| Line 1: |
Line 1: |
| | {{rewrite|it does not explain what autism is or what "causes" it; rather lurches from chatty provision of slang words (like "stimming") to medical jargon (like "spectrum disorder"); it employs outright speculation, implying that the problem has a neurological or a (physical) environmental cause such as vaccinations or pollution}} | | {{rewrite|it does not explain what autism is or what "causes" it; rather lurches from chatty provision of slang words (like "stimming") to medical jargon (like "spectrum disorder"); it employs outright speculation, implying that the problem has a neurological or a (physical) environmental cause such as vaccinations or pollution}} |
| − | '''Autism''' is a [[developmental disability]], characterized by the tendency to be self-absorbed and have difficulty relating to others. | + | '''Autism''' is a type of pervasive developmental disorder. It is characterized by difficulties with social interaction; difficulties with verbal communication, especially pragmatic language; difficulty processing nonverbal communication such as facial expression; intense, narrow interests; difficulty adjusting to changes in routine; and repetitive behaviors. Other signs include lack of eye contact, delayed or unusual play skills, hypo- or hyper-sensitivity to sensory stimuli, and anxiety.<ref>http://www.webmd.com/brain/autism/development-disorder?page=2</ref> It is usually detected by the time a child is four years old but in some cases, autism goes unnoticed into adulthood. There are many intelligent and talented autistic individuals.<ref>Temple Grandin, "Thinking in Pictures, Expanded Edition: My Life with Autism" amazon link http://www.amazon.com/gp/product/0307275655/ref=wl_it_dp/103-3432247-4184629?ie=UTF8&coliid=I1CWNFSEUCIXQL&colid=49VN3HJC5OQK</ref> The term '''autism''' was first used in 1912. |
| − | It is characterized by inability to interact socially; linguistic disability; intense, narrow interests; and repetitive behaviors. Other signs include lack of eye contact, playing alone, lack of words, or in the case of [[Asperger's syndrome]] possessing a large vocabulary and intense knowledge of specialized areas but a lack of social skills, fine motor skills, and/or inappropriate behavior. It is usually detected by the time a child is four years old but in some cases, autism goes unnoticed into adulthood. There are many intelligent and talented autistic individuals.<ref>Temple Grandin, "Thinking in Pictures, Expanded Edition: My Life with Autism" amazon link http://www.amazon.com/gp/product/0307275655/ref=wl_it_dp/103-3432247-4184629?ie=UTF8&coliid=I1CWNFSEUCIXQL&colid=49VN3HJC5OQK</ref> The term '''autism''' was first used in 1912. | |
| | | | |
| | Diagnoses of autism has increased from 1:10,000 in 1988 to as high as 1 in 150 people,<ref>http://www.cdc.gov/ncbddd/autism/faq_prevalence.htm</ref> and it has been rising. Four times as many boys suffer from autism as girls.<ref name="Clinic Stats">http://www.iupui.edu/~psycdept/autism/autism.htm</ref> Among boys, 1 in 94 has the disorder. In New Jersey, which has the highest rate in the nation, 1 in every 60 boys has autism and 1 in every 94 children is affected. There is a seizure disorder in about one-third of those who have autism.<ref name="Clinic Stats"/> | | Diagnoses of autism has increased from 1:10,000 in 1988 to as high as 1 in 150 people,<ref>http://www.cdc.gov/ncbddd/autism/faq_prevalence.htm</ref> and it has been rising. Four times as many boys suffer from autism as girls.<ref name="Clinic Stats">http://www.iupui.edu/~psycdept/autism/autism.htm</ref> Among boys, 1 in 94 has the disorder. In New Jersey, which has the highest rate in the nation, 1 in every 60 boys has autism and 1 in every 94 children is affected. There is a seizure disorder in about one-third of those who have autism.<ref name="Clinic Stats"/> |
| | | | |
| − | Autism is a spectrum disorder which means there is a range in how it affects different people. There is the fragile x syndrome, Asperger's syndrome, pdd nos, mild autism, moderate autism, severe autism, and some [[idiot savants]]. Autistic children will not all act like the character portrayed in the movie ''[[Rain Man]]''. Nor are all autistic children uncaring or unable to show emotion, in fact many are very caring. | + | Autism is said to exist on a "spectrum;" that is, there is a wide range of how this disorders affect people. Other pervasive developmental disorders include Asperger's Syndrome, Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS), Childhood Disintegrative Disorder, and Rett's Syndrome. There are many degrees of functioning in individuals with autism. Because of this, all individuals diagnosed with autism will not exhibit the same characteristics, or exhibit them to the same degree. |
| | | | |
| − | Autism was first identified clinically in 1943 by Dr. [[Leo Kanner]]. Dr. Hans Asperger also did some research into autism at about the same time and discovered Asperger's syndrome. As early as the 90's many psychotherapies were used to treat it or least hide its symptoms, including Applied Behavioral Analysis ([[ABA therapy]]). | + | Autism was first identified clinically in 1943 by Dr. [[Leo Kanner]]. Dr. Hans Asperger also did some research into autism at about the same time and discovered Asperger's syndrome. As early as the 1990's, many intervention strategies, including Applied Behavioral Analysis ([[ABA therapy]]), were used to treat autism or mitigate its symptoms. |
| | | | |
| | ==How does autism develop?== | | ==How does autism develop?== |
| Line 21: |
Line 20: |
| | The Autism Society says, "Researchers are investigating problems during pregnancy or delivery as well as environmental factors, such as viral infections, metabolic imbalances, and exposure to environmental chemicals." [http://www.autism-society.org/site/PageServer?pagename=about_whatcauses] | | The Autism Society says, "Researchers are investigating problems during pregnancy or delivery as well as environmental factors, such as viral infections, metabolic imbalances, and exposure to environmental chemicals." [http://www.autism-society.org/site/PageServer?pagename=about_whatcauses] |
| | | | |
| − | * There are two popular theories linking autism and vaccines. One theory suggests the MMR (Mumps-Measles-Rubella) vaccine causes intestinal problems which lead to the development of autism. The second theory suggests that thimerosal, a mercury-based preservative used in some vaccines, could be a contributor of the development of autism. [http://www.autism-causes.com/autism-causes.html] | + | * There are two popular theories linking autism and vaccines. One theory suggests the MMR (Mumps-Measles-Rubella) vaccine causes intestinal problems which lead to the development of autism. This theory was based on the research of Dr. Andrew Wakefield, who conducted a study using 12 children to make the connection between autism and the MMR vaccine. However, a recent investigation of this study has concluded that Dr. Wakefield manipulated patient data to support his conclusion, and used questionable research practices when obtaining blood samples from the children in the study. <ref>http://www.timesonline.co.uk/tol/life_and_style/health/article5683671.ece</ref> The second theory suggests that thimerosal, a mercury-based preservative used in some vaccines, could be a contributor of the development of autism. [http://www.autism-causes.com/autism-causes.html] |
| | | | |
| | There are claims that environmental toxins increase the risk of autism, just as they increase the risk of cancer. [[New Jersey]] has the highest rate of cancer in the nation, presumably due to a heavy concentration of environmental toxins, and it also has the highest rate of [[autism]]. Autistic patients are observed to have higher levels of metals and other toxins. | | There are claims that environmental toxins increase the risk of autism, just as they increase the risk of cancer. [[New Jersey]] has the highest rate of cancer in the nation, presumably due to a heavy concentration of environmental toxins, and it also has the highest rate of [[autism]]. Autistic patients are observed to have higher levels of metals and other toxins. |
| Line 50: |
Line 49: |
| | They include walking on tiptoes, flapping of hands, staring at objects for a prolonged period of time, oral fixation, spinning in circles, and other repetitive activities. | | They include walking on tiptoes, flapping of hands, staring at objects for a prolonged period of time, oral fixation, spinning in circles, and other repetitive activities. |
| | These are called stims or stimming. | | These are called stims or stimming. |
| | + | |
| | + | ==Interventions and Treatments== |
| | + | |
| | + | *Applied Behavioral Analysis (ABA) - This is a behavioral intervention which applies the study of behavioral analysis, as well as the tools of this study, toward assisting behaviors of social significance in individuals of many different populations, including children with autism. <ref>http://www.centerforautism.com/getting_started/aba.asp</ref> Applied behavior analysis is used to increase positive behaviors, decrease interfering behaviors, maintain positive behaviors, teach new skills, and generalize new positive behaviors across many different settings, not just in a restrictive classroom or therapy setting. Therapists begin by observing the behaviors of the individual, focusing on skills and behaviors to reinforce or teach, and identifying interfering behaviors to be minimized. They then develop an intervention plan to reinforce the positive behaviors and skills, by using a system of rewards when the individual receiving the therapy exhibits the behavior that the therapist wants to observe. As the individual incorporates more positive behaviors, the therapist may decrease or change the reinforcement as necessary. |
| | + | |
| | + | *Developmental, Individual difference and Relationship-based (DIR/Floortime) model - This is a relationship-based intervention, developed by Dr. Stanley Greenspan, which focuses on developing a connection with the individual with autism, emphasizing the role his or her interests, emotions, and preferences play in developing an effective treatment. <ref>http://www.icdl.com/dirFloortime/overview/index.shtml</ref> This model emphasizes individual differences in children with autism, and requires caregivers and therapists to approach each child accordingly. It begins with understanding the child's developmental stage, understanding the ways in which the child understands and learns information and processes sensory stimuli, and developing relationships between the child and his or her caregivers and therapists, who tailor their affect and interactions to the child's needs. This model especially emphasizes the importance of parents and caregivers in the process of their child's treatment, because of their unique relationship to the child. |
| | + | |
| | + | *Treatment and Education of Autistic and related Communication-handicapped CHildren (TEACCH) - This approach was developed in the early 1970s by Eric Schopler and colleagues, and focuses on skil development, as well as fulfillment of human needs such as communication, social interaction, increasing feelings of safety and reducing anxiety, and engaging in productive and enjoyable activities.<ref>http://www.teacch.com/whatis.html</ref> The principles of the TEACCH method of intervention include: understanding the "culture" of autism (what characterizes individuals with autism, such as their thinking patterns and behaviors), developing an individualized approach to intervention for each individual, structuring the physical environment for effective learning, and using visual supports to assist in understanding and retaining routines, structures, and schedules, as well as to make individual tasks understandable. |
| | | | |
| | ==See Also== | | ==See Also== |