $rain in areas of social
interaction and communicationskills.
3icu!t to communicate with othersand re!ate to the outside wor!d1
Occasiona!!y# aggressive and
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WHAT IS AUTISM?May e"hi$it repeated bodymovements 5hand apping#
roc0ing61Unusual responses to people
Attachment to objects
Resistance to change in routine
Sensory sensitivities
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WHAT AB4 TH4 TC84S?Actua!!y# the -um$re!!a. heading isPervasive Developmental
Disorder (PDD.Autism is one of the D 833s1
A!! have commona!ities in
communication and socia! de7cits
3ier in terms of severity
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)1 Autistic 3isorderImpairments in socialinteraction! communication#
and imaginative play1Apparent $efore age ,1
A!so inc!udes stereotyped
$ehaviors# interests# and activities
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91 AspergerEs 3isorderImpairments in socia! interactions#and presence of restricted
interests and activities>o c!inica!!y signi7cant genera!de!ay in !anguage
Average to a$ove averageinte!!igence
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". Pervasive DevelopmentalDisorder # $ot %ther&ise
Speci'ed (PDD$%S
Often referred to as atypicalautism
Used when a chi!d does not meetthe criteria for a speci7c diagnosis#$ut there is severe and pervasive
impairment in speci7ed $ehaviors
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+1 BettEs 3isorder8rogressive disorder which# to date#has on!y occurred in gir!s1
8eriod of norma! deve!opment andthen the !oss of previous!y acFuireds0i!!s
A!so !oss of purposefu! use of hands#
which is rep!aced $y repetitive handmovements
Geginning at age of ):+ years
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D1 hi!dhood
3isintegrative 3isorder>orma! deve!opment for at !eastthe 7rst 9 years
Then signi7cant !oss of previous!yacFuired s0i!!s
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onc!usions on TypesAutism is a spectrum disorder
This means that symptoms and
characteristics can present themse!vesin wide variety of com$inations# frommi!d to severe
Autistic individua!s can $e very dierent
from each other-Autism. is sti!! common!y used to referto any of the D 833s
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What causes 5and doesnEt
cause6 autism?ood agreement in genera! thatautism is caused $y a$norma!ities
in $rain deve!opment#neurochemistry# and geneticfactors
Gett!eheimEs theory of psychogenesis?
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How is Autism 3iagnosed?>o de7nitive medica! test
Team uses interviews# o$servation# and
speci7c chec0!ists deve!oped for thispurpose1
Team might inc!ude neuro!ogist# psycho!ogist#deve!opmenta! pediatrician# speech
therapist# !earning consu!tant# etc1Must ru!e out MB# hearing impairment#$ehavior disorders# or eccentric ha$its
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HABAT4BISTIS)1 ommunication
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)1
ommunication
comp!e" s0i!!s Two common impairmentsJ
A1 Delayed language
G1 )cholalia
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A1 3e!ayed !anguageD2K of autistic individua!s wi!! eventua!!yhave usefu! speech 5?6
Pronoun reversalJ -Cou want whiteicing on choco!ate ca0e1.
3icu!ty in conversing easi!y with others
3icu!ty in shifting topics
'oo0 awayL poor eye contact
*acilitated communication++++++
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4!ements of &aci!itated
ommunication)1 8hysica! Support
91 Initia! training
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G1 4cho!a!iaommon in very young chi!dren5Age ,6
Immediate or de!ayed 5even years6
Is there communicative intent withecho!a!ia?
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91 Socia! InteractionOne of ha!!mar0s of autism is !ac0 ofsocia! interaction
)1 Impaired use of nonver$a! $ehavior91 'ac0 of peer re!ationships
,1 &ai!ure to spontaneous!y shareen@oyment# interests# etc1 with others
+1 'ac0 of reciprocity
,heory of mind+
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,1 GehaviorsRepetitive behaviors# inc!udingobsessions, tics, and perseveration
-mpeding behaviors 5impede their!earning or the !earning of others6
Wi!! need positive $ehavior supports
A. Selfinjurious behavior
. Aggression
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+1 Sensory and movement
disordersery common
Over: or under:sensitive to sensory stimu!i
A$norma! posture and movements of theface# head# trun0# and !im$s
A$norma! eye movements
Bepeated gestures and mannerisms
Movement disorders can $e detected veryear!y / perhaps at $irth
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D1 8redicta$i!ityhange in routine is very stressfu!
May insist on particu!ar furniture
arrangement# food at mea!s# Tshows
Symmetry is often important
Interventions need to focus onpreparing students for change ifpossi$!e
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;1 Inte!!ectua! functioningAutism occurs in chi!dren of a!! !eve!s ofinte!!igence# from those who are giftedto those who have menta! retardation
In genera!# ma@ority of individua!s withautism are a!so identi7ed as havingmenta! retardation / NDK $e!ow N2
er$a! and reasoning s0i!!s are dicu!tSavant syndrome
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Interventions)1 Individua!iation and ear!yintervention are the 0eys
91 Inc!ude !ife s0i!!s# functiona!academics# and vocationa!preparation
,1 8ositive $ehavior support+1 Socia! stories 5music therapy?6
D1 'ovaas mode!